ELI 380 Advanced Service Training Guide Jan 2020

ELI 380 ADVANCED SERVICE TRAINING

ELI 380 electrocardiograph This learning module applies to ELI 380 devices that have 2.X.X software version. Check the setting menu to determine which software version your ELI 380 device possesses. This learning module contains basic instructions and service training on the operation of the ELI 380 electrocardiograph. This module is not meant to replace the ELI 380 user or service manual. Refer to the ELI 380 user manual and service manual for more detailed information.

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ELI 380 ADVANCED SERVICE TRAINING

General overview ELI 380 is a multi-lead diagnostic electrocardiograph capable of acquiring, viewing, transmitting, printing, and storing ECG data. • 17" color display • Microbial resistant keyboard • All 12 leads visible on the screen prior to obtaining the ECG! • 3, 8, 12 leads of ECG preview, saving both time and paper! • 15 lead ECG as an option (requires AM15) • The 3 extra leads will replace aVL, aVR & aVF on the screen with the alternate leads selected for true 15L. • Best 10: manually or automatically select the best 10 second from the ECG buffer • Active memory for max 20-minutes of full disclosure data • Manual selection from the last 20 minutes or automatic selection from the last 5 minutes •

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ELI 380 ADVANCED SERVICE TRAINING

General overview VERITAS™ resting ECG algorithm which offers Pediatric and Adult ECG interpretation based on age and gender specifity. • Supports the ACC/AHA/HRS and Academy of Pediatric Medicines ECG recommendations • Exceeds published pediatric recommendations • Available as: • ELI 380: tilting, non-touch display • ELI 380 Ergo: tilting and rotating touch-screen display • Optional configurations: WAM, WLAN connectivity, Advanced Security and DICOM® protocol support. •

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ELI 380 ADVANCED SERVICE TRAINING

Power on/off The ELI 380 may be used on AC (wall) power or on battery power. Plug the power cord into the wall outlet and into the back of the machine. Select the power ON/OFF

button located on front right panel of the unit.

The A/C power LED light illuminates when the machine is connected to AC (wall) power.

AC Power

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ELI 380 ADVANCED SERVICE TRAINING

Insert paper • Insert the pack of paper without the cardboard! • Place the stack of thermal paper into the paper tray with the grid visible when pulled over the paper tray cover. • Manually advance 1/2 page of paper beyond the closure point of the writer. • Make sure the paper lays on the black roller evenly within the channel of the paper door. If paper is not manually advanced evenly, risk of jamming or queue faults increases. • Slide the paper tray cover to the right until the cover latches in the locked position (a clear clicking sound should be heard) • ELI 380 uses ‘smart’ paper, this is 210x280 mm (smaller values of both A4 and letter), aka PA4 or L4 6 xxxxxx rev 1 DD-MMM-YYYY © 20XX Hill-Rom Services, Inc. ALL RIGHTS RESERVED.

ELI 380 ADVANCED SERVICE TRAINING

Standby mode • Standby mode is a low power or “sleep” mode. • This mode allows the unit to conserve power when not in use while providing an “instant on” startup • Standby is activated: • When closing the cover • Automatically after no tracings for 5 minutes (both when mains is connected or on battery) • By pressing the power button for 1 second • To wake the unit, open the cover or press the power button. Note: pressing the power button for 20 seconds will restart the device while loosing date and time (device will prompt for date and time)

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ELI 380 ADVANCED SERVICE TRAINING

Shutdown mode In shutdown mode, the system is completely off. Automatic shutdown occurs after the device has been in standby and no ECG signal is detected for 15 minutes and only if the device is not connected to mains To manually shutdown: 1. Disconnect AC power 2. Close the lid 3. Press the power button once To return from a shutdown, press the power button for 1 second • The system is ready for use within approximately 7 seconds

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ELI 380 ADVANCED SERVICE TRAINING

Battery • One or two Li-Ion batteries (typically sufficient for 30 / 60 recordings) • Battery indicators • A battery graphic is displayed on the right side of the main keyboard above the power button. • This battery LED shows the battery charge. Five green LED bar: 90 – 100% charge Four green LED bars: 75 – 89% charge Three green LED bars: 55 – 74% charge Two green LED bars: 35 – 54% charge One green LED bar: 15 – 34% charge One amber LED bar: less than 14% charge When 10 seconds left, a warning will appear on screen and the device will shut down. No LED bars illuminated: depleted battery/batteries 9 xxxxxx rev 1 DD-MMM-YYYY © 20XX Hill-Rom Services, Inc. ALL RIGHTS RESERVED.

ELI 380 ADVANCED SERVICE TRAINING

Keyboard layout- Quick keys The ELI 380 has automatic “one touch” quick action keys. These quick keys are located on the top left of the display

ID

Accesses the Directory, Patient List, MWL and Demographics

ECG

Acquires ECG (double ECG selection for STAT)

SYNC

Transmits ECG / Receives Orders / Syncs Time

HOME

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ELI 380 ADVANCED SERVICE TRAINING

Patient Demographic layout Demographics • Customizable mandatory fields that are green prior to use. • The field turns orange once the field is entered. • The ECG cannot be transmitted until the mandatory field(s) are completed. • ID formats for selection are: • Short, Long and Custom • Custom ID can be created through any of our partners, or ELI Link

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ELI 380 ADVANCED SERVICE TRAINING

Main display overview entry, ECG, Sync, HomeQuick Keys: Patient

Quick Keys: Rhythm ECG, Settings Speed, Gain, Filter, Patient Cable Interface, RTC

Heart rate, patient info

12 lead ECG

Quick format Menu (Current ECG only!)

Full Disclosure acquisition

Scroll, select ECG

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ELI 380 ADVANCED SERVICE TRAINING

Main display: Format menus • The format menu changes the display format or the print format (depending where and when selected) • Changes made in the format menus will not be saved, they will only affect the current ECG recording (display format menu) or print (acquired ECG format menu) • Display Format allows to toggle between the various strip layouts • Speed changes the sweep speed • Display Gain changes the gain • Display filter allows to reduce the bandwith of the displayed signal Use these options for troubleshooting by selecting 300 Hz, 12x1 to review the complete and unfiltered ECG • Full Disclosure toggles the FD view on and off • Lead Placement allows to select alternate lead placement for right sided, pediatric or posterior lead placement. (up to 4 can be programmed)

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ELI 380 ADVANCED SERVICE TRAINING

Main display: Real-time ECG view • Presented in a 3, 4x2, 6x2 or 12x1 lead format • 15L replaces aVR, aVL & aVF with selected leads • Use the ECG button to acquire according to your best 10 or last 10 setting, or…. • Use the Cursor and select buttons to select the ‘Best 10’ manually (on the ergo, simply touch the section you want to select)

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ELI 380 ADVANCED SERVICE TRAINING

Acquired ECG display • Once the ECG has been acquired, the ‘Acquired ECG’ window opens • This area shows the 10 seconds of ECG based on the best 10 or last 10 setting • Selecting ID allows for editing of the patient ID information • Selecting Print sends the ECG to the printer • Selecting Transmit sends the record to the ELI Link server • Selecting Erase permanently erases the ECG (record can print/transmit and then be erased) • Selecting Home returns you to the real time display ▪ Click or tab (ELI 380 Ergo) anywhere on the ECG to open the quick format menu

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ELI 380 ADVANCED SERVICE TRAINING

Acquired ECG display: Format menu • Changing the print layout • Options are similar to that of the display format menu • Additional: • Pacer channel shows / hides the PM markers on the bottom of the print • Best 10, this allows to toggle between last 10 or best 10 (only after closing the print display will the FD data be discarded)

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ELI 380 ADVANCED SERVICE TRAINING

Best 10 Feature The Best 10 algorhithm automatically selects and displays the best 10 seconds of ECG data from the last 5 minutes of memory • While still in the ECG recording window, manual selection of the users’ “best 10” is possible from the complete full disclosure buffer (max 20 minutes) • Best 10 requires a minimum of 27 seconds of data • The automatic best 10 second determination is based upon measurement of high and lowfrequency noise found in the 10-second ECG segments.

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ELI 380 ADVANCED SERVICE TRAINING

Lead reversal detection Lead Reversal Detection • Detects limb lead and chest lead reversals in real time. • Reduces errors and the need for repeat ECGs. • 5% of all ECGs may demonstrate lead reversal • Illustrates which leads possibly reversed • The reversal message is not printed

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ELI 380 ADVANCED SERVICE TRAINING

Alternate Lead Label Standard Lead configuration: I, II, III, aVR, aVL, aVF, V1, V2, V3, V4, V5, V6 Optional: V3R, V4R, V5R, V6R, V7R, V7, V8, V9 Up to 3 additional lead placement groups may be programmed and selected for use, for example: – Standard – Pediatric – Right Sided – Posterior

Right-sided

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ELI 380 ADVANCED SERVICE TRAINING

Directories Modality Work List (MWL a.k.a. Order list) • 256 orders can be downloaded through xml or DICOM. • User can narrow list down by means of query codes Patient list • List of patients available in memory (max 2000) • List can be synchronized based upon ELI-link settings Directory • List of ECG’s (max 500) that are stored in memory • Records are listed by patient Name, ID, DOB or Last Acquisition Date (v2.1 added CTR field) • FIFO

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