Stress EchoBed® Training Guide
Thank you for your Stress EchoBed® purchase.
The Stress EchoBed® Guide is designed to provide you with all the tools you’ll need to successfully use your Stress EchoBed®.
Should you have any questions not answered by the guide please reach out to your MPI Sales Representative at 800.593.3246
Complete the transformation of your Stress EchoBed® with the installation of the supine Ergometer.
To install the Stress EchoBed® Ergometer, first remove and store the Ergometer Insert and ensure the Stress EchoBed is level. Place the Storage Cart at the foot of the Stress EchoBed®, locking all Storage Cart wheels and lower the bed so the end of the Ergometer rests just on top of the Stress EchoBed®.
Align the Ergometer with the Stress EchoBed® ergometer track, lift the track lock and gently pull the Ergometer towards the Stress EchoBed®. Once you hear the track lock click into place on the Stress EchoBed®, unlock Storage Cart wheels and begin use.
The Stress EchoBed® Ergometer is removable and the Stress EchoBed® may be used for resting, treadmill and pharmacological stress echocardiograms.
To remove the Ergometer from the Stress EchoBed®, first, unplug the ergometer from underneath the Stress EchoBed®, ensure the Stress EchoBed is level and that all casters are in the locked position.
Slide the Ergometer to the closest position to the patient using the slide lock. Place the Storage Cart at the foot of the Stress EchoBed®, locking all Storage Cart wheels and lower the bed so the end of the Ergometer rests just on top of the Storage Cart track.
Align the ergometer track with the Storage Cart track, lift the track lock and gently pull the Ergometer, sliding it slowly onto the Storage Cart. Once the Ergometer becomes difficult to slide, lift the track lock and extend the Ergometer back one position. Continue to pull the Ergometer until it has cleared the Stress EchoBed®. Once you will hear the track lock click into place on the Storage Cart, unlock all Storage Cart wheels and store the Ergometer in a cool, safe place until next use.
To install the Ergometer Insert, align the Velcro® on the back of the Ergometer Insert with the receivers on the Stress EchoBed® and press into place.
The Stress EchoBed® is patient lift accessible and electrically height adjustable from 24” -34” to ergonomically accommodate sonographers of varying heights.
Refer to the Hand Control Guide under the Contents menu for additional Hand Control instructions.
The Stress EchoBed® features two drop sections designed to ergonomically accommodate both left and right handed sonographers.
The Imaging Drop Section, located on the patients left, lowers to provide unhindered access to the apical region. Simply reach under the Imaging Drop Section to pull the opening lever and lower into place. To return the Imaging Drop Section raise the section until you hear the click, the Imaging Drop Section automatically locks into place.
Right handed sonographers may lower the Imaging Drop Section from the opposite side of the Stress EchoBed® by pulling the Rapid Release Lever located just above the Sonographer Drop Section.
The Sonographer Drop Section, located on the patient’s right, serves two purposes.
The Sonographer Drop Section may be lowered in the same manner as the Imaging Drop Section. Reach beneath the Sonographer Drop Section to pull the opening lever and lower into place. To return the Sonographer Drop Section raise the section until you hear the click, the Sonographer Drop Section automatically locks into place.
Right handed sonographer’s should sit on the Stress EchoBed® to perform scans for the best ergonomic posture.
The Sonographer Drop Section also acts as a patient back support. This support may be utilized by both left and right handed sonographers. To engage the patient back support squeeze the lever and raise to your
Two-Way Dual Drop Section – drops down for ergonomic scanning position for right-handed sonographers to sit behind patient, and lifts up to provide two positions for a patient back support.
The optional Sonographer Extension is designed to ergonomically accommodate your right handed sonographers.
The Sonographer Extension attaches by sliding the steel cylinder into the bracket mounted just behind the Sonographer Drop Section. This extension provides additional seating room for sonographers to sit while scanning right-handed.
The Stress EchoBed® includes a standard 15° Trendelenburg positioning and 15° reverse Trendelenburg
Use the 15° Trendelenburg to stabilize patient blood pressure by pressing and holding the head down button on your hand control.
The 15° reverse Trendelenburg may be used at the beginning of exams to assist the patient with pedaling and for vascular ultrasound.
Refer to the Hand Control Guide under the Contents menu for additional Hand Control instructions.
The Stress EchoBed® includes a standard 40° left lateral tilt with allows for image acquisition during peak exercise. Though the bed has the capability to tilt to 40°, often sonographers prefer somewhere around 20° for imaging.
The patient should continue pedaling during the image acquisition. If patient cannot keep pedaling at same RPMs, decrease to lower resistance so that exercise continues until acquisition is complete.
Consider tilting the patient prior to the beginning of the procedure, while pedaling, to prepare the patient for the tilt during the procedure. The patient should be tilted for pre-exercise images as well to ensure the same preload as their post-exercise images.
Refer to the Hand Control Guide under the Contents menu for additional Hand Control instructions.
The Patient Safety Belt acts as a sling for the patient during their supine bike stress echocardiogram.
Position the patient’s hips on top of the wide safety belt and release the Velcro® strap from the side of the bed. This Velcro® strap holds the Patient Safety Belt in place flush against the bed when not in use.
Fully extend belt across patient’s pelvis and insert into the buckle into the receiver directly across the mattress. Please note the belt clip must be angled against the belt fabric to extend belt, angling the clip away from fabric is the ‘lock’ position and extension is not possible.
The Patient Safety Belt should conform to the patient and form a ‘sling’ around the patient’s hips. A towel may be positioned between patient and belt to cushion abdomen, if needed for comfort.
A belt extender is available as an option for bariatric patients.
The Stress EchoBed® Shoulder Support is an added safety feature for patients when tilted in the left lateral position. The Shoulder Support is both adjustable and removable.
Before beginning the procedure, position the patient’s left arm up by the patient’s head, next to the Shoulder Support. Leave enough space for patient to raise arm, if needed when imaging and lock into place. The patient’s left arm may remain at side during exercise.
To remove for resting studies, release the adjustable lock and lift.
The Stress EchoBed® includes a four point safety system for patients during their supine bike stress echocardiogram.
First, position patient’s feet in boots, the heel of the foot as far back as possible. The patient will push against the heel of the boot for proper pedaling. Strap feet into boots with Velcro® straps. Consider using surgical “booties” for the patients to wear if they prefer wearing their shoes, or gripping socks for patients with larger feet or inappropriate stress test attire. This will help keep the equipment clean. The bottom of the inside of the boots can be taken out to clean with soap and water as needed.
Secure the Patient Safety Belt into place across the patient’s hips (see Patient Safety Belt, Chapter 9) and adjust the Shoulder Support (see Shoulder Support, Chapter 10)
Place the head elevation SafeTwedge in the middle of the Stress EchoBed® mattress underneath the shoulders of the patient. The non-skid backing of the wedge will help keep the patient from migrating towards the head of the Stress EchoBed® during the procedure.
Have the patient pedal a few times to check bend of knee, a 90° angle is ideal. Consider tilting the patient, while pedaling, in the left lateral position to prepare the patient for imaging during the exam.
When you are ready to begin the exam select the same protocol on the Computer Controller and your EKG system and press start on both the Computer Controller and the EKG system simultaneously. See the Protocol section of the Contents menu for more information on selecting and programing protocols.
See Computer Controller Guide for additional information regarding your Computer Controller function.
Turn on the Patient Coach to help guide your patient to 60 RPMs.
See Patient Coach Guide for additional information regarding your Patient Coach.
Before using the Stress EchoBed® with patients, consider finding a volunteer/coworker to help practice patient positioning and coaching. The learning curve for supine bike stress echocardiography is brief and both patient and sonographer preferred.
Refer to the Hand Control Guide, Computer Controller Guide and Patient Coach Guide for additional guidance on operating the Stress EchoBed®. Found under the Contents menu.
Refer to EKG System Setup Guide for help programming your EKG system. Found under the Contents menu. Note that while the Stress EchoBed® does not interface with the EKG system they do run concurrently by pressing start on the EKG system and the Stress EchoBed® simultaneously.
Refer to the Protocol Guides for additional information on preprogrammed protocols, programming your own protocols, working the manual protocol and recommendations. Found under the Contents menu.