Model ST55, TM55, ST65 and TM65 Cardiac Stress Treadmill User Guide Rev A

Preface This user guide contains the user and patient safety requirements, operating instructions and maintenance requirements for the Cardiac Stress treadmills, models ST55, TM55, ST65, and TM65. The user guide is intended for use by trained clinicians working in a clinical setting. It is expected that the clinician will instruct the patient in the proper use of the treadmill and its accessories. Before using the treadmill, read the user guide carefully, noting the safety requirements in Appendix A. There are no user-serviceable parts in the treadmill. Any attempt by non-authorized personnel to service the equipment may void the warranty. Upon request, we will provide a technical document containing block-level theory of operation, troubleshooting, removal and replacement instructions (by module), maintenance, and other information that will assist appropriately-trained personnel to repair those parts of the equipment designated as repairable.

Liability Notice Failure to follow the conditions set forth below shall limit, to the extent allowed by law, Quinton Cardiology, Inc. responsibility for the safety, reliability, and performance of this equipment: The operator manual must be read in full by each operator before the product is first used.

Cardiac Stress Treadmills User Guide

Preface iii

Assembly operations, extensions, readjustments, modifications, or repairs must be carried out only by personnel trained or authorized by Quinton Cardiology, Inc. The electrical wiring within the treadmill’s setting and the electrical installation of the treadmill must comply with the applicable local or provincial requirements. The equipment must be used in accordance with the instructions for use. Caution!

iv Preface

Accessory equipment connected to analog, digital, or power interfaces must be either equipment offered for sale by Quinton Cardiology, Inc. or equipment that, when connected to such interfaces, maintains the safety and specified performance of the overall system and the individual devices. For example, such safety is maintained if the individual equipment and overall system complies with relevant safety requirements found in International Electrotechnical Commission (IEC) standards.

Cardiac Stress Treadmills User Guide

Contents Introduction Overview... 1-1 Treadmill Configuration... 1-2 Controls... 1-2 Power... 1-2 Operation... 1-3 Emergency Stop Button... 1-3 Indicators... 1-4 Accessories and Options... 1-4 Operating the Treadmill Guidelines for Safe Operation... 2-1 Instructing the Patient... 2-2 Starting the Exercise... 2-2 Emergency Stop Button (option)... 2-3 Ending the Exercise... 2-3 Maintenance/Troubleshooting Daily Visual Inspection... 3-1 Cleaning... 3-2 Exterior... 3-2 Daily... 3-2 Cardiac Stress Treadmills User Guide

Contents v

Weekly... 3-2 Interior... 3-2 Disinfection... 3-2 Adjustments... 3-3 Belt Tension... 3-3 Belt Tracking... 3-4 Rear Roller Guards... 3-5 Electrical Testing... 3-6 Moving and Storing the treadmill... 3-6 Re-use... 3-7 Troubleshooting... 3-7 Troubleshooting Guide... 3-8 Safety Requirements Warnings and Cautions... A-1 EMC Declaration Tables... A-4 Specifications Cardiac Stress Treadmills... B-1 Power Requirements... B-2 Speed Vs. Weight Range... B-2 % Grade vs Angle Relationship... B-3 Receiving and Installation Receiving... C-1 Installation Notice... C-1 Site Requirements... C-2 Installation... C-3 Tools... C-3 Procedure... C-3 Connecting to the Monitoring System... C-4 Testing the Treadmill... C-5 Glossary Glossary...D-1 Symbol Definitions Symbol Definitions... E-1 Index Index... Index-1 vi Contents

Cardiac Stress Treadmills User Guide

1 Introduction Overview The Cardiac Stress Treadmills are heavy-duty medical treadmills designed specifically for stress test applications. Four models are available and can be used with the following cardiac stress testing systems: Treadmill Model TM55 TM65 ST55 ST65

Where Used Quinton Q-Stress Cardiac Stress System Burdick Quest Exercise Stress System Quinton Q-4500 Stress Test Monitor System Quinton Q710 Stress Monitor & Resting ECG System

All models feature variable speed and grade and a 20-inchwide walking surface.

Cardiac Stress Treadmills User Guide

Introduction 1-1

Treadmill Configuration 1. Front of hood 2. Walking belt 3. Rear of treadmill

1

2

3

Controls Power The circuit breaker on the front of the treadmill hood controls the power to the treadmill (see item 1 in the next drawing). The circuit breaker must be set to ON for the treadmill to run. As long as the treadmill is plugged into a powered socket and the circuit breaker is set to ON, the treadmill is receiving power, even when the monitoring system power is turned off. WARNING! Turn off the treadmill circuit breaker before connecting or disconnecting the treadmill from the power outlet.

1-2 Introduction

Cardiac Stress Treadmills User Guide

1. Circuit Breaker 2. Power cord

1 2

Hood Configuration Plate for Treadmill

Operation Except for an optional emergency stop button, all commands, including walking belt power, speed, grade, and protocol, are entered from the monitoring system. All patient data will appear on the monitoring system screen. Use the operator manual supplied with the monitoring system for instructions on how to control the treadmill. As long as the treadmill is plugged into a powered socket and the circuit breaker is set to ON, the treadmill is receiving power, even when the monitoring system power is turned off.

Emergency Stop Button The treadmill may have an optional emergency stop button located on the front handrail. When pressed, power to the belt drive motor and the grade motor is stopped. ♦

Cardiac Stress Treadmills User Guide

The emergency stop button is intended only for emergency use. You may have to restart the stress test if the emergency stop button is pressed. Introduction 1-3

WARNING! If your treadmill is equipped with the Emergency Stop Button feature, the treadmill will not run unless the emergency button cable is plugged into the connector on the front of the hood. Once installed, this cable should not be removed except by an authorized technician.

Indicators There are no visual indicators on the treadmill. All patient responses and warnings for low power, motor overload, and such appear on the stress test monitoring system screen.

Accessories and Options The following are available for order:

1-4 Introduction

Part No.

Description

036734-002

Hand grip, Blue Vinyl

013802-003

Hand grip Blue Vinyl, Emergency Stop

032758-001

Side Handrail Kit, Short, TM55/ST55

032758-002

Side Handrail Kit, Short, TM65/ST65

032759-001

Side Handrail Kit, Long TM55/ST55

032759-002

Side Handrail Kit, Long TM65/ST65

019331-001

Low Handrail Kit

037082-xxx

Rapid Deceleration Kit (specify language)

037080-xxx

Emergency Stop Button Kit (specify ST or TM version)

Cardiac Stress Treadmills User Guide

2 Operating the Treadmill The stress test monitor controls all treadmill operation. Please read the following treadmill-specific information, then refer to the operator manual supplied with your stress test monitor for operational procedures.

Guidelines for Safe Operation •

Keep the treadmill area clear. Maintain a minimum open space of 1.5 feet (0.5 meter) on each side and 6 feet (2 meters) at the rear.

•

Before using the treadmill, verify that the correct cable connects the treadmill to the monitoring system.

•

Do not start the treadmill when someone is standing on the belt.

•

Never place chairs or other objects on treadmills.

•

Do not leave a patient unattended on the treadmill.

•

Patients and clinicians should secure long hair and loose clothing before using and operating the treadmill.

Cardiac Stress Treadmills User Guide

Operating the Treadmill 2-1

•

Keep speed and grade at minimum settings when patients are getting on and off the treadmill.

•

Use the optional emergency stop button only for emergency.

Instructing the Patient 1. Before each test, describe the complete procedure to the patient. Remind the patient to not use the handrail for support during the exercise unless absolutely necessary. Explain that gripping the handrail can affect the accuracy of the test measurements. Describe how you will change the belt speed and treadmill grade during the test. 2. Demonstrate how to get on and off the moving belt: a. Stand next to the treadmill belt, facing the front of the treadmill. b. Place both hands on the handrail. c. Step onto the side of the deck or straddle the belt. d. (Optional) Place one foot forward on the belt and let it move backwards, as though walking with one foot. Repeat until comfortable. e. Carefully step onto the belt and begin walking. f.

When able to walk unassisted, let go of the handrail.

g. While walking on the treadmill: •

Face forward; avoid looking down.

•

Maintain speed by keeping a constant distance from the handrail.

Starting the Exercise 1. Start the treadmill walking belt while the patient stands on the side of the deck or straddles the walking belt.

2-2 Operating the Treadmill

Cardiac Stress Treadmills User Guide

WARNING! Do not start the belt while someone is on the treadmill belt.

2. Set the speed and grade to the minimum settings. 3. Have the patient step onto the treadmill as previously instructed. 4. Inform the patient beforehand when you are about to change speed or grade.

Emergency Stop Button (option) If your treadmill is equipped with an optional emergency stop button, pressing this button will cut power to the belt drive motor and the grade motor, stopping the belt. The button will lock into place and the treadmill will not run until the button is disengaged. To unlock the button, turn it counter-clockwise. Emergency Stop Button

Ending the Exercise 1. Tell the patient when the test is about to end. Decrease the speed and grade gradually to minimum settings. 2. Before stopping the walking belt, tell the patient to grasp the handrail for balance. 3. Stop the walking belt. 4. Tell the patient to hold the handrail and step off to the side. Warning!

Cardiac Stress Treadmills User Guide

The patient may be slightly unsteady for several seconds after stepping off the walking belt.

Operating the Treadmill 2-3

3 Maintenance/Troubleshooting The treadmill should be visually inspected, cleaned, and adjusted regularly and as needed.

Daily Visual Inspection •

Inspect the treadmill power cord and walking belt for wear.

•

Check the position of the walking belt; be sure it is not rubbing against the frame. It should be centered on the deck within 0.25 inch of the sides; adjust if necessary.

•

Check optional attachments to be sure they are fastened securely.

•

Remove potential hazards from the treadmill area.

Cardiac Stress Treadmills User Guide

Maintenance/Troubleshooting 3-1

Cleaning Exterior WARNING! Turn off the treadmill and unplug the power cord from the wall outlet before cleaning.

Daily Keep the treadmill free of dust and debris. Clean the exterior and walking belt with a damp sponge; do not soak surfaces. Dry all surfaces thoroughly. Caution!

Never wipe the deck beneath the belt, even when changing the belt. Wiping can damage the wax finish. Do not use detergents or cleaning agents on any part of the deck. Do not let liquid enter the interior of the treadmill. If it does, the equipment must be inspected and tested for safety by an approved technician before it can be used again.

Weekly Elevate the treadmill to maximum grade and vacuum the floor under it to prevent excess dust and dirt from interfering with operation.

Interior Depending upon the treadmill environment, dust and or lint can accumulate under the hood. Periodic internal cleaning by an authorized technician is recommended (see Service Manual).

Disinfection If it is necessary to disinfect the treadmill, follow the procedures established by your institution. ♦ 3-2 Maintenance/Troubleshooting

Do not use liquids on the deck surface. Cardiac Stress Treadmills User Guide

Adjustments Tools Required: hex wrenches, Phillips screwdriver Warning!

Secure long hair and loose clothing before using the treadmill or working near the treadmill walking surface or pulleys.

Belt Tension Adjust the belt tension whenever the belt slips or moves unsteadily during operation: 1. Use the controls on the monitoring system to start the treadmill at minimum speed and grade, then increase the speed to 2.5 mph. 2. Hold onto the handrail for balance and walk heavily on the treadmill by marching flat-footed. a. If the belt hesitates or lags noticeably, tighten the belt as in steps 3 and 4. Caution!

Do not use all your weight to resist the belt movement. Too much resistance applied too long (more than two seconds) will shut down the system. If this should occur, recycle power to resume normal operation.

b. Increase the speed to 4.5 mph (7.1 km/h) and jog on the treadmill. If the belt hesitates or lags noticeably, tighten the belt as in steps 3 and 4. c. Increase the speed to 6.5 mph (10.3 km/h) and run on the treadmill. If the belt hesitates or lags noticeably, tighten the belt as in steps 3 and 4. 3. Locate the two adjustment bolts at the rear of the treadmill

Cardiac Stress Treadmills User Guide

Maintenance/Troubleshooting 3-3

Adjustment bolts

4. Turn both adjustment bolts clockwise 1/4 turn. Test the belt tension as in Step 2. Repeat if necessary until the belt runs smoothly without slipping. If more than three adjustments are necessary, call an authorized technician. Caution!

Do not overtighten the walking belt. Overtightening can damage the belt and rollers. Do not torque adjustment screws beyond 80 in/lb (9 Nm) maximum.

5. Stop the treadmill. 6. Check the position of the rear roller guards and adjust if necessary (see “Rear Roller Guards” on page 3-5).

Belt Tracking Perform this procedure whenever the belt moves to one side or the other. WARNING! Stay off the belt when adjusting the tracking. Do not touch or grab the walking belt while it is moving.

1. Use the controls on the monitoring system to start the treadmill at minimum speed and grade. 2. Increase speed to 6 mph (9.5 km/h) and make the following adjustment (See Belt Tension for the location of the bolts): a. If the belt moves to the right, rotate the right tension bolt clockwise 1/4 turn. b. If the belt moves to the left, rotate the left tension bolt clockwise 1/4 turn. 3-4 Maintenance/Troubleshooting

Cardiac Stress Treadmills User Guide

3. After making an initial adjustment, run the treadmill for several minutes and observe how the belt tracks; adjustments to belt tracking take several minutes to become apparent. If the belt continues to move off center, adjust accordingly until it is properly centered. If more than three adjustments are necessary, call an authorized technician. Caution!

Do not overtighten the walking belt. Overtightening can damage the belt and rollers. Do not torque adjustment screws beyond 80 in/lb. (9N/m) maximum.

4. Stop the treadmill. 5. Check the position of the rear roller guards and adjust, if necessary (see “Rear Roller Guards” below).

Rear Roller Guards Check the position of the rear roller guards each time you readjust the belt tracking or the belt tension. The roller guards are located at the rear of the treadmill between the rear roller and the deck (see following figure).

Adjustment Screws

Roller Guard

Adjust the guards when the gap between the roller and the guard exceeds 3/8 of an inch (or 0.375 inch) (9.5 mm). 1. Disconnect the treadmill power cord from the power source. 2. Loosen, but do not remove, the two screws attaching the rear roller guard to the deck (hold the nuts on the underside with your finger). Cardiac Stress Treadmills User Guide

Maintenance/Troubleshooting 3-5

3. Slide the rear roller guard towards the rear roller until the gap between the two is approximately 0.1 inch (2.5 mm or the thickness of two quarters). 4. Tighten the mounting screws loosened in Step 2. 5. Connect the power cord. Warning!

Do not permit anyone to stand on the treadmill belt when it is started.

6. Use the controls on the monitoring system to start the treadmill belt. If there is a scraping noise by the rear roller guards, redo steps 1 through 6.

Electrical Testing Electrical testing is to be done by the facility’s biomedical department as required. Check the leakage current of the treadmill periodically-at least every nine months-to be sure it does not exceed local or provincial standards.

Moving and Storing the treadmill Warning!

Moving the treadmill requires two people.

1. If you are using a Quinton Q-Stress system, remove the Q-Stress preamp if it is attached to the handrail. 2. Set the treadmill to 3 to 5% grade. 3. To avoid electric shock, turn off the treadmill circuit breaker and the monitoring system, then remove the power cord from the power source. Warning!

As long as the treadmill is plugged into a powered outlet and the treadmill circuit breaker is set to ON, the treadmill is receiving power, even when the monitoring system is turned off. Do not place hands beneath the treadmill while it is plugged in.

4. Together, lift the rear of the treadmill, then roll it to the new site using the wheels on the front of the treadmill. 3-6 Maintenance/Troubleshooting

Cardiac Stress Treadmills User Guide

When storing for prolonged periods, cover the treadmill with a dust cover. Do not store in damp areas. WARNING! Do not store the treadmill on its end as it could fall on someone.

Re-use Before using the treadmill again after moving or storage, check the power cord and all attachments to be sure they are undamaged and securely connected, then test the system for proper operation.

Troubleshooting If the walking belt does not run, check the monitoring system for an error code. Record the code, if present, then call an authorized technician. If no error message is present, recycle the power by turning the monitoring system power off and on again; this may eliminate the fault. If not, check the interface cables for proper connection. If problems persist, refer to the Troubleshooting Guide that follows. Problems beyond the scope of this table can require service assistance to isolate and correct. Contact an authorized technician or call 800-426-0337. Warning!

Do not remove the treadmill hood: Dangerous voltages are present. There are no operatorserviceable components.

Caution!

Servicing should be done only by an authorized technician who should consult the service manual before attempting any in-depth troubleshooting.

Cardiac Stress Treadmills User Guide

Maintenance/Troubleshooting 3-7

Troubleshooting Guide Problem

Possible Cause

Treadmill will not run Treadmill or monitoring system power cord is not plugged in.

Remedy Plug in power cords.

Interface cable disconnected or damaged

Plug in and secure interface cable. Replace if damaged.

Monitoring system power off.

Turn on power. Check AC power, if necessary.

Circuit breaker on treadmill hood reads OFF.

Set the circuit breaker switch on the treadmill to ON.

1. Start key not selected. 2. Not in proper menu.

Press proper key on monitoring system control panel. Consult stress test system user guide.

No power at outlet

Check building circuit breaker.

Voltage below nominal

Provide dedicated line for treadmill.

Emergency Stop button has been unplugged.

Plug into connector on front of hood.

Emergency Stop button activated.

Turn emergency stop button counterclockwise to deactivate.

Internal problem.

Service required. Contact an authorized technician.

Walking belt too far left or right

Improper belt tracking.

Adjust tracking (see “Belt Tracking” on page 3-4). If problem persists, contact an authorized technician.

Walking belt slips, but front roller turns.

Improper belt tension

Adjust belt tension (see “Belt Tension” on page 3-3). If problem persists, contact an authorized technician.

Walking belt hesitates; adjusting walking belt tension is ineffective

Internal drive belt slipping.

Service required. Contact an authorized technician.

Treadmill will not change grade.

Excess weight on treadmill.

See Appendix B for maximum load.

Internal problem.

Service required. Contact an authorized technician.

Circuit breaker trips during normal operation.

Power fault.

Service required. Contact an authorized technician.

Error messages on stress test monitor

Refer to monitoring system user guide.

Refer to monitoring system user guide.

Internal problem

Service required. Contact an authorized technician.

3-8 Maintenance/Troubleshooting

Cardiac Stress Treadmills User Guide