Quest Exercise
Stress System
Exercise Stress
Simple, complete control with a touch of a finger
The Quest® Exercise Stress System provides
simple, complete control with the touch of
a finger. Everything you need to see is
directly on-screen letting you focus on the
patient. It is a sophisticated stress testing
system in an easy-to-use, intuitive format
and a product of Burdick’s commitment to
innovation and customer satisfaction.
Easy, Intuitive Touch Screen
Quest’s unique touch
screen user interface
means no more knobs
or toggles. Just point
and touch. Our
proprietary Logistep™
guide leads you
through the test by
highlighting your next step, making it easy to
learn. Convenient pull-down menus allow entry
of preprogrammed patient-specific information,
or addition of commonly used terms and
phrases (e.g. staff names, medications and test
events). Screens are color-coded to guide you
through the process so you’ll always know what
part of the test you’re performing. Plus
unintentional phase changes can be easily
corrected with the “Whoops/Return to” key. It
conveniently returns to the previous test phase
without having to start all over again.
Flexible Programming
T-Wave Alternans Testing
Optional T-Wave Alternans provides a
reliable way to assess patient risk for
Sudden Cardiac Death (SCD).
• Inexpensive, non-invasive diagnostic test
• Brief, in-office procedure
• Test runs simultaneously with standard
treadmill or pharmacological stress
• This optional technology can be added
to Quest at any time
Multiple user setups and programmability lets
Quest work the way you need it to work. You
can adjust workloads instantly with stage hold,
advance key or switch to an entirely different
protocol; all with the touch of a finger. Choose
from 11 standard, preprogrammed treadmill
and bicycle protocols: Bruce, modified Bruce,
Balke, Ellestad, Kattus, Naughton, Ramp,
Persantine, manual protocol, Astrand, and Mod
Astrand. And you have the ability to customize
an additional 20 protocols of your own design.
A flexible ramping protocol individualizes
patient workload while optimizing test duration.
The quick disconnect feature allows patient
prep in a different room before testing. This
helps keep your office running smoothly.
• Easy, intuitive touch
screen lets you focus
on the patient
• Performs both resting
12-lead ECGs and stress
tests on one system
• Accurate ECG data
acquired at the patient
eliminating non-cardiac
electrical noise
• Flexible programming
means you choose the
• Generous storage,
enhanced online data
editing and several data
management options
• Full-range reporting
offers over 15 different
report configurations
• Digitally controlled
treadmill maximizes
system reliability
• Optional T-Wave Alternans
helps predict Sudden
Cardiac Death (SCD)
Quest Exercise Stress System
Sensitivity and Specificity with GRI
Accurate EGG Data
Comprehensive Viewing Options
Quest features the proven Glasgow Royal
Infirmary (GRI) algorithm. Its sensitivity
and specificity provide a “silent second
opinion” of the electrocardiogram.
Interpretation is based on five clinically
significant criteria: age, gender, race,
medications and clinical classification.
Reason statements are in clear, plain
English, which provides greater insight
into ECG results. A pediatric program
accounts for the unique anatomy and
continuous development of the neonate
and pediatric patient. Choice of long and
short interpretation text gives just the right
amount of information to suit your needs.
Digital patient module acquires the ECG
right at the patient to virtually eliminate
non-cardiac electrical noise. Aggressive
digital filters remove baseline wander
without introducing ST distortion. Quest
meets or exceeds all current AHA and
IEC recommendations.
Quest’s real-time display lets you see
instantly on-screen what is being recorded.
It presents information in a 3-, 4- or 6channel format. You can choose to
freeze frames for detailed reviewing and
printing of ECG data. Additional viewing
options include choosing user selectable
leads, complexes and graphical trends
from pull-down menus.
Versatile Functionality
Perform both resting 12-lead ECGs and
exercise stress tests on one system. Quest
interfaces directly with commonly used
automatic blood pressure units and
echo systems.
Data Management
Quest offers generous internal storage,
holding over 2,000 20-minute fulldisclosure exercise tests. Enhanced online
data editing capabilities allow you to
correct patient demographic fields, capture
test observations using the comments
field, edit the test report form, enter
comments, and add interpretation for
resting ECGs after a test is complete.
Standard U.S. configuration
with treadmill
Model B24-
Quest Exercise Stress System
Optional Data Management
Quest offers several data management
options to meet your needs. Using an
Ethernet interface, store and retrieve
an indefinite amount of full-disclosure
stress studies on a network storage drive.
The Pyramis® ECG management interface
allows you to download the stress test
final report to Pyramis via HL7 protocol.
The Network option also stores stress
tests in a PDF or XML format.
English language
German language
French language
Italian language
Spanish language
120V operations
220V operations
120V Bicycle ergometer
220V Bicycle ergometer
Resting ECG (optional)
Network (optional)(English only,
includes PDF/XML export)
AHA accessory kit (8 1/2" x 11")
IEC accessory kit (A4)
AHA Microvolt T-Wave option
IEC Microvolt T-Wave option
Laser printing option 120V
(English only)
Laser printing option 220V
(English only)
TM55 Treadmill 120V
Accessories and Supplies:
010-0711-00-00 Bicycle ergometer 120V/230V
Choose from over 15 different report
Digitally Controlled Treadmills
Burdick TM55 and TM65 treadmills are
digitally controlled. They have fewer
moving parts, which maximize system
reliability. They have a controlled “soft
start” for patient safety and quiet
operation through entire speed range,
eliminating office disruption. The digitally
controlled AC-drive system provides high
torque for accurate speed and grade,
regardless of patient weight. Plus they
are fully integrated into the Burdick
Quest Exercise Stress Systems.
Bicycle ergometer to Quest interface cable
TM65 Treadmill 120V
TM65 Treadmill 230V US/Canada
TM65 Treadmill 230V UK/Europe
TM55 Treadmill 120V
Full Range of Reporting Features
Gives You Exactly What You Need
TM55 Treadmill 230V US/Canada
TM55 Treadmill 230V UK/Europe
Quest offers a full range of 3-, 4- or 6channel report options with logical,
easy-to-read formats and high-contrast
tracings. You get the exact information
you need in an orderly layout. Select
from final report summary, average
complex summary and detailed reports,
arrhythmias and final reports. Choose
from over 15 different report
configurations. Trend graphs include:
Assurance® fade-resistant paper
Baseline Blue Max Stress Prep Kit
T-Wave Alternans high-resolution electrodes
(package of 20 sets; 7 per set)
Contact your local sales rep for current configurations
and ordering information, including language options for
• Heart Rate
• Ectopics
• ST levels
• Blood Pressure
• Rate Pressure Product
Quick disconnect allows patient to move about
freely before testing begins.
Quest Exercise Stress System
60" x 25" x 34" (152 cm x 63 cm x 86 cm)
<170 lbs. (78 kg)
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
Main keyboard: QWERTY layout; Ergometer control: Dedicated keys for ergometer speed, grade, start and stop
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 output: 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 points: User-selectable: E-point (QRS onset),
J-Junction (QRS offset), ST point (0 msec. to 100 msec., 5 msec. interval) with display/printout annotation
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
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
IEC 601-1 Type CF Defibrillator Proof
Quest system, 3 years; treadmill, 13 months
Phone: 800-777-1777, 608-764-1919 • Fax: 608-764-7188 •
Microvolt T-wave Alternans technology supplied by Cambridge Heart, Inc. Due to continuing product innovations,
specifications are subject to change without notice. Blue Max, Burdick, Assurance, Logistep, Pyramis and Quest are
trademarks of Cardiac Science Corporation. Other brands and products are trademarks of their respective owners.
©2005 Cardiac Science Corporation. All rights reserved.
Form No. 4011 Rev. D 1005 Printed in USA.