ECG-9020K

OPERATORS MANUAL
ECG-9022K
ECG-9130K
ECG-9132K
ECG-9320A/K

ECG-9620L
ECG-9620M
ECG-9620N
ECG-9620S
ECG-9620T
ECG Viewer II
ECG-9620U

PEA-1110K QB-903E

First Edition: 20 May 2003

Second Edition: 24 Mar 2004

0614-005225A
 CONTENTS

Contents
Warnings, Cautions and Notes ...................................................................................... i

General .................................................................................................................................. 1
Introduction .................................................................................................................. 1
Features ....................................................................................................................... 1
Required Components ................................................................................................. 2
General Safety Information .......................................................................................... 3
Preparation ............................................................................................................................ 6
Installation .................................................................................................................... 6
Opening the ECG Viewer ............................................................................................. 6
Closing the ECG Viewer .............................................................................................. 7
Connecting to the Cardiograph .................................................................................... 8
Connecting to the ECG-9020K, ECG-9022K, ECG-9130K, ECG-9132K
or ECG-9320A/K Electrocardiograph ................................................................. 8
Connection Cable Pin Assignment .................................................................... 9
Enabling the Serial Port ................................................................................... 10
Settings When Receiving ECG Data Files from the PEA-1110K Portable ECG
Acquisition Terminal ................................................................................................... 10
Creating and Changing a Password .......................................................................... 12
Operation ............................................................................................................................. 13
Registering ECG Data Files ....................................................................................... 13
Online Registration .......................................................................................... 13
Offline Registration .......................................................................................... 14
Searching for ECG Data Files .................................................................................... 14
About the ECG File Selector Window .............................................................. 15
Exploring an ECG Data File ............................................................................ 17
Displaying the ECG Waveforms ................................................................................. 18
About the ECG Viewer Window ....................................................................... 19
Magnifying the ECG Waveforms ...................................................................... 20
Scrolling the ECG Waveforms ......................................................................... 20
Scrolling the Interpretation ............................................................................... 20
Printing the ECG Waveforms and Interpretation ........................................................ 21
Saving the ECG Data as Image Files ........................................................................ 22
Comparing the ECG Waveform Data from Two Different Files ................................... 24
Transferring the ECG Data File to the Cardiograph ................................................... 25
Editing the Patient Information ................................................................................... 26
Editing the Interpretation ............................................................................................ 27
Preparing ECG Data Files to Attach to an E-mail ...................................................... 28
Reviewing the ECG Data Attached to the E-mail ....................................................... 30
Deleting ECG Data Files ............................................................................................ 31
Backing Up ECG Data Files ...................................................................................... 32
Restoring the ECG Data Files to the ECG Database ................................................ 32
Creating a New ECG Database in Another Drive ...................................................... 33
Defragmenting an ECG Database ............................................................................. 33
Error Messages ................................................................................................................... 34
Operator's Manual QB-903E C.1
 Conventions Used in this Manual and Instrument

Warnings, Cautions and Notes

Warnings, cautions and notes are used in this manual to alert or signal the reader to specific information.

WARNING
A warning alerts the user to possible injury or death associated with the use or misuse of the instrument.

CAUTION
A caution alerts the user to possible injury or problems with the instrument associated with its use or
misuse such as instrument malfunction, instrument failure, damage to the instrument, or damage to other
property.

NOTE
A note provides specific information, in the form of recommendations, requirements, alternative methods
or supplemental information.

Operator's Manual QB-903E i

 General

Introduction ECG Viewer II lets you review standard 12 lead resting ECG waveforms on a
personal computer. This software operates on Windows 98 SE, Windows 2000 and
Windows XP and can manage the ECG data acquired by ECG-9020K, ECG-
9022K, ECG-9130K, ECG-9132K, ECG-9320A/K, ECG-9620 Series
Electrocardiograph and PEA-1110K Portable ECG Acquisition Terminal (referred
to as cardiograph in this operators manual). This operators manual explains
ECG viewer II on Windows XP.

ECG Viewer window

Features ECG Viewer II can receive and transfer ECG data files with a
Serial port (RS232C communication) :
ECG-9020K, ECG-9022K, ECG-9130K, ECG-9132K ECG-9320A/K,
ECG-9620 series (data receive only)
IEEE802.11b Wireless LAN:
PEA-1110K (data receive only) or memory card (40 MB QM-040V flash disk
card only).
Standard 12 lead resting ECG waveforms can be reviewed on the ECG Viewer
window. Report data from the QP-932E Exercise Software, QP-941E
Ambulatory ECG Software and the ECG waveform data measured by the QP-
992E Animal ECG Software cannot be reviewed.
File transfer to ECG viewer Received 12 lead resting ECG data files
from ECG viewer
ECG-9020K/9022K RS-232C Print only
ECG-9130K/9132K RS-232C, memory card Print and save in memory or memory card
ECG-9320A/K RS-232C, memory card, Print and save in memory, memory card
floppy disk and/or floppy disk
ECG-9620 series RS-232C Cannot receive
PEA-1110K Wireless LAN Cannot receive

Received ECG data files are automatically filed in the ECG database for easy
data management.

Operator's Manual QB-903E 1

 Desired files can be searched for quickly and easily.
Patient information and analysis result (interpretation by ECG analysis program)
can be edited.
When a laser printer is connected to the personal computer, standard 12 lead
ECG waveforms, patient information and analysis result can be printed in various
formats. The recording sensitivity can be changed.
Two ECG data files can be reviewed on the screen at the same time to compare
data.
The ECG data file can be attached to an e-mail.
The screen image of the ECG data can be saved as a BMP, JPEG or PNG file.
ECG data files can be transferred by an e-mail.
Various functions for maintaining files, such as defragmentation, are provided.

Required Components Personal computer

Operating system: Windows 98 SE, Windows 2000 or Windows XP
CPU: Pentium 300 MHz or faster
Memory: 64 MB or more (128 MB or more for Windows XP)
Display resolution: 800 600 (1024 768 or more is recommended)
Floppy disk drive: 3.5 inch, 1.44 MB
Hard disk drive: 500 MB (1 GB or more is recommended)
CD-ROM drive: Required
PC card slot: Type II (When the QM-040V flash disk card is used)
Isolation transformer: When using the PC inside the patient environment.
YZ-018H3/YZ-018H4 RS232C Cable (option):
For receiving ECG data files from an ECG-9020K,
ECG-9022K, ECG-9130K, ECG-9132K, ECG-9320A/
K or ECG-9620 Series Electrocardiograph

Cardiograph and personal computer

RS232C optical modem : When using the PC outside the patient environment.

When receiving ECG data files from a PEA-1110K Portable ECG Acquisition
Terminal, connect the personal computer to a local area network which has an
access point.

Trademarks
Windows is a registered trademark of Microsoft Corporation.
Pentium is a registered trademark of Intel Corporation.
Other models and trademarks are the property of their respective owners.

Operator's Manual QB-903E 2

General Safety Information
* Patient environment
Any area in which intentional or
unintentional contact between
PATIENT and parts of the SYSTEM
or some other persons touching parts
of the SYSTEM can occur.
* To enter the patient information,
change the Patient data entry setting.
Refer to the Changing Settings
Section of the electrocardiograph
operators manual.
Operator's Manual QB-903E
WARNING
For the ECG waveform diagnosis, use the ECG waveforms recorded
by a Nihon Kohden electrocardiograph. Do not use the ECG
waveforms on the screen.
Inside the patient environment (IEC 60601-1-1 2.204*)
When the personal computer and the cardiograph are installed inside
the patient environment and directly connected to each other with an
RS232C cable, supply AC power to the computer and all peripheral
equipment, such as display, printer, MO disk drive, etc. only through a
medical use isolation transformer. Do not connect the computer to a
local area network, unless the computer and the local area network
are electrically separated by fiberoptic connection. Failure to follow
this warning may cause electrical shock to the patient and operator.
Outside the patient environment
When the cardiograph is installed inside the patient environment and
the computer is installed outside the patient environment, connect
the cardiograph and computer to each other with RS232C optical
modems and optical fiber for electrical safety. Failure to follow this
warning may cause electrical shock to the patient and operator.
CAUTION
The patient information (ID number, sex and age) is not saved in an
ECG data file which is recorded by the ECG-9020K, ECG-9022K or
ECG-9620 Series Electrocardiograph (factory default setting)*. When
reviewing the ECG data from an ECG-9020K, ECG-9022K or ECG-9620
Series Electrocardiograph, you must do the following steps to
prevent the ECG data from being mistaken for a different patients
ECG data. Refer to Operation - Editing the Patient Information.
1) When acquiring the ECG waveforms with the ECG-9020K, ECG-
9022K or ECG-9620 Series Electrocardiograph, write down the
patients ID, name and age on the recording result and keep the
recording result.
2) When registering the ECG data file, immediately enter the patient
information to distinguish each ECG data. You must enter at least
the patients ID, name and age.
3) Check that the entered patient information is correct by
comparing it with the recording result.
Periodically back up the saved data from the hard disk to removable
storage media. Data on the hard disk may be lost due to mis-
operation, computer virus or hard disk defect. Refer to Operation -
Backing Up the ECG Data Files.
For a database drive, use a high reliability hard disk drive.
3
 Caution - continued

When an ECG database drive is shared in a local area network, more

than one computer must not access the ECG database drive at the
same time. Otherwise, ECG data files in the ECG database drive may
be lost.

NOTE
The QM-002V/010P SRAM card cannot be used.
To use ECG Viewer II, basic knowledge of the personal computer is
required. Thoroughly read the computers operation manual and
Windows instruction guide before use.
When receiving ECG data files from the PEA-1110K Portable ECG
Acquisition Terminal, do not use the Windows FTP server. Only use
the provided FTP server function. Refer to Preparation - Settings
When Receiving ECG Data Files form the PEA-1110K Portable ECG
Acquisition Terminal.
ECG Viewer II cannot transfer ECG data files to a cardiograph by a
modem but can transfer ECG data files to a cardiograph when the
personal computer and cardiograph are directly connected with an
RS232C cable.

Operator's Manual QB-903E 4

CD-ROM/Memory Card/Floppy
Disk Handling and Storing WARNING
The ECG Viewer System Program is protected by copyright law and
international treaties. Unauthorized reproduction or distribution of
this software, or any portion of it, may result in severe civil and
criminal penalties, and will be prosecuted to the maximum extent
possible under law.

CAUTION
Do not touch the disk surface of the recorded side (CD-ROM:
opposite side of the label side). If the surface of the disk becomes
contaminated with any foreign substance such as fingerprints,
reading data may be impossible.
Keep the disk or card away from direct sunlight and high
temperature. Otherwise, the disk may become deformed.
Do not handle the disk or card while smoking or eating.
Do not get the disk or card wet.
Do not put a label on top of another label. Remove the old label
before applying a new label.
Do not write on the label after the label is attached on the disk.
Otherwise, the disk may be damaged and reading may be impossible.
Do not bend the disk or card, put heavy material on the disk or card,
or give a strong impact to the disk or card.
Clean the disk with a disk cleaner. Do not use organic solvents such
as acetone.
This CDROM disk is not an audio CD and cannot be played with an
audio CD player.

Operator's Manual QB-903E 5

 Preparation

Installation NOTE
If a previous version of ECG Viewer is already installed, uninstall it by
referring to the Readme file included in the ECG Viewer II CD-ROM.
Before installation, check the free disk space of the destination drive
for ECG Viewer II. More than 500 MB is required.
When the operating system is Windows 2000 or Windows XP, log on
to your computer as an Administrator to install ECG Viewer II.
Before installation, turn off any screen saver and close all programs
in the taskbar, such as virus scan programs. These programs may
prevent correct installation.

1. Insert the ECG Viewer II CD-ROM into the CD-ROM drive. The installation
automatically starts.

2. Follow the instructions on the screen. If you are not familiar with the computer,
just click the Next button and do not change any items. In the Software License
Agreement dialog box, select the I accept the terms in the license agreement.
option and click the Next button.

If the installation does not automatically start,

1. From the Start menu, select RUN. The Run dialog box opens.

2. Type X/SETUP.EXE in the Open text box and click the OK button. For X, type
in the drive letter of your CD-ROM drive.

3. Follow the instructions on the screen.

Opening the ECG Viewer 1. Insert the ECG Viewer II CD-ROM into the CD-ROM drive.

2. Double-click the ECG Viewer II icon on the desktop, or select ECG Viewer II
from the Start menu ECG Viewer II ECG Viewer II. If you change the
folder where ECG View II is installed, select the ECG viewer II icon in the
folder where you installed ECG Viewer II. The ECG File Selector window
opens and the following programs appear on the taskbar.

NOTE
If the ECG Viewer II CD-ROM is not inserted, an error message
appears and you cannot open ECG Viewer II.

Operator's Manual QB-903E 6

 DFS COM1: Communication program for receiving
and transferring the ECG data files from/
to the cardiograph. This program appears
only when any of the serial ports is
enabled on the COM Ports dialog box.
ECG Database: Manages the ECG database. This
program operates in the background.
ECG File Selector: Searches for ECG data files.

ECG File Selector window

3. If a password is used, enter the password in the Input Password dialog box.
For the password setting, refer to Creating and Changing Password.

When the ECG viewer is opened for the first time, the Database drive setting
dialog box opens. Select the drive for an ECG database from the Drive list
box. The database drive can be changed by selecting Database Drive from the
Tool menu on the ECG File Selector window.

NOTE
For the ECG database drive, select a hard disk drive which has
enough free space.
Do not select a removable media for the ECG database drive. When
registering ECG data files, if the removable media is removed, the
ECG data may be lost.

4. Double-click the ECG data file that you want to review in the list. To search
for ECG data files, refer to Searching for ECG Data Files.

Closing the ECG Viewer To close the ECG Viewer II, select Exit from the File menu on the ECG File
Selector window.

To turn the computer off, select Turn Off Computer from the Start menu.

Operator's Manual QB-903E 7

Connecting to the Connecting to the ECG-9020K, ECG-9022K, ECG-9130K, ECG-9132K or
Cardiograph ECG-9320A/K Electrocardiograph
You can connect the personal computer to the cardiograph through the serial port
with an RS232C cable.
Optional RS232C cable: YZ-018H3 (3 m for D-SUB 9 pin connector) or
YZ-018H4 (3 m for D-SUB 25 pin connector)

After the cable connection, enable the serial port by referreing Enabling the Serial
Port in this section and set Direct/modem communication to Direct (System
Setup screen Communication settings) for the cardiograph.

WARNING
Inside the patient environment (IEC 60601-1-1 2.204)
When the personal computer and the cardiograph are installed inside
the patient environment and directly connected to each other with an
RS232C cable, supply AC power to the computer and all peripheral
equipment, such as display, printer, MO disk drive, etc. only through a
medical use isolation transformer. Do not connect the computer to a
local area network, unless the computer and the local area network
are electrically separated by fiberoptical connection. Failure to
follow this warning may cause electrical shock to the patient and
operator.

Outside the patient environment

When the cardiograph is installed inside the patient environment and
the computer is installed outside the patient environment, connect
the cardiograph and computer to each other with RS232C optical
modems and optical fiber for electrical safety. Failure to follow this
warning may cause electrical shock to the patient and operator.

Equipotential grounding
For patient safety, equipotential grounding may be required. Consult
with a qualified biomedical engineer.
Do not connect several ground leads directly to the equipotential
terminal because more than one ground lead is more likely to get
disconnected from the terminal.

* Patient environment
Any area in which intentional or unintentional contact between PATIENT and
parts of the SYSTEM or some other persons touching parts of the SYSTEM can
occur.

CAUTION
When connecting the RS232C cable to the cardiograph and
computer, turn off the power of both the cardiograph and computer.

Operator's Manual QB-903E 8

 Connection Cable Pin Assignment

NOTE
Only use an RS232C cable which is 15 m or shorter.
The pin assignment and shape of the serial port differs according to
the computer. Refer to the computers instruction manual.

To personal computer Pin No. Signal Pin No. Signal To ECG

D-sub 9 pin, socket type D-sub 9 pin, plug type
1 CD 1 FG
(Not used) (Not used)
2 RXD 2 TXD
5 1
3 TXD 3 RXD

4 DTR 4 RTS

5 GND 5 CTS

6 DSR 6 DSR 6
9
7 RTS 7 SG ECG SIO connector

8 CTS 8 HS

9 RI 9 DTR
(Not used)

To personal computer Pin No. Signal Pin No. Signal To ECG

D-sub 25 pin, socket type D-sub 9 pin, plug type
1 FG 1 FG

2 TXD 2 TXD

3 RXD 3 RXD

4 RTS 4 RTS

5 CTS 5 CTS

6 DSR 6 DSR

7 GND 7 SG

8 DCD 8 HS

20 DTR 9 DTR

8 to 19 and 21 to 25: Not used

Operator's Manual QB-903E 9

 Enabling the Serial Port
When receiving and transferring the ECG data file with the serial port (RS232C
communication), enable the communication port.

1. In the ECG File Selector window, select COM Port from the Setting menu.
The COM Port dialog box opens.

It is recommended to select
the Disable option when the
serial port is not used.

2. Select the serial port.

3. Select the baud rate from the Baudrate list box.

When selecting the baud rate, select the same speed as that of the connected
cardiograph. We recommend that you select 19200 at first. After
confirming that the communication is stable, you can increase the baud rate.

4. Click the OK button.

To cancel setting, click the Cancel button.

5. Restart ECG Viewer II.

The changed settings are applied the next time ECG viewer II opens.

Settings When Receiving When receiving ECG data files from the PEA-1110K Portable ECG Acquisition
ECG Data Files from the Terminal, set the following settings.
PEA-1110K Portable ECG
Acquisition Terminal NOTE
ECG Viewer II uses the following default settings to receive ECG data
files from the PEA-1110K. When changing the setting, use the same
setting as that of the PEA-1110K.

1. In the ECG File Selector window, select FTP Setting from the Setting menu.
The FTP Set dialog box opens.

Operator's Manual QB-903E 10

 2. Set the settings.

About the FTP Set dialog box

FTP area
Temporary Directory:
Selects the temporary folder in a drive to receive or back up
ECG data files (Default setting: C:\). When the selected
folder does not exist in the drive, a message box appears.
Click the OK button to make a folder.

User Name:
Use the Filing Server User Name in the Machine Setting
screen of the PEA-1110K (Default setting: CEX).

It is recommended to select the Disable option
when the PC is not connected to the PEA-1110K
through a network.
Password:
Use the Filing Server Password in the Machine Setting
screen of the PEA-1110K (Default setting: CEX).
Port:
Only use the default setting 21.

Timeout:
Set the communication time to receive one ECG data file.
(Default setting: 300 seconds).
If this is set too short, the ECG data file cannot be received.

TCP/IP area
Port:
Use the Filing Server Port in the Machine Setting screen of
the PEA-1110K (Default setting: 30003).

Timeout:
Set the wait time until communication is established
(Default setting: 3 seconds).

ECG File area

Copy Directory:
The ECG viewer automatically registers ECG data files that
are transferred from the PEA-1110K. You can save the ECG
data files as a binary file by selecting the directory. (Default
setting: blank (not specified)).

3. Click the OK button.

To cancel setting, click the Cancel button.

4. Restart ECG Viewer II.

The changed settings are applied the next time ECG viewer II opens.

Operator's Manual QB-903E 11

Creating and Changing a For your ECG data file security, you can create and change a password to prevent
Password others from reviewing the ECG waveforms and changing patient information and
interpretation.

1. In the ECG File Selector window, select Password from the Setting menu. The
Password setting dialog box opens.

To create a new password,

1) Type a new password in the New Password text box.
2) Retype the new password in the New Password [confirm] text box.

To change the password,

1) Type the old password in the Old Password text box.
2) Type a new password in the New Password text box.
3) Retype the new password in the New Password [confirm] text box.

2. Click the OK button.

To cancel creating or changing, click the Cancel button.

Operator's Manual QB-903E 12

 Operation
Registering ECG Data Files
* To enter the patient information,
change the Patient data entry setting. ECG-9620 Series Electrocardiograph (factory default setting)*. When
Refer to the Changing Settings Section reviewing the ECG data from an ECG-9020K, ECG-9022K or ECG-
of the electrocardiograph operators
manual.
Operator's Manual QB-903E
ECG viewer II can automatically receive ECG data files and register them in the
ECG database when the computer and cardiograph are connected with a serial port
(This is online registration). Refer to Preparation - Connecting to the
Cardiograph. When using a floppy disk or QM-040V flash disk card, you can
manually register ECG data files (This is offline registration).
CAUTION
The patient information (ID number, sex and age) is not saved in an
ECG data file which is recorded by the ECG-9020K, ECG-9022K or
9620 Series Electrocardiograph, you must do the following steps to
prevent the ECG data from being mistaken for a different patients
ECG data. Refer to Operation - Editing the Patient Information.
1) When acquiring the ECG waveforms with the ECG-9020K, ECG-
9022K or ECG-9620 Series Electrocardiograph, write down the
patients ID, name and age on the recording result and keep the
recording result.
2) When registering the ECG data file, immediately enter the patient
information to distinguish each ECG data. You must enter at least
the patients ID, name and age.
3) Check that the entered patient information is correct by
comparing it with the recording result.
NOTE
Periodically check the free space of the ECG database drive. If the
disk space becomes full, the ECG data file cannot be registered in
the ECG database.
Online Registration
When ECG Viewer II opens, ECG data files are automatically received and
registered in the ECG database. While receiving an ECG data file, it is displayed in
DFS COM1 on the taskbar. For the PEA-1110K Portable ECG Acquisition
Terminal, set the FTP and TCP/IP settings. Refer to Preparation - Settings When
Receiving ECG Data Files from the PEA-1110K Portable ECG Acquisition
Terminal.
13
 Offline Registration
NOTE
If the floppy disk or memory card is inserted after opening the
Regist File dialog box, the drive may not be selected.
In the offline registration, all ECG data files saved in the floppy disk
or memory card are added to the ECG database and registered.
After registration, delete unnecessary ECG data files.
After offline registration, if the same floppy disk or memory card is
used again for offline registration, the ECG data files are added to
the ECG database again as duplicate files.

1. Insert the floppy disk into the floppy disk drive or insert the memory card into
the card slot.

2. Select Add files to Database from the Tool menu on the ECG File Selector
window. The Regist File dialog box opens.

3. Select the drive where the floppy disk or memory card is inserted. To change
the folder where the ECG data is registered, use the Change folder button.

4. Click the OK button.

To cancel registration, click the Cancel button.

You can search for ECG data files in the ECG File Selector window by the patients
Searching for ECG Data
ID, name, type of examination and/or date. If one or more keywords and dates are
Files
entered, ECG data files which match all of the entered keywords and dates are
searched for.

To start searching:
1. Select the keyword and/or dates

2. Click the Search button.

Operator's Manual QB-903E 14

 About the ECG File Selector Window

ID: Enter the patients ID. If only part of the ID is entered, ECG data
files for all patients whose ID begins with those characters are
searched for.
<space>: Example:
Press the space bar. Do not type the To find the ECG data file for the patient whose ID is 12, type
word space or type the brackets. 12<space> in the ID text box.
If 12 is entered, ECG data files for all patients whose ID begins
with 12, 123 or 12-10, etc., are searched for.

Name: Enter the patients name. If only part of the patients name is
entered, ECG data files for all patients whose name begins with
those characters are searched for.
Example:
To find the ECG data file for the patient whose name is Johnson,
type in Johnson<space> in the Name text box.
If J is entered, ECG data files for patients whose name is Jack,
Joe or John, etc., are searched for.

Type: Enter the type of the examination.

Date: Enter the examination date.

Search for files with no ID:

Searches for ECG data files which have either no ID or an ID
which was automatically assigned by the ECG-9020K, ECG-
9022K or ECG-9620 Series Electrocardiographs. You can use this
to search for the ECG data files saved with these
electrocardiographs when the Patient data entry setting is set to
Off. The ID begins with the character x. Refer to the
electrocardiograph operators manual.

Searched for undefined files:

Searches for all ECG data files which have not been confirmed in
the Edit Interpretation dialog box.

Search: Click to start searching for the ECG data files.

View: Opens the selected ECG data file on the ECG Viewer window.

Transfer: Opens the Transfer to ECG dialog box to transfer the ECG data
file to the cardiograph.

Patient Data: Opens the Patient Data dialog box to edit the patient information.

Select file: Use to compare two ECG data.

Operator's Manual QB-903E 15

 File menu/Edit menu/Tool menu/Setting menu

File menu
View:
Opens the selected ECG data file on the ECG Viewer window.

Transfer to ECG:
Opens the Transfer to ECG dialog box to transfer the ECG data file to the
cardiograph.

Attached file output

Converts and saves the ECG data file in the specified folder to attach it to an e-
mail. (Default setting: C:\ecgviewer\attach)

Image file output:

Converts the ECG data file to image files. The patient information, measurement
data and analysis result are also converted to a text file. The converted files are
saved in the specified folder (Default setting: C:\ecgviewer\image). You can
select the format of the image in the File output Setting dialog box (Setting menu
File Output Setting).

Delete:
Deletes the selected file from the ECG database.

Select file to compare:

Opens the selected two ECG data files on the ECG Viewer window to compare
them.

Cancel:
Cancels selection of two files to compare.

Exit:
Closes the ECG Viewer program.

Edit menu
Patient Data:
Opens the Patient Data dialog box to edit the patient information.

Operator's Manual QB-903E 16

 Tool menu
Add files to Database:
Opens the Regist File dialog box to register the ECG data files in a floppy disk or
memory card.

Backup:
Opens the Backup Drive dialog box to back up the ECG data files.

Database Defragmentation:
Defragments the ECG database.

Setting menu
Database Drive:
Opens the Database drive setting dialog box to create a new ECG database in
another drive.

Password:
Opens the Password setting dialog box to create or change a password.

File Output Setting:

Opens the File output Setting dialog box to select the ECG data file for attaching
to an e-mail and select the format for converting the ECG data to an image file.

COM Port:
Opens the COM Port dialog box to enable the serial port. ECG Viewer II can
receive and transfer ECG data files from/to the cardiograph by RS232C
communication.

FTP Setting:
Opens the FTP Set dialog box to select the communication settings when
receiving ECG data files from the PEA-1110K Portable ECG Acquisition
Terminal.

Exploring an ECG Data File

You can display the folder and drive where the searched file is saved. To display
the folder and drive, double-click the file while pressing and holding the Alt key.

Operator's Manual QB-903E 17

Displaying the ECG
Waveforms WARNING
For the ECG waveform diagnosis, use the ECG waveforms recorded
by a Nihon Kohden electrocardiograph. Do not use the ECG
waveforms on the screen.

To open the ECG data file,

1. Click the file in the list of the ECG File Selector window.

2. Click the View button.

Or, double-click the file. The selected ECG data file opens on the ECG Viewer
window.

ECG Viewer II displays the ECG waveforms with the filter settings from when the
waveforms were acquired.

Operator's Manual QB-903E 18

 About the ECG Viewer Window

File menu
Print:
Opens the Print dialog box to print the ECG data.

Attached file output

Converts and saves the ECG data file in the specified folder to attach it to an e-
mail. (Default setting: C:\ecgviewer\attach)

Image file output:

Converts the ECG data file to image files. The patient information, measurement
data and analysis result are also converted to a text file. The converted files are
saved in the specified folder (Default setting: C:\ecgviewer\image). You can
select the format of the image in the File output Setting dialog box (ECG File
Selector window: Setting menu File Output Setting).

Exit:
Closes the ECG Viewer window. The ECG File Selector window appears.

Edit menu
Interpretation:
Opens the Interpretation dialog box to edit the interpretation by the ECG analysis
program.

Filter menu
25 Hz, 35 Hz, 75 Hz, 100 Hz, 150 Hz, OFF:
Temporarily changes the high-cut filter. This does not apply to the ECG data file.

View menu
Interpretation:
Displays the interpretation and dominant waveforms for each lead and rhythm
lead waveform.

3 ch 4 (Continuous):
Displays the 12 lead ECG waveforms in 3 channels 4 sequences and one
channel rhythm lead waveforms. Each sequence is 2.5 seconds. The 12 lead
ECG waveforms and rhythm lead waveforms are not synchronized. When the
recording time is 10 seconds or more, the rhythm lead waveforms are displayed
I aVR V1 V4 with compressed time scale.
II aVL V2 V5
III aVF V3 V6
3 ch 4 (Synchronized):
Displays the 12 lead ECG waveforms in 3 channels 4 sequences and one
channel rhythm lead waveforms up to 10 seconds. Each sequence is 2.5 seconds.
The rhythm lead waveforms on the white block are synchronized with the
2.5s
displayed ECG waveforms. You can scroll the 12 lead ECG waveforms by
Rhythm lead
scrolling the rhythm lead on the white block.
Operator's Manual QB-903E 19
 6 ch 2 (Continuous):
Displays the 12 lead ECG waveforms in 6 channels 2 sequences and one
channel rhythm lead waveforms. Each sequence is 5 seconds. The 12 lead ECG
waveforms and rhythm lead waveforms are not synchronized. When the
recording time is 10 seconds or more, the rhythm lead waveforms are displayed
with compressed time scale.

6 ch 2 (Synchronized):
Displays the 12 lead ECG waveforms in 6 channels 2 sequences and one
channel rhythm lead waveforms up to 10 seconds. Each sequence is 5 seconds.
The rhythm lead waveforms on white block are synchronized with the displayed
ECG waveforms. You can scroll the 12 lead ECG waveforms by scrolling the
rhythm lead on the white block.

Change Rhythm Lead:

Changes the rhythm lead.

Window menu
Cascade:
Arranges all windows in the ECG Viewer window so that the front window is the
largest and the title bars of the other windows are visible. To bring a different
window to the front, click its title bar.

Tile:
Arranges all windows in the ECG Viewer window side by side horizontally so
that all of them are visible.

Magnifying the ECG Waveforms

When the mouse pointer is moved to anywhere on the ECG waveform, the mouse
pointer changes to a magnifying glass. You can magnify a part of the waveforms
by clicking the waveform. The waveforms 0.5 seconds before and 0.5 seconds after
are magnified and displayed on the magnified waveform box.

Scrolling the ECG Waveforms

When 3 ch 4 (Synchronized) or 6 ch 2 (Synchronized) is selected, the
rhythm lead waveforms synchronized with the displayed 12 lead ECG waveforms
are displayed on the white block. You can scroll the 12 lead ECG waveforms by
dragging the rhythm lead on the white block.

Scrolling the Interpretation

When the interpretation information exceeds the border of the window, you can
display it by dragging anywhere on the window.

Operator's Manual QB-903E 20

Printing the ECG The 12 lead ECG waveforms displayed on the ECG Viewer window and
Waveforms and interpretation can be printed on the printer. When two ECG data files are displayed,
Interpretation the file in the active window can be printed. To print the ECG waveforms in the
other window, click its title bar to activate it.

1. Select Print from the File menu. The Print dialog box opens.

2. Select the printing format.

Format:
The interpretation is printed only when A4 landscape, 3 ch + rhythm or A4
landscape, average + rhythm is selected.

Sense:
The recording sensitivity can be changed. This does not apply to the ECG data
file.

To change the printer setting, click the Printer Setup button. The printing
settings differ depending on the printer. Refer to the printer operators manual.
The darkness of the grid printing depends on the printer. If it is not dark, use
the Grid darkness option.

3. Click the OK button.

To cancel printing, click the Cancel button.

Operator's Manual QB-903E 21

Saving the ECG Data as The ECG data file can be converted to two image files (BMP, JPEG or PNG). The
Image Files patient information, measurement data and analysis result are also converted to a
text file. The converted image files and text file are saved in the specified folder in
the drive where the ECG database is selected (Default setting:
C:\ecgviewer\image).

ECG Viewer II can only display the standard 12 lead resting ECG waveform. If
another type of ECG data file is selected, it cannot be converted to an image file.

1. In the ECG File Selector window, select File Output Setting from the Setting
menu. The File output Setting dialog box opens. The format of the image file
can be selected in the Image file setting area.

About the File output Setting dialog box - Image file setting area

ID and name are blank:

Check this box when you do not want to output the patients ID and name.

Output Text File:

Check this box to output the patient information, measurement data and ECG
analysis result as a text file.

Change folder button:

Opens the Browse For Folder dialog box to change the destination folder.

Format:
Selects the type of image file.

Size:
Selects the size of the image.

Grid darkness:
Selects the darkness of the image.
Operator's Manual QB-903E 22
 2. Click the OK button.
To cancel output, click the Cancel button.

3. In the File Selector window, select the ECG waveform data.

4. From the File menu, select Attached file output. The selected ECG waveform
data is saved in the specified folder .

When the ECG data file opens in the ECG Viewer window, select Attached file
output from the File menu.

About the File Name

The ECG data file is converted to the following files.
Image file:
ECG waveforms in 6 channels 2 sequences and one channel rhythm lead
waveform
File name: ID + _Examination date and time + _6ch + extension
Dominant waveforms for each lead and rhythm lead waveform
File name: ID + _Examination date and time + _AVE + extension
Text file
Patient information, measurement data and ECG analysis result
File name: ID + _Examination date and time + _TXT + extension (.txt)

Example:
The ECG data file (ID: 1234, Examination data and time: 2004-01-15 17:19:13) is
converted to the following files when the type of image file is set to bitmap.

1234_20040115171913_6ch.bmp
1234_20040115171913_AVE.bmp
1234_20040115171913_TXT.txt

When no ID is assigned or ID is not output, it is omitted from the file name.

Operator's Manual QB-903E 23

Comparing the ECG You can display the ECG waveforms in two different files to compare them.
Waveform Data from Two
Different Files 1. From the ECG File Selector window, select an ECG data file in the list.

1
4
3

2. Click the Select File button. The selected file is registered.

3. Select another file in the list.

4. Click the View button. The two selected ECG data files open on the ECG
Viewer window.

When two ECG data files are displayed on the ECG Viewer window, the file in the
active window (the title bar is highlighted) can be printed. The active window title
bar is displayed in the standard windows color. To print the ECG waveforms in the
other window, click its title bar to activate it.

Operator's Manual QB-903E 24

Transferring the ECG Data The ECG data file can be transferred to the cardiograph and printed on the
File to the Cardiograph cardiograph. Depending on the model, the received file can be saved in a memory
card or floppy disk. (Memory card: ECG-9130K and ECG-9132K, Memory card
or floppy disk: ECG-9320A/K). For transferring the ECG data file to the
cardiograph, the serial port must be enabled. Refer to Enabling the Serial Port.

1. In the Data Management screen of the ECG-9020K, ECG-9022K, ECG-9130K

or ECG-9132K Electrocardiograph, select Receive. For the ECG-9320A/K
Electrocardiograph, just turn the power on.

2. In the ECG File Selector window, select the ECG data file.

3. Click the Transfer button. The Transfer to ECG dialog box opens.

4. Select the action according to the connected cardiograph.

Save: The electrocardiograph saves the received file in the floppy disk
or memory card
Print: The electrocardiograph prints the received file.
Save + Print: The electrocardiograph saves the received file in the floppy disk
or memory card and prints the file.

5. Click the OK button.

To cancel transfer, click the Cancel button.

Operator's Manual QB-903E 25

Editing the Patient
Information
* To enter the patient information,
change the Patient data entry
setting. Refer to the Changing
Settings Section of the
electrocardiograph operators
manual.
CAUTION
The patient information (ID number, sex and age) is not saved in an
ECG data file which is recorded by the ECG-9020K, ECG-9022K or
ECG-9620 Series Electrocardiograph (factory default setting)*. When
reviewing the ECG data from an ECG-9020K, ECG-9022K or ECG-9620
Series Electrocardiograph, you must do the following steps to
prevent the ECG data from being mistaken for a different patients
ECG data. Refer to Operation - Editing the Patient Information.
1) When acquiring the ECG waveforms with the ECG-9020K, ECG-
9022K or ECG- 9620 Series Electrocardiograph, write down the
patients ID, name and age on the recording result and keep the
recording result.
2) When registering the ECG data file, immediately enter the patient
information to distinguish each ECG data. You must enter at least
the patients ID, name and age.
3) Check that the entered patient information is correct by
comparing it with the recording result.

1. In the ECG File Selector window, select the ECG data file.

2. Click the Patient Data button. The Patient Data dialog box opens.

3. Change the patient information, if necessary.

For the age, ECG viewer II only accepts years. If age has been entered with
months, weeks or date, it will converted to years. (Example: 26 months 2
years)

4. Click the OK button.

To cancel editing, click the Cancel button.

Operator's Manual QB-903E 26

Editing the Interpretation You can edit the interpretation by the ECG analysis program.

Opening the Edit Interpretation dialog box means confirming the interpretation.
When this dialog box is closed by clicking the OK button, the Enter physicians
name dialog box opens. The name of the physician who confirmed the
interpretation must be entered.

1. In the ECG File Selector window, select the ECG data file.

2. Click the View button. The selected file opens on the ECG Viewer window.

3. After checking the waveforms, select Interpretation from the Edit menu. The
Edit interpretation dialog box opens.

4. Enter a comment and correct the interpretation.

If necessary, correct or add the Minnesota code.
To correct the judgement, select the judgement from the list box.
If necessary, correct and add the ECAPS code. When the code is entered,
the findings appear. The findings can be scrolled left to right with the
arrows. Refer to the ECG Interpretation Program Users Guide.
Edited items have a # mark.

5. Click the OK button. The Enter physicians name dialog box opens.

To cancel edit, click the Cancel button.

6. Enter the physicians name and click the OK button.

To cancel entering, click the Cancel button.

Operator's Manual QB-903E 27

Preparing ECG Data Files The ECG data file can be converted to be attached to an e-mail. The converted file
to Attach to an E-mail is saved in specified folder where the ECG database is selected (Default setting:
C:\ecgviwer\attach). You can change the destination folder and select whether or
not to delete the patients ID and name.

ECG Viewer II can only display the 12 lead resting ECG waveform. If another
type of ECG data file is selected, it cannot be converted to an attached file.

1. In the ECG File Selector window, select File Output Setting from the Setting.
The File output Setting dialog box opens. The settings for the attached file can
be selected in the Attached file setting area.

About the File output Setting dialog box - Attached file setting area

ID and name are blank:

Check this box when you do not want to output the patients ID and name.

Output Text File:

Check this box to output the patient information, measurement data and ECG
analysis result as a text file.

2. Click the OK button.

To cancel output, click the Cancel button.

3. In the File Selector window, select the ECG waveform data file.
To select two or more files in sequence, select the files while pressing and
holding the Shift key.
To select two or more files out of sequence, select the files while pressing
and holding the Ctrl key.

Operator's Manual QB-903E 28

 4. From the File menu, select Attached file output. The selected ECG waveform
data is saved in the specified folder.

When ECG data file opens in the ECG Viewer window, select Attached file
output from the File menu.

About the File Name

The ECG data file is converted to the following file.

File name: ID + _Examination date and time + extension (.nkc)

Example:
The ECG data file (ID: 1234, Examination data and time: 2004-01-15 17:19:13) is
converted to the following file.

1234_20040115171913.nkc

When no ID is assigned or ID is not output, it is omitted from the file name.

NOTE
After attaching the copied file to the e-mail, delete it. If you try to
attach this file to another e-mail, an error occurs.

Operator's Manual QB-903E 29

Reviewing the ECG Data The ECG data attached to the e-mail can be reviewed on the File Viewer when
Attached to the E-mail ECG Viewer II is installed. The File Viewer has the same functions as ECG Viewer
II.

1. Save the attached ECG data file in a folder.

2. From the Start menu, select All Programs ECG Viewer II File Viewer.
The File Viewer window opens.

3. Select Open from the File menu. The Open dialog box opens.

4. Select the attached ECG data file (extension:.nkc) to open it.

You can alos open the ECG data file on the File Viewer window by double-clicking
it.

To review the attached ECG data file, associate it (extension: .nkc) with the
ecgdisp.exe file in C:\Program Files\NKC\ECG ViewerII. After the ECG data
file is associated, you can open the ECG data file on the Attached File Viewer
window by double-clicking it.

1. Save the attached ECG data file in a folder.

2. Right click the ECG data file. The pop-up menu opens.

3. Select Open With. The Open With dialog box opens.

4. Select the ecgdisp.exe file selected as Recommended Programs.

If not, use the Browse button to select the ecgdisp.exe file in C:\Program
Files\NKC\ECG ViewerII.

6. Click the OK button.

Operator's Manual QB-903E 30

Deleting ECG Data Files 1. In the ECG File Selector window, select the ECG data file. You can delete two
or more files together.
To select two or more files in sequence, select the files while pressing and
holding the Shift key.
To select two or more files out of sequence, select the files while pressing
and holding the Ctrl key.

2. Select Delete from the File menu. The Delete Files message box opens. The
patient information of the first file to delete appears in the dialog box.

3. Delete the files.

To delete the currently displayed file, click the OK button.
To delete all selected files, click the Yes to All button.

To skip the currently displayed file, click the No button.

To cancel deleting for all files, click the Cancel button.

Operator's Manual QB-903E 31

Backing Up ECG Data Files The ECG data files can be backed up in a hard disk or removable storage media.
The size of one file is about 13 KB (10 seconds of 12 lead ECG waveforms). Back
up the files periodically because files in the hard disk can be lost by accidentally
overwriting or deleting, hard disk trouble or damage by a computer virus.

1. Prepare the removable media.

2. In the ECG File Selector window, select Backup from the Tool menu. The
Backup Drive dialog box opens.

3. Select the drive where the removable media is inserted.

4. Click the OK button.

To cancel backing up, click the Cancel button.

Restoring the ECG Data You can restore backed up ECG data files to the ECG database by offline
Files to the ECG Database registration. Refer to Offline Registration.

Operator's Manual QB-903E 32

Creating a New ECG You can create a new ECG database drive in another drive. After the new ECG
Database in Another Drive database drive is created, the ECG viewer software registers the ECG data file to
the new ECG database and searches for the files in the new ECG database drive.

1. In the ECG File Selector window, select Database Drive from the Setting menu.
The Database Drive Setting dialog box opens.

2. Select the drive from the list box.

3. Click the OK button.

To cancel creation, click the Cancel button.

You can add the ECG data files in the old ECG database to the new ECG database
by offline registration. Refer to Offline Registration.

As files are added and deleted from the ECG database, the files in the database
Defragmenting an ECG
become fragmented and it takes longer time to search for or open file(s). When this
Database
occurs, defragment the ECG database.

To defragment the ECG database, select Database Defragmentation from the Tool
menu in the ECG File Selector window.

Operator's Manual QB-903E 33

 Error Messages
Error Messages
COM port busy
COM port is not set
Transferring error (PC to ECG)
Disk full
Can not connect to Database. Database The hard disk is faulty.
may be locked other user or Database The ECG database drive is set to the MO
may be broken
Cannot open the file
Cannot save the file
Cannot access database
Cannot open data file
Same file is already in the folder for Attempt to attach an ECG data file which
attached file
Cannot open the temporary file
Temporary file error
Insufficient memory or disk space to
view the file. Close all unused
windows.
Insert the ECG Viewer Program CD-
ROM
Couldnt display wave data.
Only A-Z, a-z, 0-9, +, - can be
entered.
Operator's Manual QB-903E
Possible Causes
The COM port is being used by another
application.
An invalid COM port is selected.
No COM port is enabled.
The RS232C cable is faulty.
The baud rate of the personal computer is
different that that of the cardiograph.
The disk space for the ECG database is
full.
disk drive but no MO disk is inserted.
is already attached to another e-mail
The free disk space for Windows is full.
Several applications are opened and the
memory is almost completely used.
- To use ECG Viewer II, the ECG Viewer
The ECG data file is faulty.
Invalid characters are entered
Action
Close the application that is using the
COM port.
Select the COM port correctly.
When receiving the ECG data file, enable
any one of the COM ports.
Check the continuity of the cable.
Select the same baud rate.
Back up the ECG data files and delete
unnecessary files from the database.
Replace the hard disk.
Insert the MO disk into the MO disk
drive
When the ECG data file is attached to an
e-mail, the file cannot be used. Delete the
file after it is attached.
Delete unnecessary applications or files.
Or, replace the hard disk with a larger
hard disk.
Close other applications.
Program CD-ROM must be inserted into
the CD-ROM drive.
-
When editing the patient information, use
the specified characters.
34