CP Series Update to Directions for Use Ver 2.5

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Welch Allyn CP Series Electrocardiographs

Copyright 2009 Welch Allyn Mat. Number: 714530, Ver: A Welch Allyn 4341 State Street Road, PO Box 220 Skaneateles Falls, NY 13153-0220 www.welchallyn.com Printed in USA USA 1 800 535 6663 + 1 315 685 4560 Canada 1 800 561 8797

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Sweden + 46 85 853 6551

1

Update Through Software Version 2.5 This update describes changes in operation through software version 2.5 of the CP 100 and CP 200 electrocardiographs and the CP 200 spirometry option. This document supplements information in the following manuals: • CP 100 12-Lead Resting Electrocardiograph Directions for Use (mat. 708794) • CP 200 12-Lead Resting Electrocardiograph Directions for Use (mat. 708793) • CP 200 Spirometry Option Directions for Use (mat. 708795)

Lead Quality Feedback CP 100, CP 200 Lead quality messages, which appear on various screens, now include both lead-off and artifact information. For good quality recordings, leads must be connected and artifact free. If you print an Auto ECG despite lead-off or artifact conditions (by overriding the “Waiting for 10 seconds of quality data” message), the report reflects those conditions. In the case of lead-off signals, the report shows square waves. In the case of artifact, the report might include a warning to use the interpretation (if any) with caution. To eliminate artifact, you might need to re-prep the patient, use fresh electrodes, or minimize patient motion during the recording. For additional feedback on lead quality, you can now enable an artifact report. This report, a 12x1 format with all filters disabled, shows the leads with artifact so that you can remedy the problem. (The normal Auto ECG report with filters enabled might mask some of the artifact issues.) When enabled, the artifact report prints automatically with the Auto ECG report whenever artifact is detected and you override the “Waiting for 10 seconds of quality data” message. To enable the artifact report, press the Menu key Auto Report Settings > Artifact Report > On.

. Choose ECG Settings >

Heart Rate CP 100, CP 200 A four-beat average heart rate (HR) now appears in real time on the screen.

Body Mass Index CP 100, CP 200 The patient’s body mass index (BMI) now appears on the Enter New Patient screen and on ECG and spirometry reports when height and weight are entered.

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Welch Allyn CP Series Electrocardiographs

Compliance With 60601-2-51 CP 100, CP 200 The electrocardiograph is in compliance with regulatory standards CAN/CSA C22.2 No. 60601.2.51 and IEC/EN 60601-2-51. For manufacturer's disclosures regarding 60601-2-51, please contact Welch Allyn Customer Service at the phone number listed in the Directions for Use.

Pacemaker Detection Prompt CP 100, CP 200 If the software detects the possible presence of a pacemaker, it now asks you whether the patient has a pacemaker. If you say no, interpretation (if purchased) is included in the report. If you say yes, interpretation is not included in the report. This prompt was added to prevent false pacemaker pulses caused by environmental interference.

Symbols and International Characters CP 100, CP 200 You can now enter symbols and international characters using the keyboard. To enter a symbol, hold the Shift key while pressing a number key. To enter an international character, hold the Ctrl key while pressing a key with an international character above it on the keyboard label. To capitalize an international character, hold Shift + Ctrl while pressing the key.

CAPS Lock CP 100, CP 200 You can now turn CAPS Lock on and off in the software. This feature works just like a standard Caps Lock key. To turn CAPS Lock on or off, press the Menu key

.

Choose System Settings > Device Configuration > CAPS Lock > On or Off.

Swedish, Danish, and Finnish Patient ID Processing CP 100, CP 200 When you enter a valid Swedish, Danish, or Finnish patient ID, the patient’s date of birth/ age, gender, and race are now automatically filled in.

“Repeat Test” Softkey CP 200 The ECG post-print screen now includes a Repeat Test softkey to let you more efficiently repeat a test.

Update Through Software Version 2.5

3

Test Directory Usability •

CP 200 More convenient searching When searching the test directory, you can now enter partial search criteria in the Patient ID or Last Name fields. For example, to find all patient IDs starting with 12 (including 129374, 12579-125, and 12049-7564), you would enter 12 in the Patient ID field. To find all patients with last names starting with Jo (including Jones, Johnson, and Johnston) you would enter Jo in the Last Name field. Note: Searching is case-insensitive.

•

Flexibility in selecting tests from search results You can now select tests from test directory search results in various ways instead of all tests being automatically selected. To select a contiguous group of tests, press and hold Shift while pressing an arrow key. To select an individual test, press an arrow key. To select all tests, press Ctrl-A.

•

Ability to delete saved tests To delete tests, press the Menu key . Choose Test Directory. Fill in the criteria, and press Search. In the Search Results screen, choose the tests that you want to delete. Press the Delete softkey.

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Welch Allyn CP Series Electrocardiographs

External Printer CP 100, CP 200 You can now connect an external printer. It must be a USB inkjet or laser printer that supports PCL (printer control language), such as the following: Vendor

Model

PCL Version

HP

Deskjet 995c

PCL 3

HP

Deskjet 5650

PCL 3 enhanced

HP

Laser 1022

PCL 5E

Dell

Laser 1710

PCL 5E & PCL 6

Lexmark

Laser E240

PCL 6

Printouts are always black and white. When the external printer is selected in the Device Configuration screen and is powered on and connected to the electrocardiograph, it prints the following: • • • • •

Auto ECG reports Spirometry reports (CP 200 spirometry option only) Device settings Audit trails (CP 200 only) Help pages

Rhythm ECGs always print to the internal printer. To connect a printer, simply connect one end of a USB cable to the printer’s USB connector, and connect the other end to the electrocardiograph’s USB connector. No special software is required. To select a printer, press the Menu key

.

Choose System Settings > Device Configuration > Printer Select > Internal or External. 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 electrocardiograph might 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. In the case of a USB printer, the printer (non-medical electrical equipment) shall be situated outside the patient environment (reference IEC 60601-1-1). The printer used should be approved to the appropriate safety standard for non-medical electrical equipment (IEC 60950, or its national variants), and use of an isolation transformer is recommended. If there is a requirement for the printer 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 and 60601-1-1.

Update Through Software Version 2.5

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Removable USB Storage Devices CP 100, CP 200 You can now send tests to removable USB storage devices. If both an SD memory card and a USB storage device are connected, files are sent to the SD card. The capacity of an SD card must be > 64 MB, < 2 GB. Note

The CP 100 and CP 200 do not support SD card capacities greater than 2 GB including SDHC and SDXC high capacity SD card formats, or other USB storage devices that have software applications pre-installed such as SanDisk U3 Smart technology.

Contact Information for Accessories CP 100, CP 200 It is now possible to enter contact information that will appear on the accessories Help page. To enter or review the contact information, press the Menu key . Choose System Settings > Device Configuration > Contact Information.

Reset Button CP 100, CP 200 If the electrocardiograph is unresponsive for an extended time, it might be “frozen.” If this occurs, reset the electrocardiograph by pressing the reset button located on the right side. To press the reset button, insert a small object, such as small paper clip, into the hole.

Reset button

Improved Battery Status Feedback CP 100, CP 200 Whenever the battery is charging and is not yet fully charged, this icon appears:

.

For maximum battery performance, as often as possible leave the electrocardiograph plugged in until you see the “fully charged” icon: .

New Auto ECG Report Format CP 100, CP 200 There is a new Auto ECG report format: 2x6 +1R (2 rows x 6 columns + 1 rhythm lead).

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Welch Allyn CP Series Electrocardiographs

Configurable Default Rhythm Speed CP 200 You can now change the default rhythm speed: 10, 25, or 50 mm/s. To change this default, press the Menu key . Choose ECG Settings > Rhythm Report Settings > Default Rhythm Speed.

Transferable Configurations CP 100, CP 200 You can now transfer the configuration of one electrocardiograph to another (CP 200 to CP 200, or CP 100 to CP 100). If you have the spirometry option, its configuration is included in the transfer. To transfer a configuration, follow these steps: 1.

Insert a storage device (SD memory card or USB flash drive) into an electrocardiograph that is configured as desired.

2. Press the Menu key

.

3. Choose System Settings > Device Info > Manage Settings > Export Files > Export Configuration Files. 4. The files are copied to the storage device. 5. Remove the storage device, and insert it into another electrocardiograph of the same model. 6. Choose System Settings > Device Info > Manage Settings > Import Files > Import Configuration Files. 7.

The files are copied to the electrocardiograph, and then it reboots.

Configuration file

or

CE Mark Change Welch Allyn has changed its CE Mark to

.

Update Through Software Version 2.5

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Spirometry Improvements •

CP 200 Spirometry Option Quicker access to spirometry settings When the electrocardiograph is in spirometry mode, the Menu key immediately opens the Spirometry Settings menu.

now

•

PCP mode adjustments In PCP mode, the V/T scaling was changed to AUTO, so the PCP printout now fits on a single page.

•

Physician's comments page You can now choose whether spirometry reports include an additional blank page (with patient information at the top) for physician to write comments on. To determine whether this page prints with your reports, while in spirometry mode press the Menu key . Choose Print Settings > Physician’s Comments > Yes or No.

•

Correction in Viljanen profile The CP 200 Spirometry Option Directions for Use (mat. number 703411) indicates that the Viljanen norm supports FEF25. It does not. It supports FEF75.

•

Protocol settings disabled When a spirometry protocol is selected (PCP, NIOSH, OSHA, or SSD), its settings are now disabled in the settings menus. This change avoids confusion during setup.

•

ATS/ERS 2005 compliance The software is now compliant with ATS/ERS 2005 guidelines.

•

Effort automatic stop The device now stops automatically after meeting the ATS end-of-test criteria. You do not have to press the Stop softkey.

•

Ability to turn off “Smoke Years” and “Packs Per Day” You can now choose whether the fields “Smoke Years” and “Packs Per Day” will display and print. To turn these fields on or off, while in spirometry mode press the Menu key . Choose Patient Data Settings > Smoke Years or Packs Per Day > On or Off.

•

More norms supported The software now supports these additional predictive norms: Roca 1986, Hedenström 1986 - females, Falaschetti 2004, Gore 1995, Forche II, Paoletti 1986, Hibbert 1989, Wang 1993. For details on these norms, see the updated chart on the following page.

Note

For spirometry tests, the temperature and atmospheric pressure that you enter must be within these ranges: Temperature: 10–40 C, 50–104 F Pressure: 600–1100 mbar, 450–825 mmHg, 18–32 inHg, 60–110 kPa

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Welch Allyn CP Series Electrocardiographs

Updated norm profiles

X X X

X

X

7

70

X

X

X

No

M:15–91 F:17–84

X

X

X

6–11

No

110–160

X X

X

X

No

18–70

M:155–195 F:145–180

X X

X

X

No

16–94

X

X

X

5–17

18–90

X

X X

X

X

No

18–78

X

X X X

X X

X

X

No

M:15–91 F:17–84

M:157–194 F:146–178

Hedenström 1986 (he)

X X X

X

X X X

X

X

No

20–70

M:160–196 F:148–183

Hibbert 1989 (hi)

X X X

X

X X X

X

X

6–18

No

M:120–190 F:120–176

X

Hsu 1979 (hs)

X X

X X

X

X

7–20

No

M:111–200 F:111–180

X X X

Knudson 1976 (k)

X X X

X X X

X

X

8

90

Knudson 1983 (kn)

X X X

X X X

X

X

6

M:85 F:88

Koillinen 1998 (kl)

X X X X

X

X

6–16

No

X

Kory 1961 (ko)

X X

X

No

No

18–66

X

Morris 1971 (mo)

X X

X

X

No

20–84

X

NHANES III (nh)

X X X

X X X X

X

X

8

80

X X X

Paoletti 1986 (pa) X X X

X X

X

X

8–17

18–64

X

X

X

3–19

No

X

X

X

No

20–70

Crapo 1981 (cr)

X X X X X X

Dockery 1983 (do)

X X

ECCS/Quanjer 1993 (qu)

X X X

Falaschetti 2004 (fa)

X X X

Forche II (fo)

X X X

X

Gore 1995 (go)

X X X

Gulsvik 2001 (gu)

X

X X X X X

X X X

X

X

X

X X

X

X

X M:111.8–195.6 F:106.7 –182.9

X

Polgar 1971 (po)

X X

Roca 1986 (ro)

X X X

X X

Schoenberg 1978 (sc)

X X X

X

X X

X

X

7

 18

Solymar 1980 (so)

X X

X

X X X

X

X

7–18

No

X

Viljanen 1981 (vi)

X X X

X

X X

X

X

No

18–65

X

Wang 1993 (wa)

X X X

X

X

6–18

No

X X

X

X

6–18

No

Zapletal 1969 (za) X X

X X

X X X

110–170

X X 11.7– 137.2

X X

X M:5–55 F:2–53

Berglund 1963 (be)

M:55–109 F:45–94

Norm Name (Abbrev.)

Caucasian Black Hispanic Asian

Adult

Smoke Years

Pediatric

Weight (kg)

Race Height (cm)

Age

Female

Gender

FVC FEV1 FEV1% FEV0.5 FEV3 FEV3/FVC FEV6 FEV1/FEV6 PEF FEF25-75 FEF75 FEF50 FEF25 FEF0.2-1.2 FEV0.5% Male

Parameters Studied

M:118–181 F:107–173

X X

X

X

Update Through Software Version 2.5

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“Intended use” statement expanded CP 100, CP 200 The Welch Allyn electrocardiograph and spirometry products (subject devices) are intended for use by trained operators in health facilities. The subject devices provide the following diagnostic functions: •

Acquiring, viewing (CP 200), storing (CP 200), and printing ECG waveforms using ECG front end modules (patient cables) and associated accessories that provide signal acquisition for up to twelve (12) leads of patient ECG waveforms through surface electrodes adhered to the body.

•

Using optional algorithms to generate measurements, data presentations, graphical presentations and interpretative statements on an advisory basis. These are presented for review and interpretation by the clinician based upon knowledge of the patient, the result of physical examination, the ECG tracings and other clinical findings.

•

Using the optional CP 200 spirometry module and associated accessories to acquire, view, store and print measures and waveforms of pulmonary function including, but not limited to, maximal volume and flow of air that can be moved in and out of the patient's lungs. These measures are used in the diagnosis and monitoring of lung diseases and interventions for the treatment of certain lung diseases. The spirometer should only be used with patients able to understand the instructions for performing the test.

“Indications for use” statement expanded CP 100, CP 200 The electrocardiograph is one of the tools that clinicians use to evaluate, diagnose, and monitor patient cardiac function. The 12-lead ECG interpretive algorithm provides a computer-generated analysis of potential patient cardiac abnormalities which must be confirmed by a physician with other relevant clinical information. The optional CP 200 spirometry module is indicated for use in clinical situations to assess a patient's pulmonary health status and evaluate symptoms, signs, or abnormal laboratory test results. Spirometry is indicated for use in various common clinical situations: •

Assessing health status before a patient begins strenuous physical activity.

•

Evaluating the following symptoms, signs, or abnormal laboratory tests: Symptoms - dyspnea, wheezing, orthopnea, cough, phlegm production, chest pain Signs - diminished breath sounds, overinflation, expiratory slowing, cyanosis, chest deformity, unexplained crackles, shortness of breath Abnormal laboratory tests - hypoxemia, hypercapnia, polycythemia, abnormal chest radiographs

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Welch Allyn CP Series Electrocardiographs

Wireless connectivity kit CP 200 This potential future option provides a radio and PC software to enable wireless communication between your information network and the electrocardiograph. You can use the wireless link to send tests to the Welch Allyn CardioPerfect™ workstation, retrieve patient demographic information, or process work orders from your electronic medical records system.

Enhanced pediatric support CP 100, CP 200 An augmented lead set supports an alternate placement of the precordial leads on pediatric patients. This lead placement is easier to use on the small chests of infants and young children. A pediatric algorithm (PEDMEANS) is also provided for automatic ECG interpretation.The optional CP 200 spirometry module, which previously supported patients as young as six, now supports patients as young as three.

Configurable rhythm leads CP 200 You can now configure the order in which leads appear during rhythm printing.

Bar code scanner CP 200 A bar code scanner is available for easy entry of patient ID numbers.

Practice ID setting CP 100, CP 200 You can now enter the name (ID) of your practice, clinic, or hospital. This ID prints on all ECG reports.

New report format CP 100, CP 200 There is a new Auto ECG report format: 6x2 + 1R (6 rows x 2 columns + 1 rhythm lead).

Choice of QTc computation method CP 100, CP 200 You can now choose the computation method of correcting the waveform's QT interval based on the heart rate: Bazett or Hodges.

More races added CP 100, CP 200 Four more races are now available for entering patient data: Polynesian, Indian, Aboriginal, Native American.

Update Through Software Version 2.5

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New Features With Software Version 2.5 Location of printed date and time changed The date and time on the ECG printout has been moved from the footer to the header on the ECG printout to make it easier to see and prevent confusion with other information printed in the footer. Support of external memory devices Drivers have been updated to support USB storage device with memory sizes greater than 2 GB. Note

The CP100 and CP200 do not support SD card capacities greater than 2 GB including SDHC and SDXC high capacity SD card formats, or other USB storage devices that have software applications pre-installed such as SanDisk U3 Smart technology. The larger the capacity of the USB storage device, the more time is needed to transfer files. Several minutes may be required to transfer files using large capacity USB storage devices. Please be patient.

Work flow changes to limit misidentified ECGS For STAT or Auto ECGs without patient ID or name, the report Print Copy option will not be available - this is intended to prevent multiple copies of printed ECG reports without patient identification.

Appendix A – Specifications CP100, CP200 Standard Connectivity Com port for USB cables or removable USB storage devices ( >64 MB) SD memory card slot (for use with SD cards > 64 MB, < 2 GB) Note

The CP100 and CP200 do not support SD card capacities greater than 2 GB including SDHC and SDXC high capacity SD card formats, or other USB storage devices that have software applications pre-installed such as SanDisk U3 Smart technology.

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Welch Allyn CP Series Electrocardiographs

Symbols CP100, CP200 Operation Symbols 5134

Electrostatic sensitive devices To indicate packages containing electrostatic sensitive devices, or to identify a device or connector that has not been tested for immunity to electrostatic discharge. NOTE: For further information, see IEC 60747-1.

General Warnings CP100, CP200 Warnings related to Using the Electrocardiograph WARNING To avoid the risk of associating ECG reports with the wrong patients, each report must identify the patient. If any ECG report does not identify the patient, write the patient identification information on the report immediately following the ECG test.

General Cautions CP100, CP200 Caution The Electrostatic sensitive devices symbol marked on the device indicates devices or connectors that are sensitive to electrostatic discharge which may result in an interruption of normal operation or damage to the device. Prior to connecting or disconnecting accessories from the device, touch the Equipotential stud located on the back of the device for 2 seconds or more to remove static electricity from your body.

CP100 and CP200 Directions for Use Chapter 5 updates The following pages replace the applicable Chapter 5 pages in the previous versions of the CP 100 and CP 200 Directions For Use. •

CP 100 12-Lead Resting Electrocardiograph Directions for Use (mat. 708794)

•

CP 200 12-Lead Resting Electrocardiograph Directions for Use (mat. 708793)

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Chapter 5 Performing ECG Tests

Welch Allyn CP 100 Electrocardiograph

Recording an Auto ECG WARNING To avoid the risk of associating ECG reports with the wrong patients, each report must identify the patient. If any ECG report does not identify the patient, write the patient identification patient information on the report immediately following the ECG test. An Auto ECG is a report typically showing a 10-second acquisition of 12 leads of ECG information combined with patient data, interpretation, and measurements matrix. Two user-defined formats are available: Auto Report 1 or Auto Report 2. To learn how to set up the Auto ECG report format, see “About Auto ECG Reports” in the Directions for Use. As shown in the following diagram, there are the two types of Auto ECG: normal and stat. For details, see these procedures: • •

“Recording a Normal Auto ECG” on page 49 “Recording a Stat Auto ECG” on page 53

Figure 31. Auto ECG Testing, Process Diagram Normal

Stat

Press Quickly.

Press and hold.

Enter Patient Data.

Auto Report prints.

Auto ECG Post-Print screen.

Press Exit

Directions for Use

Chapter 5 Performing ECG Tests

49

Recording a Normal Auto ECG For a normal Auto ECG, you enter patient data and do other optional tasks before printing, as shown in Figure 31on page 48. To Record a Normal Auto ECG 1.

Press the Auto ECG key

quickly.

Do not hold it down, or a stat ECG would begin. The following screen appears. Figure 32. “Enter New Patient” Screen 9:17AM Oct 16 05 Enter New Patient Patient ID Last Name First Name Birth Date Weight Height Gender

/ lb. ft.

/

MM / DD / YYYY

For details about these data fields- including how to choose which fields display and print-see “Reviewing the Patient Data Fields Available” on page 37.

in.

Use up and down arrows to change fields

2. Enter the patient data. 3. When finished, select Done (at the end of the list). The Auto ECG Acquisition screen appears. See Figure 33 on page 50.

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Chapter 5 Performing ECG Tests

Welch Allyn CP 100 Electrocardiograph

Figure 33. Auto ECG Acquisition” Screen Doe, Jane Auto ECG : Acquisition Auto ECG Acquisition

9:17AM Oct 16 05 HR 120

Printing Report

Collecting Data Gain: 10 mm/mV Speed: 25 mm/s Baseline Filter: ON Muscle Filter: ON

The electrocardiograph displays messages here when it is doing the following: • Collecting data • Analyzing data • Printing the report

4. If prompted, choose whether to wait for the electrocardiograph to acquire 10 seconds of filtered, processed data before printing. If you override the wait time and print the available data immediately, be aware that the printed data will be insufficient in quality or quantity or both. The report prints. Note

If you do not enter the patient data, write the patient identification information on the printed report immediately after the ECG test to avoid associating the ECG report with the wrong patient. ECG report Print Copy feature will not be available if no Patient Name or ID are entered. If a red stripe appears along the edge of your report, replace the paper. See “Loading the Thermal Chart Paper” on page 21.

After printing, the Auto ECG Post-Print screen appears. Figure 34 on page 51.

Directions for Use

Chapter 5 Performing ECG Tests

Figure 34.“Auto ECG Post-Print” Screen Doe, Jane

9:17AM Oct 16 05

Auto ECG : Post-Print 1. Exit 2. Print Copy 3. Repeat Test 4. Export Test

5. Select the desired item.

Item

Effect

Exit

The Ready screen appears if all leads are connected to the patient.

Print Copy

A copy of the test prints.

Note

Print Copy is not available for Stat Auto ECG, or if there is no Patient Name or ID entered for Auto

To learn how to print multiple copies of all tests automatically, see “Reviewing the Interpretation and Copy Settings for Auto Reports” on page 36. Repeat Test

The following screen appears.

Figure 35. “Auto ECG Repeat Test” Screen Doe, Jane

9:17AM Oct 16 05

Auto ECG Repeat Test 1. Adjust Gain

10 mm/mV

2. Adjust Baseline Filter

ON

3. Adjust Muscle Filter

ON

4. Print ECG

1. (Optional) Adjust the waveforms. See “Adjusting the ECG Waveforms” on page 55. 2. Choose Print ECG. A new report prints.

Note

Export Test

If you do not enter the patient data, write the patient identification information on the printed report immediately after the ECG test to avoid associating the ECG report with the wrong patient.

Sends the test to the memory card. An SD memory card or removable USB storage device must be in place.

51

52

Chapter 5 Performing ECG Tests

Welch Allyn CP 100 Electrocardiograph

6. Press Exit to complete patient testing. WARNING Failure to follow these instructions could incorrectly associate an ECG test with the wrong patient. Caution The requirements of AAMI EC11, Section 3.2.7.2, Frequency and Impulse Response, for an impulse triangle waveform may be impacted by up to 5 milliseconds of small amplitude dampened ringing immediately after the impulse when the muscle filter (35 Hz) is turned on or a small amplitude offset when the baseline filter (0.5 Hz) is turned on. These requirements are unaffected by any other combination of filters turned on or off. Measurements performed by the optional interpretation algorithm are unaffected by any filter selections.

Directions for Use

Chapter 5 Performing ECG Tests

53

Recording a Stat Auto ECG WARNING To avoid the risk of associating ECG reports with the wrong patients, each report must identify the patient. If any ECG report does not identify the patient, write the patient identification information on the report immediately following the ECG test. A stat Auto ECG is an immediate printout. Stat mode bypasses patient data entry, as shown in Figure 31 on page 48 in Directions for Use. A temporary ID number is assigned to the patient to identify stat tests. To Record a Stat Auto ECG 1.

Press and hold the Auto ECG key

.

The electrocardiograph begins acquiring ECG data. After it has acquired 10 seconds of quality data, it prints a report. Note

Write the patient identification information on the printed report immediately after the ECG test to avoid associating the ECG report with the wrong patient. ECG report Print Copy feature will not be available if no Patient Name or ID are entered.

2. Go to Step 4 on page 50.