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Cardioperfect Workstation, Software Version 1.6.6
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1. Schedule a backup C Once On date At time Every fi m Day s C Weeks C Monthis 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 recurrence pattern and click Next If you scheduled a recurrent backup depending on which option was selected one of these dialogs appears f Schedule Backup Time of backupls Ic Once at 0 00 Every 1 month on C Day 1 Df the month Ever fi Hourls Starting from 0 00 Onthe 2nd he Wednesday v Of the month Days Week Months 6 Enter the preferred schedule in the next steps Click Next 7 Asummary shows 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 Prior to the recovery of the database evaluate the situation carefully What is wrong with the database and what is the date of the most recent database backup Important When restoring a database you can only recover the database to the point of the latest backup Any changes made to the database after the last backup will be lost 1 Make sure that all users are logged out You cannot restore the database while it is being used
2. po 6 CCW Administration Tool i o lx Fie Sections Language User Administration m Transfer Tests Remove Patient REG Specialties sm Number Name Birthdate gt CC5E 3C04 7474 476D 9F2B 4 Locations 884C894F 2766 4456 88DD E CCNY 012 Brady Tachy 7 21 1962 CCNY 002 Ceasar J 8 12 1921 TN CCNY 030 Doe Jane 8 24 1970 Referring Physicians CCNY 003 Doe John 1 1 1990 Pocket 363 030527 1040 26 Doe John 1 1 1968 N 013 Fainting attacks amp Jongmans Stella 5 17 1971 Nodal tachycardia Patients Onymous Ann 9 29 1951 Pacing problem Recording Long 1 1 1963 Telemedicine HIPAA Auditing CCNY 011 WPW Database Administration User Logged In Connection local ccdb h Delete a patient Only someone with system administrator rights can delete a patient from CPWS in the Administrator tool WARNING When you delete a patient you delete all the patient data from the database If there are tests in the database for this patient these tests are deleted 1 Find the patient that you want to delete 2 Click Delete Tests Transfer a test One mistake that can occur is recording a test for the wrong patient With the Administrator tool you can correct this by transferring a test from one patient to another You can also transfer a test from a patient listed as SUSPECT when the patient data in a connected device does not match the patient ID in CPWS 1 Find the patient
3. CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data e CardioPerfect Device Drivers gt gt e CardioPerfect Connectivity Tools gt gt e 3rd Party Tools and Service Packs gt gt e Browse the manuals folder e View read me file Exit WelchAllyn Click Install CardioPerfect Workstation The installation wizard runs At the Welcome screen click Next Click Accept to accept the software license agreement oe Oo Registration Information O DS Please enter the name and company of the registered owner of Welch Allyn CardioPerfect into the fields below All fields must be filled in to proceed Name Welch Allyn Company Welch Allyn Family of Companies Serial number Release code pae elch Allyn Cardio Control BY lt Back Cancel 6 Enter your registration information and click Next You can find the serial number and release code on the disc case Skip the leading Os when entering the serial number DIR 80013928 Ver H 13 57 WelchAllyn CardioPerfect Workstation Installation type S fe Single PC Installs the software and hardware drivers with a local database Client station in network Installs the software and hardware divers for use with an existing database on the network Server Installs the software and the database Custom Select the parts that you want to install I Install with default settings for the
4. PerfectLink enables the remote server to see USB connected devices DIR 80013928 Ver H 25 57 WelchAllyn CardioPerfect Workstation Configure thin clients for ABPM This procedure applies only to ABPM To connect ABPM devices enable COM port forwarding through RDP or Citrix e Microsoft RDP COM port forwarding If you use Remote Desktop services using the RDP protocol you can select from the options in the Terminal Services Client Open Remote Desktop Connection Select Options to expand the dialog Navigate to the Local Resources tab If Serial devices is not present on this page select More In the Local devices and resources list check Serial ports Click OK and connect to the remote computer oQ200m e Citrix ICA COM port forwarding If you use Citrix ICA you map the serial port from the server using the following command net use comx client comz where x is the server COM port and z is the client COM port Note that client is not replaced by the client workstation name it is the word client For NFuse implementations you may need to change the template ica file from COMAIlowed NO to COMAllowed Yes For detailed information about enabling COM port forwarding see documentation from Microsoft or Citrix e Citrix serial port sharing configuration In the Citrix Program Neighborhood window the window containing Citrix connections use the menu system the Tools menu to select configuring serial devices Pr
5. US lt lt Back Exit WelchAllyn 4 Click Install Adobe Acrobat Reader US Follow the instructions on the screen DIR 80013928 Ver H 18 57 WelchAllyn CardioPerfect Workstation 7 Browse the user manuals All CardioPerfect user manuals are on the CardioPerfect Workstation disc in PDF format and are downloaded to the install location you specified for the CPWS software Note To open PDF files you must have Adobe Acrobat Reader If you do not have the reader see Install Adobe Reader on page 18 1 Insert the CardioPerfect Workstation disc The installer menu appears If this menu does not appear explore the disc and run installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data e CardioPerfect Device Drivers gt gt e CardioPerfect Connectivity Tools gt gt e 3rd Party Tools and Service Packs gt gt Browse the manuals folder e View read me file Exit WelchAllyn 2 Click Browse the manuals folder Windows Explorer displays the folder on the disc containing the manuals Open the appropriate language folder and open the desired manuals DIR 80013928 Ver H 19 57 WelchAllyn 8 View the Read Me file The Read Me file describes the contents of the CardioPerfect Workstation disc and includes last minute information that was not included in the user manuals 1 Close all running programs 2 Insert the CardioPerfect Workstation di
6. 2 Under Database Administration click Restore database DIR 80013928 Ver H 41 57 WelchAllyn 8 CCW Administration Tool File Sections Language User Administration Restore Database Application Administration Restore Backup Change File Date amp time Name FromFie Size Descrip HIPAA Auditing Database Administration Restore Database User Logged In Connection local ccdb 7 CardioPerfect Workstation 3 Select the backup that you want to restore If you have moved your backup files to a different location use the Change File button to locate the backup files 4 Click Restore A warning appears 5 Click Yes to start with the restore process When the restore process is successful a message appears DIR 80013928 Ver H 42 57 WelchAllyn CardioPerfect Workstation 15 Site Manager CPWS now includes sites a way to group users that log in to the same server but belong to different practices offices or other administrative units All users assigned to a site have the same settings for the database connection license information and available plug ins You use Site Manager to manipulate these settings and to create and maintain site definitions You can add update and remove sites Site Manager is available in the CPWS main installation directory To use Site Manager you must have Administrative privileges To set up Site Manager 1 In Site Manager define one or more sites The C
7. Doscripti oa B Built in account for admini an Be apie 3s ac a oe rity Group Members of this group are 3 See bi H a Doman Cont clare rity Group DNS Administrators Group a ForeignSecurityPrincipals rity Group DNS clients who are permi a Users rity Group Designated administrators rity Group All workstations and serve rity Group All domain controllers in th rity Group All domain guests rity Group All domain users rity Group Designated administrators rity Group Members in this group can ka Cancel Built in account for guest rity Group Group for the Help and Su PARAS and IAS Servers ecurity Group Servers in this group can f Schema Admins Security Group Designated administrators Fr User This is vendor s account TelnetClients Security Group Members of this group ha venkat K User DIR 80013928 Ver H 49 57 WelchAllyn CardioPerfect Workstation Create a new Group Policy Object GPO To support CPWS installation based on a specific user group complete the following steps 1 Goto Group Policy Management from administrative tools 2 Select Domains gt cpws local gt Group Policy Objects 3 Right click and select New 4 Enter a name for the GPO i Group Policy Management ia File Action view Window Help e Him h 2m 3 le Group Policy Management Group Policy Objects in cpws local El Forest cps local ae Doma
8. install CPWS If no organizational units exist in your domain you can create a new one and add users to this group for whom you want CPWS installed The next figure shows how to create a new organizational unit called CPWS ECG for the domain cpws local amp Active Directory Users and Computers lt 3 File Action View Window Help Sar e xS AB Cw RAYE lt 2 Active Directory Users and Computer faer pg Name rype Deserpt dg cpws local ezenprion E E Builtin f Tester TST Tester User H J Computers New Object Organizational Unit g 185 Domain Controllers gt E E ForeignSecurityPrincipals J Users Create in cpws local Name CPws ECG DIR 80013928 Ver H 48 57 WelchAllyn CardioPerfect Workstation Move users to the organizational unit To add users to the created users group Go to Active Directory Users and Computers Go to the Users folder Select the users you want to move to the new organizational unit Right click and select move Select the group as shown in the next figure Slo MT s Group Policy Management S file Action view Window Help gt GBexso en Group Policy Management ra Caraebki emue l e lt G File Action view Window Help 8 x BPO Status WMI Fill pole u ae a oml A e l a ER Cty gt Fe nt amp Active Directory Users and Computers Moye 73 Active Di i H E Save Move object into container 1 dg cpws
9. preferred laptop or tablet P4 or equivalent or higher 20 GB with 5 GB free space 512 MB 1 GB or higher recommended 1024x768 true color 1280x1024 recommended 15 or higher 2 USB XP SP2 or later Vista Business SP1 or later Windows 7 Home Premium Professional or Ultimate Windows 8 1 or Windows 8 1 Pro Stress ECG Tower or desktop PC P4 or equivalent or higher 40 GB with 10 GB free space 1 GB or higher 1024x768 true color 17 or higher 3 USB and 2 serial XP SP2 or later Vista Business SP1 or later Windows 7 Home Premium Professional or Ultimate Windows 8 1 or Windows 8 1 Pro Color printer recommended for Spirometry Compatible with inkjet and laser printers technical support A PC running only CPWS and EMR applications during tests CPWS Server small office Tower or desktop PC P4 or equivalent or higher 120 GB with 40 GB free space 1 GB or higher 1024x768 true color N A N A Windows Server 2003 2008 2008 R2 Windows Server 2012 Windows XP SP2 or later Windows 7 Home Premium Professional or Ultimate Windows 8 1 or Windows 8 1 Pro If implementing CPWS in a thin client environment see Thin client interface on page 24 CPWS Server enterprise Server P4 XEON or equivalent or higher 200 GB with 40 GB free space RAID 5 array or RAID array controller with memory backup recommended 1 GB or higher 1024x
10. prevent certain users to take certain actions You can control e The users that access CPWS This is done through user accounts and passwords e Actions users can perform with CPWS This is done by assigning each user a role Each role can only perform a predefined set of actions Access and action control can be configured with the user administration functionality in the Administrator tool Authentication types Authentication is performed through the login process When logging into CPWS a user must provide a password as proof of identification CPWS can use these types of user authentication e NT authentication NT authentication takes advantage of Windows NT user security and account mechanisms Users with a valid NT account can start CPWS without entering a user name and password Instead the Windows NT user name and password are used for Windows users that are currently logged in So you can control access to Windows NT and CPWS with just one user account e Database authentication Database authentication uses CPWS security system e Anonymous authentication If enabled the anonymous login option allows users to log in without further authentication You can use this only if the ccguest account is enabled Anonymous access should be avoided and may be illegal according to local regulations On systems with HIPAA support anonymous access is disabled Windows NT authentication properties Database authentication propert
11. recorded or interpreted by that user Since most users have recorded tests this normally means that you cannot delete a user In such cases you need to de activate the user An inactive user cannot work with CPWS 1 Click the Users icon 2 Click the Search button 3 Click the user that you want to delete 4 Click Remove user The user is deleted Assign a role 1 Under Users click the user whose role you want to change 2 Click Edit user The Edit User Information dialog box appears 3 Select one of the four built in roles or click Custom to select a Custom Role Select the appropriate custom role from the drop down box Set up a password When you use database authentication you can reset a user password with a new password You can use this function for example when end users have forgotten their password DIR 80013928 Ver H 32 57 WelchAllyn CardioPerfect Workstation Click the Users icon ia Click the Search button Click the user for which you want to change the user password Click Edit Users The Edit User Information dialog box appears Enter a different password Sed aa Hide the login window at startup When you use NT authentication you can choose to hide the Login window for the end user When you do this CPWS automatically uses the NT user information and bypasses the login screen 1 Onthe client start CPWS and wait for the Login window to appear Welch Allyn CardioPerfect E JO x Fil
12. rrrrnrrrrnnrernnrrrnnrrrnnrrvnnrrrnnrennnrernnrernnrennnnen 23 11 Thin client interface ccc eee cece cece seca seca cece cece eeaeeeeeeceeeseeeseeeseeeseesaueseeeseeeseeeges 24 U2 NNM E aE E sueceaucaneenanconcese 27 13 Before configuring CPW S esecswere2ecesecadexsmecederesaxedacenecedecatuexe daxeecsJensewedexesexedexanexecets 28 A ee EE OO E 30 DD TONN 43 16 OS specific installation instructions r rrrrrnnrrrrnnnrrrnnrerrnnnerranrernanrernnsrnnanrnnnnssen 44 A Installing legacy Unilink USB drivers rrarrrrnnrarrnnrrrvnnnerrnnnenrnnnernanrennanrennnnsnnnnnenn 45 B Install CPWS from the Windows Active Directory rrrrarrrrnrrrrarrnrnrrrranennanennnnennnn 46 GON EEE EEE ENE 57 DIR 80013928 Ver H 5 57 WelchAllyn CardioPerfect Workstation 1 Safety summary Introduction We at Welch Allyn are dedicated to provide safe products to our customers It is the user s responsibility to follow the rules of safety as established for their protection and for the protection of their patients as described in this manual The hospital s Biomedical IT support staff shall require primary skills including disciplines related to maintenance and servicing computer controls platforms Please take note of all safety precautions and warnings provided with the devices before using the devices and the accompanying software N warnings DIR 80013928 Ver H Power strips multiple portable socket outlets are not allow
13. user EXECUTE You can obtain the current status by entering this command change user QUERY This applies only to systems with Terminal Services installed or configured when operating in Application Mode If in Remote Administration mode the only mode available if Terminal Services is not installed this has no effect Configure thin clients for ECG and Spirometry 1 Close all running programs 2 Insert the CardioPerfect Workstation disc The installer menu appears If this menu does not appear explore the disc and run installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data e CardioPerfect Device Drivers gt gt e CardioPerfect Connectivity Tools gt gt e 3rd Party Tools and Service Packs gt gt Browse the manuals folder View read me file Exit WelchAllyn 3 Click CardioPerfect Connectivity Tools then click Install PerfectLink thin client Support The Welcome screen appears 4 Click Next 5 Start a thin client remote session Within CardioPerfect running in the remote session a Navigate to the Settings dialog then the ECG section and the Recorder tab b Select PerfectLink as the port to use c Inthe Spirometry section go to the Recorder tab d Select PerfectLink in the Connect to dropdown list Note If you plan to connect the USB PRO ECG or Spiro USB recorder to several thin client PCs install PerfectLink on each thin client
14. 768 true color N A N A Windows Server 2003 2008 2008 R2 Windows Server 2012 Printer optional An Internet connection is required for the Telemedicine option or to allow Welch Allyn to provide online If using CPWS software in a language other than English select a numerical option for the Windows date format under Regional Options Formats that include month names are reliable only in the English version of the software Both 32 and 64 bit operating systems are supported If the CardioPerfect client software is to be installed on the server for administrative purposes then the server must not be configured as Primary or Back up Domain Controller Caution Welch Allyn CardioPerfect Workstation was not optimized to be operated using a finger to interact with the touchscreen User Interface controls are sized for mouse and stylus use Finger touch should not be used Caution Do not use Windows 8 1 high contrast theme DIR 80013928 Ver H 12 57 WelchAllyn CardioPerfect Workstation 3 Install CPWS software Installing CPWS software also copies selected device drivers to the hard drive Caution Connect USB devices only after the software is installed Otherwise drivers must be installed manually 1 Make sure that you have administrator rights 2 Close all running programs Insert the CardioPerfect Workstation disc The installer menu appears If this menu does not appear explore the disc and run installer exe
15. CG Driver Installing Welch Allyn Spiro Driver Please wait while the Setup Wizard installs Welch Allyn PRO Link ECG Driver Please wait while the Setup Wizard installs Welch Allyn Spiro Driver Status Status OLETTE REE R RRR R RRR RRR RRR DIR 80013928 Ver H 56 57 CardioPerfect Workstation WelchAllyn DIR 80013928 Ver H Sr I ST Index ABPM module iycccccnsevecicosaiccesndasecdensatectentatindienss 21 adad of edil EN EEE 35 add login window IOC AO ieee E 35 hide at startup rrrrrnrnnnrrrrrnnnrernnnnrenvnnnnnen 33 referring phycisian rrrrnrrnrrrrrnnnrrrvnvnnnnnnrenn 34 manual backup rrrrnnrrrorrrnnnrnvevrnnnnnnvnnnnnnn 38 39 Specially EE 35 MS SQL Server mmmmrrrrrrrrrssnnnnnrrnrnnnnsrrnnnnnnnnns 27 admin account rrrnnnnnnnnvnnnrnnnnnvonnnnnnnnrnnnnnnnnnenn 29 NT authentication rrrrrrnnnrnrrrrnnnnrrevnrnnnnnrenn 28 Administrator tool rrrnrrnnnnnnrrrnnnnnnrennnnnnnnnenn 30 overwrite existing media rrrnnnrrrrrrrnnnnnrvnnnnnn 40 Always use my NT ACCOUNT eee 33 password append to media rrrrrrrrrrnnnrrrrvrnnnnnnrnnnnnnnnneen 40 CO TUNG EE ET 32 authentication sintaitenesnectieniaminiesiavecieniaketesrinecdiene 28 patient automatic DACKUD ccccceeeceeeeeeeeeesaeeees 38 40 0 gt EE 36 schedule cccccccsssseceeceeeeeeeeeeeaeeeeeeseaaaeeeess 40 quick installation guide rrrrrnnnrrrrrrrnnnnnvvnnnnnn 13 DICK U 0 EE 38 referr
16. GB of data You can purchase MS SQL licenses from Microsoft for versions that allow unlimited storage This manual explains how to install and configure CPWS For information about using CPWS see the CPWS user manual Module specific instructions are in the user manuals of the applicable modules Product configurations CPWS includes the following components e Server database You use this component to store and view data sent from clients to this computer Install only one server at your site e Client station in a network application You use this component to run CPWS with one or more of the diagnostic modules The client sends data collected by CPWS to the server You can install one or many clients at your site Before installing determine how you want to configure CPWS e Single PC configuration A stand alone system on a single computer Client application Server database I i e Client station in a network configuration Installing a network configuration means that the server and client components are on different computers They require an external connection to ate with each other typically a network Server database communic i Client application e Server configuration Installs the software and the database e Custom configuration Select the parts you want to install DIR 80013928 Ver H 9 57 Thin client r d ECG Pro Recorder Thin client Cardi
17. U S A Welch Allyn Cardio Control BM 7 Select the configuration type e Single PC e Client station in a network e Server e Custom For US installations please verify that Install with default settings for the U S A is selected as shown in the previous figure 8 Click Next If your computer does not have SQL Server already installed the wizard displays the install database engine screen Only the options supported by your operating system are available e The default database for Windows XP is the Microsoft SQL Server 2000 Desktop Engine MSDE 2000 You can select the Microsoft SQL Server 2005 Express database for Windows 64 bit operating systems including Vista and Windows 7 or you can select the Microsoft SQL Server 2008 R2 Express database for Windows 7 or for Windows 8 1 Select the version of the database engine to install a Quick Installation 2 5 minutes Maximum Database size is 2GB f Microsoft SQL Server 2005 Express Longer Installation 17 35 minutes Requires Microsoft NET Framework 2 0 as part of the installation Maximum Database size is 4GB f Microsoft SOL Server 2008 A2 Express Longer Installation 17 35 minutes Requires Microsoft NET Framework 3 5 5P4 Maximum Database size is 10GB elch Allyn Cardio Control B W Cancel DIR 80013928 Ver H 14 57 WelchAllyn CardioPerfect Workstation 9 Select the database engine to install and click Next 10 Click Install The w
18. ardioPerfect server changes to Site mode CardioPerfect Workstation Site Manager Database Registration Provider Serial Number SQLOLEDB v 3131313 Server License Number MAINSOLEOX v ABCDEF Database Name ccdb v dr Heart Company st Elsewhere Heart Clinic Plugins Available Plugins Selected Plugins Plugins File Link a Plugins File Link ABP PerfectiPluginsyFile Link ABP PerfectPlugins File Link Cardio Perfect Plugins File Link Add gt gt Cardio Perfect Plugins File Link Cardio Perfect ST Plugins File Link Cardio Perfect ST Plugins File Link Recollect Plugins File Link lt lt Remove RecollectiPluginstFile Link Spiro Perfect Plugins File Link Spiro Perfect Plugins File Link Add Site Edit Site Remove Site Save Close 2 InCPWS A Assign each user to a site Users can now log in to CPWS B In CPWS set up how users specify a site when logging in DIR 80013928 Ver H Default Select a site from a drop down menu on the login screen Specify a site in the user s login script To specify a site navigate to the following in the user s registry HKCU software cardio control mdw ConnectionString Change the following registers to the values shown name DefaultSite type REG SZ value SiteGUID Note The value for SiteGU D must be the same as the key under which the site was generated in HKLM software cardio control mdw Sites Specify a site in the user s login script and hide th
19. ase be prepared to provide e Product name 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 orders the required spare or replacement part number s Repairs If your product requires warranty extended warranty or non warranty repair service call the nearest Welch Allyn Technical Support Center A representative will assist you in troubleshooting the problem and will make every effort to solve it over the phone avoiding potential unnecessary return If a 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 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 shipping carton and packing materials e Include a packing list and the Welch Allyn Return Material Authorization RMA number It
20. at bsssej if CardioPerfect Workstation Software Installation Manual Version 1 6 6 Regulatory Affairs Representative Welch Allyn Limited 4341 State Street Road Navan Business Park Skaneateles Falls NY Dublin Road 13153 USA Navan County Meath www welchallyn com Republic of Ireland 901047 CARDIOPULMONARY ECG SYSTEM 901051 SPIROMETER Welch Allyn Inc DIR 80013928 Ver H Revision date 2015 06 WelchAllyn CardioPerfect Workstation Caution US Federal law restricts this device to sale by or on the order of a physician 2015 Welch Allyn All rights are reserved 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 CardioPerfect and SpiroPerfect are registered trademarks of Welch Allyn PerfectLink is a registered trademark of Welch Allyn Software in this product is copyright Welch Allyn All rights are reserved The software is protec
21. atic installation of Windows updates DIR 80013928 Ver H 7 57 WelchAllyn CardioPerfect Workstation Symbols Documentation symbols Indicated conditions or practices that if continued or not corrected immediately WARNING a could lead to illness injury or death Indicated conditions or practices that if continued or not corrected immediately Caution could damage the equipment Single Use Do Not Reuse IP20 Protected against the ingress of solid foreign objects 2 12 5 mm diameter not protected against the ingress of water Shipping storing and environment symbols s YYYY MM Keep away from sunlight Stacking limits Fragile Keep away from rain DIR 80013928 Ver H 8 57 WelchAllyn CardioPerfect Workstation 2 Overview Welcome to the Welch Allyn CardioPerfect Workstation CPWS the medical diagnostic workstation that offers the next step for PC based medical systems CPWS includes the following features e A database with virtually unlimited storage based on the Microsoft SQL Server database software e The possibility to integrate different diagnostic tools e One framework for different diagnostic modules Note All CPWS installations include the following SQL licenses e SQL MSDE 2000 can store up to 2GB of data this accommodates approximately 1500 stress tests depending on file size e SQL Server 2005 Express can store up to 4GB of data e SQL Server 2008 Express R2 SP2 can store up to 10
22. ation Administration Telemedicine HIPAA On and Off Switch Audit Database Settings Empty Audit Database HIPAA Auditing Gi HIPAA Settings HIPAA is curently ON Switch HIPAA Off EG oe amp 3 mr Audit Log Screen Lock Timeout Settings Login Attempts Select an inactive timeout period in minutes Zero Off Select the number of incorrect login attempts that will generate security log event 15 Database Administration DIR 80013928 Ver H 37 57 WelchAllyn CardioPerfect Workstation HIPAA Audit log viewer The audit log entries generated as users access CPWS can be viewed with the Administrator tool under the Audit Log function You can either choose to view all audit log entries default or you can enter certain criteria for selecting specific kinds of audit log events like Security or actions performed by a specific user Ji CCW Administration Tool File Sections Language User Administration HIPAA Auditing Application Administration Telemedicine Refresh log Print HIPAA Auditing Aprica HIPAA Settings Heer me est I 12 5 2003 22 01 52 iC dio Control Workstatio PA CG Test was opener IC CHY 003 Are HE admin 12 EG ardio Control Workstation a T IE al az opened CCN admiri lee e015 en opened EN 203 Patient Database Administration 14 9 Database functions In a computer environment there is always a possibility that somethin
23. ative Templates SE User Configuration E E Software Settings Deploy Software H E Administrative Templates 11 Right click the Software Installation object you just created and select Properties 12 From the deployment tab check the Install this application at logon checkbox and click OK gt Am EB ET Install CPWS testbox07 cpws loce SP Computer Configuration 8 0 Software Settings E G Windows Settings H E Administrative Templates f User Configuration B E Software Settings H E Administrative Templates The Server installation and setup is now complete DIR 80013928 Ver H 55 57 WelchAllyn CardioPerfect Workstation Start the install on a client PC After configuring the CPWS software deployment log in to a client computer Note The installation takes place before you see the desktop after logging in Device driver association 1 For new installations of CPWS the Found New Hardware Wizard dialog box may launch when a USB device is connected after the software installation Note If you connect a Pro Link USB the drivers automatically install 2 Ifthe user does not have Administrator rights to install the hardware enter the admin password to complete the installation Found New Hardware You must be a member of the Administrators group on this computer to install this hardware USB Device User name v f Password Installing Welch Allyn PRO Link E
24. cialty Name Cancel 2 Enter the name of the specialty that you want to add Edit a specialty 1 Click the specialty that you want to edit 2 Click Edit The Edit Specialty dialog box appears 3 Edit the name of the specialty Delete a specialty Important When you delete a specialty you also delete it for all physicians who are linked to that specialty 1 Select the specialty that you want to delete 2 Click Remove Specialty The specialty is deleted 14 5 Locations Configure the locations list select Locations Add a location 1 Click New Location The Add Location dialog box appears Addtocation x Location Name Cancel 2 Enter the name of the location that you want to add Edit a location Important When you change the name of a location it is automatically changed everywhere in the system including existing tests Select the location that you want to edit Click Edit The Edit Location dialog box appears Edit the name of the location ei DIR 80013928 Ver H 35 57 WelchAllyn CardioPerfect Workstation 14 6 14 7 Delete a location Important When you delete a location you also delete it for all tests that are linked to that location 1 Select the location that you want to delete 2 Click Remove Location The location is deleted Patients Access the patient list CPWS maintains a list of patients on the server Under Application administration click Patients
25. ck up or Ultimate Windows 8 1 or Ultimate Windows 8 1 or Windows 8 1 Pro Domain Controller or Windows 8 1 Pro 8 1 or Windows 8 1 Pro Thin client Citrix Receiver ICA version 6 30 or later Citrix XenApp Server Environment Remote Desktop Microsoft Remote Desktop Connection is part of Windows See the supported Services Operating system list above Quest vWorkSpace Quest vWorkspace Connector version 7 6 or later Peripherals Color printer recommended for Spirometry Compatible with inkjet and laser printers Memory N A N A N A 24 32 MB RAM per footprint session i Both 32 and 64 bit operating systems are supported DIR 80013928 Ver H 24 57 WelchAllyn CardioPerfect Workstation Before you begin e Make sure that you have administrator rights for this computer e Close all programs before starting the installation Configure the CPWS server Install CPWS on the server as described in Install CPWS software starting on page 13 It is not necessary to install the drivers for the acquisition devices on the server Although the installer may handle this on its own it is good practice when installing new software on a version of Windows Server to switch to Install Mode before installing CPWS or any of its components This can be accomplished by typing the following command in the command prompt change user INSTALL After installing CPWS and its components you can exit Install Mode by entering the following command change
26. culate the norm values for your Spirometry tests already in the database if it detects any Spirometry tests for which the predicted values can be calculated The upgrade process tries to provide the best possible match between the pre 1 5 0 norm selection active on your system at the time of the upgrade installation and the norms implemented in new software release and prompts you to confirm the mapping If no match is found the suggested norm selection will be empty You can use the norm suggested by the upgrade select a different norm to use or cancel the calculation of the predicted values Caution In some cases the norm implementations differ in pre 1 5 0 versions causing differences in the predicted values after recalculation Full details on the norm implementation differences are available upon request DIR 80013928 Ver H 11 57 WelchAllyn System requirements The CardioPerfect WorkStation has been validated to install and run on the operating systems specified Welch Allyn recommends installing all applicable operating system updates as they become available from Microsoft Consult your local IT policy CardioPerfect Workstation To work with CPWS software you need the following minimum recommended configuration Note Item Configuration CPU Hard disk RAM Monitor resolution Monitor size Ports Operating system Peripherals 1 Resting ECG ABP Spiro Recollect Tower or desktop PC
27. 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 80013928 Ver H 2157 WelchAllyn CardioPerfect Workstation 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 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 to check all accessories to ensure that they are not the cause of the problem When calling ple
28. e Welch Allyn CardioPerfect A Enter logon information here Use anonymous login guest account C Use Windows NT authentication C Use database authentication Username aamin Password aa Always use above login settings 2 Inthe Login window select Always use above login settings 14 2 Add a custom role CPWS assigns a set of permissions to each user role You can change these permissions at the user role level not at the individual user level 1 Click the User Rights icon 2 Click the Add Role tab The Add Role dialog box appears Add Role i oc cand 3 Enter the name of the new role you want to add 4 A new column is added to the User Rights matrix with the new role name in the heading You may need to scroll to the right to see this new column You can add up to 27 custom roles 5 Enable the appropriate permissions for this new role by checking the permission boxes for the user Arbor Change decal Case p trrd Ect posters Skat nse bast pini tent Edi b Casia iezi Pret rpi File E sgat File Ugs pika Change advanced pettng Condom r eipeet steers ee S Me Me i Me Me ey a i a RR RR 8 RR RS OR DIR 80013928 Ver H 33 57 WelchAllyn CardioPerfect Workstation Determine whether to allow each action v Checked Users assigned this role can perform the action Unchecked Users assigned this role cannot perform the acti
29. e Database authentication Any name with any characters except 4 Enter a user password If you use NT authentication you cannot enter a password because the NT password will be used 5 Select a role for the user See section 14 2 for details about creating Custom Roles 6 Inthe Personal Information tab enter the user s personal information Notes e When you do not enter a password for database authentication users can log in to CPWS without supplying a password e When you use database authentication users can change their password in CPWS Deactivate an account When you want to prevent an end user from working with CPWS for instance because you want to delete the user in the near future and want to prevent him or her from accessing the data you can deactivate that user When you deactivate a user the user account is not deleted but made inactive The user can no longer access CPWS 1 Make sure the user is not currently logged in Click the Users icon ig Click the Search button Click the user that you want to deactivate or reactivate Make inactive The user account is deactivated and the user cannot access CPWS The user account still exists or ly Make active The Edit user information dialog box appears If you use database authentication enter a new password for the user The user is reactivated immediately Delete an account You can delete a user only when there are no tests in the database that were
30. e site selection field in the login screen To specify a site see the previous bullet To hide the site selection field navigate to the following in the user s registry HKCU software cardio control mdw ConnectionString Change the following registers to the values shown name DontAllowSiteSelection type REG DWORD value 1 43 57 WelchAllyn CardioPerfect Workstation 16 OS specific installation instructions Windows Server 2003 Server 2008 and Server 2012 By default standard Windows users cannot perform spirometry calibration because they do not have the necessary permissions to edit certain registry keys Grant access to users who need to make changes to the local machine registry e HLKM Software Cardio Controll e HKLM Software Spiromeitry D9OW DIR 80013928 Ver H 44 57 WelchAllyn CardioPerfect Workstation A Installing legacy Unilink USB drivers If you use a CardioPerfect Portable or CardioPerfect MD device connected through USB you will need to install the Unilink USB drivers The standard driver supplied with the system will support the PRO recorder only To install or reinstall Unilink USB Drivers 1 Close all running programs 2 On the CDROM navigate to Drivers PROLink UniLink Usb Legacy 3 Indicate your ECG device connector Unilink USB for legacy CardioPerfect ECG recorder models and click Next 3 Select device type 3 x Please select the recording device for which you would like to insta
31. ed for use in connecting the medical electrical equipment or any accessories to ground unless used in concert with a medical approved isolation transformer During defibrillation the ECG signals displayed may show waveform artifacts and cannot be relied on as a true indication of the patient s physical condition Accessible metal parts such as electrode terminations should not come in contact with other electrically conductive parts including earth ground Welch Allyn provides a number of high quality patient leads in varying termination styles Use of these approved patient leads is required for electrical protection of the patient during cardiac defibrillation CardioPerfect devices are not intended for direct cardiac application An inoperable or damaged electrocardiograph can be identified by abnormal signals on the ECG waveforms Abnormal signals are characterized by flat lines excess noise square waves or other non typical anomalies that appear on the ECG waveform The electrocardiograph can be periodically tested by connecting the CardioPerfect to an ECG simulator Follow manufacturer s instructions If there is a requirement for equipment to be connected to a personal computer or other non medical rated equipment it is the responsibility of the user to ensure that the electric power circuit to which the CardioPerfect system is connected includes an additional protective earth ground or an isolation transformer in order to satisf
32. er you can also manually start the SQL server 1 Click Start and point to Programs 2 Point to the MSDE or MSSQL7 or MSDE SQL Server 2000 folder and click Service Manager The SQL Server Service Manager appears 3 From the Services list select SQLServer 4 Click Start Continue to start SQL Server You have successfully started the MS SQL Server when the SQL Server Service Manager icon displays a green triangle instead of a red square ral MS SQL Server is running MS SQL Server is not running idae with SQL Server 2005 Express Click Start and point to All Programs Point to the SQL Server 2005 folder and the Configuration Tools folder and the SQL Configuration Manager The SQL Server Configuration Manager appears 3 From the Services list double click SQL Server 2005 Services 4 Select SQL Server CARDIOPERFECT point to the Action button and click Start id with SQL Server 2008 R2 Express Go to All Apps Windows 8 1 or All Programs Windows 7 Go to the Microsoft SQL Server 2008 R2 Express engine folder and the Configuration Tools folder and the SQL Server Configuration Manager The SQL Server Service Manager appears 3 From the Services list Items double click SQL Server Services 4 Select SQL Server CARDIOPERFECT go to the Action button and click Start DIR 80013928 Ver H 27 57 WelchAllyn CardioPerfect Workstation 13 Before configuring CPWS Security CPWS has a security mechanism that can be used to
33. er the name of the backup device 4 Select the device type If you select Then Disc Select the location where the backup Is created and enter a filename When you 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 drive 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 create a backup device 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 Location ae Becki Datsbsen BloomFontein disk C MSSOL74BACK AddDevce George disk C MSSQL BACK Holter disk C MSSQL7 BACK Remove Device SoaPaulo disk CAMSSOL7YBACK Restore Database Append to media C Overwrite existing media Schedule New Schedule SQLServer Agent service must be running when using scheduled backups User Logged In Connection local ccdb DIR 80013928 Ver H 39 57 WelchAllyn CardioPerfect Workstatio
34. for whom the test was mistakenly recorded 2 Click Transfer Tests The Transfer Test s to other patient dialog box appears DIR 80013928 Ver H 36 57 WelchAllyn CardioPerfect Workstation f Transfer Test s to other patient Test s of patient To patient TEST 00000000 1 test test Search Number Name Birthdate Date amp time 8 12 2003 10 21 14 AM 8 12 2003 10 16 34 AM 8 12 2003 9 54 55 AM Transfer Done 3 Select the test you want to transfer To select several tests press and hold the Ctrl key 4 Find the patient to whom you want to transfer the test with the Search button and select that patient by clicking the name 5 Click Transfer The tests transfer to the selected patient 14 8 HIPAA audit functions You can modify the HIPAA related settings in the HIPAA section of the Administrator tool HIPAA settings In the HIPAA Settings screen the following items can be modified e HIPAA On and Off Switch Switches HIPAA mode on or off e Empty Audit Database Use this to purge the audit trail e Screen Lock Timeout setting Sets the number of minutes of inactivity allowed before the program locks Once locked out you must re enter the password to regain access e Login Attempts Sets the number of unsuccessful login attempts allowed before a security log event is generated 6 CCW Administration Tool File Sections Language User Administration HIPAA Settings Applic
35. g goes wrong database tables may be lost or corrupted To limit the possible risk of data loss you should back up your database regularly With the Administrator tool you can make a full backup of 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 You can back up a database in the following ways e Manually The simplest way to back up the database You can manually back up the database at any time you want e Automatically A backup or a series of backups at a fixed date and time To back up the database automatically you must schedule a backup Access database functions In the Administration tool select Database Administration DIR 80013928 Ver H 38 57 WelchAllyn CardioPerfect Workstation Create a backup device Before you can back up the database you need to create a backup device A backup device a place to store the backup can be a file on your hard disc or network drive or a tape We advise you to create a backup device on a different hard disc 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 copy if your computer crashes 1 Click Backup database 2 Click Add device The Backup device dialog box appears 6 Backup Device Device name Physical location Tape 3 Ent
36. ge and browse to the network location where you copied the CPWS installation image Note You must select the CPWS Remote Setup msi package from the network location rather than the drive letter because the network path is accessible from the client PC whereas the drive letter may not be accessible DIR 80013928 Ver H 53 57 WelchAllyn CardioPerfect Workstation re Eil F r e omen m EF Install CPWS testbox07 cpws loce Name aw Computer Configuration Og Software Settings H E windows Settings 4 03 Administrative Templates 2 User Configuration Software Settings There are no items to show in this view Open TS ee oftware installatior My Recent Documents 9 Windows Settings dg 7e f Deskto 9 Administrative Templates Fe My Documents Hd 3 My Compute re JB 3 Floppy 4 s Local Disk C 2 CD Drive D Desktop s r Removable Disk E eu My Network Places es a Entire Network 5 Microsoft Windows Network My Documents Cpws 92 168 0 252 CPWS Remote Setup msi rss Files of type Windows Installer packages msi 8 Select the installation type 9 Click Open 10 Select Assigned DIR 80013928 Ver H 54 57 CardioPerfect Workstation je gt menee m InstallCPWS cpwstestserver cpws Na a Computer Configuration arken fei Software Settings There are no items to show in this view EE Windows Settings Og Administr
37. gt gt e Browse the manuals folder View read me file Exit WelchAllyn The file importer installs the example data op Imported ECG 19961007 121551 CONWY 003 MDW successfully Imported E CG 1 99680904 1 03305 CCNY O01 MDW successtully Imported ECG 19980904 103345 CONY O01 MDW successfully Imported ECG 19980904 103406 CONY OD MDW successfully Imported ECG 20000809 164219 CCNY 004 MOW successfully Imported RECOLLECT 19970304 102611 COM O09 MDW successfully Imported RECOLLECT 19970919 091900 CONY OT0 MDY successfully Imported RECOLLECT 19980309 161253 CONY O12 MDW successfully Imported RECOLLECT 19980902 005411 COMO MDW successfully Imported RECOLLECT 19990507 215710 CCNY O13 MDW successfully Imported RECOLLECT 20000316 151507 CON O08 MDW successfully Imported SPIRD_ 20000208 161511 CONY 003 MDW successfully Imported XECG 19980824 101549 CCNY O01 MDW successfully Imported SECO 19980904 104521 CONV ODTLMOMYA successfully Finished 20 out of 20 files imported Imported XECG 19980904 104521 COMVODT MDW successfully Import 3 Click Quit DIR 80013928 Ver H 16 57 WelchAllyn CardioPerfect Workstation 5 Reinstall USB drivers To reinstall the USB drivers Caution Connect USB devices only after the drivers are manually reinstalled 1 Close all running programs 2 Insert the CardioPerfect Workstation disc The installer menu appears If this menu does not appear explore the disc and r
38. ies Windows 2000 Windows XP Windows Vista Windows 2000 Windows XP Windows Vista Windows 7 Home Premium Professional or Windows 7 Home Premium Professional or Ultimate Windows 8 1 or Windows 8 1 Pro Ultimate Windows 8 1 or Windows 8 1 Pro One user name and password for both OS One user name and password for OS and CPWS One user name and password for CPWS validated by the SQL server No login screen at startup optional Always a login screen at startup Password aging and login auditing No password aging Limited login auditing possible through HIPPA feature User accounts are assigned the role User by System administrator assigns and configures user default The system administrator configures roles and rights user rights User name format domain user_name User name format any format or character except Accounts CPWS includes the following user accounts e ccdba account e ccguest account DIR 80013928 Ver H 28 57 WelchAllyn CardioPerfect Workstation The Admin and SA accounts contain special privileges e Admin account The Admin account is a CPWS user account that gives access to workstation functionality that can only be used by the system administrator such as the Administrator tool The Admin account can perform every possible action To prevent abuse change the password of this account after installation If domain users have been added as administrators the built in Admin account can be disabled o
39. ing physician backup device add edit or delete rrrranrrrrannornnnnvnnnnvnnnnnene 34 Or r teadecdveuteasutuetauadiesandehentenahienmanta 39 requirements change AVON EE EE 12 USEr PASSWOTd rrnennnnnnronnnnnrennnnnnrnnnnnnrennnnsne 32 18 1 9 ea 11 gg EEE EE 24 BETTE 32 restore database rrrrrnrnnnnnrvrnrnnnnnnvnnnnnnnnneen 41 change user role rrrrnarrrrnnrrvvnnnrrvannernnnrennnnrnnnn 32 SA ACCOUNM visieeceakecvanducacesssivwenescvevewxeedesesseaces 28 29 Client Server structure rrrrnnrrrrrrrnnnrrrrrrrnnnnnrenn 9 schedule database EE 27 automatic backup cccceeseeeeeeeeeaeeeeeeeeens 40 RE SONG RE 41 00 oi toons E 28 database authentication cccccceecsseeeeeeeeees 28 Service manager ccccseeececcccseseeeeeceeeeeeeeeeeaeees 27 dbbuilder specialty HIPAA sonvnnnnnvnnvnnvnnvnnnnnnvnnnnnnnnnnnnnnnnnnnnnnnnnnnnnee 29 add edit or delete arrarnnrnnnnnnnnnnnnnnnnnnnnnnnn 35 de activate user rrrrrrrrrrrrrrnnnnnnnnnrrnnanvrvnnnnnnnnnr 32 SOL Server Agen uunkennemebesimndte 40 delete test Seg EEE EE EE 36 transfer to another patient rrrrrnnrrernnnrr 36 referring Physician rrrrnnrnrvvnnnnnonnnnnnennnnnr 34 transfer SSC CE 35 test from patient to patient ee 36 USET EEE 32 user edit change SIQNtS cccccsseseeeccceseeeeeeseeeeeeeeeeas 32 sjel 6 OE 35 create accoUNt rrrnnnnnnnonnnnnnrnnnnnnrennnnnennnnn 31 SS 0 EE 35 de activate rrr
40. ins ee Delegation ee cpws local GPO Status whl Filter Modified ogg Default Domain Policy ET CPS Install Enabled 10 23 2008 4 2 gd CPWS ECG 4 185 Domain Controllers Spee Group Policy Objects JER CPWS Instal 31 betalt Dom Ex Pe sf Default Domai 2 03 WMI Filters Mame Install CP s Ei Default Domain Controllers P Enabled 10 23 2008 2 4 Ei Default Domain Policy Enabled 10 23 2008 25 H E Sites Group Policy Modeling ae Group Policy Results 5 Press OK DIR 80013928 Ver H 50 57 WelchAllyn CardioPerfect Workstation Assign a Group Policy Object GPO to a group of users 1 Select Domain gt cpws local gt CPWS ECG Group Policy Management SE File Action View Window Help e m elx Ea e m CPWS ECG Linked Group Policy Objects Group Policy Inheritance Delegation Group Policy Management El Forest cpws local Domains EGP cpws local Link Order GPO Enforced Link Enabled GPO Status WMI Fill oo Default Domain Policy A EC VWS ECG Create and Link a GPO Here ig ik Link an Existing GPO roup Polic e WMI Faker Block Inheritance E e Sites Group Policy Modeling Wizard lag Group Policy Modeli new Organizational Unit JA Group Policy Result View gt New Window From Here Delete Rename Refresh Properties Help Select an existing GPO and link it to this container 2 Right clic
41. ion to install CPWS as a client workstation that connects to the database on a network This is for clients on which the main CPWS application will be run For a thin client configuration see section 11 This will install Software and Drivers Select this configuration to install a CPWS server for a simple office network If you are installing in a larger facility use the Custom configuration to fully specify the components to install This will install Software and Database Select this configuration for full control over the installation of the individual components With this configuration additional screens are presented with checkboxes that give you options to install or skip 10 57 WelchAllyn CardioPerfect Workstation Upgrades Note When installing CPWS you must upgrade all clients and the database The new software is not compatible with previous versions of the database Do not use CPWS software on any client workstations during this process SpiroPerfect update In versions before 1 5 0 Spirometry s predicted values were calculated differently than in newer software releases Predicted values were calculated at the moment a Spirometry test loaded into the system based on the Norm setting configured under Settings As of version 1 5 0 the norm values are calculated at the moment the test starts and the values are stored with the test When upgrading from pre 1 5 0 software the installation process will optionally cal
42. is recommended that all returned goods be insured Claims for loss or damage to the product must be initiated by the sender DIR 80013928 Ver H 3 57 WelchAllyn CardioPerfect Workstation Limited warranty statement Welch Allyn Inc warrants that the 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 the use of the Product with any hardware or software that does not meet the system requirements described in the Product documentation lf a Product or accessory covered by this warranty is determined to be defective because of defective materials components
43. izard installs the software This takes several minutes and depends on your compuiter s speed Note This screen might appear during the installation of the Microsoft SQL Server 2008 R2 database on Windows 8 1 operating systems Select Download and install this feature An internet connection is required An app on your PC needs the following Windows feature NET Framework 3 5 includes NET 2 0 and 3 0 amp Download and install this feature i Windows will get the files that it needs from Windows Update and complete the installation gt Skip this installation Your apps might not work correctly without this feature Tell me more about this feature Cancel When the installation is complete click Finish 11 Restart the computer to finish the installation if required 12 Click any other desired menu items as described in the following pages You can now use CPWS DIR 80013928 Ver H 15 57 WelchAllyn CardioPerfect Workstation 4 Install example data You can install example data in your database to experiment with 1 Close all running programs 2 Insert the CardioPerfect Workstation disc The installer menu appears If this menu does not appear explore the disc and run installer exe CardioPerfect Workstation installer e Install CardioPerfect Workstation Install Example Data e CardioPerfect Device Drivers gt gt e CardioPerfect Connectivity Tools gt gt e 3rd Party Tools and Service Packs
44. k and then select Link an Existing GPO 3 Select the new GPO DIR 80013928 Ver H 51 57 WelchAllyn CardioPerfect Workstation S Group Policy Management cities cigs x H A Forest cpws local a Domains EP cpws local Name 8 Default Domain Controllers Policy a sites Default Domain Policy GA Group Policy Modeli Install gt i i Group Policy Result 4 Click OK DIR 80013928 Ver H 52 57 WelchAllyn CardioPerfect Workstation Assign an image to the group policy 1 Goto Group Policy Management 2 Select Group Policy objects 3 Edit the GPO you just created Install CPWS by right clicking the Group Policy and selecting Edit The Group Policy Object Editor window appears 4 Select User Configuration gt Software Settings gt Software installation 5 Right click and select New Package Ta Group Policy Object Editor E s 5 xj File Action View Help e Am EB PE 5 Install CPWS testbox07 cpws loce E Computer Configuration Mame version Deployment state Source E E Software Settings There are no items to show in this view fl J Windows Settings 3 Administrative Templates E Re User Configuration 5 6 Software Settings ef Software installation H E windows Settings Paste 2 Administrative Templates Refresh View Arrange Icons gt Line up Icons Properties Help Adds a package 6 Select the MSI packa
45. ll the driver f Cardio Perfect PRO Link USB Cardia Perfect Unilink USB Cancel 4 Click Next to start the installation of the driver 5 Click Finish DIR 80013928 Ver H 45 57 WelchAllyn CardioPerfect Workstation B Install CPWS from the Windows Active Directory Installation notes See System requirements on page 12 before beginning installation Make sure that Windows Server with Active Directory and Group Policy Management is enabled Make sure that workstations are members of the domain network If your client PC is running Windows Vista Windows 7 or Windows 8 1 make sure that UAC is turned off prior to the remote install Installation steps The installation consists of the following major steps Initial preparation Creating the active directory organizational unit Moving users to the organizational unit Creating a new Group Policy Object GPO Assigning a GPO to a group of users Assigning an image to the group policy Starting the install on a Client PC Device driver association preparation Insert the CPWS installation disc into the PC s disc drive If autorun starts press Exit to exit the installer Copy the CPWS installation image from the installation disc to a network location that all users in the domain can access Run InstallServerSetup exe Install Server Cofiguration x Domain Administrator Information Registration If not all users have sufficient rights to i
46. llyn CardioPerfect Workstation In the File menu click Settings and click Ambulatory blood pressure Click the Advanced tab General 7 r Exercise ECG Spirometry Ambulatory blood pressure General Printing Advanced Ambulatory blood pressure Recording device ABPM 7100 VW Enable Connected to m ABPM 6100 vw Enable Connected to COM3 v Max inflation pressure 200 mmHg JV Enable start button ABP Perfect Enable Connected to coma v M Use safe initialization vw Erase measurements from the device after storing them into the database DIR 80013928 Ver H Cancel Apply Help 22 57 Set the COM port number to the number of the port to which the ABPM 6100 7100 recorder is WelchAllyn CardioPerfect Workstation 10 Install additional options or features Install Telemedicine software Telemedicine is an optional extension to CPWS Without the correct release code the Telemedicine functionality will not be activated 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 the following methods for sending and receiving email e Email facilities e Direct communication u
47. n 2 Enter a name and a description for the backup 3 Select the backup device to which you want to back up the database 4 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 The backup overwrites the already existing backup media 4 Click Start Backup 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 Note This feature is not available in SQL Server Express 2005 or in SQL Server 2008 R2 Express Important Make sure that the computer is switched on at the time you scheduled the backup Also ensure that SQL Server Agent is running 1 Click Backup database Select the Schedule check box and click Change The Schedule backup dialog box appears 6 Schedule Backup x Select a device for this backup schedule Device name Type il Location F backup disk C AMSSOL7YBACKUPthecla Append to media C Overwrite existing media Cancel 3 Select the backup device and backup type you want to use and click Next 4 Select whether you want to schedule a single backup or a recurring number of backups DIR 80013928 Ver H 40 57 WelchAllyn CardioPerfect Workstation 4 Schedule Backup x
48. nstall application please provide credentials of an account that will have sufficient rights User Name admin Serialnumber 56789231321 Password XXXXXXXXXX Releasecode 4564BCDA7BBEDACE Confirm Password ae Domain CPwWS Validate Release Code Database Server Server Name testbox07 Database name fccdb Save Close 5 Enter the following Domain Administrator Enter a user name password and domain name Information The user name must have sufficient administration rights to install software on the computers in the domain If you don t provide any information in the domain administrator section the domain users must have enough rights to install software Database Server Enter the server name and database to which CPWS software should connect DIR 80013928 Ver H 46 57 WelchAllyn Registration 6 Press Save 7 Press OK DIR 80013928 Ver H CardioPerfect Workstation If you leave this section blank the installer uses default settings Enter the serial number and release code from the purchase of your CPWS software If you leave this section blank CPWS prompts you to enter this information the first time CPWS launches 47 57 WelchAllyn CardioPerfect Workstation Create the active directory organizational unit These steps create a specific CPWS user group 1 Gotothe Active Directory Users and Computers window and find the organizational unit where you want to
49. oPerfect Workstation Q n CPWS SQL ECG Pro Recorder server server Note In Thin client configurations clients can access the application via presentation applications such as Citrix ICA and Microsoft Remote Desktop Services RDS For more information see Thin client interface on page 24 The Site Management Tool a standalone application provides central administration of site related data For more information about installing and using this tool see Site Manager on page 43 CPWS components and configurations When you install CPWS you can install the following components Software Database Telemedicine server US defaults CPWS client software The license that you purchased determines which modules are activated The CPWS database The Telemedicine server that you use to send and receive tests through e mail or a direct TCP IP connection A set of default values specific to the US such as 60Hz AC mains frequency and mph as the speed unit When upgrading from a previous version your existing customized settings are not overwritten These components will be installed in appropriate combinations by selecting one of the predefined configurations Single PC Client station in a network Server Custom DIR 80013928 Ver H Select this configuration to install both the CPWS and the database on the same PC This will install Software Database and Drivers Select this configurat
50. oceed through the prompts to add a serial port to share through the client After adding a serial port devices connected on the client are available to CPWS on the server For details on configuring shared serial ports see the Citrix user documentation DIR 80013928 Ver H 26 57 WelchAllyn CardioPerfect Workstation 12 About the database CPWS can use these database engines e Microsoft SQL Server 2008 R2 and Microsoft SQL Server 2008 R2 Express Microsoft SQL Server 2008 and Microsoft SQL Server 2008 Express Microsoft SQL Server 2005 and Microsoft SQL Server 2005 Express Microsoft SQL Server 2000 Microsoft SQL Server 7 Microsoft MSDE database a runtime version of MS SQL Server 7 2000 Note To use with CardioPerfect existing SQL Server installations must have mixed mode authentication enabled Database installation The database installation process installs the Microsoft MSDE database engine the Microsoft SQL Server 2005 Express engine or the Microsoft SQL Server 2008 R2 Express engine depending on your installation selection and creates a database named ccdb in an instance named CARDIOPERFECT This database contains all information generated by CPWS A second database called ccdbaudit is installed for maintaining an audit trail when enabled Working with Microsoft SQL Server 2000 To work with CPWS the database engine must be running By default the database engine starts automatically when you start the computer Howev
51. on Note You cannot edit the right to change security settings for the administrator role 14 3 Physicians CPWS uses predefined lists of physicians specialties and locations that are maintained on the server This way all clients that are connected to the same server have the same information available 1 Open the Administration Tool 2 Select Application Administration 3 Select the table you want to configure Configure the physicians list Select Physicians Add a physician 1 Click New Physician The Physician dialog box appears New physician Specialty Mone ee Internal First name Middle name Last name Phone number 1 Phone number 2 Fax number E Mail address Cancel Help 2 Select the Specialty to which you want to link the physician and enter the information of the physician that you want to add Edit a physician 1 Click the physician that you want to edit 2 Click Edit The Physician dialog box appears 3 Edit the physician information Delete a physician Important You can only delete a physician when there are no tests linked to that physician 1 Click the physician that you want to delete 2 Click Delete The physician is deleted DIR 80013928 Ver H 34 57 WelchAllyn CardioPerfect Workstation 14 4 Specialties Configure the specialties list Select Specialties Add a specialty 1 Click New Specialty The Add Specialty dialog box appears New Specialty x Spe
52. 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 80013928 Ver H 4 57 WelchAllyn CardioPerfect Workstation Contents 1 Safety summary vacances ccwonesasccenewesceaucessdsguewessesncuesneouseencecurueueuseemeeensectacscesnsenaeneueeoe 6 Pe ONW EEE EE E ee eee 9 3 Install CPWS Software rrrrarernnnennanernnnernnnennnnennnnennnnennnnennnnennnnennnnennnnennnsennnnennnsen 13 Ae KE ELEN 0 a EEE 16 5 PENNEN 17 MEAN AIDER dO ee 18 BOGEN vrede 19 8 View the Read Me file rrrrrnrrnnanennanrnrnnrrranrnnanrnnnnennanrnnnnrnnanrnnnnsnnnnennnnsnnnsennnssnnnnee 20 9 Configure the ABPM MOdUIE ccccceecccceeceeceeeeeeeeeeseeeesseeeesseeeessaeeesseeeesaaeees 21 10 Install additional options or features
53. r deleted e SA account The SA account is an MSDE server administrator login that gives access to functionality related to the database If the SQL engine is installed by the CardioPerfect installation program the SA account password is Cardio Perfect To prevent abuse change the password for this account after installation A word on HIPAA As of April 2003 the Privacy provisions of the US Health Insurance Portability and Accountability Act of 1996 are mandatory for all entities except small health plans Among other things HIPAA requires all repositories of Healthcare Information to provide access only to authorized individuals and to maintain an audit trail of activity performed with that data Welch Allyn CardioPerfect keeps track of this audit trail in a separate database called ccdbaudit which is installed during set up When upgrading from an older version the audit database may not yet exist Upon detecting this situation CPWS prompts you to run the dbbuilder tool to correct this situation The HIPAA mode can be switched on and off from the Administrator tool For more information see HIPAA audit functions on page 37 Additional functionality of HIPAA mode e Audit trail of log ins and attempted logins e Audit trail of data access change deletion print out import and export of patient and test data e Anonymous access is disabled e Inactivity time out after not using CPWS for a period of time it requires reentry of yo
54. rrrrnrrrrrnnnnnorvnrnnnnnrrnnnnnnnnennn 32 hide login WINKOW rrnnrnnnnnnvvvrrnnnnnvnnvrnnnnsvnnnnnnn 33 5 ieadesee tr eawseamceeeecusenseanesadaudeees 32 HIPAA name format rrrnnnnnnnnnnnnnnnrnnnnnennannnnnnnennnnne 32 SJ EE 29 user role install AS SION EE NE TE 32 PU EE E A A 13 eg 2 0 EE 32 location
55. s you can select various administrator tasks 30 57 WelchAllyn CardioPerfect Workstation Workspace You perform administrator tasks in the workspace located in the right pane CCW Administration Tool SEE File Sections Language User Administration User Rights Add Role Rename Role Remove Role sers Administrator Physician Technician Change security Create patient User Rights Edit patient Start new test Open test Edittest Delete test Print Import file Export file Use telemedicine Change advanced s Confirm interpretations SuperUser wo oO lt lt lt K lt K lt lt lt lt lt lt lt OO KK s K s l e OOOOOROOROOOO le OOOOOROORIOORID NNN Workspace Functionality categories 14 1 User accounts 1 Start the Administration Tool 2 Select User administration in the left pane Create an account 1 Click the Users icon La 2 Click the New User tab The Edit User Information dialog box appears 4 Edit User Information User login Personal information User Name Role C Administrator C Physician Password Technician C User Custom SuperUser Cancel DIR 80013928 Ver H 31 57 WelchAllyn CardioPerfect Workstation 3 Inthe Edit User Information dialog box enter the user name for the user that you want to add If you use Then the user name format is NT authentication DOMAIN user_nam
56. s such as Citrix ICA and Microsoft Remote Desktop Services RDS 00 m Thin client Thin client s SS lt L gt CPWS SQL ECG Pro Recorder ECG Pro Recorder server server Device data acquisition through a thin client interface requires the following e Resting ECG and Spirometry The Welch Allyn PerfectLink thin client solution e ABPM A serial interface With the serial interface the system administrator can configure your system to share the serial port over the network between the server and the clients Thin client system requirements To work with CPWS software in thin client environment you need the following minimum recommended configuration Item Resting ECG Spiro ABP Server Harddisk S MB free space SMBfreespace SMBfreespace 40GBfreespace Monitor 1024x768 high color 1024x768 high color 1280x1024 high color N A resolution 1280x1024 1280x1024 1280x1024 recommended recommended recommended Ports USB USB or serial USB or serial N A Connection PerfectLink PerfectLink COM port forwarding N A technology Operating XP SP2 or later XP XP SP2 or later XP XP SP2 or later Vista Windows Server system embedded Vista embedded Vista Business SP1 or later 2003 2008 2008 R2 Business SP1 or later Business SP1 or later Windows 7 Home The server must not Windows 7 Home Windows 7 Home Premium Professional be configured as Premium Professional Premium Professional or Ultimate Windows Primary or Ba
57. sc The installer menu appears If this menu does not appear explore the disc and run installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data e CardioPerfect Device Drivers gt gt e CardioPerfect Connectivity Tools gt gt e 3rd Party Tools and Service Packs gt gt e Browse the manuals folder e View read me file Exit WelchAllyn 3 Click View read me file DIR 80013928 Ver H 20 57 CardioPerfect Workstation WelchAllyn 9 Configure the ABPM module CardioPerfect Workstation To set up the ABPM 6100 and the ABPM 7100 for communication to your PC for the first time Windows XP 1 all ats click on My Computer Open Explore Search Manage U Scan for threats Map Network Drive Disconnect Network Drive Create Shortcut Delete Rename 2 Select Properties 3 Click the Hardware tab 4 Click the Device Manager System Properties Automatic T Computer Name System Restore General Advanced Device Manager The Device Manager lists all the hardware devices installed S on your computer Use the Device Manager to change the properties of any device _ Manager gt 5 Double click Ports COM amp LPT 6 Plug the ABPM 6100 or the ABPM 7100 PC Interface Cable into a USB port on your PG ABPM 6100 El Ports COM amp LPT F Bluetooth Communications Port COM7 F Comm
58. sing TCP IP sockets In both cases the Internet or any other TCP IP network must be available as transportation infrastructure You can use a mix of both email and direct socket connection Telemedicine like CPWS 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 network Before installing Telemedicine make sure that the hardware and software requirements are met see System requirements on page 12 determine the type of communication you will use and if in a network identify which computer s will run as clients and which as mail server The Telemedicine option requires significant IT skills to install and configure Detailed instructions on installation and configuration can be found in Section 10 of the CardioPerfect Workstation Service and Advanced Installation manual For a more detailed description of how to use Telemedicine see the CPWS user manual Note Full administrator privileges are required to correctly configure Telemedicine DIR 80013928 Ver H 23 57 WelchAllyn CardioPerfect Workstation 11 Thin client interface If you plan to operate the CPWS in a thin client environment install the Welch Allyn PerfectLink ECG client on the client PC Clients can access the application via presentation application
59. ted 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 The printed version of this document may be out of date Always refer to the file on the disc for the latest information User responsibility This product is designed to perform in conformity with the description thereof contained in this manual and accompanying labels and inserts when assembled operated maintained and repaired in accordance with the instructions provided A defective product should not be used Parts that are broken plainly worn missing or incomplete distorted or contaminated should be replaced immediately Should any repair or replacement become necessary we recommend that service be performed at the nearest approved service center The user of the product shall have the sole responsibility for any malfunction which results from improper use faulty maintenance improper repair
60. un installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data e CardioPerfect Connectivity Tools gt gt e 3rd Party Tools and Service Packs gt gt e Browse the manuals folder e View read me file Exit WelchAllyn 3 Select CardioPerfect Device Drivers 4 Select the drivers you want to install Note If you have older CardioPerfect MD or Portable ECG hardware see Appendix A Installing legacy Unilink USB drivers on page 45 5 Follow the instructions on the screen DIR 80013928 Ver H 17 57 WelchAllyn CardioPerfect Workstation 6 Install Adobe Reader All user manuals on the CardioPerfect Workstation disc require Adobe Reader to read or print If you do not have the reader you must install it Note To download the latest free Adobe Reader go to Adobe Reader download at http get adobe com reader 1 Close all running programs 2 Insert the CardioPerfect Workstation disc The installer menu appears If this menu does not appear explore the disc and run installer exe CardioPerfect Workstation installer Install CardioPerfect Workstation Install Example Data e CardioPerfect Device Drivers gt gt e CardioPerfect Connectivity Tools gt gt e Browse the manuals folder View read me file Exit WelchAllyn 3 Click 3rd Party Tools and Service Packs CardioPerfect Workstation installer Install Adobe Acrobat Reader
61. unications Port COM1 J Intel R Active Management Technology SOL COM3 Printer Port LPT1 RIM Virtual Serial Port v2 COMS RIM Virtual Serial Port v2 COM6 a USB Serial Port COMS ABPM 7100 S Di Ports COM amp LPT Communications Port COM1 Y Communications Port COM2 J Printer Port LPT1 P Prolific USB to Serial Comm Port COM3 DIR 80013928 Ver H 21157 Windows 7 and Windows 8 1 1 Right click on Computer This PC Open Manage far Scan for threats Map network drive Disconnect network drive Create shortcut Delete Rename Properties 2 Select Properties 3 Click the Device Manager Control Panel Home ay Device Manager al ay a 4 Double click Ports COM amp LPT 5 Plug the ABPM 6100 or the ABPM 7100 PC Interface Cable into a USB port on your PC Remote setting System protection Advanced system settings ABPM 6100 4 r Ports COM amp un ABPM 7100 a IF Ports COM amp LPT 1 Prolific USB to Serial Comm Port COM14 19 RIM Virtual Serial Port v2 COM3 JP RIM Virtual Serial Port v2 COM4 JP Standard Serial over Bluetooth link COM7 17 Standard Serial over Bluetooth link COMS WelchAllyn CardioPerfect Workstation To configure Welch Allyn CardioPerfect Workstation for use with the recorder 1 2 3 4 Select device 5 connected 6 Click OK to save the settings Start Welch A
62. ur password to reactivate the program Considerations for system administrators In the HIPAA Settings of the Administrator tool CPWS adds security features and audit functionality to enable a fully HIPAA compliant environment In addition to this basic functionality the overall system configuration must also provide for measures such as security policies on passwords for example password complexity and aging We strongly recommend using NT authentication along with the security policy enforcement that the NT Server provides DIR 80013928 Ver H 29 57 WelchAllyn CardioPerfect Workstation 14 Administrator tool Use the Administrator tool to perform user and data administration and to back up the database 1 Inthe Windows Start menu select Programs gt Welch Allyn gt Administrator Tool 2 Enter your password The Administration Tool screen appears CCW Administration Tool File Sections Language User Administration User Rights Application Administration HIPAA Auditing Database Administration Welcome To Welch Allyn CardioPerfect Administration Tool WelchAllyn Advancing Frontline Care The main window contains the following elements Functionality categories You can access the following categories of administrator functions from this pane DIR 80013928 Ver H User Administration Application Administration Telemedicine HIPAA Auditing Database Administration From these categorie
63. y the IEC 60601 1 safety standard Other medical equipment including but not limited to defibrillators ultrasound machines pacemakers and other stimulators may be used simultaneously with the electrocardiograph However such devices may disturb the electrocardiograph signal The electrocardiograph has not been designed for use with high frequency HF surgical equipment and does not protect against hazards to the patient Fire and explosion hazard Do not operate the electrocardiograph in the presence of a flammable anesthetic mixture with air oxygen or nitrous oxide in oxygen enriched environments or in any other potentially explosive environment To prevent the spread of infection take these precautions e Dispose of single use components for example electrodes after using them once e Regularly clean all components that come in contact with patients 6 57 WelchAllyn CardioPerfect Workstation e Consult your facility s equipment cleaning procedures when performing ECG testing on patients with open infectious sores Ensure the location of the electrode and associated cables provides maximum separation away from all sources of high frequency energy The best way to ensure patient safety is to completely remove all electrodes and cables from the patient when exposed to high frequency energy No modification of this equipment is allowed Note On computers that you plan to use for clinical procedures disable autom
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