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Service and Advanced installation Manual

1. has been properly prepared shaved cleaned with alcohol or acetone allowed drying Clean skin with alcohol or acetone Reposition or replace electrodes Help patient relax If wandering baseline persists turn the baseline filter on For further instructions see the CPWS resting ECG manual 40 55 WelchAllyn Muscle tremor interference random irregular voltage superimposed on the waveforms May resemble or coincide with AC interference AC interference even peaked regular voltage superimposed on the waveforms May resemble or coincide with muscle tremor interference CardioPerfect Workstation Service and Advanced installation Manual Patient is uncomfortable tense nervous Patient is cold and shivering Exam bed is too narrow or short to comfortably support arms and legs Arm or leg electrode straps are too tight Electrodes that are dirty corroded loose or positioned on a bony area Insufficient or dried electrode gel Patient or technician touching an electrode during recording Patient touching any metal parts of an exam table or bed Broken lead wire patient cable or power cord Electrical devices in the immediate area lighting concealed wiring in walls or floors Improperly grounded electrical outlet Incorrect AC filter frequency setting or AC filter is turned off Help patient get comfortable Check all electrode contacts If interference persists turn the muscle fi
2. G Cancel e f you are able to select the database for example ccdb this means that the database is not corrupted go to chapter 6 1 4 for further instructions e Create a new database using the DBBuilder tool provided on the Welch Allyn CardioPerfect CDROM SQL folder e Replace the CCDB name with CCDB1 for example and click on the Create Update button DIR 80012893 Ver D 34 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual sl Database Builder v1 6 5 1134 al Create or update the Cardio Control Workstation database Server Database name local CARDIOPERFE CT cedbt Database folder C Program Files HOB sMicrosoft SQL Server MSSQOL Browse W Use US Default settings Progress 11 53 25 AM Database created a 11 53 25 AM Creating new audit database ccdbl audit on server local CAR DIOPERFECT 11 53 26 AM Audit Database created 11 53 26 Alv Logged off Create Update Exit e Observe the creation of the database In cases of errors proceed to paragraph 6 1 5 e Try to select the newly created database using the Connection Setup e If you are able to select this newly created database you can conclude that the original database is corrupted Restoring the corrupted database If there is a recent backup available you can try restoring this backup If this restore fails you can try the following procedure e Remove the database files manually o
3. DIR 80012893 Ver D 13 55 WelchAllyn 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 Complete Functional test Functional verification ABP device hospital procedure Unit has been dropped or Complete Functional test Functional verification ABP device otherwise damaged Unit malfunctioning Complete Functional test Functional verification ABP device Troubleshooting and repair followed by Troubleshooting ABP device Unit does not pass functional test Functional verification ABP device Functional verification Return to Authorized service center Returning products 2 23 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 Sp
4. Service and Advanced installation Manual 5 Troubleshooting the CPWS family of devices This chapter describes the troubleshooting of the Welch Allyn CardioPerfect family of devices ECG Recorder CardioPerfect Pro Cardiograph Ambulatory Blood Pressure Device ABPM 6100 Spirometry Welch Allyn SpiroPerfect It is not allowed to open the Welch Allyn CardioPerfect family of devices for troubleshooting repair Opening the device will void the warranty Caution Replace accessories only with parts supplied or approved by Welch Allyn The use of any other accessories can lead to inferior device performance and will void the warranty 5 1 Problem Solving suggestions CardioPerfect Pro Cardiograph System Failure Problems Condition Actions ProLink interface cable not Verify the connection to the connected to USB port of the computer computer ProLink interface cable not connected to PC interface e Verify the connection to the connector of the CardioPerfect Pro CardioPerfect Pro Cardiograph Cardiograph Recorder don t switch on when starting an ECG recording e Check the recorder settings in the e Wrong device selected in the Welch Allyn CardioPerfect software Welch Allyn CardioPerfect software see the CPWS resting ECG manual ProLink interface cable is defective e Replace ProLink interface cable z ag LED is not on during EGG Defective LED KS by USB and without battery pack Defective PRO recorder Send th
5. Control panel for further instructions please refer to the manual of the computer e Switch off the power management for each USB port only applicable for Windows XP Device Manager USB Root Hub Properties File Action View Help T8 e a rga General Power Driver Details Power Management Ports COM amp LPT n 8 Processors USB Root Hub 19 Sound video and game controllers Er s r Storage volumes System devices p Universal Serial Bus controllers Generic USB Hub Intel R 82801FB FBM USB Universal Host Controller 2658 Intel R 82801FB FBM USB Universal Host Controller 2659 Intel R 82801FB FBM USB Universal Host Controller 2654 Intel R 82801FB FBM USB Universal Host Controller 265B Intel R 82801FB FBM USB2 Enhanced Host Controller 265C USB Composite Device USB Composite Device USB High Speed Serial Converter for USB Spirometer USB Mass Storage Device USB Root Hub USB Root Hub USB Root Hub USB Root Hub USB Root Hub DIR 80012893 Ver D 39 55 CardioPerfect Workstation WelchAllyn Service and Advanced installation Manual 7 2 2 Applications Hardware interfering Data loss can occur by applications or hardware which is interfering with the communication on the USB port for example Wireless network when not connected Bluetooth manager Infrared port Antivirus program Try to switch off the possible interfering products to see if th
6. Replace the sensor if damaged Verify the patient data The norm selection is dependent upon accurate input of patient data in the SpiroPerfect database 29 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 6 Troubleshooting CardioPerfect Workstation 6 1 Problem Access denied after logon The Problem Access denied can be caused by Not running SQL database Corrupted database User deactivated in the Administrator Tool Wrong login name or password Firewall 6 1 1 Not running MSSQL database Not running of the database causes one or all of the following error messages on the screen Welch Allyn CardioPerfect Eg Welch Allyn CardioPerfect Ed Dele eave ar onde Unable to start MailClient for Telemedicine AN Access denied D enter logon Information nors Use anonymous login guest account C Use Windows NT authentication C Use database authentication Username Password aa V Always use above login settings The MSSQL server does not run can be caused by e Computer has been restarted and Auto Start service was not activated e lf MSDE 7 is used the computer network name has been changed e Corrupted MSSQL installation Verify that the MSSQL Server is running by starting the MSSQL service manager 50 SQL Server Service Manager MER 50 SQL Server Service Manager MER O SQL Server Service Manager FER Server FERRARI Server FERRARI x Server FERRARI Services SOLS
7. Computer Interface Verification rrrrnnrrrrrrrnnnnnrvnrrnnnrrrrrrrnnnnrrrnrnnnnnnrnnrnnnsnsennnnnnenee 21 4 2 3 Resting ECG Results Verification rrnrrrrnrrnnnnrrrnrrnnnnnrrrrrnnnnnrvnrnnnnnnrnnrnnnnnrennnnnnsnee 21 4 3 Functional verification ABP device rrrnnnnnnnnnnnennnnnnnnrnnnnnnnnnnnnnennnnennnnnnnnennnnennsene 22 8 RE TE 95 ei 0 EEE AE REEE RR 22 4 3 2 Calibration verification ABP Device rrrrrrnnnnnnnnnrnnrrnnnnnrnnnnnnnnnrnnnnnnnnnrnnnnnnsnnennnnnnsnee 22 4 3 3 Overpressure verification ABP device rrnnrnnnnnnnnnnnnnnnnrvnrnnnnnnrnnnnnnnnnrnnnnnnsnnennnnnnsnee 23 4 3 4 Leakage test EE 23 4 3 5 Pressure VelCO SO wwatanncenninancdundainameansnondunaniannhtedprnicneuesannnedeset maninesbarsenaikaiauxeeneaneienins 24 4 4 Functional verification Spirometer cccccecccseeeceeeeceeeeaeeceeeeseeeeeeeeseeeseeesaeeess 24 4 4 1 Maintenance Welch Allyn SpiroPerfect ccccccsssseeeeeeeeeeeeeeeeeeeeeeeeeeaeeseeeeeeeeeeeaas 24 4 4 2 Cleaning the Welch Allyn SpiroPerfect rrrnnnnnnnnnnnnnnnnnnnnnnnnnnnnennnnnnnnnnnnnnrnnnnnnn 24 4 4 3 Cleaning the Calibration Syringe cccccccccseseeeeceeeeeeeeeseeeeeeeeeeseaeeeeseaeeeessneessaaeeees 25 5 TROUBLESHOOTING THE CPWS FAMILY OF DEVICES rannrnnnennnennnnennnen 26 5 1 Problem Solving suggestions CardioPerfect Pro CardiograpN cccc0eeee 26 5 2 Problem Solving suggestions ABPM 6100 ccccsecceseeeeteee
8. Enable start button is checked in the ABP settings of the CPWS software see the CPWS ABP manual Interface cable Patient activation button does not initiate readings while in the Regular Run e Ambulatory Blood Pressure setting mode The ABPM 6100 monitor displays error codes whenever an error situation is encountered Error codes will display on the unit s LCD Error codes that apply to a specific reading will also display in the ABP Workstation Software when the data is read from the unit The following table explains error codes generated by the ABPM 6100 monitor along with possible solutions for each error code ABPM6100 Error codes Error code Causes Actions JP Check cuff position and cuff 1 Weak or no Oscillometric signal tightness a Instruct patient to remain still during 2 Artifact Erratic Oscillometric Signal reading Try reading again 3 Exceeded retry count 4 inflate Instruct patient to remain still during attempts reading Try reading again 4 Exceeded measurement time limit Check air hose connections and 120 seconds make certain cuff is tight enough l Check air hose connections and 85 Reading aborted blocked valves or make certain air tubing is not pneumatics crimped DIR 80012893 Ver D 27 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 86 Reading aborted manual abort Stop button to restart Reading aborted inflate time out or 87 air leak Check air hose an
9. Manually The simplest way to perform a backup of the database You can manually backup the database at any time you want e 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 e Inthe Administration Tool select Database Administration 3 2 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 DIR 80012893 Ver D 15 55 WelchAllyn 6 Backup Device CardioPerfect Workstation Service and Advanced installation Manual Device name Physical location Tape 3 Enter the name of the backup device 4 Select the device type 3 3 If you select Then Disk Select the location where the backup is created and enter a filename When you
10. Workstation software This can be caused by the following e User has limited rights in the CPWS software e User has limited rights on the operating system of the computer e Release code invalid 6 4 Problem Limited rights in the CPWS software Use the following procedure to verify this e Logon to the Welch Allyn CardioPerfect software using database authentication Username admin Password admin If you have changed the username or password use the modified logon information e Check the user settings in the administrator tool 6 5 Problem Limited rights on the operating system Use the following procedure to verify this e Logon on the computer as a local administrator e Ifthe missing functions are still not accessible go to next chapter e The restrictions are caused by the local security policy 6 6 Problem Release code invalid The release code activates the different modules in the CPWS software To verify which modules are activated use the following procedure e Start the CPWS software e Select option helo gt information gt modules e Check if the expected modules are activated Information Welch Allyn CardioPerfect General Registration Modules O Information about the available diagnostic modules Version 1 6 5 1133 1 6 5 1133 1 6 5 1133 1 6 5 1133 Spiro Perfect 1 6 5 1133 e If not all expected modules are activated contact the nearest Welch Allyn Technical Support C
11. category reinstall the driver For further instructions see the CPWS Resting ECG manual DIR 80012893 Ver D 38 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual gy Device Manager File Action View Help 9 55 0 te P amp S 4 SKLT 3 Batteries 19 Biometric Devices s Computer ca Disk drives amp Display adapters 3 DVD CD ROM drives QA Human Interface Devices IDE ATA ATAPI controllers F Imaging devices 25 Keyboards Mice and other pointing devices UG Modems Monitors amp Network adapters E Portable Devices Ports COM amp LPT 0 Processors DP Security Devices s SM Driver 3 Sound video and game controllers s System devices Universal Serial Bus controllers 4 Welch Allyn USB Devices 1 Cardio Perfect PRO Link USB e If the above suggestions don t resolve the problems contact the nearest Welch Allyn Technical Support for further assistance 7 2 Problem Fatal Port Error during recording Fatal port Errors are caused by data loss This data loss can be caused by e Power management on the computer e Other applications hardware which are interfering with the communication e Defective hardware 7 2 1 Power management To avoid data losses switch off the power savings as much as possible e Power savings in the BIOS of the computer for further instructions please refer to the manual of the computer e Windows Power management
12. for the following e Patient Leakage current e Chassis leakage current e 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 DIR 80012893 Ver D 20 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual EN Expected te impedance Pro patient cable Ohm 7 00 aa A 2 04 LL T Vi 00 v2 T va o 6 og v4 oa vi cs amp Jo vi oc e og RL T 4 2 2 Computer Interface Verification Cable The interface between the computer and the ECG recorder depends on the type of recorder and the connection used on the computer In the following table you find all possible configurations Recorder Part number Computer Interface Part number type connection cable Pro recorder SE PRO EUR 600 USB ProLink PRO 60023 2 meter SE PRO 600 PRO 60024 3 meter PRO 60025 5 meter 1 The ProLink Interface cable should be inspected for any cracks exposed wires or other damage 2 Follow the next procedure to verify if the ECG recorder in combination with the computer interface is working 3 Connect the patient cable to the ECG simulator 4 Set the ECG simulator on a specific simulation for example 90 BPM 5 Connect the patient cable to the ECG recorder 6 Connect the Computer Interface cable to the computer and the ECG recorder 7
13. in the Programs menu Select Cardio Control Telemedicine Service CcMailService and use the menu buttons or right click and use the popup menu to Restart Continue step 6 DIR 80012893 Ver D 47 55 CardioPerfect Workstation WelchAllyn Service and Advanced installation Manual O x Action view My Alerter Notifies sel Manual Sa Application Manage Provides s Manual LocalSystern LocalSystem Services Local Automatic gid CMailService rs EE Start arr er EE EE Sa COm Event System atop ed Manual LocalSystem Sa Computer Browser Pause ed Automatic LocalSystem Sa DeFwatch esum ed Automatic LocalSystem Sa DHCP Client ed Automatic LocalSystem Sa Distributed Link Tra gt All Tasks t Ed Automatic LocalSystern Sa Distributed Transac Manual LocalSysterm DNS Client eee ed Automatic LocalSystem Sy Event Log Properties ed Automatic LocalSystem Sy Fax Service Manual LocalSysterm Ss Indexing Service Help Manual LocalSystern Sta Internet Connectio Provides n Manual LocalSystem Sa IPSEC Policy Agent Manages I Started Automatic LocalSystern Ma Logical Disk Manager Logical Disk Started Automatic LocalSyvstem Ma Logical Disk Manage Administrat Manual LocalSystern Sa Messenger Sends and Started Automatic LocalSystern fy MSSOLServer Started Manual LocalSystem Sa Net Logon Supports p Started Automatic LocalSystern rv Stop and Star
14. network 10 1 Telemedicine specific Requirements Check that the system on which you are planning to install Welch Allyn CardioPerfect Workstation with Telemedicine meets the requirements For the minimum configuration for Welch Allyn CardioPerfect Workstation see section 3 1 System Requirements in the Installation manual Before installing and configuring choose which communication type is best suited to your needs email direct socket or a mix of both E mail will probably be the best choice in most cases as it is easily available and requires low maintenance while direct connection might be necessary for a more time critical use For advice on how to create the best custom configuration contact Welch Allyn or your local distributor When using e mail prior to testing the e mail account using Telemedicine test the account using Microsoft Outlook Express or a similar program Instead of using the Internet as a transportation infrastructure you may use another WAN or LAN as long as it is TCP IP based and is accessible to all contacts you wish to communicate with using Telemedicine 10 2 Installation and Configuration This chapter explains the installation and configuration in detail step 1 Install Welch Allyn CardioPerfect Workstation If you do not have Welch Allyn CardioPerfect Workstation installed yet do so now See the Installation manual for guidance Install at least the software database and telemedicine server componen
15. 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 equipment failure and health hazards may result 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 9 55 WelchAllyn 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 card
16. path found 11 45 20 4M Logged off Rs Create 7 Update l Pee EEE eee eee eee eee eee eee eee eee eee eee eee Ss Atta c h D ata has e Detach Database Drop database Run SQL Script c Copying the old data You can try to restore the data by overwriting the newly created database files with the old database files This is not a recommended way of restoring the data and Welch Allyn cannot guarantee that this will work WARNING This is not a recommended way of restoring the data and Welch Stop the MSSQL service manager Overwrite the newly created database files with the old database files Start the MSSQL service manager Try to logon to the Welch Allyn CardioPerfect software using database authentication O O DIR 80012893 Ver D Username admin Password admin 33 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Welch Allyn CardioPerfect oA Enter logon information here C Use anonymous login quest account f Use Windows NT authentication w Use database authentication Username admin Password 6 1 2 Corrupted database To determine if the database is corrupted you need to use the following procedure e Start the Connection Setup in the Welch Allyn group e Try to select the database by clicking on the dropdown button Cardio Control Workstation a Enter the connection parameters below soLoLeDe o oo Server local Database
17. select a network drive make sure you have the proper permissions to access the backup directory and file Tape Select the tape and enter a filename Make sure that the tape driver is connected to the computer that runs SQL server 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 lt CCW Administration Tool File Sections Language User Administration Backup Database Application Administration Backup Name WACP Backup Description Start Backup Backup of the Workstation Database Telemedicine HIPAA Auditing Database Administration Backup to D Location ren ae ee BloomFontein disk C AMSSOL7WBACK AddDevice George disk C MSSQL BACK Holter disk C AMSSOL7YBACK Remove Device SoaPaulo disk C AMSSOL7BACK Restore Database Append to media C Overwrite existing media Schedule New Schedule SQLServer Agent service must be running when using scheduled backups User LoggedIn Connection local ccdb Z 2 Enter a name and a description for the backup DIR 80012893 Ver D 16 55 WelchAllyn CardioPerfect Workstation 3 4 Service and Advanced installation Manual Select the backup device to which yo
18. the Send Receive button This will send the Send Receive request to the Mail server When the Mail server is finished Workstation will show a dialog with status information If no errors are reported the installation and configuration was successful Telemedicine Status information after a successful send receive If you do encounter errors please turn to the Troubleshooting telemedicine section of this manual The errors are stored in the Mail Event log in the database View the event log in Administrator Tool Open the Administrator tool and select Telemedicine Event log from the Telemedicine section Errors that occur during sending and receiving mail as well as successfully sent or received tests and interpretations are logged here If no errors are shown in the event log the Telemedicine installation and configuration was successful If you do encounter errors please turn to the Troubleshooting telemedicine section of this manual DIR 80012893 Ver D 49 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 10 3 Other configuration issues 10 3 1 Mail server Using the CC MailServer Configuration tool in the Control panel the following default settings can be changed Folder for temporary mail files During the sending and receiving of mail messages temporary files are created in this directory As a default the Windows temp directory is used When changing this setting make sure the
19. to check all accessories to ensure that they are not the cause of the problem When calling please be prepared to provide e Product name and model number and complete description of the problem e The serial number of your product if applicable e The complete name address and phone number of your facility e For out of warranty repairs or spare parts orders a purchase order or credit card number e 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 e Remove all hoses cables sensors power cords and ancillary products as appropriate before packing unless you suspect they are associated with the problem e Wherever possible use the original shippin
20. unit is ready to have the calibration checked _ hk Disconnect the cuff assembly from the unit 2 Attach the appropriate end of a Y connector to the monitor Attach a cuff to the appropriate end of the Y connector and wrap around a suitably sized can or bottle This acts as the reservoir for the unit Connect the third leg of the Y connector to a high quality known pressure standard Refer to the following calibration figure for a sketch of the test set up 3 Pressurize gauge to 300 mmHg and compare against pressure standard see following calibration figure If the unit does not meet the required calibration the unit needs to be returned to Welch Allyn for calibration or repair 4 Bleed pressure down no faster than 10 mmHg per second stopping to check the pressure at 250 200 150 100 and 50 mmHg Refer to the notes that follow for tolerances 5 When finished on the e ABPM 6100 remove one of the AA batteries from the battery compartment Then immediately replace the battery back in its proper orientation which will cause the unit to start the power up cycle DIR 80012893 Ver D 22 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Manometer Cuff Wrapped Around Gylinder Attach to Unit Note Your ability to measure the accuracy of the ABPM 6100 depends upon the sensitivity of the pressure standard you use for the calibration procedure e f using a manometer mercury column or an
21. 45 10 2 Installation and Configuration cccccccccsececseeeeceeeeeeeeeseeeeseeeeeseueesseeeseeeesseeeas 45 10 3 Other configuration ISSUCS ccccecccseeeeceeeecseeeeceeeseeeeeseucessaeeeseusesseeeeseeeetseeeas 50 1031 MA SENER eee ee 50 103 2 MEN ee 50 10 4 Troubleshooting Telemedicine rrrrrnnnrnnnnennnnnnnnrnnnnnnnnnnnnnennnnnnnnrnnnnennnnnnnsennnnennn 51 10 4 1 Possible error MESSAGES c ccccccccsesececceeseeccsesececeauseecseaeeeecsaeeeesaaeeesssseeeesaaeess 51 10 4 2 Mail server error codes cccccccsssseceeccaeeeeeeecaeueceeeeeaeeeeeessaeseeeeesuaaseeeseeaaeeeeesaas 52 1043 Technical SUDDO onnek isinna E Eae aiiai 53 DIR 80012893 Ver D 6 55 WelchAllyn 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 device
22. CAutions sredici iiiad aeai aAa Esnia i Eaa EAA EE 11 2 PURPOSE AND SCOPE sisine are EEEE 12 400 01 9 g EEE TT 12 VEE OVE 61 EEE 12 2 1 2 Non Warranty Service rrrnnrrrvnrrnnnnrvvnrrnnnnnvrnrnnnnnnrnnnnnnnnsrnnnnnnensrnnnnnnnnrennnnnsnsennnnnnsnee 12 2 1 3 Technical Support Services rrrrrnrrrnnnnnnnrvvnvrrrnnnnnnnrrennrrrnnnnnnnssrnnnnrnnnnsnsssnnnnnnnnnssnsee 12 212 Returning NE eee 13 2 2 Recommended Service IntervalS ccccccccccseccceeececeneceseeeeceeeeeseeeeseeeeseeeesaees 13 2 2 1 Recommended Service Intervals Resting Exercise ECG ccccccsssseeeeeeneeeeeees 13 2 2 2 Recommended Service Intervals Ambulatory Blood PreSSure ccccsseeeeeees 14 2 2 3 Recommended Service Intervals Spirometry rrrrrrrrrrnnnnnnnnrrrrrrrnnnnnnnrrrnnnrrnnnnnnnner 14 3 BACKING UP THE DATABASE i 15 Ge WACO EEE 15 3 2 Create a backup COVICE cccccccseeccsecceeeeceeecceeceucecseeceeeceueeseeessueeseeeeseeesseens 15 33 ME SN er 16 3 4 Schedule an automatic backup rrrorrrrnnnrrrannrrnnnrrranrrrnnnenranrnnnnnrnnanrnnnnnennasnnnnee 17 5 ME Me 19 4 FUNCTIONAL VERIFICATION OVERVIEW annrennrrnnnvnnennnennnennnnnnnnnnnnnnennnene 20 AT CUETO Cao EEE EEE EEE 20 4 2 Functional Verification ECG Recorder rnrrnrannnnnnnenrnnnrnnnnennanrnnnnnennnnennnnnennnnen 20 4 2 1 Patient Cable Verification rrrnnnrnnrrrrnnnnnrvvrrnnnnnrvnrnnnnnrrrnrnnnnnrrnnnnnnsnsrennnnnnnsennnnnnsnee 20 4 2 2
23. CCDB_DAT MDF o CCDB_LOG LDF o CCDBAUDIT_DAT MDF Only CPWS software 1 5 0 or higher o CCDBAUDIT LOG LDF Only CPWS software 1 5 0 or higher e Create a new database ccdb using the DBBuilder tool provided on the Welch Allyn CardioPerfect CDROM SQL folder e Try to restore the backup 6 1 3 User deactivated in the Administrator tool Try to logon to the Welch Allyn CardioPerfect software using database authentication e Username admin e Password admin If you have changed the username or password use the modified logon information If the logon succeeds you need to verify the user settings in the administrator tool 6 1 4 Wrong login name or Password Verify the user settings in the administrator tool DIR 80012893 Ver D 35 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 6 1 5 Firewall In some cases the firewall can block the connection between the client software and the MSSQL database To eliminate this possibility disable the firewall or open the port 1433 SQL server uses this TCP IP port and try to logon to the Welch Allyn CardioPerfect software using database authentication e Username admin e Password admin If you have changed the username or password use the modified logon information When you are able to logon to the Welch Allyn CardioPerfect Workstation Software you can try to resolve the problem with the firewall by e Configuring the Firewall that it accepts
24. Start the Welch Allyn CardioPerfect Software 8 Create a new test patient or select a previous created test patient 9 Start a Resting ECG and follow the instructions on the screen 10 You should see the ECG traces on the computer screen 11 Monitor the ECG traces for approximately one minute 12 Record a Resting ECG 13 If you pass the complete procedure without problems the communication is working 1 For further instructions see CPWS Workstation manual Section 2 Working with patients For further instructions see CPWS Resting ECG manual 3 In case of problems errors try to resolve it with the use of the troubleshooting guide 4 2 3 Resting ECG Results Verification To verify the ECG results you can perform the following procedure a Select the ECG on the screen which you recorded b Print the following print formats 4x3 25 mm s DIR 80012893 Ver D 21 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Measurements c Manually measure the following parameters and compare them with the computer measurements You can fill in the test results on Checklist and Test Results Form I Heart rate 1BPM Height Calibration pulse Rwave in Lead 1 V1 V2 V3 V4 V5 and V6 4 3 Functional verification ABP device A checklist of the functional tests is provided at the end of this manual Checklist and Test Results Form Il It is recommended that you print a copy of the checklist each time y
25. Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Regulatory Affairs Representative Welch Allyn EC REP Welch Allyn Limited 4341 State Street Road Navan Business Park Skaneateles Falls NY Dublin Road 13153 0220 USA Navan County Meath www welchallyn com Republic of Ireland DIR 80012893 Ver D Material No 711054 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual US Federal law restricts this device to sale by or on the Caution 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 Worksta
26. alls or e If interference still persists floors the noise may be caused by Improperly grounded other equipment in the room electrical outlet or by poorly grounded Incorrect AC filter frequency power lines Try moving to setting or AC filter is turned another room off 8 2 Problem Exercise device is not responding The Exercise device treadmill or ergometer doesn t respond e Verify the settings of the Exercise device For further instructions see the CPWS Stress ECG manual e Verify if the device is switched on and ready for communicating with the software for further instructions refer to the exercise device manual In case of treadmill verify the emergency button is unreleased Verify the serial cable is connected correctly and not damaged Verify the serial port is working correctly If you cannot resolve the problem please contact the nearest Welch Allyn Technical support for further assistance DIR 80012893 Ver D 43 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 9 Problem Solving suggestions Spiro module This chapter describes the most common problem suggestions of the Spiro module 9 1 Problem No samples detected The following message appears when the device detected samples during the initialization Retry it and don t move the unit during the stabilization or breathe through the mouthpiece Communication error A No samples detected Sensor unpluged or switched off Test
27. contact the technical support department or contact your local distributor When contacting the Installation amp Support department via phone e mail or fax please provide the following information Your name company name address phone number fax number and e mail address Product serial number Exact product name and version number Type of operating system Type of installation network or standalone A copy of the Welch Allyn CardioPerfect Technical Support Form Complete description of the problem and the steps to reproduce it If applicable we would also like to have the exact error message See also the Warranty Service and Spare Parts on page 3 DIR 80012893 Ver D 53 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual l ECG Checklist and Test Results Form Use a copy of the form to track your progress through the verification see 4 2 Functional Verification ECG Recorder Model ECG recorder PRO 1 Portable Serial number ECG recorder Type of Computer interface ProLink CPCOM CPCOM CPCOM ISA PCI PCMCIA Serial number Computer interface Welch Allyn CardioPerfect Software version Software Serial number Ss Resting ECG Results Verification Parameter Computer Tolerance Pass Fail N A Measurement Calibration pulse 10 mm mV Date Signature DIR 80012893 Ver D 54 55 WelchAllyn CardioPerfect Workstation Service and Advance
28. d cuff Push Start Stop button to restart 88 Reading aborted safety time out reading If problem persists return for servicing 89 Reading aborted cuff Check air hose for blockage or overpressure kinking 90 out oFrange or other hardware Replace batteries If problem problem p i 9 l Push Start Stop button to retry 91 Service Required safety override reading If problem persists return fitted or auto zero out of range for servicing Service Required Transducer out er 98 Service Required A D out of range Return for servicing 99 Service Required EEPROM Unit needs to be recalibrated calibration data CRC failure Return for servicing The codes mentioned above are the codes as shown on the device display Please refer to the CPWSW ABP Software manual for the codes as used by the software 5 3 Problem Solving suggestions Welch Allyn SpiroPerfect System Failure Problems Condition Causes Actions Computer lost connection to the Disconnect and reconnect the sensor sensor J The Device sensor is not responding e Check if the port settings in the e Software setting CPWS settings menu correspond with the used COM port e Verify LOT number and perform a verification test e Check the flow transducer for Measured values are incorrect potential obstruction Do a volume calibration to check e Out of calibration the gain factor and to recalibrate the device if necessary e Retest with fingers posi
29. d installation Manual ll ABP Checklist and Test Results Form Use a copy of the form to track your progress through the verification see 4 3 Functional verification ABP device Serial number ABP Device S aero Ud CC COCCCCC C Software version Software Serial number o Se eae Tested by Test Date 1 You can find the Welch Allyn CardioPerfect software version and serial number in the information tab of the help function Calibration verification Pressure mmHg Manometer Device Difference Pressure Pressure If using a manometer mercury column or aneroid gauge rated at 3 0 mm Hg you will be able to determine the accuracy of the unit being tested to within 6 0 mm Hg If using a device e g digital pressure standard rated at 1 0 mm Hg you will be able to determine the accuracy of the unit being tested to within 4 0 mm Hg Overpressure verification Pressure mmHg Manometer Device Pass Fail Pressure Pressure pressure deflates pressure doesn t deflate gt 300 and lt 330 pf pp Leakage verification Manometer Device Pass Fail Pressure Pressure pressure deflates pressure deflates lt 4 mmHg in 1 min gt 4 mmHg in 1 min 150 S d d S G y Pressure release verification ressure mmHg Manometer Device Pass Fail Pressure Pressure pressure deflates pressure deflates lt 3 min gt 3 min 1500 Ff e O Date Signature DIR 80012893 Ver D 95 55
30. dure 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 e Earth Leakage e Chassis Leakage e Patient Leakage 4 1 Equipment required Commercially Available General purpose Medical Test Equipment Item Description ECG simulator Standard 12 lead ECG simulator Computer PIII or better Welch Allyn CardioPerfect software version 1 5 0 or higher installed DVM Digital Volt Meter aan EE KEN Commercially Available General purpose Medical Test Equipment 4 2 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
31. e To verify this use the following procedure 1 Set the ABP device in the manometer mode 2 Pressurize gauge to approximately 150 mmHg 3 After less than 3 minutes the unit should deflate the pressure to 0 mmHg 4 4 Functional verification Spirometer Functional verification can be performed by using the Calibration procedure described in the CPWS Spiro manual Verify continued electrical safety of the Welch Allyn System using IEC 60601 1 or ANSI AAMI ES1 methods and limits Test for the following e Patient Leakage current e Chassis leakage current e Earth leakage current 4 4 1 Maintenance Welch Allyn SpiroPerfect e g a 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 file is used The linearization file can be found on the Linearization Calibration CD that came with your flow transducer package For proper installation refer to chapter 7 of the CPWS Spiro manual 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 se
32. e Error M SSQQG cccceccceeeeeseeeeeeeteneeseeesaeess 38 7 2 Problem Fatal Port Error during recording cccceeeeseeeeeeeeseeeeeeeeeeeeeseeesseeess 39 7 2 1 Power FAIA ING irene drive 39 7 2 2 Applications Hardware interfering ccccccccsssseceeeceeeeeceeeeeeeeseeeeesaeeeeeeesseaeeeeessaaess 40 7 2 3 Defective hardware arrrnnnnnrnnnnronnnnrvrnnnrrnnnnrnnannennannennnnrnnnnnennnnnennansennansennansennnnsennn 40 7 3 Problem Framing Errors during reCOrdingd cccscceceeeeeeeeeeeeeceeeeeeeeseeeeseeeseeeess 40 7 4 Problem Lead Quality problems rrarrrrrrnnrrrrnnnrorrnnnrnrnnnnenrnnnrnnnnnnenrnnnrennnnnnennnn 40 7 5 Problem Interference on printout but not during recording cscceseeeeeeeneeenes 41 7 6 Problem No Automatic computer interpretation on ECG ccccccccseeeeseeeeeeeees 41 8 PROBLEM SOLVING SUGGESTIONS EXERCISE ECG MODULE 42 8 1 Problem Lead Quality problems cccccccceccccseeceeceeceeseeeceseeeeeeseeeeesseeeesseaees 42 8 2 Problem Exercise device is not responding rnrrrrnrrrnnrrnnnrrnnvrnnnrennrrennrrnnnrennven 43 9 PROBLEM SOLVING SUGGESTIONS SPIRO MODULE 0 00 cee 44 9 1 Problem No samples detected cccccccceeceseeeseeeeceeeeseeeeeeeseeeseeeseeeeseeesaeeess 44 10 TELEMEDICINE JG 45 10 1 Telemedicine specific Requirements cccccceseecceeeeeeeeeeeeeceeeeseeeeeeeesaeeesseeeaes
33. e unit in for repair Battery pack not charged e Charge the battery pack and retry J Se ng Sed When powered Battery pack defective e Replace the battery pack and retry e Defective PRO recorder e Send the unit in for repair On Off switch doesn t function when powered by USB and without battery e Intended use e None pack ae e een a Whien Defective PRO recorder e Send the unit in for repair DIR 80012893 Ver D 26 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 5 2 Problem Solving suggestions ABPM 6100 I gt De bee SAP a ty System Failure Problems Condition Actions Check if the interface cable is correctly connected e Interface cable defective try to replace it e Replace batteries e Verify if the correct serial port is No communication between the e Ambulatory Blood Pressure setting selected in the CPWS software ABPM6100 and the computer see the CPWS ABP manual e Serial port is blocked by another application use the comlist tool provided on the CPWS CDROM in Serial port the folder tools to check this e Verify the correct working of the serial port Ensure a connection with the Cycle starts but cuff will not fully inflate ou F ae are mer e Replace batteries Blood Pressure readings are not e Verify if the setting show EEE e Blood pressure protocol measurements on device is on Ee do see the CPWS ABP manual e Verify if the
34. eeseeeeseeeesaeeeesaeees 27 5 3 Problem Solving suggestions Welch Allyn SpiroPerfect rrarrrarrrarrnarenarennnennre 28 6 TROUBLESHOOTING CARDIOPERFECT WORKSTATION esnnrnnrvnnevnnevnnenn 30 6 1 Problem Access denied after lOQON cccccsecccseeeceeeeeeeeseeeeceeeeeeeeeeeeeseeesaeeess 30 6 1 1 Not running MSSQL CaldD AS 6 Larsen 30 6 1 2 Corrupted AAataDAaSe cccccccccseseececcceeseeeeecseeeeeeeeseeesseeeeeaeeaeeeeesseaeeeessseageeesessaaaes 34 DIR 80012893 Ver D 5 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 6 1 3 User deactivated in the Administrator to0l cccccsssscceeeseseseeeeeeeeeeeeeeseeeeeeeseesaaees 35 6 1 4 Wrong login name or Password rrrrnnnrvnnnnnrvvnnnnnrnnnnnnrenrnnenennnnnnennnnnnsennnnnennnnnnennnnn 35 dl 36 6 2 Problem Invalid release code rrrrarrnnnnennnnnvanrnnnnrnnnrnranrnnnnnnnnrnnanennnnnnanennnnennnenn 36 6 3 Problem Cannot use all the functions in the software rrrnrrrrnrennnrrrarrnrnnennnnnn 37 6 4 Problem Limited rights in the CPWS software rrrnnnnnnnnrnnnnnnnnnnrrnnrrrnnnnennnrrennnr 37 6 5 Problem Limited rights on the operating system rrrnrrnnnrrnnvrrnnrennrrennvrnnnrennvnnn 37 6 6 Problem Release code invalid cccccsscccssecceecceucccseecceeeceuceceeeseusesseeenseesseeess 37 7 PROBLEM SOLVING SUGGESTIONS RESTING ECG MODULE 38 7 1 Problem Invalid WDM handl
35. enter with a proof of purchase DIR 80012893 Ver D 37 55 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 7 Problem Solving suggestions Resting ECG module This chapter describes the most common problem suggestions of the Resting ECG module 7 1 Problem Invalid WDM handle Error message The invalid WDM Handle error is related to the driver of the ProLink interface cable Welch Allyn CardioPerfect x Invalid WOM Handle driver not loaded or already in use Use the following procedure to resolve the problem e Determine first if the connection between the recorder and the computer is a USB interface cable If not change the port setting in the CPWS software to the correct interface For further instructions see the CPWS Resting ECG manual F Settings Modules Ar ECG General Viewing Printing QT dispersion Recorder Recorder AC filter Hz Model Frequency 50Hz MDXN1 600 l C 60Hz Port Unilink USB Display switch off message Battery options Enable low battery warning Cancel Apply Help e Verify if the USB interface cable is connected to the USB port of the computer e If the system worked before without any problem reboot the computer and verify if the problem is resolved e Check the device manager to see if the Pro Link USB is correctly installed If you don t see the device in the Universal Serial Bus controllers gt Welch Allyn USB Devices
36. eroid gauge rated at 3 0 mm Hg you will be able to determine the accuracy of the unit being tested to within 6 0 mm Hg e f using a device e g digital pressure standard rated at 1 0 mm Hg you will be able to determine the accuracy of the unit being tested to within 4 0 mm Hg e Welch Allyn recommends using the most sensitive pressure standard possible when performing calibration checks A Setra Pressure Meter 2270 01 which is calibrated for 0 1 mm Hg works well for this application 4 3 3 Overpressure verification ABP device The ABP device should deflate the pressure at a pressure higher then gt 300 mmHg 10 To verify this use the following procedure 1 Set the ABP device in the manometer mode 2 Pressurize gauge to 300 mmHg 10 the unit should deflate the pressure 4 3 4 Leakage test The pressure on the ABP device may deflate with a maximum of 4 mmHg per minute To verify this use the following procedure Set the ABP device in the manometer mode Pressurize gauge to approximately 150 mmHg Note the pressure reading Wait for 1 minute and note the pressure reading again The difference between the two readings should be less then 4 mmHg ren DIR 80012893 Ver D 23 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 4 3 5 Pressure release As a safety precaution the device should release the pressure when it takes longer than 3 minutes to measure the blood pressur
37. eve Services SOL Server Services SQL Server vi Refresh services Refresh services s b Start Continue FO Le Stopped FERRARI MSSOLServer Stopped FERRARI MSSOLServer Running FERRARI MSSOLServer Activate the Auto start service Try to start the MSSQL Go to Next Paragraph Try to start the MSSQL database database If the MSSQL database doesn t If the MSSQL database doesn t start it needs to be reinstalled Start it needs to be reinstalled use the following procedure use the following procedure DIR 80012893 Ver D 30 55 i Auto start service when OS starts WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Reinstalling the MSSQL database Deleting the MSSQL database will delete all data and is irreversible o Before removing the MSSQL database we advise to copy the data folder and the most recent backup to a save place on the hard disk e The standard database created by the Welch Allyn CardioPerfect software is called CCDB and this database consist of the following files CCDB DAT MDF CCDB LOG LDF CCDBAUDIT DAT MDF Only CPWS software 1 5 0 or higher CCDBAUDIT LOG LDF Only CPWS software 1 5 0 or higher e If there are additional databases created make sure that you copy them to a save place on the hard disk o Remove the MSSQL database by using the Add Remove programs option in the control panel ER Add Remove Programs L ps Curre
38. folder you are specifying exists and can be written to and read from Scheduling send receive Sending and receiving mail messages can be triggered manually by pressing the Send Receive button in Workstation When the Mail server is continuously connected to the Internet it might be more efficient to schedule checking for mail and sending out mail on a regular interval The scheduling interval can be set with a minimum of five minutes TCP IP Port Settings See the Troubleshooting telemedicine section of this manual Do not change the TCP IP settings if not necessary Only change the TCP IP port settings in combination with setting the TCP IP ports in Workstation Restart the Mail server after changing these settings Encryption options Mail messages are encrypted to protect the patient s identity and to secure that medical data cannot be read by anyone intercepting a mail message The default encryption setting is Triple DES a well known secure encryption algorithm Based on personal preference it is possible to select any of the other algorithms available It is not necessary that sender and receiver use the same encryption setting Delete non workstation e mail messages from Pop3 server Email only When using a dedicated e mail address for Telemedicine it is still possible to receive e mails that are not for Telemedicine An example of this is the ISP s newsletter or unwanted advertisements often referred to aS spam With thi
39. g carton and packing materials e 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 DIR 80012893 Ver D 3 55 WelchAllyn 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 requ
40. 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 DIR 80012893 Ver D 10 55 WelchAllyn 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 e CPWS Resting ECG manual and CPWS Stress ECG manual e 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 a 10 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
41. has been terminated DIR 80012893 Ver D 44 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 10 Telemedicine Telemedicine is an optional extension to the Welch Allyn CardioPerfect Workstation Without the correct release code the Telemedicine functionality will not be activated The Telemedicine option requires significant IT skills to install and configure For additional information on how to use Telemedicine please refer to the Workstation user manual With Telemedicine it is possible to send and receive tests and interpretations to and from predefined contacts This typically allows expertise sharing and second opinion consults but might also be used for administrative purposes in situations where replication cannot be used Telemedicine offers a choice of two types of communication Telemedicine messages can be sent and received either through e mail or through direct communication using TCP IP sockets In both cases the Internet or any other TCP IP network must be available as transportation infrastructure It is possible to use a mix of both email and direct socket connection Telemedicine like Welch Allyn CardioPerfect Workstation is built using a client server architecture This means Telemedicine scales from use on a single standalone computer with a modem to a configuration of multiple client computers a MSSQL database server and a telemedicine mail server working together in a LAN
42. iograph 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
43. ipping instructions e A purchase order number or credit card number if the product is not covered by warranty e A full description of the problem or service request To ship the unit please observe these packing guidelines e 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 e Use the original shipping carton and packing materials or as close an approximation as possible e Include a packing list e 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 evel 6 24 montns per Complete Functional test Functional verification ECG recorder hospital procedure Unit has been dropped or Complete Functional test Functional verification ECG recorder otherwise damaged Unit malfunctioning Complete Functional test Functional verification ECG recorder Troubleshooting ECG recorder Troubleshooting Software module Troubleshooting and repair followed by Unit does not pass functional test Troubleshooting Exercise device see the service Functional verification manual of the exercise device Functional verification ECG recorder Return to Authorized service center Returning products Only applicable for Exercise ECG
44. irements described in the Product documentation lf 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 DIR 80012893 Ver D 4 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual TABLE OF CONTENTS 1 SAFETY SUMMARY tesserae etc encore rc cece cee ee eee 7 MANN 7 2 SN rece stan teccetecctecadaatecgedentaueetectenatienEeacs tectancutand O 8 1 3 Servicing the Welch Allyn equipment Safely ccccccseceeseeeeceeeeeseeeeseeeesseeeesees 9 1 3 1 General WarningS cccccccsssseceeeceeeseeeeeceeesececessaaeeeeeessaaeeeessaaaeeeesseaaeeeesessagseeeseaas 9 1 3 2 General
45. irometer 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 Recalibrate Calibration procedure CPWS Spiro manual otherwise damaged Unit malfunctioning Recalibrate Calibration procedure CPWS Spiro manual Troubleshooting and repair followed b l calibration Return to Authorized service center Returning products DIR 80012893 Ver D 14 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 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 e
46. is will resolve the problem If the above suggestions don t resolve the problems contact the nearest Welch Allyn Technical Support for further assistance 7 2 3 Defective hardware Data loss can occur by defective hardware try to replace the following components e ProLink interface cable e ECG recorder 7 3 Problem Framing Errors during recording Framing Errors on the screen can occur by e Wrong recorder settings in the CPWS software For further instructions please refer to the CPWS Resting ECG manual e Defective hardware try to replace the following components o ProLink interface cable o ECG recorder 7 4 Problem Lead Quality problems The following table describes different lead quality problems and possible actions to try to resolve this If you cannot resolve the problem please contact the nearest Welch Allyn Technical support for further assistance Condition Actions Bad signal quality on screen e Electrode contact may be e Reattach the lead poor Replace the electrode OR A lead may be loose Verify that the electrode area Indication on screen Bad signal quality and One or more leads prints as a square wave Wandering baseline an upward and downward fluctuation of the waveforms DIR 80012893 Ver D Electrodes that are dirty corroded loose or positioned on a bony area Insufficient or dried electrode gel Oily skin or body lotions Rising and falling of chest during rapid or apprehensive breathing
47. lch Allyn Service Center Obtain an RMA number for all returns to Welch Allyn Factory Service see Returning Products AN Caution Unauthorized repairs will void the product warranty 2 1 2 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 e Telephone support e Loaner equipment e Service Agreements e Replacement service parts e Factory service For information on any of these services contact Welch Allyn at the numbers listed on page 3 DIR 80012893 Ver D 12 55 WelchAllyn 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 e Product name model number and serial number e A complete return shipping address including a contact name and phone number include any special sh
48. lotions Rising and falling of chest during rapid or apprehensive breathing Patient is uncomfortable tense nervous Patient is cold and shivering Electrodes that are dirty corroded loose or positioned on a bony area Insufficient or dried electrode gel Patient or technician touching an electrode during recording Patient touching any metal parts Causes Actions Reattach the lead Replace the electrode Verify that the electrode area has been properly prepared shaved cleaned with alcohol or acetone allowed drying Clean skin with alcohol or acetone Reposition or replace electrodes If wandering baseline persists turn the baseline filter on For further instructions see the CPWS Stress ECG manual Check all electrode contacts If interference still persists the problem is probably electrical in nature See the following suggestions for reducing AC interference Check all electrode contacts and lead wires Verify that the patient is not touching any metal Verify that the AC power cable is not touching the patient lead cable Verify that the proper AC filter is selected For further instructions the 42 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Broken lead wire patient CPWS Stress ECG manual cable or power cord e f possible unplug electrical Electrical devices in the devices in the immediate immediate area lighting area concealed wiring in w
49. lter on For further instructions see the CPWS resting ECG manual If interference still persists the problem is probably electrical in nature See the following suggestions for reducing AC interference Check all electrode contacts and lead wires Verify that the patient is not touching any metal Verify that the AC power cable is not touching the patient lead cable Verify that the proper AC filter is selected For further instructions see the CPWS resting ECG manual If possible unplug electrical devices in the immediate area If interference still persists the noise may be caused by other equipment in the room or by poorly grounded power lines Try moving to another room 7 5 Problem Interference on printout but not during recording After recording the ECG on the computer the signal quality is less than during the recording on the screen Activate for viewing printing the ECG the same filter settings as during the recording of the ECG for further instructions see the CPWS resting ECG manual 7 6 Problem No Automatic computer interpretation on ECG This can be caused by the following e Software was not able to make an average complex because of o Bad ECG signal o Complexes differ too much o Complexes are outside the set limits e Pediatric lead set used V3R V1 V2 V4 V6 and V7 without the Pediatric MEANS option available e MEANS option not available contact the nearest Welch Allyn Technical Support Center wi
50. n date At time Every fi Day s C Weeks C Monthfs lt Back Cancel If you select Then Once 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 Time of backup s Every 1 week on Every 1 month on C a V Monday Saturday C Da IT Tuesday Sunday 1 Of the month Every Wednesday ve Eni Thursd i Hours x oe 2nd Wednesday Frida y OF the month Starting from 0 00 until 23 59 lt Back Cancel lt Back Cancel 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 lates
51. nsor on a daily basis Keep track of the calibrations in the calibration log 4 4 2 Cleaning the Welch Allyn SpiroPerfect WARNING Satisfactory maintenance procedures must be implemented or equipment failure and health hazards may result Only qualified service personnel should repair the equipment WARNING To prevent cross contamination do not try to clean the flow transducers and nose clips Discard these items after a single patient use Wear rubber gloves when replacing flow transducers and wash hands after touching them DIR 80012893 Ver D 24 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 1 CAUTION You cannot clean the Spirometer or any of its components Do not clean the pressure tubing or sensor Trapped moisture could affect accuracy Replace the pressure tubing when it becomes dirty Recalibrate after replacement Replace the sensor when it becomes faulty 4 4 3 Cleaning the calibration syringe CAUTION If you choose to clean the calibration syringe clean the outer surface of the syringe with only the following solutions or wipes Solution of dish soap and water 2 tsp per cup of water Solution of bleach and water 1 part bleach 6 sodium hypochlorite with 9 parts water Isopropyl Alcohol and water 70 by volume PDI Sani Cloth Plus wipes 14 85 Isopropanol Cavi Wipes 17 2 Isopropanol DIR 80012893 Ver D 25 55 WelchAllyn CardioPerfect Workstation
52. ntly installed programs Change or f ATI Display Driver Remove Programs ig MSDE po To change this program or remove it From your computer click change Remove Add Mew Programs Q Welch Allyn CardioPerfect Add Remove vi in d Oars Components i set Program Access and Defaults Sort by Mame h Change Remove Size 30 3MB o Restart the computer after removing the MSSQL database o Reinstall the database using the Welch Allyn CardioPerfect CDROM for further instructions see the Installation manual during the reinstalling of the MSSQL server an empty ccdb database will be created o Try to logon to the Welch Allyn CardioPerfect software using database authentication Username admin Password admin DIR 80012893 Ver D 31 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Welch Allyn CardioPerfect EN Enter logon Information here C Use anonymous login quest account f Use Windows NT authentication w Use database authentication Username admin Password o If this works you can consider restoring the old data Restoring the old data You can try to restore the old data using the following options e Restoring a backup e Attaching a database only possible with version 1 5 0 or full MSSQL license e Copying the old data If the restore of the database fails contact the nearest Welch Allyn Technical Support Center a Restoring a backup o If
53. 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 DIR 80012893 Ver D 11 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 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 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 AN Caution subassemblies is supported Use only the repair procedures described in the manual When performing a service procedure follow the Warning 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 Service Options 2 1 1 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 We
54. ou are trying to send an exercise ECG the email attachment might be too large Ask the ISP about any size restrictions Unspecified SMTP error Action Check the error description in the mail event log it will give the error text sent by the SMTP server A time out has occurred trying to connect to the POP server Action Try again later the POP server might be down If the problem persists check the spelling of the POP server name using the CC MailServer Configuration Also verify that the network is functioning correctly A time out has occurred trying to receive email Action Try again later If the problem persists contact the ISP Unspecified POP error Action Check the error description in the mail event log it will give the error text sent by the POP server A mail message has been received that is sent by an unknown contact A rejection message has been sent back to the sender Action if desired Add the contact using the Administrator tool The mail message that has been received is invalid It is corrupted or cannot be read A rejection message has been sent back to the sender Action Try again if problem persist contact Support It could be that the sender is using a different version of the software An interpretation has been received but the corresponding test is missing A rejection message has been sent back to the sender Action Possibly the test has been accidentally deleted ask the sender to send the
55. ou perform the functional verification procedure so you can record and save the test results If the ABP device ever requires service the records of test results often facilitate troubleshooting 4 3 1 Visual inspection The following inspections of the unit should be performed on a regular basis 1 The housing should be inspected for any visual damage Do not remove any covers or break the warranty 2 Interface cable 3 Cuff and connecting tube If any signs of damage are detected do not use the ABPM monitor It should be sent to an authorized Welch Allyn service center See the Service and Warranty section of this manual for a list of authorized Welch Allyn service centers 4 3 2 Calibration verification ABP Device The ABP device needs to be set in to a manometer mode before you can perform the calibration verification To set the ABP device in the manometer mode use the following procedure depending on the type of Device ABPM 6100 With the ABPM 6100 unit already powered up remove one of the AA batteries from the battery compartment Then immediately replace the battery back in its proper orientation which will result in the unit to start the power up cycle While the LCD is displaying dashes press and hold down the Start Stop button The unit will display the software version the battery voltage followed by a click as the valves are closed When the process is finished a pressure value will be displayed on the LCD and the
56. rd compatibility As of version 1 3 full credentials of the interpreting physician will be sent with an interpretation and an auto signature is no longer required F Settings Hou z General Options for mailing tests Server Auto Signature Mail server Use Auto Signature LONGHORN Signature TCPAP Port mail server 1411 TCP IP Port notifications m H Change settings for all users Advanced settings iw Play sound when new mail arves Cancel Apply Help Telemedicine General Settings 10 4 Troubleshooting Telemedicine 10 4 1 Possible error messages In this section a few known problems that might arise during the use of the Telemedicine functionality and the possible solutions are described No MailServer is active Start the Mail server see Installation and Configuration Unable to start Mail Server There can be only one instance of the Mail server running at a time If the Mail server is already running trying to run the executable CcMailServer will report the above mentioned error Check Windows Task Manager to verify that no instance of Mail server is running If no other instance of MailServer is running and the server still will not start it is possible that the default TCP IP ports used by MailServer are already used by another application or process Try changing the TCP IP ports in both workstation and the CC MailServer Configuration After changing the port settings restart bo
57. roper 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 Use of accessories other than those recommended by Welch Allyn may compromise product performance DIR 80012893 Ver D 2 55 WelchAllyn 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 1 800 535 6663 Canada 1 800 561 8797 Latin America 1 305 669 9003 South Africa 27 11 777 7555 European Call Center 353 46 90 67790 Australia 61 2 9638 3000 United Kingdom 44 207 365 6780 Singapore 65 6419 8100 France 33 1 55 69 58 49 Japan 81 42 703 6084 Germany 49 695 098 5132 China 86 21 6327 9631 Netherlands 31 202 061 360 Sweden 46 85 853 65 51 Before contacting Welch Allyn it is helpful to attempt to duplicate the problem and
58. s and the accompanying software computer based diagnostic system The user shall adhere to warnings in order to ensure safe and reliable performance of the system e The personal computer non medical electrical equipment shall be situated outside the patient environment reference IEC 60601 1 1 e 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 e 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 60601 1 1 Measure the leakage currents to confirm that no electric shock hazard exists e 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 The CardioPerfect families of devices are an integral part of a personal AN Warning 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 DIR 80012893 Ver D 7 55 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 1 2 Symbols Safety Symbols A safety symbol used on the de
59. s option checked these messages are removed from the POP server The advantage is that the Mail server will only have to scan these messages once instead of each time it is checking for new mail This increases the Mail server s efficiency TCP IP port for direct connections Direct connection only If the default TCP IP port specified for Direct Socket connection is unavailable this setting can be changed However the TCP IP port for direct connection on the Mail server s acting as Client s must be identical to the port used on the Mail server acting as Host Restart the Mail server after changing this setting 10 3 2 Mail Client In Welch Allyn CardioPerfect Workstation Telemedicine settings can be accessed by selecting File gt Settings gt General from the main menu then select the mail tab The following values can be changed TCP IP ports Only change the TCP IP port settings in combination with setting the TCP IP ports in the Mail server See the previous section Mail server and Troubleshooting telemedicine Restart Welch Allyn CardioPerfect after changing this setting Auto signature To automatically sign the interpretations that are sent through mail select Use Auto Signature and DIR 80012893 Ver D 50 55 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual type in the desired signature These settings are stored per Windows user This feature is present for backwa
60. s x Email address POP3 server POP3 server address POP3 username POP3 Password SMTP server SMTP server address SMTP server requires authentication SMTP Username SMTP password Cancel Mail Server Configuration Tool specify email settings example DIR 80012893 Ver D 46 55 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual If you plan to use direct socket connection fill in the direct connection tab specifying whether this system will act as a host or a client in the direct connection communication protocol As a client specify a user name This name is used to login at the host This name should be identical to the contact address at the host system it should also be unique at the host system Medical Diagnostic Workstation Telemedicine settings X General Email Direct connection This machine will act az a Direct connection Server Direct connection Client TCP IP part for direct connections default 1423 1423 E Mame of this direct connection client site Save amp Close Cancel CC MailServer Configuration Tool specify Direct Socket settings example Click the Save and Close button to exit Continue with the next step step 3 Re Start Telemedicine Server Windows 2000 XP open the Services Microsoft Management Console This can be found in either the Windows Control Panel or under Administrative Tools
61. t backup Any changes made to the database after the last backup will be lost DIR 80012893 Ver D 18 55 WelchAllyn 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 6 CCW Administration Tool File Sections Language Restore Database Restore Backup Change File Date amp time Name FromFile Size Descrip User Administration Application Administration Telemedicine HIPAA Auditing Database Administration T mi Backup Database Restore Database User LoggedIn Connection local ccdb pr 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 Click on the Restore button A warning is displayed 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 DIR 80012893 Ver D 19 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 4 Functional Verification Overview This section describes the proce
62. t service CcMailService on Local Computer step 4 Configure Workstation for Telemedicine Start Workstation and select File gt Settings gt General from the main menu In the Settings dialog select the mail tab In the Mail server field enter the name or IP address of the computer on which Telemedicine server is running After changing the Mail server entry you must exit the workstation and restart to register with the Mail server step 7 If you do not have the mail tab in the general settings you need to change your release code to activate Telemedicine See Changing the release code in the Workstation Manual step 5 Restart Workstation Exit Workstation and restart to apply changes and register with the Mail server step 6 Add contact s using Administrator Tool Start the Administrator Tool Select Contacts List from the Telemedicine section Click the Add button Enter the contact information The password entry must correspond between contacts on a host and on a remote system DIR 80012893 Ver D 48 55 WelchAllyn CardioPerfect Workstation step 7 step 8 Service and Advanced installation Manual 2101 Display name virtual Hospital Address fecg hospital com Password f Email Direct connection Carcel oo Administrator Tool configuring contacts to send to and receive from Click OK and close the Administrator Tool Testing In Workstation press
63. test 1 A mail message has been received that is sent by a known contact but the password is incorrect A rejection message has been sent back to the sender Action change contact password or let the sender change the password entry DIR 80012893 Ver D 52 55 101 102 103 104 105 106 107 108 109 10 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual A time out has occurred trying to connect to a host Action Try again later the host may be down If the problem persists check the contact address of the host using the Administrator Tool Also verify that the network is functioning correctly Contact Host failed to receive mail message or time out waiting for reply from host Action Check the if local user account has writing rights in the temporary directory specified in the CC MailServer Configuration Check if there is enough disk space to temporarily store mail messages check if the database server has enough disk space to Contact Host failed to receive mail message or time out waiting for reply from host Action See error 112 Direct socket received unknown command or error Future use possibly host and client are using different software versions Also connection disconnected by host the host is going down during a connection Action handle like error 111 10 4 3 Technical Support If you have a technical question that you cannot answer with the provided tools please
64. th a proof of purchase DIR 80012893 Ver D 41 55 CardioPerfect Workstation WelchAllyn 8 Problem Solving suggestions Exercise ECG module Service and Advanced installation Manual This chapter describes the most common problem suggestions of the Exercise ECG module For the following problems refer to the appropriate chapters in the Exercise ECG manual Problem Chapter Invalid WDM Handle 7 1 Fatal Port Error during recording 7 2 Framing errors during recording T3 8 1 Problem Lead Quality problems The following table describes different lead quality problems and possible actions to try to resolve this If you cannot resolve the problem please contact the nearest Welch Allyn Technical support for further assistance Condition Bad signal quality on screen OR Indication on screen Bad signal quality and One or more leads prints as a square wave Wandering baseline an upward and downward fluctuation of the waveforms Muscle tremor interference random irregular voltage superimposed on the waveforms May resemble or coincide with AC interference AC interference even peaked regular voltage superimposed on the waveforms May resemble or coincide with muscle tremor interference DIR 80012893 Ver D Electrode contact may be poor A lead may be loose Electrodes that are dirty corroded loose or positioned on a bony area or muscle Insufficient or dried electrode gel Oily skin or body
65. th workstation and the Mail server When choosing different TCP IP ports view the file Services found in the Winnt Windows System32 drivers etc folder Windows 2000 XP Workstation doesn t close properly Workstation is probably waiting on a time out trying to contact the Mail server to deregister Check to make sure the Mail server is running Incorrect database version DIR 80012893 Ver D 51 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Run setup on the computer running the MSDE or MSSQL database server This will upgrade the database to the required version Winsock Errors or time outs on a LAN Make sure Microsoft WinSock Proxy Client is installed and enabled if the LAN is using a proxy server Also check the Windows Firewall and when applicable a network Firewall which may block the communication ports For other error messages please refer to the following table 10 4 2 Mail server error codes Action Try again if problem persists contact Support A time out has occurred trying to connect to the SMTP server Action Try again later the SMTP server might be down If the problem persists check the spelling of the SMTP server name using the CC MailServer Configuration Also verify that the network is functioning correctly A time out has occurred trying to send email Action Try again later If the problem persists contact the Internet Service Provider ISP If y
66. the MSSQL server is reinstalled you first need to create an empty backup before you can restore the backup o Replace this backup file by the old backup file o Restore the database b Attaching a database o You can attach a database with the use of the MSSQL Enterprise manager this tool is only available on a full MSSQL server o With the DBBuilder tool provided on the Welch Allyn CardioPerfect CDROM SQL folder you can attach the database using the following procedure o This option is only available on the DBBuilder tool from version 1 5 0 and higher o Start the DBBuilder tool and right click on the Create Update button DIR 80012893 Ver D 32 55 WelchAllyn JF Database Builder v1 6 5 1134 Sao o Select the option Drop database and follow the instructions on the screen WARNING Deleting the MSSQL database will delete all data and is irreversible right click on the Create Update button Select the Attach database option Select the folder and the database you want to attach O O O CardioPerfect Workstation Service and Advanced installation Manual ral Create or update the Cardio Control Workstation database Sener Database name llocal CARDIOPERFE CT cedb Database folder C Program Files KE Microsott SOL Server MSS0GOL Browse W Use US Default settings Progress 11 45 19 4M Database Builder Started 11 45 20 Am Logged into server 11 45 20 4M Database creation
67. the connection to the MSSQL server for further instructions see the instruction manual of the Firewall software e Selecting another protocol in the CLICONFG tool C windows system32 cliconfg exe o Add the Multiprotocol TCP IP and Named Pipes SQL Server Client Network Utility General Alias DB Library Options Network Libraries Disabled protocols Enabled protocols by onder AM Link PS Pes TCP IP Apple alk Named Pipes Banyan VINES i Multiprotocal VIA i Disable 4 Properties Force protocol encryption W Enable shared memory protocol UE Cancel Apply Help e After applying the changes try to logon to the Welch Allyn CardioPerfect Workstation Software e If the logon fails contact the nearest Welch Allyn Technical Support Center 6 2 Problem Invalid release code The following error code can be caused by e Mistyping of the serial number or release code please verify o These numbers o The letter O is not a valid input in the release code Replace existing letters O with the number 0 e Release code doesn t match the software version Contact the nearest Welch Allyn Technical Support Center for verification of the numbers DIR 80012893 Ver D 36 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual License 6 3 Problem Cannot use all the functions in the software The user cannot use all the functions in the Welch Allyn CardioPerfect
68. tion 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 imp
69. tioned properly around the flow Values are too high intermittent Procedure error transducer Do not block the end of the flow transducer with your fingers or hand EA Boe Fe Ween as e Out of calibration e Recalibrate with a 3 liter syringe Sowara cein e Check in the settings menu to see g if the correct author is selected e Verify that the date of birth gender race and the height of the patient information are entered in the patient card these are needed for The program does not predict values or the values appear incorrect Wrong information entered DIR 80012893 Ver D 28 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual e Wrong linearization file Unable to calibrate Hardware problem e Wrong linearization file e Wrong Ambient setting e Out of calibration Patient test values differ from values Hardware problem expected by physician Wrong information entered DIR 80012893 Ver D the calculation of the predicted values Verify LOT number and perform a verification test Check the connection between flow transducer and sensor Replace the flow transducer Check that the connection between the syringe and the flow transducer is tight and without leaks Verify LOT number and perform a verification test Verify the barometric pressure Recalibrate with a 3 liter syringe Replace the flow transducer Eliminate any leaks in the pressure tubing
70. ts by running the setup If you have a network with multiple computers running workstation clients and one computer running the database server check the following options in the Select DIR 80012893 Ver D 45 55 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Components dialog of setup exe Software on the computers running workstation Database on the computer running the MSDE or MSSQL database server Telemedicine server on a computer with a connection to the internet After finishing setup continue with the next step step2 Configure the Telemedicine server Windows 7 and previous versions On the computer on which you have installed the Telemedicine server component go to Start gt All Programs gt Welch Allyn Click on the Mail Server Configuration vi All Programs Pig sm Mail Server Configuration fgg Welch Allyn yc E Windows 8 On the computer on which you have installed the Telemedicine server component go to the Start screen and click on the Mail Server Configuration icon a pr EEE Mail Server b Configuration This will open the CardioPerfect Workstation Telemedicine Configuration window If you plan to use e mail as your communication mode go to the e mail tab click on the Change button and fill in the e mail address server names and login details provided by your Internet Service Provider or your network administrator Edit email setting
71. u want to backup the database Select the type of backup that you want to make If you select Then Append to media 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 Click the Start Backup button to start the backup process 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 2 3 Click Backup database Select the Schedule check box and click the Change button The Schedule backup dialog box is displayed Schedule Backup Ea Select a device for this backup schedule Device name Type Location backup disk C MSSOL BACKUP thecla Append to media C Overwrite existing media Cancel 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 DIR 80012893 Ver D 17 55 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Schedule Backup x Schedule a backup C Once O
72. vice manuals e CPWS Resting ECG manual and CPWS Stress ECG manual e CPWS Pro manual and CPWS Spiro manual e 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 WARNING All signal input and output I O connectors are intended for connection user and device manuals 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
73. vice 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 WARNING l ee corrected immediately could lead to illness injury or death A CAUTION in this manual indicates conditions or practices that if continued or CAUTION not corrected immediately could damage the equipment Shipping Storing and Environment Symbols Single Use Do Not Reuse Keep away from sunlight Temperature Range Stacking limits Certification Symbols 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 2 12 5 mm diameter not protected against the ingress of water DIR 80012893 Ver D 8 55 WelchAllyn 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 de

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