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Device Classification<br />

• The <strong>CG</strong>-<strong>7000D</strong> is internally-powered equipment<br />

with applied parts of type BF, suitable for continuous operation.<br />

• The device is not suitable for use in the presence<br />

of a flammable anesthetic mixture with air or with oxygen or<br />

with nitrous oxide.<br />

• The <strong>CG</strong>-<strong>7000D</strong> has been proved to be compliant with<br />

IEC-601-1-2 (Medical Electrical Equipment). However, this does<br />

not preclude electromagnetic interference from other<br />

equipment. In such a case, use the device as far as possible<br />

from potential sources of interference.<br />

Card Guard’s quality system conforms to ISO-9002 and<br />

EN-46002.<br />

U.S. Federal Law restricts the sale of this device other than by or on<br />

the order of a physician.<br />

0459


Table of Contents:<br />

Introduction.....................................................................1<br />

<strong>CG</strong>-<strong>7000D</strong> User’s Kit .....................................................2<br />

Physical Features ..........................................................3<br />

Using the <strong>CG</strong>-<strong>7000D</strong> .....................................................5<br />

• Preparing the skin and placing the electrodes .......................5<br />

• Insert Batteries........................................................................8<br />

• Performing the test .................................................................9<br />

• Reviewing the recording (optional) .......................................10<br />

• Transmitting the E<strong>CG</strong> to the receiving station......................11<br />

• Storing the <strong>CG</strong>-<strong>7000D</strong> ..........................................................12<br />

Maintenance.................................................................13<br />

• Battery maintenance.............................................................13<br />

• Preventive maintenance .......................................................14<br />

Troubleshooting ...........................................................15<br />

Technical Specifications ..............................................16


Introduction<br />

The <strong>CG</strong>-<strong>7000D</strong> is a Trans-Telephonic 12-Lead<br />

Electrocardiogram (E<strong>CG</strong>) Transmitter, intended for diagnostic<br />

evaluation of cardiac symptoms. This easy-to-use portable<br />

device allows you to record a patient’s E<strong>CG</strong> waveform data,<br />

and store it in memory for later transmission. To assess the<br />

quality of the recorded data, you can view the E<strong>CG</strong> waveform<br />

on the <strong>CG</strong>-<strong>7000D</strong>’s graphic display (not for diagnostic<br />

purposes), one lead at a time. At your convenience, transmit<br />

the data over the telephone to a remote receiving station for<br />

analysis by a specialist.<br />

Note: The <strong>CG</strong>-<strong>7000D</strong> is fully compatible with the Card Guard<br />

Receiving Center equipment. The physician is<br />

responsible for ascertaining the compatibility of the<br />

device with other receiving equipment used.<br />

1


<strong>CG</strong>-<strong>7000D</strong> User’s Kit<br />

1. The <strong>CG</strong>-<strong>7000D</strong> unit<br />

2. Patient’s Cable<br />

3. User’s Guide<br />

4. Battery (9 V Alkaline ) – optional<br />

DISPLAY<br />

ON/OFF<br />

2


Physical Features<br />

Parts:<br />

1. <strong>CG</strong>-<strong>7000D</strong> Unit<br />

2. Patient’s Cable (USA: C/G 321315 or<br />

C/G 322602; Europe: C/G 321307<br />

or C/G 322595)<br />

3. Patient’s Cable Connector<br />

(on the <strong>CG</strong>-<strong>7000D</strong> Unit)<br />

4. Patient’s Cable Terminator<br />

5. Display Screen<br />

6. Speaker Outlet<br />

7. Battery Compartment with cover<br />

8. Disposable pregelled electrodes<br />

biocompatible in accordance<br />

with ISO 10993-1 (not supplied by<br />

manufacturer)<br />

Control Panel:<br />

9. RECORD/PLAY pad<br />

10. CLEAR MEMORY pad<br />

11. LOW BATTERY indicator light<br />

Display buttons<br />

12. SCROLL FORWARDS button<br />

13. SCROLL BACKWARDS button<br />

14. ON/OFF button<br />

3<br />

13<br />

14<br />

3<br />

DISPLAY<br />

ON/OFF<br />

1<br />

5<br />

12<br />

6<br />

7<br />

LOW BAT<br />

CLEAR<br />

MEMORY<br />

RECORD<br />

PLAY<br />

11<br />

10<br />

9<br />

2<br />

4


Symbols<br />

Indicates that the button is used for data recording and<br />

playback.<br />

Indicates that the button is used for clearing the memory.<br />

Indicates that the button is used for scrolling forwards.<br />

Indicates that the button is used for scrolling backwards.<br />

ON/OFF Indicates that the button is used for turning the LCD display<br />

on/off<br />

Indicates the Speaker Outlet.<br />

Indicates that the device contains applied parts of type BF.<br />

Indicates low voltage of the battery.<br />

0459 CE conformity marking.<br />

4


Using the <strong>CG</strong>-<strong>7000D</strong><br />

Preparing the skin and placing the electrodes<br />

Before attaching the electrodes, it is important to prepare the patient’s<br />

skin, to ensure obtaining a stable base line and high-quality E<strong>CG</strong><br />

signals.<br />

To prepare the skin<br />

• Apply E<strong>CG</strong> gel or water where the electrodes will be attached.<br />

To place the electrodes<br />

IMPORTANT:<br />

• When in use, there should be no contact between the<br />

device or cable and any metallic surface.<br />

• Perform the following steps in the specified sequence!<br />

5


1. Attach 10 disposable pregelled electrodes to the patient’s chest at<br />

the standard locations.<br />

The electrodes are labeled as follows:<br />

Europe US<br />

C1, C2,<br />

C3, C4,<br />

C5, C6<br />

V1, V2,<br />

V3, V4,<br />

V5, V6<br />

R RA<br />

L LA<br />

N RL<br />

F LL<br />

RA(R)<br />

6<br />

1<br />

2 3 4 6<br />

5<br />

RL(N) LL(F)<br />

Electrode 1: 4 th intercostal space – right of sternum<br />

Electrode 2: 4 th intercostal space – left of sternum<br />

Electrode 3: Halfway between electrodes 2 and 4<br />

Electrode 4: Left midclavicular line in 5 th intercostal space<br />

Electrode 5: left anterior axillary line in 5 th intercostal space<br />

Electrode 6: left midaxillary line in 5 th intercostal space<br />

LA(L)


2. Insert the<br />

serrated silver ring at<br />

the end of the<br />

Patient’s Cable into<br />

the Patient’s Cable<br />

Connector, and<br />

rotate it until it falls<br />

into place.<br />

3. Gently snap<br />

the Patient’s Cable<br />

into the Patient’s<br />

Cable Connector (on<br />

the <strong>CG</strong><strong>7000D</strong> unit).<br />

4. Attach the<br />

lead wires to the<br />

disposable<br />

electrodes according<br />

to the markings on<br />

the Patient’s Cable<br />

Terminator.<br />

7<br />

Patient’s cable connector<br />

Patient’s cable


Insert Batteries<br />

Insert the battery by removing the battery compartment cover, lifting<br />

out the battery connection from within the battery compartment and<br />

firmly snapping the battery to its connector. Place the battery in the<br />

battery compartment and close the battery compartment cover.<br />

4 2<br />

Note:<br />

8<br />

1<br />

3<br />

1) Battery compartment<br />

2) Battery<br />

3) Battery compartment<br />

cover<br />

4) Battery connector<br />

Note:<br />

Ensure the proper<br />

connection of the battery<br />

with regard to the polarity.<br />

• To conserve the battery, the display shuts off automatically<br />

after one minute of disuse. The display is reactivated by<br />

pressing the Power Key.<br />

Press the Power Key for at least one second to activate the device.<br />

The Power Key is set to prevent accidental activation by contact of<br />

less than one second.


Performing the test<br />

Performing the test involves two stages – clearing the memory of<br />

previous data, and actual recording.<br />

Note: To record the E<strong>CG</strong> data you do not have to press the ON/OFF<br />

button – this button controls the graphic display screen only.<br />

E<strong>CG</strong> recording must be performed with the graphic<br />

display OFF.<br />

1. Press the CLEAR MEMORY pad and hold it down<br />

for at least one second.<br />

9<br />

CLEAR<br />

MEMORY<br />

• The <strong>CG</strong>-<strong>7000D</strong> emits a six-tone audio signal,<br />

indicating that its memory is now clear and ready to record new<br />

data.<br />

Note: To prevent you from losing data by accidentally pressing the<br />

CLEAR MEMORY pad, the memory is not cleared unless you<br />

hold the pad down for at least one second.<br />

2. Press the RECORD/PLAY pad to start the<br />

recording.<br />

• The <strong>CG</strong>-<strong>7000D</strong> emits a cycling audio signal while<br />

it initializes (about 12 seconds).<br />

x<br />

RECORD<br />

PLAY<br />

• During the recording period that follows, the <strong>CG</strong>-<strong>7000D</strong> emits<br />

recording sounds (about 15 seconds).<br />

• The end of the recording sounds indicates that the recording is<br />

done.<br />

Note: If the LOW BATTERY indicator light comes ON<br />

during the recording, stop the operation, replace<br />

the battery, and start the recording from the<br />

beginning.<br />

LOW BAT<br />

3. Disconnect the Patient’s Cable from the disposable electrodes.<br />

4. Remove the electrodes from the patient’s body and dispose of<br />

them.


Reviewing the recording (optional)<br />

Reviewing the recording allows you to assess the quality of the E<strong>CG</strong><br />

trace, and to get a general impression of its form (not for diagnostic<br />

puposes).<br />

Note:<br />

• The graphic display is not intended for measuring the E<strong>CG</strong><br />

waveform.<br />

• It is recommended that the Patient Cable be disconnected<br />

when you view the E<strong>CG</strong>.<br />

To view the E<strong>CG</strong> trace<br />

1. Press the ON/OFF button to turn ON the graphic display screen.<br />

I Page-1<br />

• The recording is displayed on the screen, one lead at a time.<br />

For each lead, the recording consists of two pages. The lead<br />

name and page appear at the bottom of the screen.<br />

2. Use the SCROLL FORWARDS and SCROLL BACKWARDS<br />

buttons to scroll through the E<strong>CG</strong> trace.<br />

3. When you have finished examining the waveform, press the<br />

ON/OFF button to turn OFF the graphic display.<br />

10


Transmitting the E<strong>CG</strong> to the receiving station<br />

After recording the E<strong>CG</strong>, you can transmit the data over the phone to<br />

the Receiving Station for analysis by a specialist.<br />

Note: Before transmission, make sure that the graphic display<br />

is OFF. If you accidentally turn the graphic display ON during<br />

transmission, turn it back OFF and re-transmit.<br />

To transmit the data<br />

1. Dial the Receiving Station.<br />

2. Follow the instructions of the Receiving<br />

Station operator.<br />

3. When instructed to do so, place the<br />

telephone mouthpiece firmly over the<br />

speaker outlet at the front of the <strong>CG</strong>-<br />

<strong>7000D</strong>.<br />

Note: It is recommended that you place<br />

both the <strong>CG</strong>-<strong>7000D</strong> and the<br />

telephone on a desk during<br />

transmission.<br />

4. Press the RECORD/PLAY button to start the transmission.<br />

• The <strong>CG</strong>-<strong>7000D</strong> emits a brief whining tone, followed by<br />

transmission signals (about 30 seconds).<br />

• The end of the transmission signals indicates that the<br />

transmission is done.<br />

5. When the transmission signals stop, resume the conversation with<br />

the operator.<br />

Note:<br />

• After the transmission, the data remain stored in memory,<br />

available for re-transmission, until the CLEAR MEMORY button<br />

is pressed.<br />

• If the LOW BATTERY indicator light comes ON during<br />

transmission, complete the transmission and replace the<br />

battery.<br />

11


Storing the <strong>CG</strong>-<strong>7000D</strong><br />

When not in use, always store the <strong>CG</strong>-<strong>7000D</strong> and the Patient’s Cable<br />

in the pouch.<br />

To re-pack the <strong>CG</strong>-<strong>7000D</strong><br />

1. Pull back the serrated silver ring at the end of the Patient’s Cable,<br />

and gently pull the Patient’s Cable out of the Patient’s Cable<br />

Connector.<br />

2. Return the <strong>CG</strong>-<strong>7000D</strong> and Patient’s Cable to the pouch.<br />

12


Maintenance<br />

Battery maintenance<br />

Battery<br />

• Use only a 9V Alkaline battery.<br />

• Check the battery at least once a month by pressing the<br />

RECORD/PLAY button. If the LOW BATTERY light comes ON<br />

(and stays ON), replace the battery immediately.<br />

• If the <strong>CG</strong>-<strong>7000D</strong> is not likely to be used for 3 months, remove<br />

the battery.<br />

• Dispose of used batteries at designated battery-disposal<br />

locations only.<br />

! CAUTION:<br />

• If the LOW BATTERY light comes ON while you record an E<strong>CG</strong><br />

trace, complete the test, transmit the data, and replace the<br />

battery.<br />

• Data stored in the memory are lost when the battery is<br />

replaced, —start the procedure once more from the beginning..<br />

13


Preventive maintenance<br />

Perform the following preventive maintenance tasks monthly to ensure<br />

that the <strong>CG</strong>-<strong>7000D</strong> continue to perform at maximum capacity, and to<br />

reduce the possibility of a failure.<br />

Mechanical inspection of the <strong>CG</strong>-<strong>7000D</strong><br />

• Check the lead wires for splits or cracks. If you have any<br />

questions or doubts, contact your service provider.<br />

Cleaning the <strong>CG</strong>-<strong>7000D</strong><br />

• Wipe the outside surface of the <strong>CG</strong>-<strong>7000D</strong> and the snaps at the<br />

ends of the lead wires with an alcohol-soaked pad (95%).<br />

Caution:<br />

• Do not allow any liquid to enter the <strong>CG</strong>-<strong>7000D</strong> casing, and<br />

avoid pouring water or other liquid onto the <strong>CG</strong>-<strong>7000D</strong> while<br />

cleaning (IPX0 equipment).<br />

• Never use abrasive materials such as wire wool or metal polish.<br />

• During cleaning, make sure you do not expose the <strong>CG</strong>-<strong>7000D</strong><br />

to temperatures in excess of 45°C.<br />

14


Troubleshooting<br />

Problem Possible Causes Solutions<br />

No sound is<br />

heard when the<br />

RECORD/PLAY<br />

or CLEAR<br />

MEMORY<br />

buttons are<br />

pressed.<br />

When the<br />

RECORD/PLAY<br />

or CLEAR<br />

MEMORY<br />

buttons are<br />

pressed, the <strong>CG</strong>-<br />

<strong>7000D</strong> keeps<br />

repeating the<br />

same audio<br />

signal over and<br />

over.<br />

The battery is very low. Replace the battery.<br />

The <strong>CG</strong>-<strong>7000D</strong> has gone<br />

into a loop and needs<br />

resetting.<br />

Problems detected by the Receiving Station:<br />

The base line is<br />

unstable.<br />

The E<strong>CG</strong> signal<br />

is very noisy.<br />

No data is<br />

received at the<br />

Receiving<br />

Station.<br />

• The resistance of the<br />

electrode contacts is high.<br />

• The skin is not prepared<br />

properly.<br />

• There is a communications<br />

problem.<br />

• The <strong>CG</strong>-<strong>7000D</strong> may be<br />

damaged.<br />

NOTE: If the problem persists, call the service provider.<br />

15<br />

Take the batteries out to<br />

stop the <strong>CG</strong>-<strong>7000D</strong>. Put<br />

the battery back in, and try<br />

again.<br />

Repeat the skin<br />

preparation procedure.<br />

Repeat the skin<br />

preparation procedure.<br />

Repeat the test and<br />

transmission procedure.


Technical Specifications<br />

Parameter Value<br />

Input impedance 100 Mohm<br />

Input current (max) 0.2 μA<br />

CMRR 60 dB<br />

Input dynamic range 5 mV p-p<br />

Band width 0.05 - 100 Hz<br />

Carrier frequency 1700 Hz<br />

Frequency deviation 100 Hz/mV<br />

A-to-D sampling rate 500 samples/sec<br />

Resolution 8 bit<br />

Display:<br />

View area 49×49 mm<br />

Number of dots 128×128<br />

Dot size 0.32×0.32 mm<br />

Operating temperature 0 to +45°C<br />

Storing temperature -20 to +65°C<br />

Relative humidity 5 to 95%<br />

Dimensions 160×80×40 mm<br />

Weight 450 gr<br />

Current consumption (max) 70 mA<br />

16

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