IV - Strumedical.com

Ver.01
l Before using this product, read this operation manual thoroughly.
l Keep this manual where it can be always referred.
This device bears the CE label in accordance with the provisions of
Medical Device Directive 93/42/EEC.
THE PERSONS RESPONSIBLE FOR PLACING DEVICES ON THE EC MARKET UNDER MDD
93/42/EEC
NAME
: FUKUDA DENSHI UK
ADDRESS : 13 WESTMINSTER COURT, HIPLEY STREET OLD WOKING, SURREY GU22 9LG, U.K.
CAUTION
Only physician or persons instructed by physicians are allowed to use the equipment.
The information contained in this document is subject to change without notice due to improvement in the
equipment.
No part of this document may be copied or transmitted in any form without the prior written permission of
Fukuda Denshi Co., Ltd.
※If this manual has pages missing or is out of order, contact Fukuda Denshi for replacement.
Copyright ©, 2007, Fukuda Denshi Co., Ltd.
i
Ⅰ．Introduction
Thank you for purchasing the ECG Filing Software, EFS-200.
The ECG Filing Software, EFS-200 (hereinafter referred to as EFS-200) is a software program
which operates under the Windows XP environment.
As all other Windows application, the EFS-200 is operated using the Windows GUI (Graphical
User Interface).
This “Operation Manual” is a guidebook to use the EFS-200.
Before using this software, read this “Operation Manual” thoroughly to fully understand the
operation procedure.
This Operation Manual is for the EFS-200 Version 01.
Fukuda Denshi Co., Ltd.
ii
Safety Precautions
Read the “Safety Precautions” thoroughly before use to ensure correct and safe use of the
product.
Be sure to follow the precautions indicated below, as these are important messages related to
safety.
The following is a description of the safety and precaution messages used in this manual.
Safety Notifications: The following safety notification classifies the extent of danger and damage
caused by not following the instruction.
CAUTION
Failure to follow this message may cause injury or failure to the
equipment.
NOTE
A note is not related to product safety, but provides information about
the correct use and operating procedures to prevent incorrect
operation and malfunction of the product.
Graphic Symbols:
The symbols listed below are used to categorize the types of instruction
included in this manual.
Indicates an action that must not be performed.
Indicates a Danger, Warning, or Caution instruction that must be
followed for safety.
Indicates an action that must be performed.
Fukuda Denshi Co., Ltd.
iii
Precautions for Using the EFS-200
CAUTION
● Do not change or delete the setup file or data file in the EFS-200 using the
function other than the one provided for the EFS-200.
The inconsistency of the data management may cause the registered data to be
initialized or may cause malfunction of the EFS-200.
● Read carefully the safety precautions in the operation manual provided for
each device, and make sure that the device is used correctly.
● The installing and upgrading of this software should be performed under
stable operating environment.
Otherwise, the safety and reliability of the product cannot be ensured.
● Please note that Fukuda Denshi is not liable of the damage caused by the
erroneous operation of the user.
● Please note that Fukuda Denshi is not liable of the damage resulting from the
use of this software with the device.
● Please note that Fukuda Denshi cannot correspond to the inquiries
regarding the troubles or troubles arising from the used device.
Contact the distributor for each device.
● Prepare an exclusive PC to install this product.
Do not install into a PC used for other purpose.
● Use an independent network environment for the communication between
the EFS-200 and the electrocardiograph.
Networks used for other purpose such as for host computer cannot be used.
Fukuda Denshi Co., Ltd.
iv
● Windows XP is a registered trademark of Microsoft Corporation in the US.
● Acrobat is a trademark of Adobe Systems Incorporated.
● The copyright of this software product, ECG Filing Software, EFS-200 is
owned by Fukuda Denshi.
However, the registered/output data of the EFS-200 are owned by the user.
NOTE
● The information contained in this “Operation Manual” may change without
prior notice.
● This “Operation Manual” was made with utmost care, but if there is any
questionable point, misprint, or undocumented point, contact Fukuda
Denshi.
● Some types of ECG data are not supported on the EFS-200. For details,
refer to Fukuda Denshi sales representative.
CAUTION
● Before use, always check that the device operates normally and safely.
● Check continuously that there is no abnormality on the device.
● If any abnormality is found on the device, take appropriate action such as
ceasing the operation of the device.
● Perform daily inspection to maintain safety and reliability of the device.
● Pay attention not to exceed the duration required for diagnosis.
● Do not insert the IC card the wrong way, into unspecified slot, or push in
with excessive force.
It may damage both the main unit and the IC card.
● Do not insert the floppy disk in the opposite direction, into unspecified slot,
or push in with excessive force.
It may damage both the main unit and the floppy disk.
Fukuda Denshi Co., Ltd.
Contents
Introduction･･･････････････････････････････････････････････････････････････････････････････i
Safety Precautions ････････････････････････････････････････････････････････････････････････ii
I General Description
I－1. General Description ･･･････････････････････････････････････････････････････････････････P. 1
I－2. Hardware Requirements･･･････････････････････････････････････････････････････････････P. 2
I－3. Intended User of the EFS-200 ･･････････････････････････････････････････････････････････P. 3
II Install Process
II－1. Install Process ･･･････････････････････････････････････････････････････････････････････P. 4
II－2. Upgrade Process ････････････････････････････････････････････････････････････････････P. 8
III Initial Startup Setup
III－1. Password Registration････････････････････････････････････････････････････････････････P. 9
III－2. Drive Setup ･････････････････････････････････････････････････････････････････････････P. 10
IV Operation Procedure
IV－1. Options Setup ･･････････････････････････････････････････････････････････････････････P. 12
IV－1－1. Operating Environment Setup ･･･････････････････････････････････････････････････P. 12
IV－1－2. Display Settings･･･････････････････････････････････････････････････････････････P. 14
IV－1－3. Print Setting ･･････････････････････････････････････････････････････････････････P. 14
IV－1－4. Output Settings ･･･････････････････････････････････････････････････････････････P. 14
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Contents
IV－1－5. System Table･････････････････････････････････････････････････････････････････P. 15
IV－2. Registering the Data ･････････････････････････････････････････････････････････････････P. 17
IV－2－1. Register from floppy disk containing data･･････････････････････････････････････････P. 18
IV－2－2. Register from IC card containing data ････････････････････････････････････････････P. 19
IV－3. Collective Registration of ECG File ･････････････････････････････････････････････････････P. 20
IV－4. Individual Registration of ECG File ･････････････････････････････････････････････････････P. 22
IV－5. Searching Registered Data ･･･････････････････････････････････････････････････････････P. 23
IV－5－1. Search Data･･････････････････････････････････････････････････････････････････P. 23
IV－5－2. Select Data･･･････････････････････････････････････････････････････････････････P. 25
IV－6. Displaying the Registered Data ････････････････････････････････････････････････････････P. 26
IV－6－1. 12-Lead ECG Display･･････････････････････････････････････････････････････････P. 26
IV－6－2. Time-serial Comparison Display ･････････････････････････････････････････････････P. 28
IV－6－3. Arrhythmia Display ････････････････････････････････････････････････････････････P. 31
IV－6－4. Rhythm / Full Disclosure ECG Display････････････････････････････････････････････P. 32
IV－6－5. Test History Display ･･･････････････････････････････････････････････････････････P. 33
IV－7. Printing a Report ････････････････････････････････････････････････････････････････････P. 34
IV－7－1. Waveform Report Printing ･･････････････････････････････････････････････････････P. 34
IV－7－2. List / Analysis Result List / ECG Report Printing ････････････････････････････････････P. 35
IV－8. Edit Patient Information / Over Read････････････････････････････････････････････････････P. 36
IV－9. Data Output ････････････････････････････････････････････････････････････････････････P. 42
IV－9－1. Output Image･････････････････････････････････････････････････････････････････P. 44
IV－9－2. Output ECG Data to FD ････････････････････････････････････････････････････････P. 45
IV－9－3. SCP-ECG Data Output ････････････････････････････････････････････････････････P. 46
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Contents
IV－9－4. Image Output to the Clipboard･･･････････････････････････････････････････････････P. 47
IV－10. Deleting / Recovering a Data･････････････････････････････････････････････････････････P. 48
IV－10－1. Deleting a Data ･･････････････････････････････････････････････････････････････P. 48
IV－10－2. Recovering a Data ･･･････････････････････････････････････････････････････････P. 49
IV－11. Backup / Transfer of the Registered Data ･･････････････････････････････････････････････P. 50
IV－11－1. Backup of Registered Data ････････････････････････････････････････････････････P. 50
IV－11－2. Transfer of Registered Data ･･･････････････････････････････････････････････････P. 51
V Connection with the Device
V－1. Display / Function ････････････････････････････････････････････････････････････････････P. 53
V－2. LAN Connection ･････････････････････････････････････････････････････････････････････P. 54
V－2－1. TCP/IP Setup ･････････････････････････････････････････････････････････････････P. 54
V－2－2. Installing the FTP Server ･･･････････････････････････････････････････････････････P. 57
V－2－3. FTP Server Setup ･････････････････････････････････････････････････････････････P. 59
Appendix
Appendix-1 Troubleshooting･･･････････････････････････････････････････････････････････････P. 62
Appendix-2 Sample Report ･･･････････････････････････････････････････････････････････････P. 66
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I. General Description
I－1. General Description
The EFS-200 is a software program, which manages the inspection data saved on the Fukuda
Denshi electrocardiograph.
Online connection via FTP with Fukuda Denshi electrocardiograph allows speedy recording.
The data stored on the electrocardiograph recording media can be also recorded on the EFS-200.
From the recorded data, the data can be quickly searched to perform process such as over read,
time-serial comparison, etc.
The infrequently used past data can be saved on a removable disk to be used when necessary.
Clear information is provided not only on the display, but also on the printout of various formats.
★ Refer to our service representative for the usable electrocardiograph type.
NOTE
★ Online connection to the electrocardiograph via FTP is possible.
For the connection procedure, refer to the operation manual for each device.
★ Depending on the electrocardiograph type, the FD with the capacity of 1.2MB
may be used.
However, for the EFS-200, only the FD with the capacity of 1.44MB can be
used.
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I－2. Hardware Requirements
The hardware requirements for the EFS-200 are as follows.
1) OS
2) Memory
3) Resolution
4) HDD
5) FDD
6) PCMCIA
:
:
:
:
:
:
Windows XP (※1)
256MB or above
XGA (1024 ´ 768 dot) or above, High Color (16 bit) or above (※2)
Open space, 20GB or above (※3)
2 mode type (※4)
Card device which is compatible with the PCMCIA / CF card used by the
Fukuda Denshi electrocardiograph. (※5)
7) Storage Media : Removable device which can be acknowledged on the Windows. (※5)
8) Printer
: Paper size A4 or letter
Resolution 600 DPI or above
The EFS-200 works with the following ECG type.
● Standard 12-lead ECG
● Arrhythmia ECG
● Rhythm ECG (Autonomic nerve test)
● Full Disclosure ECG
※1 Operation on other OS is not guaranteed.
For online connection via FTP, Windows XP Professional is required.
※2 ・ If 256 colors or less is used, the grids may not be properly displayed.
・ Operation on SVGA: 800´600 dot resolution is not guaranteed.
・ For ECG and other waveform data display, SXGA (1280´1024), High
Color (16 bit) or above is recommended.
・ On the XGA (1024´768) display, if “Large size (120 DPI)” is set for DPI
setting, some dialogue may not fit in the display. In such case, select
“Normal size (96 DPI)”.
NOTE
※3 The ECG data will be registered to the specified folder of the EFS-200.
・ The number of data that can be stored differs according to the HDD
capacity.
・ One ECG data size is approximately 30KB.
※4 Depending on the electrocardiograph type, the FD with the capacity of
1.2MB may be used.
・ However, for the EFS-200, only the FD with the capacity of 1.44MB can
be used.
・ To load the data from the PCMCIA / CF card, a card device is required.
※5 To store (transfer) the loaded data, removable device which can be
acknowledged on the Windows is required.
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I－3. Intended User of the EFS-200
The intended user of the EFS-200 is a physician or a person instructed by a physician.
● A continuous use of the EFS-200 by the same user for long period of
time should be avoided.
CAUTION
● Take an intermission at regular intervals when operating the EFS-200.
● Operating the EFS-200 for long period of time may damage user’s
health.
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II. Install Process
II－1. Install Process
1. Insert Software CD.
2. On the “Start” menu, click “Run…” and select the SETUP.EXE from the EFS-200 software,
then click “OK”.
・If you agree with the “Licence Agreement”, click
Agree
・Select the destination folder to install the program,
then click Next.
・Select the language, then click Next.
・ Select whether you want to create a desktop icon
or not.
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・When the install procedure is complete, click Finish .
※ When the EFS-200 is installed for the first time, it is necessary to start the EFS-200.
※ By starting the EFS-200, it will be correlated to the extension file. (.ECG)
3. When the setup is complete, the EFS-200 will be registered to Windows.
※ The EFS-200 can be started by double-clicking the short-cut icon(if present), or by clicking “EFS-200”
on the Start/Programs menu.
[Start/Programs Menu]
[Desktop Icon and Folder]
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4. To uninstall the EFS-200, follow the procedure below.
1) Open the “Control Panel” window.
2) Double-click “Add or Remove Programs”.
3) From the install program list, select “ECG Filing Software EFS-200”.
4) Click Change / Remove .
5) Click Yes .
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・When the uninstall procedure is complete, click Finish .
NOTE
★ When the program is uninstalled, the following folders and files created during the
installation process will be deleted.
・ Install folder
・ Desktop folder [ECG Filing Software EFS-200]
・ Desktop shortcut [ECG Filing Software EFS-200] (※ If created.)
★ As the “Data Registration Folder” is assigned inside the install folder by default, it will
be deleted when the uninstall procedure is performed.
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II－2. Upgrade Process
1. Insert Software CD.
2. On the “Start” menu, click “Run…” and select the SETUP.EXE from the EFS-200 software
then click “OK”.
・The confirmation screen of the upgrade is displayed.
・Then click on the Next button to start the
upgrade procedure.
・When the upgrade procedure is complete, click Finish.
CAUTION
NOTE
Please make sure to back up the data folder (See IV－11－1. Backup of
Registered Data) before starting the upgrade. Otherwise you will lose all your
data!
Upgrade installation on a computer with the same or a higher software version cannot be
executed. Please make sure of your current software level.
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III. Initial Startup Setup
III－1. Password Registration
When using the EFS-200 software, a password is required.
Fukuda’s distributor will inform us of the displayed key code and we will provide you with a password.
Once the password is entered, this window will not be displayed.
1) Enter the password
2) Click Setup . (See Drive Setup).
★ The trial period is 7 days.
After that you will not be able to start the program.
If you click Cancel on the password issue screen, the following screen
will be displayed.
NOTE
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III－2. Drive Setup
After starting the EFS-200 and entered the password, it is necessary to perform the drive setup.
1)
Go to Set up.
2)
Then Options.
3)
Set up each folders and drives.
(See IV－1－1. Operating Environment Setup, page 12 for more details)
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IV. Operation Procedure
Menu
Tool Button
Right-click Menu
Data Registration Folder
Capacity
On the EFS-200, the operation can be performed from “Menu”, “Tool Button”, or “Right-click Menu”.
※ The “Right-click Menu” will be displayed by right-clicking on the displayed data.
※ The “Right-click Menu” will differ depending on the displayed data type.
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IV－1. Options Setup
1) Select “Setup” menu.
2) Click “Options“ from the pull-down menu.
IV－1－1. Operating Environment Setup
1. Set the operating environment such as “Data Registration Folder”, “File Read Folder” for the
EFS-200.
● When the EFS-200 is installed for the first time, the drive environment must be set before
starting the program.
1) Data Registration Folder (※)
・Specify the folder to save the registered data of the EFS-200.
2) Backup Folder
・Specify the folder to back up the stored data of the EFS-200.
3) File Read Folder
・Specify the initial folder to load the data.
4) File Write Folder
・Specify the initial folder to output the picture data and registered data.
5) Define “FD”, “Card” drive.
NOTE
※Make sure that there is sufficient open space on the “Data Registration Folder”.
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2. Set the operating mode, etc. of the EFS-200.
1) Select the EFS-200 startup mode from
following.
“Normal size”, “Maximize”, “Minimize”
2) Select the online startup mode from following.
“Don’t start up”, “Normal size”, “Minimize”
3) Select whether to output the data information
in CSV format when outputting the picture
data.
4) Select whether to automatically create the file
name for picture output.
5) Select the display format for date.
6) Select the unit for height. ※1
7) Select the unit for weight. ※2
3. Switch language.
To change the language, click Language .
Select the language, and click Set up .
NOTE
※1: ・The unit of the stored ECG data will be prioritized.
・This setup is effective only when the unit for height is not set on the
electrocardiograph.
※2: ・The unit of the stored ECG data will be prioritized.
・This setup is effective only when the unit for weight is not set on the
electrocardiograph.
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IV－1－2. Display Settings
Go to setup, then “Display settings”, set the “Display settings” for the EFS-200.
1) Set the condition for “Common”, “12 leads”,
“Arrhythmia/Rhythm/Arrhythmia ECG”,
“Comparison”.
2)
Click OK .
Reference
・To sort the select data list in the date/time
descending order, select “Common” for
waveform condition, and put a check mark for
“Sort by date and time”.
・If not checked, the data will be sorted in the
ascending order.
IV－1－3. Print Setting
Go to setup, then “Print settings”, set the “Print Setting” for the EFS-200.
1) Set the condition for “Common”, “12 leads”,
“Arrhythmia/Rhythm/Arrhythmia ECG”,
“Comparison”.
2) Click OK .
IV－1－4. Output Settings
Go to setup, then “Output settings”, set the condition for ECG file output on the EFS-200.
1) Select the item to output.
2) Click OK .
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IV－1－5. System Table
1. Set the table for “Ward-1”, “Ward -2”, “Medication”, “Symptom”, “User name”, “Facility
name”.
1) Select the table from the pull-down menu.
Reference
To display the name for each item, it is
necessary to set the same table with the
electrocardiograph.
The editing dialogue for the selected table will be displayed.
1) Input the “Title” for the item.
2) Select the table to edit from the list.
3) Input “Code”, “Name”.
4) Click Update .
5) Click Save
EFS-200.
to store the set table to the
★ Only numbers can be used for each code.
NOTE
★ Maximum of 3 digits can be input for “Ward 1”, “Ward 2”.
★ Maximum of 2 digits can be input for “Medication”, “Symptom”.
★ Maximum of 99 items can be registered for each table.
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2. Edit the user name table for the EFS-200.
1) Input “User name”.
2) Click Add to add the user to the list.
3) Click Change to change the user on the
list.
4) Click Delete data to delete the selected
user from the list.
5) Click Save
EFS-200.
to store the list on the
3. Edit the facility name.
1) Input “Facility name”.
2) Click Set up to store the facility name
on the EFS-200.
★ When searching a data, select the user name from this table before starting the
search process.
NOTE
★ When over read process is performed, the over read executor will be the user
selected on this table.
★ The “Facility name” will be printed on waveform report output.
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IV－2. Registering the Data
● Select “Register Data” from the “Registration” menu, or click “Register Data” tool button to start the
offline registration process.
Register from floppy disk containing data
1) Loads the data stored on the electrocardiograph from the floppy disk (FD).
Register from IC card containing data
1) Loads the data stored on the electrocardiograph from the IC card.
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IV－2－1. Register from floppy disk containing data
1) Insert the floppy disk to the drive.
2) Click FD recognition .
3) The index information of the recorded data
will be displayed.
・ Select the data to register from the index
list.
・ Select all will select all data to perform
the registration.
・ Deselect all will cancel all selections.
4) Click Registration .
5) When all selected data are registered, the
message shown at left will be displayed.
6) Click OK .
★ It is necessary to preprogram the FD drive on the drive setup menu.
NOTE
★ Depending on the electrocardiograph type, the floppy disk with the capacity of
1.2MB may be used.
However, for the EFS-200, only the floppy disk with the capacity of 1.44MB
can be used.
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IV－2－2. Register from IC card containing data
1) Set the IC card to the drive.
2) Click Card recognition .
※ To store again the data which is already
stored, remove the check mark from “Only
unregistered data”.
3) The index information of the recorded data
will be displayed.
4) Click Registration .
※ The registering data can be selected by
clicking the item on the index list.
・ Select all will select all data to perform
the registration.
・ Deselect all will cancel all selections.
5) When all selected data are registered, the
message shown at left will be displayed.
6) Click OK .
NOTE
★ It is necessary to preprogram the IC card drive on the drive setup menu.
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IV－3. Collective Registration of ECG File
● Select “Collective registration” from the “Registration” menu.
● To individually register the ECG file, select “File specification” → “File read” from the
“Registration” menu.
1) Click ECG file recognition .
2) Specify the folder.
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3) A list of ECG file in the specified folder will be
displayed.
※ ECG File: a file with extension, “ .ECG”.
4) Click Registration .
※ The registering data can be selected by clicking
the item on the index list.
5) A confirmation message to register the file will be
displayed. If registering, click Yes .
6) When all selected data are registered, the
message shown at left will be displayed.
7) Click OK .
NOTE
★ Maximum of 2,000 data can be registered at once for collective registration.
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IV－4. Individual Registration of ECG File
● From the “Registration” menu, select “File specification” → “File read”.
1) Select the ECG file.
※ ECG file: a file with extension, ” .ECG”.
※ The reading path can be defined on the
drive setup menu.
2) The selected ECG file will be displayed,
and registration confirmation message will
appear.
3) To register the data, click Yes .
4) If you desire to review the data before
registering, click No .
5) To register the data after reviewing, select
“File specification” → “File registration”
from the “Registration” menu.
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IV－5. Searching Registered Data
IV－5－1. Search Data
● Select “Search data” from the “File/Edit” menu, or click “Search” tool button.
1) Select the search condition.
Select the data type.
Select all will select all data type.
Deselect all will cancel all selections.
※ Clicking File date or Test date will
display today’s date.
2) Click Search .
File date
Test date
ID
Name
Ward1
:
:
:
:
:
Ward2
:
Medication
:
Symptom
:
OR
:
Sort
Includes deleted data
User
Clear all
:
:
:
:
Specify the registered date.
Specify the date range to search the data.
Specify the ID number.
Specify the patient name.
Specify Ward1.
Selection from the master table is also possible by clicking Ward1 .
Specify Ward2.
Selection from the master table is also possible by clicking Ward2 .
Specify Medication.
Selection from the master table is also possible by clicking Medic. .
Specify Symptom.
Selection from the master table is also possible by clicking Symptom .
Select whether or not to include the data which over read process has been
performed.
Select the sort order of “Test date” from “Descending” or “Ascending”.
Putting a check mark will include deleted data when searching.
Specify the user. Default setting is “EFS-200”.
All search condition will be initialized.
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◆ Maximum of 1,000 data can be searched at once on
the EFS-200.
◆ To initialize the searched result, click “File/Edit” →
“Initialization of search result”
★ If “Ward1,2”, “Medication”, or “Symptom” is selected for search condition, it may
take time to search the data.
NOTE
★ Maximum of 20 digits can be input for ID number.
★ Maximum of 32 characters can be input for name.
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IV－5－2. Select Data
● Click “Select data” on the “Data” menu, or click
“Select data” tool button.
[ Next ]
[ Previous ]
1) Select the data to be displayed.
2) Click Select data .
Reference
・To sort the select data list in the date/time
descending order, select “Common” for
waveform condition, and put a check mark
for “Sort by date and time”.
・If not checked, the data will be sorted in the
ascending order.
NOTE
★ The sorting of select data list is effective only for the currently displayed list.
The next time the select data list is displayed, the data will be sorted according
to the sort selection for the search data condition.
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IV－6. Displaying the Registered Data
● The data will be displayed for each inspection type.
● The displaying format can be specified on the waveform setup menu or right-click menu.
● Select “Clipboard” on the “Output” menu, or press Ctrl + C to copy the displayed picture to the
clipboard.
IV－6－1. 12-Lead ECG Display
1) Right-click to display the pull-down menu.
2) Select the display format from the menu.
3) Click on the waveform to enlarge the display.
4) The display can be changed by selecting other
lead or sensitivity, and moving the scroll bar.
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5) You can measure amplification and time length
from any point.
Click anywhere on the waveform to set the
starting point.
6) Then move the mouse to the desired area of
amplification and time length.
7) Click again to end the measurement.
8) Click here to display the Divider.
9) Click the mouse button to change the divider length
by ±40ms.
10) Also, you can change the length by inserting a
value into the text box.
11) Click on the Divider button again when finished.
12) Click Close to close the enlarged display.
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IV－6－2. Time- serial Comparison Display
● Click the “Comparison“ tool button.
● The time- serial comparison can be performed only for the 12-lead ECG.
※ There are two types of time- serial comparison
display, “Compare two data” and “Compare
four data”.
※ The display mode can be selected on the
waveform setup menu.
Reference: “IV－1－2. Display Settings”
※ The display mode can be also selected from
the right-click menu.
1. Select the data to be displayed.
[4 Data Display]
[2 Data Display]
1) Select the data from the list, and click Select data .
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2. Search additional data as required.
2) Click Search to search additional data from
the past data.
3) Input the date range to search additional data.
4) Click Search .
5) The searched data will be added to the list.
★ The additionally searched data is effective only for the time- serial comparison.
NOTE
★ To display the past inspection result individually, specify the “ID Number” on the
standard search function.
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3. For “Compare two data” mode, click the waveform display part to compare the waveforms.
1) “Limbs”, “Chest” can be selected from the pull-down
menu.
Use the scroll bar to shift the display.
4. For “Compare four data” mode, “Side by side” or “Overlap” display can be selected.
[Side by Side]
[Overlap]
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IV－6－3. Arrhythmia Display
1) Right-click to display the pull-down menu.
2) Select the display mode from the menu.
3) By clicking on the waveform, the waveform will
be enlarged.
4) The display can be changed by selecting other
channel or sensitivity from the pull-down menu,
and moving the scroll bar.
You can also measure amplification, time
length and display Divider on the zoom
display. (Refer to IV－6－1. 12-Lead ECG
Display)
5) Click Close to close the enlarged display.
NOTE
★ Arrhythmia ECG display enlargement is not possible.
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IV－6－4. Rhythm / Full Disclosure ECG Display
[Raw Data]
[Display Graph]
1) Right-click to display the pull-down menu.
2) Select the display mode from the menu.
NOTE
★ Display enlargement is not possible.
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IV－6－5. Test History Display
1. “Test history...” can be selected from the right-click menu.
2. The test history for the currently displayed patient (same ID no.) will be displayed.
1) The inspected data of the last 6 months classified by the inspection type will be displayed.
2) The displayed numbers are the number of inspection days within the month.
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IV－7. Printing a Report
IV－7－1. Waveform Report Printing
● Select “Print report” from the “File/Edit” menu, or click “Print report” tool button.
1) Specify the printer.
2) Click Print to start the printing.
※ The waveform report format can be specified on the print setting menu.
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IV－7－2. List / Analysis Result List / ECG Report Printing
● Click the “List” tool button.
Print List Type
1) The searched data list will be displayed.
2) Select the data to print by putting a
check mark.
※ The data with a check mark will be
printed.
※ Click Select all to print all data.
※ Click Deselect all to exclude all data
from printing.
3) Select the print list type from the
pull-down menu.
4) Click Print .
5) On the print confirmation window, select
the printer, and click Print .
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IV－8. Edit Patient Information / Over Read
◆ On the EFS-200, editing the patient information is defined as “Edit data”.
◆ Changing the comment / findings is defined as “Over Read: OR”.
◆ When “Over Read: OR” is performed, the “user” selected on the search menu will be registered as the
over read executor.
The displayed data will become “OR OK”.
Over read menu will be displayed.
Edit data menu will be displayed.
● Select one of the tool buttons to perform the process.
1. Edit the Patient Information.
1) Select the item to correct.
※ Click Ward1 , Ward2 , Medic. ,
Symptom to refer each table.
※ Click Clear all to initialize the selected
item.
2) Click Update .
NOTE
★ Maximum of 20 digits can be input for “ID”.
★ Maximum of 32 characters can be input for “Name”.
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2. Over Read
● The displayed over read menu will differ depending on the inspection type.
a) 12-Lead / Arrhythmia
1) Editing standard measurements, “Grade”, “Stress”
・HR
・P-R
・QRS
・QT
・QTc
・Axis
・Grade
HR can be edited.
P-R can be edited.
QRS can be edited.
QT can be edited.
QTc can be edited.
Axis can be edited.
Select the grade. Left-click ▼ to display the selection in the drop-down box.
(This selection is possible only if the inspection type is “at rest”.)
・Stress
Select the stress. Left-click ▼ to display the selection in the drop-down box.
(This selection is possible only if the inspection type is “at rest”.)
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2) Editing “Findings”
“Findings Table Selection” Window
・Add
Click Add .
The “Findings Table Selection” window will be displayed.
Select a code, and click Select data .
(⇒ “Findings” Window)
・Change
Select the code to change, and double-click or click Change .
The “Findings Table Selection” window will be displayed.
Select a code, and click Select data .
(⇒ “Findings” Window)
・Delete data
Select the code to delete, and click Delete data .
Reference
The codes on the list cannot be completely deleted. If Delete data is clicked for the last
code on the list, it will be replaced with normal code (101 Within Normal Limits).
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3) Editing “Minnesota Code”
“Minnesota Code” Window
・Add
Click Add .
The “Minnesota Code Selection” window will be displayed.
Select a code, and click Select data .
(⇒ “Minnesota Code” Window)
・Change
Select the code to change, and double-click or click Change .
The “Minnesota Code Selection” window will be displayed.
Select a code, and click Select data .
(⇒ “Minnesota Code” Window)
・Delete data
Select the code to delete, and click Delete data .
Reference
The codes on the list cannot be completely deleted. If Delete data is clicked for the last
code on the list, it will be replaced with normal code (101 Within Normal Limits).
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4) Click To normal to correct the findings information to normal code (101 Within Normal Limits).
A confirmation message will be displayed.
・Click Yes to correct to normal code.
・Click No to cancel the process.
5) Comment : Edit the comment.
6) Click Update to validate the corrected items and end the OR process.
7) Click Cancel to invalidate the corrected items and end the OR process.
b) Rhythm / Arrhythmia ECG
1) Comment : Edit the comment.
2) Click Update to validate the corrected items and end the OR process.
3) Click Cancel to invalidate the corrected items and end the OR process.
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3. “OR OK”
To make the currently displayed data as “OR OK”, follow the procedure below.
1) Click “OR OK” tool button.
2) A confirmation message will be
displayed.
3) Clicking Yes will make the displayed
data as “OR OK”.
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IV－9. Data Output
● The EFS-200 is provided with the following output function, “Output image”, “Output ECG data to FD”,
“SCP-ECG data output”.
1) Output image
2) Output ECG data to FD
3) SCP-ECG data output
: Outputs the file in JPEG format.
: Adds the waveform data to a floppy disk.
: Outputs with SCP-ECG format file.
● The setup such as “Output CSV format data with image”, “Create new file name” can be performed for
the output image.
1) By putting a check mark for “Output CSV format data with image”, the data information in CSV format
will be simultaneously output with the image.
2) By putting a check mark for “Create new file name”, image file (if image is created) will be automatically
created in the file output folder.
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● The output image file name will be automatically created with the following rule.
Type_Inspection Date_Inspection Time_ID No. JPG or CSV
[Type]
RES
STR
POS
ARY
ATN
AUT
12 Lead: at rest
12 Lead: during stress
12 Lead: after stress
40 sec. of arrhythmia
Rhythm ECG (autonomic nerve)
Full Disclosure ECG
[Inspection Date]
YYYYMMDD Format Ex.) Nov. 11, 2003 à 20031101
[Inspection Date]
HHMMSS Format
Ex.) 09 (hr): 10 (min.): 21 (sec.) à 091021
● The CSV file for data information is in the following format.
Column
Type
Item
A
Character Inspection Type
B
C
D
E
F
G
H
I
Character
Date
Time
Character
Number
Character
Character
Character
NOTE
Stress Type
Inspection Date
Inspection Time
Name
Attribute Type
ID No.
Age
Gender
Description
12 Lead ECG / Arrhythmia / Rhythm ECG / Arrhythmia
ECG
REST-ECG / Stress-ECG / Post Stress
MM/DD YYYY or DD/MM YYYY
HH: MM: SS
Name of Patient
0: General
ID No. of Patient
Age of Patient
Male / Female
★ The inspection date format will be according to the “Date type” selection for
the “Options” setting (IV-1-1).
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IV－9－1. Output Image
● Click “Output image” on the “Output” menu, or click “Output image” tool button.
1) Input the image file name.
※ It is not necessary to input the file extension.
2) Click Save .
◆ The image will be output in JPEG format.
NOTE
★ If “Create new file name” is checked for “Output image” (“Setup” → “Options”),
the image file will be automatically created.
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IV－9－2. Output ECG Data to FD
● Click “Output ECG data to FD” on the “Output” menu.
1) Insert the floppy disk to the drive.
2) Click Yes for the confirmation message.
3) The data will be written to the floppy disk.
4) When the writing process is complete, a message
will be displayed.
◆ The EFS-200 data will be written to the floppy disk as an additional data.
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IV－9－3. SCP-ECG Data Output
● Click “SCP-ECG data output” on the “Output” menu.
1) Input the waveform file name.
※It is not necessary to input the file extension.
2) Click Save .
◆ The folder which will be displayed at output can be set on the drive setup menu.
◆ The data can be output with the information such as “ID”, “Name”, “Comment”, “Ward1” excluded.
The information to not include in the output data can be selected on the “Output settings” window.
1) Put a check mark for the item to include in
the output data.
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IV－9－4. Image Output to the Clipboard
● Select “Clipboard” from the “Output” menu to copy the currently displayed screen to the
clipboard.
● On the enlarged waveform display, click Copy to copy the display to the clipboard.
Reference: The image copied to the clipboard can be pasted and used on other application.
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IV－10. Deleting / Recovering a Data
◆ The currently displayed data can be deleted / recovered.
・This delete function will not delete the file from the disk.
◆ The deleted data can be viewed by including the deleted data for search condition.
IV－10－1. Deleting a Data
1. Display the data to be deleted.
2. From the “File/Edit” menu, select “Data delete/Recovery” → “Delete data”.
1) A confirmation message will be displayed.
2) Click Yes to delete the displayed data.
↑“Delete” will be displayed for the deleted data.
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IV－10－2. Recovering a Data
1. Search the data to be recovered.
Put a check mark for “Includes
deleted data”.
2. Display the data to be recovered.
On the data selection list, the data with the “Recycle Bin” icon is the deleted data.
3. From the “File/Edit” menu, select “Data delete/Recovery” → “Recovery data”.
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IV－11. Backup / Transfer of the Registered Data
IV－11－1. Backup of Registered Data
◆ The backup process will copy the stored data of the EFS-200 to the specified “Backup Folder”.
◆ A sufficient space is required for the backup folder.
◆ To use the backup function, it is necessary to specify the “Backup Folder” on the operation
environment setup.
● Select “Backup…” from the “File/Edit” menu.
1) Check the backup folder name.
2) Click Start .
3) Click Yes to start the backup process.
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IV－11－2. Transfer of Registered Data
◆ To transfer the registered data of the EFS-200 from the “Data Registration Folder” to another drive.
◆ When there is no more space on the hard disk, use this function to transfer the data in the “Data
Registration Folder” to MO disk, etc.
◆ To view the transferred data, change the “Data Registration Folder” setting to the transferred drive, and
search the data.
● Select “Registered data transfer” from the “File/Edit” menu.
1) Select the recorded month of data from the list
to perform the transfer.
2) Click Execute .
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3) Select the drive and folder to save the
inspection data.
4) Click OK .
5) Click Yes to start the transfer.
6) Click OK .
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V. Connection with the Device
V－1. Display / Function
◆ This process connects the device and EFS-200 by FTP to record the ECG data.
During the connection process, the following display will appear.
Displays the
connection process
with the
electrocardiograph.
Displays operation
process, error, etc.
★ This connection process will function only on the PC which the EFS-200 operates.
NOTE
★ If error is generated during registration, ERR_DATA folder will be created under the
File Read Folder set at “Options” setting, and stores the ECG data file.
The file name will be created by adding recorded date/time to the registered file
name.
Ex) If the registered file name is TEST.ecg, recorded date is Aug. 31, 2006, and
recorded time is 18:08:26, the file name will be as follows;
TEST_20060831180826.ecg
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V－2. LAN Connection
In this section, the communication setup procedure to receive the ECG data from the electrocardiograph is
explained.
FTP protocol is used for the filing function on the network with the electrocardiograph.
As the electrocardiograph functions as the FTP client, the EFS-200 needs to be installed to the PC which
has the FTP server function on the network.
Here, the procedure is explained by using Windows XP Professional as an example.
V－2－1. TCP/IP Setup
V－2－1－1. Open the “Control Panel” Window.
From the “Start” menu, click “Control
Panel”.
V－2－1－2. Display the “Local Area Connection Status” Window.
1) Double-click “Network
Connections” on the control panel.
2) “Network Connections” window will
be displayed.
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3) Double-click “Local Area Connection”.
4) “Local Area Connection
window will be displayed.
Status”
V－2－1－3. Display the “Internet Protocol (TCP/IP) Properties” Window.
1) Click “Properties” on the “Local Area
Connection Status” window.
2) “Local Area Connection
window will be displayed.
Properties”
3) Select “Internet Protocol (TCP/IP)”, and
click “Properties”.
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V－2－1－4. IP Address Setup
1) Click the button “Use the following IP
address”.
2) Input “192.168.2.127” for IP address, and
“255.255.255.0” for subnet mask.
3) Click “OK”.
4) Click “OK” on the “Local Area Connection
Properties” window.
5) Click “Close” on the “Local
Connection Status” window.
Area
★ IP address will differ according to the used network environment.
★ The IP address set here will be used as “Host IP Address” on the connected
electrocardiograph.
For the setup on the electrocardiograph, refer to the operation manual of the
electrocardiograph.
NOTE
★Avoid connecting the Fukuda Denshi electrocardiograph to the currently used
network environment.
⇒ It is recommended to use the independent network environment.
★If “Obtain an IP address automatically.” is set for the DHCP server (including rooter,
etc.), change the setting to “Use the following IP address”.
Assign a fixed IP address which will not duplicate with the IP address assigned by
the DHCP server (including rooter, etc.).
If the adjustment with the DHCP server (including rooter, etc.) is required, consult
with your network administrator, or refer to the operation manual of the DHCP server
and rooter.
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V－2－2. Installing the FTP Server
In this section, FTP server connection setup procedure by the IIS (Internet Service Manager) is explained.
If the IIS is not used, this procedure is not necessary.
The following process must be performed by the user with Administrator authority.
V－2－2－1. Open the “Control Panel” Window.
From the “Start” menu, click “Control
Panel”.
V－2－2－2. Display the “Windows Component Wizard” Window.
1) Double-click “Add or Remove
Programs” on the control panel.
2) “Add or Remove Programs” window
will be displayed.
3) Click “Add/Remove Windows
Components” icon.
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V－2－2－3. Select the FTP Server.
1) Select “Internet Information Service
(IIS)”, and click “Details…”.
2) The component selection window of
the “Internet Information Service
(IIS)” will be displayed.
3) Put a check mark for “FTP (File
Transfer Protocol) Server”.
4) Click “OK”, and close the window.
V－2－2－4. End the Install Process.
1. Return to Windows Component Wizard, and click “Next”.
2. The install process for the selected component will start, and after a while, a confirmation
message to end the process will be displayed.
3. Click “Finish” to end the install process of the FTP server.
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V－2－3. FTP Server Setup
V－2－3－1. Open the “Control Panel” Window.
● From the “Start” menu, click “Control Panel”.
V－2－3－2. Display the “Administrative Tools” Window.
● Double-click “Administrative Tools” on the control panel.
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V－2－3－3. Display the “Internet Information Services” Window.
1. Double-click “Internet Information Services” on the “Administrative Tools” window.
2. Click the computer icon displayed at left, and display the “FTP Sites”.
V－2－3－4. Set the Security Account.
1. Right-click the “FTP Sites”, select “Properties”, and open the “FTP Sites Properties” window.
Click the “Security Accounts” tab.
3. Remove the “Allow Anonymous Connections” check box.
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V－2－3－5. Set the Home Directory.
1. Click “Home Directory” tab on the “FTP Sites Properties” window.
For the “FTP Sites Properties”, put a check mark for ”Write”.
The local path will be the folder to save the received data from the electrocardiograph. Perform setup
as required. (The default folder can be also used.)
2. Click “OK”, and end the FTP server setup.
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Appendix－1 Troubleshooting
General
The EFS-200 system does not start.
・ Check the connection of the PC, peripheral device, etc.
・ Check if all the power of the PC, peripheral device, etc. are turned ON.
After checking the above, reset the power.
If the system still does not start, contact our service representative.
The PC automatically resets.
・ Some kind of error has generated to the device. (CPU overheat, etc.)
Contact our service representative.
An error message is displayed, and the EFS-200 stops operating.
・ On the EFS-200, more than one execute files refer the same file.
If the process fails after retrying for several times, the EFS-200 may stop operating.
In such case, restart the system.
Connection with the Device
Connection failure between the electrocardiograph and EFS-200 system has occurred.
・ Check the LAN cable connection. Verify that the cable is securely connected.
・ Check if the HUB power is turned ON.
With the power of the EFS-200 and electrocardiograph turned ON, check if the LINK lamp of the port is
lighted.
The LINK lamp is provided for each connected device (EFS-200, electrocardiograph, etc.) The lamp will
light if the cable is properly connected and the connected device (EFS-200, electrocardiograph, etc.) is
capable to communicate. If the lamp does not light, wire break, loose cable connection, malfunction of
the connected device, etc, can be considered.
・ The IP address of the electrocardiograph may not be set or may be duplicated.
Check also the port number.
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・ Check if the FTP server is properly set.
The EFS-200 connects with the device via FTP to record the ECG data.
Therefore, FTP server must be installed, and proper settings must be performed.
（⇒V－2－2）
Error is generated during recording.
・ Check the error message on the on-line data registration window.
・ Check the disk space.
Waveform Display
The data has been deleted accidentally.
・ Click “Search data” from the “File/Edit” menu, and open the search condition setup window.
・ Put a check mark for “Includes deleted data”, and click Search .
・ Select the data you wish to recover, and click “File/Edit” → “Data delete/Recovery” → “Recovery data”.
（⇒IV－10－2）
Off-line Registration
Error has generated when reading the recorded data from the floppy disk.
・ Check if the drive which the floppy disk is inserted and the drive specified on the EFS-200 is corresponded.
Specify the correct drive on the EFS-200, and continue the process.
・ The electrocardiograph of the recorded data or the recorded data type is not supported on the EFS-200.
Contact our service representative.
NOTE
★ Before contacting our service representative, check the following.
Check the index of the recorded data on the electrocardiograph.
If possible, check the ECG data chart output.
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Printing
Nothing is output from the printer.
・ Check if the power of the printer is turned ON.
・ If the printer error (alarm) is generated, follow the procedure on the operation manual of the printer, and
resolve the problem.
・ Check if the printer cable is properly connected.
The print output is unclear.
・ Check if the message such as “No toner” is displayed.
If the message is displayed, follow the procedure explained in the operation manual of the printer, and
replace the toner cartridge.
・ Clean inside the printer by following the procedure explained in the operation manual of the printer.
NOTE
★ If the above occurs during printing, shake the toner cartridge 4 or 5 times to
even out the toner. This may temporarily improve the situation. But, as this
is a temporal procedure, make sure to replace the toner cartridge as soon as
possible.
★ If the printer is malfunctioning, refer to the operation manual of the printer.
Suddenly, the printing speed became slow, or the printing output is garbled.
・ If no problem is found on the connection or on other device, the printer control of the Windows may be
malfunctioning.
・ Clear the printer buffer of the Windows, and reset the power of the printer.
NOTE
If trouble persist, contact our service representative.
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Blank Page
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Appendix－2 Sample Report
Fukuda Denshi Co., Ltd.
List
No
OR Test date
Test time
1 OR 03/10 2004 9:32:40
2
03/10 2004 9:38:15
3
03/10 2004 9:40:13
4
03/10 2004 9:56:49
5
03/10 2004 11:11:07
6
10/16 2003 13:50:50
Print[12/14 2006] P.1/1
Type
REST-ECG
Post stress[ 1'02]
Post stress[ 3'00]
Rhythm ECG
Arrhythmia
Arrhythmia ECG[1'00]
ID NUMBER
000081018624
000081018624
000081018624
000085017630
000001691952
000001691952
Sex
Female
Female
Female
Female
Male
Male
Age
65years
65years
65years
62years
59years
59years
Name
Hanako Fukuda
Hanako Fukuda
Hanako Fukuda
Aiko Fukuda
Taro Fukuda
Taro Fukuda
Analysis result list
03/10 2004 9:32:40
Ward1 :
Ward2 :
Medicati:
Symptom :
[OR]EFS-200
Print[12/14 2006] P.1/2
REST-ECG
HR= 68bpm
R-R=0.870s
P-R=0.149s
QRS=0.140s
QT =0.403s
QTc=0.432
AXIS= 34Deg
SV1=0.16mV
RV5=0.88mV
R+S=1.04mV
ID:
000081018624
65years Female
Hanako Fukuda
504 CRBBB(Complete Right Bundle Branch Block)
7-2
Borderline Abnormal Stress - Caution
Comment:
03/10 2004 9:38:15
Ward1 :
Ward2 :
Medicati:
Symptom :
>>>Unconfirmed report <<<
Post stress[ 1'02]
HR= 82bpm
R-R=0.731s
P-R=0.126s
QRS=0.127s
QT =0.362s
QTc=0.423
AXIS= 59Deg
SV1=0.21mV
RV5=1.10mV
R+S=1.31mV
ID:
000081018624
65years Female
Hanako Fukuda
504 CRBBB(Complete Right Bundle Branch Block)
901 Exercise Test (-)
7-2
4-5 ;L V5 ,V6
Master TestDouble 40/40 times
Comment:
03/10 2004 9:40:13
Ward1 :
Ward2 :
Medicati:
Symptom :
>>>Unconfirmed report <<<
Post stress[ 3'00]
HR= 77bpm
R-R=0.775s
P-R=0.130s
QRS=0.133s
QT =0.393s
QTc=0.446
AXIS= 38Deg
SV1=0.17mV
RV5=0.90mV
R+S=1.07mV
ID:
000081018624
65years Female
Hanako Fukuda
504 CRBBB(Complete Right Bundle Branch Block)
901 Exercise Test (-)
7-2
Master TestDouble 40/40 times
Comment:
03/10 2004 9:56:49
Ward1 :
Ward2 :
Medicati:
Symptom :
>>>Unconfirmed report <<<
Comment:
Rhythm ECG
ID:
Test Mode:3 min
Test body position:
RECORDING LENGTH:3 min 00 s
Numbers of R-R:163
Av. R-R:0.980s( 61bpm)
Max. R-R:1.030s( 58bpm)
Min. R-R:0.916s( 65bpm)
R-R Ratio:112
R-R S.D.:0.027s
R-R C.V.:2.77
000085017630
62years Female
Aiko Fukuda
Analysis result list
03/10 2004 11:11:07
Ward1 :
Ward2 :
Medicati:
Symptom :
Print[12/14 2006] P.2/2
Arrhythmia
HR= 93bpm
R-R=0.643s
P-R=0.190s
QRS=0.133s
QT =0.309s
QTc=0.385
ID:
000001691952
59years Male
Taro Fukuda
842 PVC (Premature Ventricular Contraction)
8-1-2
>>>Unconfirmed report <<<
Comment:
10/16 2003 13:50:50
Ward1 :
Ward2 :
Medicati:
Symptom :
>>>Unconfirmed report <<<
Comment:
Arrhythmia ECG[1'00]
HR= 60bpm
R-R=1.000s
P-R=0.178s
QRS=0.091s
QT =0.431s
QTc=0.431
846 Frequent PVC
ID:
000001691952
59years Male
Taro Fukuda
8-1-8
RECORDING LENGTH:1 min 00 s
Numbers of R-R:45
Av. R-R:1.000s( 60bpm)
Max. R-R:1.000s( 60bpm)
Min. R-R:1.000s( 60bpm)
R-R S.D.:0.000s
R-R C.V.:0.00
Blank Page
39-4, Hongo, 3-chome, Bunkyo-ku, Tokyo, Japan
Phone:+81-3-3815-2121 Fax:+81-3-3814-1222
Printed in Japan
4L3870A
200705

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