CPWS ABP - Viper Medical
Contents
1. 27 28 1 2h 128 1 4 86 35 80 07 Zelaa eon EE 86 28 76 439 31 32 3 4h 125 42 84 85 74 07 33 34 4 5h 124 42 83 14 ZZ 2 1 35 36 5 6h 123 D 80 07 69 1 4 37 38 6 7h 138 92 91 42 79 42 39 40 7 8h 156 35 110 939 85 42 ha Information The averages of the following values are displayed e Systolic pressure e Diastolic pressure e Heart rate Working with the Hourly intervals view In the Hourly intervals view you can change the intervals for which the values are displayed To change the intervals for which the values are displayed e Click on one of the interval buttons at the top of the Hourly interval view The interval is changed DIR 80012332 Ver D 19 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 3 6 Trends view The Trends view shows a graphical representation of the ABP test Measurements Hourly Intervals Trends Summary Scatter points Rize and fall Exceeding norms Frequency distribution Systolic MAP Diastolic Heart rate Time 14 00 16 00 13 00 20 00 22700 OD 2 00 4 00 6 00 DUU 10 00 A os D Jpn Men Leien ite La Leien E SES Time 18 00 Systolic 172 MAP 143 Diastolic 131 Heart rate 1400 16 00 18 00 20 00 2200 Q00 200 400 DUU 800 10 00 Time Information e The upper chart displays the systolic pressure MAP when selected and diastolic pressure e The lower chart displays the heart rate Norm values Upper and lower norm values are displayed2. 414 7424 Iw incl equal Iw incl equal Iw incl equal Minimum 120 mmHg 128 mmHg 120 mmHg Maximum 172 mmHg 172 mmHg 163 mmHg Diastolic zi J Nr measurements 2 30 el 35 74 2 90 28 100 2 80 17 89 V incl equal JV incl equal Iw incl equal Minimum 78 mmHg 92 mmHg 78 mmHg Maximum 131 mmHg 131 mmHg 128 mmHg Heart rate Average 76 bpm 76 bpm 76 bpm SD 4 9 bpm 4 6 bpm 5 3 bpm Minimum 68 bpm 68 bpm 68 bpm Maximum 88 bpm 87 bpm 88 bpm Awake asleep decrease early morning Decrease 9 9 13 4 mmHg Not a dipper Morning average 149 0 104 0 mmHg Information The general statistics consist of e Number of measurements e Total recording time e Average blood pressure e Standard deviation of the blood pressure e Average pulse pressure The systolic and diastolic pressure statistics consist of e Number of measurements that is greater than or equal to the norm value that is displayed in the field e Minimum value that was measured e Maximum value that was measured The heart rate statistics consist of e Average e Standard deviation e Minimum heart rate that was measured e Maximum heart rate that was measured Awake asleep decrease The decrease in blood pressure in the sleeping period compared to the blood pressure in the awake period is expressed in the decrease percentages at the bottom of the view Morning average The average blood pressure in the first hour after the sleep period is expr
3. 6 00 86 00 10 00 12 00 14 00 mmHg mmHg fh 16 00 18 00 20 00 2200 0 00 200 400 600 800 10 00 1200 14 00 Time Information The upper chart displays e The diastolic and systolic pressure and MAP values e Arise and fall curve This curve is obtained by filtering the MAP curve DIR 80012332 Ver D 24 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual The lower chart displays e A first derivation of the filtered MAP curve This derivation clearly displays the rise and fall of the blood pressure Sleeping period The measurements that were recorded during the sleeping period are displayed in the grayed area Working with the Rise and fall view In the Rise and fall view you can e Zoom in on a graph see 3 10 3 10 Zoom in on a graph In the Trends view the Scatter points view and the Rise and fall view you can zoom in on a part of the graph To zoom in on a graph 1 Position your mouse near the area that you want to enlarge 2 Click your mouse button and keep it pressed When you move the mouse from the top left corner to the bottom right corner of the graph a square is drawn 3 Drag the square over the area that you want to enlarge The area is enlarged To reset the zoom 1 Right click on the graph 2 Inthe shortcut menu click Reset zoom The graph is restored to its original size 3 11 Exceeding norms view The Exceeding no
4. 80 100 120 140 160 180 200 22 bpm mmHg Information One point on a graph represents one measurement Black points were measured DIR 80012332 Ver D 23 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual during the sleeping period Sleeping period Each correlation graph can be displayed for all measurements measurements for the sleeping period or measurements for the awake period Working with the Scatter points view In the Scatter points view you can e Toggle between one graph or all graphs e Zoom in on a graph see 3 10 Toggle between one or all graphs In the Scatter point view the default view displays all four scatter point graphs You can display each graph individually by clicking the graph names at the top of the Scatter point view Overall Awake Asleep Systolic7HR Diastolic HR MAP HR Systolic Diastolic You can also select whether you want to see the overall measurements measurements for the sleeping period or measurements for the waking period 3 9 Rise and fall view The Rise and fall view displays values for the rise and fall of the blood pressure during the test Measurements Hourly Intervals Trends Summary Scatter points Rise and fall Exceeding norms Morning rise from 4 07 to 7 57 Duration is 3 50 Maximum value of 4 1 mmHg h at 5 51 Systolic MAP Diastolic Rise and fall Derivative Time 16 00 18 00 20 00 22 00 0 00 200 400
5. Barry P McGrath Note for recorder specific information please refer to the appropriate hardware manual DIR 80012332 Ver D 8 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 1 Getting started 1 1 The ABP window The ABP window is the central part of the ABP module Title bar Search Menu bar area Toolbar velch Allyn CardioPerfect JDL Sl File Edit Mail view Actions Tools i i Interpretation i Information Patient Test date CCNY 003 John Doe F 1 1 1990 12 6 1995 9 02 33 v Go Measurements Hourly Intervals Trends Summary Scatter points Rise and fall Exceeding norms Frequency distribution Birthdate E CCNV 012 Brady Tachy 21 7 1962 1 12 6 1995 9 04 157 NS 82 56 75 8792 Manual measurement m b 12 6 1995 9 18 174 128 99 56 75 9744 egea on Tas 3 12 6 1995 9 30 166 122 92 58 74 9628 ASCENDIA Fe een B 4 12 6 1995 9 45 173 12 88 57 85 9861 l 5 12 6 1995 10 00 164 122 94 53 70 8692 D CCNV O01 Jongmans Stela 1751971 Lie 12 6 1995 10 15 171 123 94 53 77 9063 SE gn gie See 7 12 6 1995 10 30 146 113 89 53 57 7738 i i nymous Ann 3 8 12 6 1995 10 45 164 119 89 51 75 8364 E CCNV 009 Pacing problem 9 12 6 1995 11 00 162 117 87 52 75 8424 Workspace E CCNV 004 Recording Long 1 1 1963 10 12 6 1995 11 15 181 130 92 51 89 9231 XE COM WPW 11 12 6 1995 11 30 178 1365 108 52 70 9256 12 12 6 1995 11 45 184 133 100 49 84 9016 13 12 6 1995 1
6. VIEW cccccceeeeeeeeeeaeees 24 Shortcut keys 40 Sleeping period ceeceeeeeeeeeeeees 18 19 Store previously recorded 00608 14 SEN 24 Summary View 23 IR EE 22 26 Trends view 21 View interpretation history 00 29 Waking period ccccsseeeeeeseeeeeeeeeeees 19 ZOO IN NEE 22 26 40 40
7. and to check all accessories to ensure that they are not the cause of the problem When calling please be prepared to provide Product name and model number and complete description of the problem The serial number of your product if applicable The complete name address and phone number of your facility For out of warranty repairs or spare parts orders a purchase order or credit card number 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 DIR 80012332 Ver D 3 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 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 y
8. the interpretation history 1 Inthe Tools menu click History The Interpretation history window is displayed Interpretation history X History El Interpretations Date Edited by 29 10 2001 16 49 35 30 10 2001 10 45 46 Unknown 30 10 2001 10 45 46 Hypertension stage 2 White coat hypertension Pulmonary hypertension Accelerated hypertension 2 The left hand pane displays the interpretations sorted by date The right hand pane shows the content of each interpretation plus the interpretation date time and editor 3 Click on a date to view an interpretation DIR 80012332 Ver D 28 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 5 Printing an ABP test 5 1 About printing ABP tests With the ABP module you can print ABP tests on plain paper with an regular inkjet or laser printer You can choose from a number of formats in which you want to print the information Each print format has a header that contains additional information With the Print preview function you can see what a printed ABP test will look like on paper Print formats The ABP module can print the following formats e Trends e Summary e Scatter points e Scatter points awake e Scatter points asleep e Rise and fall e Measurements e Hourly intervals e Hourly intervals with an interval of 2 3 4 6 or 8 hours e Frequency distributions e Frequency distributions asleep or awake e Exc
9. 2 00 170 128 98 50 72 8500 14 12 6 1995 12 15 182 147 121 57 61 10374 15 12 6 1995 12 30 144 108 86 61 58 8784 16 12 6 1995 12 45 156 120 94 56 62 8736 17 12 6 1995 13 03 9 7 52 59 44 5664 wjf 18 12 6 1995 13 15 108 79 55 60 53 6480 19 12 6 1995 13 30 ug 30 71 59 47 6962 20 12 6 1995 13 45 1393 106 80 63 59 8757 a 7 10 1996 12 15 51 21 12 6 1995 14 00 111 82 61 58 50 6438 Sj 1361995 15 28 33 22 12 6 1995 14 15 117 116 100 75 17 8775 M 126199 9 02 33 23 12 6 1995 14 33 168 131 um 63 65 10584 GG 29 5 1995 12 16 33 24 12 6 1995 14 45 182 1 115 61 67 11102 25 12 6 1995 15 00 190 138 103 63 87 11970 26 12 6 1995 15 15 165 132 109 61 56 10065 27 12 6 1995 15 30 170 128 99 59 71 10030 29 19C 100F 16 46 170 197 tin cz Cece older eats of 4 b CARDIO Yvonne E Status bar Title bar The title bar displays the name of the program The title bar contains three buttons that you can use to maximize minimize and close the ABP window Menu bar Each menu in the menu bar contains a number of tasks that you can perform with the ABP module Sometimes menus are gray This means that you cannot access that functionality at that particular point either because it is not available or because you are not authorized to use it Tool bar The tool bar contains buttons that give you easy access to the most common tasks in ABP such as recording and printing a test reading back the measurements interpretation and test information Search area The search area on th
10. 8 00 20 00 22 00 0 00 2 00 4 00 6 00 8 00 10 00 Time 17 00 Systolic 138 Diastolic 94 Heart rate we M MAP 14 00 16 00 18 00 20 00 22 00 0 00 2 00 400 6 00 8 00 10 00 Time To make a comparison 1 Right click on the graph 2 Inthe shortcut menu click Comparison Comparison EE Date amp T ime 5 2 2003 11 52 26 13 6 1995 15 28 33 12 6 1995 9 02 33 OK Cancel 3 Inthe Comparison dialog box select the test with which you want to compare the current test and click OK 4 The graphs for both tests are shown in the Trends view window To return to the current test click Comparison in the shortcut menu and click on the selected test DIR 80012332 Ver D 21 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 3 7 Summary view The Summary view displays statistics for general information systolic pressure diastolic pressure and heart rate For each of the statistics the values are given for the waking period the sleeping period and the entire test Measurements Hourly Intervals Trends Summary Scatter points Rise and fall Exceeding norms Frequency distribution Overall Awake Asleep General Nr measurements 47 28 ia Total time 22 42 00 13 12 00 9 30 00 Average 141 99 mmHg 147 104 mmHg 132 90 mmHg SD 12 8 7 12 6 mmHg 9 0 8 8 mmHg 12 8 13 0 mmHg Pulse pressure 42 3 mmHg 42 5 mmHg 42 1 mmHg Systolic z zy Nr measurements Aha 428 60 ha 246 che
11. 9 ARSC ERT 24 3 10 Zoom IN ON agrapb 25 3 11 Exceeding NOMS view 25 312 Freguency CISIMOUTION EE 26 4 INTERPRETING AN ABP TEST iesen ege egenen enee 27 4 1 Edit and confirm an interpretation cccccccseecceeeeceeeeeeeecaeeeseeeeeeeeseeeesseesaeeees 27 4 2 View interpretation MISIONY ee 28 5 PRINTING AN ABP WES EE 29 S About aigle E CN 29 6 CUSTOMIZE THE ABP MODULE wiisicssscccsscssnsecsveuswevsnstswaversieveniuisentewetnuse 30 61 ee e E e ul Eug WE 30 62 Ar Seung s Gee ral aD EE 30 6 3 ABP settings Printing Tab ka 31 6 4 ABP settings Advanced Ia 31 69 e teen EEN ER DIR 80012332 Ver D 5 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 6 6 Add Or edit a protocOl 33 or CU Ome aAa 08 eee teeter ne nents cert nena tr nee tere eee reer 34 6 8 Device Overview ccccccececeeeeceeeeenseeeneneeseseeenaeeseueeenaeeeseaeeenaeeesaneesaerenaeeesoaaes 34 EE 610 ener er EE EE eee ee eee eee 34 7 TROUBLESHOOTING usenecie 36 8 INSTALLING THE ABP MODULE cccccsssscsesseeeeseeeseeseneeseneeeenees 37 8 1 Conn ctthe recorder to the computer sssinirirsnsssorssisnonnannpn sea 38 8 2 Configure Welch Allyn CardioPerfect Workstation c sccccsseeeeseeeeseeeeeeeees 38 9 d HI Tentter h AE 39 DIR 80012332 Ver D 6 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual General information Welcome Welcome to the ABP module the ambulatory blood p
12. EEN 34 nie GE 24 Veit 24 Clear button EE 28 CON WEEN 32 COMMON E 19 eil un BEE 28 Confirm interpretation ceee 28 Connect ABP recordet c0eceeee 39 Date time button 28 Eben 20 measurement ccc ec eeeececeseveeeeeeeevens 20 el 34 ROTO E 34 Exceeding seenneseeneeseneeornrensrrrrrrnrrnne 26 NOrMS VIEW 26 ele a eres 19 General iab 31 ETC e DE 22 26 Hourly intervals view 20 2160 6 eee eee ene en ee 19 Installation c cece eeeeceececeeceseeeeceeeeeeees 38 Interpretation history noenneneanneneannn 29 Interpretations cccccccesseeeeeeeeeees 10 28 COMME ctisevsueiaiientestticusendtiventiheoracetin 28 DIR 80012332 Ver D CardioPerfect Workstation ABP Module User Manual dl EE 18 21 24 25 filtering E 25 Measurement aennneseenenennnennnnnn 19 20 Bye fe Cane ee E 20 Temporarily hide ccccceseeeeeeeeees 19 Measurements view 18 Name new device 12 New ABP Test dialog assnnnnnaennnnnaean 13 Norm values 0 0 0 ce ceceeceeceeceeeeeeeeeeeeeneees 24 AAS E A 24 Patient information cccccceeceeseeseeeeues 13 Print formal inrsraininorininininnniank nianna 30 PANUNG TAD WE 32 POLO EE 33 34 CGI EE 34 Protocol information cccccceeseeeeeeeees 13 Protocol UC WE 13 Read back measurement 14 15 Keele 12 13 ABP OG eebe GE Een 12 13 Reset ZOOM sirain ia 22 26 Ee 22 26 SE 18 Scatter points
13. WelchAllyn CardioPerfect Workstation ABP Module User Manual REP Regulatory Affairs Representative Welch Allyn EC 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 0297 DIR 80012332 Ver D WelchAllyn CardioPerfect Workstation ABP Module User Manual Copyright Copyright 2011 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 No one is permitted to translate reproduce or duplicate this manual or any part thereof in any form without prior 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 CardioP
14. When the patient returns connect the blood pressure recorder to the computer again and read back the measurements Enter patient and protocol information Before you can record an ABP test you first need to enter patient and protocol information This information is saved together with the recording You can enter patient and protocol information in the New Ambulatory Blood Pressure Test dialog box This dialog box is displayed Immediately when you start a new test with an empty ABP recorder After deleting the measurements when you start a new test with an ABP recorder that was not empty New Ambulatory Blood Pressure Test x CCNV 003 Bond James Specialty al D Referring physician None K Protocol DayNight ll OK Cancel Help To enter patient and protocol information 1 From the Specialty list select the specialty of the physician that ordered the test 2 From the Referring physician list select the name of the physician that ordered the test From the Protocol list select the protocol that you want to use for the test 4 Click OK The ABP module shows that the test is in progress DIR 80012332 Ver D 12 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual Please refer to chapter 6 5 and 6 6 for more information on protocols and the protocol editor Store previously recorded measurements The recorder can contain measurements from previously recorded tests You c
15. advanced part of the ABP settings menu The ABP Perfect unit does not display co after it has been connected to the computer e Check if there are fresh batteries in the device e Switch the device off and on once more to make sure the device was switched on after the device has been connected to the computer Measurement fails repeatedly Make sure the chosen cuff fits the patients arm correctly Check if the cuff is still positioned correctly Try a measurement with the cuff on the other arm lf the pump does not seem to work try again with fresh batteries To determine whether the device works at all try a measurement on a test person who has been successfully tested before An error code appears on the display of the ABP unit e See the list of possible errors in the CPWS help file and on page 34 DIR 80012332 Ver D 36 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 8 Installing the ABP module The Welch Allyn Cardio Perfect ABP software module can be used with the following devices e Mobil O Graph ABP Perfect OEM ABP Monitor E M GmbH Stolberg Germany Mobil o Graph C lt 0434 e ABPM 6100 WA ABP monitor Welch Allyn Inc Skaneateles Falls NY USA C lt 0297 The ABP module is made up of two elements the recorder and the software that runs on the computer to which the recorder is connected Before you can start recording tests you need to e Connect the recorder to t
16. an choose to save those measurements to the database before deleting them from the recorder How the measurements are saved depends on the patient for which the measurements were recorded If the measurements belong to Then you can The current patient Read back the measurements and save them to the patient s test in progress Another patient Assign the measurements to a test in progress for that patient An unknown patient Create a new patient and assign the measurements to the new test for that patient To read back the measurements and save them to the patient s previous test 1 If you try to record a test for a patient who already has a test in progress the following message Is displayed Welch Allyn CardioPerfect E E x This patient already has a best in progress Start read back of measurements 2 Click Yes The measurements are read from the ABP recorder and saved to the patient s previous test Note if you click No you cannot start a new test for the current patient because a patient can only have one test in progress To assign the measurements to a test of another patient 1 If you want to record a test for the current patient but the ABP recorder still contains measurements of another patient the following message is displayed x gt These measurements belong to patient Bond James OOF Nr CCNY 003 3 Do you want to assign these measurements to patient Bond James 007 they ll be era
17. art or end point The MAP is out of range The systole is out of range The diastole is too large The number of stages is too large The oscillation value is too large The total time is too long e A function took too much time e The battery voltage is too low No cuff was detected Too many measurements were taken or No memory was available in EEPROM No measurements are available Or The measurements were stopped Hardware failure Or Error at zero alignment or pumping started unexpectedly Note The codes mentioned above are the codes as listed by the software The can differ from the codes in the LCD display of the ABPM 6100 The latter ones are for reference only the error codes used in the software module as listed above are the error codes which correctly identify the possible error status DIR 80012332 Ver D 35 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 7 Troubleshooting When creating a new ABP test the computer tells me that there is no response from the hardware e Check if there are fresh batteries in the device e Check if the device is connected to the COM port of the computer e Check if the COM port settings in the CPWS settings menu correspond with the actually used COM port While using the ABP Perfect e Check if co is displayed on the display of the ABP Perfect see below for further checking e Try switching on Use safe initialization in the
18. ct Workstation ABP Module User Manual 3 4 Measurements view The Measurements view displays a list of measurements and events Measurements are automatically made by the ABP recorder Events are created when the patient presses the button on the recorder Measurements Hourly Intervals Trends Summary Scatter points Rise and fall Exceeding norms Frequency distribution Number Date amp Time Systolic MAP Diastolic Heart rate Pulse pressure RPP Comment 29 5 1995 12 18 144 117 108 36 10368 Manual measurement 29 5 1995 12 30 107 100 28 9600 29 5 1995 13 00 102 32 9916 29 5 1995 13 30 112 43 10850 29 5 1995 14 00 103 39 10224 29 5 1995 14 30 98 44 10508 29 5 1995 15 00 112 43 10695 29 5 1995 15 30 105 40 11310 29 5 1995 16 00 99 43 10224 29 5 1995 16 30 106 39 9860 29 5 1995 17 00 94 44 9936 29 5 1995 17 30 108 47 12090 29 5 1995 18 00 131 41 12900 29 5 1995 18 30 124 42 12948 29 5 1995 19 00 42 12168 29 5 1995 19 30 46 11248 29 5 1995 20 00 44 11704 29 5 1995 20 30 48 11644 29 5 1995 21 00 46 10656 of gt Information For each measurement the following information is presented e Number date and time of the recording e Systolic and diastolic pressure e Mean arterial pressure MAP e Heart rate e Pulse pressure e Rate pressure product RPP systolic pressure heart rate e Comment Norm values Values that are above the norm values are displayed in bold red text Sleepi
19. d in this stage Buzzer whether the buzzer should play a sound when a recording is made This way the patient can prepare himself and reduce the possibility of an error measurement If an error measurement occurs a repeated measurement is taken at exactly 3 minutes after the error measurement You can add and edit protocols in the Protocol editor DIR 80012332 Ver D 32 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 6 6 Add or edit a protocol With the protocol editor you can add new protocols or edit existing ones Adding a protocol consists of two parts e Creating the protocol e Adding stages to the protocol To create a new protocol 1 Inthe Tools menu click Protocol editor The Protocol editor is started Device selection box Protocol Designer all protocols ell Starting time Time interval minutes Buzzer OO O O FA Protocols 10 00 60 Off New Protocol 2 Wf Protocol 1 Show measurements on deslice Done Help Stages list Protocol tree 2 Select in the Device selection box which type of protocol you want to create Either a protocol for the ABPM 6100 or for the ABP Perfect or for both Right click on the Protocol tree In the shortcut menu click New A new empty protocol is added to the Protocol tree 5 Enter a meaningful name for the new protocol To add a stage to the protocol 1 Right click in the stages list In the shortcut menu click N
20. device overview displays the ABP devices that are currently in use the patients to whom they are assigned and the times when recordings have started To view the Device overview e Inthe Tools menu click Device overview The Device overview is displayed 6 9 ABP error list In the error list you can see the errors that can occur during the test recording as shown by the software The error list dialog consists of two items e Number of the error e Explanation An error can occur because of a number of reasons Most of the reasons are listed in the explanations DIR 80012332 Ver D 34 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual Eror Gester 2 This can indicate one of the following problems After 2 seconds the pulse has not reached the falling level Heart frequency has not reached its defined range Variation of the heart frequency is too large Less than 4 measurements were taken The rising level was not reached within 2 seconds after the falling level Pulse bandwidth is out of range Movement artifact Maximum number of beats encountered in a stage 3 This can indicate one of the following problems The heart frequency was out of range in more than 3 pressure stages The difference between systole and diastole was too small The systole is considerably bigger than the pump pressure An oscillation value was smaller than the start or end value The pulse bandwidth is smaller than at st
21. e left hand side contains search and display functionality that lets you easily retrieve patients and tests In the search area you can find a patient see which tests were recorded for that patient and see the kind of tests that were recorded You can also create search patterns an easy way of finding information that you need frequently DIR 80012332 Ver D 9 40 WelchAllyn CardioPerfect Workstation Workspace Shortcut menu Status bar DIR 80012332 Ver D ABP Module User Manual The workspace displays tests and test related data such as interpretations measurements and comments This is where you will do the actual recording viewing and interpretation The ABP workspace contains a viewing area with a number of tabs that let you see different aspects of the test The tabs also called views that are available are Measurements Hourly intervals Trends Summary Scatter points Rise and fall and Exceeding norms In the workspace you can use a shortcut menu to access the most common tasks You can access these tasks by clicking on the workspace with your right mouse button The status bar at the bottom of the window shows the current user 10 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 2 Recording an ABP test 2 1 About recording ABP tests An ambulatory blood pressure test consists of two parts e Starting a test and preparing the ABP recorder for use e Reading back the recorded measure
22. eeding norms Each format contains the view and a header that displays additional information You can print several formats at the same time If among others the Summary report is selected in the default report templates in the ABP printing settings tab the summary report will be printed first Please refer to the Workstation manual for further information on printing tests DIR 80012332 Ver D 29 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 6 Customize the ABP module 6 1 About customizing You can adjust various ABP settings to your own needs and wishes You can for example change the norm values for diastolic and systolic pressure set the dipping percentage or select the formats that you want to use with the Print selected formats function The features that you can customize are located in the ABP settings To open the ABP settings 1 Inthe File menu click Settings The Settings dialog box is displayed 2 Click Ambulatory Blood Pressure Protocols To add and edit protocols use the Protocol editor 6 2 ABP settings General tab Use the General tab to customize the norm values default sleeping time and dipping definitions The General tab contains the following information Norm values The norm values that are used by the ABP module to compare measurements You can set norm values for diastolic and systolic pressure for both sleeping and waking periods Default sleeping The period
23. erfect Workstation and SpiroPerfect are registered trademarks of Welch Allyn Software in this product is Copyright 2011 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 wh
24. essed in the morning average at the bottom of the view DIR 80012332 Ver D 22 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual Working with the summary view In the Summary view you can e Change the norm values for the systolic and diastolic blood pressure and see how many measurements are above the norm value Change the norm values The Summary view displays how many measurements are greater than or equal to the norm values The norm values are set as a default in the ABP module You can change the norm values for one test To change the norm values In the Summary view enter a new norm value in one of the norm value fields ve e chan o 83 ke incl equal 3 8 Scatter points view A scatter plot reveals relationships or association between two variables Such relationships manifest themselves by any non random structure in the plot The Scatter points view displays the correlation between the following values e Systolic pressure against heart rate e Diastolic pressure against heart rate e MAP against heart rate e Systolic pressure against diastolic pressure Measurements Hourly Intervals Trends Summary Scatter points Rise and fall Exceeding norms Frequency distribution Overall Awake Asleep Systolic HA Diastolic HA MAP HRA Systolic Diastolic Systolic against Heart rate Diastolic against Heart rate 220 220 Dee VE WEE EE 20 40 60 80 100 120 140 160 20 40 60
25. ew The Time interval editor is started Enter the time at which the stage must start Enter the interval minutes between recordings in this stage If you want the buzzer to play a sound before recording select the Buzzer option oo m S ww Y If you want the measurement to be displayed on the ABP recorder right after it was recorded select the Show measurements on device option DIR 80012332 Ver D 33 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual To edit a stage 1 Inthe stages list double click on the stage that you want to edit The Time interval editor is started 2 Change the information 6 7 Customize abp txt You can customize the statements that are used in the Interpretation editor according to your own preferences To customize the statements 1 Use Notepad to open the file abp txt As a default this file is located in C program files cardio control mdw modules resources 0009 English or 0013 Dutch 2 Edit add and delete the statements according to your own preferences Abp ixt consists of statements that are grouped in categories The statements are listed under the category name they belong to Statements indent one position To create a new category 1 Type the name of the new category on the first position of a new line 2 Enter the statements you want to add to this category on new lines make sure that each statement indents one character 6 8 Device overview The
26. he computer e Configure the software Please refer to the ABPM 6100 hardware manual for instructions on how to handle and maintain the ABPM 6100 recorder DIR 80012332 Ver D 37 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 8 1 Connect the recorder to the computer To connect the ABP Perfect recorder to the computer 1 Switch off the recorder 2 Connect the interface cable to the data connector of the recorder Each time the cable from the data connector is connected or disconnected the recorder must be switched off 3 Connect the serial connector of the interface cable to a free serial port or COM port on your computer 4 Switch on the recorder 5 The recorder is ready when its LCD display shows the word co To connect the ABPM 6100 recorder to the computer 1 Connect the interface cable to the data connector of the recorder Each time the cable from the data connector is connected or disconnected the recorder must be switched off 2 Connect the serial connector of the interface cable to a free serial port or COM port on your computer 3 Switch on the recorder Note Please refer to the ABPM Hardware Manual section 4 If your PC has no COM PORT 8 2 Configure Welch Allyn CardioPerfect Workstation After connecting the recorder you need to configure Welch Allyn CardioPerfect Workstation To configure Welch Allyn CardioPerfect Workstation for use with the recorder Start We
27. ich results from improper use faulty maintenance improper repair damage or alteration by anyone other than Welch Allyn or their authorized service personnel Accessories The Welch Allyn warranty can only be honored if you use Welch Allyn approved accessories and replacement parts Caution Use of accessories other than those recommended by Welch Allyn may compromise product performance DIR 80012332 Ver D 2 40 WelchAllyn CardioPerfect Workstation ABP Module User 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 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 353 46 90 67790 Australia 61 2 9638 3000 Center 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
28. in dotted lines Sleeping period Measurements that were recorded when the patient was asleep are displayed in the grayed area of the view Working with the trends view In the Trends view you can e View the exact values with the measurement slider e Compare ABP tests e Zoom in on parts of the trends graph see 3 10 View exact values in the Trends view The Trends view displays information in a graph You can see the exact values of a point in the graph with the measurements slider This is a vertical line that you can slide over the graph The exact values for the points in the graph are displayed on the right hand side of the Trends view DIR 80012332 Ver D 20 40 CardioPerfect Workstation ABP Module User Manual Time 18 00 Systolic 172 MAF 143 Diastolic 131 Heart rate Slider Exact value for points at slider position The measurements slider only gives exact values for 30 minutes intervals Compare ABP tests of the same patient In the Trends view you can compare the current ABP record with a previous recorded test of the same patient Measurements Hourly Intervals Trends Summary Scatter points Rise and fall Exceeding norms Frequency distribution Systolic 29 5 1995 12 16 33 Diastolic 29 5 1995 12 16 33 Heart rate 29 5 1995 12 16 33 Systolic 12 6 1995 9 02 33 Diastolic 12 6 1995 9 02 33 Heart rate 12 6 1995 9 02 33 Time 14 00 16 00 1
29. lch Allyn CardioPerfect Workstation In the File menu click Settings and click Ambulatory blood pressure Click the Advanced tab Select device ae SN eS Set the COM port number to the number of the serial port to which the ABP recorder is connected 6 Click OK to save the settings For further information on installation and configuration please refer to the Workstation Installation and Configuration manual DIR 80012332 Ver D 38 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 9 Function keys The Welch Allyn CardioPerfect module is just like all Windows applications designed for working with the mouse However there might be situations in which working with the keyboard can be quicker Therefore a number of functions within the Welch Allyn CardioPerfect module can also be selected directly using the keyboard Here is a list of all available keyboard shortcuts in this module for a more general function key description please refer to the Workstation manual ABP specific functions SHIFT CTRL B Starts a new ABP recording F2 Start new test CT RL l pens the Interpretation window DIR 80012332 Ver D 39 40 WelchAllyn Index ABP Installation EEN 38 ABP recorder 39 PI VOGT EE 12 ABP WINCOW cccececeececeececeeceseeeeeeees 10 Add comment 19 Advanced Lab 32 Assign measurements 000 0an 14 15 Awake asleep cccccsseeeeeeeeeeeeeeeeeaaeees 23 IZ ZOE
30. ments to the computer For both parts the ABP recorder needs to be connected to the computer Please refer to the ABPM 6100 hardware manual for instructions on how to handle and maintain the ABPM 6100 recorder 2 2 Record an ABP test Follow these global steps Each step is explained in more detail on the following pages To record an ABP test 1 Connect the blood pressure recorder to your computer 2 Select a patient or create a new one In the File menu point to New and click Ambulatory blood pressure The ABP module starts to communicate with the ABP recorder 4 If two devices are connected select which device should be used for the recording in the window that pops up Select device type C ABPM 6100 ABP Perfect 5 If the Name new device dialog box is displayed enter the name of the blood pressure recorder x This device is not yet known to the current database of ABP Perfect Device name Device 1 DIR 80012332 Ver D 11 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 6 After this step a number of situations can occur If the recorder Continue with Is empty Enter patient and protocol information Does contain measurements from Store previously recorded measurements previous tests Enter patient and protocol information 7 Disconnect the blood pressure recorder from your computer and place it in the pouch The patient wears the recorder for 24 hours 8
31. n which may last for up to 250 measurements Indications Possible clinical indications for ambulatory blood pressure measurement Suspected white coat hypertension Suspected nocturnal hypertension To establish dipper status Resistant hypertension Elderly patient As a guide to antihypertensive drug treatment Type 1 diabetes Evaluations of hypotension Autonomic failure Masked hypertension Because of the widespread availability and application of the generic kind of device the customer is assumed knowledgeable enough to determine if use of the device is indicated DIR 80012332 Ver D 7 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual Contraindications and considerations Some patients find the cuff pressure intolerable particularly those with very high blood pressure and who have frequent repeat readings ABPM is uncommonly associated with any complications Petechiae of the upper arm and sometimes bruising under the inflating cuff may occur and sleep disturbance is fairly common In general ABP may not be accurate during exercise or when driving or when the cardiac rate is irregular as in atrial fibrillation There may be technical reasons why ambulatory readings fail in some patients e g problems with cuff fitting in patients with conical shaped arms movement artefact tremor weak or irregular pulse auscultatory gap The Medical Journal of Australia 2002 176 12 p 588 592
32. ng period Measurements that were recorded when the patient was asleep are displayed in the grayed area of the view 21 29 5 1995 22 00 138 122 92 73 46 10074 22 29 5 1995 22 30 142 128 93 D 49 10082 23 29 5 1995 23 00 133 107 94 69 SIR 24 29 5 1995 23 30 13 111 91 72 A4 9720 Event 29 5 1995 23 52 Pressed event button E anc inne ann ann 11C na 7A AA mAvzq Working with the Measurements view In the Measurements view you can e Assign measurements to the sleeping or waking period e Add a comment to a measurement e Temporarily hide a measurement from a test e Delete a measurement DIR 80012332 Ver D 17 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual Assign measurements to the waking or sleeping period The measurements in an ABP test are divided into two categories e Measurements that were taken when the patient was awake waking period e Measurements that were taken when the patient was asleep sleeping period This is done according to the default ABP settings Usually this division consists of an 8 hour night and a 16 hour day When you read back the measurements you can change the sleeping period values so that they reflect the patient s actual sleeping period You can change the period to which a measurement was assigned This can be necessary for instance when the patient has not slept very well and decided to read a book He might also have decided to sleep in To assign a meas
33. onfirm an interpretation manually 1 2 3 In the Tools menu click Interpretation The Interpretation editor is displayed nterpretation edil In the right hand pane at the pointer start typing Click the Confirm button to save your comments and to return to the ABP test To edit and confirm an interpretation with the statement tree 1 2 In the Tools menu click Interpretation The Interpretation editor is displayed From the statement tree click on one of the categories to display all possible statements for that category From a category click on the statement that you want to include in the interpretation The statement is added To delete a statement from the interpretation select the statement text and press BACKSPACE to delete it Click the Confirm button to save your comments and to return to the ABP test Tips for editing and confirming an interpretation e You can automatically insert the current date and time by clicking the Date time button e You can clear the interpretation editor by clicking the Clear button DIR 80012332 Ver D 27 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 4 2 View interpretation history When you change something in an interpretation the ABP module does not change the Original interpretation but creates a new one This way you never loose any information A copy of all interpretations is kept in the interpretation history To view
34. ot used in the test at the moment The measurement is not used in any of the measurements or graphs in the other views DIR 80012332 Ver D 18 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 3 Click Include to make the measurement part of the test again Delete a measurement When a measurement or event is not valid you can delete it from the test To delete a measurement 1 In the Measurements view right click on the measurement 2 Inthe shortcut menu click Delete The measurement is deleted from the test It is not used in any of the views any longer 3 5 Hourly intervals view The Hourly intervals view displays the average of a number of values and their corresponding standard deviations at intervals of 1 2 3 4 6 or 8 hours Measurements Hourly Intervals Trends Summary Scatter points Rise and fall Exceeding norms Frequency distribution 1 Hour 2 Hours 3 Hours 4Hours GHours 8 Hours Numbers Time Systolic GD Diastolic SD Heartrate SD 1 2 12 13h E oli dear 74 21 3 4 13 14h 145 14 8 107 71 72 28 5 6 14 15h 142 00 101 35 fa 1A 7 8 15 16h 150 7 1 109 49 74 64 9 10 16 17h 144 21 103 49 70 28 11 12 17 18h 147 12 0 101 939 75 42 13 14 18 19h 169 42 128 49 Z i 15 16 19 20h 152 57 108 85 77 14 17 18 20 21h 147 71 lr o ee 80 35 19 20 9 21 22h 144 OF 99 07 77 AN 21 22 22 23h 140 28 sel uiy 72 1 4 23 24 23 24h 134 1 4 93 21 71 21 25 26 O 1h lz 1s 83 14 74 07
35. ou suspect they are associated with the problem e Wherever possible use the original shipping carton and packing materials e Include a packing list and the Welch Allyn Return Material Authorization RMA number lt is recommended that all returned goods be insured Claims for loss or damage to the product must be initiated by the sender 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 If a Product or accessory covered by this warranty is determined to be defective because of defective materials components or wo
36. ressure module of the Welch Allyn CardioPerfect Workstation The ABP module allows the user to easily record view and print 24 hour ambulatory blood pressure tests This manual contains specific information about the ABP module These instructions must be studied before putting the unit into operation For all general information about the workstation software please refer to the Workstation manual this describes a o Creating and editing Patient cards General information about printing For further information on installation and configuration please refer to the Workstation Installation and Configuration manual Intended use The CardioPerfect Workstation CPWS software with associated accessories is indicated for the acquisition analysis formatting display printing and storage of certain physiologic signals for the purpose of assisting the clinician in the diagnosis and monitoring of various diseases and or treatment regimens Using the optional ambulatory blood pressure ABP module of the Welch Allyn CardioPerfect Workstation and associated accessories the user can easily acquire record retrieve view and print 24 hour ambulatory blood pressure tests using the ABP recorder The ABP recorder is an automated microprocessor controlled blood pressure monitor which monitors accumulates and stores heart beat rate systolic and diastolic data of an individual adult or pediatric patient in the patient s environment for a sessio
37. rkmanship 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 80012332 Ver D 4 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual Table of contents 1 GETTING STARTED 1 0 eee ecee cence eneeeneeeneenseenseensseneceescnsecnseenssenseeneees 9 Vcd WASP WOW eebe 9 E 1 e eieiei H E 11 2 1 About recording ABP Ieets 11 22 51618 0 E g gt el E 11 2 3 Read back meaeuremente 14 3 VIEWING AN ABP KN WEE 16 3 1 WICW an ABP EN 16 32 VIEW ANG AOC ION MAU OM WEE 16 SZ MN AE 16 3 4 Measurements view 17 3 5 Mouly intervals VICW EEN 19 26 Tendo VEW ecco seco cette eestor este 20 el UNITAS AT 22 3 0 SCALE POINTS VICW siscesdeccececetedetencsnsecsantocadecesaneceandecssancaecsdeandeassanoeunedenstesecsacqusns 23 2
38. rms view displays the percentages of measurements that are e Normal less or equal than the norm value e Acceptable range 100 125 of the norm value e Critical greater than 125 of the norm value See paragraph 6 2 ABP settings General tab on page 30 for the norm value DIR 80012332 Ver D 25 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual The percentages are displayed in pie charts both for systolic and diastolic pressure HEB Systolic normal E Systolic acceptable HEB Diastolic normal E Diastolic acceptable GB Diastolic critical 3 12 Frequency distribution In the Frequency distribution window the frequencies of the systolic and diastolic pressure are shown divided in 10 mmHg bins The Heart rate frequencies are shown divided in 10 bpm bins You can select whether you want to see the overall graphic the graphic for the sleeping or the waking period and select which percentage is shown DIR 80012332 Ver D 26 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 4 Interpreting an ABP test 4 1 Edit and confirm an interpretation You can edit an interpretation in the Interpretation editor In this editor you can enter your own texts Alternatively you can use the statement tree to select and enter common interpretation statements Once you edit an interpretation you must confirm it Otherwise your changes will not be saved To edit and c
39. s by clicking the Read back button on the toolbar if the ABP module is activated This way you do not need to select the patient before reading back the measurements which speeds up the reading back process DIR 80012332 Ver D 15 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual 3 Viewing an ABP test 3 1 View an ABP test To view an ABP test 1 Inthe patient list select the patient whose test you want to view The tests that have been recorded for that patient are listed in the test list 2 From the test list select the ABP test that you want to see ABP tests are indicated s with The ABP module is started automatically and the test is displayed in the workspace 3 2 View and add information You can view information that was entered when the test was recorded Additionally you can add your own comments To view information about the test e Inthe Tools menu click Information The Information dialog box is displayed Referring physician Recorded by Location Protocol Comment To enter your own comments e Inthe Comment section of the Information dialog box start typing and click OK 3 3 Views With the ABP module you can view ABP test results in seven different views e Measurements and events e Hourly intervals e Trends e Summary e Scatter points e Rise and fall e Exceeding norms e Frequency distribution DIR 80012332 Ver D 16 40 WelchAllyn CardioPerfe
40. sed From the devices DIR 80012332 Ver D 13 40 2 3 WelchAllyn CardioPerfect Workstation ABP Module User Manual 2 Click Yes The measurements are assigned to the patient that is mentioned in the message The New ambulatory blood pressure test dialog box is displayed so that you can continue with recording a test for the current patient Note if you click No the measurements are deleted from the ABP recorder without being saved To assign the measurements to a new patient 1 If you want to record a test for the current patient but the ABP recorder still contains measurements of an unknown patient the following message is displayed Welch Allyn CardioPerfect z a x P The patient indicated by the device is not known Create new 2 Click Yes A new patient card is created This card only contains a patient number The New ambulatory blood pressure test dialog box is displayed so that you can continue with recording a test for the current patient Note if you click No the measurements are deleted from the ABP recorder without being saved Read back measurements When the patient has returned you need to read back the measurements and transfer them to the computer Once you have transferred the measurements to the computer you can view them in the ABP module To read back the measurements and save them on your computer 1 Connect the ABP recorder to your computer The In progress dialog is displa
41. storing them into the database Cancel Apply Help The Advanced tab contains the following information Recording device Enable the ABPM 6100 the ABP Perfect or both If you have selected both a window will pop up when you want to make a new recording in which you can select which device to use Connected to From this list you can select the port to which the ABP recorder is connected DIR 80012332 Ver D 31 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual Use safe Use this option if the ABP Perfect recorder has problem initialization communicating with the ABP program Max inflation Allows you to select the maximum pressure that the unit will inflate pressure the cuff to in mmHg Enable start button If selected a measurement can be manually started with the start button If not this can only be done in the first 30 minutes Auto erase When you select this option the measurements are automatically erased from the device after storing them into the database 6 5 Protocols A protocol is an important part of the ABP module It contains information about when the ABP recorder must record a measurement A protocol contains a number of stages Each stage contains the following information Start time the time the stage becomes active Time interval time in minutes between two measurements Measurements time interval minutes The interval in minutes between successive measurements recorde
42. that is used as the default sleeping time You can always time manually assign measurements to sleeping and waking time Dipping The percentage at which the blood pressure dips DIR 80012332 Ver D 30 40 Welch Allyn CardioPerfect Workstation ABP Module User Manual 6 3 ABP settings Printing tab Use the Printing tab to select the formats that you want to use for the Print selected formats function The Printing tab contains the following information Default report templates Here you can select the formats that you want to print when you use the Print selected formats function You can select multiple formats Print after the measurements are read back from the device If selected the ABP test is automatically printed when the measurements are read back from the device The formats that are selected in the Default report templates area are printed 6 4 ABP settings Advanced tab Use the Advanced tab to select the Recording device and the COM port for the ABP recorder s Settings ES lolx ab A a General Ambulatory blood pressure General Printing Advanced Recording device ABPM 6100 kd Enable ECG Connected to COM Max inflation pressure 270 E mmHg W Enable start button si Exercise ECG ABP Perfect Spirometry J Enable CA Ambulatory blood pressure Connected to COM ll k Use safe initialization E Recollect hd Erase measurements fram the device after
43. urement from the sleeping period to the waking period 1 Right click on the measurement that you want to assign to the waking period 2 Inthe shortcut menu click Set awake The gray shade is removed from the measurement to indicate that the patient was awake when this measurement was taken To assign measurements from the waking period to the sleeping period 1 Right click on the measurement that you want to assign to the sleeping period 2 Inthe shortcut menu click Set asleep A gray shade is added to the measurement to indicate that the patient was asleep when this measurement was taken Add a comment When you want to make note of something in a measurement you can add a comment to that measurement To add a comment 1 In the Measurements view click on Comment field of the measurement to which you want to add the comment The field becomes active and a pointer appears click again on the field and a cursor appears 2 Enter your comment The comment is automatically saved with the test Temporarily hide a measurement from a test When you do not want to view a measurement but do not want to delete it from the test either you can temporarily hide it To temporarily hide a measurement 1 In the Measurements view click the measurement that you want to hide 2 Right click on the measurement In the shortcut menu click Exclude The measurement number is put between brackets to indicate that this measurement is n
44. yed 2 Press the Read measurements button The Ambulatory Blood Pressure Measurements read back dialog box is displayed DIR 80012332 Ver D 14 40 WelchAllyn CardioPerfect Workstation ABP Module User Manual Ambulatory Blood Pressure Measurements read back x ab CCNV 003 Bond James Specialty All Referring physician None Patient was asleep from 23 00 00 until 08 00 00 Number of measurements events present 3 V Erase measurements from the device after storing measurements into the database Cancel This dialog box displays the specialty and the name of the referring physician that ordered the test In addition it shows e The period that the patient was asleep e The number of measurements or events that were recorded The sleeping period is set to the default settings that were entered in the ABP settings You can change the values to that they reflect the patient s actual sleeping period Decide whether you want to delete the measurements from the ABP recorder If you want to delete the measurements select the option at the bottom of the dialog box Press OK to transfer the measurements to the computer and save them with the patient that is mentioned at the top of the dialog box Note if you click the Cancel button the measurements are not transferred to the computer The test remains in progress Tips for reading back measurements You can also read back the measurement
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