Operating Manual Ergometrics ER 900 (English)

Operation Manual
ergometrics er900
Art-Nr: 475.037 J Version: 05/02
Operation Manual for Bicycle Ergometer er900
Printed in Germany.
We reserve the right of modifications due to technical development at any time and without prior notice.
Reprinting, translation and copying in any form - also in parts - is only permitted after prior written consent
by the manufacturer.
This Operation Manual is not registered for automatic update in case of possible alterations.
Information regarding the latest version is available from the manufacturer.
This Operation Manual
Ergometer ergometrics 900

Version: 05/02
is valid for the following Software-Versions:
V.236, V.240 and V.243

ergoline GmbH
Lindenstrae 5
D-72475 Bitz
Tel.: +49 7431 98 94 - 0
Fax: +49 7431 98 94 - 127
e-mail: info@ergoline.com
internet: http://www.ergoline.com
Version: 05/02
er900 Operation Manual

Art-No: 475.037
Version: 05/02

Art-No: 475.037
Operation Manual
Contents
Ergometer
Type er900
Table of Contents
EC Declaration of Conformity
Table of Contents.............................................................................................. 1
Foreword ........................................................................................................... 4
1.
1.1
1.2
1.3
Introduction ....................................................................................................... 5
Comments by the Manufacturer for the User......................................................... 5
Product Relevant Regulations .............................................................................. 6
Warranty Regulation ............................................................................................ 6
2.
2.1
2.2
2.3
2.4
2.4.1
2.5
2.6
2.7
2.8
Safety Notices ................................................................................................... 7

Safety .................................................................................................................. 7
Intended Use ....................................................................................................... 7
Basic Safety Comments ...................................................................................... 7
Normative Notices ............................................................................................... 8
Notice for EMC (electromagnetic compatibility) ................................................... 8
Requirements for Operating Personnel ................................................................ 8
Safety and Device Protecting Features................................................................ 9
Maintenance, Safety Relevant and Metrological Inspections ................................. 9
Identification Plate, Labelling ............................................................................. 10
3.
3.1
3.2
3.3
3.4
Installation ....................................................................................................... 11
Installation Steps ............................................................................................... 11
Scope of Delivery .............................................................................................. 11
Accessories ...................................................................................................... 12
Transport ........................................................................................................... 12
4.
4.1
4.2
4.2.1
4.3
4.3.1
4.3.2
4.3.3
4.4
Putting into Operation .................................................................................... 13

Operating Elements and Connections................................................................ 13
Measurement Head ........................................................................................... 14
Keypad ............................................................................................................. 14
Connectors and Interfaces ................................................................................. 15
Power Connection ............................................................................................. 15
Connector for Blood Pressure Cuff .................................................................... 15
Signal Connections ........................................................................................... 16
Power on Sequence .......................................................................................... 17
Version: 05/02

Art-No: 475.037
Ergometer
Type er900
Operation Manual
Contents
5.
5.1
5.2
5.2.1
5.2.2
5.3
5.3.1
5.3.2
Operation ......................................................................................................... 18
The Computer - Your Helper ............................................................................... 18
The Display Unit ................................................................................................ 19
Displayed Parameters and their Meaning .......................................................... 19
Speed display for the patient ............................................................................. 20
The Printer ........................................................................................................ 21
Configuration of Printer ...................................................................................... 21
Printed Parameters ........................................................................................... 21
6.
6.1
6.1.1
6.2
6.2.1
6.2.2
6.2.3
6.3
6.4
6.4.1
6.4.2
6.5
6.6
6.7
Ergometry Process ......................................................................................... 22

General Preparations ........................................................................................ 22
Preparation of the Patient .................................................................................. 22
Preparation of the Ergometer (ECG Type P1 or P2) ......................................... 23
Basic Preparations for all Programs .................................................................. 23
Special Entries for to the Use of Program 0 ....................................................... 24
Special Entries for to the Use of Program 9 ....................................................... 24
Preparations for Control by ECG or PC ............................................................. 25
Starting the Ergometry ....................................................................................... 25
Starting Ergometry with Internal Control.............................................................. 25
Starting an ECG or PC Controlled Ergometry .................................................... 25
Flowchart for Complete Ergometry Process....................................................... 26
Ergometric Protocol .......................................................................................... 29
Manual Control of Ergometry Session ................................................................ 30
7.
7.1
7.2
7.3
7.3.1
7.3.2
7.3.3
7.3.4
7.3.5
7.3.6
7.4
7.4.1
7.4.2
7.4.3
Configuration .................................................................................................. 31
General ............................................................................................................. 31
Call-up of the Monitor Program .......................................................................... 31
Basic Settings ................................................................................................... 34
Date and Time ................................................................................................... 34
Select Unit for Pressure Display ........................................................................ 35
ECG Start Pulse Duration (only for remote start of ECG).................................... 36
Select Language ............................................................................................... 37
RPM Control ...................................................................................................... 38
Other Parameters .............................................................................................. 39
Defining an Ergometry Program ........................................................................ 40
Setup of Automatic Program 0 .......................................................................... 41
Definition of Programs 1-8................................................................................. 42
Definition of Program 9 for Pulse-Steady-State Training .................................... 44

Art-No: 475.037
Version: 05/02
Operation Manual
Contents
Ergometer
Type er900
8.
8.1
8.1.1
8.1.2
8.2
8.2.1
8.2.2
8.2.3
Structure of Programs .................................................................................... 46

General Structure of Programs 1-8 .................................................................... 46
Factory Settings ................................................................................................ 46
Creating Your Own Load Program ..................................................................... 47
Systematic Setup of Programs .......................................................................... 48
Setup of Automatic Load Program 0.................................................................. 48
Setup of the Fully Programmable Load Programs 1-8........................................ 52
Setup of Program 9, Steady-Pulse (Cardiovascular Training)............................. 54
9.
9.1
9.2
Cleaning .......................................................................................................... 57
Cleaning the Unit ............................................................................................... 57
Cleaning the Blood Pressure Cuff ...................................................................... 57
A.1
Appendix A: Interfaces ................................................................................... 59

Input and Output Pin Specifications.................................................................... 59
B.1
B.1.1
B.1.2
B.1.2
B.1.4
Appendix B: Monitor Program ....................................................................... 71

Additional Settings in the Monitor Program ........................................................ 71
Setting the ECG Type ........................................................................................ 71
Setting the Baud Rate ....................................................................................... 72
Switching Between Internal and External Load Control ....................................... 73
Hardware Diagnostics ....................................................................................... 74
Appendix C: Program Listing ........................................................................ 75
D.1
D.1.1
D.2
Appendix D: Indicators .................................................................................. 76

PWC Values ...................................................................................................... 76
What is a PWC Value? ...................................................................................... 76
Training Indicator ............................................................................................... 77
E.1.
E.2.
Appendix E: HR Recording ........................................................................... 78

Heart Rate Feedback from ECG ....................................................................... 78
Pulse Monitor .................................................................................................... 78
Appendix F: Specification .............................................................................. 79

F.1: Technical Data ........................................................................................................ 79
F.2: The Speed-correlated Capacity of Brake Power Control ......................................... 80
Version: 05/02

Art-No: 475.037
Ergometer
Type er900
Operation Manual
Foreword
Foreword:
We are pleased with your decision to purchase our computerized ergometer er900. This is
the appropriate decision for quality and performance.
The computerized ergometer er900 has been specially designed with the medical and ergonomic requirements in mind for quick and valid stress analysis of the cardiovascular system.
Computer control makes a fully automatic process of the entire spectrum of ergometrics.
Numerous programming options ensure that for every patient type there is a specific stress
or training program ready at the touch of a button. Manually controlled stress analysis can
also be carried out by the operator, independent of programs, through manual entry of the
load data. Programs in progress may also be interrupted to control subsequent load steps
by hand.
The built-in automatic blood pressure meter was especially designed for ergometrics. It
assures that systole, diastole and heart rate limits are continuously, automatically, monitored.
The computer controlled execution of all measurements and analysis of results markedly
simplifies the work of the operating personnel. Accordingly, the patient can be more closely
observed and instructed. This allows the ergometric process to be performed with the highest level of safety.
The display integrated into the console provides the operator continuously with current measurement data. The integrated printer provides continuous documentation of all measurements resulting from the ergometric process.
We hope that you are successful in your work with the ergometrics er900 ergometer. We
always welcome your constructive remarks and improvement suggestions with regard to the
unit as well as to this handbook.
Your ergoline team
Attention !
This Operation Manual is a part of the unit in accordance with EN 60601-1:1990. It
should always be kept close to the unit. The necessary safety considerations, conforming to EC Guideline 93/42 EC are in chapter 2 of this manual.
Complying to the Safety Considerations protects against danger and risk for life
and limb, and prevents from improper application of the Ergometer.
Please comply with all warning signs at the ergometer. Replace missing or damaged signs immediately.
Familiarize yourself with the appropriate handling of the ergometer and all its control facilities prior to operating the equipment.
While being at work, it is too late !
Never allow that a person without the necessary expert knowledge is operating the
equipment.
By the above guidelines, a save and smooth operation is achieved, delays due to repairs are
avoided, and the requirements for the optimal employment of the equipment are fulfilled.
Art-No: 475.037
Version: 05/02
Operation Manual
Introduction
1.
Ergometer
Type er900
Introduction
Within this Operation Manual, important comments to ensure the safety and to avoid
potential damage are labelled with the following symbols:
Warning !
Describes a potentially dangerous situation.
Failure to comply may lead to death or serious injuries, or may cause damage to the equipment or to the environment.
Important !
Application hints to achieve an optimal application of the device and further
helpful information.
This Operation Manual is an integral part of the device and has to be available at the
equipment at any time.
This Operation Manual is designed by the manufacturer according to his best knowledge and experience in the construction, production and operation of the device.
The Operation Manual may be extended via special statements by the operating company, e.g. for supervision and obligatory registrations, internal maintenance plans, testing intervals.
1.1
Comments by the Manufacturer for the User

As the user, you are responsible for :
- the professional application as directed via expert personnel which has been instructed for the correct operation of the equipment,
- compliance to the safety relevant information and maintenance comments,
- compliance to the safety regulations, safety comments as well as the precautions in
respect to vocational safety and accident prevention,
- the technical instruction of the operating personnel at the device and for having taken
notice of the Operation Manual,
- the Operation Manual being accessible for the operating personnel.
The following guidelines and regulations apply to the operation of the ergometer:
- EN 60601-1 (1996)
- EN 60601-1-2 (1993)
Version: 05/02
Medical electrical equipment; General requirements for

safety
Medical electrical equipment; General requirements for
safety; 2.

Art-No: 475.037
Ergometer
Type er900
1.2
Operation Manual
Introduction
Product Relevant Regulations

- EC-Directive 93/42/EEC concerning medical products of June, the 14th 1993
- EC-Directive 89/336/EEC concerning Electromagnetic compatibility
1.3
Warranty Regulation
ergoline GmbH is only responsible for the safety and reliability of this device, if:
m all revisions, enhancements, repairs and service to the device are carried out by
ergoline authorized personnel, e.g. an ergoline dealer,
m ambient electrical service where the device is installed conforms to IEC 601-1 and
m the device is operated in accordance with the Operation Manual.

Art-No: 475.037
Version: 05/02
Operation Manual
Safety Notices
2.
Safety Notices
2.1
Safety
Ergometer
Type er900
Complying to the safety comments protects from potential injuries and prevents improper application of the ergometer. Each operator of this ergometer as well as personnel which is in charge of installation, maintenance, examination or repair of this
ergometer, must have read and fully understood the contents of this Operation Manual
prior to operating the unit or doing any work on this device.
Special attention is required at sections labelled with additional symbols .
2.2
Intended Use
a) The ergometer ergometrics 900 must only be used for precise cardiovascular tests
under resting and stress test conditions.
b) Special test methods, e.g. Echo-Cardiography or other high-risk test methods must
not be performed by using the bicycle ergometer. For such purpose special supine
ergometers are offered by ergoline.
c) Application under outdoor conditions is not permitted.
d) In case the ergometer is not being used according to above conditions, and if because of that any injuries or serious impact on individuals or damage of property is
caused, the manufacturer cannot be held liable.
2.3
Note:
Basic Safety Comments

We herewith notify that this manual is in accordance with regulations set forth by
the EC-Directive 93/42 EEC and the standards IEC601-1 (1996) and EN606011-2 (1993). These regulations are however, not contained within this handbook.
The ergometer must only be operated in perfect working order in technical respect.
Despite the precautions, the operation of the ergometer may involve certain risk or danger, especially in case of
- improper application or,
- application is not as directed.
There is the hazard of injuries or of property damage, in case of nonconformance to the Operation Manual, especially to the Safety Notes.
Version: 05/02

Art-No: 475.037
Ergometer
Type er900
Operation Manual
Safety Notices
It is necessary to ensure that no dangerous ground currents occur as a

result of attaching the ergometer to other devices. Device specifications
of the ergometrics er900 are in the appendix to this manual. Direct your
questions to your dealer or to ergolines service department. Especially
at the coupling of several devices to a measurement system it has to be
taken care that proper grounding is achieved via a single power supply, e.g. wall socket.
The ergometrics er900 ergometer should only be operated where electrical requirements meet IEC 601-1.
This device is not suitable for use in rooms or areas where there is danger of explosion.
Always observe accident prevention precautions when operating this
device.
In the event that the pressure in the blood pressure cuff is too high,
remove the cuff from the patient's arm immediately.
This unit may only be operated for therapy or diagnosis purposes under
the supervision of qualified personnel.
2.4
Normative Notices
2.4.1
Notice for EMC (electromagnetic compatibility)

- The EMC test was done with an interference level of 3 V/m. The device should not be
used in areas with a higher level.
- The device should not be used beside a high voltage system.
- To connect the device with other devices it is only allowed to use special shielded
cables provided by ergoline.
- Strong transmitting equipment may not be operated in the immediate vicinity of this
device.
- Electromagnetic interferences will appear first by an instable value of load in the
display. If the value changes without any reason while the speed is >30 /min, this may
be caused by an electromagnetic interference.
2.5
Requirements for Operating Personnel

The operating personnel of this ergometer have to :
- be properly instructed and trained regarding the operation of the ergometer,
- have full command regarding the handling of the device,
- be aware of the relevant safety requirements for the operation of such devices, and
act accordingly (see Chap. Introduction),
- be informed regarding additional regulations, e.g. safety regulations,
- be informed regarding potential hazard and risk arising from the operation of such
devices.

Art-No: 475.037
Version: 05/02
Operation Manual
Safety Notices
2.6
Ergometer
Type er900
Safety and Device Protecting Features

The device is equipped with the following safety and device protecting features :
- High current protection which prevents damage to the device and potential danger to
persons, e.g. in case of short circuit.
2.7
Maintenance, Safety Relevant and Metrological Inspections

Before each use, visually check the ergometer for mechanical damage.
If you detect any damage or functional deficiencies which could impair the patients
or operators safety, do not use ergometrics 900 until it is checked and repaired.
Maintenance:
The user is responsible that the proper function of the ergometer is regularly checked
in time intervals of at least six months.
Safety Relevant and Metrological Inspections
The ergometrics 900 bicycle ergometer must be regularly inspected and maintained, in time intervals of two years, in accordance with lawful regulations.
Alterations to the ergometers measurement capabilities are cause for re-certification.
These inspections are to be performed by an ergoline authorized service technician.
A) Routine Control of the Blood Pressure Measurement Unit
EC-Directive 93/42/EEC operator regulations stipulate that the automatic blood pressure unit in the ergometers console must undergo a routine technical inspection
every two years.
B) Load Unit Inspection
Based on the metrological check which is compulsory in Germany every two years, it
is necessary to check the load accuracy of the ergometer.
EC-Directive 93/42/EEC operator regulations requires qualified technical maintenance of the load unit at two years intervals.
In all other countries, the frame and method of the metrological check depend on the
legal regulations of each country.
Version: 05/02

Art-No: 475.037
Ergometer
Type er900
2.8
Operation Manual
Safety Notices
Identification Plate, Labelling
label with serial number

Art-No: 475.037
10
Version: 05/02
Operation Manual
Installation
3.
Ergometer
Type er900
Installation
This section describes the required installation steps in order to establish operational
readiness. The steps described are also required at initial installation after delivery of
the device.
3.1
Installation steps
1) Loosen screws and clamp lever for clamp fixture, and remove upper clamp jaw;
Insert handlebar, secure, and screw tight with screws and clamp lever.
Adjust appropriate handlebar position and fix position with clamp lever.
2) Insert measurement head with the tin flaps into the handlebar pipe;
Attach grounding cable, connection cable and tubing.
3) Adjust black rear cover onto the measurement head and tighten with screw.
4) Insert saddle pipe into the guidance and tighten with clamp lever.
5) Feed saddle bellows into the saddle pipe, and put on to the intended notch .
6) Connect blood pressure cuff according to 4.3.2 at the measurement head.
7) Connect mains cable according to 4.3.1 at the power inlet.
3.2
Scope of Delivery
The standard scope of delivery consists of :
1
3 2
2
5
1
blood pressure cuff

thermal paper for printer (2 rolls)
handle bar
measurement head with rear cover
saddle bar with saddle and folding bellows

not in picture:
mains cable, 2,5 m
Final test protocol
Operation Manual
optional :
connecting cable to ECG (not in picture)
Version: 05/02
11

Art-No: 475.037
Operation Manual
Installation
Ergometer
Type er900
3.3
Accessories
Order No.
100.948
200.194
200.199
200.230
200.231
200.200
313.420.9
424.016
200.892
300.937
200.850
475.037
475.190
3.4
Description
Thermal paper roll (1 Set = 10 pieces)
Cuff for ergometry, adults
Cuff for ergometry, adults (connecting hose 2 m)
Cuff for ergometry, long version for strong arms
Cuff for ergometry, special (strong arms/connecting hose 2 m)
Cuff for ergometry, children
Polar receiver er900
Polar chest-belt
Triathlon handle bar er900, incl. Polar receiver cable extension
Adjustable cranks, pediatric size
Saddle for children, incl saddle pipe and saddle bellows
er900 Operation Manual, English Version
er900 Service Manual
Transport
Please ensure that the mains cable is removed prior to transporting the device.
During transport within the same room respectively within the same building, hold onto
the ergometer such that the measurement head is pointing towards you.
Take hold of the handle bar at both sides, and pull the ergometer towards yourself, so
that it is resting on the casters only, and is in balance. Now you may pull the ergometer
easily to the working space within the room.
Please be careful when putting the ergometer down. Otherwise the WSG (= wire
string gauge) of the driving unit may be damaged.

Art-No: 475.037
12
Version: 05/02
Operation Manual
Putting into Operation
4.
Ergometer
Type er900

Check the mains fuse at the respective workstation prior to putting the device into operation. Maximal fuse value: 16A
4.1
Operating Elements and Connections

4
5
6
3
7
1
2
1 power connector, fuse

2 main power switch
3 clamp handle for seat adjustment
4 clamp handle for handlebar angle adjustment
5 console with keypad, display and printer
6 blood pressure cuff
7 clamp handle for handlebar height adjustment
8 transport casters
9 levelling feet for optimal stability
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13

Art-No: 475.037
Operation Manual
Ergometer
Type er900
4.2
Measurement Head
4.2.1
Keypad
8
9
10
11
12
13
14
15
16
4
1
2
3
4
LCD-Display
paper ejection slot
numeric keypad
START
to start the ergometric
process
5 STOP
for interrupting the load
increments
6 END
to stop the ergometric
process
7 MONITOR to call up the monitor program: to program ergometer, test routines, adjustments, and assign standard settings
8 RETURN to confirm and store entries
9 PROGR.
key to call up, and make
temporary modifications to,
ergometric programs
10 PWC
to call up definable PWC
values subsequent to an
ergometric process

Art-No: 475.037
11 BLOOD PRESS. I/0 to initiate or stop blood

pressure measurement ( at
anytime possible)
12 START
to manually initiate a blood
pressure measurement, can
be done anytime when the
blood pressure is enabled
13 Printer
switches printer output (internal, external or turned off)
14 Copy
produces a copy of the result protocol
15
toggle QRS beep on/off
16
printer paper feed
14
Version: 05/02
Operation Manual
4.3
Connectors and Interfaces
4.3.1
Power Connection
1) Make sure that the power switch is in the

Off position (not depressed).
F
4.3.2
Ergometer
Type er900
2) Connect the units power plug via the supplied mains cable to a power outlet with
the same voltage as indicated on the label
When using an ergoline utility cart with suction device, connect the units power
plug to one of the white outlets on the utility cart. The ergometer can then be
switched on and off together with the suction device.
Connector for Blood Pressure Cuff
The microphone cable is to be

connected via RCA-Jack to J12
The cuff tube is to be connected
via Luer-Lok to J16 with the measurement head
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15

Art-No: 475.037
Ergometer
Type er900
4.3.3
Operation Manual
Signal Connections
1) Digital RS232 interface connector for PC or ECG.

2) Analog interface for analog control and analog data transfer to ECG.
3) Fiber-optic connector for POLAR receiver, or HR input from an ECG.
The interface pin configuration as well as related technical data are in the
appendix of this Operation Manual.

Art-No: 475.037
16
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Operation Manual
4.4
Ergometer
Type er900
Power on Sequence
Mains power switch

The unit will subsequently execute a self-test. At the end of the self-test the main menu
will appear as below:
P = 000 W
r =
HR= 000 /min
t =
S = 000 mmHg D =
PROG 0 BPM OFF
Version: 05/02
000 /min
00 min
000 mmHg
PR. INT
17

Art-No: 475.037
Operation Manual
Operation
Ergometer
Type er900
5.
Operation
5.1
The Computer - Your Helper

The ergometrics er900 for stress testing was designed so that the ergometric process
can be conducted
simply - quickly - precisely- safely.
In order to achieve this, the computer is an indispensable aid. The integrated and especially designed blood pressure module for the ergometric process makes computer
monitoring of the patient and his blood pressure condition largely autonomous. The
schematics below demonstrate the versatility of the unit .
Automatic Load
Program No. 0
Load Programs
No. 1 through 8
Load Program No. 9

Pulse-Steady-State
Load program for patients whose

circulatory condition is not clear.
The ergometer tests the condition
of the patients circulatory system, and then selects an optimal
load program for the stress test.
These load programs can be defined by the operator. Selection of

up to 12 load increments is possible. Blood pressure measurement
interval and parameter monitoring
are fully selectable.
Special program for pulse-steadystate-training. A selected heart

rate will be maintained over the
entire training period.
With Circulation
Monitoring
Without Circulation
Monitoring
Blood pressure and heart rate are

sampled and documented at the preset time interval. Heart rate and blood
pressure are simultaneously monitored for alarm limits and, if necessary, cause an alarm and abort the
load program.
Blood pressure module is off. The

circulation condition is not monitored
and exceeding alarm limits do not
cause an alarm.

Art-No: 475.037
Use of the Blood

Pressure Module
without Load
Manual Intervention
Experimental Program
The preset program can be interrupted

at any time and the load levels may
be manually altered. When circulation conditions are being monitored
only load increments are interrupted.
Circulation data will continue to be
sampled, documented and checked
against alarm limit values in the preset time interval.
Prior to starting the program, each

program may be altered for this specific ergometry. These alterations are
not stored, and the standard settings
are restored after this ergometry.
Such sessions can also be manually
controlled and run with, or without,
circulation monitoring.
18
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Operation Manual
Operation
5.2
The Display Unit
5.2.1
Displayed Parameters and their Meaning
Ergometer
Type er900
P = 000 W
r = 000 /min
HR = 000 /min t = 00 min
S = 000 mmHg D = 000 mmHg
PROG 0 BPM OFF
PR. INT
P = 000 W
= current load in Watts (Po= initial load, Pmax=maximum load)
= current revolutions per minute
= 000 /min
HR = 000 /min
= heart rate at the time of the last blood pressure reading

(current heart rate in case of continuous HR-signal )
= duration of the ergometry in min
= 00 min
S = 000 mmHg
= systolic value of the last blood pressure reading (the measurement may be displayed either in mmHg or kPa)
D = 000 mmHg
= diastolic value of the last blood pressure reading (the

measurement may be displayed either in mmHg or kPa)
PROG 0
= program selected (No. 0...9)
BPM ON /OFF
= status of the blood pressure measurement (on or off)
PR. INT
= status of the printer driver (Intern, Extern or Off)
Wt.
= weight of the test subject
INT
= interval of the blood pressure measurements in minutes
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Art-No: 475.037
Ergometer
Type er900
5.2.2
Operation Manual
Operation
Speed display for the patient

On the patients side, the measuring head has a display to show the current speed.
Next to the speed display there are LEDs which show the most favorable conditions for
measurement. For blood pressure measurement at rest and following the post-load
phase for the recovery measurement, the stop lamp is on. This means that the patient
should stop cycling.
t the beginning of every load stage, the ergometer computer suggests a speed to the
patient which is best for achieving the best reproducible increase in heart frequency.
At the suggested speed, the patient reaches an ideal total pulse curve, because muscle
friction is kept as low as possible. During the ergometric test, the system monitors
whether the patient keeps to the suggested speed by means of the two LEDs to the
right of the speed display. If the patients speed falls too far, the upper LED flashes
(<<<n+ ); if the patient is too fast, the lower LED flashes ( >>>n- ).
Patients display window:
rev
Stop
<<<n+
>>>n-
(faster)
(slower)
The indicated speeds are medically sound recommendations. They should be

maintained because this is the best way of achieving reproducible measuring
results. This ergometer operates independent of speed in the range between
30 and 130 crank revolutions, thus always guaranteeing load precision in all
other speed ranges within the characteristic curve of the working range of the
braking torque control .

Art-No: 475.037
20
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Operation Manual
Operation
5.3
The Printer
5.3.1
Configuration of Printer
Ergometer
Type er900
The printer may be configured in any one of three modes. This is done by pressing the
brown key Printer (13). The status of the printer can be read from the lower right
corner of the display. The various configurations have the following meaning:
PR INT = The integrated system printer is enabled and prints all displayed parameters
immediately after each load change and/or blood pressure measurement.
PR EXT = The integrated printer is disabled. All data are exported to another system
(ECG, PC or external printer) and printed there.
PR OFF = The printer is turned off. (This setting is only valid for the current stress test
and will revert to INT as soon as the current stress test is terminated.)
5.3.2
Printed Parameters
The printer documents all parameters that are shown in the display. Printing will occur
immediately following each load change and/or blood pressure measurement. Printing
will also occur after the recovery period when the ergometry is aborted or comes to a
programmed termination. There are three parts of the ergometric protocol:
2. Recovery Protocol:
Documents each blood pressure measurement
during the recovery phase.
1. Load Protocol:
Documents the blood pressure reading at rest,
at each load increment and after each blood
pressure reading during the load phase and the
elapsed time at termination.
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3. Summary Protocol:
A summary of the ergometry with the PWC values and the training index at the end of the total
ergometry.

Art-No: 475.037
Ergometer
Type er900
Operation Manual
Ergometry Process
6.
Ergometry Process
6.1
General Preparations
6.1.1
Preparation of the Patient
ap
pr.
10
1. Have the patient take his place on the saddle.

2. Position the saddle such that an angle of approx. 10 degrees exists between the extended
axis of the upper body and the thigh when the pedal is at its lowest position. Ask the
patient to stand on the pedals while you adjust the saddle position. Saddle height is adjusted by loosening the saddle clamp screw and moving the saddle to the correct position.
3. Move the handlebar to a position such that the test subject can comfortably sit upright. To
do this, loosen the handlebar height clamp handle and adjust appropriately. Next you can
adjust the angle of the handlebar by loosening the handlebar angle clamp handle.
4. Check to see that all of the adjustment clamps are secured. (Do not tighten these with
extreme force.)
5. Put the blood pressure cuff on the patients arm. Position it so that the microphone (marked
with a red ring) is right over the Arteria Brachialis on the inner side of the upper arm. Be
sure that the cuff is not placed so that it can touch another object when the patient has
placed his hand on the handlebar.
clamp handle for handlebar

angle
clamp handle for handlebar
height
clamp handle for saddle
height
microphone fixed over the

arteria brachialis
cuff position

Art-No: 475.037
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Version: 05/02
Operation Manual
Ergometry Process
6.2
Preparation of the Ergometer (ECG Type P1 or P2)
F
6.2.1
Ergometer
Type er900
These preparation instructions are only applicable to usage of the ergometer in conjunction with interface modes ECG-Type P1 or P2, see Appendix A. The ergometer can only be controlled by its own program in these
modes.
Basic Preparations for all Programs

1. Press the red key PROG. and select the appropriate program for the patient with
the numeric keypad.
E
2. Enter the patients weight. The ergometer needs this information to calculate exact
PWC values.
PROG x Wt. = xxx HR < xxx
S < xxx mmHg D < xxx mmHg
Po = xxx W
Pmax = xxx W
INTERV.BPM = xx min.
3. When necessary, you can alter any parameter to create a special ergometric session. These alterations will be lost as soon as the special session is ended. Then
the program will again show the standard base values (see chapter 7. Configuration).
Altered parameters that are entered prior to program start are lost after the
end of the ergometric session.
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Art-No: 475.037
Ergometer
Type er900
6.2.2
Operation Manual
Ergometry Process
Special Entries for to the Use of Program 0

When using program 0, the maximum heart rate (HR) should always be entered specifically for the individual patient. Since this value serves as the target frequency for loading, it must be specifically adapted to the age and health of the patient. The remaining
parameters, in particular the alarm parameter, should be established in the configuration so that even a weak patient can perform the ergometric session without danger.
Here also, all other parameters may be altered for a specific ergometric session.
F
6.2.3
Always enter the maximum heart rate (HR) for program 0 specific to the
age and strength of the patient. When possible, provide the ergometer
with a continuous heart rate by using an ear/finger clip, a pulse monitor or
the HR feedback from an ECG.
Special Entries for to the Use of Program 9

Patient specific maximum heart rate (HR) should also be entered for program 9 to
reflect the patients training requirements.
Only use program 9 when a continuous heart rate source is used. That is,
when an ear/finger clip, a pulse monitor or a HR feedback from an ECG is
connected.

Art-No: 475.037
24
Version: 05/02
Operation Manual
Ergometry Process
6.3
Ergometer
Type er900
Preparations for Control by ECG or PC

The ergometer must be specifically configured to the controlling ECG-Type or PC, see
Appendix. The ECG or PC is then in total control of the ergometry. Any entries that may
have been made on the ergometer are therefore nullified. There is no preparation of
the ergometer to be made on the console. Configure your ECG or PC in accordance
with the appropriate operators instructions for ergometry. Start the ergometric session with the ECG or PC.
6.4
Starting the Ergometry
6.4.1
Starting Ergometry with Internal Control

1. Check to see if all the parameters are correctly entered.
2. Start the ergometric procedure by pressing the red START key.
The ergometer will begin by measuring the blood pressure value at rest.
E
6.4.2
Starting an ECG or PC Controlled Ergometry

Start the ergometric program on your ECG or PC in accordance with the corresponding instructions. After a successful start the ergometer will begin by measuring the blood
pressure value at rest.
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Art-No: 475.037
Operation Manual
Ergometry Process
Ergometer
Type er900
6.5
Flowchart for complete Ergometry Process
This ergometric process flow description is only valid for use of the ergometer under internal control. When control is exercised by an ECG or PC
refer to the documentation for those devices.
Legend:
= input via operating
personnel
= Print-out
= action via
ergometer
Selection of Specific Ergometric Program

Assign patient to patient group, and select program for this patient accordingly, or select the
automatic program 0 for patients who you cannot be classified, or select program 9 for
patients who are to undergo Pulse-Steady-State training.
.
Possible Modification of Parameters

Prior to beginning an ergometric session you may alter any parameter for this specific ergometry.
Start of Ergometry
Press the red START key to begin the ergometric session.
Blood Pressure Measurement at Rest

Immediately after starting the ergometer, the blood pressure measurement at rest will be
taken. It is important that the patient remains absolutely still during this measurement as the
filter parameters for the blood pressure during stress are established by this measurement.
Artifacts during this measurement may lead to false results under stress.
Print-out of the Blood Pressure Measurement at Rest

The resulting blood pressure data will either be printed out on the internal printer or fed to
the ECG via the RS232 interface and documented there.
Establishment of the Initial Load Po

The load program will begin with initial load Po when
the blood pressure data has been put out.
First Blood Pressure Measurement under Stress

Blood pressure measurement will begin at the pre-programmed interval.
Output of Load and Blood Pressure Data

Blood pressure and load data readings are either printed by the internal printer or passed
over the RS232 interface to an ECG for documenting there.
.
Proceeding to First Load increment

The load will be increased by the programmed first load increment as soon as data has
been put out.
1
Art-No: 475.037
26
Version: 05/02
Operation Manual
Ergometry Process
Ergometer
Type er900
1
Second Blood Pressure Measurement under Stress
Blood pressure will be measured again at the programmed interval.
The measured blood pressure data and the current load data will either be printed by the
internal printer or passed over the RS232 interface to an ECG for documenting there.
Advancing to the Second Load Increment

The load will be increased by the programmed second load increment as soon as data has
been put out.
m
m
m
n-th Blood Pressure Measurement under Stress
Blood pressure will be measured again at the programmed interval.
.
The measured blood pressure data and the current load data will either be printed by the
internal printer or passed over the RS232 interface to an ECG for documenting there.
Proceeding to the n-th Load Increment

The load will be increased by the programmed n-th load increment as soon as data has been
put out.
Concluding the Load Program and Transition to Recovery Phase

The load program will end and the recuperative phase will begin after the red END key is
pressed once. The load will be reduced to 25 Watt for the first minute of the recovery phase
and reduced to zero beginning with the second minute. The patient should continue to pedal for
at least the first minute to avoid venous congestion in the legs.
If the load program is terminated after a blood pressure measurement, the final protocol will be
printed which contains the load, RPM, and heart rate data at the time of termination.
No termination protocol will be printed if termination occurs during an ongoing blood pressure
measurement.
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Art-No: 475.037
Operation Manual
Ergometry Process
Ergometer
Type er900
2
First Blood Pressure Measurement during Recovery
Blood pressure measurements continue to be taken during the recovery phase at the set
interval.
Output of Measured blood Pressure Data

The resulting blood pressure data are either printed by the internal printer or passed over the
RS232 interface to an ECG for documenting there.
m
m
m
n-th Blood Pressure Measurement during Recovery
Blood pressure measurements continue to be taken during the recovery phase at the interval
set.
Output of Measured Blood Pressure Data

The resulting blood pressure data are either printed by the internal printer or passed over the
RS232 interface to an ECG for documenting there.
Concluding Ergometry
Ergometry is terminated completely by pressing the red END key for a second time
Output of the Summary Protocol
The termination protocol is either printed by the internal printer or passed over the RS232
interface to an ECG for documenting there.
This process flowchart is only representative when the interval for blood pressure
measurements and load increment are equal, otherwise the sequence of measurements and print-outs will be altered. Data output occurs basically at every
value change in blood pressure or load. The sequence will also be altered if the
program is manually modified.

Art-No: 475.037
28
Version: 05/02
Operation Manual
Ergometry Process
6.6
Ergometer
Type er900
Ergometric Protocol
An ergometric protocol is recorded during the ergometric session. The protocol is either
produced by the internal printer or by an ECG. The picture below shows such a protocol as
documented by the internal printer. Program parameters were:
heart rate max. = 180, systole max. > 200, diastole max. > 130,
initial load Po = 50 watt, maximum load Pmax. = 999 watt,
blood pressure measurement interval = 01 min.,
load interval = 01 min., load change per interval = 25 watt.
The PWC values to be ascertained were predefined for heart rates between 130 and 150
beats per minute. The values in this protocol are not representative of a patient as they were
generated with a simulator.
blood pressure at rest
blood pressure measurements for

individual load increments
termination of the load program with

termination protocol
blood pressure measurements in

the recovery phase
end of ergometry with concluding

protocol
Version: 05/02
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Art-No: 475.037
Ergometer
Type er900
6.7
Operation Manual
Ergometry Process
Manual Control of Ergometry session

If necessary, the ergometry session , i.e. the load program may be manually controlled
via the measurement head .
That is done by starting a suitable ergometry program and then interrupting the automatic sequence of the program at the desired instant by pressing the key STOP.
The requested load is then set by means of the white cursor keys.
Start of Ergometry Session

Press the green button START to begin the ergometric session.
Blood Pressure Measurement at Rest
Immediately after starting the ergometer, the blood pressure measurement at rest will be
taken. It is important that the patient remains absolutely still during this measurement as the
filter parameters for the blood pressure during stress are established by this measurement.
Artefact during this measurement may lead to false results under stress.
Establishment of the Initial Load Po

The load program will begin with initial load Po when
the blood pressure data has been put out.
m
m
Enable Manual Control
By pressing the STOP button, the automatic ergometer control is interrupted.
Increase or Decrease Load Manually

By pressing the white cursor buttons, the load is adjusted at 5 Watt steps.
Terminate Load Program and Change to Recovery Phase

The load program is stopped by pressing the green button END, and the recovery phase is
started.
F
F
E
E
E
The interval of the blood pressure measurement still takes place automatically at the preset interval .
Manual control is only possible if the following ECG-type is set:
ECG-type P1, P2 or P10 (see Annex A or Annex B.1.1)

Art-No: 475.037
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Operation Manual
Configuration
7.
Configuration
7.1
General
Ergometer
Type er900
The ergometrics er900 ergometer has numerous setup options to allow the operator to
adapt the device optimally. The most important configuration support is the monitor
program. The monitor program allows the operator to use a set of menus to modify
parameters.
7.2
Call-up of the Monitor Program

Two yellow buttons on the measurement head are provided for management of the
monitor program. Both of these buttons are at the upper right portion of the keypad and
have the following basic functions:
Call-up monitor program mode, as well as call-up of the various sub-menus. When
in monitor program mode, the sub-menu at the position of the cursor is selected
by pressing button MONITOR once more.
Confirm and save changes made in monitor program or the appropriate submenu as well as exit from monitor program mode or a sub-menu.
The programming diagrams on the next page illustrate the structure of the monitor
program.
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Art-No: 475.037
Operation Manual
Configuration
Ergometer
Type er900
ACTIVATE PROGRAM
M
PROGRAM No X
Max.HEARTFREQ. HR < XXX
Max.Syst.
S < XXXmmHg
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa
ADJUST CLOCK
YEAR
XX
MONTH
DAY
XX
HOUR
MINUTE XX
M
XX
XX
ACTIVATE PROGRAM
M
max.Diast. D < XXXmmHg
START LOAD Po = XXX W
MAX. LOAD Pmax.=XXX W
ACTIVATE PROGRAM
Interv. BPM = XX min.
PWC = XXX PWC = XXX
TRAININGSIND. [Y/N]
mmHg - kPa
mmHg
kPa
M
(*)
(*)
MONITOR
V.XXX
TEST
ADJUST TORQUE
ADJUST OUTPUT
ACTIVATE PROGRAM
LOAD STEP 01 : 12
INTERV.LOAD = XX min.
LOAD CHANGE XXX W
TEST
+- 5 Va = 5.XX V [ 0.2 ]
+ 5 Vd = 5.XX V [ 0.3 ]
+24 V = 2X.X V [ 6V ]
LOAD EXT = 000 W TEST M

U-TD = XXX [ 020 - 150 ]
U-DMS = XXX [ 050 - 250 ]
S = XXXmmHg D = XXXmmHg
ADJUST TORQUE
ZERO DMS-AMPL.
MM
SET CODE . . .
U - DMS = XXX [050 - 250]
EV.RESET SPRING
ZERO DMS-AMPL.
TORQUE
TORQUE
MM
SET CODE . . .
PUT 3 - 6 Kg
WEIGHT = X.XX Kg
ADJUST OUTPUT
LOAD
SYSTOLE
M
BPM
DIASTOLE
ADJUST BPM OUTPUT

SET CODE . . .
MM
ADJUST LOAD OUTPUT

SET CODE . . .
mmHg =

Art-No: 475.037
ADJUST DIA OUTPUT

SET CODE . . .
MM
ADJUST SYS OUTPUT

SET CODE . . .
300
200 BPM = < >
< >
MM
300 W =
MM
300
< >
32
mmHg =
< >
Version: 05/02
Operation Manual
Configuration
LOAD INT - EXT

INT
EXT
Ergometer
Type er900
[*]
[*]
ADJUST LOAD INPUT
ZERO LOAD
LOAD EXT
MM
LOAD - ZERO = XXX W

ADJUST LOAD INPUT
SET CODE . . .
MM
MONITOR
V.XXX
LOAD INT/EXT
ADJUST LOAD INPUT
ECG RECORD
ZERO LOAD EXT

SET CODE . . . .
= 000 W
< >
ECG RECORD XX sec
P1
P2
P3
P4
*
*
*
*
P5
P6
P7
P8
*
*
*
*
P9 * M
P10 *
P11 *
P12 *
V.XXX
TRANSM.SPEED
MONITOR
ECG - TYPE
TRANSM.SPEED
LANGUAGE
2400 Baud
4800 Baud
M
(*)
(*)
LANGUAGE
GER ( * )
FRZ ( * )
ENG ( * )
CONTR. RPM
MONITOR
V.XXX
CONTR. RPM
CONTR. INT / EXT
RESERVE
(*)
(*)
CONTR. INT / EXT MM
Version: 05/02
ON
OFF
MM
INT
EXT
(*)
(*)
33

Art-No: 475.037
Operation Manual
Configuration
Ergometer
Type er900
7.3
Basic Settings
7.3.1
Date and Time

The system has an integrated real-time clock that can be set by the monitor program.
This clock is set correctly when the unit is delivered but may require re-setting, for example when changing from winter time to summer time. Proceed as follows:
m Press the button MONITOR.
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa
The monitor main menu will appear in the

display.
m Using the cursor buttons in the alphanumeric keypad, move the cursor to the
menu item ADJUST CLOCK.
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa
ADJUST CLOCK
YEAR
XX
DAY
XX
MINUTE XX
l
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Art-No: 475.037
m Call up this subprogram by pressing the

button MONITOR again.
MONTH
HOUR
M
XX
XX
m Use the numeric keypad to enter the correct time and date. The cursor will automatically advance from field to field. Use
the arrow keys to move the cursor to a particular field.
m Confirm that the information is correct by
pressing the button RETURN . The main
menu will reappear.
You may now proceed to other menu items

or exit the monitor program by pressing the
RETURN key again.
34
Version: 05/02
Operation Manual
Configuration
7.3.2
Ergometer
Type er900
Select Unit for Pressure Display

It is possible to select either mmHg or the SI unit kPa for use in the print-out. Proceed
as follows:
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa

display.
m Using the arrow keys in the alphanumeric

keypad, move the cursor to the menu item
mmHg - kPa.
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa

mmHg - kPa
mmHg
kPa
M
(*)
(*)
m Use the arrow keys in the alphanumeric

keypad to move the cursor to the desired
unit of measure.
l
l
l
m Confirm the entry by pressing the button

RETURN . The main menu will then reappear.

button RETURN again.
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Art-No: 475.037
Ergometer
Type er900
7.3.3
Operation Manual
Configuration
ECG Start Pulse Duration (only for remote start of ECG)

The ergometer has a remote start output with which an ECG device can be triggered
(provided that the ECG device has a corresponding input). The feature programmed
below determines the period during which the remote start signal is applied to the output. Signal duration is fully selectable in 1 second steps within a range of 0 - 99. Signal
duration is determined as follows:
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa

display.

ECG RECORD.
MONITOR
V.XXX
LOAD INT/EXT
ADJUST LOAD - INPUT
ECG - RECORD

ECG - RECORD XX sec
M
m Enter the period in seconds using the alphanumeric keypad. The cursor will automatically advance.
l
l
l
m Confirm the entry by pressing the RETURN key. The main menu will then reappear.


Art-No: 475.037
36
Version: 05/02
Operation Manual
Configuration
7.3.4
Ergometer
Type er900
Select Language
The language used in the display and on the print-outs may be selected. There are two
versions of software available, each with three languages. The available languages
are: German (GER), French (FRZ), English (ENG), or Spanish (ESP), Italian (ITA), Dutch
(DUT).
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa

display.
MONITOR
ECG - TYP
TRANSM.SPEED
LANGUAGE

LANGUAGE.
V.XXX

LANGUAGE
GER ( * )
FRZ ( * )
ENG ( * )
l
l
l
Version: 05/02

language.

37

Art-No: 475.037
Operation Manual
Configuration
Ergometer
Type er900
7.3.5
RPM Control
Sometimes, it may be necessary for the patient to discontinue pedaling for one reason
or another. Normally, when the RPM value drops below the minimum value (30 RPM),
this will lead to an abort of the load program since a defined load is no more present.
Now it is possible to turn off RPM control for these special applications. The load
program is then not aborted, but rather continues regardless of the presence of a minimum RPM value or not. Re-entry into the program is therefore possible at any time.
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa

display.
MONITOR
V.XXX
CONTR. RPM
CONTR. INT / EXT
RESERVE

CONTR: RPM.
(CONTR: RPM is a main menu option that
will appear eventually as the main menu
scrolls through the display with repeated
pressing of the arrow keys.)

CONTR. RPM
ON
OFF
MM
(*)
(*)
l
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Art-No: 475.037

selection.

38
Version: 05/02
Operation Manual
Configuration
7.3.6
Ergometer
Type er900
Other Parameters
Numerous other parameters can be specified by using the monitor program, among
these are:
* analog input/output adjustments, load unit adjustment, etc.
Some of these parameters are code protected and should not be modified by the operator due to safety considerations. Notify your authorized dealer or the ergoline service department if you wish to alter any one of these protected parameters.
Appendix B contains setup instructions for the following parameters:

Setting of ECG-Type
Type selection for an attached ECG unit (for data transmission)
TRANSM.SPEED
ECG specific TRANSM.SPEED selection
Toggle between internal and external load control
Determines if load is to be controlled internally (by the ergometer) or externally (by
the ECG unit)
Hardware Tests
Determines if the voltages of the system are correct
Parameters that are only to be altered by personnel authorized by ergoline :

Blood Pressure Measurement Unit Certification
Test routine that is run by the office of certification
Torque Adjustment
Adjustment of the drive train unit
Analog Output Adjustment
Adjustment of the analog data outputs
Analog Input Adjustment
Adjustment of the analog data inputs
Version: 05/02
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Art-No: 475.037
Ergometer
Type er900
7.4
Operation Manual
Configuration
Defining an Ergometry Program

The operator may select from 10 different ergometric programs when using the
ergometrics er900. Of these 10 programs, eight are fully programmable, one program
offers automatic loading and one program is for pulse-steady-state training.
F
F
Ergometric program definition is only possible when the ergometer is controlled

internally, i.e. not controlled by a PC or ECG unit.
Mixed control is also possible, that is, normal control is internal and, when needed,
control may be transferred to an external device. For mixed control operations
one should ensure that program 8 can be used as a buffer for several interface
modes. Therefore, for mixed control operations only programs 0 through 7, or 9
may be used since program 8 will be used for switching the control type.
The monitor program can be used to establish a basic stress program. Program creation is done as follows:
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa

display.

button MONITOR once more.
ACTIVATE PROGRAM
M
Program No 0
max. HEARTFREQ. HF < XXX
max. Syst. S < XXX mmHg
l
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Art-No: 475.037
m Select the program number that you wish

to program by entering the program number with the numeric keypad.
m Program the selected stress program as
described in this chapter.
In order to proceed to other menu items,
e.g. defining another program, the monitor program must be called up again.
See above.
40
Version: 05/02
Operation Manual
Configuration
7.4.1
Ergometer
Type er900
Setup of Automatic Program 0

Automatic program 0 is for the fully automated testing of patients with unknown circulation condition, in particular, weak patients. The ergometers control computer uses this
program to test the patients circulation response across two or three different but specific load increments. The computer then determines three standard load increments
within which the pre-set maximum heart rate should be attained. The standard load
increments and the corresponding time intervals are taken from the WHO table for stress
analysis.
l
l
ACTIVATE PROGRAM
M
Program No 0
ACTIVATE PROGRAM
M
max . Diast . D< XXX
max. LOAD Pmax = XXX W
ACTIVATE PROGRAM
M
Interv . BPM = XX min . 0
PWC = XXX PWC = XXX
TRAININGIND. [ Y / N ] N
l
l
l
m Call up program creation as described in the

preceding section.
m Select program 0 in the field Program No.
m You can now assign the individual parameters.
The meaning of these parameters for this
special analysis program is described below.
m The cursor will automatically skip to the next
field when entry is complete for the current
field. Complete entry must be made in each
field in accordance with the number of character positions provided. The arrow keys may
be used to move to any field desired. The
display will scroll automatically when the upper or lower display margins are reached.
m Close data entry with the RETURN key.
Now program 0 is configured in accordance
with your choices. Any parameter may still
be changed at the beginning of ergometry for
a specific ergometric run.
The meaning of the various training parameters:

max. Heartfreq. = heart rate which is to be attained in three standard load steps. When
this goal has been reached the program will stop. (Any one of the alarm
conditions described below will also cause program termination.)
max. Syst.
= alarm parameter, when reached will cause program termination.
max. Diast.
= alarm parameter, when reached will cause program termination.
Start load
= load value with which the system begins stressing the patient.
max. Load
= maximum load value that is not to be exceeded.
Interv. BPM
= interval at which blood pressure readings are to be made.
PWC
= heart rate value at which a PWC value is to be determined (see Appendix D.1).
TRAININGIND. = see appendix (see Appendix D.2).
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Art-No: 475.037
Ergometer
Type er900
7.4.2
Operation Manual
Configuration
Definition of Programs 1-8

The operator has the choice of eight stress programs that are freely programmable to
specific requirements on the ergometrics er900. In these eight programs, all control
and alarm parameters are fully selectable. As with programs 0 and 9, the setup accomplished with the monitor program represents a basic setup that can still be changed for
any specific ergometry run at the beginning of that particular ergometry.
Program 8 is an exception to this rule in case the ergometer is operated in mixedcontrol mode. That is, when the ergometer switches back and forth between internal and external (from an ECG or PC) control. Program 8 should not be used in
such cases as it is used as an interface buffer for various external control modes
which will cause parameters to be lost.
l
l
l
ACTIVATE PROGRAM
M
Programm No 0
ACTIVATE PROGRAM
M
max . LOAD Pmax = XXX W
ACTIVATE PROGRAM
M
PWC = XXX PWC = XXX
TRAININGIND. [ J / N ] N
ACTIVATE PROGRAM
M
LOAD STEP
01 : 12 0
INTERV. LOAD = XX min .
LOAD INCREMENT XXX W
l
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Art-No: 475.037
m Call up program definition as described in the

preceding section.
m Select the desired program to be modified

(1-8) in the field Program No.
m Now you can set the individual parameters.

The significance of the parameters for this
special analysis program are described below.
The cursor will automatically skip to the next
field in accordance with the number of character positions provided.
(Example: Start Load Po = 3 characters; entry value of 50 Watt would be entered as Po =
050W).
The arrow keys may be used to move to any
field desired. The display will scroll automatically when the upper or lower display margins
are reached.
m Close data entry with button RETURN . The

selected program is now configured according to your choices. Any parameter may still
be changed at the beginning of ergometry for
a specific ergometric run.
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Operation Manual
Configuration
Ergometer
Type er900
The meaning of the various training parameters :

max. Heartfreq
max. Systole
max. Diastole
Start Load
=
=
=
=
max. Load
Interv. BPM
PWC
=
=
=
TRAININGSIND.
LOAD STEPS
=
=
INTERV.LOAD
LOAD CHANGE
alarm parameter, when reached will cause program termination

load value with which the system begins stressing the patient.
The time interval for the initial load is specified by the interval
for the first load increment.
maximum load value that is not to be exceeded
interval at which blood pressure readings are to be made
heart rate value at which a PWC value is to be determined
(PWC value see appendix)
see appendix
twelve load steps may be programmed individually. An entry
made into any one of these load steps will cause the same
value to be entered into all subsequent load steps.
The load settings of the 12. load step are maintained for all
subsequent load steps up to the 99. load step.
time interval of the load, that is elapsed time for the respective
load step.
amount of load change with respect to the previous load step
Example: Initial load
=
025 W
Load change 1
=
015 W +
__________
Load step 1
040 W
In Annex C attached to this operators manual, you will find programming

forms. We recommend that these forms be filled out before actually programming the ergometer. Save these forms as they will be useful if the
ergometer should malfunction and these program settings need to be restored.
Version: 05/02
43

Art-No: 475.037
Ergometer
Type er900
7.4.3
Operation Manual
Configuration
Definition of Program 9 for Pulse-Steady-State Training

Program 9 offers pulse-steady-state training capability. A continuously available heart
rate input is prerequisite for this program. Heart rate input can be accomplished in
various ways. You can attach an ear/finger clip, a pulse monitor (such as the Polar
Pacer) or connect a QRS trigger output from an ECG device being used (see Annex E
to this operators manual).
l
l
l
ACTIVATE PROGRAM
M
Program No 0
> X<
ACTIVATE PROGRAM
M
max . LOAD Pmax = XXX W
ACTIVATE PROGRAM
M
PWC = XXX PWC = XXX
TRAININGIND. [ Y / N ] N
ACTIVATE PROGRAM
M
LOAD STEP 01 - 12 0
INTERV. LOAD = XX min .
LOAD CHANGE XXX W
l
l
l

Art-No: 475.037
m Call up program creation as described in the

preceding section.
m Select program 9 in the field Program No.
m Now you can set the individual parameters.
The significance of the parameters for this
special analysis program are described below.
The cursor will automatically skip to the next
field in accordance with the number of character positions provided
(Example: Start Load Po = 3 characters; entry value of 50 Watt would be entered as P0
= 050W).
The arrow keys may be used to move to any
field desired. The display will scroll automatically when the upper or lower display margins
are reached.
m Close data entry with the RETURN key.

Now program 9 is configured in accordance
with your choices. Any parameter may still be
changed at the beginning of ergometry for a
specific ergometric run.
44
Version: 05/02
Operation Manual
Configuration
Ergometer
Type er900
The meaning of the various training parameters:

max. Heartfreq.
This is the pulse-steady-state limit for heart rate that is to be used

in this training. When this limit is reached, the ergometer will
take over complete load control to ensure that the patients heart
rate remains stable at this level (by lowering and raising the load
automatically).
max. Systole
Alarm parameter, when reached will cause program termination
max. Diastole
Alarm parameter, when reached will cause program termination
Start Load
Load value with which the system begins stressing the patient.
The time interval for the initial load is specified by the interval
for the first load increment.
max. Load
Maximum load value that is not to be exceeded
Interv. BPM
Interval at which blood pressure readings are to be made.
PWC
Heart rate value at which a PWC value is to be determined

(see ANNEX D.1)
TRAININGIND.
see ANNEX D.2
LOAD STEP
Twelve load steps may be individually programmed. An entry

made into any one of these load steps will cause the same
value to be entered into all subsequent load steps.
The load settings of the 12. load step are maintained for all
subsequent load steps up to the 99. load step.
Interv. LOAD
Time interval of the load, that is elapsed time for the respective
load step.
LOAD CHANGE
Amount of load change with respect to the previous load step

Example: Initial load
Load change 1
LOAD step 1
=
=
025W
015W +
-----------=
040 W
When running pulse-steady-state training, the significance of the load increments and load changes is limited to the preliminary training prior to
reaching the desired maximum heart rate (Pulse-Steady-State limit). Load
control is dependent upon heart rate response after this limit is reached.
Pulse-Steady-State training may only be carried out when the heart rate is
continuously provided to the system.
Version: 05/02
45

Art-No: 475.037
Ergometer
Type er900
Operation Manual
Structure of Programs
8.
8.1
General Structure of Programs 1-8
8.1.1
Factory Settings
normally strong
patients
(especially athletic
women and men)
strong patients,
active sports men
and heavy laborers
max. heart rate
150
150
150
170
max. systolic pressure
230
230
230
240
max. diastolic pressure
130
130
120
100
Start load Po
25
50
50
50
max. Load Pmax
999
999
999
999
Interval BP in min.
PWC
110
130
130
150
PWC
130
150
150
170
Training index
Load steps
01
02
.
.
.
01
02
.
.
.
01
02
.
.
.
01
02
03
.
.
Interval load
in min
01
01
.
.
.
01
01
.
.
.
01
02
.
.
.
01
02
02
.
.
Load change
in Watts
010
010
.
.
.
010
010
.
.
.
025
025
.
.
.
025
025
025
.
.
weak patients
(approx. 45kg
body weight)
moderately strong
patients (especially
women)
The programs 1-8 can be individually programmed for the testing of various patient
groups such that at the push of a button the right program is at hand. Programs 1-4
have been pre-programmed with sample programs by ergoline prior to delivery. These
programs are only exemplary and can, of course, be changed.
Program No.

Art-No: 475.037
46
Version: 05/02
Operation Manual
8.1.2
Ergometer
Type er900
Creating Your Own Load Program

Programs 1-8 were intended to be programmed from the monitor program, as described in this manual, for various pre-defined patient groups. This allows you to select
the appropriate program for a patient at the touch of a button. This gives you basic
settings with which the stress test of the patient can be performed. You may still change
any of the parameters prior to starting ergometry. Such a parameter change, that is not
accomplished within the monitor program, is only temporary and effective for this specific one ergometry. Such changes are voided at the end of the ergometry.
This is why, when you use the monitor program to program the load programs, you need
to proceed such that only the absolute limits for an entire patient group be pre-set as
alarm parameters. The patient specific alarm parameter should be entered when the
program is called up. In general eight programs with differing load characteristics are
adequate to serve various types of patient groups if patients are grouped by their load
requirement patterns. The flowchart below serves to clarify the process of an ergometry.
Determine the correct patient group for the patient.
Select the appropriate program for the patient.
If necessary, change circulation alarm parameters
Start the program (blood pressure measurement at rest)

Print-out of the resulting data
Start load program at Po
Print-out of the loaded data with every load change
and/or every blood pressure measurement
Load increments 1...12 as programmed
Load program termination (caused by reaching an alarm parameter,

dropping below the minimum RPM rating of 30 RPM or because the END
key was pressed); transition to the recovery phase
Print-out of measurement results for the on-going
blood pressure measurements
Terminate ergometry by again pressing the END key
Output of the summary protocol
Version: 05/02
47

Art-No: 475.037
Ergometer
Type er900
Operation Manual
8.2
Systematic Setup of Programs
8.2.1
Setup of Automatic Load Program 0

Program 0 does not permit any load settings from the operator. The initial load is set to
25 Watt, the maximum load is set to 999 Watt, and the blood pressure interval is set to
1 minute. Individual load increments are not programmable.
The loading process is determined automatically by the ergometer during the ergometry
process and is only dependent upon the circulation response of the patient.
Program 0 is intended for critical patients whose circulatory condition is unknown. It is
therefore necessary that the parameters are accordingly conservative. Establish alarm
parameter values such that even very weak patients will not be over-stressed.
The program will calculate three standard load increments of 5, 10 or 25 Watt within
which the patient can reach the pre-set heart rate. The resulting protocol data will enable you to subsequently classify the patient into one of the patient groups for which you
have a specific program (1-8).
Continuous doctors attention is also required for patients who are

stressed with automatic program 0 since the circulatory response is not
continuously monitored. Parameters can change abruptly between individual blood pressure measurements without the system being able to
counteract appropriately.

Art-No: 475.037
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Version: 05/02
Operation Manual
Ergometer
Type er900
Program flowchart:
Patients with unknown circulatory conditions

select program 0

Start program (blood pressure measurement at rest)
Print-out of resulting data
Load program start at Po
Print-out of the loaded data with every blood pressure measurement
Calculation of standard increments via 2-3 free load increments, subsequently
stressing with 3 standard load increments to reach the max. heart rate
Load program termination (caused by reaching an alarm parameter, dropping

below the minimum RPM rating of 30 RPM or because
the END key was pressed); then transition to the recovery phase
Version: 05/02
49

Art-No: 475.037
Ergometer
Type er900
Operation Manual
Pay attention to the execution of the program when programming. The base values that
were entered via the monitor program are not necessarily those that are appropriate for
a given patient. When programming you should only enter upper limit values that apply
to the largest possible group of patients. Any parameter can still be changed for any
specific ergometric run such that the parameters are tailored to the patient. You should
also select alarm values that will prevent over stressing even weaker patients but still
allow for a meaningful test. Select an initial load that will not overburden the weaker
patients. If you do not the circulation condition will show false results and automatic
ergometry is then impossible.
In general, automatic ergometry is only used for acute, mostly weak, patients. Accordingly, you should set the parameters at relatively low levels.
Heart rate is one exception in these parameters. It should only be entered via the monitor program as a nominal value. Adapt this value however, to each individual patient,
prior to ergometry. The ergometer works toward attaining this maximum heart rate.
Program 0 will try to reach the maximum heart rate by using three standard load increments. You should, therefore, set the maximum heart rate in accordance with the capabilities of the individual patient so as to avoid excessive stress. It is also astute to provide the ergometer with a continuous heart rate. This can be done with an ear/finger
clip, a pulse monitor or with a heart rate feedback from an ECG unit (see appendix).
Enter the maximum heart rate via the monitor program only as a nominal value but
adapt this value to each individual patient prior to ergometry.
Write your programs on the program forms (as found in the appendix of this manual)
before entering them in the console of the ergometer. This contributes to clarity
and proper record keeping.
You should write your program on one of the programming forms before entering the
program on the console of the ergometer. The programming form is an aid that helps
the operator to maintain an overview of the various parameters. The program forms
also represent a permanent record of the programs that are available if the unit should
malfunction. You will find blank programming forms in the appendix to this manual. An
example of a programming form already filled out can be found in this chapter.

Art-No: 475.037
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Operation Manual
Ergometer
Type er900
Program Listing
Program No.: 0
maximum heart rate
HR
140
1/min.
maximum Systole
230
mmHg (kPa)
maximum Diastole
130
mmHg (kPa)
initial load
Po
25
watt
maximum load
Pmax
999
watt
blood press. measurement interv.
INTERV.BDM =
01
min.
desired PWC value
PWC
Training index.
130
PWC
150
Load increments:
Step 1
Step 2
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Step 3
Step 4
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Step 5
Step 6
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Step 7
Step 8
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Step 9
Step 10
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Step 11
Step 12
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
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Art-No: 475.037
Operation Manual
Ergometer
Type er900
8.2.2
Setup of the Fully Programmable Load Programs 1-8

Programs 1-8 serve to provide the user with a stress program spectrum that will accommodate the patient groups that are to undergo ergometry. Every parameter in these
eight programs is freely definable and will be upheld by the ergometer unless an alarm
parameter is exceeded or a manual change is made to ergometry by the operator.
In this manual you will find examples of such patient group oriented programs. These
example programs are the same as those that are factory pre-programmed prior to
shipment. Naturally, these programs can also be overwritten and individually adapted
to the wishes and needs of the user.
Program Flow:
Classify the patient as belonging to a particular patient group.
Select the appropriate program (1-8).
Start program (blood pressure measurement at rest)

Increasing the load according to the pre-programmed
load increments at the pre-programmed intervals

dropping below the minimum RPM rating of 30 RPM or because the END key
was pressed); transition to the recovery phase

Art-No: 475.037
52
Version: 05/02
Operation Manual
Ergometer
Type er900
Pay attention to the execution of the program when programming. Determine the parameters for the various patient groups before you begin to program. Select alarm and
load parameters according to average strength characteristics of patient groups. Select parameter values such that most individuals in the group require no parameter
changes and those that may become necessary are minor. Reserve a program, preferably program 8, for special patients that require an individualized program. Here, you
can create experimental programs suited to the patients specific requirements. To make
such an experimental program, set all of the parameters for the selected program (e.g.
program 8) to minimum or maximum values, i.e. 0 or 999, so that all automatic control
functions are turned off. Then you can enter the actually desired values for this specific
ergometry just before starting the session.
For special ergometrics, setup one program (e.g. program 8) as experimental with all maximum or minimum parameter values.
the operator maintain an overview of the various parameters. The program forms also
represent a permanent record of the programs that are available if the unit should malfunction. You will find blank programming forms in the appendix to this manual.
Version: 05/02
Write your programs on the program forms (as found in the appendix to
this manual) before entering them in the console of the ergometer. This
contributes to clarity and proper record keeping.
53

Art-No: 475.037
Operation Manual
Ergometer
Type er900
8.2.3
Setup of Program 9, Steady-Pulse (Cardiovascular Training)

Program 9 is for pulse-steady-state training. The ergometer increases the load from
the outset of the training according to your parameters. Upon reaching the maximum
heart rate setting, instead of causing program termination, the unit switches over to
pulse-steady-state control. That means that load changes are calculated to maintain
this heart rate. It is absolutely necessary to provide the ergometer with a continuous
heart rate signal when running the pulse-steady-state program. This can be accomplished with an ear/finger clip, a pulse monitor or a heart rate feedback from an ECG
unit.
Once reached, the ergometer will hold the maximum heart rate value stable until an
additional alarm parameter is exceeded or the training session is manually ended by
the operator.
Program Flow:
Patient for pulse-steady-state training
select program 9
Possible change of the maximum heart rate
Start program (blood pressure measurement at rest )
Increasing the load according to the pre-programmed load increments at the
pre-programmed intervals until the max. heart rate value is reached
Transition to pulse-steady-state control. Load will be

automatically altered in response to the heart rate.
dropping below the minimum RPM rating of 30 RPM or because the END
key was pressed); transition to the recovery phase
Art-No: 475.037
54
Version: 05/02
Operation Manual
Ergometer
Type er900
Pay attention to the execution of the program when programming. Since program 9 is a
pure training program, alarm parameters (except for heart rate) should be chosen so
that any danger to the patient is remote. Select a warm-up load parameter (used until
reaching the max. heart rate value set) such that reaching the heart rate value will not go
too quickly or take too long. When the warm-up phase is too short, reasonable pulsesteady-state training is not possible as the circulatory system has not yet adjusted to
the load. When the warm-up phase is too long, the patient is already tired before the
actual training phase has been reached.
Program 9 is purely a training program. Parameters must be selected that

reflect the requirements of this mode of operation (as opposed to programs 0-8).
the operator maintain an overview of the various parameters. The program forms also
represent a permanent record of the programs that are available if the unit should malfunction. You will find blank programming forms in the appendix to this Operation Manual.
Write your programs on the program forms (as found in the appendix to
this manual) before entering them in the console of the ergometer. This
contributes to clarity and proper record keeping.
Version: 05/02
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Art-No: 475.037
Ergometer
Type er900

Art-No: 475.037
Operation Manual
56
Version: 05/02
Operation Manual
Cleaning
9.
Cleaning
F
9.1
Ergometer
Type er900
The unit, blood pressure cuff and related accessories should be regularly cleaned,
if required, daily.
Important !!
Be sure to disconnect the power cord prior to cleaning the unit.
Cleaning the Unit
Use a soft cloth moistened with a mild cleanser to wipe off the unit as needed.
Ensure that the cloth is not fully saturated. A fully saturated cloth may allow
liquid to enter the unit and cause a defect.
Do not use strong household cleaners or disinfectants to

clean the unit. This may damage the units finish and lead to
defects.
Recommended are disinfectants like Fugaten spray,
Lysoform or Promanum N.
9.2
Cleaning the Blood Pressure Cuff
F
F
The blood pressure cuff may also be cleaned with mild soapsuds. Only alcohol
may be used to disinfect the cuff. Other disinfectants or the use of strong cleansers may damage the cuff and lead to defects.
The microphone should also be cleaned at regular intervals. To clean the microphone, remove it from its pocket in the cuff (pay attention to its position in the cuff,
it must be replaced in the same position after cleaning - the level side of the
microphone has to be pointing towards the arteria).
Clean it with a mild detergent or alcohol.
Defects caused by improper detergent and disinfectants as well as defects originating from insufficient cleaning of the unit are excluded from
the guarantee.
Version: 05/02
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Art-No: 475.037
Ergometer
Type er900

Art-No: 475.037
Operation Manual
58
Version: 05/02
Operation Manual
Appendix A: Interfaces
Ergometer
Type er900
The bicycle ergometer er900 features a number of interfaces. Data can be transmitted or
received by the ergometer in analog or digital modes. Complete external control of the ergometer from a PC or ECG is possible via these interfaces. These interfaces are also capable
of transferring information to external devices (PC or ECG). ergoline provides a wide range
of control variations using a variety of control protocols with a combination of analog and
digital signals. These protocols permit the ergometers connection to practically all ECG
units on the market that have an ergometric program. You will find the interface protocols in
this appendix.
A.1
Input and Output Pin Specifications
Pin1
Pin2
Pin3
Pin4
Pin5
=
=
=
=
=
TxD
GND
RTS
CTS
RxD
Inputs = Kursiv
Version: 05/02
Pin1
Pin2
Pin3
Pin4
Pin5
Pin6
Pin7
Pin8
Housing
=
=
=
=
=
=
=
=
=
External Load
Remote Start BPM
Remote Start ECG
Pulse output
Load output
Diastole output
ECG input
Systole output
GND
Pin1
Pin2
Pin3
Pin4
Pin5
Pin6
=
=
=
=
=
=
+5VAnalog
ECG input.
NC
NC
Opto input
GND Analog
Outputs = Normal
59

Art-No: 475.037
Operation Manual
Ergometer
Type er900
ergometrics er900
Interface ECG Type P1
Software Version V.243
Interface for digital data transfer from er900 to PC or ECG
with internal control of er900
Voltages:
logic low
logic high
Transmit Output (Pin 1)
>+7 V
<-7 V
Receive Input (Pin 5)
>+3 V
<-3 V
Baud rate:
2400/4800 Baud
Protocol:
Format
Start bit
Data bits
Stop bit
Parity
Handshake
ASCII
1
8
1
None
None
Hardware Connection :
Pin 1
Pin 2
Pin 3
Pin 4
Pin 5
Art-No: 475.037
60
Transmit (Output)
GND
NC
NC
Receive (Input)
Version: 05/02
Operation Manual
Ergometer
Type er900
Transmission Protocol :
DATE
14.06.91
LOAD
(watt)
000
SYSTOLE(mmHg) XXX
TIME
08.23
HR (pulse/min)
XXX
DIASTOLE(mmHg)
XXX
Protocol of measurement at rest
TORQUE (n/min)
LOAD
(watt)
SYSTOLE(mmHg)
TIME
08.24
HR (pulse/min)
XXX
DIASTOLE(mmHg)
XXX
Protocol of first load

step
XXX
XXX
XXX
TORQUE (n/min)
LOAD
(watt)
SYSTOLE(mmHg)
XXX
XXX
XXX
TIME
08.27
HR (pulse/min)
XXX
DIASTOLE(mmHg)
XXX
Protocol of fourth
load step
TORQUE (n/min)
LOAD
(watt)
XXX
XXX
TIME
08.27
HR (pulse/min)
XXX
Protocol of load
program termination
DATE
14.06.91
SYSTOLE(mmHg) XXX
HR (pulse/min)
XXX
TIME
08.28
DIASTOLE(mmHg)
XXX
Protocol of first
recovery measurement
DATE
14.06.91
SYSTOLE(mmHg) XXX
HR (pulse/min)
XXX
TIME
08.29
DIASTOLE(mmHg)
XXX
Protocol of second
DATE
14.06.94
P max
(watt) XXX
PWC110 (watt) XXX
PWC130 (watt) XXX
PWCXXX (watt) XXX
TIME
0829
HR (pulse/min)
PWC110 (watt/kg)
PWC130 (watt/kg)
PWCXXX (watt/kg)
Summary protocol at
the end of the complete
ergometry
XXX
XXX
XXX
XXX
TRAINING IND. = XXXXX
A protocol will automatically be produced at every blood pressure measurement and at every load increment. This data will be sent to the RS-232 interface without a prompt, command, or service request from the external device.
Control of load and blood pressure measurements as well as the monitoring of alarm parameters is handled internally from the console of the ergometer.
Version: 05/02
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Art-No: 475.037
Operation Manual
Ergometer
Type er900
ergometrics er900
with internal control of er900
Voltages:
logic low
logic high
>+7 V
<-7 V
>+3 V
<-3 V
Baud rate:
2400/4800 Baud
Protocol:
Format
Start bit
Data bits
Stop bit
Parity
Handshake
ASCII
1
8
1
None
None
Pin
Pin
Pin
Pin
Pin
Art-No: 475.037
62
1
2
3
4
5
Transmit (Output)
GND
Receive (Input)
Version: 05/02
Operation Manual
Ergometer
Type er900
Transmission Protocol
DATE
14.06.91
LOAD (watt)
000
SYSTOLE(mmHg) XXX
TIME
08.23
HR (pulse/min)
XXX
DIASTOLE(mmHg)
XXX
Protocol of
measurement at rest
LOAD (watt)
XXX
Load rep., begin increm.
LOAD (watt)
XXX
Load rep., end increm.
TORQUE (n(min)
LOAD (watt)
SYSTOLE(mmHg)
XXX
XXX
XXX
LOAD (watt)
XXX
LOAD (watt)
XXX
TORQUE (n(min)
LOAD (watt)
SYSTOLE(mmHg)
XXX
XXX
XXX
LOAD (watt)
XXX
LOAD (watt)
XXX
TORQUE (n(min)
LOAD (watt)
SYSTOLE(mmHg)
XXX
XXX
XXX
LOAD (watt)
XXX
LOAD (watt)
XXX
TIME
08.24
HR (pulse/min)
XXX
DIASTOLE(mmHg)
XXX
TIME
08.27
HR (pulse/min)
XXX
DIASTOLE(mmHg)
XXX
TIME
08.27
HR (pulse/min)
XXX
DIASTOLE(mmHg)
XXX
Protocol of first load step
Protocol of fourth
load step
Protocol of load
program termination
DATE
14.06.91
SYSTOLE(mmHg) XXX
HR (pulse/min)
XXX
TIME
08.28
DIASTOLE(mmHg)
XXX
DATE
14.06.91
SYSTOLE(mmHg) XXX
HR (pulse/min)
XXX
TIME
08.29
DIASTOLE(mmHg)
XXX
Protocol of second
DATE
14.06.94
P max
(watt) XXX
PWC110 (watt) XXX
PWC130 (watt) XXX
PWCXXX (watt) XXX
TRAINING IND. = XXXXX
TIME
0829
HR (pulse/min)
PWC110 (watt/kg)
PWC130 (watt/kg)
PWCXXX (watt/kg)
Summary protocol at
ergometry
Version: 05/02
63
XXX
XXX
XXX
XXX
Protocol of first

Art-No: 475.037
Operation Manual
Ergometer
Type er900
ergometrics er900
Interface for digital data transfer from er900 to an ECG,
with analog control via the ECG
Voltages:
Digital
logic low logic high
>+7V
>+3V
Analog
Baud rate :
<-7V
<-3V
minimal maximal
resolution
Load argument (input)
0V
5V
adjustable
Load return (output)
0V
6V
adjustable
RPM return (output)
0V
6V
1V = 50 1/min
2400 or 4800 Baud
Protocol:
Format
Start bit
Data bits
Stop bit
Parity
Handshake
ASCII
1
8
1
None
None
Hardware Connections :
Remark: Applies only to the RS-232

digital interface
Pin 1
Pin 2
Pin 3
Pin 4
Pin 5
Transmit (Output)
GND
NC
CTS
Receive (Input)
Pin 1 = Load argument (input)

Pin 2 = Remote Start BPM (input)
Pin 3 = Remote Start ECG (output)
Pin 4 = Pulse frequency (output)
Pin 5 = Current load (output)
Pin 6 = Current diastole (output)
Pin 7 = QRS signal (input)
Pin 8 = Systole (output)
Case = GND

Art-No: 475.037
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Version: 05/02
Operation Manual
Ergometer
Type er900
Transmission Protocol:
In contrast to purely digital transmission, ECG type P4 protocol always responds, upon
demand, with a standardized data record. The string consists of 54 alphanumeric characters with Carriage Return and Line Feed as line delimiters. The RS-232 will only
accept the S<CR> command. All other characters will be ignored. Ergometry cannot
be terminated with an interface command. The ergometry will automatically terminate,
at the latest, six minutes after the test subject ceases to pedal. Error measurements of
the blood pressure unit are discernible in that all values in the data string are set to
000.
Control flow with P4 :
Start command sent from controlling device (e.g. ECG)

S<CR>
The ergometer will begin the ergometry by taking the blood pressure measurement at rest. After
the blood pressure measurement is completed, the following string will be sent from the ergometer.
NR.01,SYST:xxxmmHg,DIAST:xxxmmHg,Pulse:xxx/min<CR><LF>
The pre-set load will be applied after the data record has been sent.
Every subsequent blood pressure measurement

must be triggered with the
S<CR> command.
After every new start command a new blood pressure measurement will be taken and then the data record
(as below) reported.
NR.xx,SYST:xxxmmHg,DIAST:xxxmmHg,Pulse:xxx/min<CR><LF>
Remark:
NR.xx, SYST: xxx mmHg , DIAST: xxx mmHg ,PULSE: xxx/min <CR><LF>
measurement no.
diastolic value
systolic value
Version: 05/02
heart rate value
65

Art-No: 475.037
Operation Manual
Ergometer
Type er900
ergometrics er900
(for Cardiosunny / Polymed)
Voltages :
logic low
logic high
>+7 V
<-7 V
>+3 V
<-3 V
Baud rate:
2400/4800 Baud
Protocol:
Format
Start bit
Data bits
Stop bits
Parity
Handshake
ASCII
1
8
1
None
None
Pin
Pin
Pin
Pin
Pin
Art-No: 475.037
66
1
2
3
4
5
Transmit (Output)
GND
NC
CTS
Receive (Input)
Version: 05/02
Operation Manual
Ergometer
Type er900
Transmission Protocol:
DATE
14.06.91
LOAD
(watt)
000
SYSTOLE(mmHg) XXX
TIME
08.23
HR ((pulse/min)
XXX
DIASTOLE(mmHg)
XXX
Protocol of measurement at rest
TORQUE (n/min)
LOAD
(watt)
SYSTOLE(mmHg)
TIME
08.24
HR (pulse/min)
XXX
DIASTOLE(mmHg)
XXX
Protocol of first load

step
XXX
XXX
XXX
_
_
_
TORQUE (n/min)
LOAD
(watt)
SYSTOLE(mmHg)
XXX
XXX
XXX
TIME
08.27
HR (pulse/min)
XXX
DIASTOLE(mmHg)
XXX
Protocol of fourth
load step
TORQUE (n/min)
LOAD
(watt)
XXX
XXX
TIME
08.27
HR (pulse/min)
XXX
Protocol of load
program termination
DATE
14.06.91
SYSTOLE(mmHg) XXX
HR (pulse/min)
XXX
TIME
08.28
DIASTOLE(mmHg)
XXX
DATE
14.06.91
SYSTOLE(mmHg) XXX
HR (pulse/min)
XXX
TIME
08.29
DIASTOLE(mmHg)
XXX
Protocol of second
DATE
14.06.94
P max
(watt) XXX
PWC110 (watt) XXX
PWC130 (watt) XXX
PWCXXX (watt) XXX
TIME
0829
HR (pulse/min)
PWC110 (watt/kg)
PWC130 (watt/kg)
PWCXXX (watt/kg)
Summary protocol at
ergometry
XXX
XXX
XXX
XXX
Protocol of first
TRAININGSIND. = XXXXX
A protocol will automatically be produced at every blood pressure measurement and at every
load increment. This data will be sent to the RS232 interface without a request from the
external device.
Control of load and blood pressure measurements as well as the monitoring of alarm parameters is handled internally from the console of the ergometer.
Version: 05/02
67

Art-No: 475.037
Operation Manual
Ergometer
Type er900
ergometrics er900
Interface for digital data transfer from er900 to PC or ECG.
The ergometer control is done via PC or ECG
Voltages:
logic low
logic high
>+7 V
<-7 V
>+3 V
<-3 V
Baud rate:
2400/4800 Baud
Protocol:
Format
Start bit
Data bits
Stop bit
Parity
Handshake
ASCII
1
8
1
None
None
Hardware connection:
Pin
Pin
Pin
Pin
Pin
Art-No: 475.037
68
1
2
3
4
5
Transmit (Output)
GND
Receive (Input)
Version: 05/02
Operation Manual
Ergometer
Type er900
Transmission Protocol :
Command from PC
(ECG)
Response
from er900
Description
W xxx <CR>
---
Sets a load target of xxx Watts.
L xxx <CR>
---
Sets load increment to xxx Watts per minute. (The load will be
increased in 1 Watt steps over the period of one minute.)
A xxx <CR>
---
Sets the initial load Po (load value to start of ergometry ) to xxx in

Watts.
P xxx <CR>
---
Sets the maximum pulse rate to xxx per min. (Only makes sense
for pulse steady state training.)
S <CR>
---
Start of blood pressure measurement at rest with subsequent

start of ergometry with initial load Po.
s <CR>
---
Start of ergometer with the initial load Po without a prior Po

blood pressure measurement at rest.
B <CR>
B xxx <CR>
Query for current load.

Output of current load in W.
D <CR>
n xxx <CR>
Query for current rpm value.

Output of current rpm value in 1/min.
H <CR>
H xxx <CR>
Query for current heart rate.

Output of current heart rate in 1/min.
O <CR>
O xxx <CR>
Query for current systolic value.

Output of current systolic value in mmHg.
U <CR>
U xxx <CR>
Query for current diastolic value.

Output of current diastolic value in mmHg.
F <CR>
---
I <CR>
0900P10VXXX<CR>
End of ergometry process (should be sent three times ).
Identification string of the ergometer. The string contains the device type
0900-, ECG interface protocol - P10 - and software version number VXXX
Remark:
W xxx <CR>
command
Version: 05/02
value (e.g. load value)
carriage return (end of line)
69

Art-No: 475.037
Ergometer
Type er900

Art-No: 475.037
Operation Manual
70
Version: 05/02
Operation Manual
Appendix B: Monitor Program
Ergometer
Type er900
B.1 Additional Settings in the Monitor Program

B.1.1 Setting the ECG Type
Setting the ECG type determines the manner in which the interface is handled. Descriptions
of the various possible modes can be found in appendix C.
Press the MONITOR key.

display.
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa
Use the arrow keys in the alphanumeric keypad to move the cursor to the menu item ECGTYPE.
Call up this sub-program by pressing the

MONITOR key again.
Move the cursor with the arrow keys in the

alphanumeric keypad to the correct ECGTYPE.
Confirm your programming entries by pressing the RETURN key. The unit will then automatically reset and return to the starting state
once again.
MONITOR
ECG - TYP
TRANSM.SPEED
LANGUAGE
V.XXX
P1
P2
P3
P4
P5
P6
P7
P8
l
l
l
P9
P10
P11
P12
You may now continue with other settings or

exit the monitor program by pressing the RETURN key again.
Version: 05/02
71

Art-No: 475.037
Ergometer
Type er900
Operation Manual
B.1.2 Setting the Baud Rate

Use of the RS-232 interface requires that the transmission rate of data sent and received
(baud rate) be established. For some modes of operation this baud rate is fixed and with
others it must be selected. If you have selected a particular ECG device, the baud rate is
already fixed. The baud rate is 4800 for interface modes P1, P2 and P10. You only need to
alter the baud rate when a value of 2400 is required (instead of 4800).
The monitor main menu will appear in the display.
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa
Use the arrow keys in the alphanumeric keypad to move the cursor to the menu item
TRANSM.SPEED.
Call up this subprogram by pressing the

MONITOR key again.

alphanumeric keypad to the desired baud
rate.
Confirm your programming entries by pressing the RETURN key. The main menu will
appear again.
MONITOR
ECG - TYP
TRANSM.SPEED
LANGUAGE
V.XXX
TRANSM.SPEED
2400 Baud
4800 Baud
M
(*)
(*)
l
l
l


Art-No: 475.037
72
Version: 05/02
Operation Manual
Ergometer
Type er900
B.1.2 Switching Between Internal and External Load Control

This setting is concerns the load control. Internal control means that the ergometers internal
program will determine the load. External means that the load will be controlled by the device
connected to the analog interface. When the load is controlled externally, the ergometer
controls only the blood pressure measurements and data transfer over the RS-232 interface.
Some interface modes are based upon external load control and others do not permit external load control. (see Appendix A).
m
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa
LOAD INT/EXT.

MONITOR key again.

alphanumeric keypad to the desired selection.
Confirm your programming entries by pressing the RETURN key. The main menu will
appear again.
MONITOR
V.XXX
LOAD INT/EXT
ADJUST LOAD - INPUT
ECG - RECORD
LOAD INT-EXT
INT
EXT
(*)
(*)
l
l
l
Version: 05/02

If external control has been selected, the display will now show P=ext instead of P=000 in
the upper left-hand corner.
73

Art-No: 475.037
Ergometer
Type er900
Operation Manual
B.1.4 Hardware Diagnostics

This program can check the hardware in the event that an error in the system should occur.
You can check for operating voltages being within their tolerances and, when necessary,
check to see if the blood pressure measurement system has a leak, and also check it for
correct display.
MONITOR
V.XXX
ACTIVATE PROGRAM
ADJUST CLOCK
mmHg - kPa
TEST.

MONITOR key again.
MONITOR
TEST
ADJUST TORQUE
ADJUST OUTPUT
V.XXX
TEST
+-5Va =
+5Vd =
+24V =
The display will now show the current operating voltages. To the right of each voltage the
allowable tolerance will be displayed. The
next test display is reached by pressing the
down arrow-key in the alphanumeric keypad.
M
X.XXV
X.XXV
XX.XV
[0.2]
[0.3]
[6V]
The current setting for external load will now

be displayed along with the current values for
null voltages on the blood pressure units
transducer (C-BPT) and on the expansion
strip of the drive unit (C-ES). The air system
on the blood pressure measurement unit can
also be pressurized to test for a leak and to
see that it displays correctly.
Pressing the RETURN key will cause an exit

from the test program at any time.
BEL-EXT = 000W TEST

M
U-TD = XXX
[020 - 150]
U-DMS = XXX
[050 - 250]
S = 000 mmHg D = 000 mmHg

Art-No: 475.037
74
Version: 05/02
Operation Manual
Appendix C: Program Listing
Ergometer
Type er900
Program Listing
Program No.: ____
maximum heart rate
HR
1/min.
maximum Systole
mmHg (kPa)
maximum Diastole
mmHg (kPa)
initial load
Po
watt
maximum load
Pmax
watt
blood press. measurement interv.
INTERV.BDM =
min.
desired PWC value
PWC
Trainingsind.
PWC
Load increments:
Step 1
Step 2
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Step 3
Step 4
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Step 5
Step 6
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Step 7
Step 8
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Step 9
Step 10
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Step 11
Step 12
Load interval
min.
Load interval
min.
Load change
watt
Load change
watt
Version: 05/02
75

Art-No: 475.037
Operation Manual
Appendix D: Indicators
Ergometer
Type er900
D.1
PWC Values
D.1.1 What is a PWC Value?

The PWC (Physical Work Capacity) value is an index of the physical power of a patient at a
given heart rate. Empirically derived values for men and women in various age groups are
used as objectives. Various authors have established PWC tables. Naturally there are minor performance variations in these assorted tables. To arrive at a standard, PWC values for
the following heart rates were calculated:
HR = 130/min.
HR = 150/min.
HR = 170/min.
These values establish what performance a patient in the assorted age groups should have
at a heart rate of 130, 150 or 170 beats per minute to be considered normal for his/her
respective patient group.
If only heart rate is considered with regard to a particular performance, the resulting absolute
value is of little significance (e.g. 200 Watt at HR=150/min.). The patients weight must receive consideration with regard to the performance factor in order for the results to be relevant and comparative. Continuing the same example, for a patient with a weight of 100kg
this means:
Performance at HR 150/min. = 200 Watt
the resulting PWC value is:
PWC150 = 200 Watt/100kg
= 2 Watt/kg body weight
The following tables from the book Stress Analysis in Practice from Rost and Hollmann can
be used as a standard for performance characteristics.
Table 5.3, Pulse relevant performance characteristics PWC130 PWC150 and PWC170, recorded in our institute, that are based upon non-conditioned men between ages 30 and 70 given in, Watt/kg.
agegroup
A
(years)
weight
(kg)
height
(cm)
20 -30
14
24,7
77,6
182
30 - 40
39
35,2
80,6
179
40 - 50
28
45,0
79,8
176
50 - 60
21
54,1
75,8
172
60 - 70
21
65,2
76,3
172
PWC130
1,45
0,38
1,52
0,40
1,51
0,34
1,56
0,25
1,49
0,33
PWC150
1,98
0,38
2,05
0,41
1,96
0,37
2,05
0,30
1,94
0,33
PWC170
2,51
0,48
2,53
0,45
2,48
0,42
2,64
0,40
2,37
0,38
Standard values for PWC in Watt/kg body weight. The mean deviation is 0.4 Watt
PWC130
PWC150
PWC170

Art-No: 475.037
men
1,50
2,00
2,50
women
1,25
1,60
2,00
76
Version: 05/02
Operation Manual
Appendix D: Indicators
D.2
Ergometer
Type er900
Training Indicator
The system can calculate and print a training indicator when ergometry is complete. These
training indicators are reflective of the entire circulation response to the performance invoked
by ergometry. This value however only has relevance when it is compared to values from
multiple ergometry sessions of the patient over a period of time. These values are very good
indicators of the patients training progress.
The training indicator is calculated by the computer as follows:
training indicator
S - D * HR * M
P
S = maximum systole
D = maximum diastole
HR = maximum heart rate
M = patients weight
P = maximum performance
The training indicator serves to compare multiple ergometric sessions of a single

patient. This value is not applicable for the comparison of different patients. Basically, a drop in the value on a patients chronologically consecutive ergometric
sessions is a positive indication of good training progress.
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77

Art-No: 475.037
Operation Manual
Appendix E: HR Recording
Ergometer
Type er900
E.1
Heart Rate Feedback from ECG
When an ECG device is connected to the ergometer it is advantageous to supply the

ergometer with a feedback of the recorded heart rate. This allows the heart rate to be
continuously monitored as an alarm parameter. When performing pulse-steady-state
training a continuous heart rate input is indeed absolutely necessary. If the ECG device
used supports a QRS trigger output, this can be connected to the ergometer. There are
two possible connections (see appendix C), either the analog interface (J13, Pin 7) or over
the opto-input (J11, Pin 2).
E.2
Pulse Monitor
Ergoline offers a pulse monitor, type Polar, that can be used for heart rate input to the ergometer without an ECG. The receiver of the pulse monitor is connected to the opto-input of the
ergometer. The QRS impulse is then radio transmitted from the chest strap to the ergometer.
chest strap
receiver
Polar-Pacer on a seat type ergometer

Art-No: 475.037
78
Version: 05/02
Operation Manual
Appendix F: Specification
Ergometer
Type er900
F.1 Technical Data

Type :
Operation mode:
Power supply:
Power rating:
Braking principal:
Load range:
RPM range:
Deviation of load :
Load increments:
Time interval:
Load programs:
Max. admissable patient weight:

Seat adjustment:
Handle bar adjustment:
Display:
Blood pressure measurement :
Pulse measurement :
Measurement range:
Alarm settings:
Printer:
Electrical inputs:
Analog:
Electrical outputs:
Digital:
Analog:
Weight:
Dimensions (W x L):
Calibration:
Protection of calibration:
Safety standard:
Device class:
Classification MDD:
Version: 05/02
ergometrics 900
continuous operation
115 V / 230 V ~/ 50 Hz / 60 Hz
90 VA
computer controlled eddy current brakes with torque regulation (RPM
independent in accordance with DIN 13405)
20 . . . 999 Watt
30 . . . 130 n/min-1
acc. to DIN 13405:
max. 5% in the range ot 25 and 400 W
however:
max. 3 W in the range of 25 and 100 Watt
acc. to manufacturer: max. 5% in the range of 20 and 900 W
however:
max. 3 W in the range of 20 and 100 W
manual setting: 5W programmable: 5W or multiple thereof
1 min. ... 99 min
8 programs freely programmable
1 automatic program (dependent from circulatory condition)
1 program for Pulse-Steady-State training
120 kg
continuously adjustable for body sizes 1.20 m to 2.10 m
continuously adjustable for body sizes 1.20 m to 2.10 m
1x LCD-Display : 4 lines @ 20 char.
1 x LED 10 mm: rpm display for patient
RR indirect with automatic artefact suppression
separate time interval in range 1 min to 99 min
switchover between mmHg and kPa possible
priority principal:
1. ECG, 2. Opto, 3. RR
35 to 230 bpm
load, pulse, systole, diastole as limit values
thermal printer with 40 columns,
paper width 80 mm
Digital control: RS232
Opto, ECG 1V
RS232,
load, pulse, systole, diastole
remote start ECG (1 to 99 sec)
64 kg
min: 400 x 900 mm, width of handle bar: approx. 540 mm
height: min: 950 mm; max: 1330 mm
performed with switches and keypad
Code
BF according to IEC 60601-1
I according to IEC 60601
class IIa according to 93/42 ECC
79

Art-No: 475.037
Ergometer
Type er900
Operation Manual
Appendix F: Technical Data
F.2: The Speed-Correlated Capacity of Brake Power Control
RPM independent range in accordance with DIN 13405

+

Art-No: 475.037
RPM independent range er900
80
Version: 05/02

Operating Manual Ergometrics ER 900 (English)

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Operation Manual

Operation Manual for Bicycle Ergometer er900

This Operation Manual

Ergometer ergometrics 900

is valid for the following Software-Versions:

V.236, V.240 and V.243

er900 Operation Manual

er900 Operation Manual

Safety Notices ................................................................................................... 7

Putting into Operation .................................................................................... 13

er900 Operation Manual

Ergometry Process ......................................................................................... 22

er900 Operation Manual

Structure of Programs .................................................................................... 46

Appendix A: Interfaces ................................................................................... 59

Appendix B: Monitor Program ....................................................................... 71

Appendix D: Indicators .................................................................................. 76

Appendix E: HR Recording ........................................................................... 78

Appendix F: Specification .............................................................................. 79

er900 Operation Manual

Comments by the Manufacturer for the User

Medical electrical equipment; General requirements for

er900 Operation Manual

Product Relevant Regulations

er900 Operation Manual

Basic Safety Comments

er900 Operation Manual

It is necessary to ensure that no dangerous ground currents occur as a

Notice for EMC (electromagnetic compatibility)

Requirements for Operating Personnel

er900 Operation Manual

Safety and Device Protecting Features

Maintenance, Safety Relevant and Metrological Inspections

er900 Operation Manual

Identification Plate, Labelling

label with serial number

er900 Operation Manual

blood pressure cuff

measurement head with rear cover

saddle bar with saddle and folding bellows

er900 Operation Manual

er900 Operation Manual

Putting into Operation

Operating Elements and Connections

1 power connector, fuse

er900 Operation Manual

er900 Operation Manual

11 BLOOD PRESS. I/0 to initiate or stop blood

switches printer output (internal, external or turned off)

produces a copy of the result protocol

toggle QRS beep on/off

printer paper feed

Connectors and Interfaces

1) Make sure that the power switch is in the

Connector for Blood Pressure Cuff

The microphone cable is to be

er900 Operation Manual

1) Digital RS232 interface connector for PC or ECG.

er900 Operation Manual

Mains power switch

er900 Operation Manual

The Computer - Your Helper

Load Program No. 9

Load program for patients whose