NASAN Simul-G Stress Test Machine User Manual
- June 9, 2024
- NASAN
Table of Contents
Simul-G Stress Test Machine
Simul-G
User Manual
Introduction
Simul-G is a Windows-based 12 Lead ECG machine with
measurements. It displays 12 lead, 4 second ECG on screen with
medians next to each lead are displayed. The gain of the ECG
waveform (0.5, 1, 2) with standardization pulse can be adjusted. It
has the facility to relearn median template and change long lead,
QRS detection Lead, Amplify QRS. Start, R end, S end, r’ end, s’
end, T Start, T End, U start, U end points on the median once. It
can display and print interpretation and has the facility to review
data from hard disk or from floppy disk. It can view 12 medians or
Last 2.5 sec ECG with medians and long lead. Display ST levels and
the facility to draw grid and print Resting ECG report, 12 leads
measurement Report, and 5 seconds ECG report. It also has the
facility to edit fiducial points (E, J, Post J) of selected lead
and create the bitmap (GIF) of the selected report/s and save at
selected location.
System Requirements
The minimum requirements for the Simul-G system are:
- Operating system: Windows 10 Professional 64-bit
- Motherboard: Intel Core i3
- RAM: 4 GB
- USB port: working USB port for Simul-G unit connection
- Monitor: Color monitor
- Hard disk: minimum 500 GB
- Display Settings: Resolution – 1024X 768
- Keyboard: with 101 keys
- Mouse
- 1 KVA stabilizer
- Independent earthing connection
Configuring the Simul-G System
To configure the Simul-G system:
-
Insert the Simul-G installation disc into the computer’s disc
drive. -
Follow the instructions in the installation dialog box to
install the software. -
Set the monitor resolution to 1024 x 768 by going to the
Windows Start menu, selecting the setting folder, selecting Display
option, and selecting the required Display resolution from
dropdown. -
To set the printer, go to Control Panel → Hardware and Sound →
Devices and Printers, and set the required properties for the
printer.
Conducting a Test
To conduct a test:
-
Make sure the Simul-G machine is properly configured and
connected to the computer. -
Prepare the patient according to the safety precautions,
patient preparation, and electrode placement instructions provided
in Appendix A of the user manual. -
Turn on the Simul-G machine and select the desired test and
options. -
Follow the instructions on the screen to perform the test.
Reviewing Test Results
To review test results:
-
Access the saved data from the hard disk or floppy disk using
the Simul-G software. -
Select the desired file and review the results on screen.
Troubleshooting
If you encounter any issues with the Simul-G machine or
software, refer to the troubleshooting section in the user manual.
If the issue persists, contact Nasan Medical Electronics Pvt. Ltd.
for technical support.
Contact Information
Nasan Medical Electronics Pvt. Ltd.
Shubham heights, ‘C’ wing, Off Mumbai Bangalore highway, Service
road, Warje, Pune 411058
Website: www.nasanmedical.com
For technical support, call 09371039255 on any working day from
9.30 a.m to 6 p.m
Title: Simul-G Document No: Instructions For Use NASAN-D&D-D-
012
Simul-G
User Manual
Software Version 7.0 Nasan Medical Electronics Pvt. Ltd.
© All Rights Reserved
Hope you don’t require service at all. But incase you require,
Please contact: 09371039255 For any working days 9.30a.m to 6 p.m
Rev No.30 Date 28-Dec-2022
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Dear customer,
We take this opportunity to thank you once again for your patronage. We
reiterate our commitment to live up to the confidence you have shown in us.
Our continued endeavor is to exceed your expectation by offering you products
that have optimum features and reliable, highquality performance backed by
prompt technical support.
It is our pleasure to give you this user manual. Please study the same
thoroughly before using the system.
Contact details:
Nasan Medical Electronics Pvt. Ltd.
Shubham heights, `C’ wing, Off Mumbai Bangalore highway,
Service road, Warje, Pune 411058 Website: www.nasanmedical.com
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Table of contents
1. Introduction
2. System configuration
3. Configuring the Simul-G System
4. Conducting (Installation) a test
5. Reviewing test
6. Rerun Test
7. Exit test
8. Trouble shooting
9. Appendix A Safety Precautions Patient preparation Electrode placement
Cleaning instruction
10. Appendix B
Defragmentation Software Installation
11. Appendix C
Installation procedure Consumable list Installation report
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Not only Make in India’ butMade in India’
User manual for
Simul-G
The complete Windows based 12 Lead ECG Machine with measurements.
1. Introduction-
Nasan Medicals has pioneered PC based medical equipments in India. We thank
you for purchasing our Simul-G, an ECG machine with measurement. Intended Use:
Simul-G is a 12 lead resting, real-time monitoring ECG machine with facility
of Measurement and Interpretation. It connects with PC through USB interface,
with simultaneous acquisition with DSP technology. It is suitable on adult,
pediatric. The system records and enables review of electro-cardiogram,
arrhythmic disorders and diagnosis. The device displays 4 second ECG on screen
with medians next to each lead.
Features:
Display 12 lead, 4 second ECG on screen with medians next
to each lead are displayed.
Gain of ECG waveform (0.5, 1, 2) with standardization pulse.
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Facility to relearn median template. Facility to change long lead, QRS
detection Lead, Amplify
QRS.
Facility to enter BP. Automatic detection of P+ start, P+ end, P end, Q
start, R
Start, R end, S end, r’ end, s’ end, T Start, T End, U start, U end points on
the median once.
Facility to display and print interpretation Facility to review data from hard
disk or from floppy disk. Facility to view 12 medians or Last 2.5 sec ECG with
medians
and long lead.
Facility to change P+ start, P+ end, P end, Q start, R Start,
R end, S end, r’ end, s’ end, T Start, T End, U start, U end points.
Display ST levels Facility to draw grid and print
o Resting ECG report o 12 leads measurement Report o 5 seconds ECG report
Facility to edit fiducial points (E, J, Post J) of selected lead
Create the bitmap (GIF) of the selected report/s and save at selected location
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2.System requirements-
Minimum Requirement of PC for Simul-G system:
1. Operating system
: Windows 10 professional 64bit
2. Motherboard
: Intel corei3
3. RAM
: 4 GB
4. USB port
: working USB port for Simul-G
unit connection.
5. Monitor
: Color monitor.
6. Hard disk
: minimum 500 GB.
7. Display Settings
: Resolution – 1024X 768.
8. Keyboard
: with 101 keys.
9. Mouse
10. 1 KVA stabilizer.
11. Independent earthing connection.
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3. Configuring the Simul-G system-
Fig. 3.1: Installation dialog box. For setting monitor resolution to 1024 x
768 use the
procedure given below: 1. Go to the Windows “Start” menu. 2. Then select
“setting” folder. 3. Select “Display” option. 4. Select the required Display
resolution from dropdown. Use following procedure to set the printer 1.
Control PanelHardware and SoundDevices and Printers 2. Set following
properties for the printer
– Portrait – Print quality to `BEST’
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– Page size to A4′. Restart the PC and check that required setting are set. Configuring the System For configuring the Simul-G system go toConfigure’ menu or press Configure Simul-G’ button onWelcome to Simul-G system’ dialog box which provides
allows following tools listed as in fig.3.2,
1. Hospital configuration. 2. Simul-G configuration. 3. Printing details. 4.
Referrer Doctor. 5. Standard Comments.
Fig.3.2: Configure Menu.
1. Hospital configurationThis option from the `Configure’ menu provides
facility of storing the list of doctors and the consultant doctors attached to
your hospital. This list gets popped up in the Patient details entry dialog
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box, from where you can select the concerned doctor for the patient. For
entering the details follow the steps given below-1. Select the ‘Hospital
configuration’ option from the
Configure’ Menu. 2. A window will appear on the screen as shown in fig. 3.3. 3. Enter hospital name in the upper edit box. 4. Enter the name and designation of a doctor you want to add to your list and click the ‘Add’ button. Fig.3.3: Hospital Configuration. 5\. To delete any doctor from the list, select the corresponding Sr.No. and click theDelete’ button.
6. Double-click on Sr.No. to change or modify any doctor’s details. 7. After
entering the entire information click on “OK” to save the
contents in the list. 8. Press “Cancel”, the information will not get saved.
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2. Simul-G Configuration.
A dialog box as shown in fig.3.4 will be displayed. An option is provided to
print the QT/Qtc values on the Resting ECG Report. User can check this check
box on the Configure Simul-G Setting dialog box for getting QT/QTc values on
the Resting ECG report. An option is provided to select border for printout.
User can check this check box on the Configure Simul-G Setting dialog box for
getting border on printout. An option to select the Technician Name’ for printout, when checked the technician’s name as entered in thePrint
Technician Name As’ edit box, will be printed on the reports. An option is
provided on this dialog box to print the Instrument ID’ on the reports. When this option is checked, the instrument ID entered on thePatient Details’
dialog box will be printed on the reports. The Patient Name’ text printed on the reports will be printed as the text entered in thePrint Patient Name As’
edit box. An option is provided to print the Patient ID or Referred by doctor
name on the report.
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Fig.3.4: Simul-G configuration
An option `Select Long Lead’ is provided to select the default long
lead.
An option to print the `Interpretation’ for printout, when checked the
interpretation will be printed on `All lead measurement report’,
Resting ECG report and 5 seconds ECG report. When unchecked the
comments will be printed on Resting ECG report and 5 seconds ECG
report.
3. Printing Details.
To have the printouts of the required report, printing details option is
provided. This configuration is used while printing the reports with the
required titles, fonts and their sizes and alignments. You can set
following details-
– Report title.
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– Hospital Name alignment (either left or center).
– Fonts for report title, hospital name and Patient details.
– Color or black and white printing. – Administrative details with gray
background. For this purpose, select the Printing Details’ option from Configure’ menu. A dialog box as shown in fig 3.5 is displayed.
Fig.3.5: Printing Details.
To set the font, click the ‘Font’ button. A dialog box as shown in fig.3.6
will appear where you can configure o Font, o Font color, o Font style, o Font
size, o Underline the text.
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Fig.3.6: Select font.
Press OK to save the settings and exit. PressCancel’ to exit without
saving.
4. Referrer Doctor
This option from the Configure’ menu provides facility of storing the list of referrer doctors attached to your hospital. This list gets popped up in the Patient details entry dialog box, from where you can select the concerned doctor for the patient For entering the details follow the following steps. 1\. Select the “Referrer Doctor” option from theConfigure’ Menu.
2. A window will appear on the screen as shown in fig. 3.7. 3. Enter the name
and designation of a doctor you want to add to
your list and click the ‘Add’ button.
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Fig.3.7: Referrer Doctor.
4. To delete any doctor from the list, select the corresponding Sr.No. and
click the Delete’ button. 5\. Double-click on Sr.No. to change or modify any doctor’s details. 6\. After entering the entire information click on “OK” to save the contents in the list. 7\. Press “Cancel”, the information will not get saved. 5\. Standard Comments To enter the standard comments, click on theStandard Comments’ option from
`Configure’ menu. A dialog box as shown in figure 3.8 will be displayed.
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Enter the Comment title and Comments and press the Add’ button. The comment title will be added in theComment Title List’. To delete the comment title
from the standard comment list, select the comment title from the list and
press the Delete’ button. The selected title will be deleted from the list after confirmation. Fig.3.8: Standard Comments To modify the comments, select the comment title from theComment Title
List’, then the selected title and its comments will be displayed in the
Comment Title’ andComments’ edit box. Make the changes and press the
Modify’ button. The changes will be saved in the list after confirmation. Press theOK’ button to save the changes.
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4. Conducting (Installation)
a test-
1. Initially install software on your PC or LAPTOP.
2. To start a DEMO test,
click
“demo’ under “view” option to run the in-
Demo mode.
3. To start a LIVE test, Connect unit to USB Port of
LAPTOP or PC.
4. Power ON LED on the UNIT will glow.
5. Following message will be displayed at the bottom
right-side corner on the PC screen. Refer
Appendix12 for installation procedure.
6. Follow the instruction on wizard to continue the driver installation.
Refer Appendix-C
7. Prepare the patient refer Appendix-A from this manual for patient
preparation
8. Connect Patient cable to unit.
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9. Double click on the icon on the desktop to run the software.
10. Enter the monitor width and height in mm, so that all software screens
will be set according to your monitor size. Click on ok.
To start a new test for a patient, click on the Take an ECG’ button or go to File’ menu and select `Take an ECG’ option in live mode.
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Fig.4.1: Main screen. Following message box will be displayed,
The patient information dialog box as shown in fig. 4.2 is displayed for
entering the patient details.
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Fig.4.2: Patient Information dialog box. 1. Above patient detail dialog box is
displayed with
patient prefix combo box adjacent to patient name edit box. As per selection
in this combo box, the Male’ orFemale’ radio button under gender is set
accordingly. 2. To edit the doctor list, click …’ push button near Doctor Name edit box.Doctor Details’ dialog box will be displayed with details as
shown in fig 3.3. Edit the doctor list as per requirement and press OK button.
The doctor list on the patient details dialog box will be updated accordingly.
3. To edit the referring doctor’s list, click …’ push button near Referred By edit box.Doctor Details’ dialog box will be displayed with details as shown
in fig 3.7. Edit the doctor list as per requirement and press OK button. The
`Referred By’ list on the patient details dialog box will be updated
accordingly.
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4. After entering the details press “OK” button to start the acquisition
5. An acquisition screen is displayed as shown in fig 4.3.
Fig.4.3: Acquisition screen.
You will see following details on Acquisition screen Tool bar at the top of
screen. 12 Leads medians. 12 running ECG traces of 12 sec. All other
parameters like Phase time, Gain, Blood pressure, Long Lead, QRS Detection
Lead and HR. Menu bar.
By pressing the Record test’ button you can view following message on acquisition screen. PressOK’
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button. Review screen shown in fig 5.3 will be displayed.
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Menu bar consists of following buttons:
1. Gain
Press the `Gain’ button to change the gain of the traces. The gain value will
be toggled between 0.5, 1.0 and 2.0 when you press the gain button. Current
gain value is displayed on the screen as shown in fig 4.5. ECG traces and
median are drawn with new value of gain.
2. BP
Fig.4.5: Gain. 22/67
You can enter the BP of the patient when the test is going on by pressing the
BP’ button as shown in fig. A dialog box as shown in fig 4.6 will appear on the screen. Enter the Systolic and Diastolic values and press OK button to save the values. Fig.4.6: BP dialog box. 3. Amp QRS (Amplify QRS) In case of short R-waves, heart rate calculations go wrong. PressAmp QRS’
button to amplify the QRSlead for calculations (Display gain will not change).
4. Change QRS Lead.
This button is provided to change the lead for QRS detection. 5. Change Long
Lead.
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This button is provided to change the lead name of the Long Lead. The changed
lead name is displayed on the screen. 6. Relearn.
If there is noise on ECG traces because of loose electrode or some other
reason, median calculations go wrong. Press electrode; wait till traces get
stabled and then press Relearn’ button to recalculate the medians. 7. Record test. By pressing theRecord test’ button you can directly go to review screen by
completing the test. If this button is pressed before completing 8 sec of the
test a message is displayed as shown in the fig 4.7.
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Fg.4.7: Warning. Press OK’ button to continue the test being conducted and to stop pressCancel’ button. If `Cancel’ button is pressed this test will
return to main screen and test will not be saved.
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5. Reviewing a test-
To analyze the recorded data, select Review test’ fromFile’ menu or click
on Review Test’ button on main screen. Refer (Figure 5.1). Fig.5.1: Main Screen. Patient list as shown in fig. 4.2 is displayed. Select the patient to review and pressOK’ button. Review screen as shown in fig. 5.3 is displayed. You
can delete the test by selecting the patient from the list and pressing
Delete’ button. For multiple tests selection, select the patients using SHIFT’ or CTRL’ keys and then press theDelete’ button. The application
will ask for confirmation before deleting the test.
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If you click on Patient name’ button, then the patient files are sorted alphabetically (ascending or descending). If you click onAge’ button, then
the patient files are sorted in either ascending or descending order according
to age of the patient. Similarly, you can sort the patient files according to
sex, ID and date by clicking on respective buttons.
Fig.5.2: Select Patient Screen.
Review screen has the following details, Medians of all 12 leads with ST
levels. Median buttons with lead names to display zoom medians. Review control
panel.
Review control panel displays the following information: Cursor position time
in mm: hh (Hours and Minutes) format. Heart rate in bpm. Blood pressure in
mmHg.
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Fig.5.3: Review Screen. Review control panel has the following buttons on it:
–
1. Edit HR `Edit HR’ button to enter the heart rate at current time position.
Dialog box as shown in fig 5.4 is displayed. Enter new Heart rate and press ok
to save.
Fig 5.4: Edit heart rate. 28/67
2. Edit BP Use this button to edit the blood pressure at current time
position. Dialog box as shown in the figure 5.5 is displayed. Enter systolic
and diastolic BP values and press OK to save values.
Fig 5.5: Edit BP. 3. ECG
To view ECG, press the button `ECG’ present on control panel. A screen as
shown in the fig 5.6 will appear.
Fig.5.6: ECG.
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4. Grid or Graph. To draw the grid or graph on the screen, click on the
Grid’ orGraph buttons respectively, provided on the control panel. It draws
grid or graph on the medians if Median’ screen is selected or onECG’
screen.
Fig.5.7: Grid.
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Fig.5.8: Graph
5. Edit Measurements Press the Edit Measurements’ to edit the information of axis and duration button on the review panel.Edit Duration and Axis’ dialog
box will be displayed as shown in figure 5.9. Edit the required values and
press the OK’ button to save the changes. After editing the P-QRS-T values, if we want to display the original values calculated by software then press Reset Measurement’ button it will display the original value.
Fig. 5.9: Edit Duration and Axis
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6. Edit Interpretation Press the Edit interpretation’ button.Edit
Interpretation’ dialog box will be displayed as shown in figure 5.10.
Fig.5.10: Edit Interpretation
Edit the required interpretation and press the OK’ button to save the changes. This modified interpretation will be printed on report. 7. Comments To enter the comments to be printed on the reports, press theComments’
button on the review panel, the Comments’ dialog box will be displayed as shown in the figure 5.11. Fig.5.11: Comments Enter the comments in theComments’ edit box. If Comments
must be added from the Standard Comments list’ then select the title from the Comment Title’, a dialog as shown in the figure 5.12 will be displayed.
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Fig.5.12: Confirmation If Yes’ button, is pressed then the existing comments will be overwritten with the comments of the selected comment title. IfNo’
button is pressed, then the new comments will be added to the existing
comments. 8. Print Reports For printing the reports go to the File’ menu and select thePrint’ option or press the Print Reports’ button on the review panel.Select report for printing’ dialog box will appear on the screen.
Fig.5.13: Select report for printing. Select the report to be printed by
checking the check boxes. Click on the desired grid option for printing grid
on the report. Interpretation printing status selected in configuration will
be shown here. You can select or deselect this option for current reports.
Press the `OK’ button to print the report.
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9. Create Image When the Create Image’ button is pressed theCreate Image’
dialog box will be displayed as shown in the figure 5.14. Select the report
and desired grid option. Press browse button to select the location to save
the GIF image. Press OK button. Then GIF image file of the selected report at
selected location will be created.
Fig.5.14: Create BMP 10. Zoom Median
To view the zoom median screen, press the zoom median lead button of the
respective lead, which you want to measure. A Zoom median screen as shown in
the figure 5.15 will appear on the screen.
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Fig.5.15: Zoom median This screen contains measurement of the selected leads
such as
Amplitude in mV, Duration in ms, ST Level, ST Slope, Intervals in ms, Axes in
degrees, RR Interval, Heart rate, Spin buttons to move the different cursor to
mark the
fiducial points. The voltage at that corresponding point is displayed at the
right corner of the ECG window, while moving the spin button.
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Save radio buttons to save the changes made for the Current Lead or All Leads,
Grid, Graph or No Grid option to draw grid, graph or no grid respectively, on
the median.
Displays following Interpretation results o Rhythm statements Sinus Rhythm /
Junctional or NonSinus Rhythm suspected / Sinus Bradycardia / Sinus
Tachycardia o PR interval statements PR is normal / PR is long / PR is short o
QRS interval statements Normal QRS Width / Wide QRS o QT interval statements
Normal QT interval / QT Interval is prolonged / QT Interval – Little clinical
significance o QRS Axis statements QRS Axis is normal / Right axis deviation /
Left axis deviation / QRS Axis is indeterminate o ST abnormalities statements
Normal ST level / ST Elevation / ST Depression o T wave inversion Lead names
of leads showing T wave inversion
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RR Interval button. When this button is pressed long lead 8 sec of ECG data of
selected Long Lead will appear on the screen as shown in the figure 5.16
below.
Fig.5.16: RR Interval.
Fig.5.17: Error in marking RR peaks. Press OK button to mark RR Peaks again
from the screen, cancel button cancel the RR Interval calculations.
If the median complex displayed is not proper, then press the `Select Complex’
button. The ECG of the lead will be displayed as shown with cursor. Select the
complex and press the OK button.
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Fig.5.18: Error in selecting the complex Press OK button to select the complex
again, cancel button to exit the screen without saving the changes.
Fiducial point button: When this button is pressed following dialog box will
be displayed as shown in figure 5.19
Fig.5.19: Edit fiducial point E, J and post-J points can be edited using arrow
keys on
the screen. Click on the Grid or Graph or No Grid buttons to display the
Grid or Graph or No Grid on the screen. Press OK to view zoom median screen.
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OK button to exit from zoom median screen by saving the changes in the test.
Cancel button to exit the screen without saving the changes. 11. Main Menu.
To move to main screen press the Main Menu’ button. 12. Edit Patient Details. To alter patient details go toEdit’ menu and press `Patient details’ option.
A dialog box as shown in fig.5.20 is displayed on the screen.
Fig.5.20: Edit Menu.
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Fig.5.21: Patient detail dialogue box.
Press OK’ button to save the changes. 13. Help Simul-G version can be view from Help option. 14\. Save test for back up You can save the test for backup with the help of Save test for back up’ option from `File’ menu. The test can be saved on the
hard disk for later referring purpose. On clicking this option the screen as
shown in
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fig 5.22 is displayed. Select the folder in which you want to save the test,
edit the name iof the test and press the Save’ button to save. Fig.5.22: Save test. 9. Review saved test. To review saved test, go to file menu and pressReview saved test’ option. A
dialog box as shown in the fig 5.23 will appear on the screen.
Fig.5.23: Select test to review dialog box.
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Select the test you have saved and press Open’ button of the dialog box. 11.Print setup. For setting the properties of the printer go toFile’ menu
and then select Printer setup’ option. Set following properties for the printer- 1\. Landscape Mode 2. Print quality toBEST’ 3. Page size to A4′. To set the printer1. Go to Windows “Start” menu. 2. Select “control Panel” option. 3. Select “Printer” option. 4. Right click on the printer icon and select Properties’ option.
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6. Rerun test-
If the test was unfortunately terminated by power failure or any other reason
press the Rerun test’ button on the main menu screen or selectRerun test’
option from File’ menu. It is demonstrated in the fig 6.1. Fig. 6.1: Main screen. PressOK’ button to start same test again.
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7. Exit test-
To exit from software press Exit’ button on the main menu screen or select Exit option from `File’ menu.
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8. Trouble shooting-
Traces are not coming? Restart the system. Check all the connections. Contact
the NASAN service engineer.
Traces coming as straight lines? Check if the patient cable connection is
proper or not.
Medians are coming as straight lines? This will happen if the QRS detection
lead is having very short R waves. Click Amp QRS’ button in toolbar to amplify QRS lead for calculations. Heart rate not coming? This will happen if the QRS detection lead is having small R waves. ClickAmp QRS’ button in toolbar to amplify QRS lead for
calculations.
Printouts not coming or printing junk? Check if proper printer driver is
installed and do the printer settings as described in installation dialog.
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If Unit is not connected to USB port of PC, following message is displayed
Check if unit is connected properly or not, Remove USB cable from PC and
reconnect it to another port or same port. Check driver required for Simul-g
unit is installed properly or not? If not Refer driver installation
procedure,10 Appendix-C When Record Test’ button on acquisition screen is pressed following message is displayed After pressingOK’ button, Review screen will be displayed.
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9. APPENDIX-A
Note: This product should be used by trained person only. A. Safety
PrecautionsEARTHING-
The Earthing for the system should be proper. This is to ensure patient’s
safety and for no interference of line voltage fluctuations. For correct
earthing procedure, get it done and approved from licensed electrician only.
If the earthing is not proper, leakage currents may pass from the amplifier to
ground through the patient. If the current magnitude is large, it can be
harmful for the patient.
B. Patient preparation –
Proper patient preparation is the most important factor in obtaining proper
results from a Simul-G system. If electrodes are applied to improperly
prepared skin site, it may result in excessive base line shift and severe
artifact while obtaining an ECG. The skin at 6 chest leads and 4 limbs leads
sites has to be prepared.
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C. Electrode placement-
Apply some jelly to the electrode site and thoroughly rub the site with gauze
till it becomes slightly red. This removes the horny non-conducting layer of
the epidermis enabling a good electric contact with the body fluids.
Inspect both the limb clamp and Bulb electrodes to ensure that both are clean
Ensure that the patient data cable and the lead wires are not twisted
Apply a thin layer of electrolyte gel to the area of the skin where the
electrode will be applied. The skin area covered by the electrolyte gel should
not exceed the diameter of the electrode.
The skin must be clean, dry and completely free of jelly for the electrodes to
remain well in position till the end of ECG acquisition.
RA (Red) LA (Yellow) RL (Black) LL (Green) V1 V2
Right Arm Left Arm Right Leg Left Leg Fourth inter coastal space to the right
of sternum Fourth inter coastal space to the left sternum
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V3
Directly between leads V2 &V4
V4
Fifth inter costal space at midclavicular Line
V5
Level with V4 at anterior axillary line
V6
Level with V5 at midaxillary line.
CAUTION: When applying the precordial electrodes, do not overlap
the electrolyte gel of adjacent electrode sites. Overlapping electrolyte gel
will cause interaction between electrode sites, and may result in distortion
of the ECG signal
NOTE: Do not store any consumables after its expiry date.
WARNING: Always clean and disinfect reusable electrodes before patient use. Failure to properly clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients.
D. Cleaning Instruction: To clean reusable electrodes and patient cable: a.
prior to cleaning the patient data cable, inspect the patient data
cable for any cracks or breaks in the cable insulation. If the integrity of
the patient data cable is not assured, replace the patient data cable. b.
Detach the rubber bulb from the metal cup by pulling. Wash the rubber bulb in
warm water. Remove all electrolyte gel residue, check inside the rubber bulb
to ensure that all residue is removed.
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c. Dampen a soft cloth with soapy water or with one of the disinfectants or
cleaning agents listed below
Approved Cleaning Solutions a. Mild soap and water b. Isopropyl alcohol
(consisting of 70% solution
CAUTIONS: Do not use strong solvents or abrasive cleaning materials. Do not
use any of the following to clean the machine:
a. Acetone b. Iodine-based cleaners c. Phenol-based cleaners d. Ethylene oxide
sterilization e. Ammonia-based cleaners The Simul-g machine, bulb and clamp
electrode and patient data cable should not be autoclaved, ultrasonically
cleaned, or immersed.
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10.Appendix -B
Defragmentation
Defragmentation of the hard disk is a recommended job to do at least once in
3/4 months. This is because as the number of tests conducted get increased
doctors starts deleting the tests. The tests are stored randomly on the hard
disk. This creates delay to open any of the applications. By Defragmentation
of the hard disk all the files are arranged in sequence. Thus helps in making
PC faster.
Following steps can do this,
Click Start’ button Go toProgram’ then Accessories’ Go toSystem Tool’
Select Disk Defragmentation’ After selecting the Defragmentation option it asks for the drive to select. Select the drive as per your requirement and click theOK’ button of that screen. As soon as the button is clicked,
Defragmentation starts and the dialog box as seen in the fig 9.1 below will
appear on the screen.
Fig.9.1: Defragmentation.
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This will take several hours to complete as per the data stored in the Hard disk. NOTE: – Please do not perform any application till Defragmentation is being done.
Software Installation:
To install the Software in PC, follow the steps mentioned below:
Insert the software CD into the CD drive.
Run `Setup’
and follow the
installation steps as shown below in figure
Fig: Installation setup. Once installation is complete then right click on
desktop icon
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Go to properties and select compatibility tab. Select Run this program as an
administrator as shown below.
Double click on the icon on the desktop to run the software. 53/67
11.Appendix -C
Driver Installation Procedure Note: copy SIMUL_G software and FTDI driver for
all OS to desktop or any drive(drive D or drive E) from CD UtilityFTDI
driver for all OS to install it on PC 1. Initially install Simul-G USB
software on your PC or LAPTOP. 2. Connect Simul-G(USB) unit to USB Port of
LAPTOP or PC. 3. Power ON LED on the unit will glow. 4. Following message will
be displayed at the bottom right side corner on the PC screen.
5. The following dialog box will be displayed on the screen. 6. Follow the
instruction on wizard to continue the installation.
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7. Click the Browse button and give the FTDI driver path from copied drive to
install it on PC OR Laptop.
8. Click NEXT button.
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9. By examining the device manager located in control panel then select the
Hardware tab and click device manager. The
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device appears as a “USB serial converter” as shown below. Thus driver
installation is complete.
10. Double click on Simul-G (latest version software) U icon on the desktop.
The acquisition screen will be displayed.
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SAFTY WARNINGS AND CAUTIONS
Warnings and cautions are used in this manual to provide additional information to service per
CAUTION
Refer servicing for equipment under warranty to NASAN authorized service personnel. Any attempt to repair equipment that is under warranty may void that warranty.
CAUTION
When handling printed circuit board, remember to take static precautions.
CAUTION
Solder multilayer and surface mount circuit
boards at your own risk! Improper methods of
repairing these boards may damage boards even
further.
NASAN recommends that only properly qualified service personnel
with the proper equipment attempt soldering on multilayer
and surface mount circuit boards.
CAUTION
PROPER LEADWIRE CONNECTION — improper connection will cause inaccuracies in the ECG.
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Consumables List
Sr.No PRODUCT NAME
*NAME OF CONSUMABLES
**NAMES OF ITEMS SUBJECT TO NORMAL WEAR AND TEAR
1. ST Win/Dedica system
Disposable electrodes, Laser graph papers
Patient cable, Belt of treadmill, wooden board, bag of amplifier and all types of cables.
2. Simul-G with USB
Jelly
Reveala-3 with keyboard/ Aryrec 3 with keyboard/ Arytell
2 Dry cell, electrodes
4. Sanjeevani 1006 ESNRT 7/MPARA 7
5. ESN 7/ MPARA
6. 7. E PARA/ES
Disposable electrodes
Disposable electrodes
Disposable electrodes
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Patient cable, Clip on electrodes, Bulb electrodes,
Patient cable, Carrying bag, USB cable
Patient cable , BP cuff, SpO2 probe, Paddles with cables, Battery, Power cord,
EtCO2 probe, Pacer pads Patient cable, Spo2 probe, BP cuff, internal
rechargeable battery, Adapter, Temp. probe Patient cable, Spo2 probe, BP cuff,
internal rechargeable battery, Adapter
Patient cable, Spo2 probe,
Sr.No PRODUCT NAME
STT1/SNTT1 8.
*NAME OF CONSUMABLES
**NAMES OF ITEMS SUBJECT TO NORMAL WEAR AND TEAR
electrodes
internal rechargeable battery, Adapter
–
Spo2 probe, BP
cuff, internal
rechargeable
battery, Adapter
CapnoTrace/CapnoPleth/ Capno-SN
9.
–
Spo2 probe, BP
cuff, Etco2 probe
internal
rechargeable
battery, Adapter
10. Spirowin
_
Turbine
Para 5 / Para 1005/Para
Disposable
Patient cable,
1005e/Paramount 1009
electrodes,
Spo2 probe, BP
/IBP Disposable cuff, internal
Transducer
rechargeable battery, EtCO2
probe, IBP
interfacing cable,
Power cord
‘Use only patient cable and accessories as supplied’
If PC and printer are supplied by Nasan, following items are
not covered under warranty
- Toner/Cartridge of the printer 2) Printing stationery 3)
TFT/LCD/
Price of spare parts is available upon request.
*Consumables are not covered under warranty and
AMC/CMC.
**List of items subject to normal wear and tear and carry 3
months warranty from date of installation or 4 months from
date of Dispatch.
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Installable report
Nasan Medical Electronics Pvt. Ltd.
C wing, Shubham heights, Off Mumbai Bangalore highway, service road Warje,
Pune 411058 Phone : 09371039255
Email : service@nasanmedical.com Website : www.nasanmedical.com
Installation Commissioning report-cum Performance Certificate
Name of Branch/Dealer :__
Name of Customer(as per
1
invoice/bill) :
Name of
Hospital/Clinic/Diagnostic
2
Center :
Address of the site of
3
Installation :
Name of the person/s trained
to use and operate the
4
product/s :
5
Name of the Product
Qty
Serial number of the product
Date of installation
a.
b.
The product/s above named have been supplied in good and proper working
condition and Installed successfully. The performance of the product is
satisfactory. 6 Warranty: For Electronic Manufacturing Defects – 12 Months
from Date of Installation or 13 Months from Date of Dispatch whichever is
earlier.For Accessories warranty will be 3 months from date of Installation or
4 Months from date of Dispatch.
Note : (i) Training is given only once. Additional training will cost extra.
(ii) All disputes are subject to Pune jurisdiction only. All other
jurisdiction expressly barred.
Name and Signature of NASAN’s Sales/Service/Dealer Representative
Name and Signature of customer (Please affix stamp / seal)
Customer copy
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Nasan Medical Electronics Pvt. Ltd.
C wing, Shubham heights, Off Mumbai Bangalore highway, service road Warje,
Pune 411058 Phone : 09371039255
Email : service@nasanmedical.com Website : www.nasanmedical.com
Installation Commissioning report-cum Performance Certificate
Name of Branch/Dealer :__
Name of Customer(as per
1
invoice/bill) :
Name of
Hospital/Clinic/Diagnostic
2
Center :
Address of the site of
3
Installation :
Name of the person/s trained
to use and operate the
4
product/s :
5
Name of the Product
Qty
Serial number of the product
Date of installation
a.
b.
The product/s above named have been supplied in good and proper working
condition and Installed successfully. The performance of the product is
satisfactory. 6 Warranty: For Electronic Manufacturing Defects – 12 Months
from Date of Installation or 13 Months from Date of Dispatch whichever is
earlier.For Accessories warranty will be 3 months from date of Installation or
4 Months from date of Dispatch.
Note : (i) Training is given only once. Additional training will cost extra.
(ii) All disputes are subject to Pune jurisdiction only. All other
jurisdiction expressly barred.
Name and Signature of NASAN’s Sales/Service/Dealer Representative
Name and Signature of customer (Please affix stamp / seal)
Nasan copy
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Field Trial Form:
1. Name of Hospital/ Clinic: _____
2. Product/Device Name: ___
3. Date of installation: ___
Device Details (Tick mark in the appropriate column)
Sr. Device attributes no 1. Visibility of screen 2. User friendliness 3.
Software installation 4. Usability of software 5. Safe use of Medical
Device 6. Overall Performance
of Medical Device
Poor Average Good
Comments
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Name & Signature: Stamp: Date:
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