E350i Interpretive Electrocardiograph

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Operating Instructions (US) Part No.086215
Issued: 4-93
Revised: 1 1-93

IBurdick, Inc.
BURDICK E350i Operating Instructions Manual CONTENTS:

Section 1 General Description Page

1.o Foreword 2
1.1 l nspection 2
1.2 General Description 2
1.3 Accessories 4
Section 2 Connections and Controls
2.0 Power Connection 5
2.1 Connection Functions 5
2.2 Grounding 6
2.3 ECG Paper 6
2.4 Overload Condition Indication 6
2.5 Controls - Location and Function 7
2.6 Back-up Battery 8
Section 3 Operation
3.0 Operating Modes 9
3.1 Suggestions for First Time Operation 9
3.2 Paper Loading 10
3.3 Patient Environment 11
3.4 Equipment Location 11
3.5 Patient Preparation 11
3.6 Patient Cable and Lead Arrangement (see also 6.1) 11
3.7 Disposable Electrodes (Sensors) - 12
3.8 Application of Disposable Electrodes 12
3.9 Normal Operation 13
3.10 Quick Outline - Automatic Mode 14
* 3.11 The E350i Menu System 15
3.12 Operation by Menu (General) 18
3.13 Patient Data Input (Demographics) 18
3.14 Setup Menus (Operating Parameters) 32
3.15 The Stress System Environment 48
3.16 Operation with Bike and Treadmill 54
3.17 Format Menus (in Stress) 60
3.18 Operation in Auto Mode 64
3.19 Operation in Manual Mode 72
3.20 Artifacts - Cause and Recognition 76
3.21 Operation with Filter 79
3.22 Pacemaker Mark Enhancement 79
Section 4 Maintenance
4.0 Preventive Maintenance
4.1 Cleaning and Disinfecting

Section 6 Appendix
6.0 Appendix - General 81
6.1 Patient Cable and Lead Arrangement 82
6.2 System Configuration Listing 83
6.3 Flow Charts for Normal Operation 84
6.4 Addendum - FCC and Canadian D. of C. Information 89
6.5 Sample ECG Recordings 90
Section 7 Technical Data (Specifications)
* See pages 16 and 17 for page location references of specific menus.
SECTION I GENERAL DESCRIPTION
BURDICK E350i ELECTROCARDIOGRAPH

Patient Cable
Connector

Fig. 1.I The Burdick E350i Electrocardiograph

1.0 FOREWORD

Your BURDICK E350i Electrocardiograph is designed and manufactured to provide consistently

accurate diagnostic records with maximum definition and fidelity. It is intended for use with quality
ECG supplies, such as those offered by Burdick for the BURDICK E350i. The use of inferior
quality supplies may adversely affect the reliability of your electrocardiograph and the
electrocardiograms produced by it. The use of supplies not to Burdick specifications may also give
poor results.

1.I INSPECTION

Your new BURDICK E350i Electrocardiograph has been thoroughly tested and inspected prior to
shipment from the factory. Please inspect your unit upon delivery for any damage that may have
occurred in transit. If any damage is evident, contact the shipping agent and make a concealed
damage report promptly.

Be sure to check the accessories furnished against the list of standard accessories for your unit.
Any shortage of parts should be reported to your Burdick dealer.

1.2 GENERAL DESCRIPTION

The BURDICK E350i is a multi-channel interpretive electrocardiograph that employs a thermal-

array print head to produce high-definition ECG records in a choice of 3,4 or 6-channel formats.
In addition to its resting ECG capabilities it can be used in a stress system environment in
conjunction with the ERGOMED~ 8401840L Ergometer or with the BURDICK T500 or T600
Treadmills.
The following features are included: (Fax transmission capability is an optional feature)

* Computerized diagnostic interpretation and reason statements

* Choice of full automatic or manual operation
* Choice of 3, 4 or 6 channel printout format in Auto mode
* Simple LCD display for operator prompts
* Fixed key operation of functions
* Dependable soft key menu selection
* Pre-set parameters stored in on-board memory
* Standard patient demographic input
* Analog outputs for 3-channel scope
* Three paper speeds in Manual mode - 5,25 and 50mmlsec.
* Two paper speeds in Auto mode - 25 and 50mmlsec.
* Overload condition indicator

The Burdick Analysis Program:

The analysis program used for generating the suggested diagnoses was developed by the
Glasgow Royal Infirmary under the direction of Prof. Peter W. MacFarlane. This automatic analysis
is based upon a clinically developed and tested program. The analysis criteria have been tested
on populations comprising hospital patients and volunteers. The program simultaneously analyzes
10 seconds of ECG data for each of 12 leads which is used to derive the interpretive findings. The
diagnostic interpretations are supported by:
* Reason statements explaining why a particular interpretation has been suggested.
* Heart Rate, PR Interval, P Duration, QRS Duration, P, QRS and T Axis Measurement,
QT and QT Corrected.

IMPORTANT
Computer assisted interpretation is a valuable tool when used properly. However, no
automated interpretation is completely reliable and interpretations should be reviewed by a
qualified physician before treatment or non-treatment of any patient.

Operating Modes
The unit has two modes of operation: automatic and manual. In the AUTO mode it can acquire
recordings of a conventional 12-lead ECG in 3, 4 or 6 - channel format from all leads. When in this
mode the instrument will automatically sequence through the leads in the previously selected
format, and stop when complete.
In MAN (Manual) mode any desired lead format, including Pediatric, Frank and Nehb lead
configurations, may be determined manually by the operator. For manual operation the operator
selects the desired lead group and observes these leads continuously on the printout until a new
lead group is selected or the acquisition is halted by pressing STOP.

Patient Data: Personalized patient data can be entered for each recording, including:
Patient name and Patient ID number (up to 12 digits).
Patient age, sex, height and weight.
Two medications and two clinical classifications selected from pre-programmed lists.
Will also accept additional specific physician's comment.
Performance and Fitness for Use

Burdick instruments and equipment are designed and manufactured using only proven quality
components and technology and are exhaustively tested to ensure safe and dependable
performance under normal operating conditions. However, after prolonged usage, normal wear
and tear can result in performance deterioration and component failure.

We strongly recommend using only Burdick authorized service representatives for all service and
repairs and the use of only genuine Burdick replacement parts. Economical service contracts are
available to help you maintain your equipment in optimum operating condition.

For facilities with their own Biomedical Service Staffs, Burdick also offers training classes that
enable your people to become experts at effectively maintaining Burdick instruments.

The contents of this document are not binding. If any differences of significance to service work
are encountered between the product and the information contained in this document, contact
Burdick, Inc. for confirmation.

We reserve the right to modify the specifications and/or performance of this product without
amending this document or advising the user.

1.3 ACCESSORIES

Please refer to the Supplement 086215-2 for a listing of both standard accessories and
available optional accessories and consumable supplies
Check that all the standard accessories have been included. If any items are missing, contact
your Burdick representative. For additional or replacement accessories contact your dealer.

NOTE: Your BURDICK E350i Electrocardiograph is designed and manufactured to produce

accurate diagnostic records of the highest quality and definition. It is intended for use with quality
ECG supplies; its reliability and performance are directly affected by the supplies you use.

Use only Burdick thermally responsive chemical ECG paper or an approved equivalent.
SECTION 2 CONNECTIONS AND CONTROLS
2.0 POWER CONNECTION

Key:
1 Power Cable (Mains) Connector
2 Potential Equalization Connector
3 Monitor Connector - M300d or M300
4 Treadmill and Ergometer Connector ("Modem")
5 Mains Power Switch (on side of housing)
6 -
FAX connector (if installed optional)

Fig. 2.1, Back Panel of BURDICK E350i

2.1 CONNECTION FUNCTIONS (refer Fig. 2.1 above)

Patient Cable Connector (see Fig. 1.I)

The patient cable plugs in to a connector on the front of the unit as shown in Fig. 1.I.

Power Cable Connector (Fig. 2.1; key 1)

Your BURDICK E350i Electrocardiograph is supplied with a 3-conductor power cable. Connect
the cable to the power jack on the back panel of the unit and to a properly maintained and
grounded electrical mains outlet.

CAUTION: The unit must only be operated at the voltage and frequency specified.

Potential Equalization Connector (Fig. 2.1 ; key 2)

Provision is made for a potential equalization cable for those situations where regulations require
its use.

Monitor Connector (Fig. 2.1; key 3)

For connection to analogldigital monitor.
TreadmillIErgometer Bike Connector (Fig. 2.1; key 4)
For connection to ERGOMETER 8401840L or T500TT600 Treadmill.

Mains Power Switch (Fig. 2.1 ; key 5)

Used for operating on mains power to switch the unit on (I), or off (0)

FAX Connector (Fig. 2.1; key 6)

Used only when this optional feature is installed

2.2 GROUNDING

Maximum patient and operator safety is ensured when the BURDICK E350i is properly grounded
as described above under Section 2.1. A Potential Equalization Connector is also provided.

2.3 ECG PAPER

The chemistry and thermal characteristics of Burdick ECG paper matches the specification
tolerances of the unit's Thermal Array Print Head. These characteristics ensure the optimum
trace quality. The use of non-approved supplies may also invalidate your warranty. The following
Burdick ECG paper is recommended:

007868 [US only] Recording Paper for Thermal Array Printer, Z-Fold, , 8-112 x Ilin.,
Red Grid, 200 Sheets per package

NOTE: The Thermal Array Print Head employed in the BURDICK E350i is pre-adjusted at the
factory for optimum trace performance. No provision is made for operator adjustment.

2.4 OVERLOAD CONDITION INDICATION

The BURDICK E350i prints the message "OVERLOAD" on the electrocardiogram to alert the
operator to an overload condition. This overload condition can be caused by electrode
polarization from a defibrillator pulse. When such a condition occurs, the waveform on the
electrocardiogram will not provide a true indication of patient cardiac activity.
The BURDICK E350i provides a block filter (BLOK) key in the manual mode. When enabled this
allows a faster recovery time from overloads caused by defibrillation. The (BLOK) key should
only be pressed AFTER patient defibrillation and the ensuing overload condition occurs. A
message "Block Filter Active" will appear on the printout to alert the operator that the block filter
has been enabled. The block filter may be disabled at any time by again pressing the (BLOK)
key, or it will be disabled automatically after a period of 30 seconds.

IMPORTANT: The block filter should only be used for enhanced recovery time during
defibrillation to confirm presence of cardiac activity; it should not be considered a diagnostic
quality waveform. Care must be taken by the operator not to misinterpret the patient's condition
during an overload condition when the block filter is enabled..
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2.5 CONTROLS LOCATION & FUNCTION

DISPLAYIFRONT PANEL

Fig. 2.2 LCD Display and Front Panel

The display is a 2-line x 40 character liquid crystal display (LCD). Eight (8) soft keys are located
adjacent to the bottom edge of the display. The specific function of these keys is designated by
whatever menu is currently being displayed. There is also a full alphanumeric keyboard; the
numerals 1 thru 9 and 0 sharing the top row of keys on the conventional international typewriter
style key board. Five separate, discrete membrane switches are provided for the ONISTANDBY;
AUTO; MAN; I m V and STOP functions. See below for function of these keys.

Two keys located to the right of the display permit adjustment of the LCD contrast when the MAIN
menu is displayed. A master switch on the side panel of the unit is normally left in the ON (I)
position except for maintenance purposes. The ONISTANDBY switch on the front panel toggles
the Electrocardiograph on or off. All other keys on the front panel, both discrete and soft, are only
active as dictated by the currently displayed menu which lists the requisite functions of the active
keys.

NOTE: There is no shift key on the E350i keypad. Alpha or numeric functions
are enabled solely by the software as required by each menu.
NOTE: Use a firm and consistent touch when pressing the control keys. Never use a pen or
pencil to activate the key pads, otherwise the panel overlay may be irreparably damaged. A
short "beep" indicates your input is accepted and the display will change accordingly. A long beep
indicates an invalid input, usually when the wrong key is pressed.

INDIVIDUAL CONTROL FUNCTIONS:

This section describes the purpose and function of the dedicated keys on the control panel.

ONlSTBY (Standby) Pressing this button will apply power to the instrument. Pressing it again
will turn it off. The use of solid state circuitry throughout virtually
eliminates warm-up time.

AUTO Selects Automatic ECG Mode of operation.

MAN Selects Manual Mode of operation.

Calibration test signal. Prints standard ImV input pulse.

(10mm deflection at x10 gain) - in Manual Mode only.

STOP Permits operator to halt acquisition of ECG or printout at any point in

manual or automatic mode.

2.6 BACK-UP BATTERY

The BURDICK E350i is equipped with a long-life 3-volt Lithium battery for memory back-up. When
this battery is discharged, it should be replaced only by a qualified technician or service
representative. Please refer to the Service Manual and observe the necessary precautions stated
in that publication.
SECTION 3 OPERATION
3.0 OPERATING MODES

The BURDICK E350i provides for two modes of operation; Automatic and Manual. Instructions
for preparation and operation in both modes are given.

Notice to Service Personnel

Restricted access service menus are programmed in English only.

3.1 SUGGESTIONS FOR FIRST TIME OPERATION

Before using your new BURDICK E350i on a patient, it is advisable to first operate the unit and
familiarize yourself with the controls and sequence of operation. This will also afford an
opportunity to check the unit for proper operation. During this dry run, the patient cable will not be
connected, so you will not get any valid ECG recording, only a random trace. The lead code
markings and any arbitrary patient demographics entered by the operator will be recorded on the
paper. The presence and proper appearance of these markings generally indicates correct
functioning of the instrument and valid ECG traces will be recorded when the patient cable and
appropriate electrodes are subsequently connected to a patient.

Pay particular attention to the pre-set parameters and how to set them properly (see 3.14 The
Setup Menus). Then you are ready to try a dry run. Go through the procedure in both AUTO and
MANUAL modes.
3.2 PAPER LOADING r

Loading your BURDICK E350i is a simple operation.

Check that the ECG paper is the correct type for use in
your unit to ensure optimum trace quality. Use only
Burdick thermally responsive paper 007868, or an
approved equivalent.

NOTE: The use of incorrect type of paper may

cause damage and may also invalidate your warranty.

1 Remove Z-fold paper from package and open the

paper compartment door on the top of the housing.

2 Place the new stack of paper into the compartment

as shown in Fig.3.1; make sure the larger one of the
two queueing holes is to the top of the unit.

3 Lift the top sheet and feed it into the slot in front of
the roller.

4 Close the compartment cover.

Fig.3.1 Paper Loading Procedure

To advance the paper to the start of the next sheet, ready for use, proceed as follows:

1) Make sure the unit is plugged in and that the main power switch on the back of
the unit is ON. Press the ONISTANDBY key on the front panel to turn the unit on.
The MAlN menu (1) will be displayed.

2) Press the PAPER ADV soft key on MAlN menu; the paper will
advance to the start of the next sheet and stop.

NOTE: In the event of a paper jam, the display will automatically change
to the PAPER LOAD Menu #14 (see also Section 3.14, page 37).
3.3 THE PATIENT ENVIRONMENT

With the Burdick E350i's extreme sensitivity, the minute voltages of the heart can be recorded,
providing accurate information on which to base the diagnosis.

NOTE: Since the electrocardiograph picks up the minute voltages readily, the same unit will also
tend to register any artifacts that may be present, such as muscle tremors and AC interference.
These artifacts, if present, can usually be eliminated or minimized by carefully reading and
following the instructions given in this manual.

3.4 EQUIPMENT LOCATION

Locate the Electrocardiograph and the patient as far removed as possible from extraneous
equipment cords, building electrical wiring, and any other likely source of electrical interference.

3.5 PATIENT PREPARATION

A high quality ECG is more readily obtained from a patient who is relaxed both mentally and
physically, particularly when the electrocardiograph is being used in a non-stress or rest
environment. Assure your patient that there is no danger or pain involved in the procedure.
Explain that hislher full cooperation will assist in the production of a valuable diagnostic record.

Make your patient comfortable on a cot, small bed, or a well-padded table large enough to support
both arms and legs and allow for complete relaxation. Support the patient's head with a pillow.
Avoid discomfort by protecting the patient from cold, drafts and any other disturbing factors.

3.6 PATIENT CABLE AND LEAD ARRANGEMENT.

For information on the more commonly used patient cable and lead arrangements, please refer to
the Appendix, Section 6, at the back of this manual.

3.6.1 For Optimum Quality

To ensure both OPTIMUM RECORDING QUALITY and MINIMUM RECORDING TIME, connect
patient to the Burdick E350i electrocardiograph PRIOR to energizing the unit.
3.7 DISPOSABLE ELECTRODES [Sensors]

The disposable electrodes included in the accessory package that came with your BURDICK
E350i Electrocardiograph are designed to be used with this instrument. Never mix electrodes
with those of another manufacturer or mix reusable and disposable electrodes. This can result in
considerable baseline drifting or blocking and can impair the built-in defibrillator protection.

Fig. 3.2, Disposable Electrodes

Disposable electrodes are time-saving problem solvers and are specifically recommended for use
with the BURDICK E350i. They are an affordable, efficient alternative to bulbs, plates, straps,
creams and gels. These electrodes utilize a highly conductive adhesive and offer a cost-effective
medium for quick, stable and dependably consistent ECG signals.

3.8 APPLICATION OF DISPOSABLE ELECTRODES

1. Remove individual electrodes from the package liner card and position on patient.

2. First apply the limb position electrodes, preferably locating them on the inside and generally
hairless areas of the arms and legs.

Fig. 3.3. Disposable Electrode Applied to Limb

NOTE: For very hairy patients, any one of the following techniques may be employed to ensure
good contact and adhesion of the electrodes.

a) Spread the hair between thumb and forefinger; apply the electrode to the
exposed skin.

b) Use a water dampened towelette to moisten the skin area to enhance the
adhesive tack prior to applying the electrode.

c) If methods a) and b) do not work, shaving may be necessary. In any case,

the electrode may be reapplied to the shaved area without significant loss of tack.

3. Next apply the electrodes to the chest area (positions V1 through V6).
See Section 6.1 for diagram showing the correct electrode placement.

4. Attach alligator adapter clips to the apex of each electrode.

5. At this time perform any other preparatory tasks to allow the patient a short time to relax
and also to give the recorder-electrode system time to stabilize.

6. When the ECG record is completed, simply remove and discard the electrodes.
There is no clean up.

IMPORTANT

Never mix sensors with those of another manufacturer or mix reusable

and disposable sensors. This can result in baseline drifting or blocking.

3.9 NORMAL OPERATION

The following sequence of steps is required prior to normal operation:

a) Connect AC power cord to the Burdick E350i.

b) Plug AC cord into suitable grounded mains outlet.

CAUTION: The unit must only be operated from a supply at the voltage
and frequency specified.

c) Set main power switch on right side of the unit to ON (I) position

d) Press ON-STBY key on main control panel to ON position.

e) The unit will now display MAIN menu and is ready for operation.
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3.10 QUICK OUTLINE AUTOMATIC MODE [see also Appendix 6.31

Step-by Step ECG Acquisition in Auto Mode:

Important: To ensure both OPTIMUM RECORDING QUALITY and MINIMUM RECORDING

TIME, connect patient to the BURDICK E350i electrocardiograph PRIOR to energizing the unit.

a) Turn on Mains Power Switch located at right side of unit (press I)

b) Press ONISTBY key on keypad to bring up LCD Main menu display

C) Press key PAT (Patient) on Main menu. Patient Data menu will be displayed.

PATIENT DATA MENU (Two Screens)

-----------------------------------------------*---------------------------------

PATIENT DATA: CLR

NAME ID AGE SEX HGHT ALL >>>> RTN

(Second Screen)

PATIENT DATA:

WGHT MEDI MEDP CLASI CLASP CMNT <<<< RTN

------------------------------------------------.--

d) Press NAME; then enter patient's name from keypad - limit 30 characters, Alpha only.

NOTE: Use the soft keys to position the cursor under any desired character you want to change.
Press the desired letter; it will replace the previous character.

To insert (INS) text or characters into existing text, move the cursor to the character which you
want to move to the right. Then press INS key and enter the character(s) to be inserted.

To delete text or characters from existing text, move the cursor to the first character to be deleted.
Press DEL once to erase that character. To delete additional characters to the right of the cursor,
press DEL repeatedly until all the desired characters have been erased.

e) Press ID#; enter patient ID# using the numeric keys (limit 12 digitqnumeric only). You
may use the insert andlor delete keys as required.

r) Press AGEISEX; enter patient's age (numeric keys). Use insert and delete keys as
needed.
g) Press appropriate soft key M (male) or F (female) to enter sex of patient.

h) Press HGHT (height) to input patient's height, using numeric keys and insert and delete
as required.

i) Press WGHT (weight) to input patient's weight, again using numeric and insert and delete
keys as necessary.

j) Press MED 1 (Medication 1). User must enter desired medication by using the MEDLST
{Medication List - pg 26) key to select from the list of 14 medication classifications offered
in the unit's memory. Press MED 2 (Medication 2) and select from same options as MEDI.

k) Press CLAS 1 to select Clinical Classification from programmed list in similar manner.
Repeat for CLAS 2.

1) Press CMNT (Physician Comment). Using Alpha keys, operator may input up to 3 lines x
34 characters of free text. Use insert and delete keys as needed; the CLR (Clear) key
will clear all text from the displayed line of copy.

m) Press RTN (return) key to get back to Patient Data menu. The user may review or edit
any of the Patient Data fields by pressing the appropriate soft key. Enter the edit data,
then press RTN again to return to the Patient Data menu. The CLR ALL (Clear All) key
will erase ALL current patient demographics.

n) Press AUTO key; a review menu "Patient Data OK?" will be displayed.
Pressing YES will initiate the ECG acquisition; NO returns user to the Patient Data menu.

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3.1 1 THE E350i MENU SYSTEM (see also Appendix Section 6.3)

The following three sections describe the structure of the display menu system used in operating
the Burdick E350i. This is presented as follows:

Section 3.1 1. I The Primary Menu Structure (Table 1)

Section 3.1 1.2 The Auto Format Options (Table 2)
Section 3.1 1.3 The Miscellaneous Setup Options (Table 3)

Default Values:

By definition the default values and settings stated in this manual for each menu display
(where applicable) are the factory pre-set values programmed into the unit. These are
the values that will appear when the unit is first powered up and will be utilized in
subsequently acquired ECGs unless modified by the user.
These should not be confused with any other arbitrary values pre-selected by the user
(also sometimes referred to as default values) and stored in the unit's memory for any
specific ECG or group of ECGs. These may or may not agree with the factory pre-set
default values.

System Configuration Listing (see Appendix 6.2 for sample):

A listing of all Current and Default settings in the System Configuration may be obtained
in tabulated printout form, when in the MAIN menu, by pressing the hard key "S".

Those parameters listed only under the Default column do not allow a current setting and
must be changed via the Setup menu if so required.
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3.1 1.1 The Primary Menu Structure with page location references [see also Appendix 6.31

> Turn On - MAIN MENU (1) seepages 19 and33

Current Use Only
Unstored Parameters AUTO FRMT (1B) W 35
MAN FRMT (1C) ~ 3 5
STRS FRMT (1D) w 35
GROUP 1 PAT (2) see page 21
Patient Data Input
Current Use Only NAME (3) pg 2 1 WGHT (7) P9 25
ID# (4) pg23 MEDS(9-10) P9 27
AG WSEX (5) pg 23 CLAS (10B) Pg 31
HGHT (6) pg 25 CMNT (11) pg 31

GROUP 2 SETUP (1A) see page 33

Set Up Parameters:
AMP (12) P9 37
User-Selected Default WRT (13) Pg 37
Stored Parameters AUTO FRMT (15) pg 39 - See Table 2 for Options
MAN FRMT (25) P9 73
STRS FRMT (1D) P9 35
PAPR (14) P9 37
MlSC (16) pg 41 - See Table 3 for Options

GROUP 3 STRESS (23) see page 51

The Stress Environment:
STRS FRMT (33) pg 61
Current Use Only
PAT (2) ~g 21
AMP (12) ~g 37
WRT ( 1 3) Pi7 37
AUTO FRMT (33A) P9 63
MAN FRMT (338) P9 63
BASELINE FILTER
BACKGROUND RHYM (Ergo & Tmill)

GROUP 4
Recording and Printout: MANUAL MODE (24) page 73 MAN LEADS FORMAT (25) pg 73-75
AUTO MODE (26) page 65
Current Use Only
AUTO IN PROGRESS (27) pg 67
ECG COMPLETE (28) Pg 67
PAT (2) Pg 27
AMP (12) Pg 37
WRT (13) Pg 37
AUTO FRMT (33A) Pg 63
FAX OPTIONS [if installed- optional] pg 69-71
COPY OPTIONS Pg 67

Table 1

16
 -
3.1 1.2 The AUTO FORMAT Options with page location references

From SETUP Menu (IA) see page 33

AUTO FRMT (15) > 12 LEAD (15)

see pages 39-41

> 3CH(15) Pg 39

> 3 + RHYTHM (15) Pg 39

> RHYM (158) P C ~41

> 4CH(15A) Pg 39

> I P G 6CH (15) Pg 39

> 2PG 6 CH (15) Pg 39

> INTP FRMT (35) * PS 69

* Note: Includes Interpretation and Reason Options

Table 2

3.1 1.3.The Miscellaneous (MISC) Setup Options

> From SETUP Menu (1A) see page 33

MlSC (16) pg 41

> DATE (17) ICONFIG DATE (18) Pg 43

> TIME (19)1CONFIG TIME (20) Pg 45

> UNITS (US - Metric Options) (21) Pg 45

> FAX SET (37 and 37A) ** Pg 71

> STRESS SYSTEM & MNTR SELECT (22) pg 49

> AUX OUT (34) pg 47

> LEAD CONFIG (16A) ~g 41

** FAX option if installed

Table 3
3.12 OPERATION BY MENU

When the unit is turned on the MAlN menu is displayed. All the system parameters (writer
speed, time, format, .etc.) are saved in battery-backed RAM and restored on power-up. Date and
time are set to the current dateltime by means of a battery powered clock.

HARD KEY FUNCTIONS:

ONISTBY (Standby) Pressing this button will apply power to the instrument. Pressing it again
will turn it off.

AUTO key allows the operator to commence automatic acquisition of ECG data at any time once
the parameters are satisfactorily set. Goes directly into PATIENT DATA OK? menu.

MANual key initiates manually controlled acquisition of ECG data. Goes into PATIENT DATA
OK? menu.

gain) - in
ImV Calibration test signal. Prints standard ImV input pulse.(lOmm deflection at XI
Manual Mode only.

STOP Permits operator to halt acquisition of ECG or printout at any point in manual or automatic
mode.

SOFT KEY functions are defined by the currently displayed menu as shown in the
following sequence of menus and operating parameter options. A number printed below
a soft key in this manual, designates the menu accessed by pressing that particular key.
If a second number is shown in parentheses, this means the input is also retained in
memory at the indicated menu for reference purposes.
Example: RTN

3.13 PATIENT DATA INPUT (Demographics):

The following menus are used for entering the individual patient demographics.

1 MAlN MENU
On power up this menu will be displayed.

PAT = PATIENT DATA menu (patient demographics).

THE FOLLOWING KEYS ARE NOT USED FOR PATIENT DATA FOR REFERENCE ONLY:-
SETUP = Menu (IA) is only used during setup (see Section 3.14, page 33)
AUTO FRMT; MAN FRMT; STRS FRMT; = Format menus (see pages 34,35,39,61,73.)
STRS = Begin stress testing under control from the Monitor-Controller. If the M300d
Monitor is selected at Menu 22, but no monitor is actually connected, the unit will display
the message screen shown opposite. (see also page 50)
PAPER ADV = Advance paper to start of the next sheet.
 #I
MAlN MENU
-------------------------------------------------------------------------------- Menu normally used
MAIN MENU: AUTO MAN STRS PAPER for current selections only,
formats are NOT stored
PAT SETUP FRMT FRMT FRMT STRS ADV in memory
-------------------------------------------------------------------------------
I I I I I I I I I
I I I I I I I I I
2 1A 23
2 PATIENT DATA menu (two screens)

Screen 1:

NAME = NAME menu (patient name) (3).

ID = ID# menu (patient id) (4).

AGEISEX = AGEISEX menu (enter patient age and sex) (5).

HGHT = HEIGHT menu (patient height) (6).

CLR ALL = Clear all patient data

>>>> = Switches to Screen 2.

RTN = return to MAIN menu (1); or (33) if in stress environment.

Screen 2:

WGHT = WEIGHT menu (patient weight) (7).

MEDl IMED2 = MEDICATIONS menus (9 and 10); offers two patient

medications from programmed list.

CLASl I CLASZ = CLINICAL CLASSIFICATIONS menus (IOB and

10C); offers two patient classifications from programmed list.

CMNT = Access Comment menu (allows for any additional Physician's

comment) (1 1)

<<<< = Switches back to Screen 1; NAME, ID, AGE, SEX, HGHT

choices and CLR ALL (Clear all patient data).

3 NAME menu
-
Letters A Z and Space = Replace letter at the blinking cursor
position (initially the leftmost letter) with pressed letter. As each letter is
entered the cursor automatically moves to the right one position. This
allows entry and 1or editing of the patient's name up to a maximum of
30 characters.

'<' = Move the editlentry (blinking) cursor left one letter position.
Beeps if too far to left.

'>' = Move the editlentry (blinking) cursor right one letter position.
Beeps if too far to right.

INS = Creates a space at the cursor by shifting the data from the
cursor to the end of the LCD right one position.

DEL = Deletes the character which is currently blinking, that is the

character the cursor has selected.

, = First and Last name separator.

ID# = ID# menu (patient identification menu) (4).

RTN = returns to PATIENT DATA menu (2).

DEFAULT: Name = Blank

 #2
PATIENT DATA MENU (First of Two Screens)
---------------------------------------------------------------------------------
PATIENT DATA: CLR

NAME ID AGE SEX HGHT ALL >>>> RTN

.......................................................................................

(Second Screen)
------------------

PATIENT DATA:

WGHT MEDI MED2 CLASI CLAS2 CMNT <<<< RTN

--m--------I------Y-----------------------------------------------------------------

#3
NAME MENU
-------------m----------------------mm-------------------------------------------------

NAME:

< > INS DEL , ID# RTN

4 ID# menu

-
Digits 0 9 = Replace digit at the blinking cursor position
(initially the leftmost digit) with pressed digit. As each digit is
entered the cursor automatically moves to the right one position.
This allows entrylediting of the patient ID number (limited to 12
characters - numeric only).

'e' = Move the editlentry (blinking) cursor left one digit position.
Beeps if too far to left.

'>' = Move the editlentry (blinking) cursor right on digit position.

Beeps if too far to right.

INS = Creates a space at the cursor by shifting the data from

the cursor to the end of the LCD right one position.

DEL = Deletes the character which is currently blinking, that is

the character the cursor has selected.

AGElSEX = AGE and SEX menu (enter patient age and sex) (5).

RTN = returns to PATIENT DATA menu (2).

DEFAULT: ID# = BLANK

5 AGElSEX menu

-
Digits 0 9 = Replace digit at the blinking cursor position
(initially the leftmost digit) with pressed digit. As each digit is
entered the cursor automatically moves to the right one position.
This allows entrylediting of the patient AGE - numeric only.

'c' = Move the ediventry (blinking) cursor left one digit position.
Beeps if too far to left.

'>' = Move the edittentry (blinking) cursor right one digit

position. Beeps if too far to right.

INS = Creates a space at the cursor by shifting the data from

the cursor to the end of the LCD right one position.

DEL = Deletes the character which is currently blinking, that is

the character the cursor has selected.

M = Select patient SEX as male.

F = Select patient SEX as female.

HGHT = HEIGHT menu (patient height) (6).

RTN = returns to PATIENT DATA menu (2).

DEFAULT: AGE = BLANK; SEX = BLANK

 #4
ID# MENU

AGE I

< > INS DEL SEX RTN

#5
AGEISEX MENU

AGE: SEX: MALE

< > INS DEL M F HGHT RTN

-----------------------------------------------------------------------------------
6 HEIGHT menu

-
Digits 0 9 = Replace digit at the blinking cursor position
(initially the leftmost digit) with pressed digit. As each digit is
entered the cursor automatically moves to the right one position.
This allows entrylediting of the patient HEIGHT.

'<' = Move the editlentry (blinking) cursor left one digit position
Beeps if too far to left.

'>' = Move the editlentry (blinking) cursor right one digit

position. Beeps if too far to right.

INS = Creates a space at the cursor by shifting the data from

the cursor to the end of the LCD right one position.

DEL = Deletes the character which is currently blinking, that is

the character the cursor has selected.

WGHT = WEIGHT menu (patient weight) (7).

RTN = returns to PATIENT DATA menu (2).

DEFAULT: HEIGHT = BLANK

7 WEIGHT menu

-
Digits 0 9 = Replace digit at the blinking cursor position
(initially the leftmost digit) with pressed digit. As each digit is
entered the cursor automatically moves to the right one position.
This allows entrylediting of the patient WEIGHT.

'<' = Move the editlentry (blinking) cursor left one digit position.
Beeps if too far to left.

'>' = Move the editlentry (blinking) cursor right one digit

position. Beeps if too far to right.

INS = Creates a space at the cursor by shifting the data from

the cursor to the end of the LCD right one position.

DEL = Deletes the character which is currently blinking, that is

the character the cursor has selected.

MEDl = Goes to first medication menu MEDl (9)

RTN = returns to PATIENT DATA menu (2).

DEFAULT: WEIGHT = BLANK

 #6
HEIGHT MENU

HEIGHT: IN

c > INS DEL WGHT RTN

#7
WEIGHT MENU

WEIGHT: LBS
c > INS DEL MEDl RTN
-------------------------------------------------------------------
MEDICATION ENTRY MENUS:

9 MED 1 menu (first medication entry)

The menu will come up with MEDl selected. The medications are entered via the MEDLST menu 10A

MEDLST = Selects pre-programmed medication list (10A).

CLR = clears medication display field.

MED 2 = Selects second medication entry menu (10).

RTN = returns to PATIENT DATA menu (2).

DEFAULT: blank.

10 MED 2 menu (second medication entry)

This menu will come up with MED2 selected. Entry procedure same as for Menu 9 above

CLASI = Access to Clinical Classification (patient cardiac diagnosis) menus 106,

RTN = returns to PATIENT DATA menu (2).

All other functions as for Menu 9, MED 1 above

10A MED LIST menu (Three screens)

These menus permit the selection of two medications from a pre-programmed list of common
medications. Make selection for MED LIST 1 from the following three screens:

FOR MED LIST 1:

10A ( I st Screen)

NONE = No medication

DIG1 = Digitalis

DIUR = Diuretic

BETA = Beta blocker

QUlN = QuinidineINorpace

PROC = ProcainamidelLidocainelTocainide

>>>> = Advance to second screen of medications.

RTN = returns to menu (9).

DEFAULT: blank.
 #9
-
MED MENUS First Medication Entry (1)

MEDI :

MEDLST CLR MED2 RTN

# I0
-
MED MENUS Medication Entry (2)

MEDLST CLR CLASI RTN

#10A
MED LIST MENU (1)

MED I:

NONE DIG1 DIUR BETA QUlN PROC >>>> RTN

10A (2nd screen) make selection
AM10 = Amiodarone
DlSO = Disopyramide
LIDO = Lidocaine
OANT = Other antiarrhythmic
PSTR = Psychotropic
STER = Steroids
>>>> = Advance to third screen of medications,
RTN = returns to menu (9).
DEFAULT: blank.

10A (3rd Screen)

UNKN = Medication unknown
OTH = Other medication
>>>> = Selects first screen of medications.
RTN = returns to menu (9).
DEFAULT: blank.

FOR MED LlST 2:

NOTE: Now, if required, make a second selection
for MED LlST 2 from the same three screens
by repeating the above sequence.
DEFAULT: blank.
 #10A (second screen)
MED LlST MENU (2)
------------------------------------------------------------------------------------
MED I :

AM10 DlSO LIDO OANT PSTR STER >>>> RTN

......................................................................................
I I I I I I I I I
I I I I I I I I I
9

#10A (third screen)

MED LlST MENU (3)

MED 1:

UNKN OTH >>>> RTN

.......................................................................................
I I I I I I I I I
I I I I I I I I I
9

NOTE: Repeat 10A all three screens for MED2

 -
106 CLlN CLASl (Clinical classifications 1st selection)

This group of menus allows the user to select an appropriate clinical classification for the patient
from a programmed list in memory in the same way the medication entry is selected. A total of 15
clinical conditions is presented on three screens. These are:

Clinical Classifications:

1st Screen UNKN = Unknown

NORM = Normal
MI - Myocardial infarction
ISCH = Ischemia
HYPE = Hypertension

2nd Screen CONG = Congenital heart disease

RHEU = Rheumatic heart disease
PER1 = Pericarditis
RESP = Respiratory disease
END0 = Endocrine disease
PACE = Pacemaker

3rd Screen PULE = Pulmonary embolism

Plop = Post-operative changes
MYOP = Cardiomyopathy
OTHE = Other

-
10C CLlN CLAS2 (Clinical classifications 2nd selection)

A second group of menus allows the user to enter a second selection chosen from an identical
listing of classifications.

11 CMNT (physician's comment entry menu)

-
Letters A Z and Space = Replace letter at the blinking cursor position (initially the leftmost letter) with
pressed letter. As each letter is entered the cursor automatically moves to the right one position. This
allows entrylediting of the patient's medication.
'c' = Move the ediffentry (blinking) cursor left one letter position.
Beeps if too far to left.
'>' = Move the ediffentry (blinking) cursor right one letter position.
Beeps if too far to right.
UP = Move up to previous line.
DOWN = Move down to next line.
CLR = Clears current line of comment and any following lines
INS = Creates a space at the cursor by shifting the data from the
cursor to the end of the LCD left one position.
DEL = Deletes the character which is currently blinking, that is the
character the cursor has selected.
RTN = returns to PATIENT DATA menu (2).
NOTE: Up to three lines of comment may be entered.
DEFAULT: blank.
CLINICAL CLASSIFICATION 1o r 2 (First Screen)

CLlN CLASS1 :

UNKN NORM MI ISCH HYPE >>>> CLAS2 RTN

I I I I I I I I I
I I I I I I I * I I
2
* Note: replaced by CMNT menu (11) access when in CLlN CLASS2

#10B or 10C
CLINICAL CLASSIFICATION 1o r 2 (Second Screen)
-------------------------------------------------------------------------------------
CLlN CLASS1 :

CONG RHEU PER1 RESP END0 PACE >>>> RTN

------------------------------------------------------------------------------------
I I I I I I I I I
I I I I I I I I I
2

CLINICAL CLASSIFICATION 1o r 2 (Third Screen)

-------------------------------------------------------------------------------------
CLlN CLASS? :

PULE P 1 OP MYOP OTHE CC<< CLR CLAS2 RTN

I I I I I I I I I
I I I I I I I * I I
2
* Note: replaced by CMNT menu (1 1) access when in CLlN CLASS2

# I1
-
CMNT MENU Physician's Comment Entry

CMNT:
c > UP DOWN CLR INS DEL RTN
--------------------------------------------------------------------------------
I I I I I I I I I
I I I I I I I I I
2
3.14 SET-UP MENUS (Operating Parameters)

This section details the on-screen menu options provided for set-up parameters.

Menu #MAIN
I MENU

On power up this menu will be displayed. PAT accesses patient data menus as
described in preceding section. Press SETUP key to access menu (IA) for
selections to be stored in memory as default settings.

AUTO FRMT = goes to menu (1B) for current selections (not stored)
of AUTO mode format options.

MAN FRMT = goes to menu (1C) for current selections (not stored)
of MAN mode format options.

STRS FRMT = goes to menu (1D) for current selections (not stored)
of STRESS format options.

STRS = goes to stress menus (23, 23C and 23D) for STRESS testing options.

PAPER ADV = press to advance recording paper to next sheet ready for printout.

Menu #1A SETUP menu

From this menu you may select any of the following Setup menus:

AMP = this key selects Amplifier Gain menu (12).

WRT = selects WRT - Writer Parameter entry - (13).

AUTO FRMT = selects Auto Mode Format menu (15).

MAN FRMT = selects Manual Mode Format menu (25).

STRS FRMT = selects Stress Mode Format menu (1D).

PAPR = selects Paper menu (14).

MlSC = selects Miscellaneous Parameters menu (16).

 #I
MAIN MENU
-------------------------------------------------------------------------------
MAIN MENU: AUTO MAN STRS PAPER for current selections only,
formats are NOT stored
PAT SETUP FRMT FRMT FRMT STRS ADV in memory

#AI
SET UP MENU
------------------------------------------------------------------------------------- These are
SET UP: AUTO MAN STRS stored functions
retained in memory
AMP WRT FRMT FRMT FRMT PAPR MlSC RTN
16 AUTO FORMAT menu

This menu allows the user to make or edit selections for the following
parameters for the current ECG only when in AUTO mode.
Such selections do not modify the default values stored in memory.

S = select desired recording speed; options 25 or 50mmlsec.

L = select gain setting for limb (extremity) leads; options 5, 10 or 20mmlmV.

C = select gain value for chest leads; options 5 or 1OmmImV.

ARTF = choose ON or OFF setting for artifact filter.

FRMT = goes to AUTO FRMT menu (15) for format options.

RTN = returns to MAlN menu (1).

1C MANUAL FORMAT menu

This menu allows the user to make or edit selections for the following
parameters for the current ECG only when in MANUAL mode.
Such selections do not modify the default values stored in memory.

S = select desired recording speed; options 5, 25 or 50mmlsec.

L = select gain setting for limb (extremity) electrodes; options 5, 10 or 20mmlmV

C = select gain value for chest electrodes; options 5 or 1OmmlmV.

ARTF = choose ON or OFF setting for artifact filter.

FRMT = goes to MAN FRMT menu (25) for format options.

RTN = returns to MAlN menu (1).

1D STRESS FORMAT menu

This menu allows the user to make or edit selections for the following
parameters for the current ECG only when in STRESS mode.
Such selections do not modify the default values stored in memory.

AUTO FRMT = goes to AUTO FRMT menu (33A) for format

options for AUTO acquisition in the stress mode.

MAN FRMT = goes to MAN FRMT menu (338) for format

options for MANual acquisition in the stress mode.

RTN = returns to MAlN menu (1) or SET-UP (?A).

 # IB
AUTO MODE MENU
-------------------------------------------------------------------------------- These are
AUTO MODE ARTF current functions
-
only not stored
S=25 L=10 C=10 ON FRMT RTN

# IC
MANUAL MODE MENU
......................................................................................
MANUAL MODE ARTF LEADS: CUST current functions
-
only not stored
S=25 L=10 C=10 ON FRMT RTN

#ID
STRESS MODE MENU
......................................................................................
STRESS MODE : AUTO MAN current functions
-
only not stored
FRMT FRMT RTN
-----------------*--------------------------------------------------------------------
12 AMP GAIN menu

Limb Lead Gain: Controls the amplitude of the ECG recording from
the Limb Leads only.
5 A ImV patient input will be displayed as a 5mm.
deflection on the recording.
10 A ImV patient input will be displayed as a 1Omm.
deflection on the recording.
20 A ImV patient input will be displayed as a 20mm.
deflection on the recording.
Chest Lead Gain: Controls the amplitude of the ECG recording from
the Chest Leads only.
5 A ImV patient input will be displayed as 5mm.
deflection on the recording.
10 A ImV patient input will be displayed as a 1Omm.
deflection on the recording.
RTN = returns to SET-UP menu (IA); the selected parameters are also retained in the ECG
COMPLETE menu (28).

Also retained in Stress menu(33) and in Manual mode menu (24).

DEFAULT (gain setting): 10mmlmV

13 WRITER menu
The speed function SP controls the rate at which the
paper passes across the print head.
AUTO (automatic)
Available speeds (SP) are 25 or 50 mm. per second. Toggles between 25/50
MAN (manual) mode
Available speeds (SP) are 5,25 or 50 mm. per second. Toggles between 5/25/50

PACER = selects pacemaker mark enhancement on

or off; toggles between ONIOFF.
LINE FILTER = toggle key for line frequency reject (AC line filter)
between 50Hz and 60 Hz or off.
ARTIFACT FILTER = writer low-pass filter ON/OFF (muscle tremor filter).
The BURDICK E350i offers the option of generating ECG recordings
through either a filtered or unfiltered frequency response. The filtered
mode provides a 30Hz, 3dB response.
RTN = press ONCE returns user to SETUP menu (IA); may also return to (28) ECG COMPLETE, or to (33)
STRESS FORMAT menu depending on how menu was accessed.
Press RTN key TWICE to MAIN menu (1).

14 PAPER menu
LOAD = advance paper to start of next sheet.
FRWD = move paper forward while button held.
RVRS = move paper backwards while button held.
RTN = returns user to SETUP menu (IA).
 #12
AMP GAIN MENU (Amplitude gain)
----------------------------------------------------------------------------
GAIN LIMB: 10mmlmv CHEST: 10mmlmv

5 10 20 5 10 RTN
------------------------------------------------------------m------------------------

#13
WRT MENU -Writer Parameter Entry
.......................................................................................
SP: AUTO MAN PACER FILT: LINE ARTF

25 25 OFF 60Hz ON RTN

#14
PAPER MENU

PAPER

LOAD FRWD RVRS RTN

15 AUTO FORMAT menu
Allows user to select desired print format option when operating in the AUTO mode only.
3CH = output format becomes the standard 3-Channel lead groups, 2.5 seconds of
each lead printed in the following format:
I aVR V1 V4
II aVL V2 V5
Ill aVF V3 V6

3CH + RHY = standard 3-Channel lead groups plus second page of channels
defined by user as rhythm strip printout .
RHYM = RHYTHM menu (output format for rhythm prints of 3 + RHYM auto format). See also menu (158).
4CH = 4TH CHANNEL menu; output format becomes the standard 3CH lead groups, 2.5 seconds
of each lead, plus a 4th channel 10 sec. rhythm trace. See also menu (15A).
1PG 6CH = output format becomes I V1
6 channels, of 5 seconds each, leads II V2
printed in the following sequence: Ill V3
aVR V4
aVL V5
aVF V6
2PG 6CH = 2 PAGE menu (format for 2 page 6-channel printouts).

Page 1 Page2
I v1
II v2
Ill v3
aVR V4
aVL V5
aVF V6

INTP FRMT = menu for set-up of interpretation printing (35)

or ) SEE ALSO "IMPORTANT" ON OPPOSITE PAGE
SPEED = select 25 or 50 if in stress or non-interpretive mode
RTN = returns to SETUP menu (IA); will return to MAlN menu ( I ) if FORMAT was accessed from MAlN menu
Note: The selected parameters are also retained in menu (28) and in Stress menu (33).
DEFAULT: The default format selection is 4CH (Ld II) if no selection is made.

15A 4TH CHANNEL menu

I= 4th channel selection.
II = 4th channel selection.
111 = 4th channel selection.
aVR = 4th channel selection.
aVL = 4th channel selection.
aVF = 4th channel selection.

CHEST = switch to chest leads on menu.

V1 = 4th channel selection.
V2 = 4th channel selection.
V3 = 4th channel selection.
V4 = 4th channel selection.
V5 = 4th channel selection.
V6 = 4th channel selection.
LIMB = switch to limb and augmented leads on menu.
RTN = returns to FRMT menu (15); menu (33A) if in stress.
 # I5
AUTO FORMAT MENU
----------------------------------*-----------------------------------

12 LEAD : 4CH II 1PG 2PG INTP This screen appears

only when interpretation
3CH 3+RHY RHYM 4CH 6CH 6CH FRMT RTN has been installed.
--------*--------------------------------------------------------------------

IA (28) IMPORTANT
(1)
-------------------------------------------------------------------------------------
12 LEAD : 4CH II IPG 2PG SPEED This screen when in Stress
mode.
3CH 3+RHY RHYM 4CH 6CH 6CH 25 RTN

* Disabled when in stress

IMPORTANT:

If interpretation is required, the desired interpretation format must first be

established prior to acquisition of the ECG [see Menu 35 in Section 3.18.1
of this manual].

# I 5A
4TH CHANNEL MENU (Lead Selection) 2 Screens -
4TH CHANNEL : [ I I] Factory default setting
shown here
I II Ill aVR aVL aVF CHEST RTN

----------------------------------------------------------------------------
4TH CHANNEL : [ I I]

V1 V2 V3 V4 V5 V6 LIMB RTN
-----------------------------------------------------------------------
158 RHYTHM menu

This menu defines the rhythm leads printed in the 3 + RHYM auto format.
Press key below trace # (1 thru 6), to select desired lead I, 11, Ill etc., thru
V6; then OFF appears. Proceed to next trace # and again make
selection.

CAUTION: Pressing OFF for any trace # deletes any selections already
made to the right of current position.

Miscellaneous Parameter Set-Up Menus:

Once the format has been established to the user's satisfaction,

the desired lead configuration and remaining parameters are
set up by using the menus accessed through the following menu.

16 MISC (Miscellaneous) menu

This menu provides access to the following menus that permit entry of
date, time, units, monitor andlor stress system selections and auxiliary
outputs and lead configurations..

DATE = Date entry menu (17)

TIME = Time entry menu (19)

UNIT = Units selection, US or Metric (21)

FAX SET = Setting of Fax Option - see menu (37) ..................[OPTIONAL FEATURE]

MNTR = selects appropriate stress environment; choice

of Treadmill, Ergometer bike or monitor, menu (22)

AUX OUT = selection menu for auxiliary outputs (34)

LEAD CONF = access to lead configuration menu (16A)

RTN = Press to return to SETUP menu (IA)

16A LEAD CONFIG menu

This menu allows the operator to select the preferred lead

configuration and recording acquisition sequence.

STD = selects Standard 12-lead configuration.

CABR = selects Cabrera lead configuration; standard 12-lead with positive aVR

PED = selects Pediatric lead configuration; this option is valid only when selected as a modifier
to the STD and CABR configurations; standard 12-lead with V4R (reversed to right side) .

DEFAULT = standard 12-lead (STD) configuration is the default condition if no

selection is made.
 # I 5B
RHYTHM MENU
.......................................................................................
TRACE: 1 2 3 4 5 6
factory default
II aVF V5 OFF OFF OFF RTN setting shown
.......................................................................................

# I6
MISCELLANEOUS MENU
......................................................................................
MlSC MENU FAX AUX LEAD

DATE TIME UNIT SET MNTR OUT CONF RTN

LEAD CONFIG # I 6A
.......................................................................................
LEAD CONFIG: STD
factory default
STD CABR PED RTN setting shown
......................................................................................
I I I I I I I I I
I I I I I I I 1 16 1
17 DATE menu

-
Digits 0 9 = Replace digit at the blinking cursor position
(initially the leftmost digit) with pressed digit. As each digit is
entered the cursor automatically moves to the right one position.
This allows entrylediting of date.

'4 = Move the ediffentry (blinking) cursor left one digit position.
Beeps if too far to left.

'>' = Move the ediffentry (blinking) cursor right one digit

position. Beeps if too far to right.

CNFG = accesses CONFIGURATION menu (18) - date format

choices).

TlME = TlME menu (19).

RTN = returns to MlSC menu (16).

ERROR: if an invalid date is entered, and TlME or RTN is

pressed, the BURDICK E350i will beep, reset the date to the last
valid date entered, and remain in the DATE menu.

18 DATE CONFIGURATION menu

MDY = monthldaylyear [MMIDDNY]

DMY = daylmonthlyear [DDIMMNY]

YMD = yearlmonthlday [YYIMMIDD]

[/I
= slash delimiter [MMIDDNY]

[-] = dash delimiter [MM-DD-YY]

[.I = period delimiter [MM.DD.YY]

[ I = blank delimiter [MM DD YY]

RTN = returns to DATE menu (17).

 # I7
DATE MENU
-----------------------------------------------------------------------------------
DATE: 07/21/90 [ MMIDDNY ]

c > CNFG TIME RTN

----------------------------*------m----------------------------------------------

# I8
DATE CONFIGURATION MENU
-------------------------------------------------------------------------------------
CONFIG DATE: [ MMIDDIYY ]

MDY DMY YMD [ 1] [ -] [ .] [ ] RTN

19 TlME menu

-
Digits 0 9 = Replace digit at the blinking cursor position
(initially the leftmost digit) with pressed digit. As each digit is
entered the cursor automatically moves to the right one position.
This allows entrylediting of time.

'c' = Move the editlentry (blinking) cursor left one digit position.
Beeps if too far to left.

'>' = Move the editlentry (blinking) cursor right one digit

position. Beeps if too far to right.

AM = morning (12HR time format).

PM = evening (12HR time format).

CNFG = CONFIGURATION menu (time format choices). See

menu (20) below.

UNITS = UNITS menu. See menu (21) below.

RTN = returns to MlSC menu (16).

ERROR: If an illegal time is entered and UNITS or RTN is

pressed the BURDICK E350i will beep, reset the time to the last
valid time entered, and remain in the TlME menu.

20 TlME CONFIGURATION menu

12HR = 12 hour time format [12HR:MM]

24HR = 24 hour time format [ ~ ~ H R : M M ]

[:I = colon delimiter [12HR:MM]

[.I = period delimiter [12HR.MM]

RTN = returns to TlME menu (19).

21 UNITS menu

INlLBS = English (US) units (inches, pounds).

CMIKG= metric units (centimeters, kilograms).

MNTR = selects Stress Monitor ISystem menu (22)

RTN = returns to MlSC menu (16).

DEFAULT: units = INILBS

 # I9
TlME MENU (Two Screens)
--------------------------------------------------------------------------------
TIME: 16 : 30 [24HR : M M ]

< > CNFG UNITS RTN

----I--------------------------------------------------------------------------

--I----------------------------------------------------------------------------

TIME: 04 : 30 PM [12HR : M M ]

< > AM PM CNFG UNITS RTN

------------------------------m----------------------m----------------------m---------

#20
TlME CONFIGURATION MENU
-------I-----------------------------------------------------------------------

CONFIG TIME: 24HR : MM

12HR 24HR [ : ] [ . ] RTN

.......................................................................................
I I I I I I I I I
I I I I I I I I I
19

#21
UNITS MENU (US Metric Options) -
UNITS : IN 1 LBS

MNTR RTN
22 MNTR (Select monitor type) menu

This menu permits selection of the monitor type being used in

the stress system. User should select M300d as stress monitor
with E350i Electrocardiograph.

M300 = selects Burdick M300 Monitor.

M300D = selects Burdick M300d Monitor.

ERGO = selects Ergometer 840 / 840L Bike

in stress; see menu (30).

TMlLL = selects Burdick T500TT600 Treadmill

in stress, menu (30).

RTN = returns to MlSC menu (16).

DEFAULT: Selection is M300d

34 AUXILIARY OUTPUT menu

Allows operator to select any combination of leads for a conventional

three channel data display as an auxiliary output whenever the unit is
connected to a remote analog monitor

The soft key below each channel toggles through all 12 leads.

CAUTION:

This feature is disabled when the Frank lead configuration has been
selected. If the user tries to select auxiliary output, the unit will "beep" to
indicate an invalid selection.
 #22
MONITOR I STRESS SYSTEM SELECT MENU
----------------------------------------------------------------------------------
STRESS MONITOR TYPE : M300D

M300 M300D ERGO TMlLL RTN

I-----------------------------------------------------------------------------

factory default setting shown

#34
AUX OUT MENU

CHI CH2 CH3

II AVF V5 RTN
--------------------------------------------------------------mm-----------------------

factory default setting shown

3.15 THE STRESS SYSTEM ENVIRONMENT

22 MNTR (Select monitorlsystem type) menu

This menu permits selection of the monitor type being used in

the stress system.

M300 = selects Burdick M300 Monitor.

M300D = selects Burdick M300d Monitor.

ERGO = selects Ergometer 840 I840L Bike

in stress, and display goes to Stress Parameter Set Up menu (30).

TMILL = selects Burdick T500TT600 Treadmill in stress, and display

goes to Stress Parameter Set Up menu (30).

RTN = returns to MlSC menu (16).

30 STRESS PARAMETERS SET UP menu

Accessed from Menu 22 by selecting ERGO or TMILL.

This menu provides for entry of recording interval and selection
of rhythm strip.

INTERVAL = use INC or DEC keys to increase or decrease

numerical value (in 112 minute increments displayed as .O or .5)
for recording interval during test.

FRMT MAN = selects MANual style interval printouts.

FRMT AUTO = selects AUTO style 12-lead interval printouts.

RHYM = toggles between ON and OFF.

Note: When ON is selected a background rhythm printout is

produced at a paper speed of 5mmlsec.

RTN = Returns display to Monitor and Stress System select menu (22)
 #22
MONITOR I STRESS SYSTEM SELECT MENU
......................................................................................
STRESS MONITOR TYPE : M300D

M300 M300D ERGO TMlLL RTN

factory default setting shown

#30
STRESS PARAMETERS SET UP MENU
......................................................................................
INTERVAL : 00.0 FRMT: MANUAL RHYM

DEC INC MAN AUTO OFF RTN

FOR USE WITH M300d MONITOR ONLY:

23 STRESS MODE menu:

When STRS is pressed on the MAlN menu, menu 23 will appear. This
allows the operator to adjust the writer parameters, if so desired, before
starting the test.

At this point a Rhythm Strip can be run by pressing PRNT. Use the
STOP key to terminate the strip.

FRMT = Access to Format menu (33)

When ENTER STRESS is pressed, the writer parameters are frozen and
control is turned over to the M300d (see menu 23A).

WARNING:

If STRS is pressed on the MAlN menu (I),and the M300d

Monitor has been selected at Menu 22, the system will try to
begin stress testing under control from the Monitor-Controller.
However, if no monitor is actually connected, the unit will display
the message screen shown opposite.

-
23A ENTER STRESS menu with Burdick M300d only

This menu is displayed during all phases of the stress test,

including the Final Report. The EXlT STRESS key is only available
during the Resting ECG acquisition and Final Report.

When in this menu, the Burdick E350i will enter a slave mode where all
commands for operation will be received from the external
monitor/controller. The operator will be allowed to exit the STRESS
mode during acquisition of the resting ECG and during FINAL REPORT.
Only the LOAD PAPER key and the BLOK key are functional during the
exercise test. All operation of the system will be handled by the
monitor/controller during this time. The EXlT STRESS key will become
functional again only when the recovery phase of the stress test is
completed.

BLOK = selects blocking filter for enhanced recovery time during

defibrillation. May be disabled by pressing the key a second time, or will
turn off automatically after 30 seconds.

LOAD PAPER = Access to Load Paper menu (238)

EXlT STRESS = Exit from Stress Mode, return to Main menu (1)

23B LOAD PAPER

This menu allows for reloading paper without exiting the Stress
Mode in the event the supply of recording paper is exhausted
while still conducting a stress test.

RTN = Return to Stress Mode, menu (23A); (23C - H) when in later phases.
STRESS MODE MENU (with M300d only) #23 from ( I )

STRESS MENU ENTER

FRMT PRNT STRESS RTN

* * * Waiting for communications * * * Wait *

) See Warning note
* * * Press RTN to exit * * * RTN

#23A
IN STRESS MENU
......................................................................................
STRESS MODE LOAD EXIT

**TEST IN PROGRESS** BLOK PAPER STRESS

----I--------------------------------------------------m------------------------------

NOTE: Displays either TEST IN PROGRESS or EXlT STRESS

but never both at same time.

#23B
LOAD PAPER MENU

PAPER

LOAD FWRD RVRS RTN

With M300 Monitor only:

23C STRESS menu:

When in STRESS mode, the Burdick M300 displays 3 channels

of ECG data along with lead annotation if one of the pre-
designated lead groups has been so selected. Control of the
printout function is from the monitor front panel while in stress.

FRMT = Access to Format menu (33).

BLOK = selects blocking filter for enhanced recovery

time during defibrillation. May be disabled by pressing the key a
second time, or will turn off automatically after 30 seconds.

LOAD PAPER = Load paper menu (23B).

When EXIT STRESS is pressed, total writer control returns

to the E350i and the MAIN menu (1) reappears on display.
 #23C (with M300 only)
STRESS MODE MENU (with M300 Monitor only)
------*--------------------------------------------------------------------------------

STRESS MENU LOAD EXIT

FRMT BLOK PAPER STRESS

.......................................................................................
I I I I I I I I I
I I I I I I I I I
33 23B 1
3.16 OPERATION WITH BIKE AND TREADMILL
23D STRESS MODE

FRMT = Access to Format menu (33) during stress test.

ADV = Proceed to next stage Standing ECG, menu (23E).

BLOK = selects blocking filter for enhanced recovery

time during defibrillation. May be disabled by pressing the key a
second time, or will turn off automatically after 30 seconds.

BIP = Blood pressure entry menu (31).

LOAD PAPER = Load paper menu (238).

EXIT STRS = Exits stress mode, and returns to

Main menu (I), resets stage timer clock to zero.

PRINTOUT OPTIONS PRINT

RHYTHM STRIP PRINTOUT
If you want to make a Rhythm Strip printout during the Pre-test phase prior to starting a stress
test, press the hard key MAN on the key pad. Press the hard key STOP to stop the printout.

12-LEAD PRINTOUT
To initiate a standard 72-Lead Printout, press AUTO on the keypad. A printout in the Stress Auto
Format previously established will be generated. The display remains in the same menu. Press
the hard key STOP to stop the printout prematurely or allow the printout to complete
automatically.

INTERVAL OR STAGE CHANGE PRINTING

Interval printing or stage change printing (on command from the Ergomed bike or the treadmill) will not begin
until the operator has entered the Exercise Phase and the exercise stage timer has started. If the user
wants either a 12-lead auto print or a manual print before entering the Exercise phase, the AUTO or MANual
hard keys must be used as described above.
In the case of the Ergomed Bike System, the operator may initiate the Exercise phase by first entering the
Warm-Up phase on the E350i and then employing the Auto Start feature on the bike. The bike will then
automatically advance the phase on the E350i to Exercise and start the stage timer. If the user has already
proceededto the Exercise phase on the E350i without using the Auto Start on the bike, the Ergomed bike
will start the timer without further advancing the stage, and will remain in the Exercise phase.
The TA520 Treadmill Controller does not have a similar auto start feature. In this case all stage changes
must be controlled from the E350i. Once the START key is pressed on the TA520 Controller, it will send
user-programmed print commands until switched off. This allows for automatic printouts for each phase of
the stress test - Standing, Warm-up, Exercise and Recovery.

CAUTION:
If the above printout capabilities are utilized, the operator must take care to initiate the
printout sufficiently in advance of any pre-programmed stage change (at least 15 sec. for a
rhythm strip and at least 15 sec. for a 12-lead printout, depending on format). Otherwise
the printout will be overridden by print commands from the bike or treadmill control
protocol or by manually set printout intervals established by Menu #30.
 #23D
STRESS MODE BIKE & TREADMILL MENU

TIME : 00.00 PHASE : REST LOAD EXIT

FRMT ADV BLOK BIP PAPER STRS

Enter from STRS on MAIN MENU when ERGO (Bike)

or TMILL (Treadmill) is selected from Menu 22
23E BlKE & TREADMILL (Standing ECG; Rest Phase)

Used in Rest Phase while acquiring base-line Standing ECG.

FRMT = Access to Format menu (33) during stress test.

ADV = Proceed to next Phase, Warm-up (23F).

BLOK = selects blocking filter for enhanced recovery

time during defibrillation. May be disabled by pressing the key a
second time, or will turn off automatically after 30 seconds.

BIP = Blood pressure entry menu (31).

LOAD PAPER = Load paper menu (238).

EXlT STRS = Exits stress mode, and returns to

Main menu (I), resets stage timer clock to zero.

NOTE: Please refer to Menu 230 and related text for information on Printout options PRINT

23F BlKE & TREADMILL (Warm-up Phase)

Used in Warm-up Phase prior to commencing exercise.

FRMT = Access to Format menu (33) during stress test.

ADV = Proceed to next Phase, Exercise (23G).

BLOK = selects blocking filter for enhanced recovery

time during defibrillation. May be disabled by pressing the key a
second time, or will turn off automatically after 30 seconds.

BIP = Blood pressure entry menu (31)

LOAD PAPER = Load paper menu (23B).

START = This key starts the stage timer clock.

EXlT STRS = Exits stress mode, and returns to

Main menu (I), resets stage timer clock to zero.

NOTE: Please refer to Menu 230 and related text for information on Printout options PRINT
 #23E STANDING

STRESS MODE BIKE & TREADMILL MENU (cont)

......................................................................................
TIME : 00.00 PHASE : STANDING LOAD EXIT

FRMT ADV BLOK BIP PAPER STRS

.......................................................................................

#23F WARM-UP

STRESS MODE BIKE & TREADMILL MENU (cont)

TIME : 00.00 PHASE : WARM UP LOAD EXIT

FRMT START ADV BLOK BIP PAPER STRS

Clock starts on pressing START key. TIME

23G BlKE & TREADMILL (Exercise Phase)

Used in Exercise Phase.

FRMT = Access to Format menu (33) during stress test.

START = This key starts the stage timer clock.

ADV = Proceed to Recovery Phase, (23H). PRINT

This action also initiates a maximum exercise level printout.

BLOK = selects blocking filter for enhanced recovery

time during defibrillation. May be disabled by pressing the key a
second time, or will turn off automatically after 30 seconds.

BIP = Blood pressure entry menu (31).

LOAD PAPER = Load paper menu (23B).

EXlT STRS = Exits stress mode, and returns to

Main menu (l), resets stage timer clock to zero.

NOTE: Please refer to Menu 230 and related text for information on Printout options PRINT

23H BlKE & TREADMILL (Recovery Phase)

Used in Recovery Phase after completion of exercise.

Clock re-starts at zero automatically on entering the
Recovery Phase.

FRMT = Access to Format menu (33) during stress test.

STOP (soft key) = Stops any further printouts from the

electrocardiograph. Bike printouts will continue until the >0<
(orange key) on the Bike control panel is pressed m.
NOTE: Pressing >O< once only advances the system into the
Recovery phase, pressing SO< a second time terminates the test.

BLOK = selects blocking filter for enhanced recovery

time during defibrillation. May be disabled by pressing the key a
second time, or will turn off automatically after 30 seconds.

BIP = Blood pressure entry menu (31).

LOAD PAPER = Load paper menu (238).

EXlT STRS = Exits stress mode, and returns to

Main menu (I), resets stage timer clock to zero.

NOTE: Please refer to Menu 230 and related text for information on Printout options PRlNT
 #23G EXERCISE

STRESS MODE BlKE & TREADMILL MENU (cont)

------------------------------------------------------------------------------
TIME : 00.00 PHASE : EXERCISE LOAD EXIT

FRMT START ADV BLOK BIP PAPER STRS

----------------------------------------------------------------------------------

Clock starts by pressing START key or on command from Bike.

Press ADV for a maximum exercise level printout; PRINT

system will simultaneously advance t o Recovery phase.

#23H RECOVERY

STRESS MODE BlKE & TREADMILL MENU (cont)

TIME : 00.00 PHASE : RECOVERY LOAD EXIT

FRMT STOP BLOK BIP PAPER STRS

---m--m---------------------------------------------------------------------------

Entering recovery phase re-starts clock. TIME

31 BLOOD PRESSURE INPUT menu

Menu provides for entry of patient's systolic and diastolic blood pressure
levels.

SYST = Enter systolic blood pressure.

DlAST = Enter diastolic blood pressure.

DELIINS = Edit keys for numerical value input.

RTN = Returns to same stress mode set up menu (23D-H)

from which the BP menu was accessed.

3.17 FORMAT MENUS (in Stress)

33 FORMAT menu (in Stress)

Note: two screens dependent on stresslmonitor selection.

This menu allows operator to change parameters in Ergo, Tmill

and M300 systems during the stress test. These parameters
can't be viewed or changed in the M300d stress system.

PAT = Patient data entry menu (2).

AMP = Amplifier gain menu (12).

WRT = Writer menu (13).

AUTO FRMT = Auto format menu (33A).

MAN FRMT = Manual format menu (338).

BLF = Base line filter; this is a 0.12Hz high pass filter that helps to
stabilize the baseline of the ECG trace when patient motion or similar
somatic tremors are causing a problem. Key toggles between ON and
OFF. The default condition is ON.

RHYM = Select ON or OFF. When ON generates a continuous

background rhythm recording at a paper speed of 5mmlsec.during
Exercise and Recovery phases. This is interrupted whenever an
automatic 12-lead or manual recording occurs, and resumes on
completion of that recording.

RTN = Return to stress mode menus (23 and 23C-H).

 #31
BLOOD PRESSURE INPUT MENU
-----1-------------------1--1--1---------------------------------------------

BLOOD PRESSURE : 1401105

SYST DlAST DEL INS RTN

-------------------------------------------------------------------------------------

FORMAT DURING STRESS TEST MENU

-----I------------------------------------------------------------------------m-----

AUTO MAN BLF RHYM This screen if Treadmill

or Bike (Ergo) selected
PAT AMP WRT FRMT FRMT ON OFF RTN

------------------------------------------------m-------------------------------------

AUTO MAN BLF This screen if M300 or

M300d monitor selected
PAT AMP WRT FRMT FRMT ON RTN
The BURDICK E350i affords the operator an opportunity to review STRESS FORMAT
or modify the selected print format and lead configurations.

-
33A STRESS MENU AUTO FORMAT
Repeats selections made at Menu 15 allowing operator review and modification.
3CH = output format becomes the standard 3-Channel lead groups, 2.5 seconds
of each lead printed in the following format:

3CH + RHY = standard 3-Channel lead groups plus simultaneous rhythm strip printout.
THlS OPTION NOT AVAILABLE IN STRESS - ERROR BEEP RESPONSE
RHYM = RHYTHM menu (output format for rhythm prints).
THlS OPTION NOT AVAILABLE IN STRESS - ERROR BEEP RESPONSE
4CH = 4TH CHANNEL menu; output format becomes the standard 3CH lead
groups, 2.5 seconds of each lead printed in the following format, plus a 4th
channel 10 sec. rhythm trace. See also menu 15A
1PG 6CH = output format becomes I V1
6 channels, of 5 seconds each, leads II V2
printed in the following sequence: Ill V3
aVR V4
aVL V5
aVF V6
2PG 6CH = 2PAGE menu (format Page 1 Page 2
for 2 page 6-channel printouts). I V1
II v2
Ill v3
aVR V4
aVL V5
aVF V6
SPEED = select 25 or 50 if in stress or non-interpretive mode

RTN = returns to menu (33) or (1D).

-
338 STRESS MENU MANUAL LEADS FORMAT
Repeats Menu 25 for operator review.

LIMB = leads [ I 11 Ill].

AUG = leads [aVR aVL aVF].

V123 = leads [VI V2 V3 1.

V456 = leads [V4 V5 V6 1.

6CH EXTR = 6 Channel extremities (limb) leads.

6CH CHST = 6 Channel chest leads.

OTHER = selects OTHER manual lead formats menu (25A)

RTN = after selection confirmed returns to menu (1D).

 STRESS FORMAT

REVIEW MENU (Auto Format): Repeats Menu 15 #33A

-----------------------------------------------------------------------------------
12 LEAD : 4CH 11 IPG 2PG SPEED This screen when in Stress
mode or non-interpretive
3CH 3+RHY RHYM 4CH 6CH 6CH 25 RTN mode
----------------------------------------------------------------------------------
I I I I I I I I I
I 1 I I I I I I I
15A 33 (1D)

NOTE : The two keys identified as 3+RHY and RHYM on this display are non-active
keys. These options are not allowed in the Stress Mode. If either key is pressed while in
this mode a beep will signify an error, requiring the operator to make an alternative
selection.

-
STRESS MANUAL FORMAT:

MANUAL LEADS FORMAT MENU (Repeat of Menu 25)

------------------------------------------------------------------------------------
LEADS : CUST 6CH 6CH

LIMB AUG V123 V456 EXTR CHST OTHER RTN

------------------------------------------------------------------------------------
3.18 OPERATION IN AUTO MODE AUTO

26 AUTO MODE menu

This menu also appears after pressing MANual hard key and before
printout of ECG trace (not when in Stress, however).

AUTO = being pressed in the MAIN or PATIENT DATA sub menus will cause
the E350i to go into the AUTO (12 lead) ECG acquisition mode. It also brings up
this PATIENT DATA OK? confirming menu (26).

NOTE: Confirming menu 26 may be by-passed by pressing AUTO key twice to

commence printing immediately if necessary.

YES = the E350i proceeds with ECG data collection. The 12 lead
format previously selected will determine the speed and format of the
printout (3CH, 4CH, 6CH, 2PAGE etc.). The current patient
demographics are printed on reports.

CLR ALL = deletes all current patient demographics.

NO = transfers to the PATIENT DATA menu (2). New or revised

patient information can now be entered if necessary.

RTN = returns to MAlN menu (1).

26A ECG DATA ACQUIRING menu

When the YES key [Menu 261 is pressed, the message "Waiting for Good Data"
will be displayed until the data being received is acceptable for a normal ECG
acquisition. Refer to Menu 26A.

The unit waits until it has at least 10 seconds of data without lead failures or
unacceptably high noise levels before acquiring and recording the ECG. The
operator can, if necessary, override this condition by pressing the key marked
OVRD [acquire override]. Press QUlT to return to the MAlN menu.

Lead status messages are: fail, noisy and drift.

26B ECG DATA ANALYSIS menu

The unit acquires the ECG and displays the message, "Waiting for Analysis
to Complete". Refer to Menu (26)B.

Press QUlT to return to MAlN menu (1).

 #26
AUTO MODE MENU (Automatic Operation)
.......................................................................................
PATIENT DATA OK? CLR

YES NO ALL RTN

ECG DATA ACQUIRING MENU #26A

.......................................................................................
** WAITING FOR GOOD DATA **

(LEAD STATUS: OK ) OVRD QUIT

ECG DATA ANALYSIS MENU 26B

.......................................................................................
** WAITING FOR ANALYSIS TO COMPLETE **
QUlT
27 AUTO IN PROGRESS menu

L = toggles the LIMB lead gain to 5, 10 or 20 mm1mV.

C = toggles the CHEST lead gain to 5 or 10 mmImV.

ARTF = toggles the artifact filter ONIOFF

*LOOSE LEAD* = will be displayed if one occurrs.

Use of the hard key STOP terminates the AUTO mode and returns the operator
to MAlN menu (1). If the lead gain or filter enable key is toggled, the E350i will
stop printing, paper will advance to the next queue hole and will start to print
again with the updated printout parameters.

When the AUTO sequence is complete, menu (28),

ECG COMPLETE, is displayed.

28 ECG COMPLETE menu

This menu permits changes to the patient demographics and printout

parameters.

PAT = returns to patient data menu (2).

AMP = displays amplifier gain menu (12).

WRT = displays writer menu (13).

AUTO FRMT = displays format menu (15).

FAX = Fax mode menu (36).

COPY = plots another copy of the acquired ECG. The command

COPY can be repeated if multiple copies are required.

12CH COPY = provides a 10 second printout copy of all 12 leads.

Only available as a copy after the initial auto printout.

Use of hard key STOP terminates the AUTO acquisition mode and
returns the operator to MAlN menu (1).

RTN = returns to MAlN menu (1).

WARNING: If unit is powered down (switched off), the current ECG

data will be lost if not already plotted.
 #27
AUTO IN PROGRESS MENU
----------------------------------------------------------------------------------
AUTO MODE ARTF *LOOSE LEAD*

#28
ECG COMPLETE MENU

ECG COMPLETE AUTO 12CH

PAT AMP WRT FRMT FAX COPY COPY RTN

-----------------------------------------------------------------------------------

NOTE: If only the 12LD option has been selected for interpretation format
[see Menu 35 in the following Section 3.18.11, should the operator now attempt
to change the interpretation format at this stage by pressing the AUTO FRMT
key in Menu 28 shown above, an error condition beep will sound. If interpretation
is required, the desired interpretation format must be established prior to
acquisition of the ECG.
3.18.1 The INTERPRETATION menu

35 INTERPRETIVE FORMAT Menu INT

Used to establish the desired interpretation format from the options below:
12LD = selects ONIOFF for 12 lead ECG printout.
INTP = selects ONIOFF for ECG interpretation.
MEAS = selects ONIOFF for ECG global measurement.
REAS = selects ONIOFF for ECG reason statements.
MEDN = selects ONIOFF for ECG median report.
RTN = returns user to Auto Format Menu (15).
Default: The default setting is 12LD (ON); INTP (ON);
MEAS (ON); REAS (OFF); MEDN (OFF).

NOTE: If Interpretation (INTP) is ON, Measurement (MEAS) can't be turned OFF. Reasons
pertaining to S-T segments or changes can't be turned OFF even if REAS is OFF.

3.18.2 The FAX TRANSMISSION menus (Optional) Access from ECG Complete menu (28)

NOTE: The following Fax transmission menus are optional features, not available on all E350i models.

36 FAX MODE Menu FAX

Keys No.1, No,2 and No.3 call up telephone numbers as set thru the Fax Setup menu
(37), accessed from the MlSC set up menu (16). These can be changed temporarily
though the numerical keypad entry.
DEL = delete the last digit entered.
, = allows the user to enter modem command (PAUSE), in order to access outside line.
SEND = start Fax transmission and proceed to Menu (36A).
BAUD = allows user to select Baud rate; toggles between 2400, 4800, 7200 and 9600.
RTN = returns user to Menu (28).

36A FAX TRANSMISSION STATUS menu FAX

STATUS = shows status of Fax transmission:

Dialing. ..
Waiting for Connection . . .
Sending Page X . ..
XX% to go
Page X Done . . . * Wait *
0% to go
Page X Done.. .
0% to go
No Carrier = no communication established - Retry.

STOP = press to stop transmission at once; message "User Aborted" appears prior to
automatic return to Fax Menu (36).
Note: Menu display returns to (36) Fax Menu automatically 2 seconds after
completion or failed transmission.
RTN = returns user to Menu (36).
 #35 INT
INTERPRETIVE FORMAT MENU
-----------------------------------------------------------------------------------
INTP FRMT: 12LD INTP MEAS REAS MEDN

ON ON ON OFF OFF RTN

......................................................................................

Access from ECG Complete menu #28 ... Press FAX key

#36 FAX
FAX MENU

FAX PHONE NO 1 : 2345 67891 234 BAUD

NO 1 NO2 NO3 , DEL SEND 9600 RTN

WARNING: If unit is powered down (switched off) prior to FAX

transmission, the current acquired ECG data will be lost and cannot
be retrieved for FAX transmission purposes.

#36A FAX
FAX TRANSMISSION STATUS MENU
.......................................................................................
STATUS : DIALING.. .
(MESSAGES) (STOP)
.......................................................................................
37 FAX SETUP Menu

Accessed from MAIN menu, through the Setup menu 1A, and MlSC (16)
by pressing FAX SET key.

DIAL TONE = This key toggles between TONE and PULSE; the
default is TONE dialing.

MODEM INT = If pressed this key will give an error beep;

external modem option is non-functional at this time.

GRID = This key toggles between YES and NO;

YES indicates ECG with full grid printed on the fax paper

NO indicates ECG printed with Timing mark only.

Default setting is YES.

SET FAX # = This key enters Menu (37A) to allow user to pre-
program up to three Fax numbers.

37 A SET FAX NUMBER Menu

No.1,2,3 = press key to enter number for selections 1, 2 and 3
using numerical keypad.
, = allows the user to enter modem command (PAUSE) so that
outside lines can be accessed.
DEL = delete key is used to edit numbers; deletes last digit
entered.
BAUD = allows user to select desired Baud rate; toggles
between 2400,4800 ,7200 and 9600.
RTN = returns user to Menu (37).

NOTE: * * Toggles between 9600,7200,4800 and 2400 Baud

rates. Default setting is 9600. The selected rate is the maximum
used. If the line is noisy, the rate will be stepped down.

+ The number displayed reflects the current active

phone number entry.
 #37
FAX SETUP MENU

FAX SETUP : DIAL MODEM GRID SET

TONE INT YES FAX# RTN

-------------------------------------------------------------------------------------
I I I I I I I I I
I I I I 1 * 1 I I I
37A 16

* = NON-FUNCTIONAL KEY

SET FAX NUMBER MENU

+
FAX SET NO 1 BAUD

NO1 NO2 NO3 , DEL 9600 RTN

* * = Toggles 9600172001480012400
3.19 OPERATION IN MANUAL MODE

24 MANUAL MODE operation menu:

Pressing the MANual key (on the main keypad) will cause the E350i to go into the PATIENT
DATA OK? menu. Press YES to initiate MANUAL ECG acquisition and display this menu.
NOTE: Confirming menu may be by-passed by pressing MAN key twice
to commence printing immediately if necessary.

S = toggles the speed to 5, 25 or 5Ommls.

L = toggles the LlMB lead gain to 5, 10 or 2Ommlmv.
C = toggles the CHEST lead gain to 5 or 1Ommlmv.
ARTF = toggles the writer filter (low-pass artifact filter) between
ONIOFF.
BLOK = selects blocking filter for enhanced recovery time during defibrillation. May be
disabled by pressing key a second time, or will turn off automatically after 30 seconds.
FRMT = access to Manual leads format menu (25).
Top line also displays current lead format as selected by means of
Menu 25.
*LOOSE V1 = indicates one or more loose leads or poor connections which should
be rectified, in turn as designated, before proceeding with acquisition of ECG.

25 MANUAL LEADS FORMAT menu

LlMB = leads [ I 11 Ill].
AUG = leads [aVR aVL aVFj.
V123 = leads [Vl V2 V3 1.
V456 = leads [V4 V5 V6 1.
6CH EXTR = 6 Channel extremities leads.
6CH CHST = 6 Channel chest leads.
OTHR = selects OTHR (Other) manual lead formats - menu (25A).
RTN = Variable:pressing RTN always returns to the menu from which you
accessed this menu in the first instance. This can be menus (1, IA, 1D and 24);
if accessed from within the stress system it will return to menu (33).

25A OTHER MANUAL LEAD FORMATS menu

NEHB = selects Nehb bi-polar leads; 3 chest leads placed two anteriorly and one posteriorly; 3- lead
printout la~elledD. A. J.
CUST = allows user to select custom rhythm leads thru TRACE Menu (25B).
FRANK CALC= selects calculated Frank corrected orthogonal leads configuration,
printing cVx, cVy and cVz calculated from standard 12-lead acquired data.
FRANK ACQR = selects Frank corrected orthogonal leads aVx, aVy and aVz configuration by direct
acquisition; requires specific Frank lead placement, cannot utilize standard 12-lead configuration.
RTN = returns to Manual Leads Format menu (25).
 MAN
#24
MANUAL MODE MENU
----------------------------------------------------------------------------------
MANUAL MODE ARTF LEADS : CUST Right hand field displays
designator of loose lead.

S=25 L=10 C=10 ON FRMT BLOK "LOOSE V1

.......................................................................................
I I I I I I I I I
I I I I I I I I I
25

#25
MANUAL LEADS FORMAT MENU

LEADS : CUST 6CH 6CH

LIMB AUG V123 V456 EXTR CHST OTHR RTN

* = see RTN text on facing page.

#25A
OTHER MANUAL LEAD FORMATS
.......................................................................................
LEADS : (LEAD SELECTED) FRANK

NEHB CUST CALC ACQR RTN

* NOTE: The NEHB and FRANK options are not allowed in the stress mode. The
following restrictions should be recognized:

1) If the user enters Menu 25A (Other Manual Lead Formats) when in the stress mode, and
then tries to select NEHB or FRANK, a long beep warns the user that the configuration will be
disallowed. However, the user may still access Menu 258 to select custom rhythm leads.

2) If the user presses the AUTO hard key when NOT in the stress mode, after NEHB or
FRANK lead configurations have been selected, the printout will always be in STANDARD 12-Lead
or CABRERA format.

3) The FRANK configuration can not be displayed via the auxiliary outputs
258 CUSTOM MANUAL MODE RHYTHM menu

Press key below trace # (1 thru 6), to select the desired lead
I, 11, Ill etc., thru V6; then OFF appears. Proceed to next trace #
and again make selection.

CAUTION: Pressing OFF for any trace # deletes any selections

already made to the right of current position.

This menu performs the same way as Menul5B in function, but

parameters are stored separately.

These are the manual format leads; Menu 158 sets the rhythm
page leads for the 3+RHYM auto format

HARD KEY FUNCTIONS:

STOP = The manual mode will continue printing until the STOP
button is pressed.

It may also be used to terminate an AUTO mode printout

prematurely.

ImV = Generates a 1mV calibration pulse on the plotter. The

gain setting for the leads will determine the height of the cal
pulse on paper. If the frontal and chest leads have different
gains a split-height cal pulse will be drawn. The first half of the
cal pulse is the limb gain, the second half is the chest gain.
 #25B
CUSTOM MANUAL RHYTHM MENU
----------------------------------------------------------------------------------
TRACE : 1 2 3 4 5 6

II aVF V5 OFF OFF OFF RTN

......................................................................................
I I I I 1 I I I I
I I I I I I I I I
25

Note: Same as Menul5B in function, but parameters stored

separately.

These are the manual format leads; Menu 158 sets the rhythm
page leads for the 3+RHYM auto format
 -
3.20 ARTIFACTS CAUSE AND RECOGNITION

Improper technique is a common cause of poor ECG records, resulting in artifacts and defects
that interfere with the interpretation. The more common artifacts are usually caused by patient
movement, muscle tremor, improperly affixed electrodes (sensors), or electrical interference (AC).

Overload Condition

The BURDICK E350i prints the message "OVERLOAD" on the electrocardiogram trace to alert
the operator to an overload condition. This overload condition can be caused by electrode
polarization from a defibrillator pulse. When such a condition occurs, the waveform on the
electrocardiogramwill not provide a true indication of patient cardiac activity. Care must be taken
by the operator not to misinterpret the patient's condition during such an overload condition.

3.20.1 Patient Movement

Patient movement can cause abnormal trace deflections ranging from irregular vibration in
frequency and amplitude due to muscular contraction or tremor, to major shifts in the baseline
caused by body or electrode movement. The figure below is typical of this type of artifact.

-
Fig. 3.6, Artifact Somatic Tremor and Patient Movement

To minimize this type of artifact it is necessary to gain the patient's full cooperation. This may
require no more than a simple explanation of why it is necessary to relax; or it may require a
larger or more comfortable bed. In some cases somatic tremor may be unavoidable, but its
effects may be minimized by having the patient place hislher hands under the buttocks.

3.20.2 Improperly Applied Electrodes

An example of baseline shift caused by loose electrodes is shown below. If the baseline does not
come to rest near the center of the paper within half a minute of first attempting to record that
particular lead, check the electrode to ensure that it is properly applied. A baseline jump
occurring when the lead is switched during an R or T wave is unavoidable. The trace will return
to normal in a few seconds. If baseline drift occurs - shifting up and down - it is due to either
patient respiration or corroded electrodes.
 -
Fig.3.7, Artifact Loose Electrodes

3.20.3 Electrical Interference (AC)

Electrical interference can obliterate much of an ECG recording by producing a wide baseline. Its
amplitude depends on the strength of the AC source and the lead being recorded. In any one
lead the amplitude is usually steady. The frequency of the interference signal corresponds to the
supply line frequency - usually 60HZ. The result of typical AC interference on the ECG is shown
below.

-
Fig.3.8, Artifact Alternating Current

3.20.4 To eliminate or minimize AC effects:

1. Locate the instrument so that the line cord is well away from the patient and the patient cable.
Do not pass the line cord under or near the patient or table.

2. Be sure the unit is properly grounded by means of the wall outlet to which it is connected.
3. The patient cable leads should be arranged as close together as possible and following the
body contour. Avoid looping excess lead wires, rather twist them together to take up any excess
length.

4. Diathermy or X-ray equipment in adjacent offices should NOT be in operation. Other electrical
equipment, including electrically actuated beds, or lighting fixtures may also generate interference
even though not in use. If this proves to be a problem, disconnect such equipment.

5. Electrical wiring in walls and ceilings is also a possible source of AC interference. Frequently,
simply moving the patient table to a different location in the room will alleviate the problem.
Occasionally, in severe cases, it may be necessary to use a grounded screen located between
the AC source and the patient.

6. Check the pre-set parameters on the LCD display of your unit. The ON artifact filter setting
(see WRT menu #13) or the 50Hz or 60Hz line filter setting may effectively limit the AC
interference. In extreme cases where the problem cannot readily be solved by the user, contact
your Burdick representative. He or she has equipment which will aid in pinpointing the source of
interference and can offer guidance to eliminate or reduce the problem.

3.20.5 Loose or Broken Leads

A broken wire in the patient lead may cause rapid and erratic trace deflections. Similar large
amplitude excursions can be caused by a poor connection at the electrodes.

3.21 OPERATION WITH FILTER [Frequency Response Filter]

Selection of an unfiltered or a filtered frequency response for the writer output is determined by
the pre-set parameters employed. These can be verified anytime by calling up the LCD display
(WRT menu #13). There may be a nominal loss of amplitude in the QRS complex with the artifact
filter in use.

A reference calibration mark should be included in every ECG recording, filtered or unfiltered. In
the AUTO mode, the unit automatically records a calibration mark at the start of each lead trace.

NOTE: The AC input or line frequency filter is completely independent of the writer frequency
response (low-pass artifact filter) filter.

A choice of 50Hz , 60Hz and OFF is provided to correspond to the frequency of normal electrical
power supplies. When the appropriate setting is selected, the filter may significantly reduce
interference arising from the power supply mains or associated equipment.

3.22 PACEMAKER MARK ENHANCEMENT

The pacemaker enhancement feature may be enabled or disabled at will by the operator. The
pacemaker enhancement mark is a vertical line IImm in amplitude.
SECTION 4 MAINTENANCE
4.0 PREVENTIVE MAINTENANCE

The BURDICK E350i Electrocardiograph is designed and manufactured to require very little
preventive maintenance. It should be cleaned frequently with a soft damp cloth; if necessary, a
mild detergent solution may be used. Do not use commercial cleaners or abrasives which could
cause damage. Fuse replacement should be carried out only by a qualified service technician.

The purpose of preventive maintenance is to eliminate future problems and keep the equipment
in a condition providing completely safe, satisfactory recordings. Preventive maintenance should
be carried out at least once a year as described in the Technical Description.

Before using the BURDICK E350i, always ensure that the line power cord, power plug, power
connector and power input socket show no signs of damage.

Immediate maintenance has to be carried out if:

* The equipment was subject to extreme mechanical stress,

e.g; after a heavy fall.

* The equipment was subject to spillage of liquids.

* The function of the equipment seems to be disturbed.
* Parts of the unit enclosure are cracked, removed or lost.
* Any connector or cord shows signs of deterioration.

4.1 CLEANING AND DISINFECTING

Cables and Electrodes (Reusable type)

For disinfection, the electrode cables and the electrodes should be rubbed with a swab or cloth
moistened with a formaldehyde solution or other approved disinfectant type cleanser.

Under no circumstances may the electrode cables be immersed in any cleaning fluid, nor may
they be subjected to hot sterilization with water, steam or air, or to ether sterilization.

Cleaning and Disinfecting the Unit

The housing of your BURDICK E350i may be cleaned and disinfected in the following manner:

Cleaning: Rub the housing with a cleaning cloth moistened with water to which
a mild household detergent can be added if necessary. Never use ether,
benzene or similar solvents.

Disinfection: Thoroughly spray the housing with an approved disinfectant.

SECTION 6 APPENDIX:

6.0 GENERAL

The following pages contain the most commonly used Patient Cable
and Lead Arrangements, Typical System Configuration Listing and
Sample ECG Recordings.
6.1 PATIENT CABLE AND LEAD ARRANGEMENT.

aVR , RA and (LA-LL) Connecting the cable

aVL ; LA and (RA-LL)
aVF ; LL and (RA-LA) Avoid large loops. Make sure the lead
cables follow patient contour and lay flat
against the patient's body. If any lead wire
is too long (particularly with short patients,
children. and infants), roll the cable into a
4-inch coil and hold it together with a
rubber band or tape.
Don't forget to make sure that the proper
lead wire is connected to the proper

PLACEMENT OF THE CHEST SENSORS: PLACEMENT OF THE

LIMB SENSORS:
Fourth intercostal space at right
marginof sternum
'I

"'margin
Fourth intercostal space at left
of sternum
V4.Fib intercostal space at
junction of left midcbvicular line
Midway between position V, and
3' position v,
At horizontal level of position V4
S' at kft anterior axillary line
At horizontal level of position V,
V6at left midaxilbry line

PEDIATRIC CHEST LEADS:

NOTE: V4 bad is transposed

to the V4R position.

\ I
 6.2 SYSTEM CONFIGURATION LISTING (Typical)

B u r d ~ c k , I n c . E350i C o p y r i g h t 1992 Rev. 1.26 11 Feb 9 3

D a t e : 11/02/93 Time:ll:13
SYSTEM CONFIGURATION LISTING

------------------------------------.---------------.--------------

CURRENT SETTING DEFAULT SETTING

Limb Gain:
Chest Gain:
A u t o Soeed:

PATENT NO 4.207.580 BURDlCK 007868 C-00-310

 6.3.2 The Set-Up Menus

,
MAIN MENU: AUTO MAN STRS PAPER NOTES: * = only with Fax Option
*
PAT SETUP FRMT FRMT FRMT STRS ADV
A
" = only with Interpretation Option
I
I Interpretation Format not accessible while
system is in Stress Mode
SETUP:
1 AMP WRT
AUTO MAN STRS
FRMT FRMT FRMT PAPR MlSC RTN
11
I I I 1 I I I
I

DATE TIME UNIT SET MNTR OUT CONF RTN

I PAPER:
LOAD FRWD RVRS
-

LEAD CONFIG: STD

STD CABR PED

CH1 CH2 CH3 -

I V1 V5 RTN

STRESSMONTR TYPE : ERGO

M300D ERGO TMlLL RTN I
INTERVAL: 00:O FRMT: MAN RHYM
DEC INC MAN AUTO ONIOFF RTN . A

1 STRESS MODE AUTO MAN

FRMT FRMT
r

IIL LEADS: CUST

LIMB AUG V123
6CH
V456
6CH
EXTR CHST OTHR RTN

II ~ ~ ~ ; : c u s T
CUST
FRANK
CALC ACQR RTN I I
2 3 4 5 6

~ 12 -LEAD: 3CH
11 Ill aVR

1PG
aVL

2PG
aVF

SPEED;
RTN

3CH 3tRH RHYM 4CH 6CH 6CH 25 RTN

12 -LEAD: 4CH: II
3CH 3tRH RHYM 4CH
IPG
6CH
2PG
6CH
IMP"
FRMT RTN I
SPEED: AUTO MAN PACER FLTR: LINE ARTF 4TH CHANNEL : II
25 25 ONIOFF 60Hz ONIOFF RTN I 11 Ill aVR aVL aVF CHEST
I I

CHEST: l0mrnlrnv 4TH CHANNEL : II

5 10 RTN V1 V2 V3 V4 V5 V6 LlMB
6.3.3 Operating in the Stress Mode
" A with Treadmill or Ergomed Bike

MAIN MENU: AUTO MAN STRS PAPER

PAT SETUP FRMT FRMT FRMT STRS ADV

TIME: W:W PHASE : REST LOAD EXIT

FRMT ADV BLOK BP PAPER STRS
I
II I I I I
J 1 PAPER:
LOAD FRWD RVRS RTN

BLOOD PRESSURE: 1
SYST DlAST DEL INS RTN
AUTO MAN BLF RHYM

I I
I I
GAIN LIMB: 20rnmlmv CHEST: lOmmlmv
5 10 20 10 RTN
I I SPEED: AUTO MAN
5

PACER RTR: LINE ARTF

25 25 ONIOFF 50Hz ONOFF RTN
I 12 -LEAD: 1PG 2PG SPEED
3CH 3tRHY RHYM 4CH 6CH 6CH 25 RTN
I

4TH CHANNEL : II
I 11 Ill aVR aVL aVF CHEST RTN
I
I

4TH CHANNEL : II
V1 V2 V3 V4 V5 V6 LIMB RTN

PATIENT DATA: LEADS: CUST 6CH 6CH

NAME ID AGE SEX HGHT ALL >>>> RTN LIMB AUG V123 V456 EXTR CHST OTHR RTN
I
I
I LEADS: CHEST
PATIENT DATA CALC ACOR
WGHT MEDl MED2 CLASI CLAS2 CMNT <<<c RTN

TRACE: 1 2 3 4 5 6
II aVF V5 OFF OFF OFF RTN
-

,TIME: W:W PHASE : STANDING LOAD EXIT

FRMT ADV BLOK BP PAPER STRS

EXlT1
I TIME: W:W PHASE :WARM-UP
FRMT START ADV BLOK BP
LOAD
PAPER STRS

TIME: 0300 PHASE : EXERCISE LOAD EXIT

FRMT START ADV BLOK BP PAPER STRS
I

TIME: 00:W PHASE : RECOVERY LOAD EXIT

FRMT STOP BLOK BP PAPER STRS
6.3.3 Operating in the Stress Mode
"B" with M300 Monitor

I MAIN MENU:
PAT
AUTO MAN
SETUP FRMT FRMT
STRS PAPER
FRMT STRS ADV
I
I

STRESS MODE LOAD EXIT

FRMT BLOK PAPER STRESS
I I
C I
AUTO MAN BLF
PAT AMP WRT FRMT FRMT O W F F

PAPER:
FRWD RVRS

GAIN LIMB: 20mmlmv CHEST: IOmmlmv

5 10 20 5 10 RTN

1- SPEED: AUTO MAN

25 25
PACER RTR: LINE
ON/OFF 50Hz
ARTF
ONOFF RTN I
12-LEAD: 4CH: II
3CH 3tRHY RHYM 4CH
I
1PG
6CH
2PG
6CH
SPEED
25 RTN I
4TH CHANNEL : II
I 11 Ill aVR aVL aVF CHEST RTN

I 4TH CHANNEL :
V1 V2 V3
II
V4 V5 V6 LIMB RTN I
1
1
4
PATIENT DATA: CLR . LEADS: CUST 6CH 6CH
NAME ID AGE SEX HGHT ALL >>>> RTN LIMB AUG V123 V456 EXTR CHST OTHR RTN
A
1 I1
1 ? LEADS: CUST FRANK II
PATIENT DATA 1 NEHB CUST CALC ACQR FUN
WGHT MEDl MED2 ClAS1 ClAS2 CMNT <<<< RTN

I
2
ll
3
Ill
4
aVR
5
aVL
6
aVF RTN I
 6.3.3 Operating in the Stress Mode
"C" with M300d Monitor

MAIN MENU: AUTO MAN

SETUP FRMT FRMT
STRS PAPER
FRMT STRS ADV
I
1 STRESS MENU ENTER
FRMT PRNT STRESS RTN I
1

PAT AMP WRT

AUTO MAN BLF
FRMT FRMT ONDFF RTN I
-I GAIN LIMB: 20mmlmv
5 10 20
CHEST: lOmm/rnv
5 10 RTN

-1 SPEED: AUTO MAN

25
12 -LEAD: 4CH: I1
25
PACER FLTR: LINE
ONIOFF
1PG
50Hz

2PG
ARTF
ONOFF RTN

SPEED
3CH 3tRH RHYM 4CH 6CH 6CH 25 RTN
I i

4TH CHANNEL : II
I 11 Ill aVR aVL aVF CHEST RTN
I

I 4yfHAN!:L : V3 I' V4 V5 6 LIMB RTN I

PATIENT DATA: Lt LEADS: CUST
LIMB AUG V123 V456
6CH 6CH
EXTR CHST OTHR RTN
J

I PATIENT DATA I
1 WGHT MEDl MED2 CLASl CLAS2 CMNT ccec RTN
TRACE: 1

-I STRESS MODE
BLOK
LOAD
PAPER STRESS STRESS MODE LOAD
TEST IN PROGRESS PAPER

NOTE: The E350i changes to this menu after the M300d is

pul into stress mode by recording a Standing ECG.
To exit stress, advance through the phases by repealedly
Dressino Ihe DhaSe kev on the monilor. Afler the test is

PAPER:
1LOAD FRWD RVRS RTN
1 completed, the E350i will transition inlo Ihe following menu.

*
STRESS MODE LOAD EXIT
BLOK PAPER STRESS
1
6.4 ADDENDUM: If FAX option is installed

-
FCC CONNECTION INFORMATION This equipment complies with Part 68 of the FCC Rules. On the rear
of this equipment is a label that contains, among other information, the FCC Registration Number and
Ringer Equivalence Number (REN) for this equipment. If requested, this information must be provided to the
telephone company.
The REN is used to determine the quantity of devices that may be connected to the telephone line.
Excessive REN's on the telephone line may result in the devices not ringing in response to an incoming call.
In most cases, but not all areas, the sum of the REN's should not exceed five (5.0). To be certain of the
number of devices that may be connected to the line, as determined by the total REN's, contact the
telephone company to determine the maximum REN for your calling area.
If your BURDICK E350i causes harm to the telephone network, the telephone company will notify you in
advance that temporary discontinuance of service may be required. But if advance notice isn't practical, you
will be notified as soon as possible. Also, you will be advised of your right to file a complaint with the FCC if
you believe it is necessary.
The telephone company may make changes in its facilities, equipment, operations or procedures that could
affect the operation of the equipment. If this happens, the telephone company will provide advance notice in
order for you to make the necessary modifications to maintain uninterrupted service.
If you experience trouble with your BURDICK E350i, please contact Burdick, Inc., 15 Plumb Street, Milton,
Wisconsin 53563, U.S.A,, phone: (800) 333-7770 for repair / warranty information. If the trouble is causing
harm to the telephone network, the telephone company may request you remove the equipment from the
network until the problem is solved.
This equipment may not be used on coin service provided by the telephone company. Connection to Patty
Line Service is subject to state tariffs. Contact the state public utility commission, public service commission,
or corporation commission for information.
This device is equipped with a USOC RJ11C connector.

EQUIPMENT AlTACHMENT LIMITATIONS -

NOTICE: The Canadian Department of Communications label identifies certified equipment. This
certification means that the equipment meets certain telecommunications network protective, operational
and safety requirements. The Department does not guarantee the equipment will operate to the user's
satisfaction.

Before installing this equipment, the user should ensure that it is permissible to be connected to the facilities
of the local telecommunications company. The equipment must be installed using an acceptable method of
connection. In some cases, the company's inside wiring associated with a single-line individual service may
be extended by means of a certified connector assembly (telephone extension cord). The customer should
be aware that compliance with the above conditions may not always prevent degradation of service in some
situations.
Repairs to certified equipment should be made by an authorized Canadian maintenance facility designated
by the supplier. Any repair or alteration made by the user to this equipment, or equipment malfunction, may
give the telecommunications company cause to request the user to disconnect the equipment.
Users should ensure for their own protection that the electrical ground connections of the power utility,
telephone lines, and internal metallic water pipe system, if present, are connected together. This precaution
may be particularly important in rural areas.

CAUTION: Users should not attempt to make such connections themselves, but should contact the
appropriate electric inspection authority, or electrician.

The LOAD NUMBER ( ) assigned to each terminal device denotes the percentage of the total load to be
connected to a telephone loop, which is used by the device to prevent overloading. The termination on a
loop may consist of any combination of devices, subject only to the limitation that the total of all Load
Numbers does not exceed 100.

SERVICE STATION: If you have any questions or trouble, contact Burdick, Inc., 15 Plumb Street, Milton,
Wisconsin 53563, U.S.A,, phone: (608) 868-4678.
6.5 Sample ECG Recordings (Typical)

Resting ECG

A Auto mode - 3 ch format

B Auto mode - 4 ch format

C Auto mode - 6 ch format

D Median report

Stress Mode (with M300d Monitor)

E Warm up phase

F Exercise phase

G Maximum exercise level

H Recovery phase

FAX option

J Grid

K No grid
 Name: DOE. JANE I Vent r a t e :59 1 SINUS RHYTHM
ID : 112233445566 I I WITHIN NORMAL L I M I T S
Date: 11/09/93 Tlme:11:53 I --Duratoons-- I
Age : 40 Sex : FEMALE I P : 102 1 SUMMARY: NORMAL ** UNCONFIRMED ANALYSIS "*
Hgt : 65 I N Wgt : 1 0 0 LBS I ORS: 90 I
Medl: MEDICATION UNKNOWN I --Intervals-- I
Med2: I PR: 158 1 A
Ccll: ISCHEMIA I QT : 408 1
Cc12: I QTc: 424 1 RESTING ECG
Cmnt : I --Axes-- I AUTO MODE. 3-CH F O R M 1
I P : 5 2 1
I ORS: I0 I

Name: DOE. JANE I Vent r a t e : 69 I SINUS RHYTHM

ID : 112233445566 I I WITHIN NORMAL L I M I T S
Date: 11/09/53 Tlme:ll:53 I --Durations-- I
Ape : 40 Sex : FEMALE I P : 102 I SUMMARY: NORMAL XX UNCONFIRMED ANALYSIS **
Hst : 65 IN V a t : 1 0 0 LBS I QRS: 90 I
M.dl: MEDICATION UNKNOWN I --Intervals-- I
Med2: I PR: 158
Ccll: ISCHEMIA I QT : 408 B
Cc12: I QTc: 424
RESTING ECG
Cmn t : I --Axes--
I P : 52 AUTO MODE, 4-CH FORMT
I QRS: 10
I T : 35

PATENT NO 1.207 5 8 0 BURDlCK 007868 C W 370

 Name: DOE. JANE I Vent r a t e : 6 9 1 SINUS RHYTHM
ID : 112233445566 I I WITHIN NORMAL L I M I T S
Date: 11/09/33 Tlms:11:53 I --Ouratoonr-- I
Age : 40 Sex : FEMALE I P : 102 I SUMMARY: NORMAL ** UNCONFIRMFD ANAIYqIT **
Hgt : 65 I N U g t : I 0 0 LBS I QRS: 90 1
Medl: MEDICATION UNKNOWN I --Intervals-- I
Med2: I PR: 158 1
Ccll: ISCHEMIA I QT : 408 1 C
Cc12: I QTc: 424 1
RESTING ECG
Cmn t : I --Axes-- I
I P : 5 2 1 AUTO MODE, 6-CH FORMAT
I ORS: 10 I

PATENTNO 1 2 0 7 5 8 0 BURDICK 007868 C-W 310

I D : I12233445566 Name: DOE. JANE

Age: 40 FEMALE Date: 11/09/33 Time:ll:53
M e d l : MEDICATION UNKNOWN
Med2:
C c I l : ISCHEMIA
Cc12:
HEARTRATE : 69 D
MEDIAN REPORT
SINUS RHYTHM
WITHIN NORMAL L I M I T S

SUMMARY: NORMAL ** UNCONFIRMED ANALYSIS **

BURDICK 007868
Name: DOE. JANE
I D : 112233445566 S-T t l e a s u r e m s n t s a t 78mr p o s t - J
17:29 0 9 11 9 3
P r o t : BRUCE Lev Slo Lev Slo Lev Slo Lev SIo
Phase: WARMUP
ETT: 0:00 1 -0.5 0.0 aVR 0.4 -0.2 VI 0.6 -0.2 V4 -0.6 0.0
Rate: 90 ll -0.6 0.0 aVL -0.2 0.0 V2 0.1 -0.1 V5 -0.5 0.0
BP: Ill -0.2 -0.1 aVF -0.4 0.0 V3 -0.4 0.0 V6 -0.5 0.0
S
. -
t.a.
na ... 0.
Speed: I . 7
%Elev: 0 . 0
E
RPP : STRESS MODE; WARMUP PHASE
METS:

Name: DOE. JANE

I D : 112233445566 S-T Measurements a t 78ms p a r t - J
17:29 0 9 I 1 9 3
P r o t : BRUCE Lev Slo Lev SIo Lev Slo Lev Sla
Phase: EXERCISE
ETT: 0:27 I 0.5 0.6 aVR -0.6 -0.9 V1 -0.5 -1.0 V4 0.5 0.8
R a t e : 150 ll 0.5 0.8 aVL 0.4 0.2 V2 -0.6 -0.4 V5 0.5 0.8
BP: 111 0.6 0.1 aVF 0.5 0.5 V3 0.5 0.5 V6 0.5 0.6
Stage: 1
Speed: 1.7 F
XElev: 10.0 STRESS MODE; EXERCISE PHASE
RPP:
I D : 112233445566 S-T Measurements a t 78ms p o s t - J
1 7 : 3 0 0 9 l l 93
P r o t : BRUCE Lev Slo Lev SIo Lev Slo Lev 510
Phase: MAX EXERCISE
ETT: 1 :24 1 2.5 0.9 aVR -2.7 -1.2 VI -2.6 -1.4 V4 2.5 1.2
Rate: 180 ll 2.5 1.1 aVL 0.7 0.3 V2 -1.0 -0.4 V5 2.6 1.0
BP: 111 1.1 0.1 aVF 2.4 0.6 V3 1.9 0.6 V6 2.4 0.8
Stage: 4
Speed: 4 . 2
Z E l e v : 16.0 G
RPP : STRESS MODE; MAXIMUM EXERCISE LEVEL
METS: 1.4

Name: DOE. JANE

I D : 112233445566 S-T Measurements a t 78ms p o s t - J
17:31 0 9 I 1 93
P r o t : BRUCE Lev Slo Lev 510 Lev Sla Lev Slo
Phase: RECOVERY
ETT: 1:02
Rate: 120
BP:
S t a g e : 99
Speed: 1.7
%Elev: 0 . 0 H
RPP : STRESS MODE; RECOVERY PHASE
 Name: DOE. JANE I Vent r a t e : 69 1 SINUS RHYTHfl
ID : 112233445566 I I WITHIN NORMAL L I M I T S
Date: 11/03/93 Tnme:11:46
Age : 40 Sex . FEMALE I P : 106 I SUMMARY: NORHAL ** UNCONFlRflED ANALYSIS **
Hat : 65 IN Wqt : 100 LBS I QRS: 90 1
I --Intervals-- I
flsd2: I PR: 156 1 J
C c I 1 : ISCHEMIA I QT : 4 1 2 1
Cc12: I QTc: 428 1 FAX OPTION; WITH QUID
Cmnt : I --Axes-- I
I P : 5 0 1
I QRS: 11 I

Name : DOE. JANE I Vent r a t e : 69 1 SINUS RHYTHM

ID : 112233445566 I I WITHIN NORMAL L l f l l T S
Date: I --Durations-- I
Age : 40 Sex FEMALE I P : 102 I SUMMARY: NORMAL * * UNCONFIRHED ANALYSIS **
Hgt : 65 I N Vgt I 0 0 LBS I PRS: 90 1
Hedl: MEDICATION UNKNOWN I --Intervals-- I K
flsd2: I P R : 158 1
Ccll: ISCHEMIA I QT : 408 1 FAX OWlON; NO QUID
Cc12: I OTc: 424 1
Cmnt: I --Axes-- I
I P . 5 2 1
I QRS: 10 I

/111111111l/111/11l1lllll11llllllllllllllllll/llll/lillllllll111l1lllllllllllllllllllllllllll/lllllllll/llll/illlllllllllll!lllllllllllllllllllllllllllllllllllllllllllll1/llllllllllil1l/llllllllllllllllllll!lllllllllllllllllllllllllllllllllllllll
Speed: 2 5 mm/s F r e q : 60" . 0 5 30Hz - E3501 R e v . 1 . 2 6 GRI 1 0 . 1
Galn:L#mbI0 C h e s t 1 0 mm/mv EcgFax trn
SECTION 7 Technical Data (Specifications)
Burdick E350i Interpretive Electrocardiograph (US Program)
Model No. 101180 E350i without Internal FAX Modem
101187 E350i with Internal FAX Modem

Conforms to Standards: CSA C22.2, No:125

Dimensions: 4.5" x 15.25" x 18" (114mm x 387mm x 457mm)
Weight: 19 Ib. [8.6 kg]
Power Requirements: 115V (104-127V), 50/60Hz, 0.8A
Environmental Parameters:
Operating temperature 10deg.C to 40deg.C
Storage temperature -34deg.C to 70deg.C
Relative humidity (Operating) 30 - 75% (non-condensing)
Relative humidity (Storage) 25 - 95% (non-condensing)
Atmospheric pressure (Operating) 645 mm Hg. to 795 mm Hg.
Atmospheric pressure (Operating) 375 mm Hg. to 795 mm Hg.
Acquisition parameters:
Standard Leads:
Standard Leads:
(three channel)

Cabrera Leads:

Frequency response Meets or exceeds IEC draft standards and AAMl

standards for Diagnostic Electrocardiographic
Devices (unfiltered); .05 - 30Hz, -3dB (filtered)
Input impedance greater than 5OMohm
Electrode off set tolerance + 300mV
AID conversion 5pV/LSB
Sampling rate 500 per second

Printout:
Paper type thermal
Chart speeds 5,25 or 5Omm/sec. rt 2%
Printout format 3 , 4 or 6 channel auto or manual
Printout device 216mm. thermal dot array
Paper dimension 8.5 x 11in. Z-fold
Lead marking lead identification imprinted on each lead
trace above waveform
Safety:
Leakage currents Patient, less than 10 microamps
Chassis, below 100 microamps
Floating ECG input with defibrillator protection to 5,00OV, 400 joules.

Subject to change without notice