Cardiac Stress Treadmills ST65 Guide de l'utilisateur

Quinton® Q-Stress® 4.5USER’S GUIDE AND SERVICE MANUAL70-00755-01 D

70-00755-01 D ContentsixContentsAppendix A: SpecificationsSystem Specifications ...

Quinton® Q-Stress® 4.5 70-00755-01 D8-18 Final ReportsThis chapter describes the process of creating, reviewing, editing, and printing a final report

70-00755-01 D Quinton® Q-Stress® 4.58-2Final ReportsEdit the Final Report Summary PageAfter you click the Recovery icon, the Edit Final Report icon b

Quinton® Q-Stress® 4.5 70-00755-01 D8-3Edit the Final Report Summary Pagefollowing figures show samples of preprogrammed statements for each category

70-00755-01 D Quinton® Q-Stress® 4.58-4Final ReportsFast ReportsUse words or prepared phrases from the QuickLists utility to quickly annotate final r

Quinton® Q-Stress® 4.5 70-00755-01 D8-5Review ModeReview ModeEntering Review Mode ends the display of waveform data. You cannot resume monitoring dat

70-00755-01 D Quinton® Q-Stress® 4.58-6Final ReportsView a Final ReportClick the View Final Report button to view a PDF file of your final report wit

Quinton® Q-Stress® 4.5 70-00755-01 D8-7Review ModeSaving the TestTo leave Review Mode, press the Exit button. A confirmation dialog box appears (Figu

70-00755-01 D Quinton® Q-Stress® 4.58-8Final ReportsXML (Q-Exchange Option Only)The Q-Stress network system provides the patient demographic, final r

Quinton® Q-Stress® 4.5 70-00755-01 D8-9Review ModeThe name of the default final report format is shown. To change to a different report format, click

70-00755-01 D Quinton® Q-Stress® 4.58-10Final ReportsTabularSelect the template you want to use for your report. Use the scroll bar to see the entire

Contents 70-00755-01 DxContents

Quinton® Q-Stress® 4.5 70-00755-01 D8-11Review ModePeak ExerciseSelect this section to print the peak exercise test values as part of the final repor

70-00755-01 D Quinton® Q-Stress® 4.58-12Final ReportsCustomizing a Trend Graph TemplateTo customize a trend graph template, select the custom templat

Quinton® Q-Stress® 4.5 70-00755-01 D8-13Review ModeIn-Test ReportsTo include in-test reports (those waveform reports printed during the test except f

70-00755-01 D Quinton® Q-Stress® 4.58-14Final ReportsSaving the Final Report FormatWhen you have made all your changes, click Save As. The Final Repo

Quinton® Q-Stress® 4.5 70-00755-01 D9-19 File ManagementChapter contents◆ Database 9-2◆ Final Report Repository 9-3◆ PDF Files 9-4◆ Database Restore

70-00755-01 D Quinton® Q-Stress® 4.59-2File ManagementDatabaseThe data from each stress test is stored in the database that ships with the system. Q-

Quinton® Q-Stress® 4.5 70-00755-01 D9-3Final Report RepositoryFinal Report RepositoryEvery time you print or view a final report, a PDF file is store

70-00755-01 D Quinton® Q-Stress® 4.59-4File ManagementPDF FilesQ-Stress saves both the final reports and the full disclosure files (Full Disclosure o

Quinton® Q-Stress® 4.5 70-00755-01 D9-5PDF FilesIf your Q-Stress system is equipped with a secondary hard disk (either external or internal) or if yo

70-00755-01 D Quinton® Q-Stress® 4.59-6File Management4. Use Windows Explorer to delete the patient folder and contents from the PDF repository.Resto

Quinton® Q-Stress® 4.5 70-00755-01 D1-11 SafetyChapter contents◆ Indications for Use 1-2◆ Safety Definitions 1-3◆ General Safety Statements 1-4◆ Symb

Quinton® Q-Stress® 4.5 70-00755-01 D9-7Database BackupDatabase BackupYou cannot use the Q-Stress system while the backup is in process.Note: The back

70-00755-01 D Quinton® Q-Stress® 4.59-8File Management8. Click Start to initiate the backup.9. Click Yes to acknowledge the time it will take to do t

Quinton® Q-Stress® 4.5 70-00755-01 D9-9Database RestoreDatabase RestoreYou cannot use the Q-Stress system while the restore is in process.Note: The r

70-00755-01 D Quinton® Q-Stress® 4.59-10File ManagementPurge the Database!WARNING. System unavailable.Purging data removes information permanently. I

Quinton® Q-Stress® 4.5 70-00755-01 D9-11Purge the Database3. Click the Patient/Test(s) Deletion tab.4. Select one of the three Purge options:• Identi

70-00755-01 D Quinton® Q-Stress® 4.59-12File Management9. The records are deleted and space in the database is recovered.Note: Your final reports in

Quinton® Q-Stress® 4.5 70-00755-01 D10-110 SetupThis chapter describes the steps in setting up the parameters for the exercise device, protocol and p

70-00755-01 D Quinton® Q-Stress® 4.510-2SetupDemonstration ModeThe system ships with a demonstration mode that provides you with a way to train techn

Quinton® Q-Stress® 4.5 70-00755-01 D10-3Setting up the ProcedureSetting up the ProcedureA procedure defines those parameters used in a particular str

70-00755-01 D Quinton® Q-Stress® 4.510-4SetupECG TabUse this section to select Lead Set, Filters, Worst Case leads, and ST Measurement Point (Figure

70-00755-01 D Quinton® Q-Stress® 4.51-2SafetyIndications for Use◆ The device is intended to acquire, process, record, archive, analyze, and output el

Quinton® Q-Stress® 4.5 70-00755-01 D10-5Setting up the ProcedureNotification TabThis section (Figure 10-4) allows you to set a base point for visual

70-00755-01 D Quinton® Q-Stress® 4.510-6SetupFormulas TabThis section (Figure 10-5) allows you to set formulas for METS Baseline, Target Heart Rate,

Quinton® Q-Stress® 4.5 70-00755-01 D10-7Setting up the ProcedurePrompts for Ramped ProtocolsFigure 10-7: Example of Ramped Protocol promptsIndicate p

70-00755-01 D Quinton® Q-Stress® 4.510-8SetupPrompts for Staged ProtocolsFigure 10-8: Example of Staged Protocol promptsStaged Protocol prompts are s

Quinton® Q-Stress® 4.5 70-00755-01 D10-9Setting up the ProcedureScreen Layout TabThis section (Figure 10-9) allows you to select the positioning of v

70-00755-01 D Quinton® Q-Stress® 4.510-10SetupLead FormatClick the radio button in front of 3 Lead, 6 Lead or 12 lead to select the default format.Cl

Quinton® Q-Stress® 4.5 70-00755-01 D10-11Setting up the Procedurespace. After you have cleared a space, you can introduce it again by clicking on the

70-00755-01 D Quinton® Q-Stress® 4.510-12SetupRPEUse this box to enter the rate of perceived exertion. Click the down arrow to display the numerical

Quinton® Q-Stress® 4.5 70-00755-01 D10-13Setting up the ProcedureSpO2This box allows the entry of a patient’s blood oxygen saturation level. If Q-Str

70-00755-01 D Quinton® Q-Stress® 4.510-14SetupTimed ReportsWhen you click the Timed Reports tab, the system will always display the Staged Timed Repo

Quinton® Q-Stress® 4.5 70-00755-01 D1-3Safety DefinitionsSafety DefinitionsThe following types of safety statements are used in this manual.!WARNINGI

Quinton® Q-Stress® 4.5 70-00755-01 D10-15Setting up the ProcedureRamped Timed ReportsEnter the time and double-click in the appropriate column to sch

70-00755-01 D Quinton® Q-Stress® 4.510-16SetupTo create a custom protocol:1. From the main menu, select Setup | Protocol (Ctrl+P). The Protocol Setup

Quinton® Q-Stress® 4.5 70-00755-01 D10-17Setting up the Procedure3. Select a protocol close to the one you want to create. It will be shown in the Pr

70-00755-01 D Quinton® Q-Stress® 4.510-18SetupErgometer ProtocolAdd customized ergometer protocols using the same directions as given for creating a

Quinton® Q-Stress® 4.5 70-00755-01 D10-19Set Up SystemSet Up SystemVarious lists, devices and the measurement unit used in the test must be set up be

70-00755-01 D Quinton® Q-Stress® 4.510-20SetupRest labels, Comments, Personnel, Institution, Locations, Resting ECG, and Billing Codes lists are ship

Quinton® Q-Stress® 4.5 70-00755-01 D10-21Set Up SystemChanging Personnel ListsTo add a new entry or change an existing entry, click the Personnel rad

70-00755-01 D Quinton® Q-Stress® 4.510-22SetupChanges to these lists are made the same way. Click the list you would like to change. The list is disp

Quinton® Q-Stress® 4.5 70-00755-01 D10-23Set Up SystemThe Location list is the drop-down list for location on the Environment tab in patient entry (F

70-00755-01 D Quinton® Q-Stress® 4.510-24SetupTo edit an entry, triple-click the item. This will take you to the edit mode and allow you to place the

70-00755-01 D Quinton® Q-Stress® 4.51-4SafetyGeneral Safety StatementsThis section lists general safety statements for the Q-Stress system. Additiona

Quinton® Q-Stress® 4.5 70-00755-01 D10-25Set Up SystemDevice TabClick this tab to assign specific devices to the COM ports.Figure 10-28: Example of t

70-00755-01 D Quinton® Q-Stress® 4.510-26SetupPrinter SelectionClick this tab (Figure 10-29) to configure the Q-Stress program for the printer attach

Quinton® Q-Stress® 4.5 70-00755-01 D10-27Set Up SystemPDF Location (Network Option Only)Change the location where PDF files are stored either by dire

70-00755-01 D Quinton® Q-Stress® 4.510-28SetupQ-Exchange® Tab (Q-Exchange Option Only)This tab (Figure 10-31) allows you to set the version number of

Quinton® Q-Stress® 4.5 70-00755-01 D11-111 OptionsChapter contents◆ Custom Reports 11-2◆ Q-Exchange® Patient Data Export and Import 11-6◆ Full Disclo

70-00755-01 D Quinton® Q-Stress® 4.511-2OptionsCustom ReportsThe custom report template enables summary reports to be formatted with the information

Quinton® Q-Stress® 4.5 70-00755-01 D11-3Custom Reports4. In the dialog box (Figure 11-2), click OK to start InfoPath. You may receive a warning from

70-00755-01 D Quinton® Q-Stress® 4.511-4OptionsNote: Here are some tips for working with the Infopath Designer:To place a field onto the canvas, drag

Quinton® Q-Stress® 4.5 70-00755-01 D11-5Custom ReportsImporting Custom Pages into Q-Stress1. After editing and saving the form, click Import in the F

70-00755-01 D Quinton® Q-Stress® 4.511-6OptionsQ-Exchange® Patient Data Export and ImportQ-Exchange 4.0 can export all data gathered during a stress

Quinton® Q-Stress® 4.5 70-00755-01 D1-5Symbols and LabelsSymbols and LabelsThe following symbols may be used in this manual, related documentation, o

Quinton® Q-Stress® 4.5 70-00755-01 D11-7Q-Exchange® Patient Data Export and Import◆ Full disclosure—Unfiltered, un-transformed waveform binary data a

70-00755-01 D Quinton® Q-Stress® 4.511-8Options*_RE.xml—Report ECG in XML format*_SR.xml—Stress record in XML format; this file is written regardless

Quinton® Q-Stress® 4.5 70-00755-01 D11-9Full DisclosureFull DisclosureOn Q-Stress systems equipped with the Full Disclosure option, a continuous log

70-00755-01 D Quinton® Q-Stress® 4.511-10OptionsPage Attachment BarSelect/Unselect Current Page The Select/Unselect Current Page button toggles the s

Quinton® Q-Stress® 4.5 70-00755-01 D11-11Full DisclosureList of PagesThe List of Pages gives navigation cues and attachment status of the Full Disclo

70-00755-01 D Quinton® Q-Stress® 4.511-12OptionsNavigation BarThe Navigation Bar allows you to quickly display pages in the Displayed Beats portion o

Quinton® Q-Stress® 4.5 70-00755-01 D11-13ReanalysisReanalysisThe Reanalysis option provides you with a mechanism to review a complete test after the

70-00755-01 D Quinton® Q-Stress® 4.511-14OptionsThe Reanalysis window opens with the current average beat set to the worst case average beat for the

Quinton® Q-Stress® 4.5 70-00755-01 D11-15Reanalysisoriginal positions as determined by the original procedure. An edited J+ point affects all average

70-00755-01 D Quinton® Q-Stress® 4.511-16OptionsZoom In/OutThe Zoom button toggles your view between normal and maximum size. Click Zoom to change th

70-00755-01 D Quinton® Q-Stress® 4.51-6SafetyAHA to IEC EquivalentsThis manual and the Q-Stress software use the AHA label (RL, LL, etc.) in diagrams

Quinton® Q-Stress® 4.5 70-00755-01 D11-17ReanalysisClick a single graph to zoom in on it (Figure 11-12).Figure 11-12: Example of an expanded graphCli

70-00755-01 D Quinton® Q-Stress® 4.511-18OptionsFreeze FrameThe Freeze Frame option allows total recall of ECGs during a test. You can “freeze” a 10-

Quinton® Q-Stress® 4.5 70-00755-01 D11-19Freeze Framepane. Freeze Frame continues adding data to the right of the pane, refreshing approximately ever

70-00755-01 D Quinton® Q-Stress® 4.511-20OptionsSizing the Freeze Frame Pane (4)To ensure that the real time data is not obscured, the Freeze Frame p

Quinton® Q-Stress® 4.5 70-00755-01 D11-21Risk ScoringRisk ScoringThe system includes a risk scoring option based on the Duke, Framingham, and Functio

70-00755-01 D Quinton® Q-Stress® 4.511-22OptionsEntering Risk ParametersMost of the parameters used for risk scoring are entered with the patient dem

Quinton® Q-Stress® 4.5 70-00755-01 D11-23Risk ScoringDuke Treadmill (TM) The Duke TM algorithm requires the Angina index to calculate risk. The Angin

70-00755-01 D Quinton® Q-Stress® 4.511-24OptionsFraminghamSource: Wilson PWF, D'Agostino RB, Levy D, Belanger AM, Silbershatz H, Kannel WB. Pred

Quinton® Q-Stress® 4.5 70-00755-01 D11-25Risk ScoringThe algorithm uses the Total Cholesterol Score Sheet when total cholesterol and HDL cholesterol

70-00755-01 D Quinton® Q-Stress® 4.511-26OptionsThe Duke treadmill score is calculated as follows: Treadmill score = duration of exercise in minutes

Quinton® Q-Stress® 4.5 70-00755-01 D2-12 Quick StartThis section lists the basic steps required to perform a stress test. If necessary, refer to othe

Quinton® Q-Stress® 4.5 70-00755-01 D11-27Risk ScoringEnter any or all of the Risk Scoring data into the final report by double-clicking on the value

70-00755-01 D Quinton® Q-Stress® 4.511-28OptionsAutomatic Blood Saturation Level (SpO2) MonitoringQ-Stress provides an interface for SpO2 data to be

Quinton® Q-Stress® 4.5 70-00755-01 D11-29Ramped Protocol GeneratorRamped Protocol GeneratorWith this option installed, Q-Stress can generate custom r

70-00755-01 D Quinton® Q-Stress® 4.511-30Options4. Press Ta b to move between fields or click a field to select it. You can type in a number or use

Quinton® Q-Stress® 4.5 70-00755-01 D11-31Ramped Protocol Generator• For a treadmill, type the target METs, maximum speed, and the duration of the Exe

70-00755-01 D Quinton® Q-Stress® 4.511-32Options

Quinton® Q-Stress® 4.5 70-00755-01 D12-112 TroubleshootingChapter contents◆ Software Troubleshooting 12-2◆ User Messages/Errors 12-3◆ Service Tests 1

70-00755-01 D Quinton® Q-Stress® 4.512-2TroubleshootingSoftware TroubleshootingLanguage Settings for Adobe ReaderUse the following steps if Adobe Rea

Quinton® Q-Stress® 4.5 70-00755-01 D12-3User Messages/ErrorsUser Messages/ErrorsUser Message Sys. Log Message Cause ActionBPBP monitor data error.BP

70-00755-01 D Quinton® Q-Stress® 4.512-4TroubleshootingTreadmill motor over heated.Treadmill motor over heated.Treadmill motor over heated.Allow 10 s

70-00755-01 D Quinton® Q-Stress® 4.52-2Quick StartBefore the TestPerform these steps to prepare for the test.1. Explain the procedure to the patient.

Quinton® Q-Stress® 4.5 70-00755-01 D12-5User Messages/ErrorsElectrodesElectrode [name] Disconnected.Leads Off.Electrode lead has disconnected from pa

70-00755-01 D Quinton® Q-Stress® 4.512-6TroubleshootingThe preamp unit is reporting a self test error. Contact Technical Support.ECG card reported se

Quinton® Q-Stress® 4.5 70-00755-01 D12-7User Messages/ErrorsBlanking of ECG data.Your PC system can overload. If an over- loading of the system occur

70-00755-01 D Quinton® Q-Stress® 4.512-8TroubleshootingTCR-1000 Chart Recorder TroubleshootingYour chart recorder is designed and manufactured to pro

Quinton® Q-Stress® 4.5 70-00755-01 D12-9Hewlett-Packard (HP) LaserJet Printer TroubleshootingHewlett-Packard (HP) LaserJet Printer TroubleshootingIn

70-00755-01 D Quinton® Q-Stress® 4.512-10TroubleshootingSQL ErrorIf a message is displayed indicating the SQL server is not running, use the followin

Quinton® Q-Stress® 4.5 70-00755-01 D12-11Service TestsService TestsAfter installing or upgrading the software, run the following tests to ensure the

70-00755-01 D Quinton® Q-Stress® 4.512-12Troubleshooting2. Click Start Self Test. The program runs the self-test and the following dialog box is disp

Quinton® Q-Stress® 4.5 70-00755-01 D12-13Service Tests3. Click Next. The Gain and Impedance results appear4. Review Table 12-1 on page 12-15 to see i

70-00755-01 D Quinton® Q-Stress® 4.512-14TroubleshootingLeads Off TestThe leads-off test checks the preamp’s leads-off detection capability. This tes

USER’S GUIDE AND SERVICE MANUALQUINTON® Q-STRESS®VERSION 4.570-00755-01 D

Quinton® Q-Stress® 4.5 70-00755-01 D2-3Rest PhaseRest PhaseThe Rest phase should not begin until after the patient is prepared for testing. During th

Quinton® Q-Stress® 4.5 70-00755-01 D12-15Service Tests8. Click Back to return to the test or Close to end the test.Service ReportTo view a Service Re

70-00755-01 D Quinton® Q-Stress® 4.512-16Troubleshooting

Quinton® Q-Stress® 4.5 70-00755-01 D13-113 MaintenancePerform the routine maintenance procedures in this chapter per the schedule listed or as needed

70-00755-01 D Quinton® Q-Stress® 4.513-2MaintenanceOnce per ShiftThe following procedures must be performed once per shift, daily, or as needed.!WARN

Quinton® Q-Stress® 4.5 70-00755-01 D13-3Annual◆ Cords: Ensure all power cords and other cables are not worn or damaged. Specifically, check for loose

70-00755-01 D Quinton® Q-Stress® 4.513-4MaintenanceComponent ReplacementNormally, if a a board or other part of component is damaged or fails, the en

Quinton® Q-Stress® 4.5 70-00755-01 DA-1A SpecificationsAppendix contents◆ System Specifications A-2◆ Ventilation Clearances A-6◆ Fuse Replacement A-6

70-00755-01 D Quinton® Q-Stress® 4.5A-2System SpecificationsSystem specifications are listed belowTable A-1: System Specifications OverallPerformance

Quinton® Q-Stress® 4.5 70-00755-01 DA-3System SpecificationsInput Channels Simultaneous acquisition of all leadsChart Recorder (optional)Type Multipl

70-00755-01 D Quinton® Q-Stress® 4.5A-4Type 19 in. LCD flat panelMemory SpanMinimum of 8 seconds of ECG (with two average beats also displayed)Displa

70-00755-01 D Quinton® Q-Stress® 4.52-4Quick StartWarm-up PhaseAfter you have taken the resting ECG and entered other Rest data, have the patient war

Quinton® Q-Stress® 4.5 70-00755-01 DA-5System SpecificationsPatient CableDomestic Cable10-electrode with pinch or snap connectors, blue, 15 foot (4.6

70-00755-01 D Quinton® Q-Stress® 4.5A-6Ventilation ClearancesAllow at least 6 inches behind each workstation for ventilation. There are no side clear

Quinton® Q-Stress® 4.5 70-00755-01 DA-7Q-Stress Customer-supplied Computer SpecificationsQ-Stress Customer-supplied Computer SpecificationsSpecificat

70-00755-01 D Quinton® Q-Stress® 4.5A-8Uninterruptible Power Supply (UPS) RecommendationsThe Q-Stress system requires a steady supply of power during

Quinton® Q-Stress® 4.5 70-00755-01 DA-9Uninterruptible Power Supply (UPS) RecommendationsTable A-2: UPS for Chart Recorder Systems 110 VACFunction Sp

70-00755-01 D Quinton® Q-Stress® 4.5A-10Table A-4: UPS for Laser Printer Systems 110 VACFunction SpecificationMaximum Load 1400 VA / 950 WInput Volta

Quinton® Q-Stress® 4.5 70-00755-01 DA-11EMC Guidance and Manufacturer’s DeclarationEMC Guidance and Manufacturer’s DeclarationThe Q-Stress System is

70-00755-01 D Quinton® Q-Stress® 4.5A-12Stress System as recommended below, according to the maximum output power of the communications equipment.Ele

Quinton® Q-Stress® 4.5 70-00755-01 DA-13EMC Guidance and Manufacturer’s DeclarationSurgeIEC 61000-4-5± 1 kV differential mode±2 kV common mode± 1 kV

70-00755-01 D Quinton® Q-Stress® 4.5A-14Radiated RFIEC 61000-4-33 V/m80 MHz to 2.5 GHz3 V/mc 80 MHz to 800 MHz 800 MHz to 2.5 GHzwhere P is the maxim

Quinton® Q-Stress® 4.5 70-00755-01 D2-5Recovery PhaseRecovery PhaseWhen the patient has completed the Exercise phase (or for some reason must discont

Quinton® Q-Stress® 4.5 70-00755-01 DA-15Treadmill/ErgometerTreadmill/ErgometerSee treadmill or ergometer documentation for specifications.

70-00755-01 D Quinton® Q-Stress® 4.5A-16

Quinton® Q-Stress® 4.5 70-00755-01 DB-1B Protocol ParametersThe tables in this appendix detail the exercise protocols stored in Q-Stress. These inclu

70-00755-01 D Quinton® Q-Stress® 4.5B-2System-Supplied ProtocolsBruce ProtocolStage No. Duration Speed (mph) Grade (%)Rest/Recovery -- 1.2 0.01 3:00

Quinton® Q-Stress® 4.5 70-00755-01 DB-3System-Supplied ProtocolsNaughton Protocol Stage No. Duration Speed (mph) Grade (%)Rest/Recovery -- 1.0 0.01 2

70-00755-01 D Quinton® Q-Stress® 4.5B-4Modified Balke Protocol Stage No. Duration Speed (mph) Grade (%)Rest/Recovery -- 1.2 0.011:003.4 0.021:003.4 1

Quinton® Q-Stress® 4.5 70-00755-01 DB-5System-Supplied ProtocolsRamped Low Protocol Time Stage NoSpeed (mph) Grade (%) METsRest/Recov 1.0 0.0 1.80:30

70-00755-01 D Quinton® Q-Stress® 4.5B-6Ramped Medium Protocol Time Stage NoSpeed (mph) Grade (%) METsRest/Recov 1.0 0.0 1.80:30 1 1.5 3.0 2.80:30 2 1

Quinton® Q-Stress® 4.5 70-00755-01 DB-7System-Supplied ProtocolsRamped High Protocol Time Stage NoSpeed (mph) Grade (%) METsRest/Recov 1.0 0.0 1.80:3

70-00755-01 D Quinton® Q-Stress® 4.5B-8Åstrand Protocol (Ergometer)Stage No. Duration Workload (Watts)Rest/Recovery -- 5016:00502 6:00 1003 6:00 1504

70-00755-01 D Quinton® Q-Stress® 4.52-6Quick Start

Quinton® Q-Stress® 4.5 70-00755-01 DC-1C Taking Accurate Blood Pressure MeasurementsAppendix contents◆ BP412 and STBP-780 C-2◆ Attaching the Cuff C-3

70-00755-01 D Quinton® Q-Stress® 4.5C-2BP412 and STBP-780Note: The BP412 (or the STBP-780 for Japanese units only) meet the AAMI automated blood pres

Quinton® Q-Stress® 4.5 70-00755-01 DC-3BP412 and STBP-780Use these settings for the blood pressure (BP) device:◆ Set Systolic Max to 300◆ Set Systoli

70-00755-01 D Quinton® Q-Stress® 4.5C-44. Ensure that the bottom of the cuff is at least one inch above the bend in the elbow (Figure C-3).Figure C-3

Quinton® Q-Stress® 4.5 70-00755-01 DC-5BP412 and STBP-780these readings and uses this information when taking the more noisy exercise measurements.◆

70-00755-01 D Quinton® Q-Stress® 4.5C-6SunTech® Tango+® Blood Pressure MonitorThe following instructions show you how to attach the SunTech Tango+ Bl

Quinton® Q-Stress® 4.5 70-00755-01 DC-7SunTech® Tango+® Blood Pressure MonitorPlugging in the RS-232 cableTo plug in the RS-232 cable:1. Plug the RS-

70-00755-01 D Quinton® Q-Stress® 4.5C-8Setting up a Blood Pressure MonitorTo configure a blood pressure monitor on a Stress system:1. On the desktop,

Quinton® Q-Stress® 4.5 70-00755-01 DD-1D Manual Calibration of Cardiac Science TreadmillsTM and ST Series treadmills do not require calibration at in

70-00755-01 D Quinton® Q-Stress® 4.5D-2

Quinton® Q-Stress® 4.5 70-00755-01 D3-13 System OverviewThis chapter lists the standard Q-Stress system components and features. For details refer to

Quinton® Q-Stress® 4.5 70-00755-01 DE-1E Glossary and AbbreviationsAppendix contents◆ Glossary E-2◆ Abbreviations E-7

70-00755-01 D Quinton® Q-Stress® 4.5E-2GlossaryTerm Definition12-lead ReportA recording of sequential or simultaneous segments of the conventional le

Quinton® Q-Stress® 4.5 70-00755-01 DE-3GlossaryECG Complex One complete cycle of an ECG waveform (see next figure). The baseline provides the referen

70-00755-01 D Quinton® Q-Stress® 4.5E-4In-test ReportReports printed manually or automatically during any phase of a stress test. Examples include 12

Quinton® Q-Stress® 4.5 70-00755-01 DE-5GlossaryMax HR x BPEach time a BP is entered (either manually or automatically), the systolic value is multipl

70-00755-01 D Quinton® Q-Stress® 4.5E-6Sequential 12-Lead A 12-lead report that prints the data from three or six leads synchronously for the specifi

Quinton® Q-Stress® 4.5 70-00755-01 DE-7AbbreviationsAbbreviationsASVV Absolute Spatial Vector VelocityBP Blood Pressure, expressed as Systolic/Diast

70-00755-01 D Quinton® Q-Stress® 4.5E-8

70-00755-01 D*70-00755-01*Cardiac Science Corporation • 3303 Monte Villa Parkway, Bothell, WA 98021 USA • 425.402.2000 • US toll-free 800.426.0337 • F

70-00755-01 D Quinton® Q-Stress® 4.53-2System Overview!WARNING. Patient injury.Q-Stress supports the use of Trackmaster treadmill model TMX425 as an

Quinton® Q-Stress® 4.5 70-00755-01 D3-3HardwareHardware!WARNING. Patient or operator injury.Ensure that components of the Stress system are placed in

70-00755-01 D Quinton® Q-Stress® 4.53-4System OverviewPort Use1AC Power2115 or 230 V.AC Selector. Must be set to match incoming voltage.3AC Power Swi

Quinton® Q-Stress® 4.5 70-00755-01 D3-5HardwarePreamp IIThe Preamp II digitizes and filters patient signals. A data collector is integrated with the

70-00755-01 D Quinton® Q-Stress® 4.53-6System OverviewThe isolation transformer is plugged into a dedicated circuit. The following components are plu

Information in this document is subject to change without notice. Names and data used in the examples are fictitious unless otherwise noted.CE Mark De

Quinton® Q-Stress® 4.5 70-00755-01 D3-7HardwareKeypadThe optional keypad (Figure 3-2) controls the treadmill or ergometer and the phases of the Q-Str

70-00755-01 D Quinton® Q-Stress® 4.53-8System OverviewAdditional system functions may be accessed using key combinations. The following table lists t

Quinton® Q-Stress® 4.5 70-00755-01 D3-9HardwareKeyboard EquivalentsNon-English versions of Q-Stress may have non translated icons or keys. The follow

70-00755-01 D Quinton® Q-Stress® 4.53-10System OverviewSoftwareThe Q-Stress system computer is pre-loaded with the Q-Stress application and the Micro

Quinton® Q-Stress® 4.5 70-00755-01 D3-11SoftwareSystem ShutdownTo shut down the Q-Stress system on Windows 7 and Vista:1. Select File | Exit from the

70-00755-01 D Quinton® Q-Stress® 4.53-12System OverviewFigure 3-3: Example of a test windowUser DocumentationThis manual is available from the Help m

Quinton® Q-Stress® 4.5 70-00755-01 D4-14 System SetupThis section lists the basic software setup and configuration procedures to install and properly

70-00755-01 D Quinton® Q-Stress® 4.54-2System SetupInstall Virus Scanning SoftwareRunning virus scanning software while Q-Stress is in use can cause

Configure the Operating SystemThe Windows operating system is pre-configured for use with Q-Stress.!WARNING. Inaccurate test data.Changing any BIOS pa

70-00755-01 D Quinton® Q-Stress® 4.54-4System SetupConfigure Adobe AcrobatThe Q-Stress system includes Adobe® Reader® to view final reports as PDF fi

70-00755-01 D ContentsiiiContentsContentsChapter 1: SafetyIndications for Use...

Quinton® Q-Stress® 4.5 70-00755-01 D5-15 Connecting and Checking the ElectrodesCardiac Science recommends the Quik-Prep™ stress test electrode applic

70-00755-01 D Quinton® Q-Stress® 4.55-2Connecting and Checking the ElectrodesConnection TestBefore you begin the Rest phase of a stress test, you mus

Quinton® Q-Stress® 4.5 70-00755-01 D5-3Connection Test5. Click Start to begin the Impedance Check. The message Checking lead set, please wait appears

70-00755-01 D Quinton® Q-Stress® 4.55-4Connecting and Checking the ElectrodesSkin PreparationA good, low-impedance electrical connection between the

Quinton® Q-Stress® 4.5 70-00755-01 D5-5Skin Preparation6. Disconnect the recharger from the DC jack.7. Plug the reference wire into the RL (R) jack,

70-00755-01 D Quinton® Q-Stress® 4.55-6Connecting and Checking the Electrodes!WARNING. Skin trauma.Due to physiological differences in electrode site

Quinton® Q-Stress® 4.5 70-00755-01 D5-7Skin Preparation2. Check the quality of the right leg electrode preparation.If the right leg site is inadequat

70-00755-01 D Quinton® Q-Stress® 4.55-8Connecting and Checking the ElectrodesLead configurationsThe following figures indicate where to place the ele

Quinton® Q-Stress® 4.5 70-00755-01 D5-9Skin PreparationTable 5-3: Frank Lead Placement SitesSite LWN1Patient Cable Color Frank Lead Placement SitesEV

70-00755-01 D Quinton® Q-Stress® 4.55-10Connecting and Checking the Electrodes

Contents 70-00755-01 DivContentsChapter 4: System SetupInstall Virus Scanning Software...4-

Quinton® Q-Stress® 4.5 70-00755-01 D6-16 Entering Patient InformationQ-Stress allows you to store patient information and stress test data in a datab

70-00755-01 D Quinton® Q-Stress® 4.56-2Entering Patient InformationAdding a Patient EntryClick the New Patient Test icon. The Patient Selection scree

Quinton® Q-Stress® 4.5 70-00755-01 D6-3Adding a Patient Entry1Patient Demographic Information2Test Parameters3Previous Studies/Tests{{{123

70-00755-01 D Quinton® Q-Stress® 4.56-4Entering Patient InformationPatient Demographic InformationType in the demographics information required by yo

Quinton® Q-Stress® 4.5 70-00755-01 D6-5Test ParametersTest ParametersThere are seven tabbed sections used to set parameters: Environment, Order Info,

70-00755-01 D Quinton® Q-Stress® 4.56-6Entering Patient InformationExercise Device (required)Select the exercise device the patient will be using for

Quinton® Q-Stress® 4.5 70-00755-01 D6-7Test ParametersProcedure (required)The procedure is a set of parameters that defines how an exercise test will

70-00755-01 D Quinton® Q-Stress® 4.56-8Entering Patient InformationOrder Info (Optional)Use the Order Info window (Figure 6-3) to enter transaction i

Quinton® Q-Stress® 4.5 70-00755-01 D6-9Test ParametersUse this window (Figure 6-5) to enter medications that the patient is currently taking. The sys

70-00755-01 D Quinton® Q-Stress® 4.56-10Entering Patient Informationarrows to move the month forward and back. Click the year to display arrows to ch

70-00755-01 D ContentsvContentsChapter 7: Running a Stress TestBefore the Test...

Quinton® Q-Stress® 4.5 70-00755-01 D6-11Test ParametersClinical Procedures (Optional)Use the Clinical Proc tab (Figure 6-7) to enter other clinical p

70-00755-01 D Quinton® Q-Stress® 4.56-12Entering Patient InformationResting ECGs (Optional)Use the Resting ECGs tab (Figure 6-8) to record the “botto

Quinton® Q-Stress® 4.5 70-00755-01 D6-13Previous Studies/TestsPrevious Studies/TestsThe lower portion of the Patient Information window shows previou

70-00755-01 D Quinton® Q-Stress® 4.56-14Entering Patient InformationPrint Patient InfoClick this button for a printout of the patient’s information.

Quinton® Q-Stress® 4.5 70-00755-01 D7-17 Running a Stress TestThe test has four phases: Rest, Exercise, Recovery, and Review. The instructions below

70-00755-01 D Quinton® Q-Stress® 4.57-2Running a Stress TestBefore the TestThe system limits the total time in Rest, Exercise, and Recovery phases to

Quinton® Q-Stress® 4.5 70-00755-01 D7-3Blood Pressure MonitorBlood Pressure MonitorIf you have an automatic blood pressure device attached to your st

70-00755-01 D Quinton® Q-Stress® 4.57-4Running a Stress TestBlood Saturation Level (SpO2) ReportingBlood saturation levels can be entered manually du

Quinton® Q-Stress® 4.5 70-00755-01 D7-5Rest PhaseRest PhaseThe Rest phase begins after you have prepared the patient for testing. During this phase,

70-00755-01 D Quinton® Q-Stress® 4.57-6Running a Stress Testthe change to be processed. Once the Start Exercise icon is active again, you can advance

Contents 70-00755-01 DviContentsPrint ECGs During Test...7-29Print Ectopic Beat Rep

Quinton® Q-Stress® 4.5 70-00755-01 D7-7Warm-up PhaseWarm-up PhaseAfter you have performed the resting ECG and gathered other rest data, have the pati

70-00755-01 D Quinton® Q-Stress® 4.57-8Running a Stress TestWhen a notification event occurs, a message appears. The message stays until you remove i

Quinton® Q-Stress® 4.5 70-00755-01 D7-9Initial Editing of the Final Report Summary PageInitial Editing of the Final Report Summary PageDuring the Rec

70-00755-01 D Quinton® Q-Stress® 4.57-10Running a Stress TestData and Display OptionsDuring a test, you can enter data or change the way ECG channels

Quinton® Q-Stress® 4.5 70-00755-01 D7-11Data and Display OptionsRefer to the blood pressure device user guide for the for more information. See Ta k

70-00755-01 D Quinton® Q-Stress® 4.57-12Running a Stress TestCancel TestSee Abort or Cancel Test on page 7-10.

Quinton® Q-Stress® 4.5 70-00755-01 D7-13Change ASVVChange ASVVSelect Tools | ASVV Selection. The ASVV Lead Selection dialog box appears (Figure 7-2).

70-00755-01 D Quinton® Q-Stress® 4.57-14Running a Stress TestChange Ergometer WorkloadClick Load. The Up and Down arrows appear. Click the Up arrow t

Quinton® Q-Stress® 4.5 70-00755-01 D7-15Change Displayed LeadsChange Displayed LeadsTo change the leads displayed, click the lead label you want to c

70-00755-01 D Quinton® Q-Stress® 4.57-16Running a Stress TestChange ProtocolTo change the protocol during the test, click the word Protocol. A drop-d

70-00755-01 D ContentsviiContentsChapter 10: SetupDemonstration Mode ...10-2Set

Quinton® Q-Stress® 4.5 70-00755-01 D7-17Change Treadmill Speed or GradeChange Treadmill Speed or GradeAvailable: Rest, Exercise, and Recovery phases.

70-00755-01 D Quinton® Q-Stress® 4.57-18Running a Stress TestCommentsAvailable: Rest, Exercise, and Recovery phasesTo enter comments during the test,

Quinton® Q-Stress® 4.5 70-00755-01 D7-19Display Trend GraphsDisplay Trend GraphsAvailable: Exercise and Recovery phasesTo display a trend graph durin

70-00755-01 D Quinton® Q-Stress® 4.57-20Running a Stress TestHR GraphThe HR graph (Figure 7-5) shows Heart Rate in beats per minute over time.Figure

Quinton® Q-Stress® 4.5 70-00755-01 D7-21Display Trend GraphsST Level or ST Slope GraphsThe ST Level or Slope graphs (Figure 7-8) show (by individual

70-00755-01 D Quinton® Q-Stress® 4.57-22Running a Stress TestEctopic RateAvailable: Rest, Exercise, and Recovery phases.This automatic function calcu

Quinton® Q-Stress® 4.5 70-00755-01 D7-23Exit the ApplicationExit the ApplicationAfter you complete the test, you can exit Q-Stress by selecting File

70-00755-01 D Quinton® Q-Stress® 4.57-24Running a Stress TestFiltersAvailable: Rest, Exercise, and Recovery phasesYou can activate various filters to

Quinton® Q-Stress® 4.5 70-00755-01 D7-25Freeze Frame (Freeze Frame Option Only)Freeze Frame (Freeze Frame Option Only)See Freeze Frame on page 11-18

70-00755-01 D Quinton® Q-Stress® 4.57-26Running a Stress TestGainAvailable: Rest, Exercise, and Recovery phasesTo change the gain for the waveforms,

Contents 70-00755-01 DviiiContentsFreeze Frame...11-18Initiating Fr

Quinton® Q-Stress® 4.5 70-00755-01 D7-27GradeGradeSee Change Treadmill Speed or Grade on page 7-17.

70-00755-01 D Quinton® Q-Stress® 4.57-28Running a Stress TestHold StageSee Advance to Next Exercise Stage on page 7-10.

Quinton® Q-Stress® 4.5 70-00755-01 D7-29Print ECGs During TestPrint ECGs During TestAvailable in Rest, Exercise and Recovery phasesNote: Do not turn

70-00755-01 D Quinton® Q-Stress® 4.57-30Running a Stress TestPrint Ectopic Beat ReportAvailable: Rest, Exercise, and Recovery phasesThe Ectopic Beat

Quinton® Q-Stress® 4.5 70-00755-01 D7-31QRS Sync LeadQRS Sync LeadAvailable: Rest, Exercise, and Recovery phases The default QRS sync lead is V5. Occ

70-00755-01 D Quinton® Q-Stress® 4.57-32Running a Stress TestRate of Perceived Exertion (RPE)Available: Rest, Exercise, and Recovery phasesIf this bu

Quinton® Q-Stress® 4.5 70-00755-01 D7-33Rest LabelRest LabelAvailable: Rest phaseThe Rest Label indicates the patient’s position or physiological sta

70-00755-01 D Quinton® Q-Stress® 4.57-34Running a Stress TestSpeedSee Change Treadmill Speed or Grade on page 7-17.

Quinton® Q-Stress® 4.5 70-00755-01 D7-35ST Average BeatST Average BeatAvailable: Overall Worst Case in Exercise and Recovery phases; Current Worst Ca

70-00755-01 D Quinton® Q-Stress® 4.57-36Running a Stress TestStart/Stop BeltAvailable: Rest, Exercise, and Recovery phasesThis button toggles between