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ULTRA Koch EXERCISE Devices dedicated to multimodal ultrasound CV Polyvalent stress couch USER’S GUIDE Manufacturer : [email protected] +33 (0) 442 285 847 ZI du Grand Pont 13640 LA ROQUE D’ANTHERON Distributor : [email protected] +33 (0) 663 121 954 5 allée Montesquieu 33185 LE HAILLAN

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ULTRA Koch EXERCISE Devices dedicated to multimodal ultrasound CV

Polyvalent stress couch

USER’S GUIDE

Manufacturer :

[email protected]

+33 (0) 442 285 847

ZI du Grand Pont

13640 LA ROQUE D’ANTHERON

(France)

Distributor :

[email protected]

+33 (0) 663 121 954

5 allée Montesquieu

33185 LE HAILLAN

(France)

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

2

SUMMARY

1 - Generalities .......................................................................................................................................................... 4

2 - Installation ............................................................................................................................................................ 4

3 - Safety instructions ................................................................................................................................................ 5

Security symbols used in the manual ...................................................................................................... 5

Safety instructions - Precautions for usei ................................................................................................ 5

Absolute countraindications for the patient : ......................................................................................... 6

4 - DESCRIPTION ........................................................................................................................................................ 8

5 - PRODUCT PRESENTATION .................................................................................................................................... 9

Quality of exams : .................................................................................................................................... 9

Comfort : .................................................................................................................................................. 9

Safety : ................................................................................................................................................... 11

Hygiene : ................................................................................................................................................ 11

Versatility : ............................................................................................................................................. 12

Economy : .............................................................................................................................................. 13

Ease of use : ........................................................................................................................................... 13

Time saving : .......................................................................................................................................... 13

6 - USE ...................................................................................................................................................................... 14

Cardiology : ............................................................................................................................................ 14

Angiology : ............................................................................................................................................. 16

ETO ........................................................................................................................................................ 16

Trendelenburg ....................................................................................................................................... 16

Pediatrics ............................................................................................................................................... 17

7 - Use of ergometer................................................................................................................................................ 18

Keyboard caption : ................................................................................................................................. 18

Display caption : .................................................................................................................................... 19

Functionning : ........................................................................................................................................ 20

8 - Operation of Remote control ............................................................................................................................. 21

Examination couch ................................................................................................................................ 21

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

3

Ergometer .............................................................................................................................................. 21

9 - OPTIONS ............................................................................................................................................................. 21

10 - SPECIFICATIONS ................................................................................................................................................ 22

Examination couch ................................................................................................................................ 22

Ergometer .............................................................................................................................................. 22

11 - COMPLIANCE .................................................................................................................................................... 24

12 - CLEANING ......................................................................................................................................................... 24

13 - WARRANTY - AFTER SALES SERVICE ................................................................................................................. 26

14 – PERSONS SPECIFICALLY TRAINED TO USE ........................................................................................................ 26

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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1 - GENERALITY

The ULTRA Koch EXERCISE couch is dedicated to clinical cardiological and angiological ultrasound examinations,

coupled or not with the stress test.

It is the combination of the ULTRA Koch DAILY multipurpose couch manufactured by GENIN MEDICAL and the

ergometer developed by TECHMED. The ergometer is retractable, maintaining the versatility of the table.

Its objectives are:

1. Improve the quality of examinations, comfort, hygiene, safety of the patient and the doctor.

2. Adapt to the conditions of cardiology rooms, hospital angiology or cabinet.

3. Simplicity of use and time saving.

4. Medical design.

We invite you to read the following elements to know all the features and use it in the best conditions.

This manual is only for the user, who must be a state certified and specifically trained

in the use of the device and its applications.

The ULTRA Koch EXERCISE couch must be used exclusively in an approved medical

center for the performance test.

Under no circumstances can the companies SOLUBIO, GENIN and TECHMED be held

responsible for improper use.

It is recommended you keep this manual near the device in a location that is easily and quickly identifiable.

Even for an experienced user, it is necessary to consult the integrity of the manual before the first use.

2 - Installation

1. The device is delivery on a pallet, ready to use.

2. Remove the device from its pallet and install it on a flat and rigid surface, without any shim between the

wheels and the floor

3. Do not use the device on its pallet

4. Connect the unit to a conventional electrical outlet, equipped with a functional earth ground.

5. In order to maintain the warranty and facilitate after-sales service, please fill in the information below:

1. Model :

2. Serial number :

3. Purchase date :

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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3 - SAFETY INSTRUCTIONS

SAFETY SYMBOLS USED IN THE MANUAL

Warning! This warning draws attention to the dangers that could lead to property damage.

Warning! Caution, turn off and unplug the device.

Advise! Contains information and tips to improve important operations.

SAFETY INSTRUCTION - PRECAUTIONS FOR EMPLOYMENT

1. Read this manual carefully before using your product.

2. Familiarize yourself with the machine before starting your workout.

3. Connect the unit to a conventional electrical outlet, equipped with a functional earth

ground.

4. Do not put drinks or food on the table.

5. Do not allow children to approach or use the table.

6. Before each use, check the appliances, accessories and condition of the electric cables.

7. Do not use the device if damages appear.

8. Lock all four wheels before using the table.

9. Switch off the device after examination and unplug it.

10. Switch off the appliance and unplug the appliance before cleaning or servicing.

11. If liquid enters the unit, immediately unplug the machine and call customer service.

12. Make sure that the power cord is not crushed by the casters or any other instrument

13. Never lift the table by the trays but use the steel structure.

14. Never sit patients at the end of the tray (headrest ...) but only on the main board in the

middle, access is by the right side at the notch.

15. Do not use accessories that have not been designed or approved for use on GENIN /

TECHMED sofas.

16. Do not use your table in presence of flammable gases.

17. The table must not be operated continuously up / down for more than 5 minutes

18. When not using the table for a long time, position the table at its lowest point and

disconnect the main supply.

19. When going downhill, check that nothing hinders the movement of the table, watch out for

any pinching

20. Do not use the table outdoors or in a humid environment.

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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21. To avoid the risk of injury, make sure that neither the patient, the therapist nor a third

party interferes with movement during the adjustment phases.

22. Use the table on a perfectly flat surface

23. →Never move the table if it is occupied by a patient.

24. Do not exceed the prescribed maximum load. Maximum load: 200 kg. Take into account the

weight of the practitioner possibly sitting on the table, especially during ultrasound

examinations performed "right hand".

25. The patient's installation is done by a person specifically trained to use the table

26. Make sure that the remote control, control pedal, or power cord wires do not become

entangled in moving parts.

27. If moving, unplug the power cord first.

ABSOLUTE CONTRAINDICATIONS FOR PATIENT FOR EFFORT TEST:

(non-exhaustive list, given as an indication, at the discretion of the specialist)

28. angina pectoris

29. cardiac arrhythmia and / or decompensated heart failure

30. respiratory distress, feeling of oppression

31. circulatory disorder with resting pain in the affected extremities

32. severe coronary artery disease

33. limb claudication when walking within 100 m

34. acute respiratory infections

35. febrile infections

36. circulatory problems, feeling dizzy

37. nausea, vomiting

38. acute coronary syndrome

39. acute myocardial infarction

40. severe symptomatic aortic stenosis

41. decompensated heart failure

42. acute pulmonary embolism

43. acute carditis (Myo-, Endo, pericarditis)

44. acute phlebothrombosis of the upper extremities

45. Acute aortic dissection, carotid artery ...

If the following symptoms occur, the examination should be stopped immediately:

46. respiratory distress, feeling of oppression

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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47. angina pectoris

48. maximum heart rate> 220-age

49. nausea, vomiting

50. circulatory problems

51. fatigue, lassitude, feeling dizzy

52. rapid decrease in heart rate

53. rapid decrease or increase in blood pressure

54. main artery disease

55. symptomatic heart valve diseases

56. electrolyte imbalance

57. arterial hypertension (RR> 200 / 110mmHg)

58. bradyarrhythmia, tachyarrhythmia

59. obstructive hypertrophic cardiomyopathy and other forms of ejection tract obstruction

60. high-grade atrioventricular blocks.

61. anemia

62. physical and / or mental health problems

63. arrhythmias

The center must be equipped with adequate resuscitation equipment and a medical resuscitation unit.

See the European Cardiology Recommendations: Practice stress and effort echo tests.

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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4 - DESCRIPTION

Hips wedge roller

Remote control

Double castors easily

lockable

Double wheel very

easily lockable

Underarm / shoulder rest

positionable

Variable position underarm

and shoulder support

3 2

1

T

Remote controls

delivered as standard

Ergocycle in

"effort"

position

Nape-face hole

Airbag removable

Doppler ultrasound

supra-aortic

Retractable

gluteal

fixation

Straight cut for

patient access and

for «right hand»

ultrasound

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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5 – PRODUCT PRESENTATION

QUALITY OF EXAMS:

1. The wide lateral notch on the left allows a better apical positioning of the

probe.

NB: in the left lateral declivity, flat table, the notch is maximum, which is

optimal for the practitioner and the patient: improvement of the

ultrasonic window and patient & practitioner comfort, better imaging

2. The lateral inclination (maximum 30 °) allows the patient who can not be

mobilized, remaining flat-back, a better quality of examination by

contact of the heart with the wall, improving the ultrasonic window

3. The neck hole - face allows:

1. flat back cervical hyper extension for carotid examinations.

2. on the belly, posterior angiological examinations vertebral and

posterior veins of the legs

NB: occipital support (option) is useful for vertebral artery examinations.

4. The variable height and the electric headrest allow the practitioner to

adjust the patient to its morphology with the wired multifunctional

remote control.

5. Proclive - verticalization -20 ° + 80 ° of the entire couch for venous

angiology examinations.

6. Declive - Trendelenburg -20 ° in case of vagal discomfort.

ON STRESS POSITION :

7. The tray is equipped with a retractable gluteal seat in semi rigid foam,

specially designed for pedaling without any discomfort between the

legs.

8. The ergometer mounted on the chassis, its positioning is adjusted AV-AR

to the rest, and motorized by a remotely controlled cylinder, allowing

the adjustment of the pedaling distance, even during the effort

9. couch: specific anti-bump system, specific pedaling shaft, quick-release

pedals.

10. The proclive-verticalization of the platform up to 80 ° makes it possible to

limit the elevations of pulmonary pressure, to increase the power of

pedaling, the performances and to get as close as possible to the

physiology.

COMFORT :

11. Quality Bultex high density foam, high thickness and similar SPA.Specially designed tray design: double

notch:

1. On the right to :

1. Facilitate access and positioning of the patient. This one spontaneously sets his buttocks

for an ideal positioning.

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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2. Allow an approach of the practitioner working with the right hand, either next to the

couch, or in sitting position above

3. Give a comfortable seat, specially designed, on a tray to the practitioner working with

the right hand

2. On the left to facilitate the positioning of the LLD probe in apical and a better approach in

parasternal

12. Variable height:

1. At the bottom, 65 cm, the table is at the height of the popliteal hollows and allows the sitting

without walking foot.

2. At the top, 102 cm max: comfort of the practitioner for a work sitting next to the bed or on the

bed, or standing.Electric headboards:

3. Comfort of the practitioner and the patient,

4. Examination of supra-aortic trunks

5. To modify the inclination of the bust during the exam without moving the practitioner.

13. Hip and shoulder blocking rolls:

1. Rotational comfort and soft foam coating: secures the patient

2. In the upper position of the tray, the wedging roller acts as a bend for the practitioner, both flat

and in lateral inclination, reducing the risks of the spine and shoulder

14. Lateral inclination:

1. To avoid mobilizations in obese, elderly or operated people (sternotomy ...) etc ....

15. LEDS:

1. Indirect multi-color floor lighting: visual comfort of the doctor.

2. Zen relaxing atmosphere for the patient.

16. Wheels:

1. Double bearing, large load and large diameter, very easy mobilization of the table closer to the

patient and the doctor by one person; lockable for great stability during the exam

17. Optional: leather upholstery, support and infusion stand for TOE, pharmacological stress etc ...

ON STRESS POSITION :

18. The retractable gluteal wedge in semi-rigid foam is specially studied in its positioning, its shape and its

texture for an optimal comfort of the subject, avoiding the use of an uncomfortable saddle:

Global Innovation

19. The verticalization is the guarantor of the efficiency of the pedaling, and makes it possible to limit the

elevations of pulmonary pressure

20. The multi-purpose wired remote control allows you to change the positions of the lift-up headrest, the

ergometer, the height and the lateral inclination at any time, even during pedaling.

21. The ergonomics of pedaling is similar to the semi-recumbent road bike, well known in everyday use.

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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22. Automatic appearance of the lateral setting when tilting in LLD position: Global Innovation

23. From the patient's facility, easy in the lower position of the table, for a resting ultrasound until the end

of the stress test, the patient is safe and does not have to move, all the settings position are

automatically and easily done by the doctor.

24. The Trendelenburg position is very interesting in case of vagal discomfort: innovation

25. Position of the practitioner:

1. Left hand using : the notch allows apical access, the hip pads give support for the practitioner's

elbow

2. Right hand using : the right notch allows to be closer to the patient

3. At any time, the practitioner can, thanks to the remote control, modify the position of the

patient for a better observation.

SAFETY :

26. The maximum permissible load is 200 kg

27. The setting rollers are dependent on the chassis, not the platform, and therefore very robust.

28. The bust - pelvis - leg safety straps are standard, to be used if the practitioner considers a risk for the

patient

29. The left side headrest roller has three keying positions:

1. 0: flat

2. 1: shoulder

3. 2: armpit

30. The table should only be used under the responsibility of a state certified professional who will check

the patient and the surrounding staff, especially when maneuvering the cylinders.

31. ON STRESS POSITION :

32. The maximum permissible load is 180 kg

33. Trendelenburg in case of vagal syncope

Never tilt the tray sideways without first reading the armpit setting.

The straps allow the patient to remain on the couch, especially during examinations under anesthesia.

HYGIENE :

34. Washable stretch fabric smooth surface, seamless, guaranteed fireproof M1 and without phthalate

35. Unwinder roll of solidarity examination.

36. Smooth oval-shaped base, easy to maintain.

37. Wheels allowing the cleaning of the underlying soil.

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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VERSATILITY :

38. Integrates with any room even small.

39. Perfect match with ultrasound and practitioners: horizontally by the wheels, vertically by the different

cylinders.

40. Excellent mobility: large diameter wheels allowing the table to be pulled out to let in a bed that can be

handled by one person.

41. Adapts to several specialties without changing rooms:

1. Doppler ultrasound, vascular

2. clinical examination, ECG, cardiac and vascular Doppler

3. Review of stress and pharmacological efforts

4. possible physiotherapy table, rapid resuscitation.

42. Transfer bed / table: thanks to the variable height

43. Trans-oesophageal echography (TOE):

1. The maximum angle headrest-platform raised is 80 ° allowing a sitting position of the patient for

an easier introduction of the probe

2. The electric controls for lowering of the headrest and lateral tilt allow the patient to easily be

placed in the transesophageal ultrasound examination position without mobilizing the patient.

3. Tee: TOE probe support (option).

4. This accessory allows easy maintenance of the probe handle in a

padded gutter mounted on a weighted foot, mobile.

5. On the TOE position, the Tee is extremely stable, the mobilization of

the probe is facilitated by the tilting of the gutter as well as its

retention, especially for 3D exams thanks to a cushion of gel: just

necessary and sufficient maintenance , without locking the handle

6. Its small footprint makes it useful both in the examination rooms, as

in the operating room.

7. This accessory can be used as a forearm support for the patient

(perfusion) during pharmacological stress ultrasound

8. The TEE is easy mobility on wheels.

9. Hygiene: the probe is kept away from the patient and the doctor, from the examination bed.

Disinfection of the Tee is easy.The electric mobilization of the ergometer is fast (24 seconds)

makes it possible to move very quickly from the "rest" position to the "effort" position, without

any manipulation of the patient.

ULTRA Koch EXERCISE is the only AUTOMATIC and VERSATILE ultrasound examination table

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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ECONOMY :

44. Integrates with any room even small.

45. The rapid change of position and the absence of mobilization of the patient between the

resting echography and the stress test allow a considerable saving of time.

46. No movement of patient or ultrasound system from one position to another

47. Improved planning management to allow stress echocardiography to be performed at rest, at

TOE.

48. The comfort of the table, the absence of painful mobilization, the sense of security, the LED

atmosphere make the table a "high-end" device, very appreciated by patients, valuing the

ultrasound service.

EASE OF USE:

49. Unique mobile remote control for 4 cylinders.

50. AUTOMATIC appearance of cylinder rollers: Global Innovation

51. Toggle shoulder rolls with a simple pull button.

52. Review sheet available.

53. Oversized casters for overweight (obese) or patient + practitioner.

54. Proclive - sloping without additional cylinders.

SAVING TIME :

55. Faster installation and transfer of the patient, no waste of time between 2 patients

56. Faster access to lateral decubitus position, without manipulation or accessories adjustment

57. Faster access to the ultrasound window

FAST & WELL

ULTRA Koch EXERCISE :

STRESS TEST WITHOUT STRESS

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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6 - USE

Lock securely all four wheels during exams.

Be careful when mobilizing moving parts by using the cylinders, under the responsibility of the state

graduate.

The patient's installation is always done on the right side (opposite the rollers) and with the help of a

specially trained person

If needed, use both straps to increase patient safety, especially during TOE.

Cardiology :

58. If the practitioner works with the left hand, the table is optimized in all applications.

The very innovative lateral inclination here has all its usefulness.

59. If the practitioner works with the right hand, the lateral inclination is of course only usable if it is

working upright.

The right notch increases the comfort of the practitioner

Rest Position:

60. The ergocycle is lowered in the axis of the couch.

61. The gluteal fit is returned to the inside of the couch by simply pressing on

it and simultaneously pulling the key

62. The table is placed in a low position to facilitate the access of the patient

by the right thanks to the remote control

63. The height of the table is adjusted thanks to the remote control

64. Adjust the position of the forearm support according to the comfort

desired by the patient

65. Possibly strap the patient (not mandatory)

66. Possibly to obtain a better observation window, without moving the

patient, actuate the remote control to obtain a left lateral declivity,

after taking care to raise the wedge shoulder-armpit

Stress Position Effort :

67. Actuate the lever located below the examination table to automatically show

the gluteal fixation

68. Operate the remote control of the table to raise the backrest and put the

patient in semi-recumbent position according to the desired comfort

69. Operate the remote control of the ergocycle to put it in the "effort" position as

close as possible to the plateau

70. Place the feet on the pedals and fasten them with the scratch straps

71. Manually position the ergometer on its longitudinal axis with square section to

adjust the pedaling distance, then adjust this distance with the electric

remote control. This adjustment can also be done during the effort

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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72. Adjust the height of the table with the remote control

73. Possibly strap the patient

74. Operate the proclive-verticalization remote control at discretion

75. It is recommended to start the stress test with the table only in proclive and then to put the patient in

LLD possibly, to obtain a better window of observation, without moving the patient, to actuate the

remote control to obtain a lateral declivity left.

76. At the end of the exam, return to the "rest" position.

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77. In case of vagal discomfort:

1. Remove the LLD position

2. Lower the headrest electrically

3. Place the table in Trendelenburg position

All adjustments done with the remote controls can be done during the stress test, to improve the comfort of

the patient or the echo cardiographic observation window. The patient does not have to move or change

position during the examination, it is the practitioner who best adapts the settings of the table and the

ergometer.

Angiology :

78. Cervical :

1. Electric headboard flat.

2. Off-the-neck cushion for carotids flat back or facial hole on the

stomach for vertebral arteries

79. Lower limb :

1. Variable table height

2. Proclive verticalization for venous

3. Flat stomach with facial hole for venous posterior

TOE (transoesophageal echocardiography)

80. Introduction of the probe:

1. if possible in classic patient

2. otherwise in LLD at the cylinder with armpit wedge at an angle of

only 30 °

81. sometimes sitting on the headrest raised to the maximum then put in LLD

to the cylinder under medical responsibility, risk of false route increased

82. The cylinders make it possible to adapt the position of the patient during

the examination

83. To increase the quality of the ultrasound window, put the patient in LLD.

The mobilization of the patient while remaining motionless here is of

great importance to the discomfort of the examination.

84. The TEE (optional) is particularly useful for automatically maintaining the probe without compromising

its mobility.

Trendelenburg

85. At any time, in case of vagal discomfort, it is possible to very quickly put

the patient in Trendelenburg by putting all positions flat with the remote

control

86. In flat position, a second pressure puts the table in -20 °

Trendelenburg

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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Pediatrics

87. The table is suitable for pediatric stress tests:

88. Manually bring the patient's ergocycle as close as possible

89. Tilt with the remote control the ergocycle to bring it closer to the table

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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7 – ERGOMETER USING

virtual keyboard legend:

(1) ADJUST = Screen contrast adjustment button.

(2) SCAN = Display selection key between time, distance, calorie elimination and power.

(3) RESET = System reset key.

(4) RETURN = Return key: return to the previous steps.

(5) PROG = Programming key: input program mode.

(6) ENTER = Validation key: allows you to go to the next step in the programming mode.

(7) START = Start key: allows execution of the selected application.

(8) - = Decrease of the power.

Change values in programming mode, constant power mode and constant

pulsation mode.

Adjusting the contrast of the display (only if you hold down the "Adjust" button

(1)).

(9) + = Increased power

Change of values in programming mode, in constant power mode, in constant

pulsation mode.

Adjusting the contrast of the display (only if you hold down the "Adjust" button

(1)).

(5)

(6)

(2)

(3) (1)

(8)

(9)

(7) (4)

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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DISPLAY LEGEND

:

1.

Puissance 60 t/mn

A 70 t/mn

scan 160

Heart rate

indicator in

pulsation per

minute (/mn)

Speedometer in

kilometers per

hour (Km / h)

Current

difficulty

power

indicator

Graphic indicator:

- time

- power

- target to be reached (for

work in constant power and

constant pulsations)

Choice of display following the pressing of the "SCAN"

key (2):

1. Time in minutes (mn) and seconds (s)

2. Distance traveled in meters (km)

3. From the elimination of calories to kilocalories

(kcal)

4. Instant power in watt (W)

5. Speed in revolutions per minute (rpm)

Indicator for work in constant power and constant pulsations:

1. Power target(Watt)

2. Pulse target( / min)

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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OPERATION:

Generalities :

2. Turn on the power.

3. The free use of the ultrasound ergocycle, without prior adjustment, is quite possible. Simply press

the "+" (9) or "-" (8) buttons during pedaling to get the desired effort.

Operation with typical programs:

4. The ultrasound ergocycle has 12 standard programs numbered from 1 to 12. They respond to the

most common use cases, they are not completely frozen. Some parameters, especially the power

and duration, can be changed only when choosing programs or during their execution. The typical

programs will be reset after all subsequent operations.

Operation with personal programs:

5. The ultrasound ergocycle is equipped with 30 personal programs numbered from 1 to 30. This

programming mode makes it possible to prepare personal paths that meet the requirements and

preferences of the user or the doctor.

Operation with constant power program:

6. The ultrasound ergocycle allows you to work according to a target power value. The intensity of

the effort provided on the device corresponds to a power (Watt). The value of this power appears

numerically and graphically. The goal is to maintain the effort provided at the target value, which

allows for regular, consistent work.

Operation with constant pulsation program:

7. The ultrasound ergocycle makes it possible to work according to a target heart rate. This type of

program requires the user to be equipped with the transmitter belt "Polar" (or compatible

hardware). After defining a target heart rate, expressed in pulses per minute, the exercise consists

of staying at this value indicated on the screen digitally and graphically.

Software connection

8. The ultrasound ergocycle can be optionally equipped with a software connection that allows the

device to be controlled by Tm software 9600 software or any other system « Ergoline »

compatible.

Maximum limit

60 trs/mn → 245 W

65 trs/mn → 275 W

70 trs/mn → 300 W

75 trs/mn → 325 W

80 trs/mn → 355 W

85 trs/mn → 403 W

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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8 - OPERATION OF REMOTE CONTROLS

Examination couch

Ascent / descent of the table

Front / rear tilt

Backrest inclination

Lateral inclination for LLD setting

Ergocycle

to put the ergocycle in "effort" position

to put the ergocycle in "rest" position

The two controls also make it possible to precisely adjust the pedal to the patient's morphology, even

during the stress test.

9 - OPTIONS

9. TEE Koch

10. SUPPORT FOR INFUSIONBATTERIE

11. SPECIAL PEDIATRIC CUSHION

ULTRA Koch EXCERCISE – User Manual – Version 1.01 – June 2018 page

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10 - SPECIFICATIONS

Examination couch

13. Maximum length overall with ergometer in "rest" position ....................... 270 cm

14. Overall length with ergometer in "rest" position ........................................ 230 cm

15. Overall length with ergometer in 210 cm effort position ........................... Overall width 93 cm

16. Width in lateral sloping position (passage of door) ................................... 89 cm

17. Width of the couch ...................................................................................... 80 cm

18. Width of the sofa at the level of the indentations ..................................... 55 cm

19. Minimum height of the couch .................................................................... 65 cm

20. Maximum height of the sofa ...................................................................... 95 cm

21. Overall weight ............................................................................................. 220 kg

22. Angles inclination headrest ........................................................................ -20 ° to 80 °

23. Trendelenburg angles ................................................................................. -30 °

24. Angle of verticalization ............................................................................... 70 °

25. Maximum left bank angle ........................................................................... 30 °

26. Maximum permissible weight in "rest" position ........................................ 200 kg

27. Maximum weight allowed in "effort" position ........................................... 180 kg

28. 210-230 V electrical voltage

29. 5 electric cylinders controlled by remote controls

30. Maximum power ........................................................................................ 300 W at 70 rpm

31. Operating temperature .............................................................................. 15 - 35 °

32. Maximum humidity .................................................................................... 90%

33. 3 years warranty (upholstery excepted)

Ergocycle

Structure:

34. Very rigid welded frame

35. Quick manual adjustment of position by sliding on stainless steel ball-bearing shaft, quick change from

"pediatric" position to "large" position

36. Fine adjustment of the pedaling length by remote control and electric cylinder

37. Electromagnetic braking with eddy current

38. Brake setpoint from 5 to 300 W (0 to 200 rpm) 300 W at 70 rpm

39. Work in a direction of rotation with freewheel

40. Transmission with flexible and silent belts equipped with an automatic tensioning system

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41. Tilting desk

42. Pedal arms length 170mm

43. Power supply 230 V / 50 Hz /

44. Consumption 1 A

45. Warranty 3 years without maintenance or re calibration

Electronique :

46. "Graphic" display color: lcd stn 5 "7

47. Displayed information:

1. Power output (Watts), Brake setpoint (Watts),

2. Pedal speed (km / h and rpm), Time (hour: min: sec), Distance (km), Torque developed (Nm),

Calories consumed (Kcal)

48. Can be used in manual mode

49. Programs:

1. 30 free programs

2. 12 pre-established programs

3. Constant power program

4. Program with constant pulsations

50. "Polar" compatible pulse sensor

51. Display in 5 languages

52. Connectable to any ergonomic effort ECG software "Ergoline" by DB9 mode RS232 plug

53. Feedback to software: either the actual power developed or the power setpoint

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11 - COMPLIANCE

55. CE compliant material

56. Class: I (without measuring function) according to the rules of Annex IX of Directive 93/42 / EEC of 14

June 1993 relating to medical devices.

57. To Directive 2004/108 / EC of 15 December 2004 on the approximation of the laws of the Member

States relating to electromagnetic compatibility and repealing Directive 89/336 / EEC

58. To Directive 2006/95 / EC of 12 December 2006 amending Directive 73/23 / EEC of 19 February 1973

relating to electrical equipment intended to be used within certain voltage limits

59. The requirements described in Annex I and VII of Directive 93/42 / EEC of 14 June 1993 on medical

devices.

60. The stability and resistance tests were carried out according to the 60601-2-38 / A1 standard for

medical beds (article 24 for stability and 28 for resistance). The maximum permissible load is 200 kg in

the rest position and 180 kg in the effort position.

61. The ergocycle complies with the standards: EN 60204/1 - EN 60601/1 - EN 61000/6/3 - EN 61000/6/1

Avoid using a mobile phone or other radio frequency instrument near the examination table.

12 - CLEANING

This couch does not require special maintenance, apart from a regular and appropriate cleaning, which

keeps all its components in perfect cleanliness.

Before starting any maintenance or cleaning activity, disconnect the power supply table

electric.

Precautions :

62. Do not use abrasive products or cloths.

63. Do not use hypocarbonate or phenolic wash solutions.

64. Clean the structure and the protective cover with a dry cloth or if necessary with soapy water

65. Wash upholstery only with soapy water or non-abrasive products such as Anios.

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66. Also avoid abrasive articles and greasy products.

67. Avoid sharp tools (eg cutters) that can tear and damage the coating.

68. Avoid the use of bulky rings or jewelery likely to scratch the upholstery

69. Periodically check - and upon receipt - the general condition of the sofa before use

70. The recommended rhythm for these systematic checks is every 6 months.

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13 - WARRANTY – AFTER SALES SERVICE

The examination table is guaranteed for 3 years, with the exception of the guaranteed one year coating.

100% French design and manufacturing

For all service problems, contact SOLUBIO:

1. By telephone on + 336 63 12 19 54

2. By email to [email protected]

Specifying :

1. Serial number

2. Installation date

3. Contact details of the contact person

14 – PEOPLE SPECIFICALLY FORMED FOR USING

User Fonction Date of the training Teacher Sign