CP 150 12-lead resting electrocardiograph Quick
Contents
1. 11 12 13 Performing an Auto ECG test 13 If an Artifact message appears minimize the artifact as described under Troubleshooting You might need to ensure that the patient is comfortably warm reprepare the patient s skin use fresh electrodes or minimize patient motion Optional Adjust the waveforms using the buttons to cycle through the following options e leads displayed e gain size e speed e filters Touch the Print button to perform the Auto ECG test If a Waiting for 10 seconds of quality data message appears at least 10 seconds of ECG data have been collected with excessive artifact Time requirements in the message may vary based upon selected print format Minimize the artifact as described under Troubleshooting Then wait for the test to print If necessary you can override the wait time and print the available data immediately but the result might be an incomplete or poor quality test After the test prints select the desired option Reprint Save or Retest If the Auto Save setting is turned off touch Save to save the test Select one of the following locations e Local internal memory e USB mass storage device Any tests that you save to a USB mass storage device can be retrieved only from a CardioPerfect workstation e Workstation e Remote file location Touch Reprint to print the test again touch Retest to discard the test and start over or touch Exit A WARNING To avoid the risk2. CP 150 12 lead resting electrocardiograph Quick reference guide Software version 1 00 XX WelchAllyn Advancing Frontline Care 2013 Welch Allyn Inc 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 Caution Federal US law restricts sale of the device identified in this manual to or on the order of a licensed physician Welch Allyn assumes no responsibility for any injury 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 indications for use published in this manual Welch Allyn is a registered trademark of Welch Allyn Inc CP 150 and CardioPerfect are trademarks of Welch Allyn Inc Welch Allyn Technical Support http www welchallyn com about company locations htm This manual DIR 80018106 Ver D udi Welch Allyn 4341 State Street Road Skaneateles Falls NY 13153 0220 U S A www welchallyn com WelchAllyn Advancing Frontline Care Contents Powering the electrocardiograph sse eee eee eee eee 1 Loading the thermal paper essen 3 Attaching the leads to the patient sees eee eee eee 5 ECG home SCPE I us eee oit dnas AE E not added utn cide 7 Device status area TT 7 Contentarea scende ttr ER EAR cde antes david 7 Navigation area
3. arrow or short to comfortably support arms and legs The arm or leg electrode straps are too tight Actions Verify that the patient is comfortable warm and relaxed Check all electrode contacts If interference persists turn the muscle tremor filter on If interference still persists the problem is probably electrical in nature See the suggestions for reducing AC interference in a related troubleshooting tip AC interference AC interference superimposes even peaked regular voltage on the waveforms Causes The patient or technician was touching an electrode during recording The patient was touching a metal part of an exam table or bed A lead wire patient cable or power cord are broken Electrical devices in the immediate area or lighting or wiring concealed in walls or floors are interfering An electrical outlet is improperly grounded The AC filter is turned off or set incorrectly Actions Verify that the patient is not touching any metal Verify that the AC power cable is not touching the patient cable Verify that the proper AC filter is selected If interference persists unplug the electrocardiograph from AC power and run it on the battery If this solves the problem you ll know that the noise was introduced through the power line If interference still persists the noise may be caused by other equipment in the room or by poorly grounded power lines Try moving to another room Quick reference guide T
4. ctrode Placement The content area also provides shortcuts to several controls Navigation area The Navigation area includes the following tabs ECG home Displays ECG test types and provides shortcuts to several controls Saved tests Accesses the patient ECG tests Settings Accesses device configuration settings To navigate to a tab touch the tab in the Navigation area with the corresponding name The active tab is highlighted About the test types Auto ECG Rhythm ECG I Stat ECG A report typically showing a 10 second acquisition of 12 leads of ECG information combined with patient data measurements and optional interpretation Auto ECGs can be saved to the electrocardiograph s test directory or to a USB mass storage device A continuous real time printout of rhythm strips with a user defined lead configuration Rhythm ECGs are printouts only They cannot be saved An auto ECG that starts without waiting for you to enter patient data or adjust the waveforms 10 About the test types CP 150 12 lead resting electrocardiograph Performing an Auto ECG test Note 1 A CAUTION Patient data is not saved until the ECG test is completed The ECG configuration settings can be changed in the Settings tab The following settings may appear differently if the default settings have been modified Touch the Auto ECG button The Summary tab appears Optional Search for patient The Search tab giv
5. es you access to patient data in the Saved tests directory or in a connected database CardioPerfect workstation or EMR Touch the Search tab Enter the Patient ID or Last name Touch the OK button Touch the Search button Touch the patient s name or ID in the Patient Name Patient ID field Touch the Select button Touch the amp Next button to review or edit patient information Touch the amp Next button again Skip to step 7 Enter the following patient information as desired Patient ID Touch the OK button Birth date Touch the OK button Last name Touch the OK button First name Touch the OK button Middle Initial Touch the OK button Note If the patient has a pacemaker touch the Pacemaker present button Touch the D Next button Enter the following patient information as desired Gender Race 12 Performing an Auto ECG test e Height Touch the OK button e Weight Touch the OK button 6 Touch the Next button 7 Attach the leads to the patient CP 150 12 lead resting electrocardiograph Note If the lead status screen is closed touch the Weal torso button to enlarge the lead status screen Any flashing dots on the lead status screen indicate unattached or poorly attached leads When all leads have been attached for several seconds the ECG preview screen appears Button Leads button Gain button size Speed button Filters button Quick reference guide 10
6. ions e Reset the electrocardiograph by pressing and holding the power button for at least six seconds until the screen goes blank Press the power button again The electrocardiograph goes through some diagnostic tests that cause it to take longer than usual to power up Note For more troubleshooting guidelines see the service manual A CAUTION The service manual is for use only by qualified service personnel who understand technical English WelchAllyn Advancing Frontline Care 719459
7. nitoring electrode disposable e For reusable electrodes Use electrode paste gel or cream to cover an area the size of each electrode but no larger Secure the arm and leg clamps Apply the Welsh cups suction electrodes to the chest e For disposable tab electrodes Place the electrode tab between the jaws of the connector Keep the tab flat Verify that the metal portion of the connector makes contact with the skin side of the electrode tab e For all disposable electrodes Lightly tug on the connector to ensure that the lead is securely attached If the electrode comes off replace it with a new electrode If the connector comes off reconnect it ECG home screen The ECG home screen includes the following areas QO 15 12 02 05 2013 Enter patient information and print ECG Start continuous ECG print Start ECG immediately without patient information View electrode placement before entering patient information ee NN Item Area 1 Device status 2 Content 3 Navigation Device status area The Device status area located at the top of the ECG home screen displays e Time and date e Battery status e Error or information messages These items are displayed until the condition has been resolved Content area The Content area includes 3 test selection buttons and a preview selection button 8 ECG home screen CP 150 12 lead resting electrocardiograph Auto ECG Rhythm ECG Stat ECG Ele
8. of associating reports with the wrong patients make sure that each test identifies the patient If any report does not identify the patient write the patient identification information on the report immediately following the ECG test 14 Performing an Auto ECG test CP 150 12 lead resting electrocardiograph Troubleshooting Lead quality problems Artifact message on the screen Artifact is signal distortion that makes it difficult to accurately discern the waveform morphology Causes e The patient was moving e The patient was shivering e There is electrical interference Actions See actions for wandering baseline muscle tremor and AC interference Wandering baseline Wandering baseline is an upward and downward fluctuation of the waveforms oa ae Causes e Electrodes are dirty corroded loose or positioned on bony areas e The electrode gel is insufficient or dried e The patient has oily skin or used body lotions e Rising and falling of chest during rapid or apprehensive breathing Actions e Clean the patient s skin with alcohol or acetone e Reposition or replace the electrodes e Verify that the patient is comfortable warm and relaxed e f wandering baseline persists turn the baseline filter on 16 Troubleshooting CP 150 12 lead resting electrocardiograph Muscle tremor Causes The patient is uncomfortable tense nervous The patient is cold and shivering The exam bed is too n
9. ograph Attaching the leads to the patient Proper lead attachment is important for a successful ECG The most common ECG problems are caused by poor electrode contact and loose leads Follow your local procedures for attaching the leads to the patient Here are some common guidelines A WARNING Electrodes can cause allergic reactions To avoid this follow the electrode manufacturer s directions To attach the leads to the patient 1 Prepare the patient e Describe the procedure Explain the importance of holding still during the test Movement can create artifact e Verify that the patient is comfortable warm and relaxed Shivering can create artifact e Put the patient in a reclining position with the head slightly higher than the heart and legs the semi Fowler s position 2 Select the electrode locations See the Electrode locations chart e Look for flat areas e Avoid fatty areas bony areas and major muscles 3 Prepare the electrode locations e Shave or clip the hair e Thoroughly clean the skin and lightly rub it dry You may use soap and water isopropyl alcohol or skin preparation pads Attach the lead wires to the electrodes 5 Apply the electrodes to the patient 6 Attaching the leads to the patient CP 150 12 lead resting electrocardiograph Electrode examples left to right arm clamp reusable Welsh cup reusable tab electrode disposable mo
10. roubleshooting 17 Lead alert or square wave IUUUUUL A dot might be flashing on the lead status screen Or one or more leads might appear as a square wave Causes e Electrode contact might be poor e A lead might be loose e A lead might be defective Actions e Replace the electrode e Verify that the patient s skin has been properly prepared e Verify that electrodes have been properly stored and handled e Replace the patient cable System problems The electrocardiograph won t turn on when it is plugged in Causes e The AC power connection is faulty e An AC fuse is blown e There is no AC power Actions e Check the AC power source e Check the AC fuses The electrocardiograph won t turn on when it is unplugged Causes e The battery is disconnected or incorrectly connected e The battery is low not charging depleted or bad Actions e Check the battery connections e Recharge the battery e Replace the battery The electrocardiograph shuts down during printing Causes e The battery is low or bad Actions 18 Troubleshooting CP 150 12 lead resting electrocardiograph e Recharge the battery e Replace the battery The electrocardiograph prints fewer than 10 reports on a full battery charge Causes e The battery is degraded Actions e Replace the battery The electrocardiograph does not respond when you press buttons or touch the screen Causes e The electrocardiograph is frozen Act
11. sci beste tote habet Rd e cd ey meer bt tau ha fas 8 Abut thetesi types news ee da T 9 Performing an Auto ECG Test e ee b poten et nns 11 Troubleshooting iocis epo reae x etui Ie Eco doth eee STT 15 L ad quality Droblerns rs elite a ee oca t ea bee hee on 15 Systemiproblertissseeset ette teur eee c hc ke o tetti A ovt 17 iv Contents CP 150 12 lead resting electrocardiograph Powering the electrocardiograph The electrocardiograph runs on AC or battery power Plug the electrocardiograph into AC power as often as possible so that the built in charger can keep the battery charged Regardless of the battery condition you can use the electrocardiograph whenever it is plugged in A WARNING When you use AC power always plug the electrocardiograph into a hospital grade outlet to avoid the risk of shock A WARNING f the integrity of the building s safety ground is in doubt operate this device on battery power to avoid the risk of shock To turn on or turn off Press 9 2 Powering the electrocardiograph CP 150 12 lead resting electrocardiograph Loading the thermal paper The electrocardiograph prints on z fold thermal paper e Store the paper in a cool dry dark place e Donotexpose it to bright light or UV sources e Do not expose it to solvents adhesives or cleaning fluids e Do not store it with vinyls plastics or shrink wraps 4 Loading the thermal paper CP 150 12 lead resting electrocardi
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