CardioPerfect Workstation Service and Advanced installation Manual Ver D

CardioPerfect Workstation Service and Advanced installation Manual

Caution

US Federal law restricts this device to sale by or on the order of a physician.

Copyright © Copyright 2013, Welch Allyn. All rights are reserved. To support the intended use of the product described in this publication, the purchaser of the product is permitted to copy this publication, for internal distribution only, from the media provided by Welch Allyn. No other use, reproduction, or distribution of this publication, or any part of it, is permitted without written permission from Welch Allyn. Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the product, that may result from failure to use this product in accordance with the instructions, cautions, warnings, or statement of intended use published in this manual. Unauthorized copying of this publication may not only infringe copyright but also reduce the ability of Welch Allyn to provide accurate and up-to-date information to users and operators alike. ®

®

®

Welch Allyn , CardioPerfect Workstation and SpiroPerfect are registered trademarks of Welch Allyn. Software in this product is Copyright 2013, Welch Allyn. All rights are reserved. The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide. Under such laws, the licensee is entitled to use the copy of the software provided on the original distribution medium. The software may not be copied, decompiled, reverse-engineered, disassembled or otherwise reduced to human-perceivable form. This is not a sale of the software or any copy of the software; all right, title and ownership of the software remains with Welch Allyn. The information contained in this manual is subject to change without notice. All changes will be in compliance with regulations governing manufacture of medical equipment.

User responsibility This product is designed to perform in conformity with the description thereof contained in this manual and accompanying labels and inserts, when assembled, operated, maintained and repaired in accordance with the instructions provided. A defective product should not be used. Parts that are broken, plainly worn, missing or incomplete, distorted or contaminated should be replaced immediately. Should any repair or replacement become necessary, we recommend that service be performed at the nearest approved service center. The user of the product shall have the sole responsibility for any malfunction, which results from improper use, faulty maintenance, improper repair, damage or alteration by anyone other than Welch Allyn or their authorized service personnel.

Accessories The Welch Allyn warranty can only be honored if you use Welch Allyn approved accessories and replacement parts.

Caution

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Use of accessories other than those recommended by Welch Allyn may compromise product performance.

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CardioPerfect Workstation Service and Advanced installation Manual Warranty, Service, and Spare Parts Warranty All repairs on products under warranty must be performed or approved by Welch Allyn. Unauthorized repairs will void the warranty. In addition, whether or not covered under warranty, any product repair shall exclusively be performed by Welch Allyn certified service personnel. Assistance and Parts If the product fails to function properly or if assistance, service, or spare parts are required please contact the nearest Welch Allyn Technical Support Center. USA Latin America European Call Center United Kingdom France Germany Netherlands

1-800-535-6663 (+1) 305-669-9003 (+353) 46-90-67790 (+44) 207-365-6780 (+33) 1-55-69-58-49 (+49) 695-098-5132 (+31) 202-061-360

Canada South Africa Australia Singapore Japan China Sweden

1-800-561-8797 (+27) 11-777-7555 (+61) 2-9638-3000 (+65) 6419-8100 (+81) 42-703-6084 (+86) 21-6327-9631 (+46) 85-853-65-51

Before contacting Welch Allyn it is helpful to attempt to duplicate the problem and to check all accessories to ensure that they are not the cause of the problem. When calling, please be prepared to provide:  Product name and model number and complete description of the problem.  The serial number of your product (if applicable).  The complete name, address and phone number of your facility.  For out-of-warranty repairs or spare parts orders, a purchase order (or credit card) number.  For parts order, the required spare or replacement part number(s). Repairs If your product requires warranty, extended warranty, or non-warranty repair service, please call first the nearest Welch Allyn Technical Support Center. A representative will assist you troubleshooting the problem and will make every effort to solve it over the phone, avoiding potential unnecessary return. In case the return cannot be avoided, the representative will record all necessary information and will provide a Return Material Authorization (RMA) number, as well as the appropriate return address. A Return Material Authorization (RMA) number must be obtained prior to any return.

Note

Welch Allyn does not accept returned products without an RMA.

Packing Instructions If you have to return goods for service, follow these recommended packing instructions:  Remove all hoses, cables, sensors, power cords, and ancillary products (as appropriate) before packing, unless you suspect they are associated with the problem.  Wherever possible use the original shipping carton and packing materials.  Include a packing list and the Welch Allyn Return Material Authorization (RMA) number. It is recommended that all returned goods be insured. Claims for loss or damage to the product must be initiated by the sender.

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CardioPerfect Workstation Service and Advanced installation Manual Limited Warranty Statement Welch Allyn, Inc. warrants that the Welch Allyn CardioPerfect Workstation computer based product you have purchased meets the labeled specifications of the Product and will be free from defects in materials and workmanship that occur within 1 year after the date of purchase. Accessories used with the Product are warranted for 90 days after the date of purchase. The date of purchase is: 1) the date specified in our records, if you purchased the Product directly from us, 2) the date specified in the warranty registration card that we ask you to send to us, or 3) if you don’t return the warranty registration card, 120 days after the date on which the Product was sold to the dealer from whom you bought the Product, as documented in our records. This warranty does not cover damage caused by: 1) handling during shipping, 2) use or maintenance contrary to labeled instructions, 3) alteration or repair by anyone not authorized by Welch Allyn, and 4) accidents. You assume all responsibility for use of the Product with any hardware or software that does not meet the system requirements described in the Product documentation. If a Product or accessory covered by this warranty is determined to be defective because of defective materials, components, or workmanship, and the warranty claim is made within the warranty period described above, Welch Allyn will, at its discretion, repair or replace the defective Product or accessory free of charge. You must obtain a return authorization from Welch Allyn to return your Product before you send it to Welch Allyn’s designated service center for repair. THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. WELCH ALLYN'S OBLIGATION UNDER THIS WARRANTY IS LIMITED TO REPAIR OR REPLACEMENT OF PRODUCTS CONTAINING A DEFECT. WELCH ALLYN IS NOT RESPONSIBLE FOR ANY INDIRECT OR CONSEQUENTIAL DAMAGES RESULTING FROM A PRODUCT DEFECT COVERED BY THE WARRANTY.

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CardioPerfect Workstation Service and Advanced installation Manual TABLE OF CONTENTS 1.

SAFETY SUMMARY ... 7 1.1 1.2 1.3

Introduction ... 7 Symbols ... 8 Servicing the Welch Allyn equipment safely ... 9 1.3.1. General Warnings ...9 1.3.2. General Cautions ...11

2.

PURPOSE AND SCOPE ... 12 2.1

Service Options ... 12 2.1.1. Warranty Service ...12 2.1.2. Non Warranty Service ...12 2.1.3. Technical Support Services ...12 2.1.4. Returning products ...13

2.2

Recommended Service Intervals ... 13 2.2.1 Recommended Service Intervals Resting / Exercise ECG...13 2.2.2 Recommended Service Intervals Ambulatory Blood Pressure...14 2.2.3 Recommended Service Intervals Spirometry ...14

3.

BACKING UP THE DATABASE ... 15 3.1 3.2 3.3 3.4 3.5

4.

Backup ... 15 Create a backup device... 15 Make a manual backup ... 16 Schedule an automatic backup ... 17 Index tuning wizard ... 19

FUNCTIONAL VERIFICATION OVERVIEW ... 20 4.1 4.2

Equipment required ... 20 Functional Verification ECG Recorder ... 20 4.2.1. Patient Cable Verification ...20 4.2.2. Computer Interface Verification ...21 4.2.3. Resting ECG Results Verification ...21

4.3

Functional verification ABP device ... 22 4.3.1. Visual inspection ...22 4.3.2. Calibration verification ABP Device ...22 4.3.3. Overpressure verification ABP device ...23 4.3.4. Leakage test ...23 4.3.5. Pressure release ...24

4.4

Functional verification Spirometer ... 24 4.4.1. Maintenance Welch Allyn SpiroPerfect ...24 4.4.2. Cleaning the Welch Allyn SpiroPerfect ...24 4.4.3. Cleaning the calibration syringe ...25

5.

TROUBLESHOOTING THE CPWS FAMILY OF DEVICES ... 26 5.1 5.2 5.3

6.

Problem-Solving suggestions CardioPerfect Pro Cardiograph... 26 Problem-Solving suggestions ABPM 6100 ... 27 Problem-Solving suggestions Welch Allyn SpiroPerfect ... 28

TROUBLESHOOTING CARDIOPERFECT WORKSTATION ... 30 6.1

Problem: Access denied after logon ... 30 6.1.1. Not running MSSQL database ...30 6.1.2. Corrupted database ...34

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CardioPerfect Workstation Service and Advanced installation Manual 6.1.3. User deactivated in the Administrator tool ...35 6.1.4. Wrong login name or Password ...35 6.1.5. Firewall...36

6.2 6.3 6.4 6.5 6.6

7.

Problem: Invalid release code ... 36 Problem: Cannot use all the functions in the software ... 37 Problem: Limited rights in the CPWS software ... 37 Problem: Limited rights on the operating system ... 37 Problem: Release code invalid ... 37

PROBLEM-SOLVING SUGGESTIONS RESTING ECG MODULE... 38 7.1 7.2

Problem: Invalid WDM handle Error message ... 38 Problem: Fatal Port Error during recording ... 39 7.2.1. Power management...39 7.2.2. Applications/Hardware interfering ...40 7.2.3. Defective hardware ...40

7.3 7.4 7.5 7.6

8.

PROBLEM-SOLVING SUGGESTIONS EXERCISE ECG MODULE ... 42 8.1 8.2

9.

Problem: Framing Errors during recording... 40 Problem: Lead Quality problems ... 40 Problem: Interference on printout but not during recording ... 41 Problem: No Automatic computer interpretation on ECG ... 41 Problem: Lead Quality problems ... 42 Problem: Exercise device is not responding ... 43

PROBLEM-SOLVING SUGGESTIONS SPIRO MODULE ... 44 9.1

Problem: No samples detected ... 44

10. TELEMEDICINE ... 45 10.1 Telemedicine specific Requirements ... 45 10.2 Installation and Configuration ... 45 10.3 Other configuration issues ... 50 10.3.1. Mail server: ...50 10.3.2. Mail Client:...50

10.4 Troubleshooting Telemedicine ... 51 10.4.1. Possible error messages...51 10.4.2. Mail server error codes ...52 10.4.3. Technical Support ...53

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CardioPerfect Workstation Service and Advanced installation Manual

1. Safety Summary 1.1

Introduction

This manual is written for Biomedical or IT engineers to support maintenance of the Welch Allyn CardioPerfect family of devices. We at Welch Allyn are dedicated to providing safe products to our customers. It is the user’s responsibility to follow the established rules of safety as described in this manual for their protection and for the protection of their patients. The hospital's Biomedical/IT support staff shall require primary skills including disciplines related to maintenance and servicing computer controls/platforms. Please take note of all safety precautions and warnings provided with the devices before using the devices and the accompanying software.

Warning

The CardioPerfect families of devices are an integral part of a personal computer based diagnostic system. The user shall adhere to warnings in order to ensure safe and reliable performance of the system.  The personal computer (non-medical electrical equipment) shall be situated outside the patient environment (reference IEC 60601-1-1).  The personal computer used should adhere to the appropriate safety standard for non-medical electrical equipment (IEC 60950, or national variants), and use of an isolation transformer is recommended.  Normal isolation transformer does not fulfill IEC601-1-1 standard and it's supplement EEE requirements for transformer unit. To maintain operator and patient safety, consider the requirements of IEC 606011-1. Measure the leakage currents to confirm that no electric shock hazard exists.  The personal computer used should adhere to the appropriate electromagnetic compatibility (EMC) standard for non-medical electrical equipment (CISPR 22/24 - FCC Part 15 - CE, or national variants). If it is required for the personal computer to be situated within the patient environment, it is the responsibility of the user to ensure that the system provides a level of safety in compliance with IEC 60601-1.

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CardioPerfect Workstation Service and Advanced installation Manual 1.2

Symbols Safety Symbols

WARNING CAUTION

A safety symbol used on the device to highlight the fact that there are specific warnings or precautions associated with the device, which are not otherwise found on the device label. A WARNING in this manual indicates conditions or practices that, if not corrected immediately, could lead to illness, injury or death. A CAUTION in this manual indicates conditions or practices that, if continued or not corrected immediately, could damage the equipment.

Shipping, Storing, and Environment Symbols Single Use - Do Not Reuse YYYY-MM

Use by Keep away from sunlight Temperature Range Stacking limits

Certification Symbols EC

REP

The authorized representative in the European Community

Equipment symbols Serial Number Reference Number

Type BF Equipment

Manufacture Date

Defibrillation-proof type BF applied part Protected against the ingress of solid foreign objects ≥ 12.5 mm diameter, not protected against the ingress of water. DIR 80012893 Ver. D

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CardioPerfect Workstation Service and Advanced installation Manual 1.3

Servicing the Welch Allyn equipment safely

Before using or servicing the Welch Allyn Equipment, you must read and understand the following safety-related information.

1.3.1.

General Warnings

The following warning statements apply to the Welch Allyn CardioPerfect family of devices in general. Warning statements that apply specifically to particular procedures or devices you can find in the corresponding user manuals / device manuals.   

CPWS Resting ECG manual and CPWS Stress ECG manual CPWS Pro manual and CPWS Spiro manual CPWS ABP manual and CPWS ABPM6100 manual

WARNINGS Related to the environment WARNING: To avoid a possible explosion, do not use the Welch Allyn CardioPerfect family of devices in the presence of flammable anesthetics. WARNING: Do not use the Welch Allyn CardioPerfect family of devices in an MRI suite or hyperbaric chamber. WARNING: Do not autoclave the Welch Allyn CardioPerfect family of devices or cables.

WARNINGS Related to Accessories and other equipment WARNING: For operator and patient safety, peripheral equipment and accessories that can come in direct patient contact must be in compliance with all appropriate safety, EMC, and regulatory requirements. For detailed information on this requirement we refer to the “Guidance and the manufacturer’s declaration” of the user and device manuals. WARNING: All signal input and output (I/O) connectors are intended for connection of only devices complying with IEC 60601-1, or other IEC standards (for example, IEC 60950), as appropriate to the device. Connecting additional devices to the Welch Allyn CardioPerfect family of devices may increase chassis or patient leakage currents. To maintain operator and patient safety, consider the requirements of IEC 60601-1-1. Measure the leakage currents to confirm that no electric shock hazard exists. WARNING: The Welch Allyn CardioPerfect family of devices has not been designed for use with high-frequency (HF) surgical equipment and does not protect against hazards to the patient.

WARNINGS Related to using the Welch Allyn CardioPerfect family of devices WARNING: Satisfactory maintenance procedures must be implemented, or equipment failure and health hazards may result. WARNING: Avoid positioning any leads or cables so that they could easily trip someone.

WARNINGS Related to repairing the Welch Allyn CardioPerfect family of devices WARNING: Only qualified service personnel should attempt to repair the device. In case of malfunction, call Technical Support and precisely describe the problem. For phone numbers see page 3. DIR 80012893 Ver. D

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CardioPerfect Workstation Service and Advanced installation Manual WARNING: While under warranty, the device must be serviced only by a Welch Allyn service technician. WARNING: Electrostatic discharge (ESD) can damage or destroy electronic components. Handle static-sensitive components only at static safety workstation. WARNING: Consider all electrical and electronic components of the monitor as static-sensitive.

WARNINGS Related to the CardioPerfect ECG recorders WARNING: As with any electronic equipment, Radio Frequency (RF) interference between the cardiograph and any existing RF transmitting or receiving equipment at the installation site, including electro surgical equipment, should be evaluated before the equipment is operated. Pay special attention to electro surgical equipment and other RF transmitters that are in close proximity to the cardiograph as they are sources of RF interference as they may seriously degrade performance. Like all electronic devices, this cardiograph is susceptible to electrostatic discharge (ESD). Electrostatic discharge typically occurs when electrostatic energy is transferred to the patient, the electrodes, or the cardiograph. ESD may result in ECG artifact that may appear as narrow spikes on the cardiograph display or on the printed report. When ESD occurs, the cardiograph’s ECG interpretation may be inconsistent with the physician’s interpretation. Welch Allyn assumes no liability for failures resulting from RF interference between Welch Allyn medical electronics and any radio frequency generating equipment when these levels exceed those established by applicable standards.

WARNINGS Patient and operational safety notes WARNING: Your cardiograph isolates all connections to the patient from electrical ground and all other conductive circuits in the cardiograph. This reduces the possibility of hazardous currents passing from the cardiograph through the patient’s heart to ground. To ensure the patient’s safety and your own please observe the following: When operating your Welch Allyn System from AC power, be sure it and all other electrical equipment connected to or near the patient are effectively grounded. Use only grounded power cords (three-wire power cords with grounded plugs). Also make sure the outlet accepts the plug and is grounded. Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong or ground clip. The patient cable should be routed away from power cords and any other electrical equipment. Failure to do so can result in AC power line frequency interference on the ECG trace. The Welch Allyn warranty can only be honored if you use Welch Allyn approved accessories and replacement parts. See Maintaining the Cardiograph for more information.

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CardioPerfect Workstation Service and Advanced installation Manual

1.3.2.

General Cautions

The following caution statements apply to the Welch Allyn CardioPerfect family of devices in general. Caution statements that apply specifically to particular procedures or devices you can find in the corresponding user manuals / device manuals:   

CPWS Resting ECG manual and CPWS Stress ECG manual CPWS Pro manual and CPWS Spiro manual CPWS ABP manual and CPWS ABPM6100 manual

Caution statements indicate conditions or practices that could damage the equipment or other property.

General Cautions Caution: Use of accessories other than those recommended by Welch Allyn may compromise product performance. Caution: When removing the device from storage, allow it to thermally stabilize to the surrounding environmental conditions before using it. Caution: To prevent possible damage to the device, do not use sharp or hard objects to press keys. Only use fingertips. Caution: Do not pull or stretch the cables. Doing so could result in mechanical or electrical failures. Form the cable into a loose loop before storing. Caution: Portable and mobile RF communications can affect the performance of the device.

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2. Purpose and Scope The service manual is a reference for periodic preventive maintenance and corrective service procedures. Corrective service is supported to the level of field-replaceable parts.

Note

Caution

Warning

Opening and repair of the Welch Allyn CardioPerfect family of devices can only be performed by certified and qualified service personnel at an authorized Welch Allyn Service center. No component-level repair of circuit boards and subassemblies is supported. Use only the repair procedures described in the manual. When performing a service procedure, follow the instructions exactly as presented in this manual. Failure to do so could damage the equipment, invalidate the product warranty, and lead to serious personal injury.

This guide provides troubleshooting, installation and configuring information and instructions for functional testing and performance verification.

2.1 2.1.1.

Service Options Warranty Service

All repairs on products under warranty must be performed and/or approved by Welch Allyn. Refer all warranty service to Welch Allyn Factory Service or another authorized Welch Allyn Service Center. Obtain an RMA number for all returns to Welch Allyn Factory Service – see Returning Products.

Caution

2.1.2.

Unauthorized repairs will void the product warranty.

Non Warranty Service

Welch Allyn Factory Service and authorized Service Centers support non-warranty repairs. Contact any Welch Allyn regional service center for pricing and service options. Welch Allyn offers modular repair parts for sale to support non-warranty service. This service must be performed only by qualified end-user biomedical/clinical engineers using this service / installation manual.

2.1.3.

Technical Support Services

Welch Allyn offers the following technical support services:  Telephone support  Loaner equipment  Service Agreements  Replacement service parts  Factory service For information on any of these services, contact Welch Allyn at the numbers listed on page 3.

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CardioPerfect Workstation Service and Advanced installation Manual 2.1.4.

Returning products

To return a product for service, contact Welch Allyn Technical Support and request a Return Material Authorization (RMA) number. Note

Welch Allyn does not accept returned products without an RMA.

When requesting an RMA, please have the following information available:  Product name, model number and serial number.  A complete return shipping address, including a contact name and phone number; include any special shipping instructions.  A purchase-order number or credit card number if the product is not covered by warranty.  A full description of the problem or service request. To ship the unit, please observe these packing guidelines:  Remove from the package all hoses, connectors, cables, sensors, power cords and other ancillary products and equipment, except those items that might be associated with the problem.  Use the original shipping carton and packing materials, or as close an approximation as possible.  Include a packing list.  Write the Welch Allyn RMA number with the Welch Allyn address on the outside of the shipping carton.

2.2

Recommended Service Intervals

2.2.1

Recommended Service Intervals Resting / Exercise ECG

Interval or Condition

Action Recommended

Procedure

Every 6-24 months (per hospital procedure)

Complete Functional test

Functional verification ECG recorder

Unit has been dropped or otherwise damaged

Complete Functional test

Functional verification ECG recorder

Unit malfunctioning

Complete Functional test

Functional verification ECG recorder Troubleshooting ECG recorder

Unit does not pass Functional verification

Troubleshooting and repair followed by functional test

Troubleshooting Software module Troubleshooting Exercise device see the service manual of the exercise device* Functional verification ECG recorder

Return to Authorized service center

Returning products

* Only applicable for Exercise ECG

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CardioPerfect Workstation Service and Advanced installation Manual 2.2.2

Recommended Service Intervals Ambulatory Blood Pressure

Interval or Condition

Action Recommended

Procedure

Every 6-24 months (per hospital procedure)

Complete Functional test

Functional verification ABP device

Unit has been dropped or otherwise damaged

Complete Functional test

Functional verification ABP device

Unit malfunctioning

Complete Functional test

Functional verification ABP device

Troubleshooting and repair followed by functional test

Troubleshooting ABP device

Return to Authorized service center

Returning products

Unit does not pass Functional verification

Functional verification ABP device

2.2.3 Recommended Service Intervals Spirometry The Spirometer sensor needs little maintenance to stay in good working condition. Change the flow transducer for each patient. Check periodically for damages. Check that all connections are properly aligned and tight. Visually check the pressure tubing for leaks and kinks. Check for irreversible bending or compression of the pressure tubing between flow transducers and device. Ensure Spirometer is calibrated and that proper linearization code is used. The linearization code can be found on the Labeling that came with your flow transducer package. For proper installation, refer to the Calibration chapter manual CPWS Spiro Replace sensor when faulty. Avoid placing Spirometer and any of its components in direct sunlight or in a dusty environment. CAUTION

To make reliable recordings, calibrate the sensor on a daily basis. Keep track of the calibrations in the calibration log.

Interval or Condition

Action Recommended

Procedure

Unit has been dropped or otherwise damaged

Recalibrate

Calibration procedure CPWS Spiro manual

Unit malfunctioning

Recalibrate

Calibration procedure CPWS Spiro manual

Troubleshooting and repair followed by functional test

Troubleshooting Spirometer

Return to Authorized service center

Returning products

Unit does not pass calibration

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3. Backing up the database 3.1

Backup

In a computer environment, there is always a possibility that something goes wrong: hard disks can crash, databases can get corrupted, system software can fail and users can make mistakes. When one of these events takes place, database tables may be lost or corrupted. To limit the possible risk of data loss you should back up your files regularly. Full backup With the Administrator tool you can make a full backup your database. During the backup, copies of the database and the transaction log are made. These copies can be used to restore the database after the database has become corrupt or is lost during a catastrophic event. After the backup the transaction log is truncated. Manually/Automatically You can backup a database in two different ways:  

Manually: The simplest way to perform a backup of the database. You can manually backup the database at any time you want. Automatically: A backup or a series of backups at a fixed date and time. When you want to backup the database automatically you need to schedule a backup.

Note: 2005 Express Install requires additional software components that are available through MS SQL in order to use Scheduled backups. To configure the backup device: 

3.2

In the Administration Tool select Database Administration.

Create a backup device

Before you can make a backup of the database, you need to create a backup device. A backup device is a place where you store the backup. It can be a file on your hard disk or network drive, or a tape. We advise you to create a backup device on a different hard disk than the one that contains the database. If you do not do this, you run the risk of losing both your database and your backup if your computer crashes. To create a backup device: 1. Click Backup database. 2. Click the Add device button. The Backup device dialog box is displayed.

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3. Enter the name of the backup device. 4. Select the device type. If you select... Then... Disk Select the location where the backup is created and enter a filename.

Tape

When you select a network drive, make sure you have the proper permissions to access the backup directory and file. Select the tape and enter a filename. Make sure that the tape driver is connected to the computer that runs SQL server.

3.3

Make a manual backup

The simplest way to create a backup is to create one manually. You can do this anytime you want; end users do not have to log out. Before you can make a backup, you need to have created a backup device. To make a manual backup: 1. Select Backup database.

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CardioPerfect Workstation Service and Advanced installation Manual 3. Select the backup device to which you want to backup the database. 4. Select the type of backup that you want to make. If you select... Append to media

Then... The backup is added to the already existing backup on the selected backup device.

Overwrite existing media The existing backup overwrites the already existing backup. The existing backup is lost. 5. Click the Start Backup button to start the backup process.

3.4

Schedule an automatic backup

If you want to make automatic backups of the database, you need to schedule the times at which the backup is made. You can schedule a single backup, or a recurring backup. Important: Make sure that the computer is switched on at the time you scheduled the backup. Also ensure that SQL Server Agent is running. To schedule an automatic backup: 1. Click Backup database. 2. Select the Schedule check box and click the Change button. The Schedule backup dialog box is displayed.

3. Select the backup device and backup type you want to use and click Next. 4. Select whether you want to schedule a single backup or a recurring number of backups.

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If you select... Once

Then... Enter the date and time at which the backup must be made and click Next.

Recurrent

Enter the day or month at which the backup must be made. Enter the time at which the backup must be made. Click Next.

5. If you scheduled a recurrent backup, depending on which option was selected one of these dialogs is displayed:

Days

Weeks

Months

Enter the preferred schedule in the next steps. Click Next. 6. A summary shows the details of the backup schedule. Verify that this information is correct and click OK. Restore the database Restoring is the process of recovering a damaged, corrupt or missing database. Several situations can arise that might require the recovery of the database. Problem evaluation Prior to the recovery of the database you should evaluate the situation very carefully. What is wrong with the database and what is the date of the most recent database backup? Important: When performing a database restore you can only recover the database to the point of the latest backup. Any changes made to the database after the last backup will be lost.

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CardioPerfect Workstation Service and Advanced installation Manual To restore a database: 1. Make sure that all users are logged out. You cannot restore the database while it is being used. 2. Under Database tools, click Restore database.

3. Select the backup that you want to restore. If you have moved your backup files to a different location, use the Change File button to locate the backup files. 4. Click on the Restore button. A warning is displayed. 5. Click Yes to start with the restore process. When the restore process was successful, a message is displayed.

3.5

Index tuning wizard

The index tuning wizard should be used at least quarterly, for hospitals more frequently. If the full recovery is not needed, then full recovery should be set to Simple.

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CardioPerfect Workstation Service and Advanced installation Manual

4. Functional Verification Overview This section describes the procedure for a complete functional test to support recommended preventive-maintenance schedules. Functional verification does not require opening the device case. Whenever the device is serviced or problems are suspected, Welch Allyn recommends a Functional Check. WARNING Only qualified service personnel should perform a full functional verification procedure.

WARNING Only qualified service personnel should perform leakage current test. Refer to the Electrical Safety Analyzer manual for complete details on set-up and use for testing:  Earth Leakage  Chassis Leakage  Patient Leakage

4.1

Equipment required

Item ECG simulator Computer DVM Electrical safety tester

4.2

Commercially Available General-purpose/Medical Test Equipment Description Standard 12 lead ECG simulator PIII or better, Welch Allyn CardioPerfect software version 1.5.0 or higher installed Digital Volt Meter Commercially Available General-purpose/Medical Test Equipment

Functional Verification ECG Recorder

A checklist of the functional tests is provided on Checklist and Test Results Form I. It is recommended that you print a copy of the checklist each time you perform the functional verification procedure, so you can record and save the test results. If the ECG recorder ever requires service, the records of test results often facilitate troubleshooting. Verify continued electrical safety of the Welch Allyn System, using IEC 60601-1 or ANSI/AAMI ES1 methods and limits. Test for the following:  Patient Leakage current  Chassis leakage current  Earth leakage current

4.2.1.

Patient Cable Verification

1. The Patient cable should be inspected for any cracks, exposed wires or other damage 2. Each cable needs to be individual measured to ensure the correct impedance

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