Electrocardiograph

ECG-1150

If you have any comments or suggestions

on this manual, please contact us at:
www.nihonkohden.com 0614-901906C
Copyright Notice
The entire contents of this manual are copyrighted by Nihon Kohden. All rights are reserved. No part of this document
may be reproduced, stored, or transmitted in any form or by any means (electronic, mechanical, photocopied, recorded,
or otherwise) without the prior written permission of Nihon Kohden.

Trademark

The mark printed on the SD card that is used in this instrument is a trademark. The company name and model name are
trademarks and registered trademarks of each company.
 Contents 1

2
GENERAL HANDLING PRECAUTIONS.............................................................................. i
WARRANTY POLICY.......................................................................................................... ii 3
EMC RELATED CAUTION...................................................................................................iii
Conventions Used in this Manual and Instrument............................................................... v 4
Warnings, Cautions and Notes.................................................................................. v
Explanations of the Symbols in this Manual and Instrument.................................... vi 5
On panel......................................................................................................... vi
On operation panel.........................................................................................vii
6
On screen.......................................................................................................vii
7
On patient cable.............................................................................................vii

Section 1 General.................................................................................... 1.1 9

Introduction....................................................................................................................... 1.2
Intended Use.......................................................................................................... 1.2 10
Features.................................................................................................................. 1.2
Composition............................................................................................................ 1.2
General Safety Information............................................................................................... 1.3
General................................................................................................................... 1.3
Installation.............................................................................................................. 1.3
Battery Pack........................................................................................................... 1.5
Operation................................................................................................................ 1.6
Maintenance........................................................................................................... 1.7
Panel and Parts Descriptions............................................................................................ 1.8
Front Panel............................................................................................................. 1.8
Left Side Panel....................................................................................................... 1.8
Operation Panel...................................................................................................... 1.9
Right Side Panel................................................................................................... 1.10
Rear Panel............................................................................................................ 1.11
Patient Cable........................................................................................................ 1.11
Functions........................................................................................................................ 1.12
Basic Operation (Function Keys, Panel Keys, Number Keys)......................................... 1.14
Switching Screens.......................................................................................................... 1.15
AC and Battery Operation............................................................................................... 1.16
Power and Battery Status Indications................................................................... 1.17

Section 2 Preparation............................................................................. 2.1

Selecting a Suitable Location........................................................................................... 2.2
Mounting the Electrocardiograph on the Optional Cart..................................................... 2.4
Mounting the Electrocardiograph on the Cart......................................................... 2.4
Options for the Cart................................................................................................ 2.4
Connecting the Power Cord and Grounding the Electrocardiograph................................ 2.5
Connecting the Power Cord.................................................................................... 2.5
Grounding the Electrocardiograph.......................................................................... 2.5
Operating on Battery......................................................................................................... 2.6

Operator’s Manual ECG-1150 C.

CONTENTS

Battery Handling..................................................................................................... 2.6

Battery Replacement.................................................................................... 2.7
Charging....................................................................................................... 2.7
Storage......................................................................................................... 2.7
Disposing...................................................................................................... 2.8
Inserting the Battery Pack...................................................................................... 2.9
Removing the Battery Pack.................................................................................. 2.10
Charging the Battery............................................................................................. 2.10
Setting the Recording Paper........................................................................................... 2.11
Handling the Recording Paper.............................................................................. 2.11
Types of Recording Paper.......................................................................... 2.11
Setting the Recording Paper................................................................................. 2.13
Feeding the Paper................................................................................................ 2.14
Connecting the Patient Cable......................................................................................... 2.15
Turning the Power On or Off........................................................................................... 2.16
Turning the Power On........................................................................................... 2.16
Check Items Before Turning the Power On................................................. 2.16
Turning the Power On................................................................................. 2.17
Check Items After Turning the Power On.................................................... 2.17
Changing the Date and Time................................................................................ 2.18
Turning the Power Off........................................................................................... 2.18
Adjusting the Screen Brightness..................................................................................... 2.19
Preparing for Data Management.................................................................................... 2.20
About the Media................................................................................................... 2.20
Internal Memory......................................................................................... 2.20
SD Memory Card........................................................................................ 2.20
Using the Internal Memory................................................................................... 2.20
Using the SD Memory Card.................................................................................. 2.20
About the SD Memory Card....................................................................... 2.20
Inserting and Removing the SD Memory Card.......................................... 2.22
Preparing the SD Memory Card................................................................. 2.22

Section 3 Changing Settings Before Measurement............................. 3.1

System Setup Screen and Main Setup Screen................................................................ 3.2
List of Settings.................................................................................................................. 3.3
System Setup Screen............................................................................................. 3.3
Patient Information....................................................................................... 3.3
Wave Settings............................................................................................... 3.3
Recording Settings....................................................................................... 3.4
Periodic Recording Settings......................................................................... 3.5
System Settings........................................................................................... 3.6
Main Setup Screen................................................................................................. 3.7
Wave Settings............................................................................................... 3.7
File Processing............................................................................................. 3.7
Recording Settings....................................................................................... 3.7
Changing the System Setup Settings............................................................................... 3.9
Displaying the System Setup Screen and Changing the Settings.......................... 3.9
Changing the Date and Time................................................................................ 3.11

C. Operator’s Manual ECG-1150

 CONTENTS

Entering the Hospital Name.................................................................................. 3.12 1

Changing the Main Setup Settings................................................................................. 3.14
Saving the System Setup and Main Setup Settings....................................................... 3.16 2
Loading the System Setup and Main Setup Settings..................................................... 3.18
Printing the List of System Setup and Main Setup Settings........................................... 3.20 3

4
Section 4 Attaching the Electrodes and Entering Patient
5
Information............................................................................. 4.1
Attaching the Electrodes................................................................................................... 4.3 6
Attaching the Limb Electrodes................................................................................ 4.3
Attaching the Chest Electrodes.............................................................................. 4.3 7
Patient Cable Tip Color Coding......................................................................................... 4.4
Lead Connection............................................................................................................... 4.5 8
Standard 12 Leads and Cabrera Leads................................................................. 4.5
IEC Standard................................................................................................ 4.5 9
AHA Requirement........................................................................................ 4.5
Error Indication When the Electrode Is Not Attached Firmly............................................. 4.6 10
Screen Message..................................................................................................... 4.6
Indication on the Paper........................................................................................... 4.7
Countermeasure..................................................................................................... 4.7
Electrode Detachment.................................................................................. 4.7
Large Polarization Voltage............................................................................ 4.7
Entering the Patient Information....................................................................................... 4.8
General................................................................................................................... 4.8
Entering the Patient Information ............................................................................ 4.9

Section 5 Recording Resting ECG Waveforms.................................... 5.1

General............................................................................................................................. 5.2
Flow of Resting ECG Waveform Recording...................................................................... 5.3
Notes for Accurate Measurement..................................................................................... 5.4
Before Starting the Recording................................................................................ 5.4
Detecting QRS Waves............................................................................................ 5.4
Counting the Heart Rate......................................................................................... 5.4
Using the EMG/High-cut Filter................................................................................ 5.4
ECG Analysis......................................................................................................... 5.5
Resting ECG Recording Screen....................................................................................... 5.6
Displaying the Resting ECG Recording Screen..................................................... 5.6
Explanation of the Resting ECG Recording Screen............................................... 5.7
Automatic Recording......................................................................................................... 5.9
General................................................................................................................... 5.9
Real Time Recording.................................................................................... 5.9
Review Recording........................................................................................ 5.9
Auto Gain and Auto Position......................................................................... 5.9
Preparation for Automatic Recording...................................................................... 5.9
Automatic Recording Procedure........................................................................... 5.12
Extended Recording................................................................................... 5.14
Saving the ECG Data File.......................................................................... 5.14

Operator’s Manual ECG-1150 C.

CONTENTS

Printing Another Copy of the Recording Results.................................................. 5.15

Manual Recording........................................................................................................... 5.16
General................................................................................................................. 5.16
Preparation for Manual Recording........................................................................ 5.16
Manual Recording Procedure............................................................................... 5.17
Rhythm Recording.......................................................................................................... 5.19
General................................................................................................................. 5.19
Rhythm Recording Procedure.............................................................................. 5.19
Recording Examples....................................................................................................... 5.20
Auto Recording Examples.......................................................................... 5.20
Manual Recording Examples..................................................................... 5.21
Rhythm Recording Examples..................................................................... 5.21

Section 6 Periodic ECG Recording....................................................... 6.1

General............................................................................................................................. 6.2
Preparation for Periodic ECG Recording.......................................................................... 6.3
Recording Procedure........................................................................................................ 6.4
Recording Examples......................................................................................................... 6.5

Section 7 Data Management.................................................................. 7.1

General............................................................................................................................. 7.2
Displaying the Data Management Screen........................................................................ 7.3
Printing ECG Waveforms in a Media................................................................................ 7.4
Editing ID.......................................................................................................................... 7.6
Deleting ECG Data Files................................................................................................... 7.9
Displaying the Delete Screen................................................................................. 7.9
Deleting All ECG Data Files................................................................................... 7.9
Deleting ECG Data Files of the Selected ID......................................................... 7.11
Deleting ECG Data Files of the Selected Date..................................................... 7.13
Formatting the Media...................................................................................................... 7.16
Printing File List.............................................................................................................. 7.18
Copying Files in the Internal Memory to an SD Card..................................................... 7.20

Section 8 Troubleshooting and Error Messages.................................. 8.1

Recording Clear ECG Waveforms.................................................................................... 8.2
AC Interference....................................................................................................... 8.2
Muscle Tremor Interference (EMG)......................................................................... 8.2
Wandering Baseline................................................................................................ 8.3
Abnormal Printout................................................................................................... 8.3
Other....................................................................................................................... 8.4
Troubleshooting................................................................................................................. 8.5
Error Messages................................................................................................................ 8.8
Checking the Software Version....................................................................................... 8.10

C. Operator’s Manual ECG-1150

 CONTENTS

Section 9 Maintenance and System Test.............................................. 9.1 1

Check Items After Turning the Power Off.......................................................................... 9.2
Cleaning and Disinfecting the Electrocardiograph............................................................ 9.3 2
Cleaning the Surface of the Electrocardiograph........................................... 9.3
Cleaning the Display of the Electrocardiograph........................................... 9.3 3
Disinfecting the Surface of the Electrocardiograph....................................... 9.4
Cleaning the Thermal Head.......................................................................... 9.4
4
Cleaning the Paper Roller............................................................................ 9.5
5
Cleaning the Sensor..................................................................................... 9.5
Cleaning the Wheel Gear............................................................................. 9.5
6
Cleaning and Disinfecting the Patient Cable..................................................................... 9.6
Cleaning....................................................................................................... 9.6
7
Disinfecting................................................................................................... 9.6
Cleaning and Disinfecting Electrodes............................................................................... 9.7 8
Cleaning....................................................................................................... 9.7
Disinfecting................................................................................................... 9.7 9
Cleaning and Disinfecting Other Options.......................................................................... 9.7
Regular Check.................................................................................................................. 9.8 10
Clock Accuracy................................................................................................................. 9.9
Periodic Replacement..................................................................................................... 9.10
Repair Parts Availability Policy........................................................................................ 9.11
System Test Screen........................................................................................................ 9.12
System Test Items................................................................................................ 9.12
Displaying the System Test Screen...................................................................... 9.13

Section 10 Reference.............................................................................. 10.1

Specifications.................................................................................................................. 10.2
ECG input................................................................................................... 10.2
Waveform Data Processor.......................................................................... 10.2
Recorder..................................................................................................... 10.2
Power Requirement.................................................................................... 10.2
Color LCD (with backlight).......................................................................... 10.3
Environment............................................................................................... 10.3
Performance............................................................................................... 10.3
Dimensions and Weight.............................................................................. 10.3
Safety Standard.......................................................................................... 10.3
Electromagnetic Compatibility.................................................................... 10.4
Electromagnetic Emissions........................................................................ 10.5
Electromagnetic Immunity.......................................................................... 10.5
Recommended Separation Distances between Portable and
Mobile RF Communications Equipment..................................................... 10.7
System Composition for EMC Test............................................................. 10.7
General Requirements for Connecting Medical Electrical Systems................................ 10.8
Standard Accessories................................................................................................... 10.10
Options and Consumables........................................................................................... 10.11
Optional Accessory Kit....................................................................................... 10.11
Options for the Electrocardiograph..................................................................... 10.12

Operator’s Manual ECG-1150 C.

 GENERAL HANDLING PRECAUTIONS

This device is intended for use only by qualified medical personnel.

Use only Nihon Kohden approved products with this device. Use of non-approved products
or in a non-approved manner may affect the performance specifications of the device. This
includes, but is not limited to, batteries, recording paper, pens, extension cables, electrode
leads, input boxes and AC power.

Please read these precautions thoroughly before attempting to operate the instrument.

1. To safely and effectively use the instrument, its operation must be fully understood.

2. When installing or storing the instrument, take the following precautions:

(1) Avoid moisture or contact with water, extreme atmospheric pressure, excessive humidity and temperatures, poorly
ventilated areas, and dust, saline or sulphuric air.
(2) Place the instrument on an even, level floor. Avoid vibration and mechanical shock, even during transport.
(3) Avoid placing in an area where chemicals are stored or where there is danger of gas leakage.
(4) The power line source to be applied to the instrument must correspond in frequency and voltage to product
specifications, and have sufficient current capacity.
(5) Choose a room where a proper grounding facility is available.

3. Before Operation
(1) Check that the instrument is in perfect operating order.
(2) Check that the instrument is grounded properly.
(3) Check that all cords are connected properly.
(4) Pay extra attention when the instrument is combined with other instruments to avoid misdiagnosis or other
problems.
(5) All circuitry used for direct patient connection must be doubly checked.
(6) Check that battery level is acceptable and battery condition is good when using battery-operated models.

4. During Operation
(1) Both the instrument and the patient must receive continual, careful attention.
(2) Turn power off or remove electrodes and/or transducers when necessary to assure the patient’s safety.
(3) Avoid direct contact between the instrument housing and the patient.

5. To Shutdown After Use

(1) Turn power off with all controls returned to their original positions.
(2) Remove the cords gently; do not use force to remove them.
(3) Remove the power cord from the AC SOURCE socket to isolate the instrument form the AC supply mains.
(4) Clean the instrument together with all accessories for their next use.

6. The instrument must receive expert, professional attention for maintenance and repairs. When the instrument is
not functioning properly, it should be clearly marked to avoid operation while it is out of order.

7. The instrument must not be altered or modified in any way.

8. Maintenance and Inspection

(1) The instrument and parts must undergo regular maintenance inspection at least every 6 months.
(2) If stored for extended periods without being used, make sure prior to operation that the instrument is in perfect
operating condition.
Operator’s Manual ECG-1150 
 (3) Technical information such as parts list, descriptions, calibration instructions or other information is available for
qualified user technical personnel upon request from your Nihon Kohden representative.

9. When the instrument is used with an electrosurgical instrument, pay careful attention to the application and/or
location of electrodes and/or transducers to avoid possible burn to the patient.

10. When the instrument is used with a defibrillator, make sure that the instrument is protected against defibrillator
discharge. If not, remove patient cables and/or transducers from the instrument to avoid possible damage.

WARRANTY POLICY
Nihon Kohden Corporation (NKC) shall warrant its products against all defects in materials and workmanship for one year
from the date of delivery. However, consumable materials such as recording paper, ink, stylus and battery are excluded
from the warranty.

NKC or its authorized agents will repair or replace any products which prove to be defective during the warranty period,
provided these products are used as prescribed by the operating instructions given in the operator’s and service manuals.

No other party is authorized to make any warranty or assume liability for NKC’s products. NKC will not recognize any
other warranty, either implied or in writing. In addition, service, technical modification or any other product change
performed by someone other than NKC or its authorized agents without prior consent of NKC may be cause for voiding
this warranty.

Defective products or parts must be returned to NKC or its authorized agents, along with an explanation of the failure.
Shipping costs must be pre-paid.

This warranty does not apply to products that have been modified, disassembled, reinstalled or repaired without Nihon
Kohden approval or which have been subjected to neglect or accident, damage due to accident, fire, lightning, vandalism,
water or other casualty, improper installation or application, or on which the original identification marks have been
removed.

ii Operator’s Manual ECG-1150

 EMC RELATED CAUTION
This equipment and/or system complies with International Standard IEC 60601-1-2 for electromagnetic
compatibility for medical electrical equipment and/or system. However, an electromagnetic environment that
exceeds the limits or levels stipulated in IEC 60601-1-2, can cause harmful interference to the equipment
and/or system or cause the equipment and/or system to fail to perform its intended function or degrade
its intended performance. Therefore, during the operation of the equipment and/or system, if there is any
undesired deviation from its intended operational performance, you must avoid, identify and resolve the
adverse electromagnetic effect before continuing to use the equipment and/or system.

The following describes some common interference sources and remedial actions:

1. Strong electromagnetic interference from a nearby emitter source such as an authorized radio station
or cellular phone:
Install the equipment and/or system at another location. Keep the emitter source such as cellular phone
away from the equipment and/or system, or turn off the cellular phone.

2. Radio-frequency interference from other equipment through the AC power supply of the equipment
and/or system:
Identify the cause of this interference and if possible remove this interference source. If this is not
possible, use a different power supply.

3. Effect of direct or indirect electrostatic discharge:

Make sure all users and patients in contact with the equipment and/or system are free from direct or
indirect electrostatic energy before using it. A humid room can help lessen this problem.

4. Electromagnetic interference with any radio wave receiver such as radio or television:
If the equipment and/or system interferes with any radio wave receiver, locate the equipment and/or
system as far as possible from the radio wave receiver.

5. Interference of lightning:
When lightning occurs near the location where the equipment and/or system is installed, it may induce
an excessive voltage in the equipment and/or system. In such a case, disconnect the AC power cord
from the equipment and/or system and operate the equipment and/or system by battery power, or use
an uninterruptible power supply.

6. Use with other equipment:

When the equipment and/or system is adjacent to or stacked with other equipment, the equipment
and/or system may affect the other equipment. Before use, check that the equipment and/or system
operates normally with the other equipment.

7. Use of unspecified accessory, transducer and/or cable:

When an unspecified accessory, transducer and/or cable is connected to this equipment and/or system,
it may cause increased electromagnetic emission or decreased electromagnetic immunity. The specified
configuration of this equipment and/or system complies with the electromagnetic requirements with the
specified configuration. Only use this equipment and/or system with the specified configuration.

Operator’s Manual ECG-1150 iii

 Caution - continued

8. Use of unspecified configuration:

When the equipment and/or system is used with the unspecified system configuration different than
the configuration of EMC testing, it may cause increased electromagnetic emission or decreased
electromagnetic immunity. Only use this equipment and/or system with the specified configuration.

9. Measurement with excessive sensitivity:

The equipment and/or system is designed to measure bioelectrical signals with a specified sensitivity. If
the equipment and/or system is used with excessive sensitivity, artifact may appear by electromagnetic
interference and this may cause mis-diagnosis. When unexpected artifact appears, inspect the
surrounding electromagnetic conditions and remove this artifact source.

If the above suggested remedial actions do not solve the problem, consult your Nihon Kohden
representative for additional suggestions.

For EMC compliance, refer to “Specification - Electromagnetic Compatibility” in the Reference section.

The CE mark is a protected conformity mark of the European Community. Products with the CE mark
comply with the requirements of the Medical Device Directive 93/42/EEC.

NOTE about Waste Electrical and Electronic Equipment (WEEE) Directive 2002/96/EEC
For the member states of the European Union only:
The purpose of WEEE directive 2002/96/EEC is, as a first priority, the prevention of waste electrical and
electronic equipment (WEEE), and in addition, the reuse, recycling and other forms of recovery of such
wastes so as to reduce the disposal of waste.
Contact your Nihon Kohden representative for disposal.

iv Operator’s Manual ECG-1150

 Conventions Used in this Manual and Instrument

Warnings, Cautions and Notes

Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.

WARNING
A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.

CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.

NOTE
A note provides specific information, in the form of recommendations, prerequirements, alternative methods or
supplemental information.

Operator’s Manual ECG-1150 

Explanations of the Symbols in this Manual and Instrument
The following symbols found in this manual/instrument bear the respective descriptions as given.

On panel
Symbol Description Symbol Description

Attention, consult operator’s manual Date of manufacture

Alternating current Serial number

Equipotential terminal The CE mark is a protected conformity

mark of the European Community.
Products marked with this symbol
comply with the requirements
Type CF applied part
of the Medical Device Directive
93/42/EEC and Radio Equipment
and Telecommunication Terminal
Input output terminal Equipment 1999/5/EC.

Data input/output Products marked with this symbol

comply with the European WEEE
directive 2002/96/EEC and require
Eject (Magazine release button) separate waste collection. For Nihon
Kohden products marked with this
symbol, contact your Nihon Kohden
SD card slot representative for disposal.

vi Operator’s Manual ECG-1150

On operation panel
Symbol Description Symbol Description

“On” only for a part of equipment Mode

“Off” only for a part of equipment Review

Battery charging Paper feed

Battery check Mark

Alternating current EMG Filter

Patient (Male) Copy

Patient (Female) START/STOP recording

Age Automatic control

Lead selection Manual control

Gain Rhythm

Paper speed

On screen
Symbol Description Symbol Description

QRS sync mark CAL mark

On patient cable
Symbol Description Symbol Description
Defibrillation-proof Type CF applied
Attention, consult operator’s manual
part

Operator’s Manual ECG-1150 vii

 Section 1 General 1

Introduction........................................................................................................................................................... 1.2
Intended Use.............................................................................................................................................. 1.2
Features..................................................................................................................................................... 1.2
Composition............................................................................................................................................... 1.2
General Safety Information................................................................................................................................... 1.3
General....................................................................................................................................................... 1.3
Installation.................................................................................................................................................. 1.3
Battery Pack............................................................................................................................................... 1.5
Operation.................................................................................................................................................... 1.6
Maintenance............................................................................................................................................... 1.7
Panel and Parts Descriptions............................................................................................................................... 1.8
Front Panel................................................................................................................................................. 1.8
Left Side Panel........................................................................................................................................... 1.8
Operation Panel......................................................................................................................................... 1.9
Right Side Panel....................................................................................................................................... 1.10
Rear Panel............................................................................................................................................... 1.11
Patient Cable............................................................................................................................................ 1.11
Functions............................................................................................................................................................ 1.12
Basic Operation (Function Keys, Panel Keys, Number Keys)............................................................................. 1.14
Switching Screens.............................................................................................................................................. 1.15
AC and Battery Operation.................................................................................................................................. 1.16
Power and Battery Status Indications...................................................................................................... 1.17

Operator’s Manual ECG-1150 1.1

1. GENERAL

Introduction

The cardiofax C ECG-1150 is an easy to use electrocardiograph with 3-channel

recorder and built-in battery.

NOTE
Use only Nihon Kohden parts and accessories to assure maximum
performance from your instrument.

Intended Use
The Nihon Kohden ECG-1150 electrocardiograph is intended for medical use to
process the electrical signals produced by the heart, which are acquired through
two or more electrodes, and to display waveforms* and/or prepare a record of
these electrical signals. This instrument is a portable ECG acquisition terminal
which measures up to 12 lead ECG waveforms.
* Essential performance in EMC standard.

Features
• Compact, lightweight and easy to carry – smaller than A4 paper, 2 kg without
battery or recording paper
• Prints up to 3 channels on 63 mm recording paper
• An LCD screen lets you preview 2.8 seconds of 12 lead ECG waveforms
• SD memory card available

For ECG analysis, refer to “ECAPS 12C Interpretation Program User’s Guide.”

Composition
• Electrocardiograph, ECG-1150

Standard Accessories
• Thermal head cleaner
• Recording paper, RQS63-3
• Input check jig

Options
• Accessory kit, YD-100D/YD-101D/YD-102D/YD-103D
• Patient cable, BJ-901D/BJ-902D/BJ-903D/BA-901D/BA-903D/BJ-961D
• Battery pack, SB-901D
• Cart, KD-104E/KD-105D/KD-105E
• Storage rack, DI-010D
• Patient cable hanger, KH-100D
• SD memory card, QM-001DE/064DE (for Europe), QM-001D/064D (for other
countries)
• Cardio cream, Z-101BC
• Medical isolation transformer
1.2 Operator’s Manual ECG-1150

General Safety Information
General
WARNING
Never use the electrocardiograph in the presence
of any flammable anesthetic gas or high
concentration oxygen atmosphere. Failure to
follow this warning may cause explosion or fire.
WARNING
When the electrocardiograph is used with an
electrosurgical unit (ESU), firmly attach the entire
area of the ESU return plate. Otherwise, the
current from the ESU flows into the electrodes of
the electrocardiograph, causing electrical burn
where the electrodes are attached. For details,
refer to the ESU manual.
WARNING
Before defibrillation, remove everything including
electrodes and patches from the patient’s chest. If
the defibrillator paddle contacts an object on the
patient’s chest, the discharged energy may be
insufficient and cause skin burn.
WARNING
Use only the specified patient cables. Failure to
follow this warning may cause skin burn where
the electrode is attached and damage the
electrocardiograph due to discharge energy when
defibrillation is performed.
Installation
WARNING
Connect only the specified instrument to the
electrocardiograph and follow the specified
procedure. Failure to follow this warning may
result in electrical shock or injury to the patient
and operator, and cause fire or instrument
malfunction.
Operator’s Manual ECG-1150 1.3
1. GENERAL
1
WARNING
Never use the electrocardiograph in a hyperbaric
oxygen chamber. Failure to follow this warning
may cause explosion or fire.
WARNING
When performing MRI test, remove all electrodes
and transducers from the patient which are
connected to this instrument. Failure to follow this
warning may cause skin burn on the patient. For
details, refer to the MRI manual.
WARNING
Before defibrillation, all persons must keep clear
of the bed and must not touch the patient or any
equipment or cable connected to the patient.
Failure to follow this warning may cause electrical
shock or injury.
WARNING
Only use the provided power cord. When the
provided power cord cannot be used or when
equipotential grounding is doubtful (such as in a
facility with poor grounding), operate the
electrocardiograph on battery power. Otherwise,
the patient and operator may receive electrical
shock or injury.
1. GENERAL
WARNING
When several medical instruments are used
together, ground all instruments to the same one-
point ground. Any potential difference between
instruments may cause electrical shock to the
patient and operator.
WARNING
Do not put the multiple portable socket outlet on
a floor. If the multiple portable socket outlet gets
dusty, damaged or contacts liquid, it may cause
instrument malfunction and electrical shock to the
patient or operator.
WARNING
Do not use an additional multiple portable socket
outlet or extension cord. The impedance of the
protective earth increases and the patient and
operator may receive electrical shock or injury.
Cart
CAUTION
Only use the KD-104E/105D/105E cart for this
electrocardiograph. If another cart is used, it may
tip over or the electrocardiograph may fall off.
CAUTION
When moving the cart with patient cable hanger
mounted, fold the upper and lower arms together,
rotate the arms so that they point toward the
handle and do not protrude beyond the edges of
the cart.
1.4 Operator’s Manual ECG-1150
WARNING
Never use a local purchase multiple portable
socket outlet. Failure to follow this warning may
cause electrical shock to the patient and operator.
WARNING
To use non-medical equipment that requires an
isolation transformer, only connect it to a
specified multiple portable socket outlet that has
an isolation transformer. Do not connect the non-
medical equipment to a wall AC socket or to a
multiple portable socket that does not have an
isolation transformer. Do not connect unspecified
electrical instruments to a multiple portable
socket outlet in the system. Failure to follow this
warning may cause leakage current to increase
and the patient and operator may receive
electrical shock or injury.
CAUTION
• Do not move the cart with the casters locked.
The cart may tip over.
• When moving the cart, hold the handle only.
CAUTION
To prevent the cart from tipping over or the
electrocardiograph falling off the cart:
• Do not put or hook anything on the handle.
• Do not ride on the cart. Do not lean on the
handle or put your weight on the cart.
• Periodically check that the casters, handle and
frame are firmly attached and not wobbly.
• Always lock the casters so that the cart does
not move accidentally.

Accessories and Consumables
CAUTION
Do not leave accessories and consumables such
as electrodes or electrolyte cream (CardioCream)
near the patient or in reach of children. If they are
swallowed, consult a physician immediately.
Battery Pack
WARNING
Do not do the following to the battery. It may
cause leakage, overheating, explosion and fire.
• Short-circuit the + and – terminals on the
battery.
• Put the battery into fire or heat the battery.
• Disassemble or modify the battery.
• Give strong impact to or deform the battery.
• Use the battery on unspecified instruments.
• Charge the battery on unspecified instruments.
• Install the battery with the wrong polarity.
• Leave the battery in the reach of patients.
WARNING
Only use the SB-901D battery pack.
CAUTION
If the battery operation time is less than 15
minutes, the battery pack may be deteriorated.
Do not charge a deteriorated battery pack.
Charging a deteriorated battery pack may cause
the electrocardiograph to fail to operate in both
battery and AC power.
Operator’s Manual ECG-1150 1.5
1. GENERAL
1
CAUTION
Only use Nihon Kohden specified parts and
accessories to assure maximum performance
from your electrocardiograph. Using unspecified
recording paper or electrodes may cause
incorrect ECG recording and accelerate
deterioration of the electrocardiograph.
WARNING
If the battery pack is damaged and the substance
inside the battery contacts the eyes or skin, wash
immediately and thoroughly with water and see a
physician. Never rub your eyes, because you may
lose your eyesight.
WARNING
• Do not immerse the battery pack in water.
The battery may overheat and rust and the
substance inside the battery may leak.
• Do not leave the battery pack unused for more
than a year. The battery may leak.
CAUTION
Do not expose the battery pack to direct sunlight
or leave in a high temperature place. The lifetime
of the battery pack may be shortened, the
performance of the battery pack may be
degraded and the battery may leak.
1. GENERAL
CAUTION
The battery pack must be replaced by qualified
service personnel.
Operation
WARNING
Do not touch the patient while touching any metal
part of non-medical electrical equipment or an
exposed part when a connector or cover is
removed. Failure to follow this warning may cause
electrical shock or injury to the patient.
CAUTION
Enter the patient information correctly. Otherwise,
the ECG data may be lost or mixed up with
another patient’s ECG data. When managing
examination data that is only in electronic file,
make sure to enter the patient information.
CAUTION
The paper cutter in the recording paper container
is sharp. When setting the recording paper, be
careful not to cut your finger. Set the recording
paper as specified.
1.6 Operator’s Manual ECG-1150
CAUTION
SB-901D battery pack is NiMH (Nickel-Metal
Hydride). Before disposing of the battery pack,
check with your local solid waste officials for
details in your area for recycling options or proper
disposal. The battery is recyclable. At the end of
its useful life, under various state and local laws,
it may be illegal to dispose of this battery into the
municipal waste stream.
WARNING
Do not connect the tip of the electrode lead to
anything other than an electrode. Connect all the
tips to the corresponding electrodes and attach
them to the patient. If unconnected tips or
electrodes contact an item which is not
equipotential grounded, the patient may receive
electrical shock. Also, noise may superimpose on
the ECG waveforms and measurement data may
be incorrect.
CAUTION
Do not use the output signal from the output
connector of the electrocardiograph for a
synchronization signal on a defibrillator. There is
a time delay between the input signal and output
signal. When using the output signal from the
electrocardiograph for the synchronization signal
on other instrument, always consider this time
delay.
 1. GENERAL

ECG Recording Judgement 1

CAUTION CAUTION
• The automatic ECG interpretation is performed Take care when judging the ECG recording
for acquired ECG waveforms only and does not because the EMG filter may cause distortion of
reflect all conditions of the patient. The results P-waves and QRS-waves depending on the
of the analysis might not correspond to the waveform shape.
judgement of a physician.
• Overall judgement must be performed by the
physician, referring to the analysis result,
clinical findings, and other examination results.
After the physician’s overall judgement, the
analysis results should be signed or initialed by
the physician.

Maintenance

CAUTION
Before maintenance, cleaning or disinfection, turn the
electrocardiograph power off and disconnect the power cord from the
AC socket. Failure to follow this instruction may result in electrical
shock and electrocardiograph malfunction.

Operator’s Manual ECG-1150 1.7

1. GENERAL

Panel and Parts Descriptions

Front Panel

Name Function
1. Operation panel Refer to next page.

2. Paper container Contains the recording paper.

3. LCD screen Displays ECG waveforms, patient information, marks and message.

Left Side Panel

1 2

Name Function
1. Recorder door release button Press this button to open the recorder door.

2. Patient cable connector Connects the patient cable.

1.8 Operator’s Manual ECG-1150

 1. GENERAL

Operation Panel 1
7
8
4 2 3

9
10
1

5 6
11 12 13 14 15

Name Function
1. AC power lamp Lit when AC power is supplied.

2. Battery operation lamp During battery operation, indicates the remaining battery power with the color and
lighting state. For details, refer to “AC and Battery Operation” later in this section.

3. Battery charge lamp Indicates the battery charge status. For details, refer to “Operating on Battery” in
Section 2.
NOTE
After charging is complete, the battery charge lamp lights about every half
hour to one hour. This is because a small current is supplied to the battery
(supplementary recharging) to prevent self-discharging of the battery. Keep
the power cord plugged into the AC socket when the electrocardiograph is not
used.

4. Power key/lamp Turns the electrocardiograph on/off. For details, refer to “AC and Battery Operation”
later in this section.

5. Mode key (“4” number key) Calls up the Main menu screen. On some screens, this key enters the number “4”.

6. Rhythm key/lamp (“5” Performs rhythm recording in resting ECG examination. The lamp is lit while
number key) waveforms are acquired. On some screens, this key enters the number “5”.

7. F1, F2, F3, F4 function keys Correspond to the four items at the bottom of the screen. On some screens, these keys
(“1”, “2”, “3” number keys) enter the number “1”, “2” and “3”.

8. ID key Use to enter patient information.

9. Age key (“6” number key) Selects the patient age range (child or adult). On some screens, this key enters the
number “6”.

10. Gender key (“7” number key) Selects the patient gender. On some screens, this key enters the number “7”.

Operator’s Manual ECG-1150 1.9

1. GENERAL

Name Function
11. Feed/Mark key (“8” number Paper feeding:
key) Feeds the paper while the key is pressed.
Event mark:
In manual recording mode, adds an event mark to the ECG waveform.
On some screens, this key enters the number “8”.

12. Filter key/lamp (“9” number Turns the EMG filter on/off. The lamp lights when the EMG filter is turned on. On
key) some screens, this key enters the number “9”.

13. Copy/CAL key lamp (“0”
number key)
Automatic recording mode and rhythm recording mode:
Prints copies of the recording results. The lamp lights when copy is available and
during printing.
Manual recording mode:
Records the calibration waveforms. This key does not function for external input
signals.
On some screens, this key enters the number “0”.

14. Start/Stop key/lamp Starts or stops recording. The lamp lights during recording.

15. Auto/Manual key/lamp Selects automatic or manual recording.

Lamp on: automatic recording
Lamp off: manual recording

The Mode, Rhythm, F1, F2, F3, Age, Gender, Feed/Mark, Filter and Copy/
CAL keys are used to enter numbers in the System Setup screen and patient
information. Refer to Section 3 “Changing Settings (System Setup Screen)” and
“Entering the Patient Information” in Section 4.

Right Side Panel

1

Name Function
1. SD card slot For an SD memory card (option).

2. AC power cord socket Connects the power cord to supply AC power to the electrocardiograph.

3. Equipotential grounding
terminal
For a grounding lead. When equipotential grounding is required, always perform
equipotential grounding by using the optional grounding lead.
NOTE
• The equipotential grounding terminal can be removed. Be careful not to lose
the terminal.
• Only use Nihon Kohden specified equipotential grounding terminal.

1.10 Operator’s Manual ECG-1150

 1. GENERAL

Rear Panel 1

Name Function
1. Battery compartment Contains the battery pack.

CAUTION
Always install the battery even when the electrocardiograph operates
on AC power. Otherwise sudden power off occurs when an electrode
is detached during recording.

Patient Cable

Name Function
1. Electrode leads Connects to chest or limb electrodes.

2. Connector Connects the leads to the electrocardiograph.

Operator’s Manual ECG-1150 1.11

1. GENERAL

Functions

ECG recording (Refer to Section 5)

Automatic recording
Real time recording
Review recording
Analysis result recording
Rhythm recording
One minute of one rhythm lead ECG waveform recording
Extended recording
Extended arrhythmia rhythm recording
Extended sequence recording
Extended recording (manual)
Copy (manual)
ECG data storage (manual)
Manual recording
ECG manual recording
Periodic recording
Automatic recording
Real time recording
Periodic recording
ECG data storage
Manual recording

ECG data management (Refer to Section 8)

Print saved ECG waveforms
Change the ID of the saved file
Delete ECG data files
Format a media
Print ECG data file list
Copy ECG data files in the internal memory to SD card

Settings (System setup screen) (Refer to Section 3)

• Patient information
• Wave settings
• Recording settings
- Auto recording
- Report print out
- Analysis format and settings
• Periodic recording settings
• System settings
• Save/Load/Print system settings

1.12 Operator’s Manual ECG-1150

 1. GENERAL

To display the System Setup screen 1

1. Turn the power off.
2. Press the POWER key while pressing the FILTER key.

Settings (Main setup screen) (Refer to Section 3)

• Wave settings
• File processing
• Recording settings
- Recorder
- Manual recording
- Auto recording
- Analysis format and settings
- Rhythm recording

To display the Main Setup screen

Select Setup from the Main Menu screen.

Setting (Brightness screen) (Refer to Section 2)

Adjusting the screen brightness

System test (Refer to Section 10)

• Demonstration waveform
• Recorder test
• Key test
• Memory test
• LCD/LED test
• Electrode input test
• ECG input circuit test
• Initialize system settings
• Display internal information
• Display model information

To display the System Test screen

1. Turn the power off.
2. Press the POWER key while pressing the FEED/MARK key.

Operator’s Manual ECG-1150 1.13

1. GENERAL

Basic Operation (Function Keys, Panel Keys, Number Keys)

The electrocardiograph has function keys on the screen and dedicated keys on
the operation panel.

Function Keys
Press the function key (F1 - F4)
corresponding to the operation or
item displayed on the bottom of
the screen to perform the desired
operation or select the desired item.

Panel Keys
Press the key on the operation panel to perform the desired operation.
Some of the panel keys also function as number keys on some screens.

Number Keys
On some screens, you can press the panel key to enter a number (0 - 9).

1.14 Operator’s Manual ECG-1150

 1. GENERAL

1
Switching Screens

When the electrocardiograph is turned on, the Resting ECG recording screen
appears.

To switch to another screen

1. Press the MODE key to display the Main Menu screen.

2. Use the number keys on the operation panel to select the number of the
desired item.

Press the “1” or “2” key on the Main Menu screen to return to the ECG recording
screen.

Operator’s Manual ECG-1150 1.15

1. GENERAL

AC and Battery Operation

AC power operation:
When AC power is supplied, the electrocardiograph operates on AC power and
the AC power lamp is lit.
Lit

AC power lamp on CAUTION

Always install the battery even when the electrocardiograph operates
on AC power. Otherwise sudden power off occurs when an electrode
is detached during recording.

Automatic backlight off

In AC power operation, the electrocardiograph automatically turns the backlight
off when the “Fail Limb” message (electrode detachment) is displayed on the
screen and there is no key operation for approximately three minutes. To turn on
the backlight, press any key.

The automatic backlight off function can be turned off by setting “Backlight auto
off” to “Off” on the System Setup screen. Refer to “List of Settings” in Section
3.

Battery power operation:

When AC power is not supplied, the electrocardiograph automatically switches
Lit to battery power operation and the battery operation lamp lights to indicate the
remaining battery power. The electrocardiograph can operate about 90 minutes
with a new fully charged battery.
Battery operation lamp on
NOTE
• When the battery is almost discharged and the power is turned on, the
“Charge battery” message appears, the battery operation lamp blinks in
orange, a notification sounds and the electrocardiograph immediately
turns the power off.
• Automatic power off
In battery operation, to prevent unwanted battery consumption, the
electrocardiograph automatically turns the power off when the “Fail
Limb” message (electrode detachment) is displayed on the screen and
there is no key operation for approximately three minutes. In this case,
temporarily changed settings are lost. If this happens, turn the power
back on to continue using the electrocardiograph.

The automatic power off function can be turned off by setting “Auto
power off” to “Off” on the System Setup screen. Refer to “List of
Settings” in Section 3.

1.16 Operator’s Manual ECG-1150

 1. GENERAL

Battery operation time: 1

NOTE
Remaining battery power depends on the surrounding temperature and
quality of recording waveform.

Battery operation lamp Available recording time

Lights in green At least 15 minutes.
90 minutes or more when fully charged.
Lights in orange 1 to 15 minutes
Blinks in orange Power will be lost within one minute.
Recharge the battery immediately or operate
on AC power.

Power and Battery Status Indications

Power and battery status are indicated by four lamps on the front panel. A
discharged battery is also indicated by a screen message.

Lit • Operating on AC power

Power lamp: Lit
AC power lamp: Lit
Battery operation lamp: Off
Lit Battery charge lamp: Off

Lit • Operating on battery power

Power lamp: Lit
AC power lamp: Off
Battery operation lamp: Lit in green
Lit in green Battery charging lamp: Off

Lit • Operating on battery power and battery operation time is less than 15 minutes
Power lamp: Lit
AC power lamp: Off
Battery operation lamp: Lit in orange
Lit in orange Battery charging lamp: Off

Lit • Operating on battery power and battery needs recharging

Power lamp: Lit
AC power lamp: Off
Battery operation lamp: Blink in orange
Battery charging lamp: Off
Blink in orange
Screen indication: “Charge battery” message

Lit • Power off and charging battery

Power lamp: Off
AC power lamp: Lit
Battery power lamp: Off
Battery charging lamp: Lit
Lit

Operator’s Manual ECG-1150 1.17

 Section 2 Preparation
2

Selecting a Suitable Location............................................................................................................................... 2.2

Mounting the Electrocardiograph on the Optional Cart........................................................................................ 2.4
Mounting the Electrocardiograph on the Cart............................................................................................ 2.4
Options for the Cart.................................................................................................................................... 2.4
Connecting the Power Cord and Grounding the Electrocardiograph.................................................................... 2.5
Connecting the Power Cord....................................................................................................................... 2.5
Grounding the Electrocardiograph............................................................................................................. 2.5
Operating on Battery............................................................................................................................................ 2.6
Battery Handling......................................................................................................................................... 2.6
Battery Replacement....................................................................................................................... 2.7
Charging........................................................................................................................................... 2.7
Storage............................................................................................................................................. 2.7
Disposing......................................................................................................................................... 2.8
Inserting the Battery Pack.......................................................................................................................... 2.9
Removing the Battery Pack...................................................................................................................... 2.10
Charging the Battery................................................................................................................................ 2.10
Setting the Recording Paper.............................................................................................................................. 2.11
Handling the Recording Paper................................................................................................................. 2.11
Types of Recording Paper.............................................................................................................. 2.11
Setting the Recording Paper.................................................................................................................... 2.13
Feeding the Paper.................................................................................................................................... 2.14
Connecting the Patient Cable............................................................................................................................. 2.15
Turning the Power On or Off............................................................................................................................... 2.16
Turning the Power On............................................................................................................................... 2.16
Check Items Before Turning the Power On.................................................................................... 2.16
Turning the Power On..................................................................................................................... 2.17
Check Items After Turning the Power On....................................................................................... 2.17
Changing the Date and Time................................................................................................................... 2.18
Turning the Power Off............................................................................................................................... 2.18
Adjusting the Screen Brightness........................................................................................................................ 2.19
Preparing for Data Management........................................................................................................................ 2.20
About the Media....................................................................................................................................... 2.20
Internal Memory............................................................................................................................. 2.20
SD Memory Card........................................................................................................................... 2.20
Using the Internal Memory....................................................................................................................... 2.20
Using the SD Memory Card..................................................................................................................... 2.20
About the SD Memory Card........................................................................................................... 2.20
Inserting and Removing the SD Memory Card.............................................................................. 2.22
Preparing the SD Memory Card..................................................................................................... 2.22

Operator’s Manual ECG-1150 2.1

2. PREPARATION

Selecting a Suitable Location

Select a suitable examination location according to the following

WARNINGS, CAUTIONS and NOTES and refer to “GENERAL HANDLING
PRECAUTIONS”.

WARNING
Never use the electrocardiograph in the presence
of any flammable anesthetic gas or high
concentration oxygen atmosphere. Failure to
follow this warning may cause explosion or fire.
WARNING
Never use the electrocardiograph in a hyperbaric
oxygen chamber. Failure to follow this warning
may cause explosion or fire.

WARNING
Connect only the specified instrument to the
electrocardiograph and follow the specified
procedure. Failure to follow this warning may
result in electrical shock or injury to the patient
and operator, and cause fire or instrument
malfunction.

CAUTION
The electrocardiograph should not share the
power line with any instrument which consumes a
lot of power, such as an X-ray instrument,
because it may cause artifact.
CAUTION
Make sure that there is enough space between
the electrocardiograph and the wall for adequate
ventilation. Leave more than 5 cm of space
between the wall and electrocardiograph so that
the operating temperature does not exceed 40°C
(104°F). Otherwise the internal temperature of
the electrocardiograph rises, which leads to
inaccurate operation and shortens the
electrocardiograph life.
CAUTION
Only use the KD-104E/105D/105E cart for this
electrocardiograph. If another cart is used, it may
tip over or the electrocardiograph may fall off.
CAUTION
• Do not install the electrocardiograph near
a power line, dynamo or motor which has
electromagnetic induction.
• Do not install the electrocardiograph near
an electrosurgical unit or RF therapeutic
equipment.
• Select a room without excessive noise,
vibration, sunlight, high humidity or water
splashes.
• Make sure that there is no interference from a
mobile phone.
• Avoid locations where the electrocardiograph
may receive strong electromagnetic
interference such as radio or TV stations,
mobile phones or mobile two-way radios.
• Do not install the electrocardiograph where
it will be exposed to water or chemical
solutions. Avoid direct sprinkling, spray or
moist air from a nebulizer or humidifier. These
cause malfunction and shorten the life of the
electrocardiograph.

2.2 Operator’s Manual ECG-1150

 2. PREPARATION

CAUTION CAUTION
When installing the electrocardiograph, take care Do not use the electrocardiograph with its side 2
not to pinch your finger under the panel down. Failure to follow this instruction may
electrocardiograph. cause the electrocardiograph to fall over or cause
battery liquid leakage.

NOTE
• Install the electrocardiograph where the screen can
be seen clearly and does not reflect light.
• Do not place blankets or cloth over the
electrocardiograph.
• Do not install the electrocardiograph in a dusty area.

Operator’s Manual ECG-1150 2.3

2. PREPARATION

Mounting the Electrocardiograph on the Optional Cart

CAUTION
Only use the KD-104E/105D/105E cart for this electrocardiograph. If
another cart is used, it may tip over or the electrocardiograph may
fall off.

Mounting the Electrocardiograph on the Cart

Use the two set pins and two screws (option: contact your Nihon Kohden
D
A B representative) to mount the electrocardiograph on the cart.
E C
A E D
B C
1. Attach the set pins to the holes E (KD-104E) or A (KD-105D/105E) on the
top cover of the cart.

Attach the set pins to these holes.

2. Mount the electrocardiograph by aligning the holes on the rear panel over
the set pins.
B A
D
C B For details, refer to the installation guide of the cart.
D
A
C

Options for the Cart

KD-104E cart KD-105D/105E cart

DI-009D paper tray DI-011D paper rack
DI-010D storage rack DI-013D middle shelf*1
DI-014D drawer assembly*1*2
DI-007D magnetic card reader holder DI-012D magnetic card reader holder*2
DI-008D bar code reader holder –––
––– DI-015D cart tray assembly
––– DI-016D roll paper holder*1
*1 A DI-013D middle shelf, DI-014D drawer and DI-016D roll paper holder
cannot be attached together on the KD-105D/105E cart.
* It is possible to attach a DI-014D drawer and DI-012D magnetic card reader
2

holder together on the KD-105D/105E cart, but the card reader holder
interferes with putting items in and taking items out of the drawer.

KH-100D patient cable hanger

You can attach the KH-100D patient cable hanger to the cart and put the cables
and hook limb leads on the hanger. The hanger prevents the cables from getting
tangled or the limb leads from getting in the way.

2.4 Operator’s Manual ECG-1150

 2. PREPARATION

Connecting the Power Cord and Grounding the

2
Electrocardiograph

Connecting the Power Cord

WARNING
Only use the provided power cord. When the provided power cord
cannot be used or when equipotential grounding is doubtful (such as
in a facility with poor grounding), operate the electrocardiograph on
battery power. Otherwise, the patient and operator may receive
electrical shock or injury.

NOTE
• Make sure that there is always a battery pack inside the
electrocardiograph in case the power cord is disconnected or there is a
power failure.
• When there is no battery inside the electrocardiograph, there may be
noise on the waveform or the electrocardiograph may reset and lose
measurement data.

Connect the provided power cord to the AC power cord socket on the right side
panel of the electrocardiograph and plug the cord into a 3-prong AC socket.

Grounding the Electrocardiograph

WARNING
When several medical instruments are used together, ground all
instruments to the same one-point ground. Any potential difference
between instruments may cause electrical shock to the patient and
operator.

When more than one electrical instrument is used, there may be electrical
potential difference between the instruments. The potential difference between
the instruments may cause current to flow to the patient connected to the
instruments, resulting in electrical shock (micro shock).

Always perform equipotential grounding when required. It is often required in

the operating room, ICU room, CCU room, cardiac catheterization room and X-
ray room. Consult with a biomedical engineer to determine if it is required.

When equipotential grounding is required to ensure patient safety, use the

grounding wire of the AC power cord.

Operator’s Manual ECG-1150 2.5

2. PREPARATION

Operating on Battery

The electrocardiograph can operate on battery power with the optional SB-901D
battery pack. When a battery is inserted, the electrocardiograph automatically
switches to battery power if the power cord is disconnected or there is a sudden
power failure.

Battery Handling

WARNING
Do not do the following to the battery. It may
cause leakage, overheating, explosion and fire.
• Short-circuit the + and – terminals on the
battery.
• Put the battery into fire or heat the battery.
• Disassemble or modify the battery.
• Give strong impact to or deform the battery.
• Use the battery on unspecified instruments.
• Charge the battery on unspecified instruments.
• Install the battery with the wrong polarity.
• Leave the battery in the reach of patients.
WARNING
If the battery pack is damaged and the substance
inside the battery contacts the eyes or skin, wash
immediately and thoroughly with water and see a
physician. Never rub your eyes, because you may
lose your eyesight.
WARNING
• Do not immerse the battery pack in water.
The battery may overheat and rust and the
substance inside the battery may leak.
• Do not leave the battery pack unused for more
than a year. The battery may leak.

WARNING WARNING
Only use the SB-901D battery pack. Check the direction of the connector when
connecting the battery cable. Do not force the
battery cable into the battery connector.

CAUTION
Do not bend or pull the connector of the battery
pack cable with strong force. This may damage
the battery cable or battery cable connector.
CAUTION
If the battery operation time is less than 15
minutes, the battery pack may be deteriorated.
Do not charge a deteriorated battery pack.
Charging a deteriorated battery pack may cause
the electrocardiograph to fail to operate in both
battery and AC power.

NOTE
• The operation time with the fully charged battery pack is 90 minutes
or more when the surrounding temperature is 25°C (77°F). If the
surrounding temperature is more than 25°C (77°F) or depending on
waveform quality, the operation time may be less.

2.6 Operator’s Manual ECG-1150

 2. PREPARATION

• The lifetime of the battery pack is about one year. When operating the
electrocardiograph with the battery pack, check the date when the
battery pack was last replaced on the start date label attached to the 2
electrocardiograph.
• To keep the battery pack fully charged, always keep the power cord
connected to the AC socket even when the electrocardiograph is not
used.

Battery Replacement

CAUTION CAUTION
The battery pack must be replaced by qualified Before connecting or disconnecting instruments,
service personnel. make sure that each instrument is turned off and
the power cord is disconnected from the AC
socket. Otherwise, the patient or operator may
receive electrical shock or injury.

Charging

CAUTION
If the battery operation time is less than 15
minutes, the battery pack may be deteriorated.
Do not charge a deteriorated battery pack.
Charging a deteriorated battery pack may cause
the electrocardiograph to fail to operate in both
battery and AC power.
CAUTION
Charge the battery pack at surrounding
temperatures of 5 to 40°C (41 to 104°F). If the
battery is charged below 5°C or over 40°C, the
battery may leak or heat up. This may damage
the battery.

NOTE
• Before using a new battery pack, charge it with the ECG-1150
electrocardiograph.
• The charging time of the battery pack is less than 10 hours when the
surface temperature of the battery pack is between 10 and 35°C (50
and 95°F). The charging time depends on the surface temperature of
the battery pack. When the surface temperature of the battery pack is
below 10 or over 35°C (50 to 95°F), it may take longer to charge the
battery.
• During charging, the battery pack may heat up. Do not put anything on
or cover the electrocardiograph.

Storage

WARNING
Do not leave the battery pack unused for more than a year. The
battery may leak.

Operator’s Manual ECG-1150 2.7

2. PREPARATION

CAUTION
Do not expose the battery pack to direct sunlight
or leave in a high temperature place. The lifetime
of the battery pack may be shortened, the
performance of the battery pack may be
degraded and the battery may leak.
CAUTION
• Remove the battery pack from the
electrocardiograph when it is not used more
than six months. The battery may leak out and
rust.
• When the battery pack is not used more than
90 days, store the battery pack at temperatures
between –20 to +30°C (–4 to +86°F) in a dry
place to prevent it from rusting and leakage.
• If the surrounding temperature is over 30°C
(86°F), charge it every three months because it
self-discharges quickly.
• When the battery pack is stored more than
one month, charge it before use because the
battery pack may have self-discharged.
• Replace the battery pack with a new one every
year to assure maximum performance from the
electrocardiograph.

When the battery pack is stored for a long time, it may become inactivated and
cannot be fully charged. The battery charge may be recovered by discharging and
charging the battery several times.

Disposing

CAUTION
SB-901D battery pack is NiMH (Nickel-Metal Hydride). Before
disposing of the battery pack, check with your local solid waste
officials for details in your area for recycling options or proper
disposal. The battery is recyclable. At the end of its useful life, under
various state and local laws, it may be illegal to dispose of this
battery into the municipal waste stream.

NOTE
When disposing of the electrocardiograph, remove the battery pack and
attach tape over the battery cable. Otherwise, the battery may explode at
waste disposable services.

2.8 Operator’s Manual ECG-1150

 2. PREPARATION

Inserting the Battery Pack

WARNING WARNING 2
Do not touch the patient while touching any metal Only use the SB-901D battery pack.
part of non-medical electrical equipment or an
exposed part when a connector or cover is
removed. Failure to follow this warning may cause
electrical shock or injury to the patient.

The electrocardiograph is shipped from the factory with no battery pack installed.
Follow the procedure below to insert a battery pack into the electrocardiograph
before use.

1. Remove the M3 binding head screw from the battery cover and pull off the
battery cover.

2. Connect the battery cable to the battery pack connector.

3. Insert the battery pack into the battery compartment.

4. Reattach the battery cover and secure it with the screw.

Operator’s Manual ECG-1150 2.9

2. PREPARATION

Removing the Battery Pack

Remove the battery pack while pressing the lock under the battery cable.

NOTE
Do not pull the cable with strong force. This may damage the connector.

Charging the Battery

The battery can be charged when AC power is supplied to the electrocardiograph
and the power is turned off. You cannot charge the battery when the power is
turned on. The battery charge time is at least 10 hours. A new fully charged
battery provides at least 90 minutes continuous recording.

To charge the battery

When the electrocardiograph is not used, connect the electrocardiograph to a
wall AC socket to charge the battery. The AC power lamp and battery charge
lamp light when the electrocardiograph battery is charging.

1. Press the POWER key to turn the power off.

2. Connect the electrocardiograph to a wall AC socket. The AC power lamp

and battery charge lamp light.

Battery charge lamp

Lit: Charging
OFF: Fully charged

NOTE
• When you operate the electrocardiograph on battery power, run down
the battery as much as possible before recharging. If you frequently
charge the battery after it has only been used for a short time, it may
shorten the life of the battery.
• After charging is complete, the battery charge lamp lights about every
half hour to one hour. This is because a small current is supplied to
the battery (supplementary recharging) to prevent self-discharging of
the battery. Keep the power cord plugged into the AC socket when the
electrocardiograph is not used.
• Right after the battery is fully charged, and during battery operation,
the battery operation lamp may light in orange when the surrounding
temperature is low or when printing ECG waveforms.
• When operation time is reduced to half, even if the battery pack is fully
charged, the battery life may be expired. Replace the battery with a new
one.
• When the battery charge lamp does not light every half hour to one
hour, even after a ten-hour recharging, the battery life may be expired.
Replace the battery with a new one.

For battery operation time, refer to “AC Operation and Battery Operation” in
Section 1 “General”.
2.10 Operator’s Manual ECG-1150
 2. PREPARATION

Setting the Recording Paper

2

Handling the Recording Paper

Types of Recording Paper

CAUTION
• Only use the Nihon Kohden specified 63 mm recording paper.
When a narrower recording paper is used and the paper detection
circuit cannot detect it, the thermal head may be activated. The
thermal head may be damaged where there is no recording paper
and the rubber paper feed roller may get burned.
• If unspecified recording paper is used, it might not print properly or
send multiple pages.

Model Type Length Paper marks Grid Paper location

RQS63-3 Roll 30 m No No In the electrocardiograph

Storage

CAUTION
Prolonged storage under conditions such as high temperatures,
excessive humidity, direct sunlight, and fluorescent light causes
fading of the colored surface. Avoid high temperatures exceeding
50°C (122°F) and excessive humidity. Store the recording paper in a
cool, dry and dark place if possible.

Operator’s Manual ECG-1150 2.11

2. PREPARATION

Usage

CAUTION
• Organic solvents and plastics may develop color on the white
surface or cause the recording paper to fade.
Examples of color-developing materials containing organic
solvents:
Adhesives, paste, felt-tip pens, and semi-dry diazo paper.
Examples of color-fading materials made of soft vinyl chloride:
Document cases, albums, and desk pads including.
Examples of color-fading materials containing plastics:
Erasers, adhesive tapes, and some fluorescent pens.
• The paper cutter in the recording paper container is sharp. When
setting the recording paper, be careful not to cut your finger. Set
the recording paper as specified.
• When pasting the recording paper, use paste with a starch base,
PVA base, arabic gum base paste, CMC base synthetic paste, or
paper bond.
• Do not apply high pressure to the recording paper. Rubbing or
scratching the surface with a hard object discolors it.
• Clean the thermal head with the thermal head cleaner after every
100 m printing. A dirty thermal head degrades printing quality.
• Do not use recording paper which is contaminated with ECG
electrolyte cream (CardioCream) or saline solution because the
recording paper will fade by the chloride and the contaminated
thermal head may cause missing dots. If the thermal head gets
contaminated, clean it with the thermal head cleaner pen.
• Do not touch the thermal head with your fingers. If accidentally
touched, clean the thermal head with the thermal head cleaner
pen.
• Follow the procedure to set the recording paper. Otherwise, the
recording paper might not feed normally or the feeding motor may
stop operation.

Replacement

CAUTION
Do not set the recording paper right after recording because the
thermal head is still hot.

2.12 Operator’s Manual ECG-1150

 2. PREPARATION

Setting the Recording Paper

1. Press down the recorder cover release button to open the recorder.
2

Recorder cover release button

2. Turn over the recorder cover.

3. Set the recording paper in the recorder cover by spreading the

paper guides.

Paper guide

4. Pull out the recording paper and align it with the recorder cover.

5. Attach the recorder cover to the recorder while holding the paper.

Operator’s Manual ECG-1150 2.13

2. PREPARATION

6. Close the recorder cover by pressing the center of the cover.

NOTE
When recording paper is not aligned with the paper guide, skewing
may occur.

Feeding the Paper

You can feed the paper by pressing the FEED/MARK key anytime before or
after recording.

2.14 Operator’s Manual ECG-1150

 2. PREPARATION

Connecting the Patient Cable

2

WARNING
Only use the BJ-901D/BJ-902D/BJ-903D/BJ-961D or BA-901D/BA-
903D patient cables when using with a defibrillator. When the
specified patient cable is connected, the electrocardiograph is type
CF defibrillation-proof compliance. Failure to follow this warning may
cause skin burn where the electrode is attached and damage the
electrocardiograph due to discharge energy when defibrillation is
performed.

1. Connect the patient cable to the patient cable connector on the right side
panel of the electrocardiograph.

2. Secure the connector to the electrocardiograph with the screws on the

connector.

NOTE
Do not lift the electrocardiograph while holding the patient cable and do
not bend or pull the patient cable strongly. This may break the cable.

Operator’s Manual ECG-1150 2.15

2. PREPARATION

Turning the Power On or Off

WARNING
Only use the provided power cord. When the provided power cord
cannot be used or when equipotential grounding is doubtful (such as
in a facility with poor grounding), operate the electrocardiograph on
battery power. Otherwise, the patient and operator may receive
electrical shock or injury.

Turning the Power On

Before turning the power on, check the following items. If there is any damage
or the electrocardiograph is suspected to be faulty as a result of checking, attach
an “Unusable” or “Repair request” label to the electrocardiograph and contact
your Nihon Kohden representative.

Check Items Before Turning the Power On

Overview:
• Electrocardiograph is not dirty, damaged or in contact with liquid
• No peeling or tear in the operation panel
• No key or button is broken
• Power cord is not damaged
• Electrodes are clean and not damaged
• Cable hanger is not damaged
• Paper recorder is not damaged
• Battery is installed

Connection and setting:

• Power cord is securely connected
• Electrocardiograph is securely connected to an external instrument
• Patient cable is securely connected to the electrocardiograph
• Recording paper is properly set
• Battery is fully charged

Accessories:
• Enough electrolyte cream
• Enough recording paper
• Enough disinfected or sterilized dry electrodes
• Patient cable is not frayed or damaged
• No crack in the rubber of suction electrodes
• String of fast clip is strong enough
• New and used electrodes are not used together

2.16 Operator’s Manual ECG-1150

 2. PREPARATION

Lit Turning the Power On

• When operating on battery power
After installing the fully charged battery pack, press the POWER key on the 2
operation panel to turn the power on. The POWER lamp and battery operation
lamp light.

• When operating on AC power

After grounding and connecting the power cord to a wall AC socket, press the
POWER key on the operation panel to turn the power on. The POWER lamp
and AC power lamp light.

Lit
After turning the power on, check the following items.

Check Items After Turning the Power On

• AC power lamp or battery power lamp lights normally
• LCD backlight lights
• No fire, smoke or smell
• No electrical shock when touching the electrocardiograph
• Electrocardiograph is not too hot
• Electrocardiograph does not affect surrounding equipment
• Screen display is correct (brightness, contrast, no distortion, normal color, etc.)
• All operation indicators lights
• All keys on the operation panel operate correctly
• All settings are correct
• Calibration waveform is properly displayed and recorded
Amplifier of calibration waveform is correct
No noise on the calibration waveform
• No error messages or malfunction during operation
• Printing is correct (paper feeding without skewing or catching, no jamming,
printing darkness, no faded or missing dots, date and time)
• External instrument operates correctly
• ECG data files can be saved correctly

When the electrocardiograph is used for the first time, set the followings. Refer
to Section 3 “Changing Settings Before Measurement”.
Wave settings: AC filter
System settings: Date and time, Date display format, Time display format

Operator’s Manual ECG-1150 2.17

2. PREPARATION

Changing the Date and Time

The date and time on the printing result is part of important information for the
medical record.

To change the date and time setting, refer to “Changing Date and Time” in
Section 3.

NOTE
If the date and time printed on the recording is not the current date and
time, the lithium battery may be burned. Contact your Nihon Kohden
representative.

Turning the Power Off

NOTE
The power cannot be turned off while processing ECG data file. Turn the
power off after processing is complete.

Press the POWER key on the operation panel for one second to turn the power
off. The screen becomes dark and the POWER lamp on the operation panel turns
off.

2.18 Operator’s Manual ECG-1150

 2. PREPARATION

Adjusting the Screen Brightness

2

You can adjust the screen brightness.

1. Press the MODE key. The Main Menu screen is displayed.

2. Press “9” to select “Screen Brightness”. The Brightness screen is displayed.

3. Adjust the brightness with function keys.

If the screen is too dim, press the function key. If the screen is too bright,
press the function key.

4. Press the OK function key to close the Brightness screen.

5. Press the “1” or “2” key to return to the ECG recording screen.

Operator’s Manual ECG-1150 2.19

2. PREPARATION

Preparing for Data Management

About the Media

The electrocardiograph can save the acquired ECG waveforms, patient
information and analysis result as a file in the internal memory or SD memory
card (hereafter referred to as “media”).

Internal Memory
Saves up to 40 files in the memory regardless of the data compression type.

SD Memory Card
QM-001D/001DE/064D/064DE SD memory card or equivalents.
The QM-001D/001DE/064D/064DE SD memory card saves up to 780 files
(type 1, normal) or 3000 files (type 2, compressed). Refer to Section 8 “Data
Management”.

CAUTION
Only use a Nihon Kohden specified SD memory card. Otherwise, the
card might not operate.

NOTE
The electrocardiograph can only recognize 64 MB of data on the SD
memory card even if the SD memory card is larger than 64 MB.

Using the Internal Memory

1. Set “Media” to “Internal memory” on the File Processing Section of the
Main Setup screen. Refer to “List of Settings - Main Setup Screen - File
Processing” in Section 3.

2. Format the internal memory. Refer to “Formatting the Media” in Section 8.

Using the SD Memory Card

About the SD Memory Card
Refer to the SD memory card manual and the following precautions for operation
and cautions. To format an SD memory card, refer to “Formatting the Media” in
Section 8.

CAUTION
Only use a Nihon Kohden specified SD memory card. Otherwise, the
card might not operate.

2.20 Operator’s Manual ECG-1150

 2. PREPARATION

CAUTION
Do not leave the SD memory card near patients or in reach of 2
children.

Recommended SD Memory Card

QM-001DE/064DE (for Europe) or QM-001D/064D (for other countries)

Handling

CAUTION
• Never disassemble or modify the SD memory card.
• Do not bend or give a strong impact to the SD memory card.
• Do not handle the SD memory card while smoking or eating. Do
not get the SD memory card wet.
• Do not touch any metal part of the SD memory card.
• Do not peel off the label or sticker on the SD memory card or put
other label or sticker on the SD memory card.
• Only use the SD memory card in the specified instrument.
• Do not scratch the insertion part of the SD memory card. The
electrocardiograph might not operate when the dust gets into the
insertion part.
• Put the SD memory card in the case when the SD memory card
is removed from the electrocardiograph. Store it where patients
cannot accidently swallow the SD memory card.
• Do not expose the SD memory card to direct sunlight or leave in a
high temperature and high humidity.
Operating Environment
Temperature: –25 to +85°C (–13 to +185°F)
Humidity: 25 to 95% RH (noncondensing)
Example: QM-064D SD memory card
Storage Environment
Temperature: –40°C to +85°C (–40 to +185°F)
Humidity: 25 to 95% RH
• Do not store the SD memory card in a corrosive gas environment.

Operation

CAUTION
• Only format or write data to the SD memory card in the specified
instrument. Otherwise, the SD memory card may become
unusable.
• Do not remove the SD memory card or turn the power off while
formatting or data is being written to or read from the SD memory
card. This may damage the SD memory card or saved data.

Operator’s Manual ECG-1150 2.21

2. PREPARATION

Inserting and Removing the SD Memory Card

CAUTION
• Insert only a Nihon Kohden specified SD memory card in the SD
card slot.
• Insert or remove the SD memory card straight into or out of the SD
card slot. Otherwise, the SD memory card and electrocardiograph
may get damaged.
• Make sure that the electrocardiograph power is turned off, when
inserting or removing an SD memory card. Otherwise, the data
in SD memory card may get damaged and operation of the
electrocardiograph may become unstable.

To insert the SD memory card:

1. Turn the electrocardiograph power off.

2. Insert the SD memory card straight into the SD card slot with the label side
up until it clicks.

To remove the SD memory card:

1. Turn the electrocardiograph power off.

2. Press in the edge of SD memory card.

3. Pull the card out straight from the SD card slot.

Preparing the SD Memory Card

1. Insert the SD memory card into the SD card slot on the right side panel of the
electrocardiograph. Refer to “Inserting and Removing the SD Memory Card”
earlier in this section.

2. Set “Media” to “SD card” on the File Processing of the Main Setup screen.
Refer to “List of Settings - Main Setup Screen - File Processing” in Section
3.

3. Format the SD memory card. Refer to “Formatting the Media” in Section 8.

2.22 Operator’s Manual ECG-1150

Section 3 Changing Settings Before
Measurement 3

System Setup Screen and Main Setup Screen.................................................................................................... 3.2

List of Settings...................................................................................................................................................... 3.3
System Setup Screen................................................................................................................................. 3.3
Patient Information........................................................................................................................... 3.3
Wave Settings.................................................................................................................................. 3.3
Recording Settings........................................................................................................................... 3.4
Periodic Recording Settings............................................................................................................. 3.5
System Settings............................................................................................................................... 3.6
Main Setup Screen..................................................................................................................................... 3.7
Wave Settings.................................................................................................................................. 3.7
File Processing................................................................................................................................. 3.7
Recording Settings........................................................................................................................... 3.7
Changing the System Setup Settings................................................................................................................... 3.9
Displaying the System Setup Screen and Changing the Settings.............................................................. 3.9
Changing the Date and Time................................................................................................................... 3.11
Entering the Hospital Name..................................................................................................................... 3.12
Changing the Main Setup Settings..................................................................................................................... 3.14
Saving the System Setup and Main Setup Settings........................................................................................... 3.16
Loading the System Setup and Main Setup Settings......................................................................................... 3.18
Printing the List of System Setup and Main Setup Settings............................................................................... 3.20

Operator's Manual ECG-1150 3.1

3. CHANGING SETTINGS BEFORE MEASUREMENT

System Setup Screen and Main Setup Screen

This section explains how to change settings, save settings in an SD memory

card, load settings from an SD memory card and print the list of system settings.
We recommend saving and printing the settings immediately after installation.

There are two setup screens, System Setup screen and Main Setup screen.
System Setup screen settings are rarely changed. Main Setup screen settings are
frequently changed. You can change settings without turning the power off.

In the System Setup screen, you can change the following settings.
• Patient information
• Wave settings
• Recording settings
- Auto recording
- Report print out
- Analysis format and settings
• Periodic recording settings
• System settings
• Save/Load/Print system settings

In the Main Setup screen, you can change the following settings.
• Wave settings
• File processing
• Recording settings
- Recorder
- Manual recording
- Auto recording
- Analysis format and settings
- Rhythm recording

3.2 Operator’s Manual ECG-1150

 3. CHANGING SETTINGS BEFORE MEASUREMENT

List of Settings

System Setup Screen 3

The factory default settings are underlined.

Patient Information
Item Description Settings
ID Select “On” to enable ID entry (up to 12 numeric On
characters) when recording starts. Off
Sex Select “On” to display sex on the Patient Information On
screen. Off
Default sex Select the default sex when the power is turned on. M
F
Blank
Age Select whether to display the age on the Patient Age
Information screen. When displaying age, select Age group
whether to display actual age or age group. Off

When “Age group” is selected, the Patient Information

Default age group
Data auto delete
screen cannot be displayed, only sex and age group
can be entered for the patient information using the
keys on the operation panel.
Select the default age group when the power is turned 3 - 5
on. This setting is only available when “Age or birth 6-9
date” is set to “Age group”. 10 - 14
15 - 34
35 +
Select “Delete all” to clear the previous patient data Delete all
when the ID is changed. Off

Wave Settings
Item Description Settings
Baseline drift suppression Baseline drift suppression prevents the baseline from Strong
drifting by locking it into one position at the start of Weak
recording. Off

CAUTION
When baseline drift suppression is set to
“Strong”, distortion may occur in the ST
segment with a decrease of heart rate when
heart rate is less than 50. For bradycardia,
set this item to “Weak”. The “Weak” setting
has characteristics conforming to the AHA
recommendations.

AC filter Set this to match your AC power line frequency. 50 Hz

60 Hz
Off

Operator’s Manual ECG-1150 3.3

3. CHANGING SETTINGS BEFORE MEASUREMENT

Recording Settings
Auto Recording
Item Description Settings
Auto start Select “On” to automatically start recording. On
Off

Report Print Out

Item Description Settings
Auto mode of Resting ECG Select “On” to print ECG and report in auto mode of On
recording the resting ECG recording. Off
Rhythm recording Select “On” to print ECG in rhythm recording. On
Off
Periodic recording Select “On” to print ECG and report in periodic On
recording. Off

Analysis Format and Settings

Item Description Settings
Analysis Select the analysis mode. When “screening” is Standard
selected, some ST-T related findings are not obtained. Standard (screening)
When “Advanced” is selected, more findings than Advanced
“Standard” are obtained. For details, refer to ECAPS Advanced (screening)
12C ECG Interpretation Program User’s Guide and
Upgrade Information.
NOTE
The data acquired with “Advanced” setting might
not be used in external systems.
Minnesota Select whether to print the Minnesota code. Minnesota
Off
Measurement/analysis selection Select whether to print the measurement values and Measurement + analysis
analysis result with the ECG waveforms. Measurement only
None
QTc calculation method Select a method to calculate QTc. ECAPS
Bazett

QT interval varies according to the heart rate. QTc interval is a corrected value
based on a heart rate of 60 bpm.
ECAPS:
(1000 − R-R interval (ms))
QTc interval (ms) = QT interval (ms) +
7

bazett:
QT interval (ms)
QTc interval (ms) =
R-R interval (s)

3.4 Operator’s Manual ECG-1150

 3. CHANGING SETTINGS BEFORE MEASUREMENT

Periodic Recording Settings

Item Description Settings
Starting leads Select the starting lead group. Limb
Chest
Periodic recording type Select the ECG waveform acquisition interval. Fixed time
Interval
3
Off
Fixed recording time 30 s Select “On” to acquire the ECG waveform after the On
specified time when “Periodic recording type” is set to Off
1 min “Fixed time”. On
Off
2 min On
Off
3 min On
Off
4 min On
Off
5 min On
Off
6 min On
Off
7 min On
Off
8 min On
Off
9 min On
Off
10 min On
Off
11 min On
Off
12 min On
Off
13 min On
Off
14 min On
Off
15 min On
Off
Interval (min) Select the interval when “Periodic recording type” is 1 to 60 (3)
set to “Interval”.
Interval recording repetitions Select the number of times to acquire ECG waveform. 1 to 999 (10)
Auto gain output Select “On” to automatically change the waveform On
amplitude and position during periodic recording. Off
Additional slow speed recording Select “On” to slow paper speed until the next periodic On
recording starts. Off

Operator’s Manual ECG-1150 3.5

3. CHANGING SETTINGS BEFORE MEASUREMENT

System Settings
Item Description Settings
Sync sound Select QRS synchronized sound or stylus on paper QRS sync sound
scratching sound. Pen sound
Off
QRS sync sound volume Select the QRS sync sound volume. 1 (min)
2
3
4 (max)
Notification sound volume Select the notification sound volume. 0 (Off)
1
CAUTION 2
3
At “0”, there is no sound.
4 (max)
Chime volume Select the chime volume. 0 (Off)
1
2
3
4 (max)
Date and time Set the date and time. Year, Month, Day, Hour and
Minute
Date display format Select the date display format. yyyy/mm/dd
yyyy–mmm–dd
mmm–dd–yyyy
dd–mmm–yyyy
Time display format Select the time display and printing format. 12 hour day
24 hour day
Hospital Enter the hospital name. It is printed in the “Exam.:” Up to 40 alphanumeric
column. characters
Language Select the language for display and recording. English
Local language
NOTE
When you install a local language in the
electrocardiograph, check the screen descriptions
and printed ECG finding list before use. You can
compare the screen descriptions with the text that
your Nihon Kohden representative provides. You
can compare the ECG finding list with the User’s
Guide “ECAPS 12C ECG Interpretation Program”.
If there is any missing or incorrect translation,
contact your Nihon Kohden representative to
correct it.
Backlight auto off Select “On” to automatically turn off the backlight On
when the electrocardiograph is not operated for 3 Off
minutes.
Auto power off Select “On” to automatically turn off the On
electrocardiograph power when it is not operated for 3 Off
minutes in battery operation.

3.6 Operator’s Manual ECG-1150

 3. CHANGING SETTINGS BEFORE MEASUREMENT

Main Setup Screen

Wave Settings
Item Description Settings
High cut filter Select the high cut filter frequency. 75 Hz
100 Hz 3
150 Hz
EMG suppression frequency Select the EMG filter frequency. 25 Hz
35 Hz
Default EMG suppression setting Select “On” to turn on the EMG filter when the power On
is on. Off

CAUTION
Take care when judging the ECG recording
because the EMG filter may cause distortion
of P-waves and QRS-waves depending on
the waveform shape.

Lead mode selection Select the ECG lead recording order. Standard 12 leads
Cabrera leads

File Processing
Item Description Settings
After analysis result recording Select what to do with ECG data files after analysis Save
result recording. Off
Media Select the media to save ECG data files. SD card
Internal memory
Data compression type Select the file format to save ECG data files. Type 1 is Type 1
normal format and Type 2 is compressed format. Type 2
File auto delete Select “On” to automatically delete the oldest file On
when the media is full. Off

Recording Settings
Recorder

Item Description Settings

High speed printing Select “On” to print the recording results at high On
speed. The recording time is reduced by half. Off
Default paper speed Select the initial paper speed when the power is turned 25 mm/s
on. 50 mm/s

Manual Recording

Item Description Settings

12 lead recording channels Select the 12 lead recording channels. 3 ch
1 ch
1 ch + rhythm

Operator’s Manual ECG-1150 3.7

3. CHANGING SETTINGS BEFORE MEASUREMENT
Item
Auto gain output
12 lead recording channels
Time (s)
Extended recording
Item
Result printing format
Include findings criteria
Pacing detection sensitivity
Item
Rhythm lead
3.8 Operator’s Manual ECG-1150
Auto Recording
Description Settings
Select the auto gain and auto position control function. Auto gain + setting gain
Auto gain
Setting gain + auto gain
Setting gain
Select the 12 lead recording channels. 1 ch
3 ch
Average + rhythm
Select the total recording time when “Change 10 to 24 sec (10)
sequence” is set to “Time”.
On: rhythm (full page): On: rhythm (full page)
When an arrhythmia is detected during automatic On: sequence (full page)
recording, the rhythm recording starts after automatic Off
recording ends. The format is set in “Rhythm
Recording” in “Recording Settings” in the User Setup
screen.
On: sequence (full page):
When the fluctuation of 20% of R-R interval is
detected during automatic recording, the recording of
the lead group is extended. The extend recording time
is set in the “Mark” or “Time”.
Analysis Format and Settings
Description Settings
Select analysis result recording printing format. Result only
Result + average
Select “On” to print the criteria for the finding. On
Off
Select the pacing detection sensitivity. If noise is High
incorrectly detected as a pacing pulse, select “Low”. Low
Rhythm Recording
Description Settings
Select the rhythm lead in rhythm lead recording. Standard 12 leads:
I, II, III, aVR, aVL, aVF, V1,
V2, V3, V4, V5, V6
Cabrera leads:
aVL, I, –aVR, II, aVF, III, V1,
V2, V3, V4, V5, V6
 3. CHANGING SETTINGS BEFORE MEASUREMENT

Changing the System Setup Settings

Displaying the System Setup Screen and Changing the Settings 3

1. Press the POWER key to turn the power off.

2. Press the POWER key while pressing the FILTER key. The System Setup
screen is displayed.

3. Press the or function key to select the desired item on the Setup
screen.

4. Press the OK function key. The Setup screen for that item is displayed.

Operator’s Manual ECG-1150 3.9

3. CHANGING SETTINGS BEFORE MEASUREMENT

5. Press the or function key to select the desired item.

6. Press the OK function key. The Setup screen for that item is displayed. Steps
5 and 6 are not necessary for some items.

7. Press the or function key to select the desired item.

8. Press the Change function key. The selectable items are toggled. Select the
desired setting.

For changing the date and time, refer to “Changing the Date and Time” later
in this section.

For entering the hospital name, refer to “Entering the Hospital Name” later
in this section.

Interval (m) and Interval recording repetitions of Periodic Recording

Settings can be changed by 1 step by pressing the Change function key and
by 10 steps by pressing the FILTER key.

9. Repeat steps 7 and 8 to change other settings.

10. Press the Back function key to return to the previous screen. The changed
setting is saved.
3.10 Operator’s Manual ECG-1150
 3. CHANGING SETTINGS BEFORE MEASUREMENT

If the screen has more than two pages, press the or function key to scroll
the screen.

Turn the power off and on again to return to the Resting ECG recording screen. 3

Changing the Date and Time

1. Display the System Setup screen. Refer to the “Displaying the System Setup
Screen and Changing the Settings” section.

2. Press the or function key to select System Settings.

3. Press the OK function key. The System Settings screen is displayed.

4. Select the Date and time with the or function key.

Operator’s Manual ECG-1150 3.11

3. CHANGING SETTINGS BEFORE MEASUREMENT

5. Press the Edit function key. The Date and time setting window is displayed.

6. Enter the current date and time with the keyboard on the operation panel.
The order of the date setting is always yyyy/mm/dd.

7. Press the OK function key. The changed setting is saved.

8. Press the Back function key to return to the previous screen.

Entering the Hospital Name

1. Display the System Setup screen. Refer to “Displaying the System Setup
Screen and Changing the Settings” section.

2. Press the or function key to select System Settings.

3. Press the OK function key. The System Settings screen is displayed.

3.12 Operator’s Manual ECG-1150

 3. CHANGING SETTINGS BEFORE MEASUREMENT

4. Select Hospital with the or function key.

5. Press the Edit function key. The Hospital setting window is displayed.

6. Enter the hospital name with the function keys.

• A-Z: Enters a character. The characters are toggled.

• Shift: Changes the character type.

A-Z a-z Char (symbol) 0-9

• : Moves the cursor to the next character.

7. Press the START/STOP key. The changed setting is saved and the previous
screen appears.

Hospital name is printed in the “Exam:” column on the recording paper.

Operator’s Manual ECG-1150 3.13

3. CHANGING SETTINGS BEFORE MEASUREMENT

Changing the Main Setup Settings

1. Press the MODE key to display the Main Menu screen.

2. Press “8” to select “Main Setup”. The Main Setup screen is displayed.

3. Press the or function key to select the desired item on the Main Setup
screen.

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 3. CHANGING SETTINGS BEFORE MEASUREMENT

4. Press the OK function key. The Setup screen for that item is displayed.

5. Press the or function key to select the desired item.

6. Press the OK function key. The Setup screen for that item is displayed. Steps
6 and 7 are not necessary for some items.

7. Press the or function key to select the desired item.

8. Press the Change function key. The selectable items are toggled. Select the
desired setting.

9. Repeat steps 8 and 9 to change other settings.

10. Press the Back function key to return to the previous screen. The changed
setting is saved.

If the screen has more than two pages, press the or function key to scroll
the screen.

Press the “1” or “2” key on the Main Menu screen to return to the ECG recording
screen.

Operator’s Manual ECG-1150 3.15

3. CHANGING SETTINGS BEFORE MEASUREMENT

Saving the System Setup and Main Setup Settings

You can save all settings on the System Setup screen and Main Setup screen to
an SD memory card.

1. Insert the SD memory card into the SD card slot on the right side panel of
the electrocardiograph before saving the system settings.

2. Display the System Setup screen. Refer to “Displaying the System Setup
Screen and Changing the Settings” section.

3. Press the or function key to select Save/Load/Print System Settings.

Save/Load/Print System Settings is on the second page.

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 3. CHANGING SETTINGS BEFORE MEASUREMENT

4. Press the OK function key. The Setup screen is displayed.

5. Select Save System Settings and press the OK function key. The “Saving
system settings. Do not turn the power off” message appears and the system
settings are saved.

6. Turn the power off and on again to return to the Resting ECG recording
screen.

Operator’s Manual ECG-1150 3.17

3. CHANGING SETTINGS BEFORE MEASUREMENT

Loading the System Setup and Main Setup Settings

You can load previously saved settings on the System Setup screen and Main
Setup screen from an SD memory card.

1. Insert the SD memory card in the SD card slot on the right side panel of the
electrocardiograph before loading the system settings.

2. Display the System Setup screen. Refer to “Displaying the System Setup
Screen and Changing the Settings” section.

3. Press the or function key to select Save/Load/Print System Settings.

Save/Load/Print System Settings is on the second page.

4. Press the OK function key. The Setup screen is displayed.

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 3. CHANGING SETTINGS BEFORE MEASUREMENT

5. Select Load System Settings and press the OK function key. The “Loading
system settings. Do not turn the power off” message appears.

6. The “Apply new system settings?” message appears. Press the OK function
key. The new system settings are loaded.

Press the Cancel function key to cancel. The settings are not changed and
previous screen appears.

7. Turn the power off and on again to return to the Resting ECG recording
screen.

Operator’s Manual ECG-1150 3.19

3. CHANGING SETTINGS BEFORE MEASUREMENT

Printing the List of System Setup and Main Setup Settings

1. Display the System Setup screen. Refer to “Displaying the System Setup
Screen and Changing the Settings” section.

2. Press the or function key to select Save/Load/Print System Settings.

Save/Load/Print System Settings is on the second page.

3. Press the OK function key. The Setup screen is displayed.

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 3. CHANGING SETTINGS BEFORE MEASUREMENT

4. Select Print System Settings and press the OK function key. The “Printing
system settings. Do not turn the power off” message appears and printing
starts.

To cancel printing, press the Cancel function key.

5. Turn the power off and on again to return to the Resting ECG recording
screen.

Operator’s Manual ECG-1150 3.21

Section 4 Attaching the Electrodes and
Entering Patient Information
4
Attaching the Electrodes....................................................................................................................................... 4.3
Attaching the Limb Electrodes.................................................................................................................... 4.3
Attaching the Chest Electrodes.................................................................................................................. 4.3
Patient Cable Tip Color Coding............................................................................................................................ 4.4
Lead Connection.................................................................................................................................................. 4.5
Standard 12 Leads and Cabrera Leads..................................................................................................... 4.5
IEC Standard.................................................................................................................................... 4.5
AHA Requirement............................................................................................................................ 4.5
Error Indication When the Electrode Is Not Attached Firmly................................................................................ 4.6
Screen Message........................................................................................................................................ 4.6
Indication on the Paper.............................................................................................................................. 4.7
Countermeasure........................................................................................................................................ 4.7
Electrode Detachment...................................................................................................................... 4.7
Large Polarization Voltage................................................................................................................ 4.7
Entering the Patient Information........................................................................................................................... 4.8
General....................................................................................................................................................... 4.8
Entering the Patient Information . .............................................................................................................. 4.9

Operator’s Manual ECG-1150 4.1

4. ATTACHING THE ELECTRODES AND ENTERING PATIENT INFORMATION

WARNING
Do not connect the tip of the electrode lead to anything other than an
electrode. Connect all the tips to the corresponding electrodes and
attach them to the patient. If unconnected tips or electrodes contact
an item which is not equipotential grounded, the patient may receive
electrical shock. Also, noise may superimpose on the ECG
waveforms and measurement data may be incorrect.

CAUTION
• Do not use new and old electrodes together, or re-usable and
disposable electrodes together (such as clip electrodes, suction
electrodes, and disposable electrodes). If different types are used
together, it may cause a high polarization voltage and prevent
displaying and recording of the ECG waveforms.
• Always replace all the electrodes with new ones at the same time.
• When using an ESU and defibrillator with the electrocardiograph,
use silver chloride disposable electrodes.
• Only use clean and undamaged electrodes with no scratches on
the surface. Electrodes with a deteriorated surface may cause high
contact impedance and distorted ECG waveforms.
• Do not touch electrodes, lead tips or electrocardiograph
connectors to any other ground or conductive object in the room,
such as a metal bedpost.

4.2 Operator’s Manual ECG-1150

 4. ATTACHING THE ELECTRODES AND ENTERING PATIENT INFORMATION

Attaching the Electrodes

Attaching the Limb Electrodes

Attach four limb electrodes to muscular, not bony, areas on the extremities.
4
1. Clean the skin with a cotton moistened with alcohol to remove oil.

2. Apply a thin layer of electrolyte cream (CardioCream) on the cleaned

electrode sites.
R: Right arm
L: Left arm
RF: Right leg
F: Left leg

3. Apply a small amount of electrolyte cream on the contact surface of the

electrodes.

4. When limb electrodes are used

Attach the limb electrodes to the cleaned skin site.

When the ECG clip-on electrodes are used

Clip the electrode site with the ECG clip-on electrode.

Attaching the Chest Electrodes

1. Clean the skin with a cotton moistened with alcohol to remove oil.

2. Apply a thin layer of electrolyte cream (CardioCream) on the cleaned skin

sites.

3. Attach the six electrodes to the cleaned skin site. Do not let the electrodes
touch each other.

4. Apply a thin layer of CardioCream on the electrode surface.

5. Put the electrode on the site and squeeze the rubber ball to attach the
electrode by suction.

Standard 12 Lead ECG/Cabrera Lead ECG

C1 (V1): Fourth intercostal space at the right border of the sternum

C2 (V2): Fourth intercostal space at the left border of the sternum
C3 (V3): Halfway between C2 (V2) and C4 (V4)
C4 (V4): Fifth intercostal space on left midclavicular line
C5 (V5): Left anterior axial line at the horizontal level of C4 (V4)
C6 (V6): Left midaxillary line at the horizontal level of C4 (V4)

Operator’s Manual ECG-1150 4.3

4. ATTACHING THE ELECTRODES AND ENTERING PATIENT INFORMATION

Patient Cable Tip Color Coding

BJ-901D, BJ-961D (IEC standard, tip: 3 mm diameter)

BJ-902D (IEC/DIN standard, tip: 4 mm diameter)
BJ-903D (IEC/DIN standard, clip)

Symbol in lead Color (tip, clip/lead)

R Red/Brown
L Yellow/Brown
F Green/Brown
N (RF) Black/Brown
C1 Red/White
C2 Yellow/White
C3 Green/White
C4 Brown/White
C5 Black/White
C6 Violet/White

BA-901D (AHA requirement, tip: 3 mm diameter)

BA-903D (AHA requirement, clip)

Symbol in lead Color (tip, clip/lead)

RA White/Brown
LA Black/Brown
RL Green/Brown
LL Red/Brown
V1 Red/White
V2 Yellow/White
V3 Green/White
V4 Blue/White
V5 Orange/White
V6 Violet/White

4.4 Operator’s Manual ECG-1150

 4. ATTACHING THE ELECTRODES AND ENTERING PATIENT INFORMATION

Lead Connection

Standard 12 Leads and Cabrera Leads

IEC Standard
4

AHA Requirement

Operator’s Manual ECG-1150 4.5

4. ATTACHING THE ELECTRODES AND ENTERING PATIENT INFORMATION

Error Indication When the Electrode Is Not Attached Firmly

Screen Message
The electrocardiograph continuously checks electrode attachment status. When
electrode detachment or large polarization voltage is detected, a message is
displayed.

Screen message Possible cause

Fail R, L, F The indicated limb electrode is detached.
Fail Limb • Two or more limb electrodes from the R, L or F
electrode are detached.
• The RF electrode is detached.
• No electrode is attached to the patient.
Fail 1, 2, 3, 4, 5 or 6 The indicated chest electrode is detached.
Noise Noise or artifact is detected.

NOTE
• If a limb electrode is detached, the chest electrode detachment
message is not displayed. Check the chest electrode attachment after
removing the cause of the error message.
• The ECG waveforms can be displayed and recorded if the message
due to a large polarization voltage is displayed. If recording starts,
the analysis result may be incorrect and the ECG waveforms cannot
be saved. Remove the cause of the error message before starting
measurement.
• A flat baseline is recorded for leads with a detached electrode.
• When using the electrocardiograph with an ESU, artifact from the ESU
may be superimposed on the ECG waveforms.

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 4. ATTACHING THE ELECTRODES AND ENTERING PATIENT INFORMATION

Indication on the Paper

During recording, the following line is recorded on the paper when an electrode
detachment or artifact is detected.

4
Electrode Detachment Noise

Countermeasure
Electrode Detachment

Check for detached electrodes corresponding to the message and the electrode
lead. Reattach the electrode and connect the electrode lead.

Large Polarization Voltage

If the message is still displayed after reattaching the electrode, it is probably due
to a large polarization voltage.

A large polarization voltage can have the following causes:

• New and old electrodes, or re-usable and disposable electrodes are used
together (such as clip electrodes, suction electrodes, and disposable electrodes).
If different types are used together, it may cause a large polarization voltage
and prevent displaying and recording of the ECG waveforms.
• Improper skin preparation. Use a cotton moistened with alcohol to clean
the skin where the electrode is attached and apply the electrolyte cream
(CardioCream) on the clean skin site. Reattach the electrode.
• After defibrillation, the ECG waveforms become unstable. Wait at least
5 seconds until the ECG waveforms are stable before recording the ECG
waveforms.

When the cause of the message cannot be found, the electrode lead may be
faulty. If any abnormality is found, refer to “Troubleshooting” in Section 9 to
take proper action. If there is any damage or the electrocardiograph is suspected
to be faulty as a result of checking, attach an “Unusable” or “Repair request”
label to the electrocardiograph and contact your Nihon Kohden representative.

Operator’s Manual ECG-1150 4.7

4. ATTACHING THE ELECTRODES AND ENTERING PATIENT INFORMATION

Entering the Patient Information

General
You can enter the following patient information on the resting ECG recording
screen. The available patient data can be selected in the Patient Information
settings. Refer to Section 3 “Changing the Settings Before Measurement”.

CAUTION
When the patient sex and age is not entered, ECG analysis is
performed with the patient as male and 35 years old.

NOTE
Add an ID to the patient information to prevent the ECG data from being
mistaken for a different patient’s ECG data.

Available patient data

• ID: Up to 12 numeric characters

• Gender: Male, female
• Age: Up to 3 numeric characters
• Age group: 3 to 5, 6 to 9, 10 to 14, 15 to 34, 35 ≤

When “Age group” is set for “Age or birth date” on the System Setup
When “Age group” is set for “Age or birth date” on the System Setup screen, the
Patient Information screen cannot be displayed and patient information cannot be
entered. Only gender and age group can be entered using the number keys on the
operation panel.

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 4. ATTACHING THE ELECTRODES AND ENTERING PATIENT INFORMATION

Entering the Patient Information

NOTE
If you change the ID, the Name and Age/Date of birth are deleted and
Gender returns to the default setting.

1. Press the ID key. The cursor appears on the ID column.

4

2. Enter the patient ID with the following operation keys and press the Start/
Stop (enter) key. The cursor moves to the gender column.

Numeric Key Numeric Key

0 Copy/CAL key 0
6 Age key 6

1 F1 function key 7 Gender key 7

2 F2 function key 8 Feed/Mark key 8

3 F3 function key 9 Filter key 9

4 Mode key 4 – F4 function key 4

5 Rhythm key 5

Clear Auto/Manual key Enter Start/Stop key ENT

3. Select the gender by pressing the gender key and press the Start/Stop key.
The cursor move to the age column.

4. • When “Age” is set to “Age” in the System setup.

Enter the patient age with the operation keys.

• When “Age” is set to “Age group” in the System setup.

Select the age group by pressing the age key.

5. Press the ID key. The patient information is set and Resting ECG recording
screen appears.
Operator’s Manual ECG-1150 4.9
Section 5 Recording Resting ECG
Waveforms
General................................................................................................................................................................. 5.2
Flow of Resting ECG Waveform Recording.......................................................................................................... 5.3 5
Notes for Accurate Measurement......................................................................................................................... 5.4
Before Starting the Recording.................................................................................................................... 5.4
Detecting QRS Waves................................................................................................................................ 5.4
Counting the Heart Rate............................................................................................................................ 5.4
Using the EMG/High-cut Filter.................................................................................................................... 5.4
ECG Analysis............................................................................................................................................. 5.5
Resting ECG Recording Screen........................................................................................................................... 5.6
Displaying the Resting ECG Recording Screen......................................................................................... 5.6
Explanation of the Resting ECG Recording Screen................................................................................... 5.7
Automatic Recording............................................................................................................................................ 5.9
General....................................................................................................................................................... 5.9
Real Time Recording........................................................................................................................ 5.9
Review Recording............................................................................................................................ 5.9
Auto Gain and Auto Position............................................................................................................ 5.9
Preparation for Automatic Recording......................................................................................................... 5.9
Automatic Recording Procedure.............................................................................................................. 5.12
Extended Recording....................................................................................................................... 5.14
Saving the ECG Data File.............................................................................................................. 5.14
Printing Another Copy of the Recording Results...................................................................................... 5.15
Manual Recording.............................................................................................................................................. 5.16
General..................................................................................................................................................... 5.16
Preparation for Manual Recording............................................................................................................ 5.16
Manual Recording Procedure................................................................................................................... 5.17
Rhythm Recording.............................................................................................................................................. 5.19
General..................................................................................................................................................... 5.19
Rhythm Recording Procedure.................................................................................................................. 5.19
Recording Examples.......................................................................................................................................... 5.20
Auto Recording Examples.............................................................................................................. 5.20
Manual Recording Examples......................................................................................................... 5.21
Rhythm Recording Examples......................................................................................................... 5.21

Operator’s Manual ECG-1150 5.1

5. RECORDING RESTING ECG WAVEFORMS

General

You can record the resting ECG waveforms automatically or manually. When the
power is turned on, automatic recording mode is the default selection.

In automatic recording mode, ECG analysis is automatically performed. After

ECG waveforms are recorded, the ECG analysis result is automatically printed
(unless “Report print out” setting is set to Off on the System Setting screen).
There are two automatic recording modes, real time and review recording mode.
In review recording mode, you can verify the ECG waveform displayed on the
screen before starting recording. This lets you confirm clear ECG recording and
accurate ECG analysis. In real time recording mode, when fluctuation of 20% of
R-R interval is detected, the electrocardiograph can automatically extend lead
group recording for the preset interval.

After recording, you can save the 12 lead ECG (including extended sequence
recording) analysis result and patient information as an ECG data file in the
media. You can make one or more copies of the recording results before the next
recording starts.

In manual recording mode, you can manually change the recording settings
(paper speed, sensitivity, and EMG filter on/off) during recording. You can also
annotate the ECG waveforms with an event mark by pressing the FEED/MARK
key.

Before or after automatic or manual ECG recording, you can record one minute
of the rhythm lead. You can set the channel of the lead on the Rhythm Recording
of the Recording Settings in the Main Setup screen.

For recording settings and other settings, refer to Section 3 “Changing Settings
Before Measurement”.

Caution when the ECG waveform has artifact

CAUTION
During recording, if large artifact appears on the ECG waveform,
immediately stop the recording and remove the cause of the artifact.
Refer to “Troubleshooting” in Section 9. Failure to follow this
instruction causes overheating and damage to the
electrocardiograph.

If the ECG recording is continued in this condition, the power unit in

the electrocardiograph generates high frequency noise which causes the
electrocardiograph to heat up. When the electrocardiograph heats up, a
notification sound occurs and the START/STOP lamp blinks. The recording
cannot be performed until the electrocardiograph cools down.

5.2 Operator’s Manual ECG-1150

 5. RECORDING RESTING ECG WAVEFORMS

Flow of Resting ECG Waveform Recording

Following is the basic procedure for recording resting ECG waveforms.

1. Turn the power on.

Lamp 2. Select automatic or manual recording mode by pressing the AUTO/ 5

MANUAL key.
Lamp on: Automatic recording
Lamp off: Manual recording

Automatic recording:
i) Enter the patient information for ECG analysis.

ii) Press the START/STOP key or F3 function key (review recording).

To print a copy of the recording results, press the COPY/CAL key.

When “After analysis result recording” on File Processing of the Main Setup
screen is set to “Save”, after automatic recording, the analysis result and
patient information are automatically saved as an ECG data file in a media.

Manual recording:
i) Press the START/STOP key.

ii) Press the function key to select the next lead group.

iii) Repeat step ii) to record all lead groups.

iv) Press the START/STOP key to stop recording.

Rhythm recording:
Press the RHYTHM key. When one minute of ECG waveforms are acquired,
rhythm lead recording starts automatically.

Operator’s Manual ECG-1150 5.3

5. RECORDING RESTING ECG WAVEFORMS

Notes for Accurate Measurement

Before Starting the Recording

1. In order to acquire correct heart rate and accurate analysis result, confirm the
following before pressing the START/STOP key.
• Stable heart rate
• No electrode detachment or noise message
• The QRS sync mark on the screen blinks in synchronization with the QRS
sound or pen sound. To generate the sound, refer to Section 3.
• No artifact in the pen sound.

2. Immediately after electrodes are attached, the ECG waveforms may be

unstable because of polarization voltage. Before pressing the START/STOP
key wait at least 10 seconds for stable ECG waveforms.

Detecting QRS Waves

The electrocardiograph detects the QRS wave from leads II, V1 and V5. To
assure QRS detection accuracy, take care to minimize superimposed artifact
on these leads. Take care that QRS wave detection accuracy is not reduced by
artifact superimposed on these leads. Also when the amplitude of these QRS
waves is too small (less than 0.5 mV), the electrocardiograph cannot detect the
QRS wave.

NOTE
If low amplitude QRS wave is displayed on the screen and the QRS sync
mark does not blink, the electrocardiograph does not analyze the ECG
waveform. The “CANNOT ANALYZE ECG” message is printed on the
ECG analysis result.

Counting the Heart Rate

The electrocardiograph counts the heart rate by averaging the latest five QRS
waves and prints the heart rate together with the ECG waveforms.

Using the EMG/High-cut Filter

When using the EMG filter, the quality of ECG recording may be reduced.
However, the EMG filter and high-cut filter do not affect the ECG analysis.

5.4 Operator’s Manual ECG-1150

 5. RECORDING RESTING ECG WAVEFORMS

ECG Analysis
The electrocardiograph acquires 12 lead ECG waveforms simultaneously and
analyzes the 10 to 24 seconds of ECG waveforms. The selected leads and
interval of the waveforms are printed on the paper.

The ECG analysis result is incorrect if artifact is superimposed on the not-

selected leads or interval. When an electrode detachment line or noise line is
printed on the paper, artifact was superimposed on the ECG waveforms during 5
acquisition. When any of these line is printed, record the ECG waveforms again
to assure accurate ECG analysis, verifying that all ECG leads are free from
artifact.

Operator’s Manual ECG-1150 5.5

5. RECORDING RESTING ECG WAVEFORMS

Resting ECG Recording Screen

Displaying the Resting ECG Recording Screen

1. When the power is turned on, the Resting ECG recording screen appears. If
another screen is displayed, press the MODE key to display the Main Menu
screen.

2. Press “1” to select “Resting ECG”. The Resting ECG recording screen is
displayed.

5.6 Operator’s Manual ECG-1150

 5. RECORDING RESTING ECG WAVEFORMS

Explanation of the Resting ECG Recording Screen

Standard 12 Leads Screen

Patient information display area

5
Heart rate For the default settings, refer to Section 3
Updated every beat. “Changing Settings Before Measurement”.
When the patient ID, gender and age are
entered, they are displayed here.
Refer to “Entering the Patient
Information” in Section 4.
QRS sync mark
Blinks in Examination name
synchronization
with the QRS wave.

Electrode status
display area
Displays the error
message for electrode
detachment and
noise.

CAL mark

Message and key function display area Waveform display area

Displays the functions of the function keys and Displays 2.8 seconds of the 12 lead
screen message. ECG waveforms in 2 sequences of
6 channels each.

Operator’s Manual ECG-1150 5.7

5. RECORDING RESTING ECG WAVEFORMS

Cabrera Lead Screen

Patient information display area

Heart rate For the default settings, refer to Section 3
Updated every beat. “Changing Settings Before Measurement”.
When the patient ID, gender and age are
entered, they are displayed here.
Refer to “Entering the Patient
Information” in Section 4.
QRS sync mark
Blinks in Examination name
synchronization
with the QRS wave.

Electrode status
display area
Displays the error
message for electrode
detachment and
noise.

CAL mark

Message and key function display area Waveform display area

Displays the functions of the function keys and Displays 2.8 seconds of the 12 lead
screen message. ECG waveforms in 2 sequences of
6 channels each.

5.8 Operator’s Manual ECG-1150

 5. RECORDING RESTING ECG WAVEFORMS

Automatic Recording

General
The electrocardiograph automatically records the ECG waveforms and
calibration waveforms by switching the lead groups in the settings selected in the
Setup mode when the START/STOP key is pressed.
5
There are two recording modes:

Real Time Recording

When you press the START/STOP key, the electrocardiograph starts recording
real time ECG waveforms following the Auto Recording settings in the Setup
mode. The ECG lead group is periodically switched.

When “Auto start” is set to “On” on the Auto Recording of the System Setup
screen and auto-start conditions are satisfied, real time recording automatically
starts.

Review Recording
When the Resting ECG mode is selected, the electrocardiograph checks for
electrode detachment. When 2 seconds pass with no electrode detachment, the
electrocardiograph starts acquiring and saving the ECG waveforms. So you
can check the acquired ECG waveforms before recording starts. When the
F3 function key is pressed, the electrocardiograph starts recording the saved
waveforms from 10 seconds before the F3 function key is pressed.

Auto Gain and Auto Position

The recording sensitivity and position are automatically adjusted so that the ECG
waveforms of each channel do not overlap. However, waveforms may overlap
where there is noise or change of waveform.

During recording, if any ECG waveforms exceed the maximum recording width,
the waveform amplitude is automatically reduced to 1/2 (up to 1/8) and the
waveforms are repositioned so that the entire waveforms can be recorded on the
recording paper. The auto gain waveform amplitude is based on the sensitivity
setting before recording.

Preparation for Automatic Recording

Change the following settings, if necessary. Refer to Section 3 “Changing
Settings Before Measurement”. The factory default settings are underlined.

To print out the current settings, refer to “Printing the List of System Setup and
Main Setup Settings” in Section 3.

Operator’s Manual ECG-1150 5.9

5. RECORDING RESTING ECG WAVEFORMS

System Setup
Wave Settings
Baseline drift suppression (Strong, Weak, Off)
Baseline drift suppression prevents the baseline from drifting by locking it into
one position at the start of recording.

CAUTION
When baseline drift suppression is set to “Strong”, distortion may
occur in the ST segment with a decrease of heart rate when heart
rate is less than 50. For bradycardia, set this item to “Weak”. The
“Weak” setting has characteristics conforming to the AHA
recommendations.

Recording Settings
Auto Recording
• Auto start (On, Off)
When “Auto start” is set to “On”, the real time recording is automatically
started according to the format set on “12 lead recording channels” when all
the following conditions are satisfied:
- Automatic recording is not started.
- No electrode detachment is detected for two seconds or more.
- Five or more QRS waves are detected.
- Artifact and high frequency noise are not detected.
- The lead group is periodically switched.

NOTE
After recording, this function is available only when the electrodes are
reattached to the same patient or attaching the electrodes for the next
patient.

Main Setup
Wave Settings
• High cut filter (75 Hz, 100 Hz, 150 Hz)
This is active only when the EMG filter is turned off.
• EMG suppression frequency (25 Hz, 35 Hz)
EMG filter frequency.
• Lead mode selection (Standard 12 leads, Cabrera leads)
Standard 12 leads: I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6
Cabrera leads: aVL, I, –aVR, II, aVF, III, V1, V2, V3, V4, V5, V6

CAUTION
Take care when judging the ECG recording because the EMG filter
may cause distortion of P-waves and QRS-waves depending on the
waveform shape.

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 5. RECORDING RESTING ECG WAVEFORMS

File Processing
• After analysis result recording (Save, Off)
Set whether to save the ECG files after analysis result recording. When you
select “Save”, the ECG files are automatically saved in an SD memory card.
• Media (SD card, Internal memory)
Select the media to save the ECG data files.

Recording Settings
Recorder 5
High speed printing (On (50 mm/s), Off (25 mm/s))
Applies to analysis result printing.

Auto Recording
• Auto gain output
(Auto gain + setting gain, Auto gain, Setting gain + auto gain, Setting gain)
Select the auto gain and auto position control function. When “Auto gain +
setting gain” or “Setting gain” is selected, the sensitivity can be changed by
pressing the 10 mm/mV function key.
10 mm/mV 5 mm/mV 20 mm/mV

• 12 lead recording channels

1 ch (12 lead): 12 lead ECG waveforms are recorded in the order of
lead I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5,
V6.
3 ch (12 lead): 12 lead ECG waveforms are recorded as 3 channels in
4 sequences.
Average + rhythm: The averaged waveform for each lead and rhythm
lead are recorded in 2 channels. The length of each
sequence is 10 seconds (fixed).

• Extended recording
On: rhythm (full page): When an arrhythmia is detected during automatic
recording, the rhythm recording starts after
automatic recording ends. The format is set in
“Rhythm Recording” in “Recording Settings” in the
Main Setup screen.
On: sequence (full page): When fluctuation of 20% of R-R interval is detected
during automatic recording, the recording of the lead
group is extended. The extend recording time is set
in the “Time” setting.
Off: Not recorded.

Analysis Format and Settings (12 lead ECG only)

• Result printing format (Result only, Result + average)
Select “Result + average” when printing the average waveform for each lead
with the ECG analysis result.

• Include findings criteria (On, Off)

Prints the criteria for the findings when this item is set to “On”.
Operator’s Manual ECG-1150 5.11
5. RECORDING RESTING ECG WAVEFORMS

Automatic Recording Procedure

CAUTION CAUTION
• When “Auto start” is set to “On”, select the When the patient sex and age is not entered,
patient age group and sex before attaching the ECG analysis is performed with the patient as
electrodes to the patient. After the electrodes male and 35 years old.
are attached and the ECG waveform is stable,
the recording automatically starts and the
default settings of the patient age group and
sex are used for ECG analysis. For ECG
analysis details, refer to the User’s Guide
“ECAPS 12C ECG Interpretation Program”.
• When the “Do not turn the power off” message
appears during saving the ECG data file, do not
turn the power off. Otherwise, the data will be
lost.
• When “After analysis result recording” on the
File Processing of the Main Setup screen is
set to “Save”, check the remaining file capacity
and delete unnecessary files before starting
recording.

1. Check the following before starting recording.

• The patient is relaxed.
• The electrodes (especially chest electrodes) are not in electrical contact
with each other and they are properly attached and there is no artifact.

2. Check that the AUTO/MANUAL lamp is lit. If it is not lit, press the AUTO/
MANUAL key.

3. Enter the patient information. Refer to “Entering the Patient Information” in

Section 4.

4. If necessary, press the FILTER key to turn the EMG filter on.

5. Select the real time or review recording mode by pressing the START/
STOP key (real time recording) or F3 function key (review recording).
The electrocardiograph automatically records the ECG waveforms with
switching the lead groups.

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 5. RECORDING RESTING ECG WAVEFORMS

Auto Start
When “Auto start” is set to “On” and all the following conditions are
satisfied, the real time recording is automatically started.
• Automatic recording is not started
• No electrode detachment is detected for two seconds or more
• Five or more QRS waves are detected
• Artifact and high frequency noise are not detected
• The lead group is periodically switched
5
You can manually extend a lead group recording by pressing the AUTO/
MANUAL key. This is not available for the review recording. During
extended recording, the AUTO/MANUAL lamp blinks. To change to the
next lead group, press the AUTO/MANUAL key again. After the lead group
which includes lead V6 is recorded, the electrocardiograph automatically
stops recording and the ECG analysis result is printed. (unless “Report print
out” is set to Off on the System Setting screen).

To manually stop recording, press the START/STOP key.

When recording the ECG waveforms of another patient without changing the ID,
the same ID confirmation message appears.

To record the waveforms with the same ID, press the Start function key.

To change the ID, press the Edit ID function key.

To cancel recording, press the Cancel function key.

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5. RECORDING RESTING ECG WAVEFORMS

Extended Recording
The electrocardiograph automatically extends the recording when “Extended
recording” on the Auto Recording of the Main Setup screen is set to “On:
sequence (full page)” or “On: rhythm (full page)” in automatic recording.

Extended rhythm recording:

When an arrhythmia is detected, it starts rhythm recording following the format
set on the Rhythm Recording of the Recording Settings in the Main Setup screen
after automatic recording ends. While acquiring the rhythm lead, the START/
STOP lamp lights. To stop recording, press the START/STOP key once. This
stops acquiring waveforms. To stop printing, press the START/STOP key again.

Extended sequence recording:

Extends the lead group recording when fluctuation of 20% of R-R interval is
detected. The extended recording timing is set on the “Time” setting on the
Recording Settings of the Auto Recording in the Main Setup screen.

Saving the ECG Data File

The 12 lead ECG waveforms (including extended sequence recording and
extended rhythm recording), analysis result and patient information are
automatically saved as an ECG data file in a media when the “After analysis
result recording” on File Processing of the Main Setup screen is set to “Save”.

When “After analysis result recording” on the File Processing of the Main
Setup screen is set to “Off”, “File” is displayed in the message and key function
display area. Press the File function key to select the file operation.

To save the ECG data file, press the Save function key.

To cancel saving, press the Cancel function key.

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 5. RECORDING RESTING ECG WAVEFORMS

When the selected media (internal memory or SD memory card) becomes full
during saving, the “Media is full” message appears. Select another media and
save the files again. When the “File auto delete” is set to “On” on the Main Setup
screen, the oldest files are automatically deleted and the new files are saved.

Printing Another Copy of the Recording Results

After automatic and rhythm recording, the COPY/CAL lamp lights. You can
make one or more copies of the recording results by pressing the COPY/CAL
key.

The automatic and rhythm recording result can be printed. The word “COPY” is
also printed at the top of the recording paper to distinguish it from automatic and
rhythm recording results.

If the FILTER key setting is changed, the changed setting applies to the printing.
When the FILTER lamp lights, EMG filter is applied. When it is off, the high cut
filter is applied.

When “Auto gain output” is set to “Auto gain + setting gain” in the Auto
Recording, the auto gain is applied. When it is set to “Setting gain + auto gain”,
the setting gain is applied to the printing.

Operator’s Manual ECG-1150 5.15

5. RECORDING RESTING ECG WAVEFORMS

Manual Recording

General
You can manually record the ECG waveforms. During recording you can
annotate the ECG waveforms when there is a change in patient condition such
as chest pain or artifact. In manual recording mode, the baseline is automatically
adjusted every time recording is started and the lead group or sensitivity can be
changed. ECG analysis is not available in manual recording mode.

Preparation for Manual Recording

Change the following settings, if necessary. Refer to Section 3 “Changing
Settings Before Measurement”. The factory default settings are underlined.

To print the current settings, refer to “Printing the List of System Setup and Main
Setup Settings” in Section 3.

System Setup
Wave Settings
Baseline drift suppression (Strong, Weak, Off)
Baseline drift suppression prevents the baseline from drifting by locking it into
one position at the start of recording.

CAUTION
When baseline drift suppression is set to “Strong”, distortion may
occur in the ST segment with a decrease of heart rate when heart
rate is less than 50. For bradycardia, set this item to “Weak”. The
“Weak” setting has characteristics conforming to the AHA
recommendations.

Main Setup
Wave Settings
• High cut filter (75 Hz, 100 Hz, 150 Hz)
This is active only when the EMG filter is turned off.
• EMG suppression frequency (25 Hz, 35 Hz)
EMG filter frequency.

CAUTION
Take care when judging the ECG recording because the EMG filter
may cause distortion of P-waves and QRS-waves depending on the
waveform shape.

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 5. RECORDING RESTING ECG WAVEFORMS

Recording Settings
Manual Recording
• 12 lead recording channels (3 ch, 1 ch, 1 ch + rhythm)
The number of recording channels for the manual recording.

Manual Recording Procedure

1. Check the following before starting recording.
5
• The patient is relaxed.
• The electrodes (especially chest electrodes) are not in electrical contact
with each other, they are properly attached and there is no artifact.

2. Press the AUTO/MANUAL key to select the manual recording mode. The
AUTO/MANUAL lamp is lit when auto recording mode is selected.

3. Select the first lead group.

Press the function key.

or,

Enter the number “4 (<)” or “5 (>)” with the keyboard on the operation
panel.

12 lead/Cabrera lead 1ch, 1ch + rhythm

I II III aVR aVL aVF V1 V2 V3 V4 V5 V6

*(aVL I -aVR II aVF III)

12 lead/Cabrera lead 3 ch

I, II, III aVR, aVL, aVF V1, V2, V3 V4, V5, V6

*(aVL, I, –aVR) (II, aVF, III)

* Parentheses indicate Cabrera lead.

• To change the sensitivity

Press the 10 mm/mV function key.

or,

Press the F1 key.

10 mm/mV 5 mm/mV 20 mm/mV

• To change the paper speed

Press the 25 mm/s function key.

or,

Operator’s Manual ECG-1150 5.17

5. RECORDING RESTING ECG WAVEFORMS

Press the “25 mm/s” or “50 mm/s” function key with the keyboard on the
operation panel to change the paper speed.
25 mm/s 50 mm/s

• To turn on the EMG filter

Press the FILTER key.

• To annotate the ECG waveform with a dotted line

Press the FEED/MARK key. A dotted line is continuously printed while

this key is pressed.

4. Press the START/STOP key to start recording.

5. Select the next lead group.

Press the function key.

When the lead group is changed, the calibration waveform is automatically

recorded.

6. Repeat step 5 to record all lead groups.

7. When all lead groups are recorded, press the START/STOP key to stop
recording.

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 5. RECORDING RESTING ECG WAVEFORMS

Rhythm Recording

General
Before or after automatic or manual ECG recording, you can perform rhythm
recording. The settings are set on the Rhythm Recording of the Recording
Settings in the Main Setup screen.
5

Rhythm Recording Procedure

Press the RHYTHM key. The electrocardiograph starts to acquire the ECG
waveforms and the elapsed time from the start of ECG waveform acquisition is
displayed at the bottom right of the screen. When one minute of ECG waveforms
are acquired, recording starts.

To stop ECG waveform acquisition, press the RHYTHM key or START/STOP

key.

After recording, you can make one or more copies of the recording results by
pressing the COPY/CAL key.

NOTE
To stop rhythm recording, press the Cancel function key.

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5. RECORDING RESTING ECG WAVEFORMS

Recording Examples

Auto Recording Examples

Standard 12 Lead ECG
Baseline drift suppression indications
D - Strong
d - Weak
None - Off

AC filter indications High cut filter and EMG filter indications

H50: 50 Hz AC filter 150 Hz: 150 Hz High cut filter 35 Hz: 35 Hz EMG filter
H60: 60 Hz AC filter 100 Hz: 100 Hz High cut filter 25 Hz: 25 Hz EMG filter
None: Off 75 Hz: 75 Hz High cut filter

Patient information Analysis result

Measurement value

Cabrera Lead ECG

5.20 Operator’s Manual ECG-1150

 5. RECORDING RESTING ECG WAVEFORMS

Manual Recording Examples

Standard 12 Lead ECG

Cabrera Lead ECG

Rhythm Recording Examples

1 ch, 1 min

Operator’s Manual ECG-1150 5.21

 Section 6 Periodic ECG Recording

General................................................................................................................................................................. 6.2
Preparation for Periodic ECG Recording.............................................................................................................. 6.3
Recording Procedure............................................................................................................................................ 6.4
Recording Examples............................................................................................................................................ 6.5 6

Operator’s Manual ECG-1150 6.1

6. PERIODIC ECG RECORDING

General

The electrocardiograph can automatically perform automatic recording at

periodic intervals. For automatic recording, refer to Section 5 “Recording
Resting ECG Waveforms”. You can also perform automatic and manual
recording during periodic ECG recording.

6.2 Operator’s Manual ECG-1150

 6. PERIODIC ECG RECORDING

Preparation for Periodic ECG Recording

Change the following settings, if necessary. Refer to Section 3 “Changing

Settings Before Measurement”. The factory default settings are underlined.

To print the current settings, refer to “Printing the List of System Setup and Main
Setup Settings” in Section 3.

System Setup 6
Periodic Recording Settings
• Starting leads (Limb, Chest)
Select the starting lead group.

• Periodic recording type (Fixed time, Interval, Off)

Select the ECG waveform acquisition interval.

• Fixed recording time (30 s, 1 to 15 min)

Select “On” to acquire the ECG waveform after the specified time when
“Periodic recording type” is set to “Fixed time”.

• Interval (m) (1 to 60 (3))

Select the interval when “Periodic recording type” is set to “Interval”. Change
function key increments the value by 1 step. Filter key increments the value by
10 steps.

• Interval recording repetitions (1 to 999 (10))

Select the number of times to acquire ECG waveform. Change function key
increments the value by 1 step. Filter key increments the value by 10 steps.

• Auto gain output (On, Off)

Select “On” to automatically change the waveform amplitude and position
during periodic recording.

• Additional slow speed recording (On, Off)

Select “On” to slow paper speed until the next periodic recording starts.

Main Setup
Recording Settings
Manual Recording
12 lead recording channels (3 ch, 1 ch, 1 ch + rhythm)
3 ch: II, aVF, V5
1 ch: II

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6. PERIODIC ECG RECORDING

Starting Periodic Recording

1. Press the MODE key. The Main Menu screen is displayed.

2. Press “2” to select “Periodic Recording”. The Periodic ECG recording

screen appears.

3. Press the Start function key.

Periodic recording starts with the preset settings.

To perform automatic or manual recording during periodic recording

i) Press the START/STOP key.
ii) Select automatic or manual recording with the AUTO/MANUAL key.
iii) Press the START/STOP key again to start recording. After recording, the
periodic recording automatically resumes.

4. To turn off periodic recording, press the MODE key to display the Main
Menu screen.
6.4 Operator’s Manual ECG-1150
 6. PERIODIC ECG RECORDING

Recording Examples

Operator’s Manual ECG-1150 6.5

 Section 7 Data Management

General................................................................................................................................................................. 7.2
Displaying the Data Management Screen............................................................................................................ 7.3
Printing ECG Waveforms in a Media.................................................................................................................... 7.4
Editing ID.............................................................................................................................................................. 7.6
Deleting ECG Data Files...................................................................................................................................... 7.9
Displaying the Delete Screen..................................................................................................................... 7.9 7
Deleting All ECG Data Files....................................................................................................................... 7.9
Deleting ECG Data Files of the Selected ID............................................................................................. 7.11
Deleting ECG Data Files of the Selected Date......................................................................................... 7.13
Formatting the Media.......................................................................................................................................... 7.16
Printing File List.................................................................................................................................................. 7.18
Copying Files in the Internal Memory to an SD Card......................................................................................... 7.20

Operator’s Manual ECG-1150 7.1

7. DATA MANAGEMENT

General

In automatic recording mode, the ECG waveforms, analysis result and patient
information can be saved as an ECG data file in a media.

On the Data Management screen, you can do any of the following operations.
• Print the ECG waveforms in a media
• Change the ID of the selected file
• Delete ECG data files in a media
• Format media
• Print the ECG data file list of the selected date in a media
• Copy the ECG data files in the internal memory to the SD memory card

To process an ECG data file, select “Media” in “File Processing” in the Main
Setup screen. The selected media is displayed in the header of the screen.

There are two types of data save format, type 1 (normal) and type 2
(compressed). The type can be set in “Data compression type” in “File
Processing” in the User Setup screen.
• When the internal memory is selected, up to 40 ECG data files can be saved
regardless of the data compression type.
• When the SD memory card is selected, up to 780 (type 1) or 3000 (type 2) files
can be saved.

CAUTION
• Format the SD memory card before the first use.
• Format the SD memory card only in an ECG-1150
electrocardiograph. SD memory cards formatted in other ECG
models cannot be used in this electrocardiograph.

7.2 Operator’s Manual ECG-1150

 7. DATA MANAGEMENT

Displaying the Data Management Screen

1. Press the MODE key. The Main Menu screen appears.

2. Press “7” to select “Data Management”. The Data Management screen

appears.

The number of ECG data files which are saved in the media is displayed
at the upper right of the screen. The remaining free space in the media is
displayed at the lower right of the screen.
The number of ECG data
files in the media

Media

Free space in the media

To select the desired item, press the number of the item with the keyboard on
the operation panel. The screen of the selected item is displayed.

To close the Data Management screen, press the MODE key. The Main
Menu screen appears.

Operator’s Manual ECG-1150 7.3

7. DATA MANAGEMENT

Printing ECG Waveforms in a Media

You can print the ECG waveforms of the selected ID in a media.

1. Select SD card or Internal memory in “Media” of the Main Settings. Refer to

Section 3 “Changing Settings Before Measurement”.

2. Display the Data Management screen. Refer to the “Displaying the Data
Management Screen”.

3. Press “1” to select “Print”. The “Press Enter to enter ID. Press Search to
search files for ID.” message appears.

4. Press the Enter function key. The “Enter the ID” message appears.

7.4 Operator’s Manual ECG-1150

 7. DATA MANAGEMENT

5. Enter the ID with the following keys and press the START/STOP (enter) key.
The ID is set and the “Press Enter to enter ID. Press Search to search files for
ID.” message appears.

Numeric Key Numeric Key

0 Copy/CAL key 0
6 Age key 6

1 F1 function key 7 Gender key 7

2 F2 function key 8 Feed/Mark key 8

3 F3 function key 9 Filter key 9

4 Mode key 4 – F4 function key 4 7

5 Rhythm key 5

Clear Auto/Manual key Enter Start/Stop key ENT

6. Press the Search function key. The file list of the entered ID appears.

7. Select the file and press the Print function key. The ECG data of the selected
file is printed.

Operator’s Manual ECG-1150 7.5

7. DATA MANAGEMENT

Editing ID

You can edit the ID after recording ECG waveforms.

1. Display the Data Management screen. Refer to the “Displaying the Data
Management Screen”.

2. Press “2” to select “Edit ID”. The “Press Enter to enter ID. Press Search to
search files for ID” message appears.

3. Press the Enter function key. The “Enter the ID” message appears.

4. Enter the ID with the following keys and press the START/STOP (enter) key.
The ID is set and the “Press Enter to enter ID. Press Search to search files for
ID.” message appears.

7.6 Operator’s Manual ECG-1150

 7. DATA MANAGEMENT

Numeric Key Numeric Key

0 Copy/CAL key 0
6 Age key 6

1 F1 function key 7 Gender key 7

2 F2 function key 8 Feed/Mark key 8

3 F3 function key 9 Filter key 9

4 Mode key 4 – F4 function key 4

5 Rhythm key 5
7
Clear Auto/Manual key Enter Start/Stop key ENT

5. Press the Search function key. The file list of the entered ID appears.

6. Select the file and press the Edit function key. The “Change the ID.”
message appears.

Operator’s Manual ECG-1150 7.7

7. DATA MANAGEMENT

7. Press the Enter function key. The “Enter the ID” message appears.

8. Enter the new ID with the keys on the operation panel and press the START/
STOP (enter) key. The new ID is set and the “Edit complete” message
appears.

9. Press the OK function key The previous file list without the changed ID data
appears.

7.8 Operator’s Manual ECG-1150

 7. DATA MANAGEMENT

Deleting ECG Data Files

NOTE
Back up the ECG data files before deleting the ECG data files.

You can delete all ECG data files, ECG data files of the selected date or ECG
data files of the selected ID in the media.

Displaying the Delete Screen

1. Display the Data Management screen. Refer to the “Displaying the Data 7
Management Screen.”

2. Press “3” to select “Delete”. The Data Management - Delete screen appears.

To return to the Data Management screen, press the Back function key.

Deleting All ECG Data Files

You can delete all ECG data files from the media.

1. Display the Data Management - Delete screen. Refer to the “Displaying the
Delete Screen”.

Operator’s Manual ECG-1150 7.9

7. DATA MANAGEMENT

2. Press “1” to select “All files”. The “Delete all files?” message appears.

3. Press the OK function key. The “Deleting ECG file. Do not turn the power
off” message appears.

To cancel deleting, while deleting the ECG data files, press the Cancel
function key. After the current ECG data file is deleted, the deleting of the
remaining files is canceled. The “Canceled” message and the number of
deleted files appears. Press the OK function key. The Data Management
screen appears.

7.10 Operator’s Manual ECG-1150

 7. DATA MANAGEMENT

4. When all files are deleted, the “All files deleted” message appears. Press the
OK function key. The Data Management screen appears.

Deleting ECG Data Files of the Selected ID

You can delete ECG data files of the selected ID from the media.

1. Display the Data Management - Delete screen. Refer to the “Displaying the
Delete Screen”.

2. Press “2” to select “Selected ID”. The “Press Enter to enter ID. Press Search
to search files for ID” message appears.

Operator’s Manual ECG-1150 7.11

7. DATA MANAGEMENT

3. Press Enter function key. The “Enter the ID” message appears.

4. Enter the ID with the following keys and press the START/STOP (enter) key.
The ID is set and the “Press Enter to enter ID. Press Search to search files for
ID.” message appears again.

Numeric Key Numeric Key

0 Copy/CAL key 0
6 Age key 6

1 F1 function key 7 Gender key 7

2 F2 function key 8 Feed/Mark key 8

3 F3 function key 9 Filter key 9

4 Mode key 4 – F4 function key 4

5 Rhythm key 5

Clear Auto/Manual key Enter Start/Stop key ENT

5. Press Search function key. The file list of the selected ID is displayed.

7.12 Operator’s Manual ECG-1150

 7. DATA MANAGEMENT

6. Select the file and press the Delete function key. The “Delete the selected
data?” message appears.

7. Press the OK function key to delete the data.

8. When the selected files are deleted, the “Files delete” message appears. Press
the OK function key. The Data management screen appears.

Deleting ECG Data Files of the Selected Date

You can delete ECG data files of the selected date from the media.

1. Display the Data Management - Delete screen. Refer to the “Displaying the
Delete Screen”.

Operator’s Manual ECG-1150 7.13

7. DATA MANAGEMENT

2. Press “3” to select “Selected date”. The “Press Enter to enter Date. Press
Delete to delete files” message appears.

3. Press the Enter function key. The “Enter the date. Files will be deleted.”
message appears.

4. Enter the ID with the following keys and press the OK function key. The
files of the selected date are deleted.

Numeric Key Numeric Key

0 Copy/CAL key 0
6 Age key 6

1 F1 function key 7 Gender key 7

2 F2 function key 8 Feed/Mark key 8

3 F3 function key 9 Filter key 9

4 Mode key 4 – F4 function key 4

5 Rhythm key 5

Clear Auto/Manual key Enter Start/Stop key ENT

7.14 Operator’s Manual ECG-1150

 7. DATA MANAGEMENT

5. When the selected files are deleted, the “Files deleted” message appears.
Press the OK function key. The Data management screen appears.

Operator’s Manual ECG-1150 7.15

7. DATA MANAGEMENT

Formatting the Media

You can format a media in the electrocardiograph.

CAUTION
Only use a Nihon Kohden specified SD memory
card. Otherwise, the card might not operate.
CAUTION
• Format the SD memory card before the first
use.
• Format the SD memory card only in an ECG-
1150 electrocardiograph. SD memory cards
formatted in other ECG models cannot be used
in this electrocardiograph.

NOTE
Formatting deletes all data in the media. Back up the necessary data
before formatting.

1. Insert the SD memory card into SD card slot on the rear panel of the
electrocardiograph.

To format the internal memory skip this step.

2. Display the Data Management screen. Refer to the “Displaying the Data
Management Screen”.

3. Press “4” to select “Format”. The Data Management - Format screen

appears.

To cancel formatting, press the Cancel function key. The Data Management
screen appears.

7.16 Operator’s Manual ECG-1150

 7. DATA MANAGEMENT

4. Press the OK function key. The “Formatting. Do not turn the power off.”
message appears.

5. When the formatting is complete, the “Formatting complete” message

appears. Press the OK function key. The Data Management screen appears.

NOTE
Do not turn the electrocardiograph power off while displaying the
Data Management - Format screen and do not give an impact to the
electrocardiograph.

Operator’s Manual ECG-1150 7.17

7. DATA MANAGEMENT

Printing File List

You can print a list of the ECG data that are saved in the media. The list includes
measurement date, ID, gender, age and measurement mode.

1. Display the Data Management screen. Refer to the “Displaying the Data
Management Screen”.

2. Press “5” to select “Print file list”. The “Enter the date” message appears.

3. Press the Enter function key. The cursor appears on the date.

4. Enter the date with the following keys and press the OK function key. The
date is set.

7.18 Operator’s Manual ECG-1150

 7. DATA MANAGEMENT

Numeric Key Numeric Key

0 Copy/CAL key 0
6 Age key 6

1 F1 function key 7 Gender key 7

2 F2 function key 8 Feed/Mark key 8

3 F3 function key 9 Filter key 9

4 Mode key 4 – F4 function key 4

5 Rhythm key 5
7
Clear Auto/Manual key Enter Start/Stop key ENT

5. Press the Print function key. The file list of the selected date is printed.

Operator’s Manual ECG-1150 7.19

7. DATA MANAGEMENT

Copying Files in the Internal Memory to an SD Card

You can copy the ECG data files saved in the internal memory to the SD card.

1. Display the Data Management screen. Refer to the “Displaying the Data
Management Screen” section.

2. Press “6” to select “Copy int memory > SD”. The “Copy internal memory
files to the SD card?” message appears.

3. Press the OK function key. The “Copying ECG file. Do not turn the power
off” message appears.

To cancel while copying files, press the Cancel function key. The “Canceled”
message and the number of copied files appears. Press the OK function key.
The Data management screen appears.

4. When all files are copied, the “All files copied” message appears. Press the
OK function key. The Data Management screen appears.

7.20 Operator’s Manual ECG-1150

Section 8 Troubleshooting and Error
Messages
Recording Clear ECG Waveforms........................................................................................................................ 8.2
AC Interference.......................................................................................................................................... 8.2
Muscle Tremor Interference (EMG)............................................................................................................ 8.2
Wandering Baseline................................................................................................................................... 8.3
Abnormal Printout...................................................................................................................................... 8.3
Other.......................................................................................................................................................... 8.4
Troubleshooting.................................................................................................................................................... 8.5
Error Messages.................................................................................................................................................... 8.8 8
Checking the Software Version........................................................................................................................... 8.10

Operator’s Manual ECG-1150 8.1

8. TROUBLESHOOTING AND ERROR MESSAGES

Recording Clear ECG Waveforms

AC Interference
Appears on the ECG as even-peaked, regular voltages superimposed throughout
the tracing. It may appear in conjunction with muscle tremor.

Causes:
• Dirty or corroded lead wire tips or electrodes
• Loose electrode connection
• Patient or technician touching an electrode during recording
• Patient touching any metal part of a bed or examination table
• Broken lead wire, patient cable or power cord
• Electrical devices in the immediate area, lighting, concealed wiring in walls or
floors
• Improperly grounded electrical outlet

Muscle Tremor Interference (EMG)

Appears on the ECG as random, irregular voltages superimposed on the tracing.
It may resemble or occur in conjunction with AC interference.

Causes:
• Patient is uncomfortable, tense, nervous or apprehensive
• Patient is cold and shivering
• Patient has a neurological or muscular disorder (e.g. Parkinson’s Disease)
• Examination table or bed is too narrow or short to support limbs comfortably

8.2 Operator’s Manual ECG-1150

 8. TROUBLESHOOTING AND ERROR MESSAGES

Wandering Baseline
Appears on the ECG as a fluctuation of the tracing up and downward on the grid.

Causes:
• Dirty or corroded electrodes
• Loose electrodes or electrodes positioned on a bony area
• Insufficient or dried out cardioCream
8
• Oily skin or body lotions and creams
• Rising and falling of chest during normal or apprehensive respiration

When wandering baseline occurs:

• Clean skin with alcohol or acetone if necessary
• Reposition electrodes
• Check the electrode connections
• Have the patient relax

Abnormal Printout
During ECG recording, loose or poor electrode contact causes waveform
saturation, excessive AC interference, etc. In this case, the electrocardiograph
stops printing to protect the thermal head.

Check the electrode attachment.

Operator’s Manual ECG-1150 8.3

8. TROUBLESHOOTING AND ERROR MESSAGES

Other
When an electrosurgical unit (ESU) is used with the electrocardiograph, noise
generated by an ESU is superimposed on the ECG waveforms.

Equipment in the same room as the electrocardiograph may generate noise on the
ECG waveforms.
• Noise from an electrosurgical unit
• Noise from the AC power line
• Spike noise caused by electrostatic energy as shown below. The ECG may
interpret the noise spike as a QRS or pacemaker spike.

NOTE
The baseline becomes flat for a while after defibrillation to protect the
electrocardiograph.

8.4 Operator’s Manual ECG-1150

 8. TROUBLESHOOTING AND ERROR MESSAGES

Troubleshooting

When trouble occurs, take quick action referring to the table below. If there is
any damage or the electrocardiograph is suspected to be faulty as a result of
checking, turn the power off, attach an “Unusable” or “Repair request” label to
the electrocardiograph and contact your Nihon Kohden representative.

Trouble
When the POWER key is pressed, the
electrocardiograph does not operate on AC
power (the POWER lamp is not lit).
When the POWER key is pressed, the
electrocardiograph does not operate on
battery power (the POWER lamp and
battery operation lamp are not lit).
Nothing can be printed.
During battery operation, the power is
turned off during recording.
The power is turned off during recording Check the internal memory with “Memory Test” in the System Test. If
on either AC or battery operation.
The screen turns black when operating on When “Backlight auto off” is set to On in the system settings, the LCD
AC power.
The power is turned off when operating on The power is automatically turned off when the “Fail” message
battery power.
Action
Check that the power cord is firmly connected to the
electrocardiograph and AC socket.
1. Check that the battery is inserted in the electrocardiograph correctly.
2. Check the battery. If it is almost discharged, operate the
electrocardiograph on AC power or recharge the battery. If the 8
remaining battery operation time is less than 15 minutes, replace it
with a new one.
1. Check that the recording paper is set correctly. If the “Check paper
and recorder” message appears and notification sounds, there is no
recording paper. Correctly set the recording paper.
2. Check that the recorder cover is firmly closed.
3. If the START/STOP lamp is not lit, press and hold down the
START/STOP key until the lamp is lit.
4. If “Report print out” is set to Off in the system settings, set it to On.
Refer to Section 3.
1. Check the battery. If it is almost discharged, operate the
electrocardiograph on AC power or recharge the battery. If the
remaining battery operation time is less than 15 minutes, replace it
with a new one.
2. Check that the battery is inserted in the electrocardiograph correctly.
3. If the battery has been used more than one year, replace it with a
new one.
the memory is faulty, contact your Nihon Kohden representative. If the
memory is not faulty, power loss might be caused by static electricity.
Keep the electrocardiograph away from materials which generate
electrostatic discharge such as curtains.
screen automatically turns off to save power. Press any key to turn the
screen on again.
(electrode detachment) is displayed on the screen and there is no key
operation for approximately three minutes to save the battery power.
Press the POWER key to resume operation. Refer to “Automatic power
off” in “AC Operation and Battery Operation” of Section 1.

Operator’s Manual ECG-1150 8.5

8. TROUBLESHOOTING AND ERROR MESSAGES
Trouble
No ECG waveform can be recorded even
when the electrodes are attached to the
patient correctly.
Cannot record all electrodes.
Analysis result recording cannot be
performed.
Recording result is partially missing or When the thermal head is touched with a dirty hand, or comes in
faint.
The electrocardiograph does not print
anything or recording result is faint.
Paper skews as it feeds.
Paper gets jammed in the recorder.
The screen is not bright and the waveform Adjust the screen brightness. Refer to “Adjusting the Screen
cannot be read.
8.6 Operator’s Manual ECG-1150
Action
1. Check the continuity of the patient cable with “Electrode Input Test”
in the System Test.
2. Check that the electrodes are clean. If an electrode is contaminated
with electrolyte cream (CardioCream), the ECG waveform cannot
be recorded due to high skin-electrode contact impedance. Wash the
electrode to remove dirt or contamination.
3. If a new and old electrode, or a reusable and disposable electrode
are used together, the ECG waveform cannot be recorded due to
high polarization voltage. Do not use different types or ages of
electrodes together.
4. Check if the skin is cleaned and apply electrolyte cream
(CardioCream) before attaching the electrodes.
5. If a disposable electrode is used more than once, the ECG waveform
cannot be recorded due to polarization voltage. Only use new
electrodes.
Select the first lead group by pressing the function key.
1. If the recording time is less than 10 seconds, the electrocardiograph
does not analyze the acquired ECG waveform. Record the ECG
waveform at least 10 seconds.
2. When the printed heart rate is “***”, the electrocardiograph did not
detect the QRS waves because the amplitude of lead II, V1 and V5
are too small. Always check that the heart rate correctly appears on
the screen before pressing the START/STOP key.
contact with CardioCream or physiological saline solution, this causes
missing dots on the recording or reduces recording intensity. Clean the
thermal head with the thermal head cleaner. Take care not to touch the
thermal head with a dirty hand when setting the recording paper.
Excessive noise during printing causes the electrocardiograph does not
print anything or faint printing to protect the thermal head. Check that
noise is not superimposed on the waveform on the screen and restart
printing.
1. Check if the specified recording paper is used.
2. Set the recording paper straight by aligning it with the paper guide.
3. When the thermal head is dirty, the recording paper may skew.
Clean the thermal head with the thermal head cleaner.
Set the recording paper as specified in “Setting the Recording Paper” in
Section 2.
Brightness” in Section 2.
 8. TROUBLESHOOTING AND ERROR MESSAGES

Trouble Action
The date and time is not correct. 1. Set the correct time in the system settings. Refer to “Changing the
Date and Time” in Section 3.
2. Replace the built-in lithium battery. The lifetime of the battery is
about 6 years.
Keys on the operation panel do not work. 1. Press the POWER key for more than 7 seconds to shut down the
electrocardiograph. If the cause of the trouble is freezing of the
software by static electricity, the electrocardiograph turns off.
2. Press the POWER key for one second to turn the power on. If error
information prints out, contact your Nihon Kohden representative.
The power is not turned off by pressing the Press the POWER key for more than 7 seconds to shut down the
POWER key. electrocardiograph. If the cause of the trouble is freezing of the
software by static electricity, the electrocardiograph turns off. If you 8
cannot restart the electrocardiograph, attach an “Unusable” or “Repair
request” label to the electrocardiograph and contact your Nihon
Kohden representative.
Press the POWER key for one second to turn the power off. If
the electrocardiograph is not turned off, there is a failure in the
electrocardiograph. Attach an “Unusable” or “Repair request” label to
the electrocardiograph and contact your Nihon Kohden representative.

Operator’s Manual ECG-1150 8.7

8. TROUBLESHOOTING AND ERROR MESSAGES

Error Messages

When an error message is displayed on the screen, take quick action referring to
the table below.

Error message Cause Action

Battery trouble The battery contact voltage is high.
Cannot make file list/ There are no ECG data files.
Cannot print file list
The ECG data file was saved by
another electrocardiograph.
No recording paper.
Charge battery Battery is low.
Check paper and recorder No recording paper.
The recorder cover is not closed
firmly.
Could not save ECG file The electrocardiograph received
ECG data files from a different
model but could not save the files.
Delete error
––
Edit error The electrocardiograph cannot edit
ECG data files.
Fail • The indicated electrode is detached Check the electrode attachment of the
or a large polarization voltage is
detected.
• If two or more limb electrodes are
disconnected or the RF electrode
is disconnected, no electrode is
indicated in the error message area.
Format error
––
Insert SD card The SD memory card is not inserted Retry the operation after inserting the SD
in the SD card slot.
Invalid ECG data files The electrocardiograph could not
load the ECG data files. The file may
be damaged.
Stop using the electrocardiograph and
remove the battery pack. Contact your
Nihon Kohden representative.
Check that there are ECG data files in the
internal memory or SD memory card.
The electrocardiograph cannot manage data
that is saved by another electrocardiograph.
Set the recording paper.
Operate the electrocardiograph on AC
power or charge the battery pack.
Set the recording paper.
Push the recorder cover in until it is closed
firmly.
Retry saving the ECG data files or check the
media.
Retry deleting the ECG data files or check
the media.
Contact your Nihon Kohden representative.
indicated position.
Retry formatting the media or check the
media.
card in the slot.
Contact your Nihon Kohden representative.

8.8 Operator’s Manual ECG-1150


Error message
Invalid entry
Invalid SD card
Invalid setting file
Noise
Not enough free memory
Overheating. Wait 5 minutes.
SD card write-protected
Search error
Setting file not found
Unsupported file type
Operator’s Manual ECG-1150 8.9
8. TROUBLESHOOTING AND ERROR MESSAGES
Cause
The entered data is out of range.
The SD memory card is invalid.
The setting file could not load
correctly. The setting file may be
damaged.
• Noise superimposed on the
indicated electrode waveform.
• If noise overlaps on two or more
limb electrodes or on the RF
electrode, no electrode is indicated
in the error message area.
There is not enough space to save
new ECG data file in the memory.
Electrocardiograph overheated
because it continuously recorded AC
interference superimposed on the
waveform.
The SD memory card is write-
protected.
There is no corresponding patient
information data in the selected
media.
There is no setting file.
This ECG data file type is not
supported.
Action
Enter correct values.
Replace the SD card with a new one and
retry the operation.
Contact your Nihon Kohden representative.
Check the electrode attachment of the
indicated position.
8
Save the ECG data file in another media or
delete unnecessary ECG data files.
Remove the cause and wait until this
message disappears.
Unprotect the SD card and retry the
operation.
Press the OK function key to close the
message window. Change the search
condition and search again.
Retry the file operation or check the media
to load the ECG data file.
––
8. TROUBLESHOOTING AND ERROR MESSAGES

Checking the Software Version

The software version is printed at the bottom of the paper in automatic or manual
ECG recording.

Model System software ECG analysis

8.10 Operator’s Manual ECG-1150

Section 9 Maintenance and System
Test
Check Items After Turning the Power Off.............................................................................................................. 9.2
Cleaning and Disinfecting the Electrocardiograph................................................................................................ 9.3
Cleaning the Surface of the Electrocardiograph............................................................................... 9.3
Cleaning the Display of the Electrocardiograph............................................................................... 9.3
Disinfecting the Surface of the Electrocardiograph.......................................................................... 9.4
Cleaning the Thermal Head............................................................................................................. 9.4
Cleaning the Paper Roller................................................................................................................ 9.5
Cleaning the Sensor......................................................................................................................... 9.5
Cleaning the Wheel Gear................................................................................................................. 9.5
Cleaning and Disinfecting the Patient Cable........................................................................................................ 9.6 9
Cleaning........................................................................................................................................... 9.6
Disinfecting....................................................................................................................................... 9.6
Cleaning and Disinfecting Electrodes................................................................................................................... 9.7
Cleaning........................................................................................................................................... 9.7
Disinfecting....................................................................................................................................... 9.7
Cleaning and Disinfecting Other Options............................................................................................................. 9.7
Regular Check...................................................................................................................................................... 9.8
Clock Accuracy..................................................................................................................................................... 9.9
Periodic Replacement........................................................................................................................................ 9.10
Repair Parts Availability Policy........................................................................................................................... 9.11
System Test Screen............................................................................................................................................ 9.12
System Test Items.................................................................................................................................... 9.12
Displaying the System Test Screen.......................................................................................................... 9.13

Operator’s Manual ECG-1150 9.1

9. MAINTENANCE AND SYSTEM TEST

Check Items After Turning the Power Off

After use, check the following items for the next use.

Overview:
• Electrocardiograph is not dirty, damaged or in contact with liquid
• No peeling or tear in the operation panel
• No key or button is broken
• Electrodes are clean and not damaged
• Power cord is not damaged
• Cable hanger is not damaged
• Recorder is not damaged

Accessories:
• Enough electrolyte cream
• Enough recording paper
• Enough disinfected or sterilized dry electrodes
• Patient cable is not frayed or damaged
• Electrode lead is not damaged
• No crack in the rubber of suction electrodes

Storage:
• Electrodes are washed
• The battery is fully recharged
• The thermal head is clean
• The sensor is clean
• The power is turned off
• No chemicals or water are near the electrocardiograph
• Acceptable storage temperature and humidity

9.2 Operator’s Manual ECG-1150

 9. MAINTENANCE AND SYSTEM TEST

Cleaning and Disinfecting the Electrocardiograph

CAUTION
Do not use volatile liquids such as thinner or benzine, because these
will cause the materials to melt or crack.

CAUTION
Before maintenance, cleaning or disinfection, turn the
electrocardiograph power off and disconnect the power cord from the
AC socket. Failure to follow this instruction may result in electrical
shock and electrocardiograph malfunction.

9
CAUTION
• After cleaning, make sure that the electrocardiograph is completely
dried.
• Never sterilize the electrocardiograph because the materials may
deform, crack or discolor.
• The “CAUTION LABEL” contains important information for
operating the electrocardiograph. Clean the label if it is dirty. If the
label is damaged or difficult to read, contact your Nihon Kohden
representative to replace it with a new one.

Cleaning the Surface of the Electrocardiograph

Clean the outside surface of the electrocardiograph with a soft cloth moistened
with water, neutral soap or alcohol (76.9 to 81.4 vol%) and wrung out.

Use a dry cloth when you wipe the connector of the electrocardiograph, input
box or operation panel. Otherwise, water gets inside the electrocardiograph and
causes malfunction.

Cleaning the Display of the Electrocardiograph

CAUTION
• Do not use a rough cloth.
• Do not use acidic, alkaline detergents or alcohol other than ethanol
or isopropyl.

Clean the display using a dry soft cloth or a cloth which is moistened with
neutral soap and wrung out.

Operator’s Manual ECG-1150 9.3

9. MAINTENANCE AND SYSTEM TEST

Disinfecting the Surface of the Electrocardiograph

CAUTION
• Wipe the electrocardiograph thoroughly after disinfecting it with
spray.
• Do not sterilize or disinfect the electrocardiograph with ultraviolet
light or ozone.
• Do not use hypochlorous acid for disinfecting.

To disinfect the outside surface of the electrocardiograph, wipe it with a soft

cloth moistened with any of the disinfectants listed below. Use the recommended
concentration.

Disinfectant Concentration (%)

Chlorhexidine gluconate solution 0.5
Benzethonium chloride solution 0.2
Glutaraldehyde solution 2.0
Benzalkonium chloride 0.2
Alkyldiaminoethylglycine hydrochloride 0.5

Cleaning the Thermal Head

CAUTION
• Do not clean the thermal head right after recording because the
head is still hot.
• Only clean the head with the provided thermal head cleaner pen.
Otherwise the thermal head may be damaged.

To protect the thermal head from abrasion or damage and assure optimum
performance and long service life, clean the surface of the head with the
provided thermal head cleaning pen after every 10 sets of recording paper.

1. Turn off the electrocardiograph before cleaning the thermal head.

2. Push the paper magazine release button and open the paper magazine.

3. Clean the gray colored part of the thermal head with the thermal head
cleaner pen.

9.4 Operator’s Manual ECG-1150

 9. MAINTENANCE AND SYSTEM TEST

Paper roller Cleaning the Paper Roller

If the paper roller is dirty, clean the paper roller surface with gauze moistened
with alcohol.

Cleaning the Sensor

The paper empty sensor is located as shown left.
Clean the sensor surfaces with a cotton swab moistened with alcohol.

9
Paper empty sensor

Wheel gear Cleaning the Wheel Gear

If the wheel gear is dirty, clean the wheel gear surface with a cotton swab
moistened with alcohol.

Operator’s Manual ECG-1150 9.5

9. MAINTENANCE AND SYSTEM TEST

Cleaning and Disinfecting the Patient Cable

Cleaning

CAUTION
Do not immerse the connector in liquid.

CAUTION
Do not use volatile liquids such as thinner or benzine, because these
will cause the materials to melt or crack.

Clean the patient cable using a soft cloth or a cloth moistened with neutral soap
or water and wipe with a dry cloth. Make sure that the patient cable is completely
dried after cleaning.

If you leave electrolyte cream (cardioCream) on the patient cable surface and
leave the tip wet, it may cause inaccurate ECG recording due to high skin
electrode contact impedance.

Disinfecting

CAUTION
• Do not use hypochlorous acid for disinfecting.
• Wipe the patient cable thoroughly after disinfecting it with spray.

To disinfect the electrode, wipe it with a soft cloth moistened with any of the
disinfectants listed below. Use the recommended concentration.

Disinfectant Concentration (%)

Chlorhexidine gluconate solution 0.5
Benzethonium chloride solution 0.2
Glutaraldehyde solution 2.0
Benzalkonium chloride 0.2
Alkyldiaminoethylglycine hydrochloride 0.5

9.6 Operator’s Manual ECG-1150

 9. MAINTENANCE AND SYSTEM TEST

Cleaning and Disinfecting Electrodes

Cleaning

CAUTION
Do not use volatile liquids such as thinner or benzine, because these
will cause the materials to melt or crack.

Wipe the electrode using a gauze moistened with below 35°C (95°F) warm water
and neutral soap or invert soap or, cotton moistened with alcohol. Make sure that
the electrode is completely dried after cleaning.

If you leave electrolyte cream (CardioCream) on the electrode surface or leave

9
the metal part wet, it may cause inaccurate ECG recording due to high skin
electrode contact impedance.

Disinfecting

CAUTION
Do not sterilize electrodes by boiling. It may damage the electrode.

To disinfect the electrode, wipe it with a soft cloth moistened with any of the
disinfectants listed below. Use the recommended concentration.

Disinfectant Concentration (%)

Ethanol 76.9 to 81.4 vol%
Benzalkonium chloride 0.2
Benzethonium chloride solution 0.2

Cleaning and Disinfecting Other Options

Refer to the operator’s manual of each option.

Operator’s Manual ECG-1150 9.7

9. MAINTENANCE AND SYSTEM TEST

Regular Check

Check the following items regularly to keep your instrument in optimal

condition.

Overview:
• Electrocardiograph is not dirty, damaged or rusty
• Electrocardiograph and cart are not broken or rattling
• Recorder cover release button is not broken

Input circuit:
• Electrode lead is not cut or broken
• Sensitivity and time constant are correct
• AC filter and high-cut filter operate correctly
• Patient cable is not dirty or damaged
• Patient cable is not broken

Screen:
• Contrast and backlight brightness are correct
• Battery charge lamp operates correctly
• Waveform display and other screen display are correct

Recorder:
• Specified recording paper is used
• Paper feed properly
• No missing dots on printing
• Paper empty sensor operates correctly

Power:
• Power cord is not broken
• Supplied voltage is correct

Operation:
• Electrocardiograph passes all check items in the System Test screen
• QRS synchronization sound and notification sound are correct
• System settings are correct and are saved correctly
• Date and time are correct

Safety:
• No current leakage

PC card and accessories:

• SD memory card operates correctly
• Enough accessories

9.8 Operator’s Manual ECG-1150

 9. MAINTENANCE AND SYSTEM TEST

Clock Accuracy

At an operating temperature of 5 to 40°C, the accuracy of the clock IC of this

instrument is about –1 min 13 s to +1 min 15 s per month.

At storage temperatures of –20 to +65°C, the accuracy of the clock IC of this

instrument is about –12.6 s to –3 min 49 s per month.

Periodically check that the date and time on the printing result is correct.

To change the time setting, refer to “Changing Date and Time” in Section 3.

Operator’s Manual ECG-1150 9.9

9. MAINTENANCE AND SYSTEM TEST

Periodic Replacement

To maintain the performance of the electrocardiograph, the following parts must

be periodically replaced by qualified service personnel.

Built-in battery One year

When the battery deteriorates, the battery operation time is less than 30 minutes
after 10 hours charging. Replace the battery with a new one if operation time is
less than 30 minutes after charging.

LCD 75,000 hours

When the LCD deteriorates, the screen display becomes darker. The initial screen
brightness is reduced to half after 75,000 hours.

Built-in lithium battery 6 years

This battery backs up system settings and system clock. When the battery power
is low, the time is not accurately recorded and the system settings returns to the
factory default settings.

Thermal head 30 km continuous recording

When the thermal head wears out, the recording density gets weaker due to
missing dots.

Feeder motor 3,000 hours continuous operation

When the motor wears out, the recording paper may feed unevenly or at unstable
speed.

For inspection and replacement of the above parts, consult your Nihon Kohden
representative.

9.10 Operator’s Manual ECG-1150

 9. MAINTENANCE AND SYSTEM TEST

Repair Parts Availability Policy

Nihon Kohden Corporation (NKC) shall stock repair parts (parts necessary to
maintain the performance of the instrument) for a period of 8 years from the
date of delivery. In that period NKC or its authorized agents will repair the
instrument. This period may be shorter than 8 years if the board or part necessary
for the faulty section is not available.

Operator’s Manual ECG-1150 9.11

9. MAINTENANCE AND SYSTEM TEST

System Test Screen

This section provides brief explanations of each test or function and explains
how to display the System Test screen. For details, refer to the Service Manual.

There are 10 items in the System Test screen.

System Test Items

• Demonstration Waveform: This is used to demonstrate the
electrocardiograph. Dummy 12 lead ECG
waveforms are displayed.

• Recorder Test: This is used to check the recorder by printing

a test pattern. Adjust the recorder based on the
printout.

• Key Test: This is used to check the keys on the operation

panel. The name of the pressed key is displayed
on the screen.

• Memory Test: This is used to check the memory by comparing

the data of the test patterns written to and read
from each memory area.

• LCD/LED Test: The LEDs on the operation panel light up one by

one. Then the LCD displays four test patterns.

• Electrode Input Test: This is used to check if the input analog signal
processing circuit detects the lead off condition
correctly using the input check jig. If a lead is
not connected, the “Error” message is displayed
on the screen.

• ECG Input Circuit Test: In this test, the input analog signal processing
circuit generates 1 mV rectangular waveforms
that are printed.

• Initialize System Settings: This resets all system settings to the factory
default settings.

• Display Internal Information: This displays the internal temperature and power
voltage of the electrocardiograph.

• Display Model Information: This displays the model name, software version
and analysis version of the electrocardiograph.

9.12 Operator’s Manual ECG-1150

 9. MAINTENANCE AND SYSTEM TEST

Displaying the System Test Screen

1. Turn the power off.

2. Press the POWER key while pressing the FEED/MARK key. The System
Test screen is displayed.

3. Select the desired item with the or function key.

4. Press the Test function key or START/STOP key to execute the item.

5. Press the Cancel function key or START/STOP key to finish the item.

Operator’s Manual ECG-1150 9.13

 Section 10 Reference

Specifications..................................................................................................................................................... 10.2
ECG input....................................................................................................................................... 10.2
Waveform Data Processor............................................................................................................. 10.2
Recorder........................................................................................................................................ 10.2
Power Requirement........................................................................................................................ 10.2
Color LCD (with backlight)............................................................................................................. 10.3
Environment................................................................................................................................... 10.3
Performance................................................................................................................................... 10.3
Dimensions and Weight................................................................................................................. 10.3
Safety Standard............................................................................................................................. 10.3
Electromagnetic Compatibility........................................................................................................ 10.4
10
Electromagnetic Emissions............................................................................................................ 10.5
Electromagnetic Immunity.............................................................................................................. 10.5
Recommended Separation Distances between Portable and Mobile RF Communications
Equipment...................................................................................................................................... 10.7
System Composition for EMC Test................................................................................................. 10.7
General Requirements for Connecting Medical Electrical System..................................................................... 10.8
Standard Accessories...................................................................................................................................... 10.10
Options and Consumables............................................................................................................................... 10.11
Optional Accessory Kit........................................................................................................................... 10.11
Options for the Electrocardiograph......................................................................................................... 10.12

Operator’s Manual ECG-1150 10.1

10. REFERENCE

Specifications

ECG Input
Input impedance: ≥ 50 MΩ
Electrode offset tolerance: ≥ ±550 mV
Defibrillation-proof: Isolated and defibrillator protected only when the following specified patient
cable is connected
Patient cable: BJ-901D, BJ-902D, BJ-903D, BA-901D, BA-903D, BJ-961D
Recovery time: ≤ 10 s (IEC 60601-2-25: 1993 51.102 compatible)
Common mode rejection ratio: ≤ –110 dB
Patient leakage current: ≤ 5 × 10-8 A
Standard sensitivity: 10 mm/mV ±5%
Internal noise: ≤ 20 µVp-v
Interference between channels: ≤ –40 dB
Frequency response: 150 Hz (≥ 71%, high-cut filter: 150 Hz)
Sample rate: 8000 sample/s

Waveform Data Processor

Sample rate: 500 samples/s, 1.25 µV/LSB
Response to minimum signal: ≤ 20 µVp-v
EMG filter: 25, 35 Hz (–3 dB)
High cut filter: 75, 100, 150 Hz (–3 dB)
AC line filter: 50, 60 Hz
Drift filter: Weak: 0.1 Hz (–20 dB), Strong: 0.1 Hz (–34 dB)
Time constant: ≥ 3.2 s

Recorder
Recording speed accuracy: ≤ ±5%
Printing density: 200 dpi (8 dots/mm), 320 dots/mm2 (25 mm/s)
Scanning line density: 1 ms
Number of recording channels: 1, 2, 3
Paper speed: 10, 25, 50 mm/s
Recording paper: 63 mm width, 30 m roll paper
Mechanical noise: ≤ 48 dB at paper speed 25 mm/s
Printed data: Program type, version, date and time, paper speed, sensitivity, lead name, filter,
Patient information (ID number, sex, age), event mark, electrode detachment, noise

Power Requirement
Line voltage: 100 to 240 V AC ±10%
Line frequency: 50, 60 Hz
Power input: 45 VA

10.2 Operator’s Manual ECG-1150

 10. REFERENCE

Battery operation time: ≥ 90 minutes

IEC 60601-2-51: 2003.2 56.7
Under the conditions of operating temperature 25°C, 4 ch recording

Color LCD (with backlight)

Display size: 4.8 inch
Resolution: 320 × 240 dots
Displayed data: Waveform, patient information, recording settings, operation mode, heart rate,
QRS sync mark, error message, electrode detachment, noise

Environment
Operating environment
Temperature: 5 to 40°C (41 to 104°F)
Humidity: 25 to 95% RH (noncondensing)
25 to 80% RH (recording paper)
Atmospheric pressure: 700 to 1060 hPa
Storage environment
Temperature: –20 to +65°C (–4 to +149°F) 10
–20 to +50°C (–4 to +122°F) (recording paper)
Humidity: 10 to 95% RH
10 to 90% RH (recording paper)
Atmospheric pressure: 700 to 1060 hPa
Other: Indoor portable

Performance
Performance standard: IEC 60601-2-51: 2003

Dimensions and Weight

Dimensions: 260 W × 50 H × 200 D mm (excluding protrusions)
Weight: Approx. 1.5 kg (without battery or recording paper)

Safety Standard
Safety standard: IEC 60601-1: 1988
IEC 60601-1 Amendment 1: 1991
IEC 60601-1 Amendment 2: 1995
IEC 60601-2-25: 1993
IEC 60601-2-25 Amendment 1: 1999
IEC 60601-1-1: 2000
IEC 60601-1-2: 2001
Type of protection against electrical shock:
CLASS I EQUIPMENT (AC Powered)
Internally Powered EQUIPMENT (BATTERY Powered)

Operator’s Manual ECG-1150 10.3

10. REFERENCE

Degree of protection against electrical shock:

Defibrillator-proof type CF applied part when patient cable BJ-901D, BJ-902D,
BJ-903D, BA-901D, BA-903D or BJ-961D is used
Degree of protection against harmful ingress of water:
IPX0 (non-protected)
Degree of safety of application in the presence of FLAMMABLE ANAESTHETIC MIXTURE WITH AIR, OR WITH
OXYGEN OR NITROUS OXIDE:
Equipment not suitable for use in the presence of FLAMMABLE
ANAESTHETIC MIXTURE WITH AIR, OR WITH OXYGEN OR NITROUS
OXIDE
Mode of operation: CONTINUOUS OPERATION

Electromagnetic Compatibility
IEC 60601-1-2: 2001
IEC 60601-1-2 Amendment 1: 2004

10.4 Operator’s Manual ECG-1150

 10. REFERENCE

Electromagnetic Emissions
This Model ECG-1150 is intended for use in the electromagnetic environment specified below.
The customer or the user of the ECG-1150 should assure that it is used in such an environment.

Emissions test Compliance Electromagnetic environment - guidance

RF emissions Group 1 The ECG-1150 uses RF energy only for its internal function.
CISPR 11 Therefore, its RF emissions are very low and are not likely to cause any
interference in nearby electronic equipment.
RF emissions Class B The ECG-1150 is suitable for use in all establishments, including
CISPR 11 domestic establishments and those directly connected to the public low-
Harmonic emissions Class A voltage power supply network that supplies buildings used for domestic
IEC 61000-3-2 purposes.
Voltage fluctuations/ Complies
flicker emissions
IEC 61000-3-3

Electromagnetic Immunity
This Model ECG-1150 is intended for use in the electromagnetic environment specified below.
The customer or the user of the ECG-1150 should assure that it is used in such an environment.
10
Electromagnetic environment
Immunity test IEC 60601 test level Compliance level
- guidance
Electrostatic discharge ±6 kV contact ±6 kV contact Floors should be wood, concrete or
(ESD) ±8 kV air ±8 kV air ceramic tile. If floors are covered with
IEC 61000-4-2 synthetic material, the relative humidity
should be at least 30%.*
Electrical fast ±2 kV for power supply ±2 kV for power supply Mains power quality should be that
transient/burst lines lines of a typical commercial or hospital
IEC 61000-4-4 ±1 kV for input/output ±1 kV for input/output environment.*
lines lines
Surge ±1 kV differential mode ±1 kV differential mode Mains power quality should be that
IEC 61000-4-5 ±2 kV common mode ±2 kV common mode of a typical commercial or hospital
environment.
Voltage dips, short <5% UT (>95% dip in UT) <5% UT (>95% dip in UT) Mains power quality should be that
interruptions and for 0.5 cycle for 0.5 cycle of a typical commercial or hospital
voltage variations on environment.
power supply input 40% UT (60% dip in UT) 40% UT (60% dip in UT) If the user of the ECG-1150 requires
lines for 5 cycles for 5 cycles continued operation during power
IEC 61000-4-11 mains interruptions, it is recommended
70% UT (30% dip in UT) 70% UT (30% dip in UT) that the ECG-1150 be powered from
for 25 cycles for 25 cycles an uninterruptible power supply or a
battery.
<5% UT (>95% dip in UT) <5% UT (>95% dip in UT)
for 5 s for 5 s
Power frequency 3 A/m 3 A/m Power frequency magnetic fields should
(50/60 Hz) be at levels characteristic of a typical
magnetic field location in a typical commercial or
IEC 61000-4-8 hospital environment.
NOTE 1: UT is the AC mains voltage prior to application of the test level.
NOTE 2: Electrostatic energy may generate spike noise which is superimposed on the ECG waveforms.
NOTE 3: Noise from AC power line may generate noise which is superimposed on the ECG waveforms.

* This electrocardiograph may show temporary degradation during exposure of ESD, fast transients and bursts. Within 10 s
the electrocardiograph shall resume normal operation in the previous operating mode, without loss of any system settings
or stored data, and shall continue to perform its intended function as described in this manual.

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10. REFERENCE

IEC 60601 test Compliance

Immunity test Electromagnetic environment - guidance
level level
Portable and mobile RF communications equipment
should be used no closer to any part of the ECG-1150,
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 Vrms d = 1.2√P
IEC 61000-4-6
_
Radiated RF 3 V/m 80 MHz to 3 V/m d = 1.2√P 80 MHz to 800 MHz
IEC 61000-4-3 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 meters (m).

Field strengths from fixed RF transmitters, as determined

by an electromagnetic site survey*1, should be less than
the compliance level in each frequency range*2.

Interference may occur in the vicinity of equipment

marked with the following symbol:

NOTE 1: At 80 MHz and 800 MHz, 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.
*1 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 ECG-1150 is used exceeds the applicable RF
compliance level above, the ECG-1150 should be observed to verify normal operation. If abnormal performance is
observed, additional measures may be necessary, such as re-orienting or relocating the ECG-1150.
*2 Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.

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 10. REFERENCE

Recommended Separation Distances between Portable and Mobile RF Communications Equipment

The ECG-1150 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The
customer or the user of the ECG-1150 can help prevent electromagnetic interference by maintaining a minimum distance
between portable and mobile RF communications equipment (transmitters) and the ECG-1150 as recommended below,
according to the maximum output power of the transmitter.

Rated maximum output Separation distance according to frequency of transmitter (m)

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 meters (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.

NOTE 1: 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. 10

System Composition for EMC Test

The ECG-1150 electrocardiograph is tested to comply with IEC 60601-1-2: 2001, Amendment 1: 2004 with the following
composition. If any part which is not specified by Nihon Kohden is used, the EMC specifications may not comply.

Units Cable length

ECG-1150 electrocardiograph ––
Battery pack, SB-901D ––
Patient cable, BJ-901D 3.4 m
Patient cable, BJ-961D 3.4 m
Holter card, QM-064D ––
Ground lead type D 5m

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10. REFERENCE

General Requirements for Connecting Medical Electrical Systems

When more than one electrical instrument is used, there may be electrical
potential difference between the instruments. Potential difference between
instruments may cause current to flow to the patient connected to the
instruments, resulting in electrical shock (micro shock). Therefore, electrical
instruments must be appropriately installed as specified in IEC 60601-1-1: 2000
Second edition.

The following is an extract from IEC 60601-1-1 “Medical electrical equipment

Part 1-1: General requirements for safety”. For details, refer to IEC 60601-1-1
and consult with a biomedical engineer.

Examples of combinations of MEDICAL ELECTRICAL EQUIPMENT and

non-medical electrical equipment
Medically used room
Feasible solution (See
Outside the Non-medically used
Situation No. Inside the PATIENT clause 19 in all
PATIENT room
ENVIRONMENT situations)
ENVIRONMENT
1 1a Items A and B in
PATIENT A B
ENVIRONMENT
IEC IEC
60601 60601

1b Items A and B in For B: Additional

PATIENT A B protective earth or
ENVIRONMENT separating transformer
IEC IEC
60601 XXXXX
1c Item A powered For B: Additional
from specified power A protective earth or
IEC 60601
supply in item B in separating transformer
PATIENT B
ENVIRONMENT IEC XXXXX
2 2a Item A in
PATIENT A B
ENVIRONMENT and
IEC IEC
item B in medically
60601 60601
used room
2b Item A in For B: See 19.201 and its
PATIENT A B rationale
ENVIRONMENT and
IEC IEC
item B in medically
60601 XXXXX
used room
3 3a Item A in For B: See 19.201 and its
PATIENT A B rationale
ENVIRONMENT and IEC 60601
IEC or
item B in non-medically
60601 IEC XXXXX
used room
common protective earth
3b Item A in For B: Additional
A B
PATIENT protective earth or
IEC 60601
ENVIRONMENT and SEPARATION DEVICE
IEC or
item B in non-medically
60601 IEC XXXXX
used room
protective earth with
protective earth
potential difference

10.8 Operator’s Manual ECG-1150

 10. REFERENCE

KEY TO TABLE
• Additional protective earth: If necessary, provide additional protective
earthing, which is permanently connected (see also 58.201).
NOTE Equipment modification may be required.
• Separating transformer: If necessary, limit the ENCLOSURE LEAKAGE
CURRENT, by using an additional separating transformer according to annex
EEE.
NOTE 1 No equipment modification is required.
NOTE 2 A separating transformer is a transformer with one or more input
winding(s) separated from the output winding(s) by at least basic insulation
[IEC 60989].
• SEPARATION DEVICE: If necessary, apply SEPARATION DEVICE.
• IEC 60601: MEDICAL ELECTRICAL EQUIPMENT in compliance with IEC
60601.
• IEC XXXXX: Non-medical equipment in compliance with relevant IEC safety
standards.

10

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10. REFERENCE

Standard Accessories

NOTE
• Only use Nihon Kohden specified parts and accessories to assure
maximum performance from your instrument.
• When ordering the following accessories/consumables, specify the
supply code no. When the supply code no. is not provided with the
accessory, specify the model or code no.

1 2

No. Description Q’ty Code No. Supply Code No.

1 Recording paper, RQS63-3 1 –––––– A129
2 Thermal head cleaner 1 404617 Y011
3 Input check jig 1 6114-092972

10.10 Operator’s Manual ECG-1150

 10. REFERENCE

Options and Consumables

Optional Accessory Kit

NOTE
• Only use Nihon Kohden specified parts and accessories to assure
maximum performance from your instrument.
• When ordering the following accessories/consumables, specify the
supply code no. When the supply code no. is not provided with the
accessory, specify the model or code no.

YD-100D: 220 to 240 V, IEC ECG lead (3 mm diameter)

YD-101D: 100 to 127 V, IEC ECG lead (3 mm diameter)
YD-102D: 100 to 127 V, AHA ECG lead (3 mm diameter)
YD-103D: 220 to 240 V, IEC ECG lead (4 mm diameter)

Description Q’ty Code No. Supply Code No. YD-100D YD-101D YD-102D YD-103D 10
Patient cable
BA-901D, AHA 3 mm
1 706256 K019
diameter tip
BJ-961D, IEC 3 mm diameter
1 725289 K111
tip, thick cable
BJ-902D, IEC/DIN 4 mm
1 705248 K081
diameter tip
Power cord
Type H 1 186656 L935
Type N 1 314839 L936
Chest electrode, 3 mm diameter
2 709957 H041
tip, for adult, 3 pcs/set
Chest electrode, 4 mm diameter
2 666949 H043
tip, for adult, 3 pcs/set
Clip-on limb electrode, 3 mm
1 709939 H068
diameter tip, 4 pcs/set, Fastclip
Clip-on limb electrode, 4 mm
1 709948 H068K
diameter tip, 4 pcs/set, Fastclip

Operator’s Manual ECG-1150 10.11

10. REFERENCE

Options for the Electrocardiograph

Description Q’ty Code No. Supply Code No.

Battery pack 1 SB-901D X071
CardioCream, 100 g 2 Z-101BC F010
Cart 1 KD-104E –––
Cart 1 KD-105D/105E –––
Patient cable hanger 1 KH-100D –––
Patient cable
BA-901D, AHA 3 mm diameter tip 1 706256 K019
BA-903D, AHA clip 1 706265 K020
BJ-901D, IEC 3 mm diameter tip, thin cable 1 687864 K079
BJ-902D, IEC/DIN 4 mm diameter tip 1 705248 K081
BJ-903D, IEC/DIN clip 1 687882 K082
BJ-961D, IEC 3 mm diameter tip, thick cable 1 725289 K111
SD memory card 1 QM-001D/QM-001DE Y154D
SD memory card 1 QM-064D/QM-064DE Y154B
Ground lead type D 1 098029 L912

10.12 Operator’s Manual ECG-1150