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Burdick Quest

Burdick Quest cardiac stress testing system

The Quest system is right for offices looking for value, simplicity, and increased patient throughput. The system is easy to use because it features a touch screen with convenient pull-down menus for intuitive workflow. Our proprietary Logistep guide walks users through the test by highlighting the next step. We put everything you need on one screen, so there's no need for toggling among screens. And to save you time, we added an easy way to correct unintentional phase changes without having to start all over again.

Configure the system with a Cardiac Science TM55 or TM65 medical treadmill and your office will be up and running.
 

Features

  • Eleven standard, preprogrammed protocols
  • Performs both resting 12-lead ECGs and stress tests
  • Touch screen interface
  • Logistep software guides testing, step by step
  • Option to use the University of Glasgow ECG interpretation algorithm
  • Compatible with Ethernet protocols, our Pyramis data management system, and our HeartCentrix connectivity solution
  • Warranty: 3-Year Parts and 1-Year Labor

Benefits

  • Flexibility. Quest offers 11 standard, pre-programmed protocols and allows you to perform resting 12-lead ECGs and exercise stress tests.
  • Connectivity. The system is compatible with Ethernet protocols, our Pyramis data management system, and our HeartCentrix connectivity solution.
  • Accuracy. The system eliminates non-cardiac electrical noise and baseline wander for clear ECG tracings.
  • Simplicity. Just point and touch the intuitive touch screen – that’s all there is to it.
  • Ease of use. The Logistep feature walks users through the test by highlighting the next step.
  • Confidence. Opt for the University of Glasgow ECG interpretation algorithm to consider clinically significant criteria to interpret patient data.
  • Real-time. Quest's large screen instantly displays 3, 4, or 6 channels and freeze frames for detailed reviewing and printing.

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Burdick Quest
Connectivity

Physician office EMR partners

Resource Links

Spec sheet: Burdick Quest Stress
Spec sheet: TM55 and TM65 Treadmills
Browse the Physician Office Catalog
Manual: Quest Stress
Sample Report: Quest
 

DIMENSIONS:

60" x 25" x 34" (152 cm x 63 cm x 86 cm)
 

WEIGHT:

<170 lbs. (78 kg)
 

MONITOR

Type:

15" High-resolution color with integrated touchscreen;

Mount:

User-adjustable tilt (•15°) and swivel (•90°);

Content:

3, 4 or 6 ECG channels, real-time; information and alphanumeric data;

Displayed leads:

User-selectable during a test; (3-, 4- and 6-channel); Waveform display •8 seconds per lead of ECG in 3-channel mode
 

KEYBOARD

Main keyboard:

QWERTY layout;

Ergometer control:

Dedicated keys for ergometer speed, grade, start and stop
 

INPUT/OUTPUT

Digital I/O:

RS-232 interfaces to treadmill, bicycle ergometer, and optional automatic blood pressure monitor; TTL pulse for QRS detection, 50 msec. delay;

Analog ouput:

4 user-selectable outputs
 

STANDARD INTERFACES OPTIONAL

Network:

Ethernet 10baseT for full disclosure report storage and export of final report data using HL7 protocol or XML;

Removable media:

Zip drive for full-disclosure test storage – compatible with 100 MB and 250 MB disks
 

POWER REQUIREMENTS:

115/230V AC +/- 10%, 2.5/1.25 A, 50/60 Hz nominal 300 VA max.
 

CHART RECORDER

Paper type:

Pre-grided thermal paper, Z-fold, 8.5" x 11" (US letter) or 210 mm x 300 mm (A4);

Printout device:

216 mm thermal dot array;

Paper speed:

10, 25, 50 mm/sec. +/- 2%;

Printing options:

Multiple format ECG waveform and alphanumeric printing, diagnostic quality;

Gain:

5, 10, 20 mm/mV +/- 5%;

Frequency response:

0.05 Hz to 150 Hz +/- 10%;

Muscle artifact filter:

User-selectable: Off, 20 Hz or 40 Hz; Baseline filter User-selectable: Off, 0.12 Hz or STABLE (meets or exceeds all 1990 AHA recommendations);

Calibration signal:

1.0 mV for 200 msec. +/- 5%
 

ECG COMPUTATIONS

Heart rate computation:

8-beat average, 30 bpm to 250 bpm, updated every second

ST measurements:

20 sec. moving window with 10 sec. updates to the display and to reports;

ST parameters:

Level, slope for 12 leads simultaneously;

QRS detection channels:

II, V2 and V5 with switching;

Ectopic detection:

Ventricular arrythmias, unclassified;

ST reference:

User-selectable: E-point (QRS onset), J-Junction (QRS offset), ST point (0 msec. to 100 msec., 5 msec. interval) with display/printout annotation
 

PROTOCOLS

Preprogrammed:

Manual, Bruce, Modified Bruce, Balke, Naughton, Ellestad, Kattus, Ramp, Astrand, Modified Astrand, Pharmacological;

User-defined:

20 protocols with up to 30 stages each plus; Warmup and Recovery phases
 

PATIENT MODULE

Dimensions:

1.3" x 4.3" x 3.8" (3.3 cm x 10.92 cm x 9.65 cm);

Weight:

<1 lb. (0.5 kg);

Frequency response:

0.05 Hz to 150 Hz, +10% to -30% (maximum);

Defibrillation protection:

To 360 J, 5 kV;

Common mode rejection:

>120 dB at 60 Hz;

Electrode offset tolerance:

+/- 300 mV;

Line frequency filters:

User-selectable 50 Hz, 60 Hz or off;

Noise:

<30 μVpp;

Pacemaker pulse indication:

Per EC13;

Input channels:

Simultaneous acquisition of 8 leads plus 4 derived leads;

Defibrillation recovery:

Maximum recovery time is 8 seconds;

Patient connection:

10 replaceable leads
 

EXERCISE STRESS REPORTS

During exercise:

12-lead or Average Complex with Trend Graphs (HR/BP, Single-lead ST, 12-lead ST, Side by side averages, Overlaid averages, 12-lead averages), Rhythm, Ectopic Beat, Event Identification;

Final report:

User-selectable: Exercise Test Summary in tabular or narrative format; Average Complex Summary (Baseline, Maximum ST, Maximum Exercise); Trended Average Complexes (per minute or per stage); Trend Graphs (HR/BP, RPP, METS, Ectopics, 12 single-lead ST); Stress Report Form;

Comments:

Selectable, user-defined;

Configurations:

Up to 5 user-defined configurations with final reports and protocol selections
 

ERGOMETER INTERFACE

Treadmill:

Dedicate a 110V 20 amp plug in. Dedicated serial RS-232C for TM55 or TM65; Bike Dedicated serial RS-232C for Treadmill Burdick supported bicycle ergometer
 

ERGOMETER CONTROL

Control modes:

Automatic or manual; Displays Workload in METs; Phase, Stage and Exercise; Test Time (ETT); Ergometer values for treadmill-grade in percent, speed in mph or kmh; for bike -workload in watts, speed in rpm

Displays:

Workload in METs; Phase, Stage and Exercise; Test Time (ETT); Ergometer values for treadmill-grade in percent, speed in mph or kmh; for bike -workload in watts, speed in rpm
 

ENVIRONMENTAL SPECIFICATIONS

Operating:

Temperature 50°F to 104°F (10°C to 40°C);

Relative humidity:

15% to 95% non-condensing;

Atmospheric pressure:

525 mmHg to 795 mmHg (700 hPa to 1060 hPa)
 

CONFORMS TO STANDARDS:

EN60601-1-1; IEC 601-2-25; EN60601-1-2; ANSI/AAMI EC11, 1991
 

SAFETY:

IEC 601-1 Type CF Defibrillator Proof
 

WARRANTY:

Quest system, 3 years; treadmill, 13 months
Stress Cable 10 Lead 25 Cable, Patient, 10 Lead ECG, 25" Pinch AHA

Patient Cable for Q-Stress or HeartStride.

Cardiac Science Quik-Prep Electrode Quik-Prep Electrode

Provides optimal tracings with less prep time.

Image Unavailable Tango+ Blood Pressure Monitor for Quest

Designed specifically for use in treadmill, ergometer, and pharmacological stress test environments.

Image Unavailable Tango+ SPO2 Option with Adult Finger Sensor

Allows you to monitor your patients SpO2 levels in conjunction with their blood pressure.

Cardiac Science All-Purpose Electrode All-Purpose Electrode

Pre-gelled electrodes have foam backing and high-quality hypoallergenic adhesive.

Cardiac Science Blue Max Monitoring Electrodes (Vinyl) Blue Max Monitoring Electrodes (Vinyl)

Feature an offset connection that helps reduce motion artifact and eases patient hookup.

Cardiac Science Blue Max Monitoring Electrodes (Foam) Blue Max Monitoring Electrodes (Foam)

Feature an offset connection that helps reduce motion artifact and eases patient hookup.

Cardiac Science Assurance 8.5 Assurance 8.5"x 11" Electrocardiograph Printing Paper

Features a red grid and perforations with blank header.

Cardiac Science HeartLine ECG Thermal Paper, Z-Fold, 8.5 HeartLine 8.5" x 11" Electrocardiograph Thermal Paper, Z-Fold

Features 5.91" (150 mm) red matrix grid and perforations with blank header.

Quik-Prep Stress Prep Kit

Assists with proper skin preparation and electrode placement for more accurate tracings.

Stress Prep Kit with Heartline Electrodes

Convenient kit aids in proper skin preparation and electrode placement for more accurate tracings.

Burdick Quest connects with virtually everything needed for enhanced workflow and is compatible with:

  • Ethernet protocols.
  • Our HeartCentrix connectivity solution — improves workflow with bi-directional communications with your electronic medical record (EMR) system.

FAQs & Troubleshooting Tips

The Quest does not recognize the treadmill. What are some things that can be done to get the treadmill working?

  • Make sure the treadmill is ON.
  • Check the interconnect cable. Make sure that it is the correct cable, plugged in to the correct ports and in the correct orientation, has not been cut, crimped, or damaged.
  • Check the settings in System Setup to make sure the correct treadmill is selected.
  • For Biomed or Service Personnel - Check the BIOS settings, the battery in the electronics enclosure may need to be changed. If that is the case, there are other functions that will not work, such as the touch screen not responding.

My touch screen is not responding. What are some things that I can try to get the touch screen working again?

  • Use the hotkeys to check the settings in System Setup. If the hotkeys are not working either, the problem is not with the monitor. This is most common when the electronics enclosure is replaced and the factory setting does not match the monitor that the customer has in the field.
  • Make sure the cables from the monitor to the electronics enclosure are plugged in.
  • Reboot the Quest, if the flat panel monitor is turned off and back on it may disable the functionality of the touch screen.
  • For Biomed or Service Personnel - Check the BIOS settings, the battery in the electronics enclosure may need to be changed. If that is the case, there are other functions that will not work, such as the Quest not seeing the treadmill. e. For Biomed or Service Personnel - Re-calibrate the touch screen.

Nothing is being printed on my printouts, but the paper is queuing to the top of each page without any out of paper or paper jam messages. What could be causing this?

  • The cable coming from under the console that plugs into the writer port may be loose or disconnected.
  • For Biomed or Service Personnel - The ribbon cable that plugs into the printhead may be loose. Request information from Tech Support on reconnecting and securing that ribbon cable.
  • For Biomed or Service Personnel - Printhead may be bad. Replace paper drive assembly.

How do you calibrate the touch screen?

  • From any screen in the Quest software, press CTRL+ALT+Shift+Backspace
  • From the login prompt, type touch and press Enter
  • Follow the prompts

How do you upgrade a unit in the field to add optional features?

Following steps to be performed by a Biomed or Service Personnel
 
  • From any screen in the Quest software, press CTRL+ALT+Shift+Backspace
  • From the login prompt, type options and press Enter
  • Make sure there is a serial number at the top of the screen
  • Contact technical support in Deerfield for codes to enter in the Quest
  • Touch the option that is being enabled and type in the code obtained from Deerfield technical support
  • Press Close, system will reboot and the optional feature is now enabled.

What information needs to be entered in the Quest to set up networking?

  • Under Local Settings:
    • IP address assigned to the Quest
    • Subnet mask
    • Address to the default gateway
    • Address to the Nameserver
  • Under Network Drive Settings:
    • Machine name and IP address where the Quest data is being stored
    • Share name of where the data is being stored
    • User name for the Quest user with access to the shared directory
  • If sending data to Pyramis, under Pyramis/Host Settings:
    • Name and Number of the institution on Pyramis
    • Name and IP address of the Pyramis machine that will be receiving the exported data
    • Port number for communicating with Pyramis

What is an ET1000 and what is it used for?

The ET1000 is an electrode tester. It is used to verify that the electrodes are making adequate contact with the patient’s skin. This can be used if the customer is having problems with artifact. It will narrow the problem down to either the electrodes or the patient cable/patient module.

My Quest software locked up 100%. What could be the problem?

  • Incorrect treadmill selected in System Setup
  • Electronic enclosure needs to be replaced (very rare, problem is probably wrong treadmill selected, usually occurs after enclosure is replaced)

The Quest system is having several problems locking up or going to a blank grey screen. What could be causing of this?

  • Make sure the treadmill is on a dedicated circuit.
  • Go to the post study work screen and check to see how many records are stored. Too many records stored, especially with older systems, will cause the Quest to lock up. Delete or archive some or all of the records. If you cannot get into the post study work screen without locking up, follow the tech bulletin for deleting these files from the login screen.
  • For Biomed or Service Personnel - Replace electronics enclosure

A Quest unit needs to have the electronics enclosure replaced. Where is the information that explains which part number enclosure to use?

Contact Technical Support for assistance

My Quest is showing a lot of artifacts.

  • Make sure that your electrodes have not been left sitting out. Store them in a zip lock bag. Also, check the expiration date on the electrode package.
  • Prep patient in accordance with instructions in the Operator’s Manual.
  • Use stress loops to take pressure off of the patient cable.
  • Use the ET-1000 provided with your Quest system to check for good connectivity with the patient.
  • Replace patient cable.
  • Replace lead wires.
  • Replace patient module.

How do I add a custom protocol?

  • From the Pretest screen, press Change System Selections
  • Select Protocol Programming
  • Select > Select Protocol
  • Select New Protocol
  • Select > Select
  • Type in a name for the protocol, select the protocol type and ergometer type
  • Select Add to list

How do I get into the Post Study Work screen?

  • From the Pretest screen, press Change System Selections
  • Select Post Study Work
  • Enter in the Username and Password (the default is Username: Quest Password: 12345). If these do not work, contact technical support for assistance.

How do I set up automatic printouts and prompts?

  • From the Pretest screen, press Change System Selections
  • Select Protocol Programming
  • Select > Select Protocol and choose the protocol that the printouts and prompts will be set up for (automatic printouts and prompts and tied to each individual protocol)
  • Add printout and prompt times from this screen. Printout and prompt times are linked to stage time, not total time.

I can’t change a lot of my settings in User Setup?

  • From the Pretest screen, press Change System Selections
  • Select User Setup
  • Select > Select User
  • Change the user from Quest to a different user. Quest is the default user and has many defaults that cannot be changed.

I am getting all flatlines.

  • Make sure that your electrodes have not been left sitting out. Store them in a zip lock bag. Also, check the expiration date on the electrode package.
  • Prep patient in accordance with instructions in the Operator’s Manual.
  • Use stress loops to take pressure off of the patient cable.
  • Use the ET-1000 provided with your Quest system to check for good connectivity with the patient.
  • When the patient is being connected, have the interface cable to the patient disconnected and do the following:
    • Press CHANGE TEST/DISPLAY SETUP
    • Press CHANGE WRITER SETTINGS
    • Under BASE LINE FILTER, select setting other than Stable (.67). Close once.
    • Go to CHANGE WRITER SETTINGS again. Select STABLE (.67).
    • Finish by pressing Close and then Close a second time.