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Technical Seminar
Electrocardiograph(ECG) ECG-9620K ECG-1250KECG-1350K

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Table of Contents

NIHON KOHDEN Service Policy Introduction of ECG-9620K/1250K/1350K Block Diagram ECG Waveform Acquisition Two Approaches to Find the Trouble - How to Troubleshoot Maintenance Schedule Case Study Hands-on Session

Youcangetusedtotheinstrumentthroughthisseminar!!

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NIHON KOHDEN Service Policy


Our service policy is to replace the faulty unit, board, or damaged mechanical part with a new one. We do not support component level repair of the multi-layered units or boards.

Because

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NIHON KOHDEN Service Policy


Impossible to repair multi-layered boards without special tools, high degree of repair skills. Quality of the component level repair cannot be guaranteed for multi-layered boards.

Introduction Latest ECGs

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ECG-1350K

NIHON KOHDEN ECG

ECG-1550K

ECG-1250K

ECG-9620K

Introduction - ECG-9620K

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>120 min battery operation! Just 2.7 kg!

Introduction - ECG-1250K

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Color 5.6 inch LCD!


>60 min battery operation! Just 2.0 kg!

Introduction - ECG-1350K

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Color 5.6 inch LCD! Great 12 ch printing!

Block Diagram - Composition

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Control Board

ECG-9620K

Two primary boards inside

Block Diagram - Composition

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ECG-1250K/1350K

Two primary boards inside

Block Diagram ECG-9620K

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Control Board

Block Diagram ECG-9620K

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Block Diagram ECG-1250K/1350K

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Block Diagram ECG-1250K/1350K

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ECG Waveform Acquisition


Analog processing A/D conversion Digital processing Measurement and analysis Amplifies analog signals Converts the signals into digital
10010010 01110110 10110010

Filtering: Reduces artifact by computation

Recording

ECG waveform acquisition flow: 1. Simultaneously acquires 12 lead ECG waveforms. Lead signals I and II, V1 to V6 are generated by differential amplifiers. 2. The lead signals are converted to digital signals. 3. Digital signals are filtered to reduce artifact with DSP. 4. Filtered digital signals are analyzed and recorded.

ECG-9620K/1250K/1350K

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Technologies for Analysis & Recording


Conventional Method With EMG filter: Digitized AC filter Drift filter EMG filter ECG analysis Recording

NIHON KOHDEN Method:


Averaging Digitized AC filter Drift filter EMG filter

ECG analysis

Recording

NIHON KOHDEN ECG can use the EMG filter (highcut filter) to record the ECG waveforms. However, this may cause ECG waveform distortion. For ECG analysis, The cardiograph averages the QRS dominant waveforms for each lead. This process is very effective to minimize artifact on the waveform.

ECG-9620K/1250K/1350K

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Main Board

(ECG-1250&1350K)

/Control Board

(ECG-9620K)

Internal circuit protection


The patient cable provides 20 M ohm or higher input impedance for each electrode to protect the internal circuit from excessive voltage caused by static energy or defibrillation discharge.

Lead I and II, and V1 to V6


Lead signals are generated by differential amplifiers. A dither signal (white noise) is added to the lead signals to improve low level signal distortion in A/D conversion.

A/D conversion
The lead signals are converted to digital signals at the sampling rate of 8000 samples per second for simultaneously processing 12 lead ECG waveforms.

ECG-9620K/1250K/1350K

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Main Board

(ECG-1250&1350K)

/Control Board

(ECG-9620K)

Heart rate calculation: QRS is detected from leads II, V1 and V5.

For the real time display, the heart rate is calculated every 2 seconds by averaging the latest six waveforms (5 R-R intervals). For the heart rate recorded on the ECG analysis result, the heart rate is calculated by the dominant waveforms for each lead by averaging the ECG waveforms for ECG analysis.

High-cut filter (EMG filter):


This filter reduces the components of 25 Hz, 35 Hz or higher signals such as EMG. Body movement noise can be reduced.

ECG-9620K/1250K/1350K

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Main Board

(ECG-1250&1350K)

/Control Board

(ECG-9620K)

FPGA

Electrode detachment detection


Electrode detachment is detected when an overflow or underflow of A/D conversion value appears in each lead.

Display Control
The LCD is controlled by a LCD controller in FPGA.

CPU (Software)

Created Lead III, aVR, aVL and aVF by calculation III = II I aVR = - (I + II)/2 aVL = I - II/2 aVF = II - I/2
ECG-9620K/1250K/1350K

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Main Board

(ECG-1250&1350K)

/Control Board

(ECG-9620K)

ECG-9620K/1250K/1350K

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Main Board

(ECG-1250&1350K)

A/D converter in the CPU (Only on ECG-1250K/1350K)

The 1ch of the converter detects the temperature of the thermal head and inside of the cardiograph. The 2nd ch of the converter detects the battery voltage. The 3rd and 4th ch of the converter handle external input signals .

Battery voltage detection (Only on ECG-1250K/1350K)


In battery operation, the battery voltage is displayed in 3 colors. Light in green: At least 15 minutes. Or more when fully charged. Light in yellow: Power will be lost soon. Blink in orange: Power will be lost within a minute.

ECG-1250K/1350K

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Main Board

(ECG-1250&1350K)

Thermal head temperature detection by CPU


If the surface of the thermal head temperature exceeds 70 degrees Celsius or higher ,the following error message appears and recording stops.

Overheating,wait5minutes.
(Only on ECG-1250K/1350K)

ECG-1250K/1350K

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Power Board

Power supply

12 V DC switching regulator 5 V DC linear regulator 3.3 V DC/DC regulator 24 V DC/DC regulator for stepping motor driver (ECG-1350K only) 24 V DC/DC regulator for thermal head

Tuning off the several power supplies


Software shutdown: When the POWER key is pressed. Automatic power off : When there is no key operation for 3 minutes in battery operation

ECG-1250K/1350K

Power board connector on main board


CNJ055: ECG-1250K
No.
1 2 3 4 5 6 7 8 9 10 11 to 18 19 to 21 22 23 to 24 25 to 28

ECG-1250K/1350K

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CNJ051: ECG-1350K
No. 1 to 3 4 to 6 7 to 8 9 to 14 15 to 24 25 26 27 28 29 30 31 Signal name 24 V_MOT 5V 12 V 3.3 V GND Not connected GND nAC/DC_DET (AC Power detection) MOTOR_ENB (Motor start) PSWON (Power key is pressed) PWOVER (Power board overheat) CHG_C (Battery charging LED Cathode)

Signal name
CHG_C (Battery charging LED Cathode) ACLED (AC lamp ON signal) PSWON (Power key is pressed) CHG_A (Battery charging LED Anode) nAC/DC_DET (AC Power detection) nPOFF_OUT (Power off command from CPU) MOTOR_ENB (Motor start) PWOVER (Power board overheat GND Not connected GND 3.3 V 5V 12 V 24 V_TH

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nPOFF_OUT (Power off command from CPU)


ACLED (AC lamp ON signal) CHG_A (Battery charging LED Anode)

Battery connector on power board


No. 1 2 Signal name TO_BATT THERM

CNJ411: Thermal head connector on main board


No. 1 to 3 4 5 to 9 10 to 13 Signal name Not connected 5V AGND VH

AGND

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Power Board

ECG-9620K

Sometimes
Please get ready to use a multi-meter anytime.

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We might ask you to measure signals from parts on the boards.

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Question to you
When you get troubles on the ECG, how do you handle?

Two approaches to find the trouble


Automatic Approach

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Human Approach

ECG

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Automatic Approach

ECG

ECG-9620K System Error


(System Information) During the startup, the ECG automatically checks the internal system.

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If failure is detected, system information and error history are printed out and all the operations are stopped.

After printing the system information and error history, the power of the ECG is automatically turned off.

ECG-9620K System Error


(System Information)

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ECG-9620K System Error


(System Information)

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ECG-9620K System Error


(System Information)

ECG-1250K/1350K System Error


(System Information) During the startup, the ECG automatically checks the internal system.

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If failure is detected, all the keys and LEDs do not work.

Turn off the power once, and turn on the power again.

The system information is printed out.

ECG-1250K/1350K System Error


(System Information)

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System Error
(System Information)

Report the error to NIHON KOHDEN!

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Human Approach

ECG

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Human Approach
Take the following steps to find the trouble.
Step1: Check the block diagram

Step2: Use troubleshooting table


Step3: Try system test

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How to Troubleshoot: Step1


Check the block diagram first.
- Understand the overall architecture of the device.

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How to Troubleshoot: Step2


Use troubleshooting tables on service manual. - Major troubles are listed in the manuals.

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How to Troubleshoot: Step3


Try SystemTest to understand the device condition.

What is System Test?

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How to Troubleshoot: Step3


All NIHON KOHDEN ECGs have a program called SystemTest to diagnose the current condition of your device.
Try the SystemTest to identify the possible causes of the problem.

Lets try

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How to Troubleshoot: Step3


But how ? To call up the System Test Level 1, press the POWER key while pressing the FEED/MARK key.

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How to Troubleshoot: Step3


But how ?

To call up the System Test Level 2, press the POWER key while pressing the FEED/MARK key & AUTO/MANUAL key.

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How to Troubleshoot: Step3


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

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How to Troubleshoot: Step3


Demonstration Recorder Key Memory LCD/LED test Inputunit Calibration Communication

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Maintenance Schedule
Periodic replacement is required.

- Battery pack
- LCD - Built-in lithium battery on control/main board - Thermal head - Feeding motor
ECG-9620K/1250K/1350K

ECG-9620K Maintenance Schedule

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Battery pack:

After one year operation

If battery operation time is less than 30 minutes, it is time to change.

LCD:

After 15,000 hours(625 days)

The above time is when the initial screen brightness is reduced to half.

Built-in lithium battery:

After 7 years

When the battery power is low, the time is not accurately recorded and the system setup restores it to the default factory settings.

ECG-1250K/1350K Maintenance Schedule

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Battery pack:

After one year or when battery operation time is reduced to half

ECG-1250K: More than 60 minutes continuous recording ECG-1350K: More than 30 minutes continuous recording

LCD:

After 75,000 hours(3,125 days)

The above time is when the initial screen brightness is reduced to half.

Built-in lithium battery:

After 6 years

When the battery power is low, the time is not accurately recorded and the system setup restores it to the default factory settings.

ECG-9620K Maintenance Schedule

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Thermal head: After 50 km continuous recording


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

Feeding motor: After 1,000 h(417 days) continuous operation


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

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ECG-1250K/1350K Maintenance Schedule

Thermal head: After 30 km continuous recording


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

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

ECG-1250K: After 1,000 hours continuous recording ECG-1350K: After 3,000 hours continuous recording

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Case Study Hands on Session

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Trouble: V6 waveformisweaker.

Trouble:
Printed waveforms of I, II, III, aVR, aVF, aVL, V1 to V5 are OK. However, only V6 is weaker signal amplitude on the paper.

How can you identify the cause?

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Trouble: V6 waveformisweaker.

Possible Causes: - Breaking of the cable(disconnection) might be the cause? - Something is wrong with V6 channel on the A/D converter?
- Signal is coming but not amplified correctly?

Troubleshooting

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Electrode

input test ECG input circuit test


USB test Initialize system settings Display internal information Display model information

Demonstration waveform Recorder test Key test Memory test LCD/LED test

Troubleshooting

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Input

unit Calibration
Communication

Demonstration Recorder Key Memory LCD/LED test

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Please
Sometimes,wereceivetroublereportswhichonlysayBroken

How can we identify the cause without information?

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Please
Describe the situation of the trouble as much as possible in

ServiceRequestForm!!!

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For distributors
We recommend you to check the following distributor Web.

http://www.nihonkohden.com/distributors/me/

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Questions?