Schiller AT-10+ - Service Handbook

AT-10 plus
12-Channel ECG Device

Art.-no.: 2.540043 Rev.: a *2.540043*
Service Handbook
Sales and Service Information
The SCHILLER sales and service centre network is world-wide. For the address
of your local distributor, contact your nearest SCHILLER subsidiary. In case of dif-
ficulty a complete list of all distributors and subsidiaries is provided on our internet
site: http://www.schiller.ch.
Sales information can also be obtained from:
[email protected]
Address Headquarters
SCHILLER AG Phone: +41 (0) 41 766 42 42
Altgasse 68 Fax: +41 (0) 41 761 08 80,
CH-6341 Baar, Switzerland E-mail: [email protected]
Web: www.schiller.ch
Article no.: 2.540043 Rev.: a

Issue date: 10.03.05
AT-10 plus Service Handbook
Contents
1 Safety notes .............................................. 7
1.1 Responsibility of the user ................................................... 7
1.2 Intended use ......................................................................... 7
1.3 Organisational measures..................................................... 7
1.4 Safety-conscious operation ................................................ 8
1.5 Safety facilities ..................................................................... 8
1.6 Operation with other devices .............................................. 8
1.7 Safety Symbols and Pictograms ......................................... 9
1.7.1 Used symbols in this document ......................................................... 9
1.7.2 Used symbols on the device ............................................................ 10
1.8 Terms of warranty .............................................................. 10
2 Introduction ............................................ 11
2.1 Features............................................................................... 11
2.1.1 Standard........................................................................................... 11
2.1.2 Options............................................................................................. 11
2.1.3 Connectors....................................................................................... 11
2.2 LCD screen.......................................................................... 12
2.2.1 Keypad ............................................................................................. 13
2.3 External connections ......................................................... 15
2.3.1 Back Panel ....................................................................................... 15
2.3.2 Side panel ........................................................................................ 16
3 Operation Overview ............................... 17

3.1 Start-up and initial preparation ......................................... 17
3.1.1 Location............................................................................................ 17
3.1.2 Connection of external cable assemblies and ancillary equipment.. 17
3.1.3 Potential equalisation ....................................................................... 17
3.1.4 Switching on and off......................................................................... 18
3.1.5 Power supply and battery operation................................................. 18
3.1.6 Isolating the mains supply................................................................ 18
3.1.7 System and ECG settings ................................................................ 18
3.2 Selecting menu options using the arrow keys ................ 19
4 Service Screen ........................................ 20

Art.-no.: 2.540043 Rev.: a
4.1 ECG...................................................................................... 20
4.2 NIBP ..................................................................................... 21
4.3 Spiro .................................................................................... 21
4.4 HW-Config ........................................................................... 21
4.5 I / O ports ............................................................................. 22
4.5.1 Checking the RS-232 ports .............................................................. 22
4.5.2 Checking the analogue ports ........................................................... 23
4.6 Character............................................................................. 23
4.7 Colour .................................................................................. 24
4.8 Test ...................................................................................... 24
Page 3
AT-10 plus
4.8.1 Battery capacity test......................................................................... 25

4.8.2 Print quality and printer alignment check ......................................... 25
4.8.3 Print quality and printer alignment check patterns ........................... 26
4.9 Battery ................................................................................. 27
4.9.1 Calibrating the battery...................................................................... 28
4.10 Software............................................................................... 29
4.10.1 Installing software options................................................................ 29
4.10.2 Updating the unit software ............................................................... 30
4.11 Saving the settings............................................................. 31
5 Functional Checks ..................................32

5.1 Service interval ................................................................... 32
5.2 General unit integrity check .............................................. 32
5.3 Functional checks and tests.............................................. 34
5.3.1 External sight control ....................................................................... 34
5.3.2 Mains and battery indicators (LED) test........................................... 35
5.3.3 Charging the battery ........................................................................ 35
5.3.4 Battery capacity check ..................................................................... 35
5.3.5 Keyboard test................................................................................... 35
5.3.6 LCD screen test ............................................................................... 35
5.3.7 Printer checks .................................................................................. 36
5.3.8 ECG amplifier and patient cable test ............................................... 37
5.3.9 External printer test.......................................................................... 37
5.3.10 Communication (RS-232) test.......................................................... 37
5.3.11 ECG printout reference .................................................................... 38
5.3.12 Language, date and time ................................................................. 40
5.3.13 External monitor............................................................................... 40
5.4 Safety tests.......................................................................... 41
5.4.1 Maximum values safety test............................................................. 41
6 Replacing Major Components ...............42

6.1 Safety notes ........................................................................ 42
6.2 Replacing the battery ......................................................... 42
6.2.1 Maintenance interval for the battery................................................. 42
6.2.2 Battery disposal ............................................................................... 43
6.3 Changing the fuse and mains voltage .............................. 43
6.3.1 Fuse types ....................................................................................... 43
6.3.2 Changing a fuse............................................................................... 43
6.3.3 Changing the mains voltage ............................................................ 43
6.4 Opening the case................................................................ 44
6.4.1 Printer .............................................................................................. 46
6.4.2 ECG Amplifier MK 22-2.................................................................... 46
Art.-no.: 2.540043 Rev.: a
6.4.3 Communication module ................................................................... 47

6.5 Reassembling the unit ....................................................... 49
6.5.1 Internal sight control......................................................................... 49
6.5.2 Functional Test ................................................................................ 49
7 Cleaning ...................................................50
7.1 Cleaning the casing............................................................ 50
7.2 Cleaning the patient cable ................................................. 50
7.3 Cleaning the thermal print head........................................ 50
Page 4
AT-10 plus Service Handbook
8 Unit Settings ........................................... 51

8.1 ECG settings ....................................................................... 51
8.2 Exercise settings ................................................................ 56
8.3 General and unit settings .................................................. 58
9 Technical Data ........................................ 61

9.1 System................................................................................. 61
9.2 ECG...................................................................................... 62
9.3 Safety standards................................................................. 63
10 Construction Drawings .......................... 64

10.1 Exploded views................................................................... 64
10.1.1 Base casing...................................................................................... 64
10.1.2 Top and LCD casing ........................................................................ 65
10.2 Circuit and functional illustrations ................................... 66
10.2.1 Connection block diagram................................................................ 66
10.2.2 Microprocessor (main board) functional block diagram ................... 67
10.2.3 Communication module functional block diagram............................ 68
10.2.4 ECG amplifier functional block diagram ........................................... 69
10.2.5 Main (microprocessor) board component layout.............................. 70
10.2.6 ECG board component layout.......................................................... 71
10.2.7 Communication module component layout ...................................... 72
11 Special Test Equipment ......................... 73

11.1 RS test plug......................................................................... 73
11.2 DC In/Out cable assembly ................................................. 73
11.3 ERGO connector and switch ............................................. 73
12 Checklist ................................................. 74
12.1 AT-10plus checklist table .................................................. 74
Art.-no.: 2.540043 Rev.: a
Page 5
Page 6
AT-10 plus
Art.-no.: 2.540043 Rev.: a

Safety notes 1
AT-10 plus Service Handbook Responsibility of the user 1.1
1 Safety notes
This Service Handbook is for qualified service personnel only, trained by Schiller AG.
Refer to the operating instruction manual 2.510526 for operation the device.
1.1 Responsibility of the user

V Specify the competencies of the personnel for operation and repair.
V Ensure that service personnel have read and understood these service
instructions. In particular this section “safety notes" must be read and
understood.
V Have damaged or missing components replaced immediately.
V The service personnel is responsible for compliance with all applicable accident
prevention regulations and safety regulations.
1.2 Intended use

V The AT-10 plus is a 12-channel, ECG device used for the recording, analysis and
evaluation of ECG Recordings. Recordings made with the AT-10 plus can be
used as a diagnostic aid for heart function and heart conditions. The AT-10 plus
is designed for indoor use and can be used for all patients of both sexes, all races,
and all ages.
V Only operate the device in accordance with the specified technical data.
V Do not use or repair this unit in areas where there is any danger of explosion or
in the presence of flammable gases such as anaesthetic agents.
1.3 Organisational measures

V Before servicing the unit, ensure that an introduction regarding the unit functions
and the safety precautions has been provided by Schiller AG
Art.-no.: 2.540043 Rev.: a
V Keep these service instructions in an accessible place for reference when

required. Make sure that they are always complete and legible.
V Observe the operating instructions and service instructions.
V These service instructions do not override any statutory or local regulations, or
procedures for the prevention of accidents and environmental protection.
Page 7
1 Safety notes
1.4 Safety-conscious operation AT-10 plus
1.4 Safety-conscious operation

V Do not place any liquids on the unit. If liquid should be spilled over the device,
immediately disconnect the device from the mains and wipe it. The device must
be serviced before reusing.
V Danger of electric shock! Do not open the device without disconnecting the
device from the mains.
V Before cleaning and to isolate the mains power supply, switch the unit off and
disconnect it from the mains by removing the plug.
V Do not use high temperature sterilisation processes
(such as autoclaving). Do not use E-beam or gamma radiation sterilisation.
V Do not use solvent or abrasive cleaners on either the unit or cable assemblies.
V Do not, under any circumstances, immerse the unit or cable assemblies in liquid.
1.5 Safety facilities

V Operating the device without the correctly rated fuse, or with defective cables,
constitutes a danger to life. Therefore:
– Do not operate the unit if the earth connection is suspect or if the mains lead is
damaged or suspected of being damaged.
– Damaged cable connections and connectors must be replaced immediately.
– The electrical safety devices, such as fuses, must not be altered.
– Ruptured fuses must only be replaced with the same type and rating as the orig-
inal.
1.6 Operation with other devices

V Use only accessories and other parts recommended or supplied by SCHILLER
AG. Use of other than recommended or supplied parts may result in injury,
inaccurate information and/or damage to the unit.
V Ancillary equipment connected to the analogue and/or digital interfaces must be
certified according to the respective IEC standards (e.g. IEC/EN 60950 for data
processing equipment and IEC/EN 60601-1 for medical equipment). Furthermore
Art.-no.: 2.540043 Rev.: a

all configurations shall comply with the valid version of the system standard IEC/
EN 60601-1-1. Everybody who connects additional equipment to the signal input
part or signal output part configures a medical system, and is therefore
responsible that the system complies with the requirements of the valid version
of the system standard IEC/EN 60601-1-1. If in doubt, consult the technical
service department or your local representative.
– EC/EN 60601-1-1 states that the patient must remain at least 1.5 meters clear
of the unit. If this is not possible, a safety isolating transformer must be installed.
Page 8
Safety notes 1
AT-10 plus Service Handbook Safety Symbols and Pictograms 1.7
1.7 Safety Symbols and Pictograms

1.7.1 Used symbols in this document
The safety level is classified according ANSI Z535.4. The following overview shows
the used safety symbols and pictograms used in this manual.
For a direct danger which could lead to severe personal injury or to death.
For a possibly dangerous situation, which could lead to heavy bodily injury or to death.
For a possibly dangerous situation which could lead to personal injury. This symbol is
also used to indicate possible damage to property.
For general safety notes as listed in this chapter.
Used for electrical dangers, warnings and other notes in regarding operation with
electricity.
Note For possibly dangerous situations, which could lead to damages to property or
system failure. Important or helpful user information
Reference to other guidelines

Art.-no.: 2.540043 Rev.: a
Observe precautions for handling electrostatic sensitive devices
Tools required for a procedure.
Page 9
1 Safety notes
1.8 Terms of warranty AT-10 plus
1.7.2 Used symbols on the device
Potential equalization
CF symbol. This unit is classified safe for internal and external use. However, It is only
defibrillation protected when used with the original SCHILLER patient cable!
Inappropriate disposal can lead to environmental pollution.
Units/components and accessories no longer required can be returned to SCHILLER

AG for disposal. Alternatively, the unit should be disposed of in a municipally
approved recycling centre.
Notified body of the CE certification (TÜV P.S.)
Attention: Consult accompanying documents.
1.8 Terms of warranty

The SCHILLER AT-10 plus is warranted against defects in material and manufacture
for the duration of one year (as from date of purchase). Excluded from this guarantee
is damage caused by an accident or as a result of improper handling. The warranty
entitles free replacement of the defective part. Any liability for subsequent damage is
excluded. The warranty is void if unauthorized or unqualified persons attempt to make
repairs.
In case of a defect, send the apparatus to your dealer or directly to the manufacturer.
The manufacturer can only be held responsible for the safety, reliability, and
performance of the apparatus if:
• assembly operations, extensions, readjustments, modifications, or repairs are car-

ried out by persons authorized by him, and
• the SCHILLER AT-10 plus and approved attached equipment is used in accord-
Art.-no.: 2.540043 Rev.: a

ance with the manufacturers instructions.
Page 10
Introduction 2
AT-10 plus Service Handbook Features 2.1
2 Introduction
2.1 Features
The SCHILLER AT-10 plus is a 12-channel ECG unit designed to record, display, and
measure resting ECGs. The AT-10 plus has the following features:
2.1.1 Standard
• Pacemaker Detection
• Manual (real time) mode - (leads, speed and amplitude can be changed as re-
quired)
• Auto mode with user defined presentation formats
• Rhythm recording with user defined formats (planned)
• Measurements
2.1.2 Options
• Interpretation
• Thrombolysis (with C version (interpretation) only)
• Stress testing with standard test protocols and user defined protocols, analysis
program with ST measurement, average complexes and trends (EXEC)
• Extended Memory (planned option)
• Full disclosure of all 12 leads (planned option)
• Spirometry (planned option)
• Pacemaker measurement (planned option)
• Heart rate variability (planned option)
• Late potential analysis (planned option)
2.1.3 Connectors
• VGA interface for the connection of an external monitor
• DC input connector for on-screen presentation or printout of external signals
Art.-no.: 2.540043 Rev.: a
• DC Output connector for output of recorded signals

• RS-232 interfaces for control of digital treadmills and digital bikes
• Analogue interface for control of an analog ergometer
• RS-232 interface for a spiro flow sensor
Schiller Communication Module (SCM)

• Analogue Modem connecter (with optional internal modem)
• RS-232 interface for external Blood pressure unit (BP200 or ergo device with
NIBP).
• RJ-45 ethernet connector (network)
• Two USB connectors
• SDCARD slot (with 64MB SD Card) for removable storage of recordings
Page 11
2 Introduction
2.2 LCD screen AT-10 plus
2.2 LCD screen

The display will vary according to the current task being carried out. In all screens
however, the top, middle and bottom areas always display the same information
groups. The following is an example of a typical resting ECG screen.
1 2 3 4 5 6 7
8 9 10 11 12 13
(1) The heart rate (HR) - averaged over the last 4 beats.
(2) The patient name - below is the last auto mode recording intervals (if an auto
mode recording has been taken).
(3) Message field - this area displays any status messages.
(4) Message Field - this area displays technical and system error messages.
(5) Current mode of operation (resting, stress, spiro).
Art.-no.: 2.540043 Rev.: a

(6) Electrode lead status - when an electrode indication flashes (an audible indica-
tion is also given), it indicates that the electrode resistance is too high
(7) Current power source - mains (~), or battery ( ) (see page 18).
(8) Selected baseline frequency (0.05, 0.15, 0.30, or 0.60 Hz) (see page 51).
(9) Myogram filter cut-off frequency (25Hz, 35Hz or 150Hz (off)).
(10) Auto sensitivity reduction on (‘A‘ in box), or off (box empty) - to help reduce over-
lapping traces (see page 51).
(11) The central section of the screen displays the measured ECG traces.
(12) Manual Print settings
– speed in mm/s
– sensitivity in mm/mV
– selected leads
(13) System time and date.
Page 12
Introduction 2
AT-10 plus Service Handbook LCD screen 2.2
2.2.1 Keypad
5 6 7
4
2
9 8
The keyboard is divided into the following functional areas:
(1) Alphanumeric and Dual Purpose Keys. The numerical keys are dual purpose as
Art.-no.: 2.540043 Rev.: a
follows:
– Key 1 - switch myogram filter on or off
– The following keys change the speed, amplitude and lead group during manu-
al printing:
– Key 2 and 3 - changes to next / previous lead group
– Key 4 to 7 - printout speed
– Keys 8 to ‘-‘ - printout Amplitude (sensitivity)
(2) Resting and Stress ECG Function Keys:

• ECG Keys
– ECG key - select ECG menu settings
– Monitor Lead key - display next lead group
– Monitor Channel key - change the number of leads displayed
– Monitor mm/s key - toggle display speed
– Monitor mmV key - toggle display sensitivity
– Cal key - reset ECG signal to baseline and insert calibration signal on the
screen or on the printout
Page 13
2 Introduction
2.2 LCD screen AT-10 plus
• Exercise Keys
– Exercise key - exercise ECG settings and function
– Protocol key - display/select/ edit exercise protocols
– Symptoms key - manual input of symptoms
– Begin key - start exercise test (beginning of warm-up phase) according to pro-
tocol set
– End key - stop exercise test (start of recovery phase)
– Print Report key - print final report (end of recovery phase)
– Print Rhythm key - print rhythm strip
– Next Stage key - switch to next stage
– Interrupt Stage key - interrupts the test i.e. releases load on bike/stops tread-
mill - this function can be used, for example, to administer medication - when
this key is again pressed, the test resumes from the same position
– Load key - overwrite protocol and define load
(3) Memory, Storage and transmission Keys:

– Memory key - gives access to the stored recordings - memory and transmission
settings are also defined here
– Store Data key - initiates data storage to internal memory of the current record-
ing - the location where the recording is stored in defined in the memory set-
tings.
– Send Data key - initiates transmission over the defined interface of the current
recording - the location where the recording is sent is defined in memory set-
tings
– Get Data key - initiates data reception from another location - the location from
where the data is received is defined in the memory settings
(4) Patient Data key - Input of patient data
(5) Direct function keys including:

– Print Screen key - print the displayed screen
– Copy 1 and Copy 2 keys - print a copy of current recording in format 1 or format
2
– Man Start key - imitate real time printout
– Auto Start key - take auto recording
– Stop key - stop real time printout / advance paper to beginning of new page
(6) Replace Paper key - extend or retract the paper tray for paper replacement
Art.-no.: 2.540043 Rev.: a

(7) On/Off key - switch the unit on or off
(8) Menu navigation keys including:

– Menu key - give access to system settings
– Confirm key - confirm current / displayed setting
– Left arrow key - move cursor to the left / select next menu option
– Right arrow key - move cursor to the right / select previous menu option
– Up arrow key - move cursor or menu bar up
– Down arrow key - move cursor or menu bar down
– (see page 19)
(9) Further Function Keys for:

– NIPB key - take or enter non-invasive blood pressure measurements
– SPIRO key - spirometry program (requires spiro sensor connected to the spiro
RS-232 interface)
Page 14
Introduction 2
AT-10 plus Service Handbook External connections 2.3
2.3 External connections

V All externally connected hardware must be approved by SCHILLER. Connection
of any hardware not approved by SCHILLER is at the owner‘s risk. The unit
guarantee may also be invalid.
2.3.1 Back Panel
1 2 3 4 5 6 7 8 9 10 11
(1) RS-232 connector for Treadmill.

(2) RS-232 connector for Ergometer.
(3) Potential equalisation stud. The potential equalisation stud is used to equalise
the ground potential of the unit to that of any nearby mains powered equipment.
Use the hospital or building common ground for all mains powered units.
V If an external printer, monitor or ergo device is connected to the AT-10 plus, the
potential equalisation stud must be connected to common ground when the AT-
10 plus is working on battery power i.e.when the mains lead (with grounding lead)
is not connected to the unit (see page 17).
Art.-no.: 2.540043 Rev.: a
(4) Mains connector and fuse box (fuses: 2 x T 160 mA / 250 V).
(5) VGA connector for external monitor. Note that before an external monitor can
be used, the VGA output must be enabled in system settings (see page 57).
The following connectors are situated on the communications module.
(6) RJ-45 Ethernet LAN connector (Local Area Network).

(7) USB connector for an external printer.
(8) RS-232 for an external BP unit.
(9) SD card slot for (removable) data storage (64MB).
(10) USB connector.
(11) RJ-11 telephone connector (with optional internal modem).
Page 15
2 Introduction
2.3 External connections AT-10 plus
2.3.2 Side panel
1 2 3 4 5
(1) EKG/ECG patient cable input socket.
• The patient cable and connector is CF © rated, that is fully floating and isolated,
defibrillation protected, suitable for intra-cardiac application.
• The unit is only CF rated and defibrillation protected if used with the original
SCHILER patient cable.
(2) RS-232 connector for pneumotach sensor (SP-250/SP-260) for pulmonary

function testing.
(3) DC input DCIN 1, 0.5 V/cm.
(4) DC output DCOUT, 0.5 V/cm.
(5) ERGO connector for connection of analogue ergometers.
Art.-no.: 2.540043 Rev.: a
Page 16
Operation Overview 3
AT-10 plus Service Handbook Start-up and initial preparation 3.1
3 Operation Overview
3.1 Start-up and initial preparation
V Danger of electrical shock. Do not operate the unit if the earth connection is
suspect or if the mains lead is damaged or suspected of being damaged.
3.1.1 Location
• Do not keep or operate the unit in a wet, moist, or dusty environment. Avoid expo-
sure to direct sunlight or heat from other sources.
• Do not allow the unit to come into contact with acidic vapours or liquids.
• The AT-10 plus should not be placed in the vicinity of X-ray or diathermy units,
large transformers or electric motors. It must also be positioned at least one meter
from the mains supply.
3.1.2 Connection of external cable assemblies and ancillary

equipment
1. Check the voltage setting (115V or 230V) (see page 43).
2. Connect the power cable at the rear of the unit. The Mains indicator lamp is lit.
Leave the AT-10 plus connected to the mains for 7 hours to fully charge the
battery.
3. Connect the patient cable (side panel).
4. Connect any ancillary and optional equipment (see page 15). These may include
the following:
– Ergometer (analogue or digital) for exercise testing
– Blood pressure unit
– Spiro sensor (for spirometry)
– External monitor
Art.-no.: 2.540043 Rev.: a
– Network cable
– External printer
3.1.3 Potential equalisation

The potential equalisation stud at the rear of the unit is used to equalise the ground
potential of the AT-10 plus to that of all mains powered equipment in the vicinity. Use
the hospital or building common ground. A yellow/green ground cable is supplied as
an option (Article number 2. 310 005).
To avoid possible interference from the ergometer when carrying out an exercise test,
it is recommended that both the AT-10 plus and the ergometer are connected to the
same common ground.
V To prevent the possibility of leakage current when an external printer, external

monitor, or ergo device is connected, always ensure that the mains lead (with
earth grounding connection), and / or the potential equalisation, is attached to the
AT-10 plus.
Page 17
3 Operation Overview
3.1 Start-up and initial preparation AT-10 plus
3.1.4 Switching on and off

The unit is switched on and off with the On / Off key.
3.1.5 Power supply and battery operation

The unit can be operated either from the mains supply or from the built-in
rechargeable battery. The power source is indicated on the top line of the LCD and a
mains and battery indicator on the unit. The mains indicator lamp is lit all the time the
unit is connected to the mains supply. The mains symbol is also displayed in the top
right corner of the screen when the unit is switched on.
Mains and battery LED indicators

The LED indicators on the unit casing indicate the power operation as follows:
Function Battery LED Mains LED
Mains Connected:
Battery Charging • On • On
Battery Full • Off • On
Battery Working:
Battery Capacity OK • On • Off
Battery Capacity Limited (reconnect mains) • Blinking • Off
Battery Capacity
The internal battery provides power for up to four hours. When the unit is running on
Full battery power a battery symbol replaces the mains symbol and indicates the battery
Half full status. When the battery is full, the symbol is solid.
Empty
The battery is charged when the unit is connected to the mains supply. The unit can
remain connected to the mains supply without damage to either the battery or the unit.
3.1.6 Isolating the mains supply

To isolate the power supply, remove the mains plug from the wall socket.
Art.-no.: 2.540043 Rev.: a

3.1.7 System and ECG settings
• The System Settings (time, date, user ID, etc.), and other general settings (mac-
ros, ergometer, etc.), are found in the System Settings section (see page 57).
• Resting ECG settings (auto format, user defined leads, print options, lead test,
QRS beep, interpretation, rhythm lead definition, etc.), (see page 51).
• Exercise settings (Heart rate target, protocol HR target, treadmill settings, recovery
settings etc.) are found in the Exercise Section (see page 55).
Page 18
Operation Overview 3
AT-10 plus Service Handbook Selecting menu options using the arrow keys 3.2
3.2 Selecting menu options using the arrow

keys
When any of the setting keys are pressed (ECG, Exercise, NIBP, Menu etc.), menu
tabs are displayed and menu options displayed, as given in the ECG example below.
The general principal of navigating and option selection is the same for all menu keys
as follows:
1. Press the left /right keys to select (highlight) the tab on the top of the screen.
2. Use the up/down keys to select the field/icon - the entry field appears blue (as
shown in the example below for ‘signals‘).
HR Variability Autom. Format Prog. Leads Lead Filter General

Lead Test Pacemaker Interpretation Rhythm Rec Late Potential
Lead Sequence Standard

Signals simultaneous
Auto-Centring sequential
Rhythm lead group NO

Left posterior (V4 - V9) NO
3. Press Confirm to select.

4. Use up/down keys to toggle through the options available.
5. Press Confirm to set.
• When all entries are made, press the Esc key to exit and register the entered data.
Art.-no.: 2.540043 Rev.: a
Page 19
4 Service Screen
4.1 ECG AT-10 plus
4 Service Screen
To enter the service screen press the following key sequence:
‘.’ > ‘.’ > ‘S’ (full stop key pressed twice, followed by ‘s’).
A number of tabs at the top of the screen give the following options:
Service
Character Colour Test Battery Software
ECG NIBP Spiro HW-Config. I/O + ports
4.1 ECG
Service
Lead Test (mV)

RA 5
LA 5
C1 5
C2 5
C3 5
C4 5
C5 5
C6 5
C7 5
C8 5
C9 5
The electrode resistance check is provided as an integrity check for the electrode
resistance and patient cable if suspected of being faulty.
Art.-no.: 2.540043 Rev.: a

To check the electrode resistance and the integrity of the cable, click the ECG icon.
This gives electrode dc offset and is the voltage drop in the patient cable and
electrodes. The result column gives the detected voltage for each electrode in
millivolts measured between the electrode on the left leg and each of the individual
electrodes.It can indicate any faults in the patient cable or patient electrode. The
measured voltage value will depend on where the electrodes are connected. The
voltage readings that can be expected are as follows:
With patient connected: ± 100mV: Good connection, low resistance. An offset of up to ±300mV will give an
acceptable recording.
With patient simulator connected: ± 20 mV: This will depend on the patient simulator used and must be taken as a
flexible measurement.
With all electrodes shorted together: ± 20 mV.
No patient cable connected: -350 to -550mV.
Page 20
Service Screen 4
AT-10 plus Service Handbook NIBP 4.2
4.2 NIBP
Service
Not available at the time of print.
4.3 Spiro
Service
Not available at the time of print.
4.4 HW-Config
Service
Display rotation 0o Save it and power off to get effect

Art.-no.: 2.540043 Rev.: a
Use this setting to rotate the display by 180o. The procedure is as follows:
1. Set the rotation as required (180oor 0o).

2. Press the Escape key.
3. Press the Menu key and select the Software tab.
4. In the software screen click the Save as Default icon to ensure that the option is
saved (see page 31).
5. Switch the unit off and on again. The defined setting is displayed.
.
Save it and power off to get effect 0o Display rotation
I/O + ports HW-Config. Spiro NIBP ECG

Software Battery Test Colour Character
Service
Page 21
4 Service Screen
4.5 I / O ports AT-10 plus
4.5 I / O ports
Service
** RS - 232 test **
TM : 1
Ergo :
Spiro :
SpO2 :
NIPB :
SCM :
** Ergo test out/in **
DC OUT 1 > -3 > DCIN 1 +
DC OUT 2 >
QRS OUT >
4
0
>
>
DCIN 2 +
RPMIN
2
LOADOUT > 0 > LOADIN
TMUP > FUSSIN

TMDOWN > -3 > FUSSIN
This screen enables the Input output ports to be tested / checked. Signals are send
from the AT-10plus and checked for correct reception. Both the RS-232 ports and the
analogue ports can be tested.
The testing of the ports requires the following test equipment. Details of this test
equipment is given at the end of this book (see page 72).
• RS-232 test plug

• DC In / DC Out test cable assembly
• Test plug and switch (ERGO check)
4.5.1 Checking the RS-232 ports

The following ports can be checked:
• Treadmill (back panel)
Art.-no.: 2.540043 Rev.: a

• Ergo (back panel)
• RS-232 (side panel)
Proceed as follows:
1. Position the RS-232 test plug (pin 2 (TX) and 3 (RX) shorted together) in the port
to be tested.
2. The red square (1) changes to green to indicate that the port is functioning.
The Spiro and NIBP RS ports are internal and cannot be checked with the test plug.
Page 22
Service Screen 4
AT-10 plus Service Handbook Character 4.6
4.5.2 Checking the analogue ports

The following ports (on the side panel) can be checked:
• DC In
• DC Out
• ERGO
DC In / DC Out Ports
Proceed as follows:
1. Using the test cable assembly, connect the DC in and DC out ports together.
2. After a few moments while the circuit counts up, the red squares (2) change to
green to indicate that the port is functioning.
Checking the ERGO Port

1. Plug the test plug and switch assembly in the ERGO port on the side panel.
2. With the switch in the TMUP position, the TMUP red square changes to green to
indicate that the port is functioning.
3. With the switch in the TMDOWN position, the TMDOWN red square changes to
green.
4.6 Character
Service
Select this screen to display the complete character set of the unit.
Art.-no.: 2.540043 Rev.: a
Page 23
4 Service Screen
4.7 Colour AT-10 plus
4.7 Colour
Service
Palette : Cyan
In this screen the default background colour can be selected. Choose between:
• Cyan
• Grey
• Blank
• Blue
To set the background colour proceed as follows:
1. Set the colour.

2. Press the Escape key.
3. Press the Menu key and select the Software tab.
4. In the software screen click the Save as Default icon (see page 31).
5. Switch the unit off and on again. The defined setting is displayed.
The ECG display can also be inverted. This is carried out in the ECG menu:
Art.-no.: 2.540043 Rev.: a

• ECG key > General > ‘In. ECG Monitor‘.
4.8 Test
Service
In this screen some test and check functions can be performed as follows:
• Battery capacity test

• Print quality and print alignment check
Page 24
Service Screen 4
AT-10 plus Service Handbook Test 4.8
4.8.1 Battery capacity test
Battery settings and calibration procedure are detailed on the following page.
To check the battery capacity proceed as follows:
1. Leave unit connected to the mains for eight hours to fully charge the battery.
2. Disconnect the mains supply to the unit.
3. Enter the test screen and press the character sequence 032.
4. A printout will be initiated and then a printout will be given every hour.
5. Check that at least 2 printouts are obtained (minimum capacity one hour).
6. The time of each printout is given on the bottom of the printout (1). The final
printout gives the time that the battery capacity was exhausted (2).
1
2
7. Quit the test by switching the unit off.
4.8.2 Print quality and printer alignment check
Also see page 36 for print speed and parallelism checks.
To check the print quality proceed as follows:

Art.-no.: 2.540043 Rev.: a
1. Enter the test screen.

2. Press the Man Start key.
3. A continuous test print will be given.
4. Use the Lead selection keys (2 and 3), to toggle though the four test patterns. The
five print patterns are shown on the next page.
5. Stop the printout by pressing the Stop key.
6. Check the printout for:
– fading
– alignment
– faulty pixels
– blackness for regularity and good readability on the complete print width.
If individual pixels are missing, the printout fades or is darker in one area the problem
is usually with the thermal print head. If the print quality is not good:
– clean the print head with alcohol (see page 50).

– check that fresh good quality SCHILLER paper is installed in the unit.
– check the electrical / mechanical settings of the print head.
– change the printer (see page 46).
Page 25
4 Service Screen
4.8 Test AT-10 plus
4.8.3 Print quality and printer alignment check patterns
Print Test Pattern 1 Print Test Pattern 2 Print Test Pattern 3
Art.-no.: 2.540043 Rev.: a
Print Test Pattern 4 Print Test Pattern 5
Page 26
Service Screen 4
AT-10 plus Service Handbook Battery 4.9
4.9 Battery
Service
Discharge Count: 34
Charge Count : 333
Self dis. Count : 23
Saved Energy : 8054

NiMh full value : 5232
Li full value : 3421
Cal Energy : 2387
Total Power : 87 %
Battery Down : N
NH/Li : Li
Mains / Bat :
Start Time :
End Time :
Clear Register :
Cal offset CAL OFF START / STOP CAL 1
Total recal :
This screen displays the charge capacity of the battery. Two battery types are
available with the AT-10plus.
• Lithium
• NiMh
The battery type is automatically detected by the unit and is calibrated in the factory.
It should not need recalibrating during its life. However, if the battery capacity seems
limited when the battery gets older, it can be recalibrated at any time. The battery
must also be recalibrated when a new one is installed. The information given on this
screen is as follows:
Discharge Count This is a hardware counter directly from the battery charge controller. It counts (to a
maximum of 16000), to show battery discharge when the unit is switched on (but not
connected to the mains).
Charge Count This is a counter directly from the (hardware) charge controller. It is a counter (to max
16000) showing battery charge rate when the battery is charging.
Art.-no.: 2.540043 Rev.: a
Self dis. Count This is a counter directly form the (hardware) charge controller. It is a counter (to max
16000) showing battery leakage rate when the unit is not switched on and not
connected to the mains.
Saved Energy The three counters (registers) above, have a maximum count of 16000. When any
counter reaches 16000, all the hardware counters are reset. The saved energy count
here is an accumulative figure of the three counts above (when reset) i.e.
• (Charge count) - (Discharge count) - (Self dis. Count)
NiMh full value This is the capacity of the (NiMh) battery (calculated when the battery is calibrated).
The typical value of a new battery is 4000 - 6000.
Li full value This is the capacity of the (Li) battery (calculated when the battery is calibrated). The
typical value of a new battery is 2500 - 4000.
Note: the battery type is automatically detected by the unit and only one of the above
values (‘NiMh full value‘ or ‘Li full value‘) will be displayed. The type of battery installed
in shown in the Li / NH field (see following).
Page 27
4 Service Screen
4.9 Battery AT-10 plus
Cal Energy This is the current capacity of the battery and is calculated from:
• (Saved energy) - (discharge count) - (self discharge rate) + (charge count)
Total Power The ratio of battery capacity to current capacity. This value is used to calculate the
battery capacity icon on the display.
Battery Down Hardware flag, based on battery voltage, to indicate when the battery is almost empty.
When this flag is set the battery capacity beep is activated.
NH/Li Battery type installed in the unit.
Mains / Bat Power supply source.
4.9.1 Calibrating the battery

The procedure is as follows:
1. Switch the unit on with the mains removed and wait until the battery is empty and
unit switches off.
2. Reconnect the mains supply and enter the service screen > battery.
3. Start / Stop icon (1) will say Cal Off.
4. Click the icon and the Cal On is displayed.
5. Switch the unit off and leave for 8 hours.
6. Switch the unit back on and then the calibration off.
The information given on this screen is as follows:
Start Time Calibration start time.
End Time Calibration end time.
Clear Register
Cal offset The offset between the original (last) calibration and current calibration.
Art.-no.: 2.540043 Rev.: a

Total recal The number of times the battery has been recalibrated.
Page 28
Service Screen 4
AT-10 plus Service Handbook Software 4.10
4.10 Software
Service
AT-10 plus
V 1.04 Ctms RI5.73
1 S/N : 173.000057 11.01.2005
Copyright (c) 2004 by
SCHILLER AG, Switzerland
Program Upgrade 2 1
Program Update
3 4
4.10.1 Installing software options

All software options are embedded in the unit and can be upgraded with a code. To
upgrade an option(s), obtain the option code from SCHILLER, (you will need to state
the serial number of the unit (1) to get the code), and proceed as follows:
1. Click the ‘Program Upgrade’ icon (2) to display an entry field to the right of the
icon (3).
2. Enter the option code (obtained from SCHILLER).
3. Press the Enter key and the program option is installed.
4. To ensure that the option is saved, press the menu key and enter the Software
screen to save (see page 31).
The number to the right code entry (4), indicates the number of unsuccessful attempts
to upgrade the program. If this numbers appraises or exceeds approximately 10, the
unit will freeze and cannot be upgraded. If this happens the unit must be returned to
SCHILLER for reprogramming.
Art.-no.: 2.540043 Rev.: a
Page 29
4 Service Screen
4.10 Software AT-10 plus
4.10.2 Updating the unit software

The unit software is updated using a PC program called SWUP. Before updating the
unit software, the update program must first be downloaded from the SCHILLER
server to a PC.
The procedure to update the unit software is a follows:
• The operating system of the PC must be Win NT4, Win 98, Win 2000 or Win XP.
• Do not power off during update.
• RS-232 cable assembly.
1. Access the SCHILLER extranet (details from the service department) and install
the software on your pc (Install_AT10plus.exe).
2. Connect the RS-232 cable assembly between the PC and the RS-232 on the side
of the AT-10 plus.
Program Upgrade
3. In the service screen click the Program Update icon (to enter receive mode).
Program Update
4. Start the AT10 plus SWUP program from the computer Start menu.
Art.-no.: 2.540043 Rev.: a

2
5. Click the config icon (1).

6. Define pc settings:
– Select the pc com port (2) to which the pc cable is connected.
AT-10plus
1.01
– Select baudrate = auto.
7. Click the update AT-10plus icon (3).
8. The bargraph shows the progress of the download. After downloading, the device
will restart automatically.
CANCEL
Page 30
Service Screen 4
AT-10 plus Service Handbook Saving the settings 4.11
4.11 Saving the settings

All changed settings are remembered until the unit is switched off. If you wish to keep
the settings as default, the Menu key must be pressed and software screen must be
entered (1), and the ‘save as default‘ icon (2), pressed before the unit is switched off.
To set the default to the factory setting, click the ‘Factory Default‘ icon (3).
System Menu
RS-232 Network Modem Peripherals
Identification Macro System Config. Software
AT-10 plus
V 1.04 Ctms RI5.73
S/N : 173.000057 11.01.2005
Copyright (c) 2004 by
SCHILLER AG, Switzerland
2 Save as Default
Restore Default
3 Factory Default
Send Default
Receive Default
Art.-no.: 2.540043 Rev.: a
Page 31
5 Functional Checks
5.1 Service interval AT-10 plus
5 Functional Checks
5.1 Service interval
The device must be checked at regular intervals. The test results must be
documented and be compared with the values in the accompanying documents.
The following table gives information about interval and competence of maintenance
which can be required.
Interval Service Responsible

• Visual inspection of the unit and cables (see page 34).
Every 6 months « User
• General unit integrity check (see following).
• Electrical safety tests according to IEC 60601-1, Clause 18 and 19 (see
page 41). « By SCHILLER AG author-
Every 12 months
• The visual, general, measuring and calibration tests and checks ac- ised technician
cording to the checklist at the end of this book (see page 73).
5.2 General unit integrity check

The procedure detailed here is a general confidence check of the unit if a fault is
suspected. It is not a full functional test but is intended to provide a general confidence
check in all the main functional areas.
V Comprehensive instructions for operating the unit are provided in the AT-10 plus
User Guide. This are available from SCHILLER on request.
• Patient simulator.
1. Connect mains power to the unit and ensure that the (green) mains LED lights.
Art.-no.: 2.540043 Rev.: a

2. Switch the unit on by pressing the On key. Ensure that after a few moments the
LCD screen lights and the ECG acquisition screen is displayed.
3. Check the screen for missing pixels.
4. Using the SCHILLER patient cable, connect the patient simulator to the unit and
switch the simulator on.
5. Check that ECG traces are displayed on the screen
6. Start an automatic ECG recording in Auto Mode Format, press the Auto Start
key. After approximately 10 seconds, a printout(s) is given and the result
displayed on the screen (dependent on setup, see page 51).
7. Check the printout for faulty pixels.The ECG data remains in the temporary unit
memory until it is overwritten by another recording or the unit is switched off. The
interpretation statements can be edited and further printouts obtained in different
formats all the time the ECG is stored.
« To obtain a second copy in format 1 press the Copy 1 key.
« To obtain a copy in format 2 press the Copy 2 key.
Page 32
Functional Checks 5
AT-10 plus Service Handbook General unit integrity check 5.2
Continuous printout
8. Press the Man Start key to start a continuous printout. Check the printout
changes when the following keys are pressed:
Lead Group*
Sensitivity (Amplitude)
Speed
9. To stop the printout, press the Stop key.
If any function is suspected of malfunction, calibration is not correct, or the printout is

not correct for any reason etc., the full functional check must be carried out -see fol-
lowing.
Art.-no.: 2.540043 Rev.: a
Page 33
5 Functional Checks
5.3 Functional checks and tests AT-10 plus
5.3 Functional checks and tests

Required equipment
• Safety Tester IEC/EN 60601-1
• Calibrated ECG Patient Simulator (e.g Müller & Sebastiani MS410 ECG Simulator)
IMPORTANT!
The measurement devices listed above are subject to the instructions according to
ISO 9000 in regards to Test Equipment Control.
5.3.1 External sight control

6-monthly
Check the following :
• Mechanical condition of the device:

– no cracks or chips in the casing.
– mains, patient and all other cable assemblies are in good condition with no
crushing, chafing or cuts, etc.). All plugs and sockets are straight and in good
condition.
• no soiling which could hamper the safety of the device.
12-monthly
Check the following:
• Mechanical condition of the device as detailed above.

• Voltage selector is set correctly.
• Correct fuse rating according table (see page 43).
• The following safety labels are on the device and are readable:
– Back Panel, type designation and fuse rating label.
– Side Panel (patient connector), CF label and ‘attention‘ symbol.
Art.-no.: 2.540043 Rev.: a
Page 34
Functional Checks 5
AT-10 plus Service Handbook Functional checks and tests 5.3
5.3.2 Mains and battery indicators (LED) test

2 1. Connect the power cable at the rear of the unit.
1 – Check that the mains indicator lamp is lit (1) when the unit is connected to the
mains supply.
2. Switch the unit on.
3 – Check that the relevant symbol is displayed on the LCD (3).
3. Disconnect the power cable.
– check that the mains indicator lamp switches off (1)
– the battery lamp is lit (2).
4 – the battery symbol is displayed on the LCD (4).
The LED indicators on the unit casing indicate the power operation, and the battery
symbol indicates battery capacity. Both of these are detailed in the operation overview
(see page 18).
5.3.3 Charging the battery

1. Connect the device to the mains but do not switch it on.
2. The LED for mains supply (1) is lit.
3. Charge the battery for at least 8 hours.
5.3.4 Battery capacity check

Carry out the Battery capacity check as detailed in the service screen (see page 25).
5.3.5 Keyboard test

Check following items:
• Check the keyboard for mechanical damage and excessive wear. If any can be
seen, the keyboard must be replaced.
• Check all function keys for their proper operation. An acoustic confirmation ap-
pears whenever a function key is pressed.
• Test the alphabetical keyboard as follows:
Art.-no.: 2.540043 Rev.: a
– With a C device (interpretation), press the ECG key and select the Interpretation
icon. Enter the edit screen to test all keys.
– In all other devices, the test can carried out by pressing the Patient data key to
enter the patient screen and test all keys.
5.3.6 LCD screen test

• Visually check the screen for spots, or black fields. If many are apparent, the LCD
must be replaced (a few faulty pixels is normal).
• Check that the LCD shade (contrast and brilliance) is even and the same all over.
If not it indicates that the back light may be faulty and the LCD must be replaced.
Page 35
5 Functional Checks
5.3.7 Printer checks

Paper Feed
1. Start the printer by pressing the Man Start . Press the Stop key
twice to stop the printout and transport the paper to the paper perforation
point.
2. The paper must stop exactly at the perforation. If this is not the case:
– Check that SCHILLER paper is used.
– Clean the paper detection opto window with an alcohol solution.
– Check the paper mark detection circuit.
Print Quality Test

Carry out the print quality check as detailed in the service screen (see page 25).
25 mm
Printing Speed
1. Connect the calibrated simulator to the ECG device using the patient cable and
select a HR of 60 / min. No arrhythmias.
2. Check that the HR shows exactly 60 on the LCD.
3. Set the printing speed to 5 mm/s and press the Man Start key .
4. Select printing speed 10. 12.5, 25 and 50 mm/s

print one page in turn at each speed.
5. Stop the printout and check calibration waveform on the paper grid. A ruler can
be used or the paper grid scale can be used to do this.
– On the 10 mm/s printout the distance between two peaks must be 10 mm ± 0.5
mm.
mm ( example shown).
mm.
Parallelism test
This will test the mechanical adjustment of the print head to the paper grids.
Art.-no.: 2.540043 Rev.: a

1. Remove the simulator
2. Press the Man Start key .

<0.5mm
3. Press any speed key twice. This will
generate a calibration waveform on the printout.
4. Stop printout and check the calibration waveforms on the paper grid.
– All calibration waveforms for each lead must be lined up vertically. The maxi-
mum deviation must not be more than ± 0.5 square (0.5mm). If the values are
outside this tolerance, the mechanical adjustment of the print head has to be
corrected.
Page 36
Functional Checks 5
5.3.8 ECG amplifier and patient cable test
Service
1. With a patient simulator connected, press the ECG key . The electrode
Character Colour Printer Key Battery Softwar
ECG NIBP Spiro HW- I/O +
screen is displayed (this screen is also displayed in the service screen (see page
20).
Lead Test (mV)
RA 5 2. Disconnect ECG patient simulator. Check the following:
LA 5
C1 5 – device beeps 4 times
C2
C3
5
5
– all lead designations highlighted
C4 5 – the mV reading for all leads is -350 to -550 mV
C5 5
C6 5 3. Connect ECG simulator and setup HR to 60 b/min, no arrhytmias.
C7 497
C8 495 4. Check the following:
C9 498
C10 498
– all leads stops blinking
LOFF 0F00 – the mV reading for all leads is -15 ...+15 mV
• When a standard 10-lead cable is connected, check RA, LA, and C1 to C6 only.
• Additionally check C7, C8, and C9 when a 13 lead patient cable is used.
• Additionally check C7, C8, C9 and C10, when a 14 lead patient cable is used.
• LOFF is a register for factory use only (for lead confirmation).
5.3.9 External printer test

Only with the Comms Module. At the time of print this was not available
5.3.10 Communication (RS-232) test

Only with the Comms Module. At the time of print this was not available.
Art.-no.: 2.540043 Rev.: a
Page 37
5 Functional Checks
5.3.11 ECG printout reference

Required Equipment
• Calibrated test ECG Patient Simulator (e.g Müller & Sebastiani MS410 ECG Sim-
ulator)
1. Connect the simulator to the unit and select the calibrated ECG reference wave-
form EN 60601-2-51 > CAL 20160.
2. Press the Auto Start key to make an auto mode recording printout.
3. Check measurement table (given on the printout) against the following table.
4. Check the waveform and polarity against the reference waveform given on the
following page. Note that the printout is representative of the waveform shape
only and is not accurately scaled.
If the printout waveform shape does not match the template, check the auto mode set-
tings (see page 51).
Reference Table
Curve Measurement Value Tolerance Minimum Maximum
Interval RR 1000 (ms) + 10 990 1010
P 116 (ms) + 10 106 126
PR 178 (ms) + 10 168 188
QRS 56 (ms) +6 50 62
QT 356 (ms) + 12 344 386
V1 P 0.15 (mV) + 0.02 0.13 0.17
R 2.00 (mV) + 0.1 1.90 2.10
Rd 56 (ms) +6 50 62
J 0.2 (mV) + 0.02 0.18 0.22
ST 0.2 (mV) + 0.02 0.18 0.22
T 0.4 (mV) + 0.03 0.37 0.43
Art.-no.: 2.540043 Rev.: a
Page 38
Functional Checks 5
Reference Printout
Art.-no.: 2.540043 Rev.: a
Page 39
5 Functional Checks
5.3.12 Language, date and time

System Menu
1. Press the Menu key .
2. Select the System tab.
3. Check and select language and press the confirm key .
4. Check and set time and date and press the confirm key .
5. Press the Escape key to set and leave .
5.3.13 External monitor

1. Connect an external VGA monitor to the external monitor connector on the back
panel.
System Menu
2. Press the Menu key .
3. Select the Config. tab.
4. Set the External Display to Yes, and press the confirm key .
5. Press the Escape key to set and leave .
6. Check that the external monitor displays the same data as the LCD display.
Art.-no.: 2.540043 Rev.: a
Page 40
Functional Checks 5
AT-10 plus Service Handbook Safety tests 5.4
5.4 Safety tests

Bender Safety Tester (recommended)
HA2000D High voltage measuring unit (recommended)
The safety test is carried out in accordance with the EN 60601-1, Clause 18 and 19.
This test may only be carried out with a tester that fulfils the above mentioned norms
and has been calibrated in accordance with ISO norms.
Carry out the high voltage leakage test in accordance with the EN 60601-1, Clause
20.
To carry out all tests, follow the instructions of the manufacturers.
Documentation
Note the results or have them printed by the tester. Always include one copy of the
results with the repair report. The original remains with the device and is given to the
customer for his files.
5.4.1 Maximum values safety test

Ground Resistance:≤ 0.2Ω
Voltage Type BF Type CF

normal condition first error normal condition first error
Earth current general [mA] 0.5 1.0 0.5 0.5
Shell current [mA] 0.1 0.5 0.1 0.5
Patient current [mA] 0.1 0.5 0.01 0.05
Patient current [mA]
-- -- -- --
(Mains voltage at signal entrance and exit)
Patient current [mA] (mains voltage at used part) -- 5.0 -- 0.05
Patient independent current [mA] 0.01 0.05 0.01 0.05
Direct Alternating Current [mA] 0.1 0.5 0.01 0.05
Art.-no.: 2.540043 Rev.: a
Page 41
6 Replacing Major Components
6.1 Safety notes AT-10 plus
6 Replacing Major
Components
6.1 Safety notes
V Danger of electrical shock. When working on a open device connect the device
via an isolation transformer.
V Follow the procedures for the prevention of accidents and environmental
protection according your national guidelines.
Observe precautions for handling electrostatic sensitive devices when opening the
device.
6.2 Replacing the battery

6.2.1 Maintenance interval for the battery
• The battery is maintenance free during its normal life.
• The battery should remain charged during storage. If the storage period exceeds
three months, recharge the battery.
• Replace the battery approximately every 4 years (depending upon application) if
the actual running time falls substantially under 2 hours.
Philips screwdriver 1
1. Disconnect the device from the mains.

2. Loosen the 3 Philips screw from the back housing.
3. Remove the cover.
4. Remove the old battery.
Art.-no.: 2.540043 Rev.: a

5. Insert a new battery.
6. Charge and calibrate the battery.
When a battery is replaced, the new battery must be calibrated to check capacity and
ensure correct charging. This is carried out from the service screen (see page 28).
Page 42
Replacing Major Components 6
AT-10 plus Service Handbook Changing the fuse and mains voltage 6.3
6.2.2 Battery disposal

V Danger of explosion. Battery may not be burned or disposed of domestic refuse.
V Danger of acid burns! Do not open the battery.
The battery is to be disposed of in municipally approved areas or sent back to

SCHILLER AG.
6.3 Changing the fuse and mains voltage

V Before the fuse and mains voltage are changed, the device must be disconnected
from the mains and the mains plug removed for the wall socket.
V The fuse may only be replaced by the fuse type the table below.
6.3.1 Fuse types

Voltage range Number Fuse type
220 - 240 VAC 2 250 V / 160 mA (T = slow blow)
100 - 115 VAC 2 115 V / 300 mA (T = slow blow)
6.3.2 Changing a fuse

1. Disconnect the device from the mains and remove the mains plug.
2. Loosen the fuse inset using a screwdriver and remove it.
3. Replace existing fuses with the same type. See table above.
4. Re-insert the fuse inset.
Art.-no.: 2.540043 Rev.: a
6.3.3 Changing the mains voltage

1. Disconnect the device from the mains and remove the mains plug.
2. Loosen the fuse using a screwdriver and remove it.
3. Remove the grey inset, turn it by 180° and re-insert it.
4. Check the voltage indication in the window.
5. Replace both fuses with the new value as defined in the table above.
6. Re-insert the fuse assembly.
Page 43
6.4 Opening the case AT-10 plus
6.4 Opening the case

Before commencing any removal or replacement procedures ensure that the mains
power supply is switched off and that the mains cable is removed.
• The AT-10 plus contains static sensitive CMOS components; observe antistatic
precautions:
• When carrying out any maintenance procedures always place the unit on an
earthed antistatic mat.
• Personnel must be earthed when handling any boards or components.
• Always use an antistatic bag when transporting boards or components.
• The unit is susceptible to abrasion damage. To prevent scratching, always place
the unit on a soft, non-abrasive cloth when carrying out maintenance procedures.
• Take care not to place any strain on the connecting ribbon cable when removing
the top assembly. Ensure that the cable assembly is not crimped or twisted and
that the top assembly is not placed on the cable assembly.
• Care must be taken when removing and replacing connectors. Never use force.
Never strain the cable assemblies.
V Before reassembly a full sight must be carried out (see page 49).
V After reassembly the functional and safety tests must be carried out according to
the checklist at the end of this book (see page 73).
• Philips screwdriver 1
• Low abrasion antistatic mat
The top assembly is secured to the base assembly with seven recessed screws.
Access to the screws is gained from the underside of the unit. To remove the Top
Assembly, proceed as follows:
1. Turn the unit up-side-down and rest on a soft antistatic cloth.
Art.-no.: 2.540043 Rev.: a

x4 2. Unscrew and remove the countersunk retaining screws and washers situated in
the extreme corners and edges of the unit.
3. Grasping the top and bottom of the unit to ensure that the two assemblies cannot
part, carefully return the unit to the standing position.
Page 44
AT-10 plus Service Handbook Opening the case 6.4
4. Gently lift the Top Assembly sufficiently to gain access to the interconnecting
cables. Disconnect the cable assembly between the main board and the printer
(two cable assemblies) and the power cable between the main board and the
battery.
5. Gently lift the Top Assembly away from the Base Assembly and place on a soft
cloth.
Thermal Printer
Communications Module
Art.-no.: 2.540043 Rev.: a
ECG Board MK 22-2
Main Board MK 22-1
Page 45
6.4.1 Printer
1. Loosen the four Philips screws (1).
2. Loosen the screw for the ground cable.
Thermal paper handling

The thermal paper used in the AT-10 plus requires slightly different handling to normal
paper as it can react with chemicals and to heat. However, when the following points
are remembered, the paper will give reliable results:
The following points apply to both storage, and when archiving the results.
1. Before use, keep the paper in its original cardboard cover. Do not remove the
cardboard cover until the paper is to be used.
2. Store in a cool, dark and dry area.
3. Do not store near chemicals e.g. sterilisation liquids.
4. In particular do not store in a plastic cover.
5. Certain glues can react with the paper - do not attach the printout onto a mounting
sheet with glue.
6.4.2 ECG Amplifier MK 22-2

1. Remove the securing screws (including the patient connector screws).
2. Gently lift the board to gain access to the connector and remove.
ECG Amplifier
Art.-no.: 2.540043 Rev.: a
Page 46
AT-10 plus Service Handbook Opening the case 6.4
6.4.3 Communication module

1. The complete electronic assembly must be removed to remove the communica-
tion module.
2. Remove the recessed screws securing the assembly to the casing.
3. Gently lift the assembly away from the casing and remove connectors.
Art.-no.: 2.540043 Rev.: a
Page 47
4. Remove the two connector screws.
5. Remove the board.
Art.-no.: 2.540043 Rev.: a
Page 48
AT-10 plus Service Handbook Reassembling the unit 6.5
6.5 Reassembling the unit

6.5.1 Internal sight control
If the device has been opened, the device must be given a full sight control before it
is screwed back together.
Check following items:

• All printed boards are securely screwed.
• Plugs are properly in the socket and secured.
• All protective cable (green/yellow) are properly laid out and securely connected to
an earth point (potential equalisation).
• All Cable connections between the individual boards are not crushed or lying on or
close to, a sharp object (e.g. protective shields). If cables are positioned by a sharp
object, it is important that they are protected by a special shield.
• Isolation foils and shields are inserted and correctly positioned.
– Check that no loose parts are inside the device by tipping the device, or turning
it upside down.
6.5.2 Functional Test
Once the sight control has been completed, the device can be closed and the
functional and Safety Test must be carried out according to the checklist at the end of
this book (see page 73).
Art.-no.: 2.540043 Rev.: a
Page 49
7 Cleaning
7.1 Cleaning the casing AT-10 plus
7 Cleaning
7.1 Cleaning the casing
V Switch the unit off before cleaning and disconnect the mains. Do not, under any
circumstances, immerse the apparatus into a cleaning liquid or sterilise with hot
water, steam, or air.
The casing of the AT-10 plus can be cleaned with a soft damp cloth on the surface
only. Where necessary a domestic non-caustic cleaner can be used for grease and
finger marks.
7.2 Cleaning the patient cable

The patient cable must not be exposed to excessive mechanical stress. Whenever
disconnecting the leads, hold the plug and not the cable. Store the leads in such a
way as to prevent anyone stumbling over them or any damage being caused by the
wheels of instrument trolleys.
The cable can be cleaned with luke warm soapy water holding the cable in the middle
and gently wiping from the centre.
To disinfect the cable, wipe the cable (from the middle) with a chemical disinfectant
containing:
• ethanol (70% - 80%)

• propanl (70% - 80%)
• aldehydes (2% - 4%)
Sterilization, if required, must only be carried out with gas and not with steam.
7.3 Cleaning the thermal print head
Art.-no.: 2.540043 Rev.: a

If the printer is used a lot, a residue of ink from the grid on the paper can build up on
the print head. This can cause the print quality to deteriorate. We recommend
therefore that every month the print head is cleaned with alcohol as follows:
Extend the paper tray and remove paper. The thermal print head is found under the
paper tray.
With a tissue dampened in alcohol, gently rub the print head to remove the ink
residue. If the print head is badly soiled, the colour of the paper grid ink (i.e. red or
green) will show on the tissue.
Page 50
Unit Settings 8
AT-10 plus Service Handbook ECG settings 8.1
8 Unit Settings
Menu navigation, selection and confirmation is detailed in the Introduction, see page
19.
All changed settings are remembered until the unit is switched off. If you wish to keep
the settings as default, the ‘save as default‘ icon (Menu key > Software > Save as
Default), must be pressed before switch off - see page 31.
8.1 ECG settings

When the ECG key is pressed a screen is shown with a number of tabs at the top.
When the tabs are selected further ECG options and settings are available. This
section gives an overview of all the settings and tabs available in the following table.
HR Variability Autom. Format Prog. Leads Lead Filter General

Lead Test Pacemaker Interpretation Rhythm Rec Late Potential
Parameter Options Description

Lead Test Displays the resistance of all leads to ensure good electrode contact and the
integrity of the cable, see user guide.
Pacemaker (Not PM Detection Yes or No. When a pacemaker pulse is detected it is indicated by a single
available at time of vertical line on the trace. Note that this line is not representative of either the
print) duration or amplitude of the pulse. Measurement of the pacemaker pulse is an
option and is detailed earlier in this table.
Start / Stop Starts/ Stops pacemaker measurement. When started Pacemaker
measurements are displayed at the top of the screen.
Art.-no.: 2.540043 Rev.: a
Two columns of data is are given:
Pacemaker Freq The number of stimulations per minute (pacemaker fre-

quency)
Interval VV The time interval between two stimulations (V-V)
Duration The duration of each stimulation
If a dual-chamber pacemaker is being measured then
the right hand column gives the following:
A-V The time interval between atrium and ventricle stimula-
tions
A The duration of the atrium stimulation
Page 51
8 Unit Settings
8.1 ECG settings AT-10 plus

Interpretation Interpretation Screen Edit/ Enter interpretation.
Write Unconfirmed Report Yes or No. ‘Unconfirmed Report‘ is added/not added to the interpretation state-
ments on the auto ECG printout (if applicable).
Write Abnormal ECG Yes or No. ‘Abnormal ECG‘ is added/not added to the interpretation statements
on the auto ECG printout (if applicable).
Sensitivity High or low sensitivity. Low sensitivity will suppress certain non-specific ECG
diagnoses; this may be advisable when carrying out ECGs for screening.
Thrombolysis (option) On or Off. Thrombolysis is the breaking up of a blood clot. When Thrombolysis
option is off, the interpretation text “possible infarct or other abnormality” is
disabled.
Rhythm Rec (not Rhythm Lead R1, R2, R3 Defines the rhythm leads used for rhythm recording
available at time of and r1
print)
Format Defines the printout format (and by default the speed of the trace). Select
between:
• 90 sec/page - printout every 90 seconds

• 5 min./page - printout every 5 minutes
• 10 min./page - printout every 10 minutes
Amplitude Defines the amplitude of the trace. Select between:
• Normal
• Low (half amplitude)
Print current page For Rhythm recording see user guide.
Print last page For the recording procedure see user guide.
Start / Stop Starts / Stops Rhythm recording. For the recording procedure see user guide.
Late Potentials High Pass Filter Select between 25Hz, 40Hz and 80Hz - late potential analysis RR is a future
(Not available at option and not available for this release
time of print)
No. of QRS
RR Variability (Not Window Type RR variability is a future option and not available for this release
available at time of
print)
No of RR
Art.-no.: 2.540043 Rev.: a

FFt Type
Phase - space plots
Correction of RR
Lower bound of VLF
Lower bound of LF
Lower bound of HF
Upper bound of HF
Signal Acquisition Start /
Stop
Page 52
Unit Settings 8
AT-10 plus Service Handbook ECG settings 8.1

Autom. Format ECG Printout No Printout No printout of the ECG given at the end of an auto mode
(Automatic mode for recording (the recording can be stored in the memory
formats 1 and 2) and printed at a later time if required).
4*3 + 1 Rhythm (r1) Leads are printed in a 4 * 3 format at 25mm/s, with the
selected rhythm lead (r1)at the bottom of the page at
25mm/s.
1*12 at 25 mm/s Leads are printed in a 1 * 12 format at 25mm/s.
8*5 + 4*10s Five seconds of 8 Leads, and 10 seconds of four leads
are printed at 25mm/s.
2*6, 25mm/s, 1p Leads are printed in a 2*6 format at 25mm/s (one page).
2*6, 50mm/s, 1p Leads are printed in a 2*6 format at 50mm/s (one page).
2*6, 25mm/s, 2p Leads are printed in a 2*6 format at 25mm/s (two
pages).
2*6, 50mm/s, 2p Leads are printed in a 2*6 format at 50mm/s (two
pages).
Average Cycles No Printout No printout of average cycles.
4*3, 25mm/s + 2 RhyLeads are averaged over the entire 10 second recording
and printed in 4 groups of 3 leads at 25mm/s, with the
two selected rhythm leads (R1, R2) at the bottom of the
page at 25mm/s.
4*3, 50mm/s + 2 RhyFour groups of 3 leads at 50mm/s, with the two selected
rhythm leads (R1, R2) at the bottom of the page at
50mm/s.
2*6, 50mm/s + 2 Rhy Two groups of 6 leads at 50mm/s, with the two selected
rhythm leads (R1, R2) at the bottom of the page at
50mm/s.
Rhythm Lead R1 Select lead for the first rhythm lead on the screen and printout.
Rhythm Lead R2 Select lead for the second rhythm lead on the screen and printout.
Measurements Select yes or no to print a detailed table of measurement results.
Markings Select yes or no to print reference markings on the ECG average cycle print.
A vertical marker shows the beginning and end of P wave and QRS, and the
Art.-no.: 2.540043 Rev.: a
end of the T wave.

Interpretation Select yes or no to print interpretation statement (C version only).
Programmable Lead 1 to Lead 12 In addition to the conventional lead order (Standard or Cabrera), you can
Leads define an individual lead sequence (user defined).
The screen lead display (and printout) is changed in the Lead tab (next tab) .
Also see user guide.
Lead Lead Sequence This sets the lead sequence for manual and auto printouts as well as on the
screen. Set to Standard, Cabrera. or User Defined.
Signals Sequential of Simultaneous.
Auto Centring Yes or No. Printer trace alignment affects both the manual as well as the
automatic printout. A change of the current setting is only valid on the printout
after a new number of printer channels is selected by pressing the key during
or before printing, or after a new lead group is selected by pressing the lead
keys during printing.
Auto Sensitivity (Reduction) Yes or No. In auto mode a default recording sensitivity of 10 mm/mV is set.
However, if the amplitudes are high meaning that the QRS peaks would
overlap, the sensitivity is reduced automatically to 5 mm/mV. When this is set
an ‘A‘ appears in the information line on the bottom of the screen see page 15.
Rhythm Lead Group Print/ don‘t print (On or Off)
Page 53
8 Unit Settings
8.1 ECG settings AT-10 plus

Left Posterior (V4-V9) Print/ don‘t print (On or Off)
Right Pectoral (V5r) Print/ don‘t print (On or Off)
Right Pectoral (V6r) Print/ don‘t print (On or Off)
Nehb (D, A, J) Print/ don‘t print (On or Off)
Filter Baseline Filter The cutoff can be set for 0.05Hz, 0.12Hz, 0.25Hz or 0.50Hz, for both resting
and Exercise recording.
NOTE: The ‘standard value set is 0.05 Hz. The higher settings should only be
used when absolutely necessary because it could affect the original ECG sig-
nal, especially the ST segment.
Myogram Filter The Myogram filter suppresses disturbances caused by strong
muscle tremor. The filter is applied by pressing the Filter key (or
programmed on as default when the unit is switched on).
The cut off frequency is displayed in the information box -see user guide.
The cutoff frequency is user defined at 25Hz or 35Hz.
Note: An ECG recorded in auto mode is stored unfiltered. It is therefore

possible to print the stored ECG either with or without passing the myogram
filter.
Mains Filter The mains filter is an adaptive digital interference filter designed to suppress
ac interference without attenuating or distorting the ECG. Set the mains filter
in accordance with the frequency of your local mains supply.
SBS Filter (baseline) The baseline stabiliser greatly reduces the baseline fluctuations without
affecting the ECG signal. The purpose of the stabilizer is to keep the ECG
signals on the baseline of the printout. This filter is only effective in auto mode
printout. The Baseline Stabiliser is applied to a recording (on), or not applied to
a recording (off). The cutoff frequency is set above.
SSF Filter (smoothing) The smoothing filter (SSF: SCHILLER smoothing filter) is a low pass filter to
suppress high frequency artefacts between the QRS complexes. When this
filter is switched on, `SSF` is shown on the bottom line of the automatic
printout.
General QRS Beeper On or Off
Show Results on Display At the end of an AUTO test, display the results on the screen (YES) or don‘t
display (NO).
Inv. ECG Monitor Inverse the screen display. Select Yes or No.
Art.-no.: 2.540043 Rev.: a
Page 54
Unit Settings 8
AT-10 plus Service Handbook Exercise settings 8.2
8.2 Exercise settings

When the Exercise key is pressed a screen is shown with a number of tabs at the top.
When the tabs are selected further exercise options and settings are available. This
section gives an overview of all the settings and tabs available in the following table.
Rhythm settings QRS Settings Interpretation

HR target Stage report Final Report

HR target Heart Rate Target Mode An audible and visual target (heart rate indication flashes) is initiated if the HR
target is breached. The target setting is shown in parenthesis after the HR
measurement. The HR target can be automatically set or manually defined as
follows.
• Off - no HR target set

• ‘Use formula below‘ - Manual input: This option allows for any heart rate tar-
get setting to be defined. See below.
• 90% of 220 – age
• 220 – age
• 200 - age
Percent of Target HR This factor is applied to the defined target HR, or the Target HR - age, as
defined below.
HR Target Manually define a target HR within the range of 100 to 250 beats/min.
Age Age - yes or no - the patient‘s age is/is not subtracted from the target HR.
Notes:
• The age is calculated from the patient data.

• When automatic calculation mode is set, the heart rate target limit is calcu-
lated automatically for any new patient for which data has been entered.
When manual input is set, or changed from an automatically calculated val-
ue, the target HR is not automatically recalculated for a new patient.
Regardless of the settings made in this menu, only the formula ‘220 - age‘ is
used in the final report to give the percentage that the maximum heart rate
Art.-no.: 2.540043 Rev.: a
achieved during the test, against the maximum calculated heart rate.
Stage Report Stage print format During the exercise and recovery phase, periodic printouts can be obtained at
preset intervals defined below. The format of the printout can be either 4*3 + 1
rhythm (r1), or 2*6 at 25mm/s.
Print Resting ECG Select Yes or No to print the resting ECG format (auto format 1).
Stage printout Interval Set the writing interval at any interval between every minute and every 9
minutes (applies to bicycle and treadmill). This interval is also set during the
recovery phase if set (see next entry).
Recovery print interval Define the print interval as for the stage printout or select ‘Non cyclic‘ and
define the time intervals (below).
Printout after Select the time interval for up to 5 printouts in the recovery phase (when set to
‘non cyclic‘ above.
Page 55
8 Unit Settings
8.2 Exercise settings AT-10 plus

Final Report ST Trends A graph of the ST amplitude and slope. Select Yes to print, or No to suppress
printing.
ST-HR Diagram (not A graph of the ST amplitude against heart rate. Select Yes to print, or No to
available at time of print) suppress printing.
Interpretation (not available Yes (print) or No (suppress printing).
at time of print)
Average Cycle (not Print Average cycles. Select Compact, All or No.
available at time of print)
Speed (not available at time Printing speed (for average cycles when 'Compact' or 'All' selected above). Set
of print) to 25mm/s or 50 mm/s.
Print Rhythm (R1) Print rhythm lead R1 Yes or No.
Rhythm settings Rhythm record lead (R1) Select the lead for rhythm recording (for rhythm strip when Rhythm (R1)
selected in Final Report above) - select either I, II, III, aVR, aVL, aVF, V1 - V6.
Speed Select Rhythm strip printing speed. Set to 6.25 mm/s or 12.5 mm/s.
Sensitivity Select Rhythm strip sensitivity (amplitude). Set to 5 mm/mV or 2.5 mm/mV.
QRS Settings ST Amplitude During the exercise test, the ST amplitude is measured continuously. The
Measurement position of the amplitude measurement point can be set to 20, 40, 60 or 80 ms
after the j-point.
Lead for Enlarged QRS Select lead for zoom view. The enlarged QRS complex appears to the right of
the screen when the exercise test is started. This enlarged lead is averaged
over 10 beats. This lead is also used for ST measurements.
Unit of ST Measurement Select between mm or mV.
Interpretation Enter / Edit exercise interpretation.
Validated by and date Enter who validated the recording and the date of validation.
Art.-no.: 2.540043 Rev.: a
Page 56
Unit Settings 8
AT-10 plus Service Handbook General and unit settings 8.3
8.3 General and unit settings

When the Menu key is pressed a screen is shown with a number of tabs at the top.
When the tabs are selected system and general options and settings are available.
This section gives an overview of all the settings and tabs available in the following
table.
System Menu

Identification MTA Identification This function is to register the name of the medical assistant or doctor carrying
out the recording. The MTA is identified on each automatic printout. The
maximum number of characters is 23.
User Identification This function is to register the name of the practice, department, or hospital,
clinic etc. It is identified on each automatic printout.The maximum number of
characters is 23.
Macro (not Enables a series of key stokes or actions, to be stored and recalled by pressing
available at time of a single key.
print)
System Language Select required language between German, English, French, Swedish,
American, Italian, Spanish or Portuguese. Note that the difference between
‘English‘ and ‘America‘ is that some of the designations used on the display
and prinout are different. For example, American use V1-V6 lead designation,
and the heart rate is BPM.
Time Set current time
Date Set current date
System (continued) Date Format Set required date format
Time Format Set required time format
Colour Set the display colour to Cyan, Grey, Black or Blue. The colour must be
confirmed as default as follows:
1. Set colour in this menu option.

2. Click the software tab, and in the software screen confirm Save as
Art.-no.: 2.540043 Rev.: a
Default. Exit the menu.

3. Switch the unit off, and then on again to confirm.
Note that the screen can also give a reverse image. This is defined in ECG >
General tab - see page 51.
Config. Patient Data Input Add an additional data field in the patient data input menu as follows:
– Med./Rem. (Medication / Remarks)

– Med./Doc. (Medication / Doctors Name)
– Med./Room (Medication / Room No.)
– Room/Doc.(Room No. / Doctors Name)
– Room/Rem.(Room No. / Remarks)
– Doc./Rem.(Doctors Name / Remarks)
The selected field will be displayed in the patient data entry - see user guide.
Units Define units in cm/kg or inch/lbs
Speed Define speed in k/ph or mph
Temperature Celsius or Fahrenheit
Ambient Pressure mmHg or hPa
External Display Output Set to Yes or No
Page 57
8 Unit Settings
8.3 General and unit settings AT-10 plus

Software Software Version Display The current software version for the AT-10 plus. Also displayed is the serial
number of the unit and any options that are installed as follows:
Base configuration (upper case) M = Measurements (Standard)

C = Interpretation
Options (lower case) m = memory extension
t = thrombolysis
s = stress
for example Cmt is a C unit (interpretation), with memory extension and
thrombolysis.
Save as default Save current settings as the default
Restore default Restore settings to the defined default
Factory default Restore settings to the factory default
Send default Store current default setting to a PC
Receive default Retrieve current default settings from a PC
RS-232 (not Baudrate This defines the maximum communication rate for the modem (when Modem
available at time of is selected in the Mode field (below)).Tick the rate defined in the modem
print) handbook. Select a Baud rate between 115200 and 14400 Baud, according to
the modem/computer used. Most computers can connect at 115200 Baud and
the standard modem speed is 57600 Baud. If problems are experienced during
transmission reduce the Baud rate.
Mode Select between Line and Modem. Line is for when a PC (or other SCHILLER
unit) is connected directly to the RS-232 interface of the AT-10 plus), and
Modem is for transmission over the phone network.
Phone Number If it is necessary to enter a pause in the dialling sequence enter a comma (,) in
the number. The comma gives a one second pause. If a longer pause is
required, two or more commas can be entered. This may be required for
example, if you have to wait for an outside line. It is also a good idea to insert
a pause after a national or international code.
Modem Init The code will be found in the user guide for the modem. If the handbook is not
available, the standard Hayes code should work for most modems. This is the
default setting.
The modem initialisation must contain at the minimum, the following
Art.-no.: 2.540043 Rev.: a

commands with the prefix `AT`.
• `Q0`- modem sends response

• `V0`- numerical response codes
• `E0`- no command echo
• The standard modem initialisation code is: ATB0L1V0Q0E0S0=0
If in doubt about any of these settings, please contact your phone company
and/or modem supplier.
Network At the time IP Address These settings must be made or obtained from the network system
of print this function administrator.
was not fully
defined.
Page 58
Unit Settings 8
AT-10 plus Service Handbook General and unit settings 8.3

Modem At the time Phone Number Enter the telephone number preceded by `T` or `P` (tone or pulse).
of print this function
was not fully A comma `,` gives a one second pause in dialling - this may be necessary for
defined. example, if an outside line is required.
Phone User Name

Phone Password
Server
Page
User Name
Password
Country ID
Peripherals Blood Pressure unit Select the way the blood pressure will be taken. Select between Off (the BP
entry screen is not displayed automatically during the test, however, the BP
screen can be displayed at any time during the test by pressing the NIPB key),
Manual Input (the BP screen is displayed at the time interval defined in the
protocol - see user guide - the BP in taken by an external BP device and
entered during the test, or Ergo 900 (an external, digitally controlled blood
pressure unit). With this unit BP is taken a defined intervals defined in the
protocol. The latest BP measurement is displayed on the monitor and all BP
measurements are stored with the exercise recording.
Bicycle Select the type of bicycle connected - analogue or digital as follows:
• ERG900 / 911 / Ergosana (digital)

• SECA CT100 mod. 545 (digital)
• Analogue 1V / 100W
Note: the communication protocol for most digital bikes is standard. If you have
a bike not specified above, one of these two protocols should work.
Treadmill Select the type of treadmill connected - analog or digital as follows:
• TM425 / TM400ES km/h

• TM425 / TM400ES mph
• RAM 770CE km/h
Art.-no.: 2.540043 Rev.: a
• RAM 770CE mph

• MTM-1500 km/h
• MTM-1500 mph
Format SDRAM Card Click the START icon to format the card. This can be used when a new card is
inserted.
All data on the card is lost when an SD card is re-formulated.
Page 59
9 Technical Data
9.1 System AT-10 plus
9 Technical Data
9.1 System
Dimensions 348 x 288 x 87 mm, approx. 4.2 kg.
Monitor • Backlit for graphic and LCD alphanumeric representation

• Resolution: 800 x 600 dots
Power supply
Mains Voltage • 220 - 240 V (nominal), 50 / 60 Hz; 100 - 115 V (nominal), 50 / 60 Hz;
Power consumption • 14VA to 28VA (Max)
Battery • Operation with built-in rechargeable battery
Battery Nickle Cadnium 9.6 V

Capacity • 2 hours normal use, 3 hours Standby
Battery Life • Under normal operating conditions, 4 years
Recharging time • 90 %: approx. 7 hours, 100 %: approx. 15 hours
Printer High-resolution thermal printing, 8 dots/mm (amplitude axis), 40 dots/mm (time ax-
is), @ 25 mm/s
Frequency range • 0.05 ... 150 Hz (IEC/AHA)
Chart paper • Thermo reactive, Z-fold, 14 x 21 cm (DIN A4; letter size)
Chart print-out speed • 5/12.5/25/50 mm/s (manual print)
Sensitivity • 5/10/20 mm/ms (manual print)
Recording tracks • 3 to 12 channels, positioned optimally on 200 mm, automatic baseline adjustment
Interfaces • RS-232 connector for Treadmill

• RS-232 connector for Ergometer
• RS232 connector for pneuotach sensor
• VGA connector for external monitor
• ECG cable Interface
Art.-no.: 2.540043 Rev.: a

• DC input - 0.5V/cm
• DC output - 0.5V/cm
• Further interface options with the Communications Module
Memory Storage for up to 40 ECG recordings. Further memory available with the extended
memory option.
Environmental conditions
Operating temperature, • 10 ... 40 °C
Storage temperature, • -10 ... 50 °C
Relative humidity • 25 ... 95 % (no condensation)
Pressure during operation • 700 ... 1060 hPa
Page 60
Technical Data 9
AT-10 plus Service Handbook ECG 9.2
9.2 ECG
Patient input Fully floating and isolated, defibrillation-protected (only with original SCHILLER pa-
tient cable)
Leads • 12 simultaneous leads

• Standard
• Cabrera
Monitor display
Leads • 3 - 12 channel display of the selected leads
– selectable speed of 5, 10, 20 mm/s
– selectable amplitude 10 or 20 mm/mV
Status • Filter status (on/off)
• Power source
• Lead selection
• Electrode contact status
• Heart Frequency, HF
• Date and Time
Filters
Myogram filter (muscle tremor) • Adjustable at 25 or 35 Hz
Line frequency filter • Distortion-free suppression of superimposed 50 or 60 Hz sinusoidal interferences
SSF SCHILLER Smoothing fil- by means of adaptive digital filtering
ter
SBS SCHILLER Baseline Stabi-
lizer
Automatic lead programs 3/12-channel presentations of 12 simultaneously recorded leads
Long-term rhythm recordings 1 lead, 10min, 5min or 90sec/page
Exercise ECG with final report • Automatic control of bicycle ergometer and treadmill (user programmable)
• Final report showing trend plots of heart rate, load and blood pressure, physical
working capacity (PWC 150, PWC 170, PWC max.)
• Options C: QRS and ST measurements
Art.-no.: 2.540043 Rev.: a
Data record • Patient data (name, age, height, weight, BP), user ID
• Listing of all ECG recording conditions (date, time, filter)
With optional interpretation (C)

• ECG measurements results (intervals, amplitudes, electrical axes)
program
• Average complexes with optional measurement reference markings
• Guidance on interpreting adult and paediatric ECGs
ECG amplifier Simultaneous recording of all 9 active electrode signals (= 12 leads)

Sampling frequency • 1000 Hz
Resolution • 5 µV / 12 bit
Pacemaker detection • ≥ ±2 mV /pulse widths ≥ 0.1 ms
Frequency range • 0.05 ... 150 Hz (IEC/AHA)
Measurement range • dynamic ±10 mV, DC ±300 mV
CMRR • > 100 dB
Input Impedance • 100 MΩ
Defibrillation protection • 5000 VDC
Patient leakage current • < 5µA
Page 61
9 Technical Data
9.3 Safety standards AT-10 plus
9.3 Safety standards

Safety standard IEC/EN 60601-1
IEC/EN 60601-2-25
EMC IEC/EN 60601-1-2
Protection class I according to IEC/EN 60601-1 (with internal power supply)
Conformity/Classification CE/IIa according Directive 93/42/EEC
Safety class CF according to IEC 601-1, IEC 601-2-25, CSA, UL; IIb according to MDD 93/42/
EEC
Protection This device is not designed for outdoor use (IP 20)
Art.-no.: 2.540043 Rev.: a
Page 62
Construction Drawings 10
AT-10 plus Service Handbook Exploded views 10.1
10 Construction Drawings
10.1 Exploded views
10.1.1 Base casing
Paper mark detector

MK 17-4
Thermal
Printer
Paper tray
DC motor Part No
Paper Tray 4.330036
Art.-no.: 2.540043 Rev.: a
Battery Charge
Print MK 22-5
Battery Pack
Part No.
4.350027(NiMh)
4.350035 (Li)
Page 63
10.1 Exploded views AT-10 plus
10.1.2 Top and LCD casing
LCD
Part No
4.416126
Keyboard
Foil
Part No.
4.450331
Communication
Module
Art.-no.: 2.540043 Rev.: a

AC/DC Converter
Shield Part no.
4.416115
ECG Print MK 22-2
Shield Part No.
4.416118
DC/DC
Converter
Shield Part No.
4.416117
Main Board
(MIcroprocessor)
MK 22-2
Page 64
AT-10 plus Service Handbook Circuit and functional illustrations 10.2
10.2 Circuit and functional illustrations

The circuit diagrams are confidential. Therefore only the high level drawings are
provided here.
10.2.1 Connection block diagram
MAINS INPUT
2 x 200mAT (230VAC / 50HZ)
2 x 315mAT (115VAC / 60HZ)
LCD MDR-14
POTENTIAL-
RS-232 RS-232 (SP10plus) RS-232 MK22-9 MK22-8 AUSGLEICH
SpO2 NIBP
VGA TRADMILL ERGO RESIST SPIRO
P6 P26 P27 P28 P29 P14 / P24 P15 / P25 TP 4, 5, 6

LCD BACKLIGHT
LCD SIGNAL
DC IN
P17
MK22-1
Backlight P3 MAINBOARD
DC OUT
P18
P5
Anal. ERGO/QRS
P1 Test P2 BDM
P19
KEYBOARD P9
P11 P7
P23 P10 P21 / P22
TPH
P23 P10
P36 BDM MK17-5
MK22-2 MK22-7 MK17-4 P11
Art.-no.: 2.540043 Rev.: a
Printer Interface
EKG-INTERFACE Kommunikationsmudul P11A P12 P13
INT.BATT.
P40 P30 P31 P32 P33 P34 P35
21.6V DC
PMD TPH-MOTOR PD-MOTOR
PAT
LAN USB A USB B Modem SDCARD
Ext. NIBP
RS-232
Page 65
10
KEYBOARD
KEYBOARD.SCH
Page 66
D[0..15]
D[0..15]
CPU RAMFLASH
CPU.Sch RAMFLASH.SCH
A[1..19]
CSKBRD/ CSKBRD/ A[1..19] A[1..19]
KBS[0..5]
KBS[0..5] KBS[0..5]
D[0..15]
D[0..15] D[0..15]
LCDON
TP302 ON USRAM/ USRAM/

LSRAM/ LSRAM/
R/W/ R/W/
R403 CSFLASH/ CSFLASH/
PM PROM/ PROM/
100R CSLCDWR/ RESLCD/
CSLCDWR/ RESLCD/
C293 CSLCDRD/
CSLCDRD/
+5.2V 220P RESLCD/ SHEET3
TP303 RESLCD/
TFTCONTR
GND TFTCONTR.SCH
TP307
R404 R409 LCDMR LCDMR D[0..15]
EKGIN A[1..19]
100R 100R 332CLK 332CLK
P23A
Construction Drawings
R/W/
C297 CSLCDWR/
1 CSLCDWR/
PM/E 220P CSLCDRD/
2 TP304 CSLCDRD/
RESLCD/
3 RESLCD/
EKGIN/E GND
4
5 R411 R407 LCDON
EKGCONV/E
6 EKGCONV/
10.2.2
7 100R 100R
QSM/EKGCLK/E
8
9 C295
EKGOUT/E 220P
10 TP305
10.2 Circuit and functional illustrations
TP308 GND
WANNE-10-2 TPHINT PMD-STEP-DRIVE PAPERDR
R406 R408 TPHINT.SCH PMD-STEP-DRIVE.SCH PAPERDR.SCH
QSM/EKGCLK
100R 100R STRB1 STRB1 D[0..15]
GND
STRB2 STRB2 MON MON
C296 TPHT TPHT
220P TPL/ TPL/ TPD
TP306
TPCLK PDOUT+ PDOUT+
GND ONOFF
PDOUT- PDOUT-
ONOFF.SCH
R405 MON/ MON/
QSMDIN TPHDRIVE
ON
TPHDRIVE.SCH
100R uPOFF/ uPOFF/
RES/
RES/ RES/ FRES/ FRES/ D[0..15]
CSMOT/
PMD
PMARK
C294 OFFuP OFFuP

220P RES/
NH/LI/BD NH/LI/F 332CLK TPCLK RES/
SD WPFIFO/ WPFIFO/ TPD
GND
MON
DCDCPOWER
DCDCPOWER.SCH
CSMOT/
SD PMD
PMARK
EJCT EJCT
PDIN PDIN
POWER24V
POWER24V.SCH ERGO
ERGO.SCH
SD SHARETXD SHARETXD
SHARERXD SHARERXD
ENTMCOM/ ENTMCOM
ENERGOCOM/ ENERGOCOM
DC_CON ADC
DC_CON.Sch ADC.SCH
SPIRO
DCIN1+ DCIN1+ D[0..15]
SPIRO.SCH
DCIN1- DCIN1- SELADC SELADC
DCIN2- DCIN2- CSADC/ CSADC/ ENSPIROCOM ENSPIROCOM
DCIN2+ DCIN2+ CONVADC/ CONVADC/ SHARETXD
SHARERXD
RPMIN RPMIN RTS RTS
LOADIN LOADIN DTR DTR
CTS CTS
DAC
MOTOR OP/CL/ MOTOR OP/CL/
DAC.SCH
MOTOR ON/OFF/ MOTOR ON/OFF/
QSMDIN
DCOUT1 DCOUT1 D[0..15] QSMDIN QSMDIN
DCOUT1_GND DCOUT1_GND CSDAC/ CSDAC/ QSM/EKGCLK
DCOUT2 DCOUT2 CSDACA/ CSDACA/ R/C/ R/C/
DCOUT2_GND DCOUT2_GNDCSDACB/ CSDACB/
LOADOUT LOADOUT DC2QRS/ DC2QRS/ BPTXD
QRSOUT QRSOUT LOADPWM LOADPWM SPO2TXD
SCMTXD
LATCH
LATCH.SCH
FUSSIN FUSSIN
TMUP TMUP SPO2RES/ SPO2RES/ SCMTXD
TMDOWN TMDOWN BPRES/ BPRES/ SPO2TXD TP1 TP3
SCMRES/ SCMRES/ BPTXD AMP-2.8/1.3
SCMRXD SCMRXD AMP-2.8/1.3
BPRXD BPRXD LED BATT TP2
SPO2RXD SPO2RXD LED NETZ AMP-2.8/1.3
HDQVF HDQVF HDQ
CAVE
200mAT/230V TP4 AKKULADUNG NC30...39
MAINPOWER AKKULADUNG.SCH
315mAT/115V
AMP-2.8/1.3 MAINPOWER.SCH Verbindung
BDOWN/ BDOWN/ HDQ
N 0V Gerberdaten
TP5 0V BATT BATT
115VAC
115VAC LED NETZ
L 230VAC
230VAC UBSWITCH LED BATT
AMP-2.8/1.3 LEDB LEDB
CAVE GND
NH/LI/BD
200mAT/230V TP6 NH/LI/F MON

UBSWITCH
315mAT/115V AMP-2.8/1.3
Cave
Microprocessor (main board) functional block diagram
CONFIDENTIAL
AT-10 plus
Art.-no.: 2.540043 Rev.: a

10.2.3 Communication module functional block diagram
Sheet 12 Sheet 8 Sheet 7

Power-Clock and Interface.SCH Quad UART.SCH Modem .SCH
ETHSTAT
ETHSTAT SCMRESET/ INTMODEM/
SCMRESET/
SCMRESET/
RTSUART2 CLK12
RTSUART2 CLK12 MODEMBP/ BPTXD BPTXD
TXDUART2
TXDUART2 BPRXD
RXDUART2 CLK50
RXDUART2 CLK50 MDRXD MDRTS/ MDRTS/ MDDCD/
CLK48
CLK48 MDDCD/ MDTXD MDTXD MDRXD
COMSEL
COMSEL MDCTS/ MDCTS/
SCMSTAT CLK25
SCMSTAT CLK25 MDRING/
SPEN MDRING/
BPRXD
INTUART/
D[0..31]
D[0..31]
UTXRDY
A[0..22]
A[0..22] URXRDY
CSMODBP/
Sheet 1
SCMRESET/
CPU.Sch
CLK12
CLK50 SCMRESET/ WE/

CLK48 OE/
COMSEL CSMODBP/
Sheet 3
SCMSTAT
SDRAM.SCH
RXDUART2
D[0..31]
TXDUART2 D[0..31] D[0..31]
RTSUART2
A[0..22]
A[0..22] A[0..22]
SDCLK
USB_TXEN SDCLK SDCLK
SDCLKE
USB_SUSP SDCLKE SDCLKE
SDWE/
USB_TN SDWE/ SDWE/
A10_PRECHG
USB_TP A10_PRECHG A10_PRECHG
CAS0/
CAS0/ CAS0/
Sheet 10 RAS0/
RAS0/ RAS0/
USB Interface.SCH CS7/
CS7/ CS7/
SDBA0
USB_TP USB_RXD USB_RXD SDBA0 SDBA0
SDBA1
USB_TN USB_RP USB_RP SDBA1 SDBA1
-BS[0..3]
USB_SUSP USB_RN USB_RN -BS[0..3] -BS[0..3]
USB_TXEN
Sheet 4
Flash.SCH
Sheet 6
Ethernet interface.Sch D[0..31]
D[0..31]
ETXCLK
CLK25 ETXCLK ETXCLK
INT2/ A[0..22]
INT2/ INT2/ A[0..22]
ECRS WE/
ECRS ECRS WE/ WE/
EMDIO OE/
RSTO/ EMDIO EMDIO OE/ OE/
ECOL CS0/
ECOL ECOL CS0/ CS0/
ERXD3 RSTO/
EMDC ERXD3 ERXD3 RSTO/
ERXD2
ETXD3 ERXD2 ERXD2
ERXD1
ETXD2 ERXD1 ERXD1
ERXD0
ETXD1 ERXD0 ERXD0
ERXDV UTXRDY/
ETXD0 ERXDV ERXDV URXRDY/
ERXERR URXRDY/
ETXERR ERXERR ERXERR UTXRDY/
ERXCLK INTUART/
ETXEN ERXCLK ERXCLK INTUART/
ETHSTAT MODEMBP/
INTMODEM/
INTMODEM/
ETXEN
ETXEN
ETXERR
ETXERR
ETXD0
ETXD0
Sheet 9
ETXD1 USB Host Peripheral Cont.SCH
ETXD1
ETXD2
ETXD2
ETXD3 D[0..31]
ETXD3 D[0..31] INTUSBCY/
EMDC N300-320 CAVESCHLITZE
EMDC
A[0..22]
A[0..22]
OE/
RSTO/
RSTO/ WE/
CAVE
CSUSBCY/ CSUSBCY/
SCMRESET/
CLK48
Sheet 11
SD Card.SCH
DETSDCARD/
DETSDCARD/ DETSDCARD/ INTUSBCY/
SDWRITEPROT
SDWRITEPROT SDWRITEPROT
Sheet 5
verbindung auf gerber

INTSDCARD/
INTSDCARD/ INTSDCARD/
QSPICLK Communication.SCH
QSPICLK QSPICLK N1 N2
QSPIDIN RTSUART1
QSPIDIN QSPIDIN RTSUART1 RTSUART1 RXDUART1
QSPIDOUT TXDUART1
QSPIDOUT QSPIDOUT TXDUART1 TXDUART1 CTSUART1
PROGKEY PROGKEY
QSPICS2
QSPICS2 QSPICS2/
QSPICS0
QSPICS0 QSPICS0/
CTSUART1 CAVE GND
CTSUART1
RXDUART1
Art.-no.: 2.540043 Rev.: a
RXDUART1
SPEN
VCC = 3.0 Volts
CONFIDENTIAL
Page 67
10.2 Circuit and functional illustrations AT-10 plus
10.2.4 ECG amplifier functional block diagram
P23B
WANNE-10-2
10
1
2
3
4
5
6
7
8
9
+5.2V
GND
EKG-INTERFACE
EKG-INTERFACE.SCH
PART_C KAN1_2
EKGRES
PART_C.SCH KAN1_2.SCH
RA-F
EKGRES RA-F
LL C1OS LA-F
LL RLOS C1OS LA-F
C1 C1-F PM/E
C1 C1-F PM/E PM/E
C2 C1-F C2-F
C2 C1-F C2-F
RL(N) C3-F EKGIN/E
RL(N) C3-F EKGIN/E EKGIN/E
C2OS C4-F
S2 S2 C2OS C4-F
C5-F EKGCONV/E
C5-F EKGCONV/E EKGCONV/E
C2-F C6-F
C2-F C6-F
C7-F QSM/EKGCLK/E
C7-F QSM/EKGCLK/E QSM/EKGCLK/E
SHEET 10 C8-F
C8-F
C9-F EKGOUT/E
C9-F EKGOUT/E EKGOUT/E
SHEET 4 C10-F
C10-F
KAN3_4
KAN3_4.SCH
RAOS
EKGRES RAOS
C3OS LAOS
C3OS LAOS
C3 C1OS
C3 C1OS
C4 C3-F C2OS
C4 C3-F C2OS
C3OS
C3OS
C4OS C4OS
S2 C4OS C4OS
C5OS
P1 C5OS
C4-F C6OS
C4-F C6OS
16 8 C8 C7OS
CAVEi C7OS
15 C10 C8OS
C8OS
7 C7 C9OS
C9OS
14 RL(N) SHEET 5 C10OS
C10OS
6
13 C9 KAN5_6 PMP
PMP
5 C6 KAN5_6.SCH
PATIENT 12 C1
EKGRES
4 C5 CAVEi C5 C5OS SHEET 3
C5 C5OS
11 LL C6
C6
3 C4 C5-F
C5-F
10 LA
2 C3 C6OS
S2 C6OS
9 RA
17 1 C2 C6-F
CAVEi RLOS C6-F
EKG_POWER
DSUB-15WF-90-CAVE EKG_POWER.SCH
SHEET 6
KAN7_8 SHEET 2
KAN7_8.SCH
LAOS
EKGRES LAOS
LA LA-F
LA LA-F
NC1...NC17
RAOS
RAOS
S2
RA-F
RA-F
RA
RA
PART_PAC
CAVEi PART_PAC.SCH
RA1 RA1
PMP
SHEET 7
SHEET 11
KAN9_10
KAN9_10.SCH
C7OS
EKGRES C7OS
C7 C7-F
C7 C7-F
C8
C8
C8OS
C8OS
C8-F
S2 C8-F
SHEET 8 ISOLIERT NICHT ISOLIERT
Art.-no.: 2.540043 Rev.: a

KAN11_12
KAN11_12.SCH
C9OS
EKGRES C9OS
C9 C9-F
C9 C9-F
C10
C10
C10OS
C10OS
C10-F
S2 C10-F
SHEET 9
CONFIDENTIAL
Page 68
10.2.5 Main (microprocessor) board component layout

Art.-no.: 2.540043 Rev.: a
Page 69
10.2 Circuit and functional illustrations AT-10 plus
10.2.6 ECG board component layout
Art.-no.: 2.540043 Rev.: a
Page 70
10.2.7 Communication module component layout

Art.-no.: 2.540043 Rev.: a
Page 71
11 Special Test Equipment
11.1 RS test plug AT-10 plus
11 Special Test Equipment

The following test plugs and equipment must be fabricated to carry out the interface
tests (see page 24).
11.1 RS test plug
Using an RS plug, solder together pins 2 and 3.
11.2 DC In/Out cable assembly
P17 (DC IN) P18 (DC OUT) P18 - DC out P17 - DC in

front view front view
DC Out 1 1 2 DC In 1 +
5 4 4 3
DC Out 1 Gnd 2 3 DC In 1 -
3 2 2 1
DC Out 2 3 4 DC In 2 +
1 DC Out 2 Gnd 4 5 DC In 2 -
1
Shield
11.3 ERGO connector and switch
Art.-no.: 2.540043 Rev.: a

P19 - ERGO
TMUP 9 Switch
8
TMDOWN
P19 (ERGO)
front view
FOOTIN 7
QRSOUT 6
9 8 7
6 5 4 3 1
RPMin
2 1
LOADOUT 3
2
LOADIN
5
Shield
Page 72
Checklist 12
AT-10 plus Service Handbook AT-10plus checklist table 12.1
12 Checklist
The following procedural checklist must be carried out by authorised SCHILLER
trained personnel. The recommended interval is that the unit is checked every 12
months.
V It is a requirement of EN 60601 that the unit undergoes a safety test at least every
12 months (see page 41), and a complete functional check at least every 24
months (detailed in the following checklist).
12.1 AT-10plus checklist table

Name of tester: Signature:
Device serial number: Software Version:
Customer: Date:
Reference OK False Remark

5.3.1 External sight control (page 34)
1. Mechanical condition of the device:
– no cracks or chips in the casing
– mains, patient and all other cable assemblies are in good condition with
no crushing, chafing or cuts, etc.
– All plugs and sockets are straight and in good condition.
2. No soiling which could hamper the safety of the device.
3. Voltage selector is set correctly.
4. Correct fuse rating (see page 43).
5. Safety labels:
Art.-no.: 2.540043 Rev.: a
– back panel, type designation and fuse rating label readable.

– side panel (patient connector), CF label and ‘attention‘ symbol readable.
5.3.2 Mains and battery indicators (LED) test (page 35)
1. Mains indicator lamp lit when the unit is connected to the mains supply.
2. Relevant symbol is displayed on the LCD.
3. Mains indicator lamp off and the battery lamp is lit when mains
disconnected.
4.8.1 Battery capacity test (page 25)
1. Unit operates for a minimum of 1 hour on battery power.
5.3.5 Keyboard test (page 35)
1. No mechanical damage or excessive wear.
2. All keys function - a beep is heard when every key is pressed.
5.3.6 LCD screen test (page 35)
1. No spots or black fields on the screen.
2. LCD shade (contrast and brilliance) is even all over.
Page 73
12 Checklist
12.1 AT-10plus checklist table AT-10 plus

4.8.2 Print quality and printer alignment check (page 25)
1. No fading
2. Alignment OK
3. No faulty pixels
4. Blackness, regularity and good readability on the complete print width
Paper Feed (page 36)

1. Paper stops at the perforation (paper mark)
Printing Speed (page 36)
1. On the 25 mm/s printout the space between 2 R peaks is 25 mm ± 0.5 mm.
Parallelism test (page 36)
1. Calibration waveforms line up vertically and the maximum deviation is not
more than + 0.5mm.
4.5 I / O ports (page 22)
1. RS-232 Ports change colour when the test plug inserted.
2. DC IN and DC OUT ports change colour when the test cable assembly is
connected between the two connectors.
3. ERGO square changes colour when the test plug inserted.
4. ERGO square changes colour when the switch set.
5.3.8 ECG amplifier and patient cable test (page 37)
1. Disconnect ECG patient simulator. Check the following:
– device beeps 4 times
– all lead designations highlighted
– the mV reading for all leads is -350 to -550 mV
2. Connect ECG simulator:
– all leads stop blinking
– the mV reading for all leads is -15 ...+15 mV
5.3.11 ECG printout reference (page 38)
1. The measurements table on the printout gives the following values:
Art.-no.: 2.540043 Rev.: a

• Intervals
RR 1000 + 10
P 116 + 10
PR 176 + 10
QRS 56 + 6
QT 356 + 12
• V1
P 0.15 + 0.02
R 2.0 + 0.01
Rd 56 + 6
J 0.2.0 + 0.02
ST 0.2 + 0.02
T 0.4 +0.03
2. Waveform shape and polarity same as reference printout
Page 74
Checklist 12
AT-10 plus Service Handbook AT-10plus checklist table 12.1

5.3.12 Language, date and time (page 40)
1. Set Language.
2. Set Time.
3. Set Date.
5.3.13 External monitor (page 40)

1. Connect external monitor - monitor displays the same data as the integral
LCD.
4.7 Colour (page 24)
1. Set and change colour as required.
5.4 Safety tests (page 41)

1. The safety test is carried out in accordance with the EN 60601-1, Clause Add protocol with results to this
18 and 19. This test may only be carried out with a tester that fulfils the checklist.
above mentioned norms and has been calibrated in accordance with ISO
norms.
2. High Voltage Leak test in accordance with EN 60601-1, Clause 20. Add protocol with results to this
checklist.
Art.-no.: 2.540043 Rev.: a
Page 75
12 Checklist
12.1 AT-10plus checklist table AT-10 plus
Other remarks
Art.-no.: 2.540043 Rev.: a
Page 76

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AT-10 plus

12-Channel ECG Device

Article no.: 2.540043 Rev.: a

3 Operation Overview ............................... 17

4 Service Screen ........................................ 20

4.8.1 Battery capacity test......................................................................... 25

5 Functional Checks ..................................32

6 Replacing Major Components ...............42

6.4.3 Communication module ................................................................... 47

8 Unit Settings ........................................... 51

9 Technical Data ........................................ 61

10 Construction Drawings .......................... 64

11 Special Test Equipment ......................... 73

Art.-no.: 2.540043 Rev.: a

1.1 Responsibility of the user

1.2 Intended use

1.3 Organisational measures

V Keep these service instructions in an accessible place for reference when

1.4 Safety-conscious operation

1.5 Safety facilities

1.6 Operation with other devices

Art.-no.: 2.540043 Rev.: a

1.7 Safety Symbols and Pictograms

For general safety notes as listed in this chapter.

Reference to other guidelines

Observe precautions for handling electrostatic sensitive devices

Tools required for a procedure.

1.7.2 Used symbols on the device

Inappropriate disposal can lead to environmental pollution.

Units/components and accessories no longer required can be returned to SCHILLER

Notified body of the CE certification (TÜV P.S.)

Attention: Consult accompanying documents.

1.8 Terms of warranty

• assembly operations, extensions, readjustments, modifications, or repairs are car-

Art.-no.: 2.540043 Rev.: a

• DC Output connector for output of recorded signals

Schiller Communication Module (SCM)

2.2 LCD screen

Art.-no.: 2.540043 Rev.: a

The keyboard is divided into the following functional areas:

(2) Resting and Stress ECG Function Keys:

(3) Memory, Storage and transmission Keys:

(4) Patient Data key - Input of patient data

(5) Direct function keys including:

Art.-no.: 2.540043 Rev.: a

(8) Menu navigation keys including:

(9) Further Function Keys for:

2.3 External connections

2.3.1 Back Panel

(1) RS-232 connector for Treadmill.

The following connectors are situated on the communications module.

(6) RJ-45 Ethernet LAN connector (Local Area Network).

2.3.2 Side panel

(1) EKG/ECG patient cable input socket.

(2) RS-232 connector for pneumotach sensor (SP-250/SP-260) for pulmonary

Art.-no.: 2.540043 Rev.: a

3.1.2 Connection of external cable assemblies and ancillary

3.1.3 Potential equalisation

V To prevent the possibility of leakage current when an external printer, external