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Cardiac Science Eclipse Le Ops Manual

The Eclipse Premier Electrocardiograph operating instructions provide comprehensive guidance on the device's intended use, setup, and operation. It includes chapters on patient preparation, acquiring ECG reports, managing patient records, and troubleshooting. The document emphasizes safety warnings and proper equipment handling to ensure accurate ECG recordings.

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DunlapJoey
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© © All Rights Reserved
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0% found this document useful (0 votes)
17 views128 pages

Cardiac Science Eclipse Le Ops Manual

The Eclipse Premier Electrocardiograph operating instructions provide comprehensive guidance on the device's intended use, setup, and operation. It includes chapters on patient preparation, acquiring ECG reports, managing patient records, and troubleshooting. The document emphasizes safety warnings and proper equipment handling to ensure accurate ECG recordings.

Uploaded by

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

Instructions

Eclipse™ Premier
Electrocardiograph
Part No. 070-1149-01 Rev. B
Copyright © 2007 Cardiac Science Corporation. All rights reserved.

Cardiac Science Corporation (& 5(3


3303 Monte Villa Parkway
Bothell, WA 98021, USA
MDSS GmbH
Toll Free: +1.800.426.0337 Schiffgraben 41
Telephone: +1.425.402.2000 D-30175 Hannover
Email: techsupport@cardiacscience.com Germany
Website: www.cardiacscience.com Tel: +49 511 62 62 86 30
Fax: +49 511 62 62 86 33

ii 070-1149-01 B
PHOTOCOPY THIS PAGE AS NEEDED
1 070-1149-01 B
070-1149-01 B 2
Table of Contents

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iii


Warnings, Cautions & Notices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . iv
Definitions of Symbols Used . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii

Chapter 1 General Information . . . . . . . . . . . . . . . . . . . . . . . . . 1-1


Inspection Upon Delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-1
General Description . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-2
Interpretive Analysis Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-3
Safety Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4
Using Multiple Electrical Apparatus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1-4

Chapter 2 Equipment Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-1


Patient Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Grounding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-2
Loading Recording Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-3
Turning the Unit On . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4
Using the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2-4

Chapter 3 Keyboard and Displays . . . . . . . . . . . . . . . . . . . . . . . . 3-1


The Keyboard . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-1
The PREVIEW Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-4
A sample menu—the EDIT ID menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-6
Using Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-7
Lists and System Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8

Chapter 4 System Setup and User Setup . . . . . . . . . . . . . . . . . . . 4-1


Configuring SYSTEM SETUP Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-1
Configuring the USER SETUP Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . 4-6
Acquire Printout of Eclipse Premier Program Settings . . . . . . . . . . . . . . 4-17

Chapter 5 Patient Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1


Choosing the environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Preparing Patients for Resting ECGs . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-1
Resting ECG Lead Placement & Coding Chart . . . . . . . . . . . . . . . . . . . . 5-3
Alternative Lead Placements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5-7

Chapter 6 Acquiring ECG Reports . . . . . . . . . . . . . . . . . . . . . . . 6-1


Acquiring a Stat ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-1
Acquiring an Auto ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-2
Printing Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-4
Temporarily Changing Current Settings . . . . . . . . . . . . . . . . . . . . . . . . . . 6-5
Acquiring an Auto Rhythm or a Manual Rhythm . . . . . . . . . . . . . . . . . . . 6-6
Acquiring an ECG Using Alternative Lead Placements . . . . . . . . . . . . . . 6-7
Entering Patient Demographics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6-9

070-1149-01 B Eclipse Operating Instructions i


Chapter 7 Managing Patient Records . . . . . . . . . . . . . . . . . . . . . 7-1
Using the DIRECTORY Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-1
Accessing Saved Files . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-3
Additional Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7-6

Chapter 8 Sending and Receiving Records . . . . . . . . . . . . . . . . . 8-1


Equipment Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-1
How record status affects the sending operations . . . . . . . . . . . . . . . . . . .8-3
Changing Record Status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-3
Setting Up the Unit to Send and Receive . . . . . . . . . . . . . . . . . . . . . . . . .8-4
Receiving requisitions from PYRAMIS . . . . . . . . . . . . . . . . . . . . . . . . . .8-6
Sending records to PYRAMIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-7
Sending and Receiving records from an Eclipse . . . . . . . . . . . . . . . . . . . .8-8
Receiving records from PYRAMIS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8-8

Chapter 9 Sample Printouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9-1


Print Directory Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-1
Print Setup Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-2
Standard 12-Lead, 4-Channel Auto ECG . . . . . . . . . . . . . . . . . . . . . . . . .9-3
Standard 12-Lead, 6-Channel Auto ECG . . . . . . . . . . . . . . . . . . . . . . . . .9-4
Standard 3-Channel Rhythm & Manual ECG . . . . . . . . . . . . . . . . . . . . . .9-5
Measurement Matrix . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-6
Median Complex . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9-7

Chapter 10 Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10-1


Troubleshooting Basic Unit Problems . . . . . . . . . . . . . . . . . . . . . . . . . . .10-1
Troubleshooting Trace Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-2
Troubleshooting Printer Problems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10-3
Recognizing and Reducing ECG Artifacts . . . . . . . . . . . . . . . . . . . . . . .10-4

Chapter 11 Maintenance and Service . . . . . . . . . . . . . . . . . . . . . 11-1


Calibrating the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-1
Inspecting for Damage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-1
Cleaning and Disinfecting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-1
Testing Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-2
Notice to responsible service personnel . . . . . . . . . . . . . . . . . . . . . . . . . .11-3
Performance Disclosures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-3
EMC Declaration Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-6
Technical Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11-10

Chapter 12 Measurement Matrix . . . . . . . . . . . . . . . . . . . . . . . . 12-1


Index. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IN-1

ii Eclipse Operating Instructions 070-1149-01 B


Intended Use

WARNING: The Eclipse Premier should not be connected to non-


medical equipment unless the non-medical equipment complies with
IEC 601-1. In addition, the enclosure leakage current of non-
medical equipment connected to the Eclipse Premier should not be
allowed to exceed 500µA in fault condition. To maintain a proper
enclosure leakage current, provide additional protective earth
grounding, use an additional isolating transformer or use a floating
power supply.

WARNING: The Eclipse Premier and any non-medical equipment


that it is connected to should not be allowed within the patient’s
vicinity, which extends 6 feet (1.83 m) beyond the perimeter of the
bed, table or chair, and 7 1/2 feet (2.29 m) above the floor.

WARNING: NEVER create a direct connection between an


Eclipse Premier and a PYRAMIS computer if the Eclipse Premier is
already connected to a patient.

Under the supervision of a qualified physician trained in the subject of ECG


interpretation, the Eclipse Premier can be used to record the electrical activity of the
heart for the purpose of correlating the resultant waveforms with the health of the heart
muscle tissue structures.
This equipment produces a 12 lead (view) electrocardiogram which can be used as a
first step for assessment of patients with cardiac arrythmias, intraventricular
conduction block, pre-excitation syndrome and ischemic heart disease. Records stored
and used during the life of the patient can assist physicians in the diagnosis and natural
history of heart related illnesses (such as coronary artery disease).
This equipment is not designed to produce a definitive interpretation nor an exhaustive
evaluation of the patient’s heart but rather provide an effective beginning for evaluation
of patients with heart abnormalities.

070-1149-01 B Eclipse Operating Instructions iii


Warnings, Cautions & Notices

!
Warnings
WARNING: The Eclipse Premier should not be connected to non-medical
equipment unless the non-medical equipment complies with IEC 601-1. In
addition, the enclosure leakage current of non-medical equipment connected to
the Eclipse Premier should not be allowed to exceed 500µA in fault condition.
To maintain a proper enclosure leakage current, provide additional protective
earth grounding, use an additional isolating transformer or use a floating power
supply.

WARNING: The Eclipse Premier and any non-medical equipment that it is


connected to should not be allowed within the patient’s vicinity, which extends
6 feet (1.83 m) beyond the perimeter of the bed, table or chair, and 7 1/2 feet
(2.29 m) above the floor.

WARNING: NEVER create a direct connection between an Eclipse Premier


and a PYRAMIS computer if the Eclipse Premier is already connected to a
patient.

WARNING: This device is NOT intended for unattended or continuous


patient monitoring. It is intended for short-term ECG waveform acquisition.
There are no audible or visible alarms.

WARNING: Never remove the battery pack and attempt to recharge it using
an external battery charger. Fire or explosion may result.

WARNING: Explosion hazard. Do NOT use in the presence of flammable


anesthetics.

WARNING: Electrical shock hazard. Do NOT contact unit or patient during


defibrillation. Otherwise, serious injury or death could result.

WARNING: NEVER position defibrillator paddles very close to or over


ECG sensors. Remove all chest sensors (V-Leads/C-Leads) from a patient
before defibrillation to allow proper paddle placement. Severe burns may
result from improper placement of defibrillator paddles. Before using any
defibrillator, consult the operating instructions for that equipment.

WARNING: Electrical shock hazard. Operate the unit from its battery
supply if the integrity of the protective earth conductor is in doubt. Otherwise,
serious injury or death could result.

iv Eclipse Operating Instructions 070-1149-01 B


WARNING: If safety procedures not performed, increased risk to patient
and device can occur.

WARNING: Hazardous voltage. To reduce the risk of electrical shock, do


not attempt to remove the cover under any circumstances. Refer servicing to a
qualified technician.

WARNING: Position the Eclipse Premier away from other equipment. If it


is necessary to use the Eclipse Premier adjacent to or stacked with other
equipment, then observe the Eclipse Premier to verify normal operations.

WARNING: Use of accessories or cables other than those specified, with the
exception of accessories and cables sold by Cardiac Science Corporation as
replacement parts for internal components, may result in increased emissions
or decreased immunity of the Eclipse Premier.

Cautions
CAUTION: Federal law restricts this device to sale by or on the order
of a physician

CAUTION: The unit must be operated only at the line voltage and
frequency specified on the rating plate.

CAUTION: Although the Eclipse Premier is designed to meet IEC 601-1-2


EMC immunity requirements, the presence of strong EMI fields generated by
electronic, surgical or diathermy instruments in close proximity to the unit may
cause trace noise or input overload conditions.

CAUTION: Fire hazard. Use only approved battery packs.

CAUTION: The Eclipse Premier requires special precautions regarding


EMC. Install and use the Eclipse Premier according to the guidelines of the
EMC declaration tables.

CAUTION: Portable and RF communications equipment may affect the


Eclipse Premier. Always observe the recommended separation distances as
defined in the EMC declaration tables.

Notices
NOTICE: Do not place used battery pack in your regular trash. The
incineration, landfilling, or mixing of NiCad batteries with municipal waste is
PROHIBITED BY LAW in most areas. Return this battery pack to a
government-approved battery recycler. Contact your local waste management
officials for more information.

070-1149-01 B Eclipse Operating Instructions v


NOTICE: 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.

NOTICE: Because the Eclipse Premier offers different lead configurations,


always ensure that the appropriate lead placement is employed for the lead
configuration selected.

NOTICE: Waveforms displayed on the Eclipse Premier screen are not


intended to be used for diagnostic purposes. Use displayed waveforms to
assess signal quality only.

NOTICE: Damage caused by using unapproved recording paper may void


your warranty. Your Eclipse Premier electrocardiograph is intended for use
with approved ECG supplies; its reliability and performance are directly
affected by the supplies you use.

vi Eclipse Operating Instructions 070-1149-01 B


Definitions of Symbols Used

Safety Symbols

Attention. Consult accompanying documents.

Danger! High voltage.

Hazardous voltage.

Defibrillation-Protected Type CF Equipment.

Equipotentiality (used to label the grounding lug).

Meets or exceeds Council Directive 93/42/EEC, MDD, Class IIa.

Labeling Symbols

Alternating Current (AC)

Automatic Operation

Custom Lead Triplet

Frequency Response

Heart Rate

Input/Output Connection

LCD Screen Contrast

Manual Operation

On/Standby

Stop Function

070-1149-01 B Eclipse Operating Instructions


I0I0 Serial port

Battery Compartment

Battery Charge Status

Modem

RJ11 Modem

Polarity of DC power connector.

viii Eclipse Operating Instructions 070-1149-01 B


Chapter 1 General Information

Congratulations on your purchase of a top quality Eclipse Premier electrocardiograph.


By listening to our customers, we have designed the Eclipse Premier to suit your
specific needs, incorporating features that people like yourself have requested.
Your business is important to us. If you would like more information or if you have any
questions, contact your local representative or Eclipse Technical Support at (800) 426-
0337 or (425)402-2695.

CAUTION: Federal law restricts this device to sale by or on the


order of a physician.

Inspection Upon Delivery


Your new Eclipse Premier was carefully inspected before shipment. Please inspect your
unit upon delivery for any damage which may have occurred in transit. If you notice
any damage, please contact your shipping agent.
If items are missing, contact your local representative or Eclipse Technical Support at
(800) 426-0337 or (425)402-2695.

NOTE: Your Eclipse Premier electrocardiograph is intended for use


with approved ECG supplies; its reliability and performance are
directly affected by the supplies you use.

070-1149-01 B Eclipse Operating Instructions 1-1


Chapter 1 General Information

General Description
Figure 1-1
Eclipse Premier

● Portable; may be operated from battery or AC line power.


● Features an active-matrix color LCD.
● Prints using a thermal printer and thermosensitive, Z-fold paper.
● Operates in manual and automatic modes.
● Records in either standard or Cabrera lead formats. Alternative lead selections
include Pediatric (V4R), Alternate Chest Lead, Nehb, and Frank.
● Stores and, with interpretive models, analyzes waveforms acquired in automatic
mode.
● Prints at least 800 pages at 25 mm/s recording speed when the internal battery is
fully charged.
● Continuously recharges the battery whenever the unit is connected to AC line
power.
● Enhanceable. Software enhancements are quickly and easily introduced.
● Allows you to preview waveforms before you print, saving time and supplies.
● Features selectable patient demographic fields that you may use to suit your needs.

1-2 Eclipse Operating Instructions 070-1149-01 B


Interpretive Analysis Program

Interpretive Analysis Program

About the program


The Eclipse Premier includes an interpretive analysis program. This analysis program
is widely regarded as one of the most accurate available today. It was developed in the
1980s by Prof. Peter MacFarlane, of the University of Glasgow, who has been involved
in computerized ECG interpretation since its inception in the 1960s. The algorithm has
been continuously enhanced to improve results.
The ECG Interpretation Criteria Physician’s Guide outlines the criteria used by the
analysis program.

Features of the interpretive analysis program


● DEVELOPED IN A HOSPITAL ENVIRONMENT
The interpretive program was developed in the University Department of
Medical Cardiology in the Glasgow Royal Infirmary. Unlike many
products which are developed with the aid of outside consultants, this
program was developed in the environment for which it is intended.
● USES AGE, GENDER AND RACE DATA EXTENSIVELY
More than 500 measurements, plus the patient’s age, gender, race, clinical
classification and medications are factored into each analysis. Several
criteria for abnormalities are age, race and gender dependent. Race, for
example is key in identifying hypertrophy and T-wave abnormalities.
● USES CLINICAL HISTORY
The program is the first to use clinical class as an integral part of analysis
just as a physician would consider clinical class in his or her evaluation.
● PRODUCES CLEAR REASON STATEMENTS
Reasons appending abnormalities are given in conversational language.
For example, wording like, “High voltages in limb leads,” is used rather
than, “R amp > age, sex dependent limit in limb leads.”
● UNDER CONTINUOUS DEVELOPMENT & ENHANCEMENT
The program has been clinically tested against more than 80,000 ECGs and
is continuously under development.
● ACCURATELY DETECTS NORMAL ECGs
Normal ECGs are easily identified and sorted so the physician may quickly
verify results.
● PROVIDES USER-SELECTABLE QTc FORMULAS
Provides four clinically proven methods of calculating QTc, for use in
diagnosis and pharmaceutical studies: Hodges, Bazett, Fridericia, and
Framingham.

070-1149-01 B Eclipse Operating Instructions 1-3


Chapter 1 General Information

● PROVIDES INTERPRETATIONS IN TWO FORMATS


Select BRIEF format for short, concise analysis statements with minimal
explanations, presented in mixed case nomenclature (for example,
“Normal ECG”). Select FULL format for lengthier analysis statements—
presented in upper case nomenclature (for example, “NORMAL ECG”)—
and reason statements, which precede the analysis statements.

Safety Features
WARNING: Electrical shock hazard. Do NOT contact unit or
patient during defibrillation. Otherwise, serious injury or death
could result.

WARNING: NEVER position defibrillator paddles very close to or


over ECG sensors. Remove all chest sensors (V-Leads/ C-Leads)
from a patient before defibrillation to allow proper paddle
placement. Severe burns may result from improper placement of
defibrillator paddles. Before using any defibrillator, consult the
operating instructions for that equipment.

Includes a 3-conductor, hospital-grade power cable. Includes an electrically isolated,


DB-15 style patient cable. This conforms to IEC safety, pinout and mechanical
requirements.
This symbol which appears on the rear panel, indicates this equipment meets the
requirements of Council Directive 93/42/EEC, MDD, Class IIa.
This symbol next to the patient cable connector indicates this equipment is classified
as defibrillation-protected, Type CF equipment. The patient cable and input circuits are
designed to prevent damage to the recorder if the unit is connected to a patient during
defibrillation.

Using Multiple Electrical Apparatus


Use caution when monitoring patients who must be protected from very small electrical
currents. Susceptible patients include patients with cardiac catheters or pacemakers.
Consult a qualified technician before using multiple electrical apparatus in this patient
environment.
The Eclipse Premier patient leads are electrically isolated from ground and the device
meets the most stringent IEC and ANSI/AAMI medical standards for leakage currents.

1-4 Eclipse Operating Instructions 070-1149-01 B


Using Multiple Electrical Apparatus

However, a potential hazard may occur if the enclosure leakage currents from multiple
pieces of equipment combine and are inadvertently routed directly to a patient’s heart
via a catheter or pacemaker lead. Only equipment which is certified to IEC and
ANSI/AAMI medical standards should be used in this environment. Use of certified
equipment does not, however, completely eliminate this possible hazard.
Another potential hazard may occur if two devices near a patient are powered from
different circuits. If the grounds of the two circuits are at different potentials, which can
occur under certain fault conditions, then a ground loop can exist between the
enclosures of the two devices. If devices must be powered from separate circuits in the
vicinity of a susceptible patient, then the grounding lugs on the devices should be
electrically connected via an equipotential cable. Please also consult Chapter 2,
“Equipment Setup.”

070-1149-01 B Eclipse Operating Instructions 1-5


Chapter 1 General Information

1-6 Eclipse Operating Instructions 070-1149-01 B


Chapter 2 Equipment Setup

WARNING: Trip hazard. Route all cables away from main work
areas to minimize risk of tripping and injury.

NOTE: For patient safety, all equipment in patient environment


should be EN 60601-1 approved.

Figure 2-1
Back Panel

C B A

Key
A AC power connector Connect the supplied power cord here.
There is no switch to disconnect AC line power.
To do this you must unplug the unit from the AC
outlet. The battery is automatically charged
whenever the unit is connected to AC line power.
B Power indicator When the green light is on the unit is receiving
AC line power.
C Equipotential Connect equipotential ground cable here.
grounding
NOTE: Equipotential grounding is only
required if peripheral equipment is attached to
the Eclipse.

CAUTION: The unit must be operated only at the line voltage and
frequency specified on the rating plate.

NOTE: The diagram above shows standard connections. Additional


connections may be available if your unit includes communication
options. Refer to “Setting Up the Unit to Send and Receive” on pg. 8-
4 for information and instructions on configuring the unit for
communication options.

070-1149-01 B Eclipse Operating Instructions 2-1


Chapter 2 Equipment Setup

WARNING: Position the Eclipse Premier away from other


equipment. If it is necessary to use the Eclipse Premier adjacent to
or stacked with other equipment, then observe the Eclipse Premier to
verify normal operations.

For patient safety, all equipment in patient environment should be IEC 601-1 approved.
All connected equipment should be IEC 950 approved or equivalent. Consult a
qualified technician to verify equipment compatibility.

Patient Cable
Connect the patient cable via the connector on the front of the unit.

Figure 2-2
Patient Cable Connector

Patient Cable

Make sure the connector on the cable is arrow-side-up then firmly push the connector
until the arrow point is aligned with the edge of the Eclipse Premier.

Grounding
WARNING: Electrical shock hazard. Operate the unit from its
battery supply if the integrity of the protective earth conductor is in
doubt. Otherwise, serious injury or death could result.

NOTICE: For proper grounding, Cardiac Science Corporation.


recommends the use of medical grade AC outlets.

Maximum patient and operator safety is ensured only when the Eclipse Premier is
properly grounded. To do this, connect the power cable to the AC Power connector (see
Figure 2-1 on pg. 2-1) and connect the other end to a properly grounded, AC line outlet.

2-2 Eclipse Operating Instructions 070-1149-01 B


Loading Recording Paper

Loading Recording Paper


NOTE: Damage caused by using unapproved recording
paper may void your warranty.

1. Turn the Eclipse Premier on.

2. Open the paper compartment door by


lifting and sliding it out to the left.

3. Remove any remaining paper from


the paperwell.

4. Lift the top sheet of the new stack of


paper and pull it to the right.

5. Place the paper into the compartment.

6. Slide the compartment cover back into


place until you notice a definite click
as it snaps into the feed rollers.

7. Press the “P” key to advance the paper


to the next sheet.

8. Tear off paper by pulling up and to the


right. Do not pull additional paper out
of the printer.

9. Select the paper type in the System


Setup menu (see “Paper Type” on
pg. 4-4).

Use only approved, thermally responsive ECG paper. The following ECG
papers are recommended:
1. Assurance ®, permanent trace, Z-fold. Thermal image integrity
guaranteed for 25 years when stored in accordance with
manufacturer’s specifications.
2. Standard trace, Z-fold. Thermal image integrity guaranteed for
5 years when stored in accordance with manufacturer’s
specifications.
The printer is pre-adjusted at the factory. Do not try to make adjustments.

Eclipse Operating Instructions 2-3


070-1149-01 B
Chapter 2 Equipment Setup

Turning the Unit On


Press the On/Standby key to turn the Eclipse Premier on. The unit performs self-tests
and displays the current date and time, a message prompting you to check date and time
accuracy, and any error detected during the self-tests.

NOTE: To change the date and time settings, see “Configuring


SYSTEM SETUP Menu” on pg. 4-1.

After completing self-tests, the unit displays the PREVIEW screen.

Standby Mode

NOTE: The Eclipse Premier will automatically power down to


Standby mode after 15 minutes of inactivity.

To power down to Standby mode at any time during operation, press the On/Standby
key (there is no switch to disconnect power).
The unit is not operational in Standby mode; however, the internal battery charges in
Standby mode if connected to AC power.
The Auto Power Down feature may be temporarily turned off by putting the unit in
Battery Calibration Mode.

Power Indicator
This green light on the back of the unit (see Figure 2-1) is on whenever the unit is
receiving AC line power.

Using the Battery


The Eclipse Premier displays battery charge status via the battery status gauge in the
PREVIEW screen (see Figure 3-2 on pg. 3-4) and in Standby mode. When all 8 bars
are lit, the battery is fully charged. When battery power is being used, the message
“BATTERY” is displayed and the minus sign ( - ) is highlighted indicating that charge
is being drained. When the unit is connected to AC line power, the message “AC ON”
is displayed and the plus sign ( + ) is highlighted indicating the battery is charging.
Connect the Eclipse Premier to AC power whenever possible to ensure reliable,
uninterrupted performance. Additionally, you must calibrate the battery prior to initial
use and at regular intervals; refer to “Calibrating the Battery” on pg. 2-5.

Charging the Battery

Connect the unit to AC line power to recharge the battery. The battery fully recharges
in about 4.5 hours. You may operate the Eclipse Premier from AC line power while the
battery is charging. However, this will increase charging time.

2-4 Eclipse Operating Instructions 070-1149-01 B


Using the Battery

Low Battery Indicators


The following are indicators of low battery, listed in order of occurrence.
1. The Eclipse Premier flashes the message “LOW BATTERY” and
beeps every 30 seconds when fewer than 15 minutes of operating time
remain.
2. The Eclipse Premier displays the message, “POWERING DOWN”
and then shuts off after 5 seconds.
3. The Eclipse Premier beeps 3 times or displays the message, “Battery
Low-Please Charge” when powering up. In this condition, the Eclipse
Premier may not have enough battery charge to power up.

When to Calibrate the Battery


You must calibrate the battery in the following situations:
✔ prior to initial use
✔ when the Eclipse Premier displays the message,
“NOTE: Battery calibration is suggested!” (in Standby mode)
✔ when the battery drains very quickly but retains a low charge
(single bar as indicated on the battery status gauge) for an
extended period before the “LOW BATTERY” message displays
✔ when the battery will not charge to full capacity, as indicated on
the battery status gauge (in the Preview screen or in Standby
mode)
Calibrating the battery ensures that the battery status gauge is providing accurate
information and the battery is charging to its fullest capacity.

Calibrating the Battery


Battery calibration consists of 2 phases: charging the battery; and completely
discharging a fully charged battery.
Charge the battery:
1. Connect AC power. Power down to Standby mode to fully recharge the
battery (0 to 4.5 hours).

NOTE: You may operate the Eclipse Premier from AC line power
while the battery is charging. However, this will increase charging
time. Additionally, the unit must return to Standby mode to finish
recharging.

2. The unit will power off automatically once the battery is fully charged.

070-1149-01 B Eclipse Operating Instructions 2-5


Chapter 2 Equipment Setup

Completely discharge a fully charged battery:


3. Unplug the Eclipse Premier from AC line power.
4. Press ON/STBY to turn the Eclipse Premier on.
5. Press M to go to the Main menu. Press B, then press Enter.
6. Press the left arrow key to return to the PREVIEW screen, and verify
that the battery gauge states “CALIBRATING”.
7. Leave the unit on until it powers off automatically. You may operate
the Eclipse Premier while the battery is discharging.
Battery calibration is complete. Continue with the instructions under “Charging the
Battery” on pg. 2-4.

2-6 Eclipse Operating Instructions 070-1149-01 B


Chapter 3 Keyboard and Displays

Normal operation of the Eclipse Premier occurs through use of the keyboard and LCD
display. Alphabetic and numeric keys are used to enter information and are also used
as hot keys, to make selections in certain screens. Other keys, such as the ECG key and
the arrow keys, provide additional functions, as described in this chapter.

The Keyboard
Figure 3-1
The Keyboard and Key Types A B C D

J I H J G F

(A) FUNCTION KEYS


Use the “ECG” key to acquire and print a 12-lead Auto ECG (a series of reports using
pre-programmed lead sequences and settings.)
Use the “RHYT” key to acquire an Auto Rhythm report (a rhythm strip with a
pre-selected number of pages; uses the leads currently selected in the PREVIEW
screen).
Use the “MAN” key to acquire a Manual Rhythm report (a continuous rhythm strip of
the leads currently selected in the PREVIEW screen). This report will run until the
“STOP” key is pressed.
Use the “STOP” key to terminate any of the above functions and/or return the display
to the PREVIEW screen.

(B) NUMERIC/ MACHINE CONTROL


Use the numeric keys to enter numeric data, when required. These keys may also be
used as hot keys for specific operations (see “Hot Keys” on pg. 3-8).

070-1149-01 B Eclipse Operating Instructions 3-1


Chapter 3 Keyboard and Displays

Use the “1” and “2” keys to select pre-programmed lead triplets for the display; the
displayed leads will also be printed on Manual Rhythm and Auto Rhythm reports.
In the PREVIEW screen, use the “1” and “2” keys with the Shift key to select either
User 1 or User 2. See Chapter 4 for user setup information.
Use the “3” and “4” keys to select pre-programmed lead triplets for the display; the
displayed leads will also be printed on Manual Rhythm and Auto Rhythm reports.
Use the “5” and “6” keys to select user-defined leads (Custom Lead 1 and Custom Lead
2) for the display; the displayed leads will also be printed on Manual Rhythm and Auto
Rhythm reports. See “CUSTOM LEAD 1 & CUSTOM LEAD 2” on pg. 4-11 for setup
information.

Use the “7” key to toggle the Paper Speed between 10, 25 and 50 mm/sec.

Use the “8” key to toggle the ECG Gain between 5 mm/mV, 10 mm/mV, 20 mm/mV,
L10,C5 mm/mV and L20, C10 mm/mV.

Use the “9” key to toggle the ECG Filter Frequency between 40 and 150 Hz.

Use the “0” key to produce a 1 mV Calibration Pulse on the display and printouts.

NOTE: When numeric keys are used to change settings, the settings
are in effect for the current ECG only. To change settings for all future
ECGs, modify the settings in the USER SETUP menus or the
SYSTEM SETUP menu.

(C) BRIGHTNESS
Use this key to adjust the brightness of the display.

(D) ON/STANDBY
Use this key to turn the unit on. Pressing the On/Standby key again while the unit is on
will return the unit to standby mode.

(E) BACKSPACE
Use this key to backspace and delete one character behind the cursor, each time the key
is pressed.

(F) ARROW
Use the up and down arrows to move within menus, fields and lists. Hold down the shift
key and press the arrows to page up and down in the directory and in lists.

3-2 Eclipse Operating Instructions 070-1149-01 B


The Keyboard

Use the right and left arrows to enter and exit menus and lists.

(G) ENTER
Use the Enter key to accept the current selection.

(H) SPACE
Use this key to insert a space.

(I) ALPHABETIC
Use the alphabetic keys to enter information, when required. These keys may also be
THROUGH
used as hot keys for specific operations (see “Hot Keys” on pg. 3-8).
To enter punctuation and special characters—such as [ , ], [ . ], [ - ], Ñ, Ü, Ö, Å and
Ä—press the Shift key and the corresponding letter.

(J) SHIFT
Use the Shift key, along with alphabetic keys, to enter punctuation and special
characters. Use the Shift key with the “1” and“2”keys to select either User 1 or User 2.

070-1149-01 B Eclipse Operating Instructions 3-3


Chapter 3 Keyboard and Displays

The PREVIEW Screen


After the Eclipse Premier has been turned on and performs self-tests, the PREVIEW
screen is displayed (see Figure 3-2). General features are described below.

Figure 3-2
A B C
The Preview Screen

ID:0123456789 65 P R E S S
JONES, THOMAS L=x2,C=x1
I ENTER ID

ECG RECORD
D

M MAIN MENU

I aVR V1 V4 Available:60 ECG

II aVL V2 V5

III aVF V3 V6

II
User: 1

25 mm/s
L20,C10 mm/mV E
STABLE 40 Hz
SENSORS OK +
RA LA LL V1 V2 V3 V4 V5 V6 AC ON

H G F

(A) PATIENT ID
Identification number of the current patient. On the Eclipse Premier, this field also
displays the patient’s name.

(B) RELATIVE GAIN


Tracks the amplitudes of the displayed waveforms. This corresponds to the Recorder
Gain setting as follows:
Recorder Gain Relative Gain
5 mm/mV x1/2
10 mm/mV x1
20 mm/mV x2
L=10, C=5 mm/mV L=x1, C=x1/2
L=20, C=10 mm/mV L=x2, C=x1

(C) HEART RATE


Displays the patient’s heart rate.

3-4 Eclipse Operating Instructions 070-1149-01 B


The PREVIEW Screen

(D) FUNCTIONS LIST


Displays available functions and menus. Displays space available, for example,
“Available: 60 ECG”.

(E) RECORDER SPEED, GAIN AND FREQUENCY RESPONSE


Displays settings for current ECG reports.

(F) BATTERY STATUS GAUGE


Tracks battery charge level.

(G) POWER STATUS


Indicates the power source, AC line power or battery.

(H) SENSOR STATUS


Indicates signal quality.
If all sensors are producing good signals, the display reads:
SENSORS OK
If one or more sensors produce a poor signal, the labels for the affected sensors are
highlighted and the problem is indicated by one of the following messages:
FAIL
DRIFT
NOISE
NOTE: To ensure accurate sensor status indication, the RL electrode
must be connected.
NOTE: Refer to Chapter 10, “Troubleshooting” for information on
correcting signal problems.

(I) ECG WAVEFORMS

NOTICE: Waveforms displayed on the Eclipse Premier screen are not


intended to be used for diagnostic purposes. Use displayed waveforms to
assess signal quality only.

This area of the screen displays waveforms for the selected lead group. Until leads are
properly connected to a patient, only “flatlines” are displayed.

070-1149-01 B Eclipse Operating Instructions 3-5


Chapter 3 Keyboard and Displays

A sample menu—the EDIT ID menu


Most of the Eclipse Premier displays consist of menus. For example, the EDIT ID menu
is used to enter patient demographics.
The ENTER ID selection is automatically highlighted when you enter the PREVIEW
screen (see Figure 3-2 on pg. 3-4). You may use the up and down arrow keys to
highlight other choices and move around in the Functions List.
To go to the EDIT ID menu, make sure the ENTER ID selection is highlighted and
either press the Enter key or the right arrow key; pressing the “I” key will also open the
EDIT ID menu. The EDIT ID menu is displayed.

Figure 3-3 B
A Sample Menu-The A
EDIT ID Menu
C
ID:0123456789 65 PRESS
EDIT ID x1
(*Items may affect computer analysis)
*V3 Placement : STANDARD
Patient ID :
Last Name : MEDICATION
First Name : blank
*D.O.B. : NO MEDICATION
*Age : UNKNOWN D
*Age Format : DIGITALIS
*Sex : DIURETIC
*Medication 1 :
*Class 1 :
Comments :

Once you are in the EDIT ID menu, use the up and down arrow keys to select different
fields. Pressing the right arrow key in certain fields, such as *Age Format, will access
the list of options for that field. Press the left arrow key to exit the list. Press the left
arrow key again to exit the EDIT ID menu.
Following is a description of basic menu features.

(A) RETURN TO PREVIOUS SCREEN


The arrow in the upper left corner reminds you that you may return to the previous
screen by pressing the left arrow key.

(B) PREVIOUS SCREEN


The top of the last screen that was displayed shows above all menus.

(C) SCROLLING BOX


Located in the Scroll bar, this shows you when the menu continues beyond the current
view. The box is at the top when the top field shows. It moves down as you scroll
through the menu until the last field shows.
3-6 Eclipse Operating Instructions 070-1149-01 B
Using Menus

(D) SCROLL BAR


Located on the right side of the menu.

(E) ACTIVE FIELD


When a field is highlighted you may edit the contents of that field.

Using Menus
The up and down arrow keys are used to scroll within menus.
Menus are composed of fields. There are three kinds of fields:
1. Alphanumeric
2. Numeric
3. List

ALPHANUMERIC FIELDS
When active, alphanumeric fields may be filled by typing alphabetic or numeric keys.
You may also type spaces, punctuation, and non-English characters. For example, to
type the character “Ñ” in the Last Name field:
1. Scroll to the Last Name field.

2. Hold down the Shift key.

3. Simultaneously press the “I” key.

Press the Enter key after filling fields to accept data and move to the next field.

NUMERIC FIELDS
When active, numeric fields may be filled by typing numeric keys only. The Eclipse
Premier will produce a “beep” sound if you try to type letters or other inappropriate
data into a numeric field.
Press the Enter key after filling fields to accept data and move to the next field.

LIST FIELDS
When active, list fields display a box with a list of choices. These are described in the
next section.

DEFAULTS
Every field has a default setting.
For example, if you skip the *Age Format field it will be filled in with “YEARS.”
Unless you make another choice, the Eclipse Premier always uses defaults. Most often,
fields are left blank.

070-1149-01 B Eclipse Operating Instructions 3-7


Chapter 3 Keyboard and Displays

Lists and System Notes


LISTS
Lists give you all the choices for a particular field. For example, scroll to Medication 1.
A list appears (see Figure 3-4). The field may be filled with any choice from this list.
After you make a selection, the next field becomes active.

Figure 3-4
A Sample List - The
ID:0123456789 65 PRESS
Medication List EDIT ID x1
(*Items may affect computer analysis)
*V3 Placement : STANDARD
Patient ID :
Last Name : MEDICATION
First Name : blank
*D.O.B. : NO MEDICATION
*Age : UNKNOWN
*Age Format : DIGITALIS
*Sex : DIURETIC
*Medication 1 :
*Class 1 :
Comments :

HOT KEYS

NOTE: If a custom header has been downloaded to the Eclipse


Premier unit, then hot keys will not appear in certain lists such as the
medication lists.

All list items have hot keys to select them.


For example, the letter “D” is underlined in the choice, “DIGITALIS.” This is a hot
key; it is temporarily specialized to select this choice. Press the “D” key to select
“DIGITALIS”.
Another way to select items is from within the list. You may gain access to the list by
pressing the right arrow key.
Scroll within the list using the up and down arrow keys. When your choice is
highlighted, choose it by pressing the Enter key.
To exit the list without selecting anything, press the left arrow key.

SYSTEM NOTES
System notes give you additional information as needed. For example, a system note
appears if you enter data that exceeds an allowed range.
To see a system note, scroll to the *Age field. This is a numeric field that accepts only
data between 0 and 364. Try typing a larger number such as 500. A system note box
appears.

3-8 Eclipse Operating Instructions 070-1149-01 B


Lists and System Notes

Not in range: 0 - 364.

OK

Press the Enter key to acknowledge the note and continue.


You have just practiced the basics of using the Eclipse Premier. More information
accompanies sections for specific functions such as acquiring an Auto ECG.
Press the left arrow key to return to the PREVIEW screen and continue working.

070-1149-01 B Eclipse Operating Instructions 3-9


Chapter 3 Keyboard and Displays

3-10 Eclipse Operating Instructions 070-1149-01 B


Chapter 4 System Setup and User Setup

Configuring SYSTEM SETUP Menu


Within the SYSTEM SETUP menu you can select User 1 or User 2, format Eclipse
Premier general settings, and set the internal calendar & clock. Setting options are
listed in “SYSTEM SETUP Fields” on pg. 4-2.

NOTE: Default settings for Eclipse Premier are given on page 9-2.

Go to SYSTEM SETUP menu


1. Press the On/Standby key to power up to the PREVIEW screen.
2. Press the “M” key to go to the MAIN MENU.
3. Select SYSTEM SETUP by pressing the “S” key. The SYSTEM
SETUP menu will appear (see Figure 4-1).

Figure 4-1
ID:0123456789 65 PRESS
The SYSTEM SETUP Menu
MAIN MENUx1
SYSTEM SETUP
User 1-2 Select: 1
Line Filter: 60 Hz USER
Date Format: DD.MM.YY 1
Date: 12.11.1995 2
Time: 13:45
Language: ENGLISH
Height Units: IN.
Weight Units: LB.
Inst. Name:

4. Use the up and down arrow keys to scroll through the fields in the
SYSTEM SETUP menu. As you scroll through the fields, the options
available for each field will be displayed when the field is highlighted.
5. Once a field is highlighted, change the current selection by pressing
the hot key associated with the option. For example, to select User 1 in
the User 1-2 Select field, press the “1” key.
6. Use the keyboard to enter information into fields with a blinking
cursor, such as Inst. Name.
Use the left arrow key to exit the menu.

070-1149-01 B Eclipse Operating Instructions 4-1


Chapter 4 System Setup and User Setup

SYSTEM SETUP Fields


Following is a description of the SYSTEM SETUP fields and options. Available
choices are listed to the right of the field name.

NOTE: When applicable, the type of information and the number of


characters allowed are listed in brackets to the right of the field name.

Eclipse Premier electrocardiographs can send and receive ECG records. The items
under MANAGEMENT SYSTEM refer primarily to the use of an ECG Management
System, such as the PYRAMIS System or the FAA System. The Phone #, Description,
Connection and Baud Rate fields are also used when sending records between two
Eclipse units. If you are using a management system, be sure to consult your System
Administrator so that you can setup your Eclipse Premier to be compatible with the
management system. For more information on sending and receiving records, see
“Sending and Receiving Records” on pg. 8-1.

Field Name Options, Limitations And Description


User 1-2 Select 1
2
For each “User,” there is a customized group of formats. For more
information on User 1 and User 2, see “Configuring the USER
SETUP Menus” on pg. 4-6.
NOTE: The unit automatically turns off and on again whenever you
change the User selection. This ensures that all changes take effect.

Line Filter 50 Hz
60 Hz
OFF
Filters electrical interference from AC line voltage.

Date Format MM/DD/YY


DD.MM.YY
YY.MM.DD

Date [Up to 20 alphanumeric characters]


Use spaces, hyphens or periods to separate the day, month and year.
Some acceptable ways to type the date are:
1. 10 10 2004
2. 10–10–204
3. 10.10.2004
NOTE: Remember that the period character ( . ) is typed by holding
down the Shift key and pressing the “N” key. The hyphen character
( - ) is typed by holding down the Shift key and pressing the “M” key.

Time [Alphanumeric field displayed in 24-hour format]


Enter hour and minutes; use a space to separate the hour from the
minutes. Seconds will fill in automatically when you press Enter.

4-2 Eclipse Operating Instructions 070-1149-01 B


Configuring SYSTEM SETUP Menu

Height Units CM.


IN.
Selects units for expressing patient height.
NOTE: The unit automatically turns off and on again whenever you
change the Units selection. This ensures that all changes take effect.

Weight Units KG.


LB.
Selects units for expressing patient weight.
NOTE: The unit automatically turns off and on again whenever you
change the Units selection. This ensures that all changes take effect.

Inst. Name [Up to 30 alphanumeric characters]


Refers to the institution. Information entered here is printed along the
bottom of each printout.

Phone Type TOUCH TONE


PULSE

MANAGEMENT SYSTEM

Institution Number [Up to 5 numeric characters]


Refers to the institution. This is extremely important when two or
more institutions share a PYRAMIS System.

Device Id [Up to 5 numeric characters]


Identifies the Eclipse Premier unit with a unique number. The Device
Id is used by the PYRAMIS system to identify which
electrocardiograph acquired each ECG record.

Phone # [Up to 25 numeric characters. The comma character ( , ) inserts a


pause during dialing]
Provides a phone number to reach the management system or
another Eclipse electrocardiograph with modem. If MODEM is
selected for the Connection field, make sure to include a phone
number to enable the sending and receiving functions on the Eclipse
Premier.
If appropriate, include prefixes for dialing an outside line and/or long
distance numbers.
Include a comma to insert a pause while dialing. A pause may be
used if you need to access an outside line. For example, this is often
used after dialing a “9” prefix before the rest of the phone number.

Description [Up to 20 alphanumeric characters]


Identifies what management system or electrocardiograph is reached
at the phone number in the above field.

070-1149-01 B Eclipse Operating Instructions 4-3


Chapter 4 System Setup and User Setup

Connection MODEM
DIRECT
802.11b/802.3
NONE
Determines what type of connection is used when sending or
receiving records. Selecting NONE disables any sending or receiving
functions on the Eclipse Premier. This will also allow the Eclipse
Premier to automatically delete records that do not have the St status
(see “Record Status” on pg. 7-2).

Baud Rate 2400


AUTO
Determines the rate at which the modem will send or receive records.
Selecting AUTO allows the modem to send or receive records at the
fastest rate depending on the speed of the modem on the connecting
equipment.

AC Mains UNSPECIFIED
Frequency 50 Hz
60 Hz
Labels ECG records with the frequency of the AC line power which is
connected to the Eclipse Premier unit. This is used by the PYRAMIS
System to identify the line frequency in the area where the records
are acquired.

Paper Type ASSURANCE 50


STANDARD
Sets print head resistance according to paper type selected.

Analysis BRIEF
Statements FULL
Selects the format of the ECG analysis statements. Selecting BRIEF
will result in short, concise analysis statements with minimal
explanations, presented in mixed case nomenclature for ease of
reading (for example, “Normal ECG”). Selecting FULL results in
lengthier analysis statements—presented in upper case
nomenclature (for example, “NORMAL ECG”)— and reason
statements, which precede the analysis statements.

Barcode Scanner ON
OFF
Enables or disables barcode scanning. When the barcode scanner
has been installed and enabled, patient demographics can be
entered by scanning one or more barcodes.

4-4 Eclipse Operating Instructions 070-1149-01 B


Configuring SYSTEM SETUP Menu

Ethernet or 802.11 Wireless Communication


NOTE: The following four fields should be configured as a part of the Eclipse Premier
wireless communication setup for the wireless device that is being installed. The instructions
provided with your wireless device contain additional details and information.

Ethernet/Wireless [Up to 2 numeric characters]


Open Timeout (sec) Determines the length of the delay, in seconds, from powering on the
wireless/Ethernet device to initiating communications when sending
records to an EMR.
To determine the appropriate setting, refer to the instructions
provided with your wireless device.

Ethernet/ Wireless [Up to 2 numeric characters]


Retry Timeout (sec) Determines the length of the delay, in seconds, prior to retrying a
network connection when sending records to an EMR. To determine
the appropriate setting, refer to the instructions provided with your
wireless device. (To mitigate network communication problems, you
may set this to a higher value to ensure adequate time to establish
communications.)

SCP Max Command [Up to 2 numeric characters]


Retries Determines the number of times the system will retry when sending
records to an EMR. To determine the appropriate setting, refer to the
instructions provided with your wireless device.

Ethernet/Wireless ON
Always Connected OFF
Set to ON for short startup time. When ON, the wireless/Ethernet
device remains on when the Eclipse Premier is powered on. Set to
OFF to maximize battery life. When OFF, the wireless/Ethernet
device remains off and is powered on only during record transfer.
NOTE: When using a barcode scanner in addition to the
Ethernet/wireless hardware device, note that the device turns off
each time you scan a barcode. For best results, change the
Ethernet/Wireless Always Connected setting to OFF, or be sure to
wait for the device to establish communications after scanning a
barcode and before using the send function.

Password ON
OFF
Determines whether a password is required to access the USER
SETUP menus and the SYSTEM SETUP menu. The password is set
in the MISCELLANEOUS menu (see “Password” on pg. 4-14).
NOTE: If the password is set to OFF in SYSTEM SETUP, the
password field will not appear in the MISCELLANEOUS menu.

070-1149-01 B Eclipse Operating Instructions 4-5


Chapter 4 System Setup and User Setup

Directory Password ON
OFF
Determines whether a password is required to access the directory.
When ON, the user must enter the directory password after every
power up, when accessing the directory. The password is set in the
MISCELLANEOUS menu (see “Directory Password” on pg. 4-14)
NOTE: If the directory password is set to OFF in SYSTEM SETUP,
the directory password field will not appear in the MISCELLANEOUS
menu.

Verify calendar & clock settings


To verify the date and time, press the On/Standby key to put the unit in Standby mode.
Then press the On/Standby key again to turn the unit on.
Check the date and time on the POWER-UP screen.

Configuring the USER SETUP Menus


There are 7 USER SETUP menus. Use these to format printouts and reports; customize
lead groups; customize demographic information in the EDIT ID menu and on
printouts; set default values for Recorder Speed, Gain and Frequency Response; get
Custom Header information; and configure miscellaneous settings.
All USER SETUP settings can be customized for both User 1 and User 2 (for more
information, see “User 1-2 Select” on pg. 4-2).

NOTE: Default settings for Eclipse Premier are given on page 9-2.

Go to the USER SETUP menus


1. Press the On/Standby key to power up to the PREVIEW screen.
2. Select the set of formats you want to edit by holding down the Shift
key and simultaneously pressing either the “1” key or “2” key (for
User 1 or User 2, respectively).

NOTE: The unit automatically turns off and on again whenever you
change the User selection.

3. Press the “M” key to go to the MAIN MENU.


4. In the MAIN MENU, select the desired USER SETUP menu by
pressing the appropriate “hot” key; for example, to select POWER-UP
DEFAULTS select the “O” key.
5. The new menu will appear (see Figure 4-2).

4-6 Eclipse Operating Instructions 070-1149-01 B


Configuring the USER SETUP Menus

Figure 4-2
ID:0123456789 65 PRESS
A USER SETUP Menu—The
POWER-UP DEFAULTS MAIN MENUx1
Menu POWER-UP DEFAULTS
S p e e d : 25 mm/s
G a i n : 10 mm/mV SPEED
A r t i f a c t F i l t e r : 40 Hz 10 mm/s
25 mm/s
50 mm/s

6. Use the up and down arrow keys to scroll through the fields in the
selected menu. As you scroll through the fields, the options available
for each field will be displayed when the field is highlighted.
7. Once a field is highlighted, change the current selection by pressing
the “hot” key associated with the option. For example, to select a speed
of 50 mm/s in the POWER-UP DEFAULTS MENU, press the “5” key.
8. Use the keyboard to enter information into fields with a blinking
cursor.
Use the left arrow key to exit the menu.

USER SETUP Menus, Fields and Options


Following are descriptions of each USER SETUP menu, with information on menu
fields and options. For each field in a menu, the available choices are listed to the right
of the field name. When applicable, the type of information and the number of
characters allowed are listed in brackets to the right of the field name.

070-1149-01 B Eclipse Operating Instructions 4-7


Chapter 4 System Setup and User Setup

POWER-UP DEFAULTS
The fields in this menu affect paper speed and waveform printing. The settings in this
menu are in effect whenever the Eclipse Premier is powered on with the On/Standby
key. When changes are made in the POWER-UP DEFAULTS menu, changes go into
effect the next time the Eclipse Premier is powered on.

NOTE: These settings also can be temporarily modified by pressing


the “7,” “8” and “9” machine control keys to change the settings for
Speed, Gain, and Filter, respectively (see “The Keyboard” on pg. 3-1).
Changes remain in effect until the unit powers down.

Speed 10 mm/s
25 mm/s
50 mm/s
Refers to chart paper speed.

Gain 5 mm/mV
10 mm/mV
20 mm/mV
L=10 C=5
L=20 C=10
Determines the amplitude of printed and displayed waveforms.

Artifact Filter 150 Hz


40 Hz
Sets the upper frequency response.
Selecting 150 Hz provides the highest fidelity recording and should be used when
little or no noise is present.
The American Heart Association’s 1990 Recommendations (Recommendations for
Standardization and Specifications in Automated Electrocardiography: Bandwidth
and Signal Processing) pertaining to high-frequency response for both adult and
pediatric recordings are met or exceeded when using the 150 Hz setting.
Selecting 40 Hz will reduce the muscle tremor and patient movement artifacts in the
ECG recording. It will result in a smoother looking trace at the expense of losing
some of the fine detail. This filter is applied only to the printed report and displayed
ECG. The data analyzed by the measurement and interpretation software is not
affected when using the 40 Hz setting.

4-8 Eclipse Operating Instructions 070-1149-01 B


Configuring the USER SETUP Menus

AUTO ECG SETUP

12 Lead Format STANDARD, 4 CHANNEL (3 channel ECG with 1 rhythm lead)


STANDARD, 3 CHANNEL
STANDARD, 3 CH. + 3 (3 channel ECG with 3 rhythm leads)
STANDARD, 6 CH 5S/LD (5 seconds per lead, 1 page total)
STANDARD, 6 CH 10S/LD (10 seconds per lead, 2 pages total)
CABRERA, 4 CHANNEL
CABRERA, 3 CHANNEL
CABRERA, 3 CH. + 3 (3 channel ECG with 3 rhythm leads)
CABRERA, 6 CH 5S/LD (5 seconds per lead, 1 page total)
CABRERA, 6 CH 10S/LD (10 seconds per lead, 2 pages total)
Sets printout format. For sample printouts, see Chapter 9.
NOTE: If you select a 4-channel or a 3-channel plus 3 rhythm format, select a lead
or leads for the rhythm printout.

Rhythm Leads ch. 1 LEAD I


LEAD II
LEAD III
aVR
aVL
aVF
V1
V2
V3
V4
V5
V6
-aVR
Selects leads used if an ECG with rhythm lead(s) is selected for 12 Lead Format
above.

Rhythm Leads ch. 2 Same as Channel 1

Rhythm Leads ch. 3 Same as Channel 1

Rhythm Page CUSTOM LEAD 1 AT 25 mm/s


CUSTOM LEAD 1 AT 50 mm/s
OFF
Enables a separate 10-second rhythm report as part of every Auto ECG report. This
is not available if Custom Lead 1 is set to Frank or Nehb.

Analysis-original ON
OFF
Determines whether analysis statements appear on Auto ECG reports.

Analysis-copies ON
OFF
Determines whether analysis statements appear on copies of Auto ECG reports.

070-1149-01 B Eclipse Operating Instructions 4-9


Chapter 4 System Setup and User Setup

Number Of Copies [Numeric. Range = 0-5]


Sets the number of complete report copies to print in addition to the automatic
printout.

Median Complex Page ON


OFF
Enables Median Complex printout as part of every Auto ECG report.

Print Mode AUTO


MANUAL
OFF
Determines how ECG reports are printed. If AUTO is selected, then reports
automatically print out prior to saving. If OFF is selected, no report is printed prior to
saving. If MANUAL is selected, then prior to saving the unit will display a message
asking whether to print the record.

Save Mode AUTO


AUTO SAVE AND SEND
MANUAL
Determines how Auto ECG reports are saved. If AUTO is selected, reports will be
automatically saved after printing. If MANUAL save is selected, the PREVIEW
screen is displayed at the end of every Auto ECG sequence. You may save the
report at this time. If AUTO SAVE AND SEND is selected, then the report is
automatically saved; the report is also sent automatically to an ECG Management
System, such as the PYRAMIS System or the FAA System.

Wait for good data ON


OFF
When ON, Auto ECG reports are delayed until ten seconds of low noise waveform
have been collected (all electrodes must be connected). An immediate report can be
forced by pressing ECG a second time. In this case, if data is noisy, the report will
state “Warning: Data quality may affect computer interpretation.”
When OFF, the Auto ECG report starts once at least 10 seconds of ECG waveform
has been collected, regardless of the quality of the collected waveform data. No
warning message is printed in this case.
NOTE: If any electrodes are disconnected the report will show a flat baseline for
those leads. (“Overload” conditions will also produce a flat baseline.) Leads with
disconnected electrodes will not be used in the ECG analysis.

Annotate R-R Intervals ON


OFF
When ON, R-R intervals are printed at the bottom of the 12-lead report. For
additional information, see “R-R Intervals” on pg. 11-4.

4-10 Eclipse Operating Instructions 070-1149-01 B


Configuring the USER SETUP Menus

CUSTOM LEAD 1 & CUSTOM LEAD 2


These two menus each format a group of leads. These groups can later be selected by
pressing the “5” or “6” machine control keys (see “The Keyboard” on pg. 3-1).
Custom Lead Group 1 is also used for the rhythm page of an Auto ECG report. Only
Standard or Cabrera configurations are acceptable for this purpose. Do not select Frank
or Nehb if you want a rhythm page as part of an Auto ECG.

NOTICE: Because the Eclipse Premier offers different lead configurations, always
ensure that the appropriate lead placement is employed for the lead configuration
selected.

Custom Lead 1 STANDARD, 3 CHANNEL (3x1)


STANDARD, 6 CHANNEL (6x1)
STANDARD, 12 CHANNEL (3x4)
STANDARD, 12 CHANNEL (3x4, 1R)
STANDARD, 12 CHANNEL (3x4, 3R)
STANDARD, 12 CHANNEL (6x2)
CABRERA, 3 CHANNEL (3x1)
CABRERA, 6 CHANNEL (6x1)
CABRERA, 12 CHANNEL (3x4)
CABRERA, 12 CHANNEL (3x4, 1R)
CABRERA, 12 CHANNEL (3x4, 3R)
CABRERA, 12 CHANNEL (6x2)
ALTERNATE CHEST LEAD (3X4, 1R)
FRANK, 3 CHANNEL (3x1)
NEHB, 3 CHANNEL (3x1)
Format Custom Lead 1 to suit your needs. The numbers in parentheses indicate how
the selected lead group will be displayed on the screen. If you select a display that
includes rhythm leads, the rhythm leads displayed are the same ones that have
been selected for printing in the Auto ECG Setup menu. (See “AUTO ECG SETUP”
on pg. 4-9.)
If you have selected Alternate Chest Lead or a non-12 lead Standard or Cabrera
format, select leads for the appropriate channels. Lead availability is affected by the
selected lead configuration.

070-1149-01 B Eclipse Operating Instructions 4-11


Chapter 4 System Setup and User Setup

Channel 1 through When programming Custom Lead 1, select 1 lead for each channel. The lead
Channel 6 options for each format are listed below.
NOTE: Lead availability is affected by the selected lead configuration.

Standard Cabrera Frank

LEAD I LEAD I X
LEAD II LEAD II Y
LEAD III LEAD III Z
aVR -aVR
aVL aVL
Nehb
aVF aVF
V1 V1 D
V2 V2 A
V3 V3 J
V4 V4
V5 V5
V6 V6
-aVR aVR

Channel 7 through When programming Custom Lead 1 or Custom Lead 2 for Alternate Chest Leads,
Channel 12 select one of the following options for each of the channels (Channel 7 through
Channel 12).
V1
V2
V3
V4
V5
V6
V7
V8
V9
V2R
V3R
V4R
V5R
V6R
V7R
V8R
V9R

Custom Lead 2 Custom Lead Group 2 is similar to Custom Lead Group 1. It is set up in the same
manner. It is then accessed by pressing the number “6” on the keyboard.

4-12 Eclipse Operating Instructions 070-1149-01 B


Configuring the USER SETUP Menus

MISCELLANEOUS SETTINGS

Baseline Filter 0.05 Hz


STABLE
Sets the low frequency response.
Selecting 0.05 Hz provides the greatest low-frequency response with no delay and
should be used when no baseline drift is present.
Selecting STABLE (Baseline Stabilization Filter) will effectively suppress most
baseline wander interference while providing an accurate ECG reproduction (no
distortion of the ST segment.) Use of the Baseline Stabilization Filter will result in an
approximately 1.5 second delay in the displayed ECG. This filter is applied to the
printed report, displayed ECG, and the data analyzed.
NOTE: The American Heart Association’s 1990 Recommendations
(Recommendations for Standardization and Specifications in Automated
Electrocardiography: Bandwidth and Signal Processing) pertaining to low-frequency
response in electrocardiography are met or exceeded by both the 0.05 Hz and
STABLE selections.

Pacer Enhancement ON
OFF
Enables pacemaker enhancement. This feature makes pacemaker signals show up
as prominent spikes on the display and on printouts. An enhanced pacer is printed
as a spike that is at least 10 mm tall and of positive polarity.

Rhythm Mode Pages [Numeric. Range = 1-10]


Sets the number of pages printed during an Auto Rhythm.

Bradycardia Limit [Numeric. Range = 41-69]


Reports for adult patients with heart rates below this limit are labeled
“BRADYCARDIA.” For more information on heart rate limits refer to the Physician’s
Guide.

Tachycardia Limit [Numeric. Range = 81-129]


Reports for adult patients with heart rates above this limit are labeled
“TACHYCARDIA.” For more information on heart rate limits refer to the Physician’s
Guide.

QTc Formula HODGES


BAZETT
FRIDERICIA
FRAMINGHAM
Selects QTc formula. Eclipse Premier prints the QTc formula selection on the bottom
of each ECG printout (for example, QTc = Hodges).
For additional information on the QTc formulas, see “QT Interval” on page 4-3 of the
Physician’s Guide.
NOTE: Hodges is the factory default setting.

070-1149-01 B Eclipse Operating Instructions 4-13


Chapter 4 System Setup and User Setup

Password [Up to 15 alphanumeric characters]


NOTE: The password field will not appear in the MISCELLANEOUS menu if the
password is set to OFF in SYSTEM SETUP.
NOTE: Write down the password and keep it in a secure place. You will be able to
change or remove the password protection only after you have entered the correct
password.
Determines the password required to access the USER SETUP menus and the
SYSTEM SETUP menu. This field is enabled in the SYSTEM SETUP menu [see
“Password” on pg. 4-5].

Directory Password [Up to 15 alphanumeric characters]


NOTE: The directory password field will not appear in the MISCELLANEOUS
menu if the directory password is set to OFF in SYSTEM SETUP.
NOTE: Write down the password and keep it in a secure place. You will be able to
change or remove the password protection only after you have entered the correct
password.
Determines the password required to access the directory. This field is enabled in
the SYSTEM SETUP menu (see “Directory Password” on pg. 4-6). Once you have
set the password, enable and set the administrator password to prevent users from
viewing the directory password; for more information, see “Password” on pg. 4-5.

ENABLING PATIENT DEMOGRAPHIC FIELDS

NOTE: This menu will not be available if the Eclipse Premier is


configured to use Custom Header in conjunction with an ECG
Management System, such as the PYRAMIS System or the FAA
System.

This final USER SETUP menu determines which patient demographic fields appear in
the EDIT ID menu. An asterisk ( * ) indicates that information in these fields directly
affects ECG waveform analysis.
To ensure that a field does NOT appear in the EDIT ID menu, the field setting should
be “OFF”. Otherwise, select “ON,” “ON, CLEAR” or “ON, HOLD” to make each
demographic field appear in the EDIT ID menu; these fields also appear on printouts.
● Select “ON, HOLD” if you want every patient file to have the same
information in this field. Until the information is typed over, the EDIT ID
menu will keep the information in these fields even if the Eclipse Premier
is turned off. For example, you may want every patient record to be labeled
with the same Department name.
● “ON” and “ON, CLEAR” act the same. Fields with this setting are cleared
for every new patient or when the unit returns to Standby mode.

4-14 Eclipse Operating Instructions 070-1149-01 B


Configuring the USER SETUP Menus

*V3 Placement ON, CLEAR


ON, HOLD
OFF
Used for pediatric recording of V4R only.

Last Name ON
OFF

First Name ON
OFF

*D.O.B. ON
OFF

*Age ON
OFF

*Age Format ON
OFF

*Sex ON
OFF

*Race ON
OFF

*Medication 1 ON
OFF

*Medication 2 ON
OFF

* Class 1 ON
OFF

* Class 2 ON
OFF

Height ON
OFF

Weight ON
OFF

Systolic BP ON
OFF

Diastolic BP ON
OFF

Department ON, CLEAR


ON, HOLD
OFF

070-1149-01 B Eclipse Operating Instructions 4-15


Chapter 4 System Setup and User Setup

Room ON, CLEAR


ON, HOLD
OFF

Technician ON, CLEAR


ON, HOLD
OFF

Physician ON, CLEAR


ON, HOLD
OFF

User Field ON, CLEAR


ON, HOLD
OFF

User Field Label [Up to 15 alphanumeric characters]


Renames the above field. The new name is displayed in the
EDIT ID menu and printed on patient demographics reports.
The User Field may be used for anything. For example, you
may want to use the field for the referring physician’s name.

Comments ON
OFF

GETTING CUSTOM HEADER INFORMATION


The Get Custom Header function is available for Eclipse Premier electrocardiographs
that are used with an ECG Management System, such as the PYRAMIS System or the
FAA System.
Custom Header information is a list of patient demographic items to be used in the
EDIT ID menu and to be printed on ECG reports. This list is maintained on the ECG
data management system. By connecting to the management system, the Eclipse
Premier can be programmed to use the Custom Header.
You can connect to the PYRAMIS ECG Data Management System in three ways: using
a Direct Connection, using a wireless connection with the Cardiac Science Corporation
802.11b transmitter, or using a Remote Connection (this requires an Eclipse Premier
with either an internal or external modem).

NOTE: If you are using a direct connection, begin by connecting the


Interconnect Cable to the connector labeled “DECG-SCP” on the
PYRAMIS back panel. Connect the other end of the cable to the
connector labeled “IOIO” on the Eclipse Premier back panel.

NOTE: The following procedure only affects the User currently


selected (either User 1 or User 2; see “User 1-2 Select” on pg. 4-2).
The procedure must be repeated to get or update the custom header for
the other User.

4-16 Eclipse Operating Instructions 070-1149-01 B


Acquire Printout of Eclipse Premier Program Settings

1. Press the On/Standby key to power up to the PREVIEW screen.


2. Press the “M” key to go to the MAIN MENU.

3. Select SYSTEM SETUP by pressing the “S” key. The SYSTEM


SETUP menu will appear (see Figure 4-1 on pg. 4-1).

4. Press the down arrow key to highlight the Connection field and select
the appropriate choice: either MODEM, DIRECT or 802.11b.

5. If you are using a remote connection (through a modem), verify that


the Phone # and Description fields are correctly filled in.
6. Press the left arrow key to return to the MAIN MENU.

7. Press the “H” key to go to the GET CUSTOM HEADER menu.

8. Receive a list of available Custom Headers by selecting GET


CUSTOM HEADER LIST.

9. Highlight the desired Custom Header and press the Enter key to select
it. The word “SELECT” is displayed.

NOTE: Pressing Enter will also deselect a selection.

10. Press the left arrow key to return to the GET CUSTOM HEADER
menu.

11. Press the “G” key to receive the Custom Header and automatically
configure the Eclipse Premier to use those patient demographic fields.

Acquire Printout of Eclipse Premier Program Settings


Program settings include all settings configured in the SYSTEM SETUP menu and in
the USER SETUP menus.

NOTE: Please see “Print Setup Report” on pg. 9-2 for examples
which were printed using settings configured at the factory (factory
defaults).

1. Press the On/Standby key to power up to the PREVIEW screen.


2. Press the “M” key to go to the MAIN MENU.
3. Press the “P” key to print the list.
Press the left arrow key to return to the PREVIEW screen.

070-1149-01 B Eclipse Operating Instructions 4-17


Chapter 4 System Setup and User Setup

4-18 Eclipse Operating Instructions 070-1149-01 B


Chapter 5 Patient Preparation

Choosing the environment


WARNING: Explosion hazard. Do NOT use in the presence of
flammable anesthetics.

WARNING: Position the Eclipse Premier away from other


equipment. If it is necessary to use the Eclipse Premier adjacent to
or stacked with other equipment, then observe the Eclipse Premier to
verify normal operations.

CAUTION: Although the Eclipse Premier is designed to meet IEC


601-1-2 EMC immunity requirements, the presence of strong EMI
fields generated by electronic, surgical or diathermy instruments
close to the unit, may cause trace noise or input overload conditions.

The Eclipse Premier is a high fidelity instrument which responds to the minute voltages
of the heart. Since it is such a sensitive instrument, take care to avoid interference
which can be produced by muscle tremor and AC signals. To minimize interference,
locate the electrocardiograph and patient away from power cords and other electrical
devices.

Preparing Patients for Resting ECGs


To minimize muscle artifact, make sure your patient is comfortable and relaxed. Assure
the patient that there is no danger or pain involved, and that his or her cooperation will
assist in producing a valuable diagnostic record.
Make the patient comfortable on a cot or padded table which is large enough to support
arms and legs. The patient’s arms should rest at his or her sides and the legs should lie
flat, not touching one another. Use a pillow to support the patient’s head. Also, try to
avoid factors like cold drafts which could cause discomfort. Leaving the chest and
sensor sites exposed, cover your patient with a blanket to prevent shivering.
Apply sensors and connect lead wires before entering patient information into the
Eclipse Premier. This allows time for the sensors to adhere and improves conductivity.

070-1149-01 B Eclipse Operating Instructions 5-1


Chapter 5 Patient Preparation

Preparing the Skin


Refer to the “Resting ECG Lead Placement & Coding Chart” on pg. 5-3 for details on
where sensor sites are located.

NOTE: For information on alternate chest lead and other lead


placements, see “Alternative Lead Placements” on pg. 5-7.

If the patient has oily or sweaty skin, or has recently applied lotion to their skin, clean
the sensor sites with warm, soapy water. Allow the sensor sites to dry completely before
applying sensors.
When applying sensors to sites with a lot of hair, the following techniques may improve
contact:
1. Use the thumb and forefinger to spread the hair before applying the
sensor to the skin.
2. If the sensor does not adhere well, it may be necessary to shave the site.

NOTE: In some cases skin irritation can occur from site preparation
and sensor electrolyte solutions.

Applying Sensors
Apply sensors according to the instructions on the following pages. For information on
using disposable sensors, see “Disposable Resting ECG Sensors” on pg. 5-4. For
information on using reusable sensors, see “Reusable ECG Sensors” on pg. 5-5.

5-2 Eclipse Operating Instructions 070-1149-01 B


Resting ECG Lead Placement & Coding Chart

Resting ECG Lead Placement & Coding Chart

AHA LEAD CODING AND MEASUREMENTS IEC


STANDARD LIMB LEADS STANDARD LIMB LEADS
SENSORS SENSORS
LEAD CONNECTED / LEAD CONNECTED /
MEASURED MEASURED

AHA COLOR CODE


LEAD I LA-RA LEAD BAND LABEL LEAD I L-R
LOCATION
LEAD II LL-RA LEAD II F-R
LEAD III LL-LA RL RIGHT LEG GREEN LEAD III F-L
LL LEFT LEG RED
RA RIGHT ARM WHITE
LA LEFT ARM BLACK
AUGMENTED LIMB LEADS V1 CHEST BROWN RED AUGMENTED LIMB LEADS
SENSORS V2 CHEST BROWN YELLOW SENSORS
LEAD CONNECTED / V3 CHEST BROWN GREEN LEAD CONNECTED /
MEASURED V4 CHEST BROWN BLUE MEASURED
V5 CHEST BROWN ORANGE
V6 CHEST BROWN VIOLET
aVR RA and (LA-LL) aVR R and (L-F)
aVL LA and (RA-LL) aVL L and (R-F)
aVF LL and (RA-LA) aVF F and (R-L)

IEC COLOR CODE


CHEST LEADS LEAD LOCATION BAND LABEL CHEST LEADS
SENSORS N RIGHT LEG BLACK SENSORS
LEAD CONNECTED / LEAD CONNECTED /
MEASURED F LEFT LEG GREEN MEASURED
R RIGHT ARM RED
V1 V1 and (LA-RA-LL) L LEFT ARM YELLOW
C1 C1 and (L-R-F)
V2 V2 and (LA-RA-LL) C1 CHEST WHITE RED
C2 C2 and (L-R-F)
V3 V3 and (LA-RA-LL) C2 CHEST WHITE YELLOW
C3 C3 and (L-R-F)
V4 V4 and (LA-RA-LL) C3 CHEST WHITE GREEN
C4 C4 and (L-R-F)
V5 V5 and (LA-RA-LL) C4 CHEST WHITE BROWN
C5 C5 and (L-R-F)
V6 V6 and (LA-RA-LL) C5 CHEST WHITE BLACK
C6 C6 and (L-R-F)
C6 CHEST WHITE VIOLET

PLACEMENT OF THE CHEST SENSORS PLACEMENT OF THE


AHA LIMB SENSORS
V1 Fourth intercostal space at right
margin of sternum
V2 Fourth intercostal space at left
margin of sternum
V4 Fifth intercostal space at junction
V1 of left midclavicular line
V2
V3
V3 Midway between position V2 and
RA
I
LA
V4 V5 V6 position V4
V At horizontal level of position V4 at (R) aVR aVL (L)
5
left anterior axillary line
V6 At horizontal level of position V4 at
left midaxillary line
II

IEC III

C1 Fourth intercostal space at right


aVF
margin of sternum
C2 Fourth intercostal space at left
margin of sternum
C4 Fifth intercostal space at junction
of left midclavicular line
C1
C2 C3 Midway between position C2 and
RL LL
position C4
C3 C6
C4 C5
C5 At horizontal level of position C4 at (N) (F)
left anterior axillary line
C6 At horizontal level of position C4 at
left midaxillary line

070-1149-01 B Eclipse Operating Instructions 5-3


Chapter 5 Patient Preparation

Disposable Resting ECG Sensors


CardioSens® disposable sensors are a more effective alternative to bulbs, plates, straps,
creams, and gels. CardioSens® disposable sensors dramatically reduce cross-
contamination and infection, while helping to improve diagnostic results.
Disposable sensors should be stored according to the guidelines on the packaging and
should not be used after the expiration date. Never mix sensor types or brands.
Incompatibilities can cause baseline drift and can increase trace recovery time after
defibrillation.

APPLYING LIMB SENSORS


1. Expose the arms and legs.
2. Place sensors firmly on the limb sites. Choose fleshy areas, not ankles
or wrists (see Figure 5-1).
3. Clip leads to the sensors. Leads on arm sensors should point
downward toward feet. Leads on legs should point upward toward
chest.

Figure 5-1
Disposable Limb Sensor on
Arm

APPLYING CHEST SENSORS


1. Expose the chest.
2. Locate the 6 V-lead (C-lead) positions on the patient’s chest.
3. Apply the sensors.
4. Ensure that the leads conform to body contours and that no strain is
placed on the sensors.

5-4 Eclipse Operating Instructions 070-1149-01 B


Resting ECG Lead Placement & Coding Chart

Reusable ECG Sensors


Never mix sensor types or brands. Dissimilar metals or other incompatibilities may
cause considerable baseline drift and may increase trace recovery time after
defibrillation. Do not use corroded sensors, they may give poor results.

ELECTROLYTE

NOTE: Watches and jewelry which could come in contact with


electrolyte should be removed to avoid damage.

Cardiac Science Corporation recommends Liqui-cor® for use with reusable sensors.
Liqui-cor® provides excellent conductivity between the skin and sensor. In addition, it
is nonabrasive and water soluble for easy cleanup.
Reusable sensors (Welsh bulbs and limb plates) should be kept clean. They should be
washed after each use and scoured frequently with a light-duty kitchen cleanser. Never
use a metallic pad to clean the sensors. Accumulation of electrolyte may cause drifting
and degrade ECG quality.

APPLYING LIMB PLATES

1. Expose the arms and legs.

2. Connect sensor straps to the “ears” of the sensors.

3. Squeeze out a small amount of Liqui-cor® on


sensor as illustrated. Spread it evenly over the
sensor surface. Always apply the same amount of
electrolyte to each sensor.

4. Place sensors firmly on the limb sites. Position them so that the sensor will
not press against the body or table when the patient is relaxed. On arms, the
screws should point downward toward the feet. On legs, the screws should
point upward, toward chest.
5. Without stretching the strap, wrap it around the limb until a hole lines up with
a sensor “ear.” Then stretch the strap and fasten it with the next hole.
6. Connect the limb leads to the four sensors.

070-1149-01 B Eclipse Operating Instructions 5-5


Chapter 5 Patient Preparation

APPLYING WELSH BULB CHEST SENSORS


1. Connect the 6 Welsh bulb sensors to the V-leads (C-leads) on the
patient cable.
2. Locate the 6 V-lead (C-lead) positions on the patient’s chest (see
“Resting ECG Lead Placement & Coding Chart” on pg. 5-3).
3. Squeeze out a drop of Liqui-cor® electrolyte at each sensor site. Use a
tongue depressor to spread the electrolyte taking care that it does not
touch the electrolyte from another site.
4. Apply the sensors by squeezing the rubber bulb and allowing suction
to hold the sensor in place. Only a small dimple should remain on the
bulb when it is released.
5. Ensure that the leads conform to the body contours and that no strain
is placed on the sensors.

Connecting Cables and Lead Wires


After applying sensors, connect the lead wires from the patient cable to the sensors.
Make sure the lead cables follow the contours of the patient’s body and lie flat. If any
lead wire is too long, as with a short patient or child, take up the length by making a
small “stress loop” (see Figure 5-2).

Figure 5-2
Lead Cable Arrangement
CORRECT INCORRECT

Stress Loop

Make sure the patient cable is plugged securely into the connector on the front of the
unit. This is located under the keyboard (see “Patient Cable” on pg. 2-2).

5-6 Eclipse Operating Instructions 070-1149-01 B


Alternative Lead Placements

Alternative Lead Placements

Pediatric Lead Placement


When acquiring a pediatric ECG, you may use an alternative to the standard V3 (C3)
placement. Place the sensor in the V4R (C4R) position. This is across the sternum from
V4 (C4). See Figure 5-3 for location. Improper placement will result in inaccurate
waveform labeling.
You must select the corrected V3 (C3) placement in the EDIT ID menu (see “Entering
Patient Demographics” on pg. 6-9). If you place V3 (C3) in the V4R (C4R) position,
select “V4R” in the *V3 Placement field located in the EDIT ID menu for proper
printout labeling.

Figure 5-3
Pediatric Chest Lead
Placement

V4R (C4R)

Frank: Corrected Orthogonal Leads


Attach all the limb sensors, R, L, F, and N (RA, LA, LL and RL). Please see “Resting
ECG Lead Placement & Coding Chart” on pg. 5-3 for diagram.
Attach the chest sensors according to the following table. I, E, C, M and A should all
be in the same horizontal plane level with the fifth intercostal space (see Figure 5-4).
V1 (C1) Chest - right midaxillary line I

V2 (C2) Chest - midsternum E

V3 (C3) Chest - midclavicular line C

V4 (C4) Chest - left midaxillary line A

V5 (C5) Back - spine, opposite E M

V6 (C6) Throat or back of neck H

070-1149-01 B Eclipse Operating Instructions 5-7


Chapter 5 Patient Preparation

Figure 5-4
Frank Lead Placement
Lead Measurement

X Dexter-Sinister
Y Cranial-Caudal
Ventral-Dorsal
Z

Nehb: Bipolar Leads


Attach all the limb sensors, RA, LA, LL and RL (R, L, N, and F). Please see “Resting
ECG Lead Placement & Coding Chart” on pg. 5-3 for diagram.
Attach the chest sensors according to the following table (see Figure 5-5).
V1 (C1) Chest - second rib at right sternal border Nst

V2 (C2) Back - left posterior axillary line on level with the Nax
bottom tip of the scapula.

V3 (C3) Chest - opposite the scapular apex at the same level Nap
as V2 above.

Figure 5-5
Nehb Lead Placement
Lead Measurement

D Nax - Nst
A Nap - Nst
J Nap - Nax

5-8 Eclipse Operating Instructions 070-1149-01 B


Alternative Lead Placements

Alternate Chest Lead


Acquire a standard 12-lead ECG according to the “Resting ECG Lead Placement &
Coding Chart” on pg. 5-3.
For the Alternate Chest Lead ECG, retain the placement of the limb sensors. Reposition
the chest sensors using 6 of the placements described in the table below. Configure
leads as desired. See the table below for a sample lead configuration.

NOTE: The lead configuration for the Alternate Chest Lead is


completely customizable. The example below is only one of many
possible lead configurations.

NOTE: Lead configuration may also contain any of the standard


chest leads, if desired.

Lead Alternate Placement Description


V2R (C2R) position fourth intercostal space at right margin of sternum

V3R (C3R) position midway between position V2R (C2R) and position V4R (C4R)

V1 (C1) V4R (C4R) position fifth intercostal space at junction of right midclavicular line

V2 (C2) V5R (C5R) position on horizontal level with V4R (C4R) at right anterior axillary line
right
V3 (C3) V6R (C6R) position on horizontal level with V4R (C4R) and V5R (C5R) at right
right midaxillary line
V4 (C4) V7 (C7) position horizontal level with V6 (C6) at posterior axillary line

V5 (C5) V8 (C8) position horizontal level with V6 (C6) and V7 (C7) at mid scapular line

V6 (C6) V9 (C9) position horizontal level with V7 (C7) and V8 (C8) next to spinal column

V7R (C7R) position horizontal level with V6R (C6R) at posterior axillary line

V8R (C8R) position horizontal level with V6R (C6R) and V7R (C7R) at mid scapular
line
V9R (C9R) position horizontal level with V7R (C7R) and V8R (C8R) next to spinal
column

Figure 5-6
Placement Options

V 2R
V3R V7 V7 R
V6R V5R V 4R
V8 V9 V9R V8R

070-1149-01 B Eclipse Operating Instructions 5-9


Chapter 5 Patient Preparation

5-10 Eclipse Operating Instructions 070-1149-01 B


Chapter 6 Acquiring ECG Reports

Acquiring and printing ECG reports with an Eclipse Premier is quite simple. Once the
patient is hooked up to the Eclipse Premier, an ECG can be acquired at any time by
pressing the button.
It is a good idea to enter patient demographic information before performing tests.
However, patient demographic information also may be entered after the tests have
been completed.

NOTE: Some patient information directly affects ECG analysis.


Your patient’s physician uses this information when interpreting ECG
reports. Likewise, interpretive Eclipse Premier units provide more
accurate and complete analysis statements when you enter patient
information thoroughly. This information must be entered prior to
acquiring the ECG in order to affect the interpretation.

Acquiring a Stat ECG


Sometimes it will be necessary to take an ECG and there will not be time to enter any
patient demographic information. If no patient ID is entered, Then Eclipse Premier
units with storage will print “#STAT#” in the Patient ID field, followed by the date and
time.

NOTE: Some patient information directly affects ECG analysis.


Your patient’s physician uses this information when interpreting ECG
reports. Likewise, interpretive Eclipse Premier units provide more
accurate and complete analysis statements when you enter patient
information thoroughly. This information must be entered prior to
acquiring the ECG in order to affect the interpretation.

1. Prepare patient according to guidelines in Chapter 5, “Patient


Preparation.”

2. From Standby mode, press to power up to the PREVIEW


screen.
3. Verify that the “Sensors OK” message is displayed on the PREVIEW
screen.

4. Press the “ECG” function key to acquire an Auto ECG


report.

NOTE: This key is active in the PREVIEW screen and most menus,
including the EDIT ID menu.

070-1149-01 B Eclipse Operating Instructions 6-1


Chapter 6 Acquiring ECG Reports

Acquiring an Auto ECG


NOTE: Some patient information directly affects ECG analysis.
Your patient’s physician uses this information when interpreting ECG
reports. Likewise, interpretive Eclipse Premier units provide more
accurate and complete analysis statements when you enter patient
information thoroughly. This information must be entered prior to
acquiring the ECG in order to affect the interpretation.

NOTE: Press the “STOP” function key at any time to halt an Auto
ECG.

1. Prepare the patient according to guidelines in Chapter 5, “Patient


Preparation.”

2. From Standby mode, press to power up to the PREVIEW


screen.
3. If a file already exists for the patient (a requisition exists for the patient
or demographic information has been entered previously), go to
“Acquiring an ECG Using an Existing Patient File” on pg. 6-3.

4. Press to go to the EDIT ID menu. Enter the patient’s ID


number, last name, first name, date of birth, gender, and as many other
fields as required or as time will allow (for more information, see
“Patient Demographic Fields” on pg. 6-10).

NOTE: Items indicated with an asterisk (*) may affect computer


analysis.

5. Press the left arrow key to return to the PREVIEW screen. Verify that
the “Sensors OK” message is displayed on the PREVIEW screen.

NOTE: The Recorder Speed, Gain and Frequency Response


settings (displayed in the lower right corner of the PREVIEW screen)
can be temporarily modified if necessary. See “Temporarily Changing
Current Settings” on pg. 6-5.

6. Press to acquire an Auto ECG.

6-2 Eclipse Operating Instructions 070-1149-01 B


Acquiring an Auto ECG

NOTE: To obtain a clean trace with very little noise, ensure that
Wait for Good Data is set to ON in the AUTO ECG SETUP menu. If
there is a problem during a recording, the Eclipse Premier will display
a message. You can override the error message and continue recording
by pressing the ECG key again (for more information, see “Wait for
good data” on pg. 4-10).

7. Depending on the current system settings, the Eclipse Premier will


automatically print and save the ECG. (If the unit is equipped with
communication capabilities, the ECG might also be automatically
sent, depending on the settings.) Otherwise, a prompt may be
displayed on the screen, asking if you wish to print or save the ECG.

NOTE: To view or modify the print or save settings, see “Print


Mode”and “Save Mode” on pg. 4-10.

8. If you have saved the ECG, then the Single ECG Functions list is
displayed. At this time you may perform additional functions with the
saved test (see “Accessing Saved Files” on pg. 7-3).
Use the left arrow key to exit.

Acquiring an ECG Using an Existing Patient File


If a requisition has been downloaded for a patient, then a demographics-only file will
already exist for the patient (see “Receiving requisitions from PYRAMIS” on pg. 8-6).
It is also possible to create a demographics-only file for a patient, separately from when
the patient’s ECG is acquired (see “Add New Patient” on pg. 7-6). Once a
demographics-only file exists for a patient, acquiring the ECG is simple.

NOTE: The following procedure also applies if the patient’s ECG


has been acquired in the past and the test still exists in the system.

1. From the PREVIEW screen, press the “M” key to view the MAIN
MENU.
2. Press the “D” key to advance to the DIRECTORY menu.
3. Press the “V” key and select the patient’s file from those listed.
4. Press the “A” key to Acquire ECG. The EDIT ID menu is displayed.
Make changes to patient information if necessary.
5. Press the left arrow key to return to the PREVIEW screen. Verify that
the “Sensors OK” message is displayed on the PREVIEW screen.

NOTE: The Recorder Speed, Gain and Frequency Response


settings (displayed in the lower right corner of the PREVIEW screen)
can be temporarily modified if necessary. See “Temporarily Changing
Current Settings” on pg. 6-5.

070-1149-01 B Eclipse Operating Instructions 6-3


Chapter 6 Acquiring ECG Reports

6. Press to acquire an Auto ECG.

NOTE: To obtain a clean trace with very little noise, ensure that
Wait for Good Data is set to ON in the AUTO ECG SETUP menu. If
there is a problem during a recording, the Eclipse Premier will display
a message. You can override the error message and continue recording
by pressing the ECG key again (for more information, see “Wait for
good data” on pg. 4-10).

7. Depending on the current system settings, the Eclipse Premier will


automatically print and save the ECG. (If the unit is equipped with
communication capabilities, the ECG might also be automatically
sent, depending on the settings.) Otherwise, a prompt may be
displayed on the screen, asking if you wish to print or save the ECG.

NOTE: To view or modify the print or save settings, see “Print


Mode”and “Save Mode” on pg. 4-10.

8. If you have saved the ECG, then the Single ECG Functions list is
displayed. At this time you may perform additional functions with the
saved test (see “Accessing Saved Files” on pg. 7-3).
Use the left arrow key to exit.

Printing Reports
NOTE: You can immediately terminate any printout by pressing the
“STOP” key. The Eclipse Premier advances the chart paper to the next
page and returns to the PREVIEW screen.

A formatted, 12-lead report with demographics is automatically included in any ECG


printout. The following reports may also be included with the printout, depending upon
system settings: a rhythm report, a median report, and an analysis report.
For more information on selecting the rhythm report and the median report, see “AUTO
ECG SETUP” on pg. 4-9. Analysis information will be included on the printout, unless
this feature has been disabled (see “Analysis-original” on pg. 4-9).

Printing Problems
If the unit runs out of paper or if the paper jams, you are given the option to reload the
paper and continue printing (see Figure 6-1). If you choose to cancel, you have the

6-4 Eclipse Operating Instructions 070-1149-01 B


Temporarily Changing Current Settings

option of printing at a later time (see “Print All New ECGs” on pg. 7-6). For paper
loading instructions see “Loading Recording Paper” on pg. 2-3.

Figure 6-1
System Note Regarding a
Printing Problem
Paper OUT:
Reload and continue ?
OK Cancel

Temporarily Changing Current Settings


Occasionally it may be necessary to modify the system settings for the current patient.
There are several settings that you can customize before acquiring a patient’s ECG. If
you wish to change the below settings permanently, see “POWER-UP DEFAULTS” on
pg. 4-8.

Recorder Speed, Gain, Frequency Response


Use machine control keys “7” through “9” to adjust Recorder Speed, Gain or
Frequency Response.
The “7” key toggles the Paper Speed between 10, 25, and 50 mm/sec.

The “8” key toggles the ECG gain between 5 mm/mV; 10 mm/mV; 20 mm/mV; L10,
C5 mm/mV; and L20, C10 mm/mV.

The “9” key toggles the ECG Filter Frequency between 40 and 150 Hz.

NOTE: Settings are displayed in the lower right corner of the


PREVIEW screen. These settings will stay in effect until you change
them or return the unit to Standby mode.

070-1149-01 B Eclipse Operating Instructions 6-5


Chapter 6 Acquiring ECG Reports

Acquiring an Auto Rhythm or a Manual Rhythm


NOTE: REDUCED PERFORMANCE MODE. Printing
performance of an Auto Rhythm or a Manual Rhythm may be reduced
when the current Custom Lead format is Frank and when the printing
speed is set to 50 mm/s.

NOTE: It is not possible to save Auto Rhythm or Manual Rhythm


data.

The Eclipse Premier can be set up to automatically print a rhythm page with the 12-lead
ECG. If this feature is not selected, or if an additional rhythm strip is required, you can
obtain a rhythm strip by simply pressing the “RHYT” function key or the “MAN”
function key.
1. Follow the directions for acquiring a STAT ECG or an AUTO ECG, as
described earlier in this chapter (see page 6-1).

NOTE: The Recorder Speed, Gain and Frequency Response


settings (displayed in the lower right corner of the PREVIEW screen)
can be temporarily modified if necessary. See “Temporarily Changing
Current Settings” on pg. 6-5.

2. The Eclipse Premier prints the rhythm report using the channels
displayed in the PREVIEW screen. Before printing, select the desired
leads using the machine control keys “1” through “6.”
3. To print a rhythm strip for a predefined number of pages, press the
“RHYT” function key .

NOTE: The rhythm strip will print for the number of pages defined
in the MISCELLANEOUS menu (see “Rhythm Mode Pages” on
pg. 4-13).

4. Press the “MAN” function key to acquire a manual rhythm


strip. In the Manual Rhythm mode, the Eclipse Premier will
continue to print the rhythm strip until either the “STOP”
function key or another function key is pressed.

NOTE: While printing, you may place a 1 mV simulated calibration


pulse on the printout and display by pressing the “0” key.

5. To cancel printing at any time for either selection, Press the “STOP”
function key . You may also interrupt printing and begin
another report by pressing any of the other function keys to the left of
the keyboard.

6-6 Eclipse Operating Instructions 070-1149-01 B


Acquiring an ECG Using Alternative Lead Placements

Acquiring an ECG Using Alternative Lead Placements


At times it may be necessary to acquire an ECG using an alternative lead placement.
The Alternate Chest Lead ECG allows acquisition of right chest leads and expanded
left chest leads. Other alternative lead placements include Frank and Nehb.

NOTE: The standard ECG is an important part of the Alternate


Chest Lead ECG. If you are acquiring an Alternate Chest Lead ECG,
run a standard resting ECG before continuing (for more information,
see “Acquiring an Auto ECG” on pg. 6-2).

1. Configure either the CUSTOM LEAD 1 or CUSTOM LEAD 2 for the


desired lead placement (see “CUSTOM LEAD 1 & CUSTOM LEAD
2” on pg. 4-11).
2. Follow the directions for acquiring a STAT ECG or an AUTO ECG, as
described earlier in this chapter (see page 6-1).
3. From the Single ECG Functions List, press the left arrow key to return
to the PREVIEW screen.
4. Prepare the patient for the Alternate Chest Lead ECG according to
guidelines in Chapter 5 (see “Alternate Chest Lead” on pg. 5-9).
Attach electrodes according to the specific instructions for each lead
configuration.
5. Verify patient ID on screen. If patient ID is incorrect or absent, follow
steps 1 through 3 of “Acquiring an ECG Using an Existing Patient
File” on pg. 6-3.
6. Select “5” or “6” from the keyboard, depending on whether the
alternative placement was selected for CUSTOM LEAD 1 or
CUSTOM LEAD 2.

NOTE: If ALTERNATE CHEST LEAD was selected, the screen


should display Alternate Chest Lead ECG. In addition, the statement
“Alternate Chest Lead ECG” will appear on the printout in place of the
interpretation.

7. Verify waveforms before taking the ECG.

NOTE: The Recorder Speed, Gain and Frequency Response


settings (displayed in the lower right corner of the PREVIEW screen)
can be temporarily modified if necessary. See “Temporarily Changing
Current Settings” on pg. 6-5.

8. Press the “ECG” function key to record the ECG.


Eclipse Premier automatically prints the ECG.

070-1149-01 B Eclipse Operating Instructions 6-7


Chapter 6 Acquiring ECG Reports

Acquiring an ECG Using Pediatric Lead Placements

NOTE: The Eclipse Premier unit can be set up to always acquire


ECGs using pediatric lead placement. Refer to “*V3 Placement”in
“Enabling Patient Demographic Fields” on pg. 4-14.

1. Prepare the patient according to guidelines in Chapter 5, “Patient


Preparation.”Attach electrodes according to the specific instructions
for “Pediatric Lead Placement” on pg. 5-7.
2. Follow steps 2, 3 and 4 of “Acquiring an Auto ECG” on pg. 6-2. At
the top of the EDIT ID screen, for V3 Placement, select V4R.

NOTE: In the EDIT ID menu, change the Age Format to months


and enter the patient’s age in months, if desired.

3. Press the left arrow key to return to the PREVIEW screen. Verify
waveforms before taking the ECG.

NOTE: The Recorder Speed, Gain and Frequency Response


settings (displayed in the lower right corner of the PREVIEW screen)
can be temporarily modified if necessary. See “Temporarily Changing
Current Settings” on pg. 6-5.

4. Press to acquire an Auto ECG.

NOTE: To obtain a clean trace with very little noise, ensure that
Wait for Good Data is set to ON in the AUTO ECG SETUP menu. If
there is a problem during a recording, the Eclipse Premier will display
a message. You can override the error message and continue recording
by pressing the ECG key again (for more information, see “Wait for
good data” on pg. 4-10).

5. Depending on the current system settings, The Eclipse Premier will


automatically print and save the ECG. (If the unit is equipped with
communication capabilities, the ECG might also be automatically
sent, depending on the settings.) Otherwise, a prompt may be
displayed on the screen, asking if you wish to print or save the ECG.

NOTE: To view or modify the print or save settings, see “Print


Mode”and “Save Mode” on pg. 4-10.

6. If you have saved the ECG, then the Single ECG Functions list is
displayed. At this time you may perform additional functions with the
saved test (see “Accessing Saved Files” on pg. 7-3).
Use the left arrow key to exit.

6-8 Eclipse Operating Instructions 070-1149-01 B


Entering Patient Demographics

Entering Patient Demographics


NOTE: Some patient information directly affects ECG analysis.
Your patient’s physician uses this information when interpreting ECG
reports. Likewise, interpretive Eclipse Premier units provide more
accurate and complete analysis statements when you enter patient
information thoroughly. This information must be entered prior to
acquiring the ECG in order to affect the interpretation.

About Patient Demographics


Before acquiring a patient’s ECG, it is a good idea to enter patient information, since
this information affects both physician analysis and computer analysis. Fields which
directly affect computer analysis, such as the *D.O.B. (date of birth) field, are marked
with an asterisk ( * ). In addition, patient information is used to label all ECG reports
until you begin a new patient file or return the unit to Standby mode.

Age/Date of Birth
Enter Date of Birth (instead of Age) for the most accurate interpretation.
When date of birth is unknown and the patient is a child, then use the following
guidelines to ensure the most accurate interpretation.
✔ Enter age in months for patients younger than 8 years old.
✔ Enter age in days for patients younger than 1 month old.

NOTE: The Eclipse Premier interpretation criteria uses a default


age of 40 years when an age of 120 years or higher (or the equivalent
date of birth) is entered, or when age is not entered.

Using the EDIT ID Menu


Patient information is entered using the EDIT ID menu. The EDIT ID menu can be
accessed from several different locations. To access the EDIT ID menu from either the
PREVIEW screen or the MAIN MENU, press the “I” key (you may also use the arrow
up and arrow down keys in the MAIN menu to select ENTER ID; press ENTER). The
EDIT ID menu will be displayed.

NOTE: If you want to create a file for this patient in the Directory,
select ADD NEW PATIENT in the DIRECTORY menu (see “Using
the DIRECTORY Menu” on pg. 7-1).

NOTE: You may exit the EDIT ID menu at any time by pressing the
left arrow key.

070-1149-01 B Eclipse Operating Instructions 6-9


Chapter 6 Acquiring ECG Reports

If demographics have been entered already, a message appears which reads, “NEW
Patient?”. Selecting YES begins a new file. Selecting NO uses the current patient
information.

Figure 6-2
The EDIT ID Menu ID:0123456789 65 PRESS
EDIT ID x1
(*Items may affect computer analysis)
*V3 Placement : STANDARD
Patient ID : 123456789
Last Name :
First Name :
*D.O.B. :
*Age :
NEW Patient?
*Age Format : YEA
*Sex :
NO
*Medication 1 :
*Class 1 :
YES
Comments :

Patient Demographic Fields


Scroll through the EDIT ID menu fields using the up and down arrows.
In most fields in the EDIT ID menu, the cursor blinks. In these fields, type the
appropriate information from the keyboard. In this chapter, the type of information and
the number of characters allowed are listed in brackets next to the field name. Press the
ENTER key to enter the information.
Other fields in the EDIT ID menu have lists. Select the appropriate item from a list by
pressing the hot key indicated by the underlined letter. Or, press the right arrow key to
access the options, use the up and down arrow keys to select an option, and press the
ENTER key to enter the option. In this chapter, the available choices are listed next to
the field name.

NOTE: Some of the fields described here may not appear because
they have been disabled in the PATIENT FIELDS ENABLE menu (see
“Enabling Patient Demographic Fields” on pg. 4-14) or because the
Eclipse Premier is configured to use a Custom Header (see “Getting
Custom Header Information” on pg. 4-16).

The EDIT ID fields are described below.

NOTE: Fields which directly affect computer analysis are marked


with an asterisk ( * ).

*V3 Placement STANDARD


V4R
Use only for pediatric reports. For more information on pediatric lead placement, see
“Pediatric Lead Placement” on pg. 5-7.

6-10 Eclipse Operating Instructions 070-1149-01 B


Entering Patient Demographics

Patient ID [Up to 20 alphanumeric characters]

Last Name [Up to 20 alphanumeric characters]

First Name [Up to 20 alphanumeric characters]

*D.O.B [Up to 20 alphanumeric characters]


(Date Of Birth) Use spaces, hyphens or periods to separate the day, month and year. Some
acceptable ways to type the date are:
1. 10 10 1950
2. 10–10–1950
3. 10.10.1950
NOTE: Remember that the period character ( . ) is typed by holding down the Shift
key and pressing the “N” key. The hyphen character ( - ) is typed by holding down
the Shift key and pressing the “M” key.
*D.O.B. is used to automatically fill in *Age and *Age Format. For accuracy and
convenience, you may wish to use this field rather than fill in *Age manually.

*Age [Up to 3 numeric characters. Range = 0-364]


Not editable if *D.O.B. was entered.

*Age Format YEARS


MONTHS
DAYS
Not editable if *D.O.B. was entered.

*Sex blank
MALE
FEMALE

*Race blank
BLACK
CAUCASIAN
ASIAN
OTHER RACE
UNKNOWN

*Medication 1 blank LIDOCAINE


NO MEDICATION OTHER ANTIARRHYTHMIC
UNKNOWN PSYCHOTROPIC
DIGITALIS STEROID
DIURETIC CALCIUM BLOCKERS
BETA BLOCKER NITRATES
QUINIDINE ACE INHIBITORS
PROCAINAMIDE ALPHA BLOCKERS
AMIODARONE OTHER MEDICATION
DISOPYRAMIDE

Select a medication type if you know the category of medication your patient is
taking. For ECG waveform analysis, it is better to select NO MEDICATION or
UNKNOWN than to leave this field blank.

070-1149-01 B Eclipse Operating Instructions 6-11


Chapter 6 Acquiring ECG Reports

*Medication 2 See *MEDICATION 1, above


NOTE: If you typically use just the *Medication 1 and *Class 1 fields, use the
PATIENT FIELDS ENABLE menu to select the OFF setting for the *Medication 2
and *Class 2 fields (see “Enabling Patient Demographic Fields” on pg. 4-14).
NOTE: Do not use this field if blank, NO MEDICATION or UNKNOWN is selected
for *Medication 1. These entries for *Medication 1 cause the analysis program in
interpretive Eclipse Premier units to ignore the *Medication 2 field.

*Class 1 blank PERICARDITIS


NORMAL RESPIRATORY DISEASE
UNKNOWN IMPLANTED PACER
MYOCARDIAL INFARCTION ENDOCRINE DISEASE
MYOCARDIAL ISCHEMIA PULMONARY EMBOLISM
HYPERTENSION POST CARDIAC SURGERY
CONGENITAL HEART DISEASE CARDIOMYOPTHY
RHEUMATIC HEART DISEASE OTHER

Refers to the patient’s cardiac, lung, or endocrine conditions. Select the


appropriate diagnosis from the list if you know your patient’s condition. For ECG
waveform analysis, it is better to select NORMAL or UNKNOWN than to leave
this field blank.

*Class 2 See *CLASS 1, above


NOTE: If you typically use just the *Medication 1 and *Class 1 fields, use the
PATIENT FIELDS ENABLE menu to select the OFF setting for the *Medication 2
and *Class 2 fields (see “Enabling Patient Demographic Fields” on pg. 4-14).
NOTE: Do not use this field if blank, NORMAL or UNKNOWN is selected for
*Class 1. These entries for *Class 1 cause the analysis program in interpretive
Eclipse Premier units to ignore the *Class 2 field.

Height [Up to 3 numeric characters. Range = 0-96 in. or 0-244 cm.]


Measured in either inches or centimeters as determined in the SYSTEM SETUP
menu.

Weight [Up to 3 numeric characters. Range = 0- 500 lb. or 0-227 kg.]


Measured in either pounds or kilograms as determined in the SYSTEM SETUP
menu.

Systolic BP [Up to 3 numeric characters. Range = 0 – 250]


(Blood Pressure)

Diastolic BP [Up to 3 numeric characters. Range = 0 – 250]


(Blood Pressure)

Department [Up to 5 numeric characters. Range 1 – 32000]


Identifies your department in the facility. A list of the allowable selections is displayed
if it has been downloaded from PYRAMIS. To download ECGs from PYRAMIS, the
department must be entered with the correct number or set to 1 on the Eclipse
Premier.

Room [Up to 7 alphanumeric characters]


Identifies your location within the facility.

6-12 Eclipse Operating Instructions 070-1149-01 B


Entering Patient Demographics

Technician [Up to 20 alphanumeric characters]


Identifies the person acquiring the ECG.

Physician [Up to 20 alphanumeric characters]


Identifies the patient’s physician.

User Field [Up to 15 alphanumeric characters]


Use this field to suit your needs. A possible use might be to identify the referring
physician. You may label this field in the USER SETUP menu (see “Configuring the
USER SETUP Menus” on pg. 4-6).

Comments [Up to 120 alphanumeric characters]


Use this field to input additional patient information as needed.

070-1149-01 B Eclipse Operating Instructions 6-13


Chapter 6 Acquiring ECG Reports

6-14 Eclipse Operating Instructions 070-1149-01 B


Chapter 7 Managing Patient Records

Once a patient’s record has been saved, it is possible to reprint, delete and transmit ECG
records, as well as edit patient information. It is also possible to create files for one or
more patients prior to acquiring any ECGs.

NOTE: Speed, gain and/or artifact filter can be changed prior to


reprinting a record. See “Printing ECG Reports” on pg. 7-4.

Using the DIRECTORY Menu


In order to perform any of the functions described above, it is necessary to access the
DIRECTORY menu.

NOTE: Depending upon your system settings, a password may be


required to access the directory. For more information, see “Directory
Password” on pg. 4-6.

1. Press the On/Standby key to power up to the PREVIEW screen.

2. Press the “M” key to go to the MAIN MENU.

3. Press the “D” key to go to the DIRECTORY menu

4. Press the “V” key to view the directory.

5. A list of all records stored in the directory is displayed.

070-1149-01 B Eclipse Operating Instructions 7-1


Chapter 7 Managing Patient Records

Record Status
The status of each record is indicated in the last column of the directory contents.
The status of a record is important, especially when transmitting and receiving records
from another electrocardiograph or ECG management system (for more information,
see “How record status affects the sending operations” on pg. 8-3). Record status also
can affect which records are retained in the event that the directory is full (see
“Automatic deletion when the Directory is full” on pg. 7-3).
Use the table below to understand the record status associated with each code.

Code Record Status Explanation of Status

Pr Printed The Auto ECG record has been printed by the


Eclipse Premier electrocardiograph.
Dm Demographics Only The record contains only patient demographic
information. The record does not contain an
ECG report.
St Sent The record has been sent to another
electrocardiograph or to an ECG Management
System, such as the PYRAMIS System or the
FAA System.
No Do Not Send The record was manually marked so that the
record will not be sent the next time that
BATCH SEND ECGS is selected in the
DIRECTORY menu.
Rv Received The record was received from another
electrocardiograph or from an ECG
Management System, such as the PYRAMIS
System or the FAA System.
Rq Requisition The record contains only patient demographic
information. An ECG report is being requested
for this patient by the ECG data management
system.
ECG 12-Lead The record contains a 12-lead ECG.
RtE Alternate Chest Lead The record contains an Alternate Chest Lead
(non-standard) ECG.

On Eclipse Premier units, it is possible to change the status of certain records. With this
feature, users can ensure that certain records are sent and other records are not sent
when BATCH SEND ECGS is selected in the DIRECTORY menu (for more
information, see “Changing Record Status” on pg. 8-3).

7-2 Eclipse Operating Instructions 070-1149-01 B


Accessing Saved Files

Automatic deletion when the Directory is full


If you create a new record when the Directory is full, the Eclipse Premier deletes an
older record to make room for the new record. There are rules based on record status
which determine which records are automatically deleted. The oldest record with the
proper status is deleted.
● Records with status Dm or Rq are never deleted. However, a record with
both Rq and St will be deleted.
● If, in the SYSTEM SETUP menu, the Connection field is set to MODEM
or DIRECT, a record with status Pr and St may be deleted.
● If, in the SYSTEM SETUP menu, the Connection field is set to MODEM
or DIRECT, a record with status Rv and Pr may be deleted.
● If, in the SYSTEM SETUP menu, the Connection field is set to NONE,
any record with status Pr may be deleted.
If the Directory is full of records that don’t meet any of the automatic deletion criteria,
you will not be able to create new records unless you manually delete records from the
Directory (the Directory Full message is displayed). You may, however, obtain Auto
ECG printouts. These will not be stored in the Directory unless storage space is made
available.

Accessing Saved Files

Editing Patient Demographics


1. Locate the desired patient file, highlight it and press the Enter key. The
Single ECG Functions list is displayed.

2. Press the “E” key to access the EDIT ID menu.

3. Edit patient demographics as desired. These changes are saved when


you press the left arrow key to exit this menu.

NOTE: Patient ID, date of birth, age, and age format cannot be
changed.

070-1149-01 B Eclipse Operating Instructions 7-3


Chapter 7 Managing Patient Records

Printing ECG Reports


1. Locate the desired patient file, highlight it and press the Enter key. The
Single ECG Functions list is displayed.

2. If you wish to edit patient information, press the “E” key to access the
EDIT ID menu. Make changes as desired. Press the left arrow to return
to the Single ECG Functions list.

3. If you wish to modify the settings for Recorder Speed, Gain or


Frequency Response, press the “C” key to access the CHANGE
SPEED, GAIN, FILTER menu. Use the arrows to make different
selections. Press the left arrow to return to the Single ECG Functions
list.

4. Press the “P” key to print a copy of the report.

NOTE: Depending upon system settings, the ECG report will


include a rhythm report and a median complex report. Analysis
information may also be included on the printout, unless this feature
has been disabled. To verify or change the print settings, see “Rhythm
Page”, “Median Complex Page”, and “Analysis-original” on pg. 4-9.

5. Manually print a copy of the median complex report for the record by
pressing the “R” key.

NOTE: Chart speed is fixed at 50 mm/s.

6. Print a copy of the measurement matrix for the record by pressing the
“N” key.

Use the left arrow key to exit.

7-4 Eclipse Operating Instructions 070-1149-01 B


Accessing Saved Files

Deleting Patient Files

NOTE: This procedure permanently removes the selected record.

1. Locate the desired patient file, highlight it and press the Enter key. The
Single ECG Functions list is displayed.

2. Select DELETE ECG by pressing the “D” key to permanently delete


the file.

4501 3. A message box will appear. Press the “O” key to confirm deletion.

NOTE: Proceed with caution; choosing Ok will permanently erase


the record. To cancel the request, select Cancel.

Use the left arrow key to exit.

Faxing Saved Files

NOTE: To use the Fax function, your Eclipse Premier must be


equipped with either an internal or an external modem.

1. Locate the desired patient file, highlight it and press the Enter key. The
Single ECG Functions list is displayed.

2. Press the “F” key to access the FAX ECG menu.

3. Select the destination for the fax by pressing the corresponding hot
key: “1,” “2,” “3” or “4.” Eclipse Premier faxes the report.

NOTE: See “Configuring the FAX Menu” on pg. 7-7 to edit fax
numbers and information.

Use the left arrow key to exit.

070-1149-01 B Eclipse Operating Instructions 7-5


Chapter 7 Managing Patient Records

Additional Functions

Add New Patient


If you wish to create one or more patient files prior to recording any ECGs, use the
ADD NEW PATIENT selection in the DIRECTORY. This feature allows you to input
demographics into the Directory in advance of taking an ECG, which later reduces the
time required to acquire the report.
1. In the DIRECTORY menu, select the ADD NEW PATIENT field by
pressing the “A” key.

2. The EDIT ID menu is displayed. Enter the patient’s ID number, last


name, first name, date of birth, gender, and as many other fields as
required or as time will allow (for more information, see “Patient
Demographic Fields” on pg. 6-10).
3. A file is automatically created for the patient. Patient information is
saved when you press the left arrow key to exit the EDIT ID menu.

Print All New ECGs


If you wish to print all ECGs in the directory which have not been printed previously
(i.e., Record Status is not PR), select the PRINT ALL NEW ECGS item in the
DIRECTORY.
1. In the DIRECTORY menu, select the PRINT ALL NEW ECGS field
by pressing the “E” key.

2. All ECGs which have not been printed previously will print out on the
electrocardiograph.

Use the left arrow key to exit.

Print median complex


If you wish to review the averaged beats for a record, select the PRINT MEDIAN
COMPLEX item in the DIRECTORY. On interpretive units, the median complex is
used as the basis for all computerized analyses.
1. Locate the desired patient file, highlight it and press the Enter key. The
Single ECG Functions list is displayed.

2. Press the “R” key to print the median complex for the selected record.

NOTE: Chart speed is fixed at 50 mm/s.

Use the left arrow key to exit.

7-6 Eclipse Operating Instructions 070-1149-01 B


Additional Functions

Print Measurement Matrix


If you wish to review the numerical data for a record, select the PRINT
MEASUREMENT MATRIX item in the DIRECTORY. The measurement matrix
contains numerical data, such as P wave duration (“PDUR”), which is derived from the
median complex for the record.
1. Locate the desired patient file, highlight it and press the Enter key. The
Single ECG Functions list is displayed.

2. Press the “N” key to print the measurement matrix for the selected
record.

Use the left arrow key to exit.

Configuring the FAX Menu


Eclipse Premier stores up to 4 phone numbers which are listed by their descriptions.
Fax numbers and descriptions can be entered or modified from the FAX ECG menu.
1. Locate the desired patient file, highlight it and press the Enter key. The
Single ECG Functions list is displayed.

2. From the Single ECG Functions list, press the “F” key to access the
FAX ECG menu.

3. Press “E” to enter new phone numbers or correct existing numbers in


the EDIT PHONE NUMBER menu.

4. To enter a new number for Phone #1, type in a phone number. To


modify an existing phone number, arrow down to the phone number
and enter the new number as desired.

NOTE: Enter up to 20 numeric characters. The comma character


( , ) inserts a pause during dialing. For example, this is often used after
dialing a “9” prefix before the rest of the phone number.

5. Arrow down to the Description field. Using the keyboard, type in a


description for the phone number.

NOTE: Enter up to 15 alphanumeric characters.

6. To add or change additional phone numbers, arrow up or down to the


appropriate fields and enter information as desired.

Use the left arrow key to exit.

070-1149-01 B Eclipse Operating Instructions 7-7


Chapter 7 Managing Patient Records

Print Directory
If you wish to print a list of all patient records currently stored in the directory, select
the PRINT DIRECTORY item in the DIRECTORY.
1. In the DIRECTORY menu, select the PRINT DIRECTORY field.

2. A complete list of the DIRECTORY contents is printed (see sample


printout in Chapter 9).

Use the left arrow key to exit.

Delete All Records

NOTE: The below information is for use by IT personnel or


network administrators only.

NOTE: Depending upon your system settings, a password may be


required to delete all records. For more information, see “Password”
on pg. 4-5.

With Eclipse Premier, it is possible to delete all contents in the directory.

NOTE: It is not possible to recover erased records.

1. In the DIRECTORY menu, scroll to and select the DELETE ALL


RECORDS field by pressing the “D” key.

4501 2. A message box will appear. Press the “O” key twice to confirm
deletion. To cancel the request, select Cancel.

NOTE: Proceed with caution. Answering Ok to these questions


will permanently erase every record in the Directory.

Use the left arrow key to exit.

7-8 Eclipse Operating Instructions 070-1149-01 B


Chapter 8 Sending and Receiving Records

NOTE: You may use your Eclipse Premier for a variety of sending
and receiving. You may use a remote connection with either an internal
or an external modem, a wireless connection with a wireless device, or
a direct connection with another Eclipse or a compatible ECG
management system.

Eclipse Premier units with communication capabilities can receive requisitions, as well
as transmit ECGs to and receive ECGs from other Eclipse electrocardiographs or the
PYRAMIS ECG management system.

Equipment Connections
Figure 8-1
Back Panel

A B C

Key
RJ11 A Internal Modem Connect phone line cable, p/n 007079, to this RJ11
connector if your unit is equipped with an internal
fax/modem.
IOIO B Serial Port Connect compatible fax/modems to this serial connector
using an approved modem cable. Most Hayes-
compatible modems supporting Fax Service Class 2
commands will work with the Eclipse Premier.
Also use this connector for direct connection to a
compatible management system. The part numbers for
direct connect cables are 012-0710-00 for the adapter
cable; 882029 for the workstation cable; and 863347 for
the server cable.
C Analog output The analog output provides one channel waveform,
typically the first channel which is currently displayed on
the PREVIEW screen, unless the PREVIEW screen is
displaying all 12 leads. In this case, channel II is output.
For wireless connection, connect adapter module into
this DB-25 connector (see Figure 8-2 on pg. 8-2).

070-1149-01 B Eclipse Operating Instructions 8-1


Chapter 8 Sending and Receiving Records

Wireless Connection via Adapter Module (Optional)


Figure 8-2
Back Panel with
Adapter Module

To connect the adaptor module and the wireless adapter, see the instructions provided
with the wireless device.

WARNING: The Eclipse Premier should not be connected to non-


medical equipment unless the non-medical equipment complies with
IEC 601-1. In addition, the enclosure leakage current of non-
medical equipment connected to the Eclipse Premier should not be
allowed to exceed 500µA in fault condition. To maintain a proper
enclosure leakage current, provide additional protective earth
grounding, use an additional isolating transformer or use a floating
power supply.

WARNING: The Eclipse Premier and any non-medical equipment


that it is connected to should not be allowed within the patient’s
vicinity, which extends 6 feet (1.83 m) beyond the perimeter of the
bed, table or chair, and 7 1/2 feet (2.29 m) above the floor.

WARNING: NEVER create a direct connection between an


Eclipse Premier and a PYRAMIS computer if the Eclipse Premier is
already connected to a patient.

8-2 Eclipse Operating Instructions 070-1149-01 B


How record status affects the sending operations

How record status affects the sending operations


NOTE: For the list of status codes, see “Record Status” on pg. 7-2.

Record status affects whether records can be sent from the Eclipse Premier. The
following rules apply:
● Records with status Dm can not be sent.
● Records with status Rv can not be sent.
In general, the following records will automatically be sent when BATCH SEND
ECGS is selected in the DIRECTORY menu: records with the status ECG; records
with the status ECG and Pr; records with the status RtE; and records with the status
RtE and Pr. The following rules also apply:
● Records with status St or Rq will not be sent when BATCH SEND ECGS
is selected in the DIRECTORY menu. These records may be sent
individually from the Single ECG Functions list.
● Records with status, No, will not be sent when BATCH SEND ECGS is
selected in the DIRECTORY menu. These records may be sent
individually from the Single ECG Functions list.

Changing Record Status


Patient records can be marked so that they are automatically sent when BATCH SEND
ECGS is selected in the DIRECTORY menu. Similarly, patient record status can be
changed to ensure that a record is not sent.

Mark Record as “SEND”


To ensure that a record is sent the next time BATCH SEND ECGS is selected, select
the MARK RECORD AS “SEND” from the Single ECG Functions list.
1. Follow the instructions for accessing the list of patient files (see
“Using the DIRECTORY Menu” on pg. 7-1).

2. Locate the desired patient file, highlight it and press the Enter key. The
Single ECG Functions list is displayed.

3. Select MARK RECORD AS “SEND” from the Single ECG Functions


list

4. If the record has been sent previously, then the status of St is removed
from that record. The file will be sent the next time BATCH SEND
ECGS is selected.

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Chapter 8 Sending and Receiving Records

Mark Record As “DO NOT SEND”


To ensure that a record is not sent the next time BATCH SEND ECGS is selected, select
the MARK RECORD AS “DO NOT SEND” from the Single ECG Functions list.
1. Follow the instructions for accessing the list of patient files (see
“Using the DIRECTORY Menu” on pg. 7-1).

2. Locate the desired patient file, highlight it and press the Enter key. The
Single ECG Functions list is displayed.

3. Select MARK RECORD AS “DO NOT SEND” from the Single ECG
Functions list

4. The record is marked with the No status. The file will not be sent the
next time BATCH SEND ECGS is selected.

Setting Up the Unit to Send and Receive


The Eclipse Premier can transmit and receive records in three ways:
● Direct Connection
● Wireless Connection (optional)
● Remote Connection
A direct connection is achieved through the use of a cable, which connects the Eclipse
Premier unit to either PYRAMIS or another Eclipse unit. A wireless connection is
achieved through a wireless transmitter attached to the Eclipse Premier, a wireless
access port, and receiver software. A remote connection requires either an internal or
external modem connected to a phone line.

Using a Direct Connection


1. If you are connecting to PYRAMIS, connect the Interconnect Cable to
the connector labeled “DECG-SCP” on the PYRAMIS back panel and
to the connector labeled “IOIO” on the Eclipse Premier back panel.

2. If you are connecting to another electrocardiograph, connect the


Eclipse Direct Connect Cable #007796 to the connectors labeled
“IOIO” on the back panel of each Eclipse.

NOTE: Follow steps 3 through 8 on both Eclipse units.

3. Press the On/Standby key to power up to the PREVIEW screen.

4. Press the “M” key to go to the MAIN MENU.

8-4 Eclipse Operating Instructions 070-1149-01 B


Setting Up the Unit to Send and Receive

5. Select SYSTEM SETUP by pressing the “S” key. The SYSTEM


SETUP menu will appear (see Figure 4-1 on pg. 4-1).

6. Press the down arrow key to highlight the Connection field and select
DIRECT.

7. Press the left arrow key to return to the MAIN MENU.

8. Press the “D” key to go to the DIRECTORY menu.

Using a Wireless Connection


Refer to the instructions that accompanied the Wireless Connection option for
instructions on installing and configuring the transmitter and receiver.

Using a Remote Connection

CONNECTING TO PYRAMIS
To send records to PYRAMIS, or to receive requisitions and records from PYRAMIS,
the Eclipse Premier must be equipped with either an internal or external modem
connected to a phone line.
1. Press the On/Standby key to power up to the PREVIEW screen.

2. Press the “M” key to go to the MAIN MENU.

3. Select SYSTEM SETUP by pressing the “S” key. The SYSTEM


SETUP menu will appear (see Figure 4-1 on pg. 4-1).

4. Press the down arrow key to highlight the Connection field and select
MODEM.

5. Verify that the Phone # and Description fields are correctly filled in.

6. Press the left arrow key to return to the MAIN MENU.

7. Press the “D” key to go to the DIRECTORY menu.

CONNECTING TO ANOTHER ECLIPSE

NOTE: This requires two Eclipse units with either an internal or


external modem connected to separate phone lines.

1. Both Eclipse units: Press the On/Standby key to power up to the


PREVIEW screen.

070-1149-01 B Eclipse Operating Instructions 8-5


Chapter 8 Sending and Receiving Records

2. Both Eclipse units: Press the “M” key to go to the MAIN MENU.

3. Both Eclipse units: Select SYSTEM SETUP by pressing the “S” key.
The SYSTEM SETUP menu will appear (see Figure 4-1 on pg. 4-1).

4. On the Eclipse that will be sending records, press the down arrow key
to highlight the Description field and verify that the description and
phone number are correct for the electrocardiograph that will be
receiving records.

5. Both Eclipse units: Press the down arrow key to highlight the
Connection field and select MODEM.

6. Both Eclipse units: Press the left arrow key to return to the MAIN
MENU.

7. Both Eclipse units: Press the “D” key to go to the DIRECTORY


menu.

Receiving requisitions from PYRAMIS


A requisition is a request for an ECG report that consists of demographic information
only. Requisitions are used to organize the schedule of the person acquiring ECG
records. An ECG management system such as PYRAMIS sends a requisition to the
electrocardiograph, indicating that an ECG needs to be acquired on a specific patient.
Requisitions are received using the GET REQUISITIONS selection in the
DIRECTORY menu.
1. Follow the instructions for setting up the unit to receive records (see
“Setting Up the Unit to Send and Receive” on pg. 8-4).

2. From the DIRECTORY menu, press the “Q” key to go to the GET
REQUISITIONS menu.

3. Select ENTER CRITERIA. The Get Requisitions menu is displayed.

4. The Department field will display the default Department number as


set in the PATIENT FIELDS ENABLE menu. This will limit the
search to requisitions targeted at the selected department. You may
change this to receive requisitions for a different department. You can
also delete this to receive all requisitions currently on the PYRAMIS
system.

5. To limit the request to requisitions targeted at you or your area, type


your code into the Group Code field.

The Group Code is maintained on the PYRAMIS system. Contact your


System Administrator to verify your Group Code.

8-6 Eclipse Operating Instructions 070-1149-01 B


Sending records to PYRAMIS

6. If you want to receive a specific requisition and you know the number,
type this number into the Req. Number (Requisition Number) field.

7. Press the left arrow key to return to the GET REQUISITIONS menu.

8. Select GET REQUISITIONS to receive all requisitions that match


the criteria you have entered.

Sending records to PYRAMIS


1. Follow the instructions for setting up the unit to send records (see
“Setting Up the Unit to Send and Receive” on pg. 8-4).

2. To send more than one ECG, select BATCH SEND ECGS from the
DIRECTORY menu. The Eclipse Premier unit will automatically send
all of the ECGs that have the appropriate status (see “How record
status affects the sending operations” on pg. 8-3). A message will be
displayed indicating the total number of ECGs sent. Select OK.

3. To send a single ECG, in the DIRECTORY menu, select VIEW


DIRECTORY. Select a single record and select SEND ECG from the
Single ECG Functions list. A message will be displayed indicating the
status of the operation. Select OK.

4. The list of tests is displayed.

070-1149-01 B Eclipse Operating Instructions 8-7


Chapter 8 Sending and Receiving Records

Sending and Receiving records from an Eclipse


1. Follow the instructions for setting up the unit to send and receive
records (see “Setting Up the Unit to Send and Receive” on pg. 8-4).

1. Ensure that both electrocardiographs display the DIRECTORY menu.

2. On the Eclipse that will be receiving the records, press the “R” key
(Receive ECGS) to put the electrocardiograph into waiting mode.

3. To send more than one ECG, select BATCH SEND ECGS from the
DIRECTORY menu. The Eclipse Premier unit will automatically send
all of the ECGs that have the appropriate status (see “How record
status affects the sending operations” on pg. 8-3). A message will be
displayed indicating the total number of ECGs sent. Select OK.

4. To send a single ECG, in the DIRECTORY menu, select VIEW


DIRECTORY. Select a single record and select SEND ECG from the
Single ECG Functions list. A message will be displayed indicating the
status of the operation. Select OK.

5. The list of tests is displayed.

Receiving records from PYRAMIS


1. Follow the instructions for setting up the unit to receive records (see
“Setting Up the Unit to Send and Receive” on pg. 8-4).

2. To receive all confirmed records, select GET ALL CONFIRMED


ECGS from the DIRECTORY menu. A message will be displayed
indicating the total number of ECGs received. Select OK.

NOTE: The Institution Number and Department on the Eclipse


Premier must match the settings on PYRAMIS in order for this
selection to function properly (see “Institution Number” on pg. 4-3
and “Department” on pg. 6-12).

3. To receive records for a particular patient, select GET ECG VIA ID


from the DIRECTORY menu. See “Using GET ECG VIA ID” on
pg. 8-9).

8-8 Eclipse Operating Instructions 070-1149-01 B


Receiving records from PYRAMIS

Using GET ECG VIA ID


When you select GET ECG VIA ID you can search the PYRAMIS database for all the
records for a particular patient. You can search the database using:
● The patient’s ID
● The patient’s name

USING THE PATIENT’S ID


1. From the DIRECTORY menu, select GET ECG VIA ID. The GET
ECG VIA ID menu is displayed.

2. The only option available at first is ENTER ID. Select this option. The
GET VIA ID menu is displayed.

3. Type the patient’s ID into the ID field.

4. Press the left arrow key to return to GET ECG VIA ID.

5. Select GET ECG LIST to view a list of all the records stored on
PYRAMIS with that ID.

6. When the list has downloaded, highlight each record that you want to
receive and press enter to select the record. The word, “SELECT”
appears on the right side of the display.

7. Press the left arrow key to return to GET ECG VIA ID.

8. Select GET ECG(S) to begin receiving all the selected records.

USING THE PATIENT’S NAME


1. From the DIRECTORY menu, select GET ECG VIA ID. The GET
ECG VIA ID menu is displayed.

2. The only option available at first is ENTER ID. Select this option. The
GET VIA ID menu is displayed.

3. Type at least the first letter of the patient’s last name (see “How
PYRAMIS Searches Using the Patient’s Name”).

4. Press the left arrow key to return to GET ECG VIA ID.

5. Select GET ECG LIST to view a list of all the records stored on
PYRAMIS with that ID.

6. When the list has downloaded, highlight each record that you want to
receive and press enter to select the record. The word, “SELECT”
appears on the right side of the display.

070-1149-01 B Eclipse Operating Instructions 8-9


Chapter 8 Sending and Receiving Records

7. Press the left arrow key to return to GET ECG VIA ID.

8. Select GET ECG(S) to begin receiving all the selected records.

HOW PYRAMIS SEARCHES USING THE PATIENT’S NAME


PYRAMIS can search using just the Last Name field. All the files with the entered last
name are retrieved. If there are no files with exactly the same last name, then
PYRAMIS locates all the files with last names that are similar to the one entered.
When you search using First Name in addition to the Last Name field, PYRAMIS
searches for files with a first name that matches exactly. First, PYRAMIS searches for
an exactly matching last name. If no exact matches are found, PYRAMIS searches for
similar last names. Once a last name is found, either matching or similar, PYRAMIS
displays only the records in which the first name matches exactly.
For example:
The database has 4 records:
Stork, Blanche
Smythe, John
Smythe, Blanche
Smith, Blanche
Search for:
Last Name: Smi
First Name: Blanche
PYRAMIS displays 2 records in the List of Patients window:
Smythe, Blanche
Smith, Blanche
No exact match was found for the last name so all names similar to “Smi” were located.
Of these, only files with an exactly matching first name were displayed.

8-10 Eclipse Operating Instructions 070-1149-01 B


Chapter 9 Sample Printouts

Print Directory Report

12.11.2004

070-1149-01 B Eclipse Operating Instructions 9-1


Chapter 9 Sample Printouts

Print Setup Report


The Print Setup Report is a list of all current settings (see “Acquire Printout of Eclipse
Premier Program Settings” on pg. 4-17).
The example Print Setup Report printout below lists the settings as they are set at the
factory.

9-2 Eclipse Operating Instructions 070-1149-01 B


Standard 12-Lead, 4-Channel Auto ECG

Standard 12-Lead, 4-Channel Auto ECG

070-1149-01 B Eclipse Operating Instructions 9-3


Chapter 9 Sample Printouts

Standard 12-Lead, 6-Channel Auto ECG

9-4 Eclipse Operating Instructions 070-1149-01 B


Standard 3-Channel Rhythm & Manual ECG

Standard 3-Channel Rhythm & Manual ECG

070-1149-01 B Eclipse Operating Instructions 9-5


Chapter 9 Sample Printouts

Measurement Matrix

9-6 Eclipse Operating Instructions 070-1149-01 B


Median Complex

Median Complex

070-1149-01 B Eclipse Operating Instructions 9-7


Chapter 9 Sample Printouts

9-8 Eclipse Operating Instructions 070-1149-01 B


Chapter 10 Troubleshooting

While the Eclipse Premier has been refined to consistently produce prompt and
accurate results, occasionally you may encounter problems with the Eclipse Premier.
Refer to the table in this chapter for solutions to common problems. For any additional
questions concerning the operation or servicing of your product, contact your local
representative or Eclipse Technical Support at (800) 426-0337 or (425)402-2485.

Troubleshooting Basic Unit Problems

PROBLEM PROBABLE CAUSE

Unit will not turn on. - Unit not connected to AC line voltage.
- Battery is not installed or has no charge.
- Faulty power cord.
- AC outlet not functional.

After the battery has been fully charged, the - Battery pack may be worn out.
battery status gauge indicates low battery - Battery status gauge is not calibrated (see
within 30 minutes of operation. “Charging the Battery” on pg. 2-4).

Unit “beeps” when a key is pushed. - That function or key is not an option at
this time. Press another key to proceed.
Unit has “frozen.” The unit does not respond - Press the On/Standby key. After a possible
to key strokes and the display does not delay of up to 5 seconds, the unit shuts off.
change. To continue with normal operation, press
On/Standby again to restart the Eclipse
Premier.
Unit displays a completely blank screen. - Press the On/Standby key to restart the
Eclipse Premier.
Unit will not send or receive records via - Verify that the phone number and
modem. description fields are correctly filled in.
These are found in the SYSTEM SETUP
menu.
- Verify that the correct phone type and
connection type are selected in the
SYSTEM SETUP menu.
No records are received from PYRAMIS - No confirmed ECGs currently exist on the
when using the GET ALL CONFIRMED PYRAMIS system.
ECGS in the directory. - The Institution Number and Department
on the Eclipse Premier do not match the
settings on PYRAMIS (see “Institution
Number” on pg. 4-3 and “Department” on
pg. 6-12).

070-1149-01 B Eclipse Operating Instructions 10-1


Chapter 10 Troubleshooting

PROBLEM PROBABLE CAUSE


Fax function is not working. - Verify that the phone number and
description fields are correctly filled in.
These are accessed through the FAX ECG
menu.
Several functions in the DIRECTORY menu - Verify that the correct connection type is
are unavailable and appear gray. selected in the SYSTEM SETUP menu.
- If MODEM is selected for the
Connection field, verify that the Phone #
field is correctly filled in. These are found
in the SYSTEM SETUP menu.

Troubleshooting Trace Problems

PROBLEM PROBABLE CAUSE

Waveforms are flat for all leads and/or - Electrodes not applied correctly.
“OVERLOAD” message will not clear. - Acquiring ECG too quickly; wait for the
message, “SENSORS OK” before
pressing the ECG key.
- Patient cable not properly connected to
unit.
- Faulty patient cable.
- Electrical interference from an external
source is causing noise spikes.

Waveform is flat for one or more leads (all - Electrode not applied correctly.
others are OK) and/or “OVERLOAD” - Acquiring ECG too quickly; wait for the
message will not clear. message, “SENSORS OK” before
pressing the ECG key.
- Electrode not adhering properly.
- Electrode is being pulled, tapped or
pressed.
- Electrode disconnected from patient’s
skin.
- Lead wire disconnected from electrode.
- Debris in teeth of astroclip.
- Faulty lead wire(s) or patient cable.

Baseline is drifting in waveform for one or - Poor patient preparation.


more leads. - Use of dissimilar sensors or sensors not
recommended for use with Eclipse
Premier .
- Sensors need to sit longer on skin.
- Poor sensor contact with skin.
Trace is “noisy.” The waveform is not a - AC interference from lighting, cables, or
single, clean line. equipment near patient.
- Improper line filter setting in SYSTEM
SETUP menu.

10-2 Eclipse Operating Instructions 070-1149-01 B


Troubleshooting Printer Problems

PROBLEM PROBABLE CAUSE


Occasional noise or artifact in the waveform - Patient movement.
for one or more leads. - Muscle tremor noise.
- Improperly applied sensors.
- Electrical interference.
- Sensors need to sit longer on skin.
- Poor sensor contact with skin.
- Ineffective baseline filter setting.
Incorrect heart rate printed and/or displayed. - Waveform is a bigeminal rhythm.
- Poor data quality. Ensure that the sensors
and leads are attached properly.
- QRS amplitude and T wave amplitude are
almost the same.
Incorrect or missing measurements on the - Undetermined P-wave or P-T coupling.
printout. - Poor data quality. Ensure that the sensors
and leads are attached properly.
- Unusual waveform pattern.

Troubleshooting Printer Problems

PROBLEM PROBABLE CAUSE

No printout. - Paper not installed or paper installed


incorrectly. Refer to “Loading Recording
Paper” on pg. 2-3.

Paper jammed or misaligned. - Unit not used for extended period of time
with paper installed. Reload paper, see
page 2-3.

Print quality is very light. - Paper type in use is Assurance 50, but
paper type selected in system settings is
Standard. Change paper type in settings to
Assurance 50 (see “Paper Type” on pg. 4-
4).

Print quality is very dark. - Paper type in use is Standard, but paper
type selected in system settings is
Assurance 50. Change paper type in
settings to Standard (see “Paper Type” on
pg. 4-4).

Problems using full format paper. - Load paper (see “Loading Recording
Paper” on pg. 2-3)
- Ensure the paper is at top-of-form by
pressing the “P” key and waiting until the
paper stops. If “Paper OUT: Reload and
continue?” message appears, select OK.
- Press “MAN”. When printing starts, press
“STOP”.
- Again, press “MAN”. When printing
starts, press “STOP”.

070-1149-01 B Eclipse Operating Instructions 10-3


Chapter 10 Troubleshooting

PROBLEM PROBABLE CAUSE

REDUCED PERFORMANCE MODE - 50 mm/s paper speed selected. Reduce


Paper speed erratic. ECG printouts have paper speed to 25 mm/s.
unexpected breaks in the waveforms at - Artifact filter is set to 40 Hz (on). Change
setting to 150 Hz.
random intervals. Breaks are accompanied
- Current Custom Lead setting is Frank.
by vertical dashed lines, header/footer
Use another Custom Lead setting or
information and lead designators. reduce paper speed and turn off Artifact
Filter.

Report is printing “STAT” in the Patient ID - No ID number was entered for the patient.
field of the report.

Recognizing and Reducing ECG Artifacts

“OVERLOAD” message
Defibrillating the patient will interfere with the Eclipse Premier sensors. This may
result in loss of the trace or erratic trace deflections. An “OVERLOAD” message alerts
you that waveforms may not be accurate.
A broken wire in a patient lead or a poorly applied sensor may also cause an
“OVERLOAD” message. This condition must be corrected before the overload
condition clears.

Rapid, large and erratic deflections


A broken wire in the patient lead or a poorly applied sensor may cause rapid, large and
erratic trace deflections.

Irregular frequency or amplitude


Patient movement and muscle tremor may result in abnormal traces. To minimize this
artifact, toggle the artifact filter to 40 Hz with the “9” machine control key.
In addition, try to gain the patient’s cooperation in staying very relaxed and still.
Sometimes, somatic tremor is unavoidable but its effects may be minimized by having
the patient place his/her hands under the buttocks.

Figure 10-1
Somatic Tremor and Patient
Movement Artifact

10-4 Eclipse Operating Instructions 070-1149-01 B


Recognizing and Reducing ECG Artifacts

Baseline wander
Poorly affixed sensors may cause the baseline to wander. Normally, the baseline will
stabilize within a few seconds. If the baseline shifts up and down, it may be due to the
patient’s breathing or to loose or corroded sensors.

Figure 10-2
Poorly Affixed Sensor Artifact

Wide baseline
Electrical interference may produce a wide baseline. Its amplitude depends on the
strength of the current source and the lead being recorded. In any one lead, the
amplitude of the interfering signal is uniform.

Figure 10-3
Electrical Interference
Artifact

070-1149-01 B Eclipse Operating Instructions 10-5


Chapter 10 Troubleshooting

To reduce electrical interference:


✔ Keep the power cord away from the patient and patient cable.
✔ Connect the unit to a properly grounded wall outlet.
✔ Arrange the patient cable leads together, closely following the
body contour.
✔ Check the line filter setting in the SYSTEM SETUP menu. For
more information, see “Configuring SYSTEM SETUP Menu” on
pg. 4-1.
✔ Ensure that Diathermy or X-ray equipment in adjacent rooms is
not operating. Other electrical equipment including electric beds,
televisions, and lighting fixtures may also generate interference
(even when not in use).
✔ Try moving the patient to another place in the room. Sometimes,
electrical wiring in walls and ceilings causes interference.
✔ Operate the Eclipse Premier from battery power.

10-6 Eclipse Operating Instructions 070-1149-01 B


Chapter 11 Maintenance and Service

NOTE: To ensure safety of patients and operators, periodic safety


checks should be performed by a qualified service technician trained
in medical device safety.

Calibrating the Battery


Regular battery calibration is an important part of Eclipse Premier maintenance. Refer
to “Using the Battery” on pg. 2-4 for information on when and how to calibrate the
battery.

Inspecting for Damage


WARNING: Hazardous voltage. To reduce the risk of electrical
shock, do not attempt to remove the cover under any circumstances.
Refer servicing to a qualified technician.

Before every use, check the power cord, power plug, power connector, and power input
jack for signs of damage.
Contact an authorized service agent immediately if:
✔ The equipment falls from the cart or is subjected to some other
extreme mechanical stress.
✔ Liquid is spilled on the equipment.
✔ The equipment is not functioning properly.
✔ Parts of the enclosure are cracked, missing or deteriorated.
✔ Any connector or cord shows signs of deterioration such as
cracking.

Cleaning and Disinfecting


Clean and disinfect the unit any time it is deemed necessary.

The housing
NEVER use ether, benzene or similar solvents.

CLEANING
Gently rub the housing with a clean, damp cloth using a mild household detergent.

DISINFECTION
Spray the housing with INCIDIN or similar product.

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Chapter 11 Maintenance and Service

The patient cable and reusable sensors


NEVER immerse cables in fluid, or use hot sterilization. Do not use ether. Do not use
bleach, acetone or similar harsh chemicals or solvents.

CLEANING AND DISINFECTION


Rub with a clean cloth moistened with a formaldehyde solution such as CIDEX,
SONACIDE, LYSOFORM 5% or INCIDIN 1.5%.

Testing Equipment
The Eclipse Premier performs a computer self-test every time it is powered up. No
calibration is necessary. Complete safety and component checks should be perform at
least annually by a qualified service technician.

Testing the Patient Cable


If the patient cable appears damaged in any way, contact your local representative for
replacement.
● Visually inspect for the cable for cracks, stress marks and broken or bent
pins.
● Connect the patient cable to the ECG and attach each sensor lead to an
electronic heart signal simulator. (If a simulator is not available, a test
subject may be used.)
● Check the signal transmission through the cable by flexing the cable and
electrode lead wires and observing the ECG rhythm for irregular tracings.

NOTE: If using a test subject, be sure not to disturb the sensor site
since common baseline artifact will occur. This should not be confused
as a broken wire.

Testing the battery


The Eclipse Premier monitors battery status. It is not necessary for you to perform any
tests on the battery. However, if the battery does not retain a charge for more than 30
minutes of operation, you may need to calibrate or replace the battery pack. To calibrate
the battery pack, perform the steps outlined in “Calibrating the Battery” on pg. 2-5.
The battery pack in the Eclipse Premier is not user replaceable. It must be replaced by
an authorized service representative.

WARNING: Never remove the battery pack and attempt to


recharge it using an external battery charger. Fire or explosion may
result.

11-2 Eclipse Operating Instructions 070-1149-01 B


Notice to responsible service personnel

Notice to responsible service personnel


The contents of this document are not binding. If you find a significant difference
between this service information and your unit, please consult your local
representative. We reserve the right to improve or modify products without amending
this document or advising the user.
We recommend consulting authorized personnel for all service and repairs, and using
genuine parts, exclusively. Cardiac Science Corporation will not otherwise assume
responsibility for material quality, workmanship or any consequences thereof.
This product has been carefully designed and manufactured to provide a high degree of
safety and dependability. However, we can not guarantee against the failure or
deterioration of components due to aging and normal use.

Performance Disclosures
WARNING: Explosion hazard. Do NOT use in the presence of
flammable anesthetics.

WARNING: This device is NOT intended for unattended or


continuous patient monitoring. It is intended for short-term ECG
waveform acquisition. There are no audible or visible alarms.

CAUTION: Although the Eclipse Premier is designed to meet IEC


601-1-2 EMC immunity requirements, the presence of strong EMI
fields generated by electronic, surgical or diathermy instruments in
close proximity to the unit may cause trace noise or input overload
conditions.

NOTE: Deviations from the technical specification ranges listed


can affect device performance.

NOTICE: 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.
NOTICE: Because the Eclipse Premier offers several different lead configurations,
always ensure that the appropriate lead placement is employed for the lead
configuration selected.
This symbol which appears on the rear panel of some units, indicates this equipment
meets the requirements of Council Directive 93/42/EEC, MDD, Class IIa.

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Chapter 11 Maintenance and Service

These units have been tested for electromagnetic compatibility in accordance with IEC
601-1-2. The failure criterion for the device is, “undetectable interference with the
ECG trace which could result in misdiagnosis.” While the device passes the relevant
standards, it may exhibit evidence of interference when subjected to electrostatic
discharges, high voltage transients or high voltage surges, as defined in IEC 801-2, IEC
801-4 and IEC 801-5. The interference from a single event will demonstrate as a sharp
noise spike on the ECG trace. The clinician will not confuse such a noise spike with the
heart beat waveforms and there is no hazard of misdiagnosis. In the unlikely situation
that the equipment is placed in an environment where such interference events are
common, either the equipment or the interference source may be moved.

Battery pack
Under normal conditions, a fully charged battery pack provides adequate power to print
a minimum of 800 pages of data at paper speed of 25 mm/sec; or a minimum of 20
minutes of continuous acquisition and printing.
A fully discharged battery pack will completely recharge in approximately 5 hours.

Heart rate detection


The Eclipse Premier heart rate meter is specified to function in the range of 30 to 250
bpm with a tolerance of ±10% or ±5 bpm, whichever is greater. Question marks (???)
appear on the printout if the heart rate is out of the specified range.

R-R Intervals
Individual annotated R-R intervals may be printed at the bottom of the 12-lead report.
The R-R interval is the time interval between two consecutive QRS onsets.
The R-R interval printed on the top center of the ECG report is the average of all valid
R-R intervals. The average R-R interval value appears in truncated form (ms).
The Vent. Rate printed on the top center of the ECG report is derived from the precise
average R-R interval. The Vent. Rate value appears in truncated form (bpm).

Pacer Detection and Suspension


Unlike ECG signals, pacer signals are sharp and narrow impulses. External interference
spikes sometimes mimic the shape of pacer impulses. Although this is a rare
occurrence, it can obstruct accurate pacer detection.
When interference occurs, it causes an over-detection of possible pacer events, and
could result in interpretation errors. Pacer detection suspension is designed to prevent
possible interpretation errors due to interference.

NOTE: If spikes appear while pacer detection is suspended, refer to


the Operating Instructions for information on eliminating electrical
interference. Once you have eliminated the source of the interference,
proceed with ECG acquisition.

11-4 Eclipse Operating Instructions 070-1149-01 B


Performance Disclosures

If any of the following appear on the printout or the screen, then pacemaker detection
has been suspended due to excessive noise:
✔ PS (for Pacer Suspended). This small marking appears in the
lower right corner of the printout.
✔ Pacer detection suspended due to external noise - REVIEW
ADVISED. This statement appears as the top line of the
interpretation on the printout. If this statement has been printed
then one of the following situations also exists: IMPLANTED
PACER was entered for the class field in the Patient
Demographics; or the Eclipse detected valid pacer activity and did
not suspend pacer detection for the entire 10 seconds.
✔ NOISE—PACER DETECTION SUSPENDED. This message
is displayed in the electrode status area, near the bottom of the
screen.
If the patient has a pacemaker, pacer enhancement markings (in the waveforms) will
not appear during pacer detection suspension.

40 Hz Artifact Filter

WARNING: The use of an artifact filter may affect the ECG


output; the physician is responsible for taking this into account
when reviewing and interpreting the ECG.

The primary purpose of the 40 Hz artifact filter is to remove skeletal muscle artifact,
i.e., undesired signals. The filter provides a better signal quality when high-frequency
noise appears. However, the filter could also lower the peak of the QRS complex, as
well as smooth some subtle details of ECG signals. For example, this may occur with
left ventricular hypertrophy and with pediatric signals. The physician should take into
account the effect of the artifact filter when reviewing such cases.
The 40 Hz artifact filter does not affect the automatic 12-lead measurement and
interpretation analysis, but may affect the printed waveform. To view the full
bandwidth signal for an ECG, change the artifact filter to 150 Hz; for more information,
see “Printing ECG Reports” on pg. 7-4. Additionally, you may change the default
settings on your Atria to acquire new ECGs using the 150 Hz filter; refer to “Artifact
Filter” on pg. 4-8.

070-1149-01 B Eclipse Operating Instructions 11-5


Chapter 11 Maintenance and Service

Internal Modem
The Eclipse electrocardiograph supports an optional internal modem. The internal
modem has been certified by the original equipment manufacturer to meet national and
international telephone regulatory requirements.

NOTE: Copies of the Declarations of Conformity and national


certificates may be obtained by contacting Customer Service at
(800)426-0337 or (425) 402-2485.

National approval marks and registration numbers are located internally on the modem
assembly.

EMC Declaration Tables


CAUTION: The Eclipse Premier requires special precautions
regarding EMC. Install and use the Eclipse Premier according to the
guidelines of the EMC declaration tables.

CAUTION: Portable and RF communications equipment may


affect the Eclipse Premier. Always observe the recommended
separation distances as defined in the EMC declaration tables.

The Eclipse Premier is intended for use in the electromagnetic environment specified
below. The customer or the user of the Eclipse Premier should assure that it is used in
such an environment.

Electromagnetic Emissions

Electromagnetic environment -
Emissions test Compliance
guidance
RF emissions Group 1 The Eclipse Premier uses RF energy only for its
CISPR 11 internal function. Therefore, its RF emissions are
very low and are not likely to cause any
interference in nearby electronic equipment.
RF emissions Class A The Eclipse Premier is suitable for use in all
CISPR 11 establishments, including domestic
Harmonic emissions Class A establishments and those directly connected to
IEC 61000-3-2 the public low-voltage power supply network that
supplies buildings used for domestic purposes.
Voltage fluctuations/ Complies
flicker emissions
IEC 61000-3-3

11-6 Eclipse Operating Instructions 070-1149-01 B


EMC Declaration Tables

Electromagnetic Immunity

IEC 60601 Compliance Electromagnetic environment -


Immunity test
test level level guidance
Electrostatic ±6 kV contact ±6 kV contact Floors should be wood, concrete or ceramic tile.
discharge (ESD) ±8 kV air ±8 kV air If floors are covered with synthetic material, the
IEC 61000-4-2 relative humidity should be at least 30%.

Electrical fast ±2 kV for power ±2 kV for power Mains power quality should be that of a typical
transient/burst supply lines supply lines commercial or hospital environment.
IEC 61000-4-4 ±1 kV for ±1 kV for
input/output lines input/output lines
Surge ±1kv differential ±1kv differential Mains power quality should be that of a typical
IEC 61000-4-5 mode mode commercial or hospital environment.
±2 kV common ±2 kV common
mode mode
Voltage dips, short <5% UT <5% UT Mains power quality should be that of a typical
interruptions and (<95% dip in UT) (<95% dip in UT) commercial or hospital environment. If the
voltage variations on for 0,5 cycle for 0,5 cycle Eclipse Premier user requires continued
power supply input operation during power mains interruptions, then
40% UT 40% UT
lines it is recommended that the Eclipse Premier be
(60% dip in UT) (60% dip in UT) powered from an uninterruptible power supply or
IEC 61000-4-11
for 5 cycles for 5 cycles a battery.
70% UT 70% UT
(30% dip in UT) (30% dip in UT)
for 25 cycle for 25 cycle
<5% UT <5% UT
(<95% dip in UT) (<95% dip in UT)
for 5 sec for 5 sec
Power frequency 3 A/m 3 A/m Power frequency magnetic fields should be at
(50/60 Hz) magnetic levels characteristic of a typical location in a
field typical commercial or hospital environment.
IEC 61000-4-8
NOTE 1: UT is the a.c. mains voltage prior to application of the test level.

070-1149-01 B Eclipse Operating Instructions 11-7


Chapter 11 Maintenance and Service

Immunity IEC 60601 Compliance Electromagnetic environment -


test test level level guidance
Portable and mobile RF communications
equipment should be used no closer to any part
of the Eclipse Premier, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency of
the transmitter.

Recommended separation distance


Conducted RF 3 Vrms 3 Vc
IEC 61000-4-6 150 kHz to 80 MHz d = 1.2 √ P

Radiated RF 3 V/m d = 1.2 √ P 80 MHz to 800 MHz


3 V/mc
IEC 61000-4-3 80 MHz to 2,5 GHz
d = 2.3 √ P 800 MHz to 2,5 GHz

where P is the maximum output power rating of


the transmitter in watts (W) according to the
transmitter manufacturer and d is the
recommended separation distance in metres
(m).

Field strengths from fixed RF transmitters, as


determined by an electromagnetic site survey,a
should be less than the compliance level in each
frequency range.b
Interference may occur in the vicinity of
equipment marked with the following symbol:

NOTE 1: At 80 MHz and 800MHz, the higher frequency range applies.


NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
a Field
strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which the
Eclipse Premier is used exceeds the applicable RF compliance level above, then the Eclipse Premier should
be observed to verify normal operation. If abnormal performance is observed, additional measures may be
necessary, such as reorienting or relocating the Eclipse Premier.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
c Amplitude modulated at 80% with a modulation frequency of 10 KHz per EN 60601-2-25.

11-8 Eclipse Operating Instructions 070-1149-01 B


EMC Declaration Tables

Recommended Separation Distances


Refer to the following table for recommended separation distances between the Eclipse
Premier and portable and mobile RF communications equipment.
The Eclipse Premier is intended for use in an electromagnetic environment in which
radiated RF disturbances are controlled. The user of the Eclipse Premier can help
prevent electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the Eclipse
Premier as recommended below, according to the maximum output power of the
communications equipment.

Rated maximum output Separation distance according to frequency of transmitter


power of transmitter 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2,5 GHz
W d = 1.2 √ P d = 1.2 √ P d = 2.3 √ P
0,01 0,12 0,12 0,23
0,1 0,38 0,38 0,73
1 1,2 1,2 2,3
10 3,8 3,8 7,3
100 12 12 23
For transmitters rated at a maximum output power not listed above, the recommended
separation distance d in metres (m) can be estimated using the equation applicable to the
frequency of the transmitter, where P is the maximum output power rating of the transmitter in
watts (W) according to the transmitter manufacturer.
NOTE1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range
applies.
NOTE 2: These guidelines may not apply in all situations. Electromagnetic propagation is
affected by absorption and reflection from structures, objects and people.

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Chapter 11 Maintenance and Service

Technical Specifications
43.5cm x 65.1cm x 125.7cm
Dimensions (with cart): (17.125" x 25.625" x 49.5")

Weight (with cart): 39.5 kg (87 lbs)

Power Requirements:
Mains Power Requirement 115/230 V AC ±10%, 0.80/0.40 A, 50/60 Hz
Battery Operation 16.8 VDC NiCd battery pack

Fuses:
F1 and F2 mains for 115 V, 1.0 A 250 V type T
for 230 V, 0.500 A 250 V type T

Environmental:
Operating Temperature 10° C to 40° C
Storage Temperature -20° C to 55° C
Relative Humidity 25% to 95% non-condensing

Acquisition:
Atmospheric Pressure 7 x 104 to 10.6 x 104 Pa
Lead Selection I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6
Supports Frank X,Y,Z; Nehb D,A,J; and Alternate
chest lead
Interpretation diagnosis, measurements, reasons statements
Modes auto, rhythm, manual
Frequency Response meets or exceeds ANSI/AAMI EC11-1991 standard
Input Impedance meets or exceeds ANSI/AAMI EC11-1991 standard
Electrode Offset Tolerance ±300 mV
A/d Conversion 10µV LSB

Storage Resolution: 500 samples/sec, 5µV resolution

Artifact Filter Response: 40 Hz, -3dB

Display: 640 x 480 pixel Active-Matrix, Color,


Liquid Crystal Display (LCD)

Printout:
Printout device 216 mm thermal dot array
Paper dimension 8.5" x 11" (US letter)
210mm x 300mm (A4)
Paper type Thermal sensitive (Burdick Assurance® or
Heartline™ paper recommended)
Chart speeds 10, 25, 50 mm/sec
Gain 5, 10, 20 mm/mV Chest or Limb (may be split)
Printout formats 3, 4, 6 or 12 channels; additional rhythm formats

11-10 Eclipse Operating Instructions 070-1149-01 B


Technical Specifications

Input/Output:
standard RS-232 (9 pin “D”)
analog output (DB 25)
telephone line interface (RJ11C)
ATA compact flash card
Adapter Module (optional) non-standard DB-9 female
non-standard DB-9 male

5V DC power jack

Options (Adapter Module 802.11b/g wireless Ethernet (optional)


required)
802.3 Ethernet RJ45 (optional)

barcode reader (optional)

Equipment Type Class IIa (Council Directive 93/42/EEC, MDD)

Conforms to Standards:
IEC 601-1/CSA C22.2 no. 601-1-M90
IEC 601-2-25/CSA C22.2 no. 601-2-25
IEC 601-1-2
And, by reference of IEC 601-1-2, conforms to EN
55011-Class A, IEC 801-2, IEC 801-3, IEC 801-4 and
IEC 801-5.

Safety:
Leakage Current patient <10µA, chassis <100µA
Defibrillator Protection to 5000V, 360J

070-1149-01 B Eclipse Operating Instructions 11-11


Chapter 11 Maintenance and Service

11-12 Eclipse Operating Instructions 070-1149-01 B


Chapter 12 Measurement Matrix

Eclipse Premier models with interpretation or measurement capabilities can be


programmed to print the Measurement Matrix after the analysis report.
The Measurement Matrix consists of 12 columns which contain measurements for the
twelve standard leads. These columns are labeled I, II, III, aVR, aVL, aVF, V1, V2, V3,
V4, V5, V6.
The following table explains the numerical values in the Measurement Matrix.

MEASUREMENT DESCRIPTION
Time in milliseconds from the beginning of recording to the beginning
PON of the first P wave.

PDUR P wave duration in milliseconds.

Time in milliseconds from the beginning of recording to the beginning


QRSON of the QRS complex.

QRSDUR QRS duration in milliseconds.

QDUR Q wave duration in milliseconds.

RDUR R wave duration in milliseconds.

SDUR S wave duration in milliseconds.

R'DUR R' wave duration in milliseconds.

S'DUR S' wave duration in milliseconds.

P+DUR P+ wave duration in milliseconds.

QRSDEF Intrinsicoid deflection time.

P+AMP P+ wave amplitude in microvolts.

P-AMP P- wave amplitude in microvolts.

QRSP2P Peak to peak amplitude of the QRS complex.

QAMP Q wave amplitude in microvolts.

RAMP R wave amplitude in microvolts.

SAMP S wave amplitude in microvolts.

R'AMP R' wave amplitude in microvolts.

S'AMP S' wave amplitude in microvolts.

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Chapter 12 Measurement Matrix

MEASUREMENT DESCRIPTION

STAMP ST wave amplitude in microvolts.

2/8STT Amplitude in microvolts at a point which is 2/8 of the ST-T interval.

3/8STT Amplitude in microvolts at a point which is 3/8 of the ST-T interval.

T+AMP T+ wave amplitude in microvolts.

T-AMP T- wave amplitude in microvolts.

QRSAR Total area of the QRS complex in microvolts/millisecond.

TMORPH T wave morphology.

+1 +2

-1 -2

RWNCH R wave notch count.

DWCON Probability (in %) of the presence of a delta wave.

STSLOP ST slope in degrees.

Time in milliseconds from the beginning of the recording to the


TON beginning of the T wave.

TDUR T wave duration in milliseconds.

T+DUR T+ wave duration in milliseconds.

QTINT QT interval in milliseconds

12-2 Eclipse Operating Instructions 070-1149-01 B


Index

corrected orthogonal leads, 5-7 faxing reports, 7-5


A
custom header, 4-16 filter frequency, 6-5
AC mains frequency, 4-4
custom lead keys (custom lead 1, custom filter frequency key, 3-2
AC power, 2-1 lead 2), 3-2 Frank ECG, acquiring, 6-7
acquiring ECG, 6-1 custom lead setup, 4-11 Frank lead placement, 5-7
adapter module, connecting, 8-2
frequency response, 4-8
adding patient, 7-6
alternate chest lead placement, 5-9
D
alternative lead ECG, acquiring, 6-7 damage inspection, 11-1 G
amplitude, 4-8 data quality setting, 4-10 gain, 4-8, 6-5
analysis settings, 4-9 date setting, 4-2, 4-6 gain key, 3-2
analysis type, 4-4 deleting files, 7-5, 7-8 grounding, 2-1, 2-2
arrow keys, 3-2 deletion, automatic, 7-3
artifact filter, 4-8, 11-5 device ID, 4-3
auto ECG, acquiring, 6-2 direct connection setup, 8-4 H
auto-printing, 4-10 directory, 7-1 heart rate detection, 11-4
auto-saving, 4-10 password, 4-6, 4-14 height units, 4-3
printing, 7-8
hot keys, 3-8
report, sample, 9-1
B disinfecting, 11-1

barcode scanner, 4-4


disposable sensors, 5-4 I
baseline filter, 4-13 immunity, 11-6
baseline wander, 10-5 E institution name, 4-3
batch print, 7-6 institution number, 4-3
ECG
battery, 2-4 acquiring, 6-1 intended use, 1-iii
calibration, 2-5 artifacts, troubleshooting, 10-4 internal modem, 11-6
charging, 2-4 filter frequency, 6-5 interpretive
performance, 11-4 gain, 6-5 analysis program, overview, 1-3
status gauge, 3-5 printout, sample, 9-3, 9-4 settings, 4-9
testing, 11-2 settings, 12 lead, 4-9 statements, type, 4-4
baud rate, 4-4 ECG filter frequency key, 3-2
bipolar leads, 5-8 ECG gain key, 3-2
bradycardia limit, 4-13 ECG key, 3-1 K
brightness, 3-2 edit ID menu, 3-6 keyboard, 3-1
electrical interference, troubleshooting,
10-6
C electrodes, applying, 5-2 L
calibrating the battery, 2-5 electrolyte, 5-5 lead placement chart, 5-3
calibration pulse key, 3-2 EMC declaration tables, 11-6 lead triplet keys, 3-2
cautions, 1-v emissions, 11-6 lead wires, connecting, 5-6
change record status, 8-3 environment, 5-1 limb plates, 5-5
charging the battery, 2-4 equipotential grounding, 2-1 limb sensors, 5-4
chest sensors, 5-4 line filter, 4-2
cleaning, 11-1 loading recording paper, 2-3
connection type, 4-4
F low battery indicators, 2-5
copies, settings, 4-10 fax setup, 7-7
070-1149-01 B Eclipse Operating Instructions IN-1
pediatric lead placement, 5-7 communications, 8-4
M equipment and cables, 2-1
performance disclosures, 11-3
maintenance, 11-1 menus, 4-1
phone line, connecting, 8-1
managing records, 7-1 setup report printout, sample, 9-2
phone number, 4-3
manual key (MAN), 3-1 skin preparation, 5-2
phone type, 4-3
measurement matrix, 12-1 specifications, 11-10
power cable, 2-1
printing, 7-7 speed, 4-8
printout, sample, 9-6 power indicator, 2-1, 2-4
standby mode, 2-4
median complex power status, 3-5
stop key, 3-1
printout, sample, 9-7 power-up defaults menu, 4-8
stress loop, 5-6
report, printing, 7-6 preview screen, 3-4
setting, 4-10 symbols, 1-vii
printer problems, troubleshooting, 10-3
medical grade outlets, 2-2 system settings printout, 4-17
printing, 6-4
menus, how to use, 3-7 auto setting, 4-10 system setup, 4-1
miscellaneous settings, 4-13 batch of reports, 7-6
modem, 11-6 reports, 7-4
printing directory, 7-8
T
modem cable, connecting, 8-1
product description, overview, 1-2 tachycardia limit, 4-13
technical data, 11-10
N testing equipment, 11-2
Q time setting, 4-2, 4-6
Nehb ECG, acquiring, 6-7
Nehb lead placement, 5-8 QTc formula, 4-13 trace problems, troubleshooting, 10-2
notices, 1-v transmitting records, 8-1
troubleshooting, 10-1
R
O receiving records, 8-1, 8-8

on/standby key, 3-2 record status, 7-2, 8-3 U


overload message, 10-4 records, managing, 7-1 user keys (user 1, user 2), 3-2
overview, features, 1-2 remote connection setup, 8-5 user selection (user 1, user 2), 4-2
requisitions, 8-6 user setup menus, 4-6
reusable sensors, 5-5 user-defined field setup, 4-16
P rhythm
pacer detection, suspension, 11-4 lead settings, 4-9
pacer enhancement, 4-13
mode pages, 4-13 V
page settings, 4-9
paper speed, 4-8, 6-5 printout, sample, 9-5 V3 placement, 4-15, 5-7, 6-8, 6-10
paper speed key, 3-2 reports, 6-6 V4R, 5-7, 6-8, 6-10
paper type, 4-4 rhythm key (RHYT ), 3-1
paper, loading, 2-3 R-R intervals, 4-10, 11-4
W
password, 4-5, 4-14
directory, 4-6, 4-14 warnings, 1-iv
patient cable, 2-2
S weight units, 4-3
connecting, 5-6 safety features, 1-4 Welsh bulb chest sensors, 5-6
testing, 11-2 safety symbols, 1-vii wide baseline, 10-5
patient comfort, 5-1 saving, auto setting, 4-10 wireless connection, 4-4, 8-2, 8-5
patient demographics sending records, 8-1, 8-7, 8-8
editing, 7-3
sensor status, 3-5
entering, 6-9
settings, 4-14 sensors, applying, 5-2
patient, adding, 7-6 separation distances, recommended, 11-9
pediatric ECG, acquiring, 6-8 service disclaimer, 11-3
setup
IN-2 Eclipse Operating Instructions 070-1149-01 B
FCC CONNECTION INFORMATION

This equipment complies with Part 68 of the FCC Rules. On the bottom 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 RENs
on the telephone line may result in devices not ringing in response to an incoming call. In most, but not all areas, the sum
of the RENs 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 RENs, contact the telephone company to determine the total REN for the calling area.
If your Eclipse Premier™ 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 effect the
operation of the equipment. If this happens, the telephone company will provide advance notice in order for you to make
the necessary modifications in order to maintain uninterrupted service.
If you experience trouble with your Eclipse Premier™, please contact Technical Support at (800) 426-0337 or
(425) 402-2485 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 Party 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 ATTACHMENT 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, user’s should ensure that it is permissible to be connected to the facilities of the local
telecommunications company. The equipment must also 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 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 repairs or alterations made by the user to this equipment, or equipment malfunctions, may give the
telecommunications company cause to request the user to disconnect the equipment.
User’s 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, as appropriate.
The LOAD NUMBER (5) 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 requirement that the total of the Load Numbers of all of the devices does not
exceed 100.
SERVICE STATION: If you have any questions or trouble, please contact Technical Support at (800) 426-0337 or
(425) 402-2485.

070-1149-01 B Eclipse Operating Instructions IN-3


IN-4 Eclipse Operating Instructions 070-1149-01 B
Toll Free: +1.800.426.0337
Cardiac Science Corporation Telephone: +1.425.402.2000
3303 Monte Villa Parkway Website: www.cardiacscience.com
Bothell, WA 98021, USA Email: techsupport@cardiacscience.com

070-1149-01 B

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