Philips ST80i Instructions For Use Manual
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Philips ST80i Instructions For Use Manual

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ST80i Stress Test System
Instructions for Use

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  • Page 1 ST80i Stress Test System Instructions for Use...
  • Page 3 ST80i Stress Test System NSTRUCTIONS FOR Edition 1 June 2012...
  • Page 4 As with all electronic equipment, PN 453564XXXXXX presented in this manual. Radio Frequency (RF) interference June 2012 between the ST80i system and any Edition 1 existing RF transmitting or Authorized EU-representative Printed in the USA receiving equipment at the...
  • Page 5 Overview ..........1-2 About ST80i Documentation......1-3 Available Documentation .

  • Page 6: Table Of Contents

    ST80i Test Screen ........
  • Page 7 Recovery Phase ........3-36 ST80i Stress Test System Instructions for Use...
  • Page 8 Printing Reports ........4-26 ST80i Stress Test System Instructions for Use...
  • Page 9 Precautions..........5-1 Cleaning the ST80i System ....... 5-2 Cleaning the Printer .
  • Page 10 Appendix C. Configuring and Using the Printer ST80i Thermal Printer ........C-1 Thermal Printer Dimensions and Specifications.
  • Page 11 Medical Isolation Transformer Specifications ... . . E-6 ST80i Thermal Printer Specifications....E-7 Supported Treadmills and Ergometers .
  • Page 12 Table of Contents viii ST80i Stress Test System Instructions for Use...
  • Page 13 Safety Summary This chapter provides important safety information related to the use of the ST80i Stress Test System. US FEDERAL LAW RESTRICTS THIS DEVICE TO SALE BY OR ON THE ORDER OF A PHYSICIAN. Conventions Used in the Instructions for Use The following conventions are used in the ST80i Stress Test System Instructions for Use, this guide.
  • Page 14 Wireless Patient Interface Module carries this rating. Canadian Standards Association (CSA) Certification Mark. Indicates that the product is certified for both the U.S. and Canadian markets, to the applicable U.S. and Canadian standards. ST80i Stress Test System Instructions for Use...
  • Page 15 Symbols Marked on the ST80i System Packaging Symbols Marked on the ST80i System Packaging Symbol Description Keep dry. Keep out of direct sunlight. Acceptable temperature range. Move and store packaging this end up. Fragile. Recycle the packaging materials after use.
  • Page 16 Safety Information for the ST80i Stress Test System The Philips ST80i Stress Test System, when operated with the ST80i AIM, AIM data cable, ST80i PIM, and lead wires, shall meet all of the EMC requirements specified in the following standards: IEC 60601-1:1988 + A1:1991 + A2:1995 Medical Electrical Equipment –...
  • Page 17 Do not connect additional Multiple Portable Socket-Outlets (MPSOs) or extension cords  to the system. The ST80i USB and RS-232 ports should be connected only to treadmills, ergometers, and  NIBP monitors that are certified to meet IEC 60601-1 and are listed as supported devices in the Instructions for Use.
  • Page 18 Safety Summary Use only shielded LAN cable when connecting the cable to the ST80i LAN port.  Use Philips-approved lead wires with defibrillator protection resistors.  To avoid the possibility of serious injury or death during patient defibrillation, do not ...
  • Page 19 NIBP cable, and SpO2 cable away from patient’s feet before beginning exercise stage The ST80i captures and presents data reflecting a patient’s physiological condition that,  when reviewed by a trained physician or clinician, can be useful in determining a diagnosis.
  • Page 20  alcohol sterilizing disinfectant, then dry with a clean cloth. See “Cleaning the ST80i System” on page 5-2 in the “Maintaining the ST80i System” chapter for a list of approved disenfectants. Be careful not to damage the display when moving the trolley or when moving other ...
  • Page 21 Because of its sampling characteristics and the asynchronism between sample rate and  signal rate, ST80i may produce a noticeable modulating effect from one cycle to the next, particularly in pediatric recordings. ST80i can download ECGs via the TraceMasterVue server for review.
  • Page 22 Do not connect the treadmill or the ergometer to the medical isolation transformer  supplied by Philips. It is important that the treadmill and ergometer has its own source of unshared power to avoid an interruption to the power supply to the ST80i System. The treadmill and ergometer should have its own circuit and fuse/breaker in a local power distribution box.
  • Page 23 Safety Information for the Wireless Patient Interface Module For information about electromagnetic compatibility (EMC) with surrounding devices, see “Electromagnetic Compatibility (EMC) - To be finalized” on page E-7 of Appendix E, “Specifications and Requirements”. ST80i Stress Test System Instructions for Use...
  • Page 24 (including earth-grounded materials), especially when connecting or disconnecting electrodes to or from a patient. If your facility is using more than one PIM, each one must be added to the ST80i  application under Settings (System Settings; I/O Devices). When you connect the patient to one of the PIM devices, you also need to verify the address on the device with the address that shows up on the Pre Exercise screen.
  • Page 25 Wipe the exterior surface of the device and patient cables with a non- alcohol sterilizing disinfectant, then dry with a clean cloth. See “Cleaning the ST80i System” on page 5-2 in the “Maintaining the ST80i System” chapter for a list of approved disenfectants.
  • Page 26 Ce dispositif est conforme à la norme CNR-210 d'Industrie Canada applicable aux appareils radio exempts de licence. Son fonctionnement est sujet aux deux conditions suivantes: – Le dispositif ne doit pas produire de brouillage préjudiciable, et ST80i Stress Test System Instructions for Use...
  • Page 27 Internally powered – Type CF applied parts – Ordinary equipment – Not suitable for use in the presence of flammable anesthetics or flammable mixtures of air, oxygen, or nitrous oxide – Continuous operation ST80i Stress Test System Instructions for Use...
  • Page 28 The following controls and safety measures may further strengthen the security and confidentiality of your patient records and system in general: Install ST80i in a secure location and use a privacy filter on the ST80i System monitor that  shields the visibility of the screen contents from angled viewing.
  • Page 29 Contact Philips service to assess and repair the system. Additionally, please be sure to adhere to local procedures regarding malware infection, which may include disconnecting from the network until the situation is resolved.
  • Page 30 Safety Summary Perform regular backups of system data and store in a secure location. ST80i allows you to  back up the stored ECG report and the configuration setting. Users with adminstrator accounts can backup and restore ECG reports from the “Archive” screen; administrators can also backup the configuration setting on the “Settings”...
  • Page 31 10 years or older, as part of decisions regarding possible diagnosis, potential treatment, effectiveness of treatment, or to rule out causes for symptoms of CAD. The Philips ST80i Stress Test System is not intended to be used as a physiological monitor.
  • Page 32 Safety Summary ST80i Stress Test System Instructions for Use...

  • Page 33: Overview

    About ST80i Documentation........1-4...

  • Page 34: Overview

     Automatic 12-lead ECGs  Multiple final report formats  ST80i runs on a PC with the Windows 7 operating system. You control its functions using the keyboard and mouse or touch screen. ST80i Stress Test System Instructions for Use...

  • Page 35: About St80I Documentation

    About ST80i Documentation ST80i interfaces with a treadmill, ergometer, or as part of a pharmacological study, and captures four phases of a patient exercise test: Pre-exercise  Exercise  Recovery (and Post-Recovery)  Report  About ST80i Documentation Philips provides detailed instructional and reference materials to help you get the most out of your ST80i System.

  • Page 36: Conventions Used In This Guide

    Notes provide additional important information about a topic. How to Use this Guide This guide is intended to help you use ST80i. It also provides maintenance and troubleshooting information, as well as product specifications. This guide is organized as follows: Lists the warnings, caution statements, and important notes Safety Summary.

  • Page 37: Getting Help Using St80I

    Defines common terms used with the ST80i System. Glossary. Getting Help Using ST80i For detailed troubleshooting information, as well as details about contacting the Philips Response Center, see Appendix A, “Troubleshooting and Contacting the Response Center.” ST80i Stress Test System Instructions for Use...
  • Page 38 About the Philips ST80i Stress Test System ST80i Stress Test System Instructions for Use...
  • Page 39 ST80i Test Screen ........
  • Page 40 An Overview of the ST80i Stress Test System Treadmill Button ........2-14 Ergometer Button .

  • Page 41: User Accounts

    Only clinicians and administrators would be able to electronically sign the report. ST80i supports at least 100 user accounts. Starting the Application Your user account is used to access the application. When you log into ST80i, you are logging into your preconfigured user profile. To log in Double-click the ST80i icon on your desktop.
  • Page 42 ST80i ships with a default audio file that explains the exercise stress test; however, you may record your own audio file and configure ST80i to play this file when the user clicks the Explain Test button. For more information, see the ST80i Installation and Configuration Guide.

  • Page 43: User Profile

    Before beginning with the exercise stress test, it's important to understand the key features of the ST80i user interface along with the Toolbar icons, since you will be using them during the patient session. ST80i Stress Test System Instructions for Use...

  • Page 44: St80I Test Screen

    An Overview of the ST80i Stress Test System ST80i Test Screen The ST80i Test screen (user interface) provides: All key procedural information including the protocol being used  Pop-ups, drill-down menus, and notes pages that can be viewed then hidden so that the ...

  • Page 45: Title Bar

    Patient Name - Click the patient name to update patient information and add notes on the tab of the Patient Demographics screen Patient Information Patient's Date of Birth Patient ID LED indicators for the RF Transmitter and PIM battery status Current Date and Time ST80i Stress Test System Instructions for Use...
  • Page 46 An Overview of the ST80i Stress Test System To add or update patient information Click on the Patient Name in the title bar. The system displays the Patient Demographics window. Figure 2-4 Patient Demographics window Enter new information for the patient or update the fields as needed during the stress test.

  • Page 47: Procedure Bar

    By default, the Procedure Bar is at the top of the screen. You can change the location of the Procedure Bar to the bottom of the screen. See the ST80i Installation and Configuration Guide to change the default setting [Settings  User Profile  Display].

  • Page 48: Toolbar

    The default setting for the Toolbar is at the top of the screen. You can change the location of the Toolbar to the bottom of the screen. See the ST80i Installation and Configuration Guide to change the default setting [Settings  User Profile  Display].

  • Page 49: Side Panel

    Panel, you can override NIBP and SpO values. In addition, you can change the treadmill speed and duration during a patient session or stop the treadmill altogether. The Side Panel provides the following: Figure 2-7 Side Panel ST80i Stress Test System Instructions for Use 2-11...

  • Page 50: Heart Rate Bpm

    Target Heart Rate is X% of maximum heart rate – as established in User Profile  Target Heart Rate % is pre-set (typically 85%)  See the information regarding Target Heart Rate in the ST80i Installation and Configuration Guide. 2-12 ST80i Stress Test System Instructions for Use...

  • Page 51: Max (220)

    To override NIBP or manually insert the blood pressure measurement N O T E Once the NIBP or BP is manually overwritten, ST80i no longer updates the real-time value from the NIBP monitor. Click the dashed lines or current BP value in the BP mmhg field.

  • Page 52: Double Product (Hr*Bp)

    An Overview of the ST80i Stress Test System To override or manually enter the Sp0 Click the dashed lines or value. Type in the latest SpO Click Double Product (HR*BP) Double Product is the current heart rate times the current blood pressure measurement.

  • Page 53: Treadmill Button

    Treadmill The ST80i USB and RS-232 ports should be connected only to treadmills, ergometers, and NIBP WARNING monitors that are certified to meet IEC 60601-1 and are listed as supported devices in the Instructions for Use.
  • Page 54 Compare the current averages with reference ECG (resting, supine, hyperventilation  averages) and worst case for all 12 leads. ST80i is able to select a new ECG complex or 10s strip as the new reference. This can be done on the screen and is available at any point during the test.
  • Page 55 Rate of Perceived Exertion; from preconfigured setting Note Insert comments about patient and/or test Compare Compare the current zoomed ECG with a previous moment in time to compare [the delta] Page Form-feed adjustment for thermal paper RELEARN ST80i Stress Test System Instructions for Use 2-17...

  • Page 56: Waveform

    An Overview of the ST80i Stress Test System Table 2-5 Toolbar Icons Icon Description Gear Quick Settings: Filter (LP, HP, AC, Artifact, Smart)  Display (Limb Gain, Chest Gain, Speed)  Rhythm Print (Leads, Limb Gain, Chest Gain, Speed) ...

  • Page 57: About The Lead Map

    N O T E When a leads-off condition is detected, the leads-off indicator string will be printed as a dashed line on the report and the indicator will be saved when saving the report. ST80i Stress Test System Instructions for Use 2-19...

  • Page 58: About The Zoom St

     N O T E S ST80i can display the lead with the maximum absolute value of the ST level if you select “Max ST Level” using the drop-down arrow by the default lead. When using the Compare icon, the averaged ECG is superimposed on the blue reference ECG so that you can compare current and reference data.

  • Page 59: About The St Map

    The two-dimensional, color-coded ST map, which can help to identify ischemic areas in the myocardium, is based on both the ST deviation and ST slope. It updates every 10 seconds and can be displayed on the waveform screen. ST80i Stress Test System Instructions for Use 2-21...

  • Page 60: About Trend View

    An Overview of the ST80i Stress Test System To view the ST Map Click the icon. Hide/Show View Select Show ST Map The ST Map displays on the waveform. Figure 2-11 ST Map Click the in the upper-right corner to close the ST Map.

  • Page 61: About Hr/Mets

    To modify the J-ST time interval in advance, see the ST80i Installation and Configuration Guide. You can, however, change the J-point on the Report screen. See “Change (J+) Point” on page 4-7 for more information.

  • Page 62: About Bp

    The system displays the ST value in microvolts (or mm) for the on-screen average complexes. To change the ST value from mV to mm, see the ST80i Installation and Configuration Guide. To view the Average Complex Display Click the icon.

  • Page 63: Freeze

    As the test progresses, you can record events, if and when they occur. You can also add events to the drop-down list that appears by clicking the down arrow by the icon in the Toolbar. ST80i Stress Test System Instructions for Use 2-25...
  • Page 64 An Overview of the ST80i Stress Test System When you record an event, ST80i generates a 12-lead ECG and documents the event name on the ECG. The system also stores the event in memory and will print it in the Rhythm Events portion of the final report.

  • Page 65: Recording Rpe

    RPE scales can be expressed in two ways, 1 to 10 or 6 to 20. The scale used is associated with the selected user profile. To set the RPE scale, see the ST80i Installation and Configuration Guide. When you want to record an RPE score, ask the patient to state which number or statement represents their perceived level of work.

  • Page 66: Note

    Compare ST80i is able to compare the current averages with reference ECG (resting, supine, hyperventilation averages) and worst case for all 12 leads. As the heart rate increases and/or morphological changes occur, the Compare function is used to view the QRS morphology between a reference zoomed lead and a current event such as Chest Pain or Hyperventilation to compare the delta between the two.
  • Page 67 “top of form.” You can also use the icon to advance the paper if there is a paper jam or Page after installing a new package of paper. Relearn --add information about this button here-- ST80i Stress Test System Instructions for Use 2-29...

  • Page 68: Gear (Quick Settings)

    Filter The Filters are pre-configured in the Settings section of the application. When you log into ST80i, the active settings of the filters are set to a stored default set that are associated with your user profile. The ECG data is stored in its unfiltered state (0.02 - 300Hz, all filters off) and user-selected settings are stored with the ECG."...

  • Page 69: Display

    Use the drop-down arrow to adjust the Limb Gain setting. Change the Chest Gain setting: – Full – Half Change the speed: – 25 mm/s – 50 mm/s Click to save your settings. ST80i Stress Test System Instructions for Use 2-31...

  • Page 70: Rhythm Print

    Use the drop-down arrow to adjust the Speed. (5, 10, 25, 50 mm/sec) Click to save your settings. Sync Out ST80i supports two analog ECG output signals and one TTL ECG Sync Output on the Advanced Interface Module (AIM). Analog ECG Output - for synchronization with ECHO device for Stress-Echo procedures. ...
  • Page 71 TTL Out  Polarity/Duration (ms) [drop-down] – – [Example: TTL Out: None; Polarity: Positive; Duration: 50 ms] – Options: None; Leads I - V6 – Polarity (Positive/Negative) – Duration: default is 100 ms. Click ST80i Stress Test System Instructions for Use 2-33...
  • Page 72 An Overview of the ST80i Stress Test System 2-34 ST80i Stress Test System Instructions for Use...

  • Page 73: Overview

    The session starts when you begin a new exam and gather pre-exercise data, and lasts through generation of the final report. In ST80i, the exercise stress test begins with the Pre Exercise phase and ends with the Report phase.
  • Page 74 Ending the Patient Session ........3-47 ST80i Stress Test System Instructions for Use...

  • Page 75: Overview

    Exiting the Application........3-47 ST80i Stress Test System Instructions for Use...

  • Page 76: Using The Patient Worklist

    ST80i Remote Find provides an interface with the Philips ECG Gateway or a DICOM server so that you can do the following before conducting an exercise stress test: Download a patient's data from DICOM server via ECG Gateway ...

  • Page 77: Patient Information Management

    Figure 3-2 Worklist Tab Patient Information Management ST80i displays and reports key patient demographic information such as the patient name, hospital ID number, etc. Some settings are mandatory and configurable. Some settings are set to ON or OFF. There are two ways to access Patient Demographic information:...

  • Page 78: Patient Information Fields

    At a minimum, the Patient ID, Last Name, First Name, DOB, and Gender must be configured as mandatory fields that will be identified on the Test screen. To configure or change mandatory patient information fields, see the ST80i Installation and Configuration Guide.

  • Page 79: Find A Patient

    When you select a patient name, the button becomes active. Edit To edit patient information in the Worklist Place a checkmark by the patient's name. Click the button to open the Edit Patient Information screen. Edit ST80i Stress Test System Instructions for Use...

  • Page 80: Delete A Patient Name

    Place a checkmark by the patient's name. You can check more than one patient name to delete. Click the button. Delete Select from the pop-up box: “Delete record(s) from Worklist.” Figure 3-5 Delete Record(s) from Worklist Window ST80i Stress Test System Instructions for Use...

  • Page 81: Download Preregistered Patient Information

    Using the Patient Worklist Download Preregistered Patient Information With ST80i, you are able to download preregistered patient information by accessing the order or ADT server via the network. The local patient information that you download from remote server or manually add will be stored in a local database. This optional feature permits the creation of a preregistered patient list.

  • Page 82: Select A Patient

    The Remote Find tab of the Select Patient from Worklist screen allows you to do a remote search for a patient using several data points. With this feature, you are able to select one or more entries from the search results list and save them to the Worklist. 3-10 ST80i Stress Test System Instructions for Use...
  • Page 83 DOB (MM/DD/YYYY) – Order Number Click the button. Find Patient's name appears in the Remote Find list. Place a checkmark by the patient's name. Click the button to start a patient session. ST80i Stress Test System Instructions for Use 3-11...

  • Page 84: Before The Patient Session

    Wireless PIM The wireless PIM digitizes the ECG signal and down-samples the ECG data before transmitting ECG data to ST80i. The wireless PIM uses high and low pass filters to produce filtered ECG data within certain band. The wireless PIM performs lead signal quality detection to determine if a lead is not connected to patient or electrode/patient contact impedance is excessively high.
  • Page 85 For the disposable AA battery, the system has been designed to provide approximately one week of battery service life for a “typical” user environment. . ST80i only supports 1.5V AA alkaline batteries for the PIM. Replace the battery if a low-battery alert CAUTION appears before the stress test starts.

  • Page 86: Checking The Treadmill/Ergometer Connection

    Instructions for Use for details on its preparation, configuration, and use. If your facility is using more than one PIM, each one must be added to the ST80i application under Settings (System Settings; I/O Devices). When you connect the patient to one of the PIM devices, you also need to verify the address on the device with the address that shows up on the Pre Exercise screen.

  • Page 87: Starting A Patient Session

    When Bruce is selected as the protocol, the button appears in the Side Panel. Start Treadmill If you select Cycle as the protocol for the patient, the button appears instead. Load Ergometer ST80i Stress Test System Instructions for Use 3-15...

  • Page 88: Select The Wireless Pim

    A battery icon on the ST80i exercise screen also shows the remaining capacity of the wireless PIM battery. ST80i also provides an audible and visual alert on the application screen as a warning that battery is discharged to the point where PIM is expected to shut down shortly.

  • Page 89: Preparing The Patient

    ST80i ships with a default audio file that explains the exercise stress test; however, you may record your own audio file and configure ST80i to play this file when the user clicks the Explain Test button. For more information, see the ST80i Installation and Configuration Guide.

  • Page 90: Preparing The Skin

    Supine for a resting or baseline ECG  Standing for Exercise Phase  ST80i supports the use of 12-lead wireless PIMs. The 12-lead wireless PIMs connect to the AIM and support 10 electrodes. Using AAMI/IEC labeling, these electrodes are: Right Leg [RL/N] ...
  • Page 91 Left side of the sternum in the 4th intercostal space Midway between V2 and V4 Left midclavicular line in the 5th intercostal space Between V4 and V6 5th intercostal space, left midaxillary ST80i Stress Test System Instructions for Use 3-19...
  • Page 92 Do not allow electrodes to move in any way. Have the patient raise their arms over their head. This will help verify good lead placement and no strain on the electrodes. 3-20 ST80i Stress Test System Instructions for Use...

  • Page 93: Change From Limb Lead To Mason-Likar

    Explain the test. Connecting the Patient to the Wireless PIM All of the ST80i lead sets are designed to share the same connector that will plug into the mating connector on the wireless PIM. Refer to the ST80i Wireless Patient Module Instructions for Use for details on its preparation, configuration, and use.
  • Page 94 ECG measurements. You are able to check the lead signal quality of lead connections while hooking up and preparing patient in an area outside of the range of the system’s radio connection. 3-22 ST80i Stress Test System Instructions for Use...

  • Page 95: Checking The Lead Map

    Checking Signal Quality ST80i can recognize when an electrode is not connected, and display that information on both the wireless PIM and the Exercise screen. As you adjust the electrodes, the display is updated to reflect changes in the connectivity of the signal.
  • Page 96 Figure 3-7 Red Dashed Line Showing Leads-Off Condition for V4 ST80i will also provide an indication to the operator when the front-end is inoperative and cannot acquire signal. The indications are lead-off on all leads and the wireless signal quality indicator lights.

  • Page 97: Filtering

    Preparing the Patient Filtering When you open the ST80i application, the active settings of the filters are associated with your user profile. The same filter settings apply to both displayed and printed waveforms. The filter settings are printed with the report.
  • Page 98 To change Analog and/or TTL Output settings during a patient session, see “Gear (Quick Settings)” on page 2-30. To configure Analog and TTL Output, see the ST80i Installation and Configuration Guide. Both analog ECG output and TTL sync output are not in real time: there is a delay between the WARNING patient’s physiological activity and the appearance of its representative signal at the external port.

  • Page 99: Pre Exercise Phase

    Once the waveforms are satisfactory, you are ready to acquire a baseline (resting or standing) ECG. ST80i allows you to acquire and print a 12-lead resting ECG with or without interpretation when the patient is supine or when using the Mason-Likar lead placement. This data will appear as part of the Final ECG Report.
  • Page 100 Click the button on the Toolbar to obtain a 12-lead resting ECG without 12 Leads Print interpretation. After a few seconds, the ST80i system prints a full 12-lead resting ECG with measurements. To obtain a 12-lead resting ECG with interpretation ...

  • Page 101: Nibp & Spo2

    Preparing the Patient NIBP & SpO ST80i supports optional SpO and motion-tolerant Non-Invasive Blood Pressure (NIBP) devices. ST80i automatically collects the NIBP through a cuff. The patient’s SpO is collected in real-time through a sensor. NIBP and SpO are real-time numeric displays for the NIBP and SpO2 values for an entire study or for a single instance.

  • Page 102: Starting The Patient On The Treadmill Or Ergometer

    Previous BP mmhg To override the SpO2 -- procedure in developement--- N O T E ST80i software validates the input values of NIBP and SpO before they take effect to ensure that the numbers fall within an expected physiological range.

  • Page 103: Exercise Phase

    Conducting the Exercise Stress Test When you move into the Exercise phase of the test, the treadmill loads the settings associated with the first stage of the test, and the stage and phase clocks start counting. ST80i Stress Test System Instructions for Use 3-31...

  • Page 104: Monitoring The Patient

    You can change the display parameters, as needed during the Exercise phase. For details,  see “Using the Toolbar Icons” on page 2-15. The Exercise phase comprises several stages, which are defined by the selected protocol.  For a breakdown, see Appendix B, “Protocol Reference”. 3-32 ST80i Stress Test System Instructions for Use...

  • Page 105: Changing To Another Protocol

    If you need to switch to a different protocol at any time during the Exercise phase of the test, use the drop-down arrow by the current protocol to select a new protocol. The phases and stage settings associated with the newly selected protocol are loaded into ST80i. See the ST80i Installation and Configuration Guide for setting default protocols.

  • Page 106: Rhythm Print

    The Patient Session Rhythm Print You can print a continuous rhythm strip directly from the ST80i screen at any point during the test. The system generates a continuous report (configurable from 1 to 12 leads) of the leads specified in the configuration for the particular profile. For details, see the ST80i Installation and Configuration Guide.

  • Page 107: Controlling The Treadmill Or Ergometer

    Once you enter manual mode, there is no next stage. Be sure to inform the patient of the changes. CAUTION If the treadmill is unavailable, ST80i displays “Unavailable” where the Start Treadmill button would be. To change the speed and elevation of the treadmill Place the pointer in the field that shows the current speed and click.

  • Page 108: Notifications And Alerts

     Stop Treadmill The Treadmill stops. Consult “Maintaining the ST80i System” on page 5-1 with regard to the inspection of cables and attachments between the PC and the Treadmill. Notifications and Alerts ST80i provides visual indications or alerts in case of dramatic morphology or rhythm changes.

  • Page 109: Ending The Exercise Phase

    Recovery Phase When the last stage of the Exercise phase is complete, ST80i automatically moves into the Recovery phase. The Recovery phase is preset under Exercise Protocols to run for 3 minutes at a maximum speed of 1.5 mph with an elevation of 0%.
  • Page 110 The system automatically prints a 12-lead ECG. The 12-lead ECG is printed at this stage  transition regardless of system settings. The total exercise time clock freezes.  ST80i advances the treadmill or ergometer to the recovery workloads specified in the  protocol. Select to stop the Treadmill. (You can also select the...

  • Page 111: Report Phase

    See “Notifications and Alerts” on page 3-36 N O T E ST80i will stop stream-test data after the 60-minute Post-Recovery phase. From the Report screen, you can review and modify the content of the final test report. You can print the individual reports that are also included in the final report, save the final report, and print it.

  • Page 112: Global Interpretive Settings

    The Patient Session Global Interpretive Settings In the Settings section of the ST80i application, you can configure the Global Interpretive Settings for DXL Algorithm and CALg templates, include the following: DXL Algorithm Adult Bradycardia  Borderline Statement Sensitivity  Pacer Detection ...
  • Page 113 The pace-pulse detection setting, in effect at the time a snapshot is taken, is used for the  analysis of that snapshot. To configure Pace Detection, see the ST80i Installation and Configuration Guide. ST80i Stress Test System Instructions for Use 3-41...

  • Page 114: Printing During The Stress Test

    Select ECG Report Printer:  – – PDF Complete – Microsoft XPS Document Writer – Local Thermal Printer Select Event Report Printer:  – – PDF Complete – Microsoft XPS Document Writer 3-42 ST80i Stress Test System Instructions for Use...
  • Page 115 Scale (Chest Leads) - Full, Half During the patient session, you can change the Rhythm Print settings using the Gear (Quick icon. See “Using the Toolbar Icons” on page 2-15 for an explanation. Settings) ST80i Stress Test System Instructions for Use 3-43...

  • Page 116: Print Options

    The Patient Session Print Options ST80i supports several print options during the stress test, including: Real-time ECG  Resting 12-Lead ECG report (with interpretation) – interpretion is printed only during Pre  Exercise phase when an event is selected Stage printout (without interpretation) ...

  • Page 117: Stage Printout And Event Printout

    See the ST80i Installation and Configuration Guide for how to enable Arrhythmia events. At the end of each stage, ST80i automatically prints an average report of this stage. This report shows the average beat, maximum ST changes in this stage, as well as the current ST change.

  • Page 118: Continuous Rhythm Strip

    You can also turn off continuous printing by using the same button. Rhythm Print Before using the Rhythm Print option, you can: ST80i software automatically advances the paper to the page header  You can adjust Rhythm Print settings using the icon Gear (Quick Settings) ...

  • Page 119: Ending The Patient Session

    You exit the application when need to use a different profile, when a new user is logging onto the system, or when you are shutting down the system. To exit the ST80i application  Click the “X” in the upper right corner of the Main screen. ST80i Stress Test System Instructions for Use 3-47...
  • Page 120 The Patient Session 3-48 ST80i Stress Test System Instructions for Use...

  • Page 121: Overview

    Working with Reports Overview When you enter the Report phase, data from all phases of the test are saved as part of the final stress report that is viewed on the Report screen. From the Report screen, you can review and modify the contents of the Final Stress Report, which is displayed in tab format.
  • Page 122 Download Pdfs from a TraceMasterVue Remote Site ....4-50 Import Data From a Synapse Remote Site ......4-51 ST80i Stress Test System Instructions for Use...

  • Page 123: Report Phase

    ST80i freezes the Recovery display while the test information is transferred to system  storage. ST80i loads the Report screen, so you can specify the parameters and format of the final  report. A real-time 7.5-second ECG is displayed in the lower-left section of the screen for the ...

  • Page 124: Report Screen

    The Archive screen is used to store the exercise stress test results. All reports and test records are stored in ST80i and are exported to servers based on settings. Changes made to the Final Stress Report through ECGVue are saved into the database where the ECGVue is connected.
  • Page 125 Change Lead drop-down arrow to change selected lead) Two print options for the current ECG lead: Print 12-Lead ECG Report; Start Rhythm Printing Current Blood Pressure – shows current blood pressure of the patient ST80i Stress Test System Instructions for Use...

  • Page 126: Title Bar

    If you manually update patient information, including Notes and Symptoms during the test or on the Report screen, this information is updated in the archived report in the Report stress system database. ST80i Stress Test System Instructions for Use...

  • Page 127: Procedure Bar

    You can adjust the J+ Point value on the Report screen to re-analyze the stress test using a different measurement point. Once the J+ms value is modified, ST80i recalculates all related values and updates the corresponding displays on the Report screen.

  • Page 128: Export

    If you have not configured Remote Sites, you will get the following error message: “Error. No default remote site is set. Please set default remote site in System Settings!” To create Remote Sites, see the ST80i Installation and Configuration Guide. See also the section regarding the export of archived reports entitled “Exporting Reports (Export Exam)”...

  • Page 129: Print

    Incomplete: any required field is not filled  Confirmed/Signed  Exported  N O T E A stress study report cannot be confirmed or exported to TMVue if the required patient fields are not complete. ST80i Stress Test System Instructions for Use...

  • Page 130: Replay

    To view the bar, sweep your pointer over image. A gray circle moves across the status bar (blue). As it moves, the time is displayed to the right showing both current and end time. 4-10 ST80i Stress Test System Instructions for Use...
  • Page 131 Once the patient session is over, you can also review a patient test, after you have saved the results, by going to the Main screen. Click the Report button to open the Select Archive from List screen. See the section entitled “Working with Archived Reports” on page 4-36. ST80i Stress Test System Instructions for Use 4-11...

  • Page 132: Real-Time Ecg For One Lead

    To turn off Start Rhythm Printing Rhythm Printing, click this button again. Current Heart Rate The current heart rateof the patient is displayed on the bottom right section of the screen. 4-12 ST80i Stress Test System Instructions for Use...

  • Page 133: Final Stress Report Overview

    Final Stress Report. When the report is satisfactory, you can print the individual reports on a laser printer or directly to a thermal printer when printing from ST80i. Data from the Recovery phase is included as part of the final report. In the Post-Recovery phase, the data will not be saved unless an event is triggered.
  • Page 134 In addition, you can specify the printer to send the final report copies and whether or not to have the grid visible. If you input incorrect NIBP data, it can cause errors for NIBP-related parameters in reports. CAUTION 4-14 ST80i Stress Test System Instructions for Use...

  • Page 135: Report Screen Tabs

    Clinical information including, for example, the reason for the test and the reason to end  test, PVCs, Risk scores, test summary for all phases, free-text entry of narrative summary notes, and signatures ST80i Stress Test System Instructions for Use 4-15...
  • Page 136 Max grade – ECG leads that presented more than 100 uV (or 1 mm) of ST elevation or depression during test – Functional Aerobic Impairment (FAI%). Only for Bruce protocol – PVCs 4-16 ST80i Stress Test System Instructions for Use...

  • Page 137: Tabular Report

    Table items configurable per stage, phase name, stage name, relevant stress-related data,  and a time stamp of events tab displays the following tabular data by Exercise stage or by minute: Tabular Time  Speed  Grade   ST80i Stress Test System Instructions for Use 4-17...

  • Page 138: Trend Graph Report

    ST Level Trends (mms vs. minute)  Test protocol  The following graphs are displayed: Heart Rate  Blood Pressure (Systolic and Diastolic)  Speed/Grade of the Treadmill (or data from the Ergometer)  4-18 ST80i Stress Test System Instructions for Use...

  • Page 139: Averages Report

    User-defined median morphologies for 3, 6, and 12 leads at user-defined intervals as well  as ST Level and ST Slope for each lead You can use the button to print the report by stage or by minute. Print (Quick Print Settings) ST80i Stress Test System Instructions for Use 4-19...

  • Page 140: Events Report

    Shortness of Breath, Ventricular Tachycardia, Bigeminy, Trigeminy, etc.), arrhythmias, and RPE scale selections acquired during the entire stress test. Review 12-Lead ECGs printed during the Exercise and Recovery phases that are included  4-20 ST80i Stress Test System Instructions for Use...
  • Page 141 To select an Event to delete, click anywhere in the Event snapshot to highlight it. To print Events -- procedure in development-- Click the tab. Events The Rhythm Events window displays up to six events. Use the right and left arrows to scroll. ST80i Stress Test System Instructions for Use 4-21...

  • Page 142: Resting Ecg Report

    On this screen, you can scroll through the images on the screen using the right and left arrows. You can also print a Resting ECG using the button on the Resting ECG screen. Print 4-22 ST80i Stress Test System Instructions for Use...

  • Page 143: Full Disclose Report

     Click the button (next to the J+ Point modification) on the Procedure bar. Save The stress test contains the pdf report and can be exported. The Report screen is still displayed. ST80i Stress Test System Instructions for Use 4-23...
  • Page 144 Working with Reports You can now print the final report from the Report screen. 4-24 ST80i Stress Test System Instructions for Use...

  • Page 145: Printing Reports

    The laser printer supports all formats except for the continuous/real-time printing. Remote printers - if ST80i is set up to connect remotely to a default laser printer, this  printer path needs to be setup first. The remote printers support all formats except for the continuous/real-time printing.

  • Page 146: Print Report Settings

    WARNING measurements directly from printed page. You are expected to provide power for the laser printer from a source other than the ST80i isolation WARNING transformer in order to be in compliance with your facility's safety requirements or IEC 60601-1.
  • Page 147 Printing Reports Real-time rhythm printing  ST80i produces an interpretive report. The interpretive components are printed at the top of an ECG record. The interpretive report components consist of: Global ECG measurements: Heart Rate, PR Interval, QT Interval and QTc, Frontal Plane ...

  • Page 148: Ecg Report

    The print report settings for the ECG Report include: ECG Layout (select lead format)  Speed  Gain  Scale   Options (Zoom ST Map, 12-Lead Average, Grid On)  Figure 4-11 ECG Report Settings 4-28 ST80i Stress Test System Instructions for Use...

  • Page 149: Events Report

      Events  – Supine – Mason-Likar – Standing – Hyperventilation – Chest Pain – Shortness of Breath Add New  Delete  Grid On  Figure 4-12 Events Report Settings ST80i Stress Test System Instructions for Use 4-29...

  • Page 150: Rhythm Report

    Working with Reports Rhythm Report The print report settings for the Rhythm Report include: ECG Layout (select leads)  Rhythm Settings  – Speed – Gain – Scale Figure 4-13 Rhythm Report Settings 4-30 ST80i Stress Test System Instructions for Use...

  • Page 151: Final Report

    Average QRS Report (set number of copies)  Events Report (set number of copies)  Print Options  – Print Mode (By Stage, By Minute) – Grid On Figure 4-14 Final Report Settings ST80i Stress Test System Instructions for Use 4-31...

  • Page 152: Print (Quick Print Settings) Button

    Quick Print Settings dialog box is displayed. Print Figure 4-15 Quick Print Settings Print Options  – Printer – By Stage, By Minute – Print Grid checkbox Quick Print  – Patient ID 4-32 ST80i Stress Test System Instructions for Use...

  • Page 153: Printing The Final Report

    Rhythm Events Report  When you log into ST80i, the active settings of the filters are from a stored default set associated with your log-in credentials. The same filter settings apply to both displayed and printed waveforms. The filter settings are printed with the report.

  • Page 154: Printing Individual Reports

    To use the Print (Quick Print Settings) button to print individual reports Select the printer from the drop-down list: – PDF Complete – Microsoft XPS Document Writer – – Local Thermal Printer Select the print parameters: – By Stage – By Minute 4-34 ST80i Stress Test System Instructions for Use...

  • Page 155: Post-Recovery Ecg Printing

    You have the option to hide the patient's name when printing individual reports or the Final Stress Report. This feature allows you to hide patient identification information to protect the patient's identity. To de-identify the report, see “De-Identification” on page 3-46. ST80i Stress Test System Instructions for Use 4-35...

  • Page 156: Working With Archived Reports

    Main screen. Report The Archive screen appears, listing all stored reports. A vertical scroll bar appears on the right side when the list is longer than the available space on the screen. 4-36 ST80i Stress Test System Instructions for Use...

  • Page 157: Database Configuration

    Depending on your facility's network configuration, ST80i can either work as a single, stand-alone device or as a set of multiple, connected devices. As a stand-alone device, ST80i provides basic server functions to perform a stress test, such as user security, configuration management, and ECG data storage.

  • Page 158: Patient Reports

    When several ST80i devices are connected, a backend system server is used to provide the data storage service. In this mode, each ST80i device must maintain the raw data of the stress studies and the final stress study report in PDF format that can be transferred to the central database when network connection is available.
  • Page 159 Restore reports from another location (administrative users only)  View reports  Replay reports  N O T E A stress study report cannot be confirmed or exported to TMVue if its required patient fields are not complete. ST80i Stress Test System Instructions for Use 4-39...

  • Page 160: Search For Reports

    Select the patient report(s) to transfer by putting a checkmark in the box(es) in the Select column to the left of the Patient ID. 4-40 ST80i Stress Test System Instructions for Use...

  • Page 161: Delete Reports

    Patient ID. Click the button. Delete The Confirm Report window is displayed Figure 4-21 Confirm Report Window Type your User ID and password, and click The Delete Selected Reports window is displayed. ST80i Stress Test System Instructions for Use 4-41...

  • Page 162: Backup Reports

    To backup reports -- procedure in development-- Restore Reports If you have administrative privileges, you can select single or multiple stress studies to restore from another location. To restore reports -- procedure in development-- 4-42 ST80i Stress Test System Instructions for Use...

  • Page 163: View A Report

    Adobe Acrobat Reader automatically opens and displays the file. Press to navigate through the file. Page Down Page Up If ST80i is connected to a printer, you can print the file by selecting File, then Print. ST80i Stress Test System Instructions for Use 4-43...

  • Page 164: Exporting Reports (Export Exam)

    Management System” on page 4-46 for more information. You can still print the report from ST80i at any time. You can also print the PDF file through Adobe Acrobat. The exported report follows all the settings for the final stress report. See “Printing the Final Report”...

  • Page 165: Ecg Export Destination Sites

    Exporting Reports (Export Exam) ST80i provides an indication that the stress data has been copied to an external location. Once the Stress study data has been copied/moved to an external location, it may be deleted if desired. If deleted, a pointer will remain in the stress study database indicating that the data had been moved to external storage.

  • Page 166: Exporting Reports To An Ecg Management System

    IntelliSpace or TraceMasterVue systems. File Naming Conventions ST80i saves files in a particular naming convention. It is very important that you do not change this convention and that you enter all required information in the Patient Information screen.
  • Page 167 You cannot recover deleted exams! Use this option, if at all, with great caution. ST80i prompts you to confirm this selection. ST80i places a Y next to this report in the Exp column on the Archive screen. ST80i Stress Test System Instructions for Use...

  • Page 168: Importing Reports

    From the Worklist, place a checkmark by the name of the patient for whom you want to view a previous ECG. Click the button. Previous ECG A list of the patient’s previous ECGs is displayed..Need steps to open the pdf..4-48 ST80i Stress Test System Instructions for Use...

  • Page 169: Import Data From A Synapse Remote Site

    On the Worklist tab of the Select Patient screen, select “Synapse” from the Location drop-down list. Figure 4-24 Location Drop-Down List Click the Download button. The worklist is downloaded to the table......Next steps??? ST80i Stress Test System Instructions for Use 4-49...
  • Page 170 Working with Reports 4-50 ST80i Stress Test System Instructions for Use...

  • Page 171: Precautions

    Cleaning the ST80i System ........

  • Page 172: Cleaning The St80I System

    ST80i components should withstand cleaning using a cloth dampened with the following solutions IMPORTANT! This applies only to "Philips Healthcare custom-designed components". For all COTS components, including laser printers, LCD displays, keyboards, and mice, customers must follow the manufacturers' cleaning specifications.

  • Page 173: Maintaining The St80I Thermal Printer

    Allow the print head to air dry. Clean the platen by using adhesive tape. Apply the tape and pull it off. Rotate roller and repeat until entire roller is clean. Clean the paper sensor. ST80i Stress Test System Instructions for Use...

  • Page 174: Testing Printer Operation

    The AC fuse needs to be replaced when the AC power on indicator light does not illuminate when the printer is plugged into AC power. Figure 5-1 AC power on indicator light on ST80i thermal printer A AC power on indicator light ST80i Stress Test System Instructions for Use...
  • Page 175 Maintaining the ST80i Thermal Printer Only use replacement AC fuses with Philips part number 453564131221, or use a 1.6 amp (250V) time-delay fuse the same size and configuration as the original fuse. Figure 5-2 Replacing the AC Fuse A AC Fuse To replace the AC fuse Unplug the thermal printer from AC power.

  • Page 176: Cleaning The Equipment

    Immerse  Use abrasive materials  Wet the connectors  Wring excess moisture from the cloth before cleaning. Simply wipe off the exterior of the PIM, PIM holder, and the USB interface connector. ST80i Stress Test System Instructions for Use...

  • Page 177: Appendix A. Troubleshooting And Contacting The Response Center

    Troubleshooting ST80i Issues ........A-2...

  • Page 178: Troubleshooting St80I Issues

    Troubleshooting and Contacting the Response Center Troubleshooting ST80i Issues When you are using ST80i, you may encounter some problems with the system. The following table describes some of the more common symptoms and provides information regarding possible causes, and solutions to help you solve potential problems.
  • Page 179 An attempt to access a final report Click on the patient name to select it, then is made, but no patient is selected access the file. No exams are currently from the list. selected ST80i Stress Test System Instructions for Use...
  • Page 180 Double-click on the stage to edit. The Edit attempt is made to edit a stage, window appears, allowing you to change the No stage selected but no stage has been selected. stage parameters. ST80i Stress Test System Instructions for Use...
  • Page 181 Check the print head and circuit board Defective paper   and replace as needed. Dirty print head  Replace the paper, using a fresh pack of  properly stored paper. Clean the print head.  ST80i Stress Test System Instructions for Use...
  • Page 182 You must enter blood pressure values using and report discrepancy blood pressure values. field in the Side Panel. BP mmhg For details on entering blood pressure values, see “NIBP & SpO2” on page 3-29. ST80i Stress Test System Instructions for Use...
  • Page 183 For details about the wireless settings, see the “X” in the upper right corner of the ST80i Wireless Patient Module Instructions screen, and then click OK in the for Use for instructions. “Abort Test” dialog box. ST80i Stress Test System Instructions for Use...

  • Page 184: Contacting Technical Support

    07 002 432 58 472 or 07 002 HEALTHRC Austria 01 25125 333 Belgium 32 2 525 7102 (French) 32 2 525 7103 (Flemish) Finland 010 855 2455 France 0803 35 34 33 ST80i Stress Test System Instructions for Use...
  • Page 185 021 794 7542 Japan 0120 381 557 Korea 080 372 7777 (toll free) Seoul 02 3445 9010 Macau 0800 923 Malaysia 1800 886 188 New Zealand 0800 251 400 Philippines 02 845 7875 ST80i Stress Test System Instructions for Use...

  • Page 186: Asia Pacific

    Asia Pacific Country Telephone Number Singapore 1 800 Philips Taiwan 0800 005 616 Thailand 02 614 3569...

  • Page 187: Appendix B. Protocol Reference

    Protocol Reference Appendix B This appendix provides an example of each of the included protocols. You can define and edit protocols. For details, see ST80i Installation and Configuration Guide. The following protocols are delivered with every ST80i system: Bruce (page B-2) ...

  • Page 188: Bruce Protocol

    Stage # Time Speed Grade ECG Print Duration (mph) Measurement (mm:ss) Pre-Exercise Unlimited Exercise 3.00 10.0 3.00 12.0 3.00 14.0 3.00 16.0 3.00 18.0 3.00 20.0 3.00 22.0 Recovery 3.00 Every Every 02:00 02:00 ST80i Stress Test System Instructions for Use...

  • Page 189: Modified Bruce

    Unlimited Exercise 3.00 Begin 3.00 Begin 3.00 10.0 Begin 3.00 12.0 Begin 3.00 14.0 Begin 3.00 16.0 Begin 3.00 18.0 Begin 3.00 20.0 Begin 3.00 22.0 Begin Recovery 3.00 Every Every 02:00 02:00 ST80i Stress Test System Instructions for Use...

  • Page 190: Balke Protocol

    Stage # Time Speed Grade ECG Print Duration (mph) Measurement (mm:ss) Pre-Exercise Unlimited Exercise 10.0 11.0 12.0 13.0 14.0 15.0 16.0 18.0 20.0 21.0 22.0 23.0 24.0 Recovery 3:00 Every Every 02:00 02:00 ST80i Stress Test System Instructions for Use...

  • Page 191: Ellestad Protocol

    Stage # Time Speed Grade ECG Print Duration (mph) Measurement (mm:ss) Pre-Exercise Unlimited Exercise 3.00 10.0 2.00 10.0 2.00 10.0 3.00 10.0 2.00 15.0 2.00 15.0 2.00 15.0 Recovery 3.00 Every Every 02:00 02:00 ST80i Stress Test System Instructions for Use...

  • Page 192: Naughton Protocol

    Naughton Protocol Settings Naughton Stage # Time Speed Grade ECG Print Duration (mph) Measurement (mm:ss) Pre-Exercise Unlimited Exercise 2.00 2.00 2.00 2.00 2.00 10.5 2.00 14.0 2.00 17.5 Recovery 3.00 Every Every 02:00 02:00 ST80i Stress Test System Instructions for Use...

  • Page 193: Pharmacological Protocol

    Pharmacological Protocol Table B-7 Pharmacological Protocol Settings Pharmacological Stage Time Speed Grade Dose Duration (mph) Print Measurement (mm:ss) Pre-Infusion Unlimited Infusion 3.00 3.00 3.00 3.00 3.00 3.00 3.00 Post-Infusion 3.00 Every Every 02:00 01:00 ST80i Stress Test System Instructions for Use...

  • Page 194: Low Ramp Protocol

    1:00 0:30 0:30 0:30 0:30 1:00 10.0 0:30 10.5 0:30 11.0 1.00 12.0 0:30 13.0 0:30 14.0 1.00 15.0 0:30 16.0 0:30 17.0 1.00 18.0 1:00 19.0 Recovery 3:00 Every Every 02:00 02:00 ST80i Stress Test System Instructions for Use...

  • Page 195: Medium Ramp Protocol

    11.5 0:30 12.0 0:30 12.5 1.00 13.0 0:40 13.5 0:40 14.0 0:40 14.5 0:40 15.0 0:40 15.5 0:40 16.0 0:40 17.0 0:40 18.0 0:40 19.0 0:40 20.0 Recovery 3:00 Every Every 02:00 02:00 ST80i Stress Test System Instructions for Use...

  • Page 196: High Ramp Protocol

    0:30 14.5 0:30 15.0 1.00 15.5 0:40 16.0 0:40 16.0 0:40 16.5 0:40 17.0 0:40 17.5 0:40 18.0 0:40 19.0 0:40 20.0 0:40 21.0 0:40 22.0 Recovery 3:00 Every Every 02:00 02:00 B-10 ST80i Stress Test System Instructions for Use...

  • Page 197: Usaf/Sam 2.0 Protocol

    USAF/SAM 3.3 Stage # Time Speed Grade ECG Print Duration (mph) Measurement (mm:ss) Pre-Exercise Unlimited Exercise 3.00 3.00 3.00 10.0 3.00 15.0 3.00 20.0 3:00 25.0 Recovery 3.00 Every Every 02:00 02:00 ST80i Stress Test System Instructions for Use B-11...

  • Page 198: Cycle (Ergometer) Protocol

    Print Measurement (mm:ss) Pre-Exercise Unlimited Exercise 3.00 Begin 3.00 Begin 3.00 Begin 3.00 Begin 3.00 Begin 3.00 Begin 3.00 Begin 3.00 Begin 3.00 Begin 3:00 Begin Recovery 3.00 Every Every 02:00 01:00 B-12 ST80i Stress Test System Instructions for Use...

  • Page 199: Astrand Protocol

    Astrand Protocol Table B-14 Astrand Protocol Settings Astrand Stage # Time Power Duration (Watts) Print Measurement (mm:ss) Pre-Exercise Unlimited Exercise 6.00 6.00 6.00 6.00 6.00 6.00 Recovery 3.00 Every Every 02:00 01:00 ST80i Stress Test System Instructions for Use B-13...
  • Page 200 Protocol Reference B-14 ST80i Stress Test System Instructions for Use...

  • Page 201: St80I Thermal Printer

    ST80i Thermal Printer........

  • Page 202: Thermal Printer Dimensions And Specifications

    Configuring and Using the Printer Thermal Printer Dimensions and Specifications Figure C-1 ST80i thermal printer dimensions ST80i Stress Test System Instructions for Use...
  • Page 203 Chassis leakage current Meet or exceed requirements of ANSI/AAMI EC11 Power 100-240 VAC at 50/60 Hz Weight 9 pounds Dimensions H x W x D 8 cm x 48 cm x 30 cm maximum ST80i Stress Test System Instructions for Use...
  • Page 204 “Door closed” sensor that detects when paper door is  open “Top-of-form” sensor that positions paper at the edge  and detects “paper out” and “paper jam” conditions N O T E Specifications subject to change without notice. ST80i Stress Test System Instructions for Use...

  • Page 205: Loading The Thermal Printer Paper

    This indicator will illuminate in green when AC power is applied. Hard Copy Printout The ST80i thermal printer uses 8 1/2 in x 11 in (21 cm x 27.9 cm) sheets of z-folded, thermal sensitive paper with cue marks. Printing speeds are 10, 25, and 50 mm per second.

  • Page 206: Setting Up The Thermal Printer

    Connect one end of the crossover network cable to the network connector ( ) on the ST80i thermal printer and the other end to the PCI card connector on the back of the ST80i PC, as shown in Figure C-3, below.

  • Page 207: About The Supported Laserjet Printers

    N O T E The LaserJet printer must be a local printer, connected directly to the ST80i test system if it will be used during testing. It cannot be a network printer, as connection to the network is disabled during a test.
  • Page 208 Configuring and Using the Printer ST80i Stress Test System Instructions for Use...

  • Page 209: Appendix D. Ordering Options And Parts

    Support Parts..........D-3 Supplies and Ordering Information The part numbers for all supplies for the ST80i system are listed in this section. All supplies may be ordered on the web at:...

  • Page 210: Optional Parts And Accessories

    Optional Parts and Accessories For more information on accessories or to place an order, contact the nearest Philips Response Center. See “Philips Healthcare Customer Care Solution Center” on page A-8 For available support parts (which can only be ordered by Philips personnel), see “Support Parts”...
  • Page 211 CBL AC POWER CORD 2 METER OPTION 919 8120-6869 CBL AC POWER CORD 2 METER OPTION 920 8120-6978 CBL PWR-CORD-921 18-AWG 3-COND 8120-8376 CBL AC POWER CORD 2.2 METER OPTION 922 8120-5429 CBL AC 3 WIRE POWER CORD ST80i Stess Test System Instructions for Use...
  • Page 212 STRS Utility Basket 453564335281 STRS MET Laser Printer Shelf W/Bracket 453564335261 STRS MET Top Shelf Utility Hook 453564335261 STRS 1/2 work surface cover 453564335271 STRS Basket Paper Catch 453564334881 STRS Full cover work surface 453564337261 ST80i Stess Test System Instructions for Use...
  • Page 213 New Assembly Part Item Number STRS, AIM Box Mounting Bracket 453564312961 STRS Tango Arm Kit 453564335301 STRS Utility Hook 453564335271 Software and Documentation ST80i software CD 453564xxxxxx ST80i Documentation and Training CD 453564xxxxxx ST80i Stess Test System Instructions for Use...
  • Page 214 Ordering Options and Parts ST80i Stess Test System Instructions for Use...

  • Page 215: St80I System Requirements

    ST80i System Requirements ........

  • Page 216: St80I System Requirements

     Display output   Minimum of five (5) USB ports.  ST80i may use an external USB hub to extend the USB ports for easier user access, if required. Speaker output  Printer port.  ST80i Stress Test System Instructions for Use...

  • Page 217: Specifications

    Optional Network interface for data transfer and printing across your local network Remote Review Workstation Optional Remote Review Workstation for review, printing, option and editing of patient text data acquired from the ST80i system. Display format Sweep speed. Two supported speeds: 25 mm/s and 50 mm/s Size Range from 19"...
  • Page 218 USB Hub 600 Volt Amps Isolation Transformer. Treadmill Device Classification Class 1, Type CF defibrillator-proof applied parts Data acquisition Direct connect or wireless connection using ST80i digital transmitter External output TTL and analog output ST80i Stress Test System Instructions for Use...

  • Page 219: Medical Isolation Transformer Specifications

    Specifications Medical Isolation Transformer Specifications The medical isolation transformers used with the ST80i system meet the following specifications: UL 60601-1, CSA C22.2 601.1, EN60601.1, CE (LVD), ROHS compliant. Figure E-1 Medical isolation transformer provided with ST80i Table E-3 Medical isolation transformer specifications...

  • Page 220: St80I Thermal Printer Specifications

    Chassis leakage current Meet or exceed requirements of ANSI/AAMI EC11 Power 100-240 VAC at 50/60 Hz Weight 9 pounds Dimensions H x W x D 8 cm x 48 cm x 30 cm maximum ST80i Stress Test System Instructions for Use...

  • Page 221: Supported Treadmills And Ergometers

    (IEC 60601-1-2 Edition 2). This IEC standard has been adopted in Europe as the European Norm (EN 60601-1-2 Edition 2). The ST80i Stress Test System and optional Thermal Printer should not be used adjacent to, or stacked on top of, other equipment. If the ST80i Stress Exercise Testing System and optional...

  • Page 222: Accessories And Cables Warning

    Accessories and Cables Warning The use of accessories and cables other than those specified in Appendix F, “Ordering Options and Parts” may result in increased emissions or decreased immunity of the ST80i Stress Test System and optional Thermal Printer. ST80i Stress Test System Instructions for Use...

  • Page 223: Guidance And Manufacturer's Declaration: Electromagnetic Emissions

    The ST80i Stress Test System and optional Thermal Printer are intended for use in the electromagnetic environment specified in the table below. The customer or the user of the ST80i Stress Test System and optional Thermal Printer should assure that it is used in such an environment.

  • Page 224: Guidance And Manufacturer's Declaration: Electromagnetic Immunity

    The ST80i Stress Test System and optional Thermal Printer are intended for use in the electromagnetic environment specified in the following tables. The customer or the user of the ST80i Stress Test System and optional Thermal Printer should assure that it is used in such an environment.
  • Page 225 N O T E is the AC mains voltage prior to application of the test level. ST80i Stress Test System Instructions for Use E-11...
  • Page 226 Level Conducted 3Vrms, 3Vrms, Portable and mobile RF communications equipment Immunity, should be used no closer to any part of the ST80i 0.15 MHz to 0.15 MHz to Induced RF Stress Test System and optional Thermal Printer, 80 MHz, @...
  • Page 227 If the measured field strength in the location in which the ST80i Stress Test System and optional Thermal Printer are used exceeds the applicable RF compliance level above, the ST80i Stress Test System and optional Thermal Printer should be observed to verify normal operation.

  • Page 228: Recommended Separation Distances

    The ST80i Stress Test System and optional Thermal Printer are intended for use in the electromagnetic environment in which radiated RF disturbances are controlled. The customer or the user of the ST80i Stress Test System and optional Thermal Printer can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile...
  • Page 230 Andover, MA 01810 USA Böblingen GmbH Hewlett Packard Str. 2 Copyright © 2012 71034 Böblingen Koninklijke Philips Electronics N.V. Germany All rights are reserved. ST80i Stress Test System Instructions for Use Printed in USA 453564XXXXXX Edition 1 June 2012 *453564214311*...

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