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CPWS Service and Advanced Installation Manual

1. co 8 1 09 4 gt 10 KO ve cej 9 1 09 3 gt 10 KO RL 10 KO 4 2 2 Computer Interface Verification The interface between the computer and the ECG recorder depends on the type of recorder and the connection used on the computer In the following table you find all possible configurations Recorder Part number Computer Interface Part number type connection cable Pro recorder SE PRO EUR 600 USB ProLink PRO 60023 2 meter PRO 60024 3 meter PRO 60025 5 meter MD Portable Obsolete USB USB UniLink RE LINK USB Resting ECG only recorder SE LINK USB Stress and Rest ECG RE LINK SER Resting ECG only Obsolete Obsolete Obsolete The MD and Portable recorder requires additional an optical fiber Part number SE FIBER 05 5 meter Part number SE FIBER 10 10 meter 1 The ProLink UniLink Interface cable should be inspected for any cracks exposed wires or other damage The optical fiber should be inspected for any cracks or other damage 3 Follow the next procedure to verify if the ECG recorder in combination with the computer interface is working 4 Connect the patient cable to the ECG simulator 5 Set the ECG simulator on a specific simulation for example 90 BPM 6 Connect the patient cable to the ECG recorder 7 Connect the Computer Interface cable to the computer and the ECG recorder 8 Start the Welch Allyn CardioPerfect Software 9 Create a new test patient or select a previous created test patient 10 Start a Re
2. t i e values appear Incorrec Wrong information entered Unable to calibrate Hardware problem Wrong information entered DIR 80012893 Ver B 42 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 6 Troubleshooting CardioPerfect Workstation 6 1 Problem Access denied after logon The Problem Access denied can be caused by e Not running SQL database Corrupted database User deactivated in the Administrator Tool Wrong login name or password Firewall 6 1 1 Not running MSSQL database Not running of the database causes one or all of the following error messages on the screen Welch Allyn CardioPerfect Ed Welch Allyn CardioPerfect Ed MEAN Sooner Unable to start MailClient for Telemedicine A Access denied D Enter logon intommahon here Use anonymous login guest account C Use Windows NT authentication C Use database authentication Username Password aa VW Always use above login settings The MSSQL server does not run can be caused by e Computer has been restarted and Auto Start service was not activated e If MSDE 7 is used the computer network name has been changed e Corrupted MSSQL installation Verify that the MSSQL Server is running by starting the MSSQL service manager Scenarol Scenaroll Scenario MSSQL server is not running and MSSQL server is not running MSSQL server is running Auto start Service was not activated 50 SOL Server Service Ma
3. 2 2 2 Exercise ECG configuration and ACCesSories rrrrrrrnnrnenrnnnnevrnnrrrnrnnnrenrnnsnsennnne 16 2 2 3 Recommended Service Intervals Resting Exercise ECG rrrrnnrrrnnnnrrrnnnnrrennnnnr 16 2 2 4 MiniHolter Event ECG configuration and Accessories rrrnrrrrrrnnrnrnrnnnrrrnnnrnnnnnnnre 17 2 2 5 Recommended Service Intervals MiniHolter Event ECG rrrnrnnrrrnrnnrrrnrnnrnenrnnnr 17 2 2 6 Pocket ECG configuration and ACcessorleS rrrrnnrnanrnnnnnnnnnnrnnnnnnrennnnnrennnnnnrennnnne 17 2 2 7 Ambulatory Blood Pressure configuration and ACCesSorieS arrrrrrnnrrrrrnnnnnnnnnnre 18 2 2 8 Recommended Service Intervals Ambulatory Blood PreSSure cseceeeseeeees 18 2 2 9 Spirometry configuration and Accessories rrrrrrnnrrrrrnnnenrnnnnrnnrnnrrennnnnrennnnnsennnnsne 18 2 2 10 Ordering Information for Replacement Parts SpiroPerfect rrrrrrrnrrrnnrrnrnnnennnnre 19 2 2 11 Ordering Information for Replacement Parts SpiroPerfect VCT 400 0 19 2 2 12 Recommended Service Intervals Spirometry rrnnrrnnnnnnrnrnnnnrnrrnnnrrnrnnnnrnnnnnnrennnnne 20 3 BACKING UP THE DATABASE rnnnnnennnennnnnnnnnnnnnnnnnnennnennnnnnnnnnnnnnnnnnennnennnennnrn 22 Bk 22 3 2 Create a backup device rrarararenarenarennrrnnrrnnrnnnrnnnrnnnennnennnennnennsennsnnnsnnusnnnennsennnen 22 3 3 Make a manual backup rrarrrernarnnernarrnrnannnnrnnennnnnnenunnnernnennnenannnarnernuenneenunnsener 23 3 4 S
4. B 7169 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 1 Safety Summary 1 1 Introduction This manual is written for Biomedical or IT engineers to support maintenance of the Welch Allyn CardioPerfect family of devices We at Welch Allyn are dedicated to providing safe products to our customers It is the user s responsibility to follow the established rules of safety as described in this manual for their protection and for the protection of their patients The hospital s Biomedical IT support staff shall require primary skills including disciplines related to maintenance and servicing computer controls platforms Please take note of all safety precautions and warnings provided with the devices before using the devices and the accompanying software computer based diagnostic system The user shall adhere to warnings in order to ensure safe and reliable performance of the system e The personal computer non medical electrical equipment shall be situated outside the patient environment reference IEC 60601 1 1 e The personal computer used should adhere to the appropriate safety standard for non medical electrical equipment IEC 60950 or national variants and use of an isolation transformer is recommended e Normal isolation transformer does not fulfill IEC601 1 1 standard and it s supplement EEE requirements for transformer unit To maintain operator and patient safety consider the requirements o
5. If the MiniHolter ever requires service the records of test results often facilitate troubleshooting 4 3 1 Patient Cable Verification 1 The Patient cable should be inspected for any cracks exposed wires or other damage 2 Each lead needs to be individual measured to ensure the correct impedance Cable Color Channel Pin Expected i Expected configuration impedance configuration impedance Dual lead Single lead Ohm patient cable patient cable Red 1 0Q Black 1 3 op 3 vo White 2 6 oa mA NA Green 2 7 oo NA NA Connect a dual lead patient cable to the ECG simulator following the schematic below Set the ECG simulator on a specific simulation for example 90 BPM DIR 80012893 Ver B 29 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 4 3 2 Checkpoints MiniHolter Place the batteries in the MiniHolter and check the following points Condition Expectedresut gt 1 Press the record button briefly Correct time is displayed The after a few seconds If test 1 fails correct the time remove the Correct time is displayed The batteries and repeat test 1after 6 hours display switches off automatically after a few seconds Format a Recollect memory card with the The Memory Card symbol is flashing Welch Allyn Recollect Card Format tool Fit and the MiniHolter starts beeping the card in the MiniHolter and press the record button briefly Pass Fai
6. When choosing different TCP IP ports view the file Services found in the Winnt Windows System32 drivers etc folder Windows 2000 XP Workstation doesn t close properly Workstation is probably waiting on a time out trying to contact the Mail server to deregister Check to make sure the Mail server is running Incorrect database version Run setup on the computer running the MSDE or MSSQL database server This will upgrade the database to the required version Winsock Errors or time outs on a LAN Make sure Microsoft WinSock Proxy Client is installed and enabled if the LAN is using a proxy server Also check the Windows Firewall and when applicable a network Firewall which may block the communication ports For other error messages please refer to the following table 10 4 2 Mail server error codes 100 Unknown error Action Try again if problem persists contact Support A time out has occurred trying to connect to the SMTP server Action Try again later the SMTP server might be down If the problem persists check the spelling of the SMTP server name using the CC MailServer Configuration Also verify that the network is functioning correctly A time out has occurred trying to send email Action Try again later If the problem persists contact the Internet Service Provider ISP If you are trying to send an exercise ECG the email attachment might be too large Ask the ISP about any size restrictions 1 Uns
7. Blood Pressure readings are not displayed during Regular Runs Time settings resets when the batteries are removed e Blood pressure protocol The internal battery rechargeable is flat e The batteries were drained No measurements were carried out during the night phase No automatic measurements are carried out The measurement interval is not as you expected prematurely e The patient switched off the Mobil O Graph The first manual measurement was unsuccessful or not performed e An incorrect protocol was set Actions Connect first the interface cable to the Mobil O Graph and then switch it on Verify if the correct interface cable is used part number ABP Cable 2 Check if the interface cable is correctly connected Interface cable defective try to replace it Replace batteries Verify if the correct serial port is selected in the CPWS software see the CPWS ABP manual Try the Use safe initialization see the CPWS ABP manual Serial port is blocked by another application use the comlist tool provided on the CPWS CDROM in the folder tools to check this Verify the correct working of the serial port Ensure a connection with the Mobil O Graph is secure Check bladder for leak Replace batteries Verify if the setting show measurements on device is on see the CPWS ABP manual Leave the Mobil O Graph to stand switched on for a period of at least 24 hours if that doesn t solve the
8. Database BloomFontein disk CAMSSOL7BACK Add Device George disk C AMSSOL7WBACK Holter disk CAMSSOLABACK Remove Device SoaPaulo disk C MSSOQL BACK 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 Dr Enter a name and a description for the backup Select the backup device to which you want to backup the database Select the type of backup that you want to make If you select Then Append to media The backup is added to the already existing backup on the selected backup device Overwrite existing media The existing backup overwrites the already existing backup The existing backup is lost 5 Click the Start Backup button to start the backup process DIR 80012893 Ver B 23 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 3 4 Schedule an automatic backup If you want to make automatic backups of the database you need to schedule the times at which the backup is made You can schedule a single backup or a recurring backup Important Make sure that the computer is switched on at the time you scheduled the backup Also ensure that SQL Server Agent is running To schedule an automatic backup 1 Click Backup database 2 Select the Schedule check box and click the Change button The Schedule
9. ECG recorder Return to Authorized service center Returning products Only applicable for Exercise ECG DIR 80012893 Ver B 16 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 2 2 4 MiniHolter Event ECG configuration and Accessories Note Not sold in US Product is discontinued REC RECORDER REC BELT REC CC REC ELEC VLC REC MC 90 REC PC 2 REC SW REC BELT W REC ELEC NF REC ELEC NF10 REC ELEC VL10 Basic configuration MiniHolter Event ECG MiniHolter Event ECG Recorder Standard Adjustable Belt MiniHolter Carrying Case Chest Electrodes 25 pieces 90 Minute Memory Card Dual Lead Patient Cable CPWS Workstation Event ECG Software Accessories MiniHolter Event ECG Wide Adjustable Belt Wrist Electrodes 12 pieces Wrist Electrodes 120 pieces 10 bags Chest Electrodes 250 pieces 10 bags REC CR USB External Card Reader USB 2 2 5 Recommended Service Intervals MiniHolter Event ECG Interval or Condition Action Recommended Procedure Every 6 24 months per hospital procedure Unit has been dropped or otherwise damaged Unit malfunctioning Unit does not pass Functional verification Complete Functional test Functional verification MiniHolter Complete Functional test Functional verification MiniHolter Complete Functional test Functional verification MiniHolter Troubleshooting and repair followed by Troubleshooting MiniHolter functional test Functional verifica
10. MiniHolter needs to be send in for service to a Welch Allyn Service center For further instructions see CPWS MiniHolter manual 3 For further instructions see CPWS MiniHolter manual 4 3 3 MiniHolter ECG verification Remove the card from the Recollect and import the contents of this memory card into the Welch Allyn CardioPerfect Software for further instructions see CPWS MiniHolter manual Print the recorded MiniHolter ECG and determine the heart rate DIR 80012893 Ver B 30 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 4 4 Functional verification ABP device A checklist of the functional tests is provided at the end of this manual Checklist and Test Results Form Ill It is recommended that you print a copy of the checklist each time you perform the functional verification procedure so you can record and save the test results If the ABP device ever requires service the records of test results often facilitate troubleshooting 4 4 1 Visual inspection The following inspections of the unit should be performed on a regular basis 1 The housing should be inspected for any visual damage Do not remove any covers or break the warranty 2 Interface cable 3 Cuff and connecting tube If any signs of damage are detected do not use the ABPM monitor It should be sent to an authorized Welch Allyn service center See the Service and Warranty section of this manual for a list of authorized Welch Al
11. Only CPWS software 1 5 0 or higher e Create a new database ccdb using the DBBuilder tool provided on the Welch Allyn CardioPerfect CDROM SQL folder e Try to restore the backup 6 1 3 User deactivated in the Administrator tool Try to logon to the Welch Allyn CardioPerfect software using database authentication e Username admin e Password admin If you have changed the username or password use the modified logon information If the logon succeeds you need to verify the user settings in the administrator tool 6 1 4 Wrong login name or Password Verify the user settings in the administrator tool DIR 80012893 Ver B 48 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 6 1 5 Firewall In some cases the firewall can block the connection between the client software and the MSSQL database To eliminate this possibility disable the firewall or open the port 1433 SQL server uses this TCP IP port and try to logon to the Welch Allyn CardioPerfect software using database authentication e Username admin e Password admin If you have changed the username or password use the modified logon information When you are able to logon to the Welch Allyn CardioPerfect Workstation Software you can try to resolve the problem with the firewall by e Configuring the Firewall that it accepts the connection to the MSSQL server for further instructions see the instruction manual of the Firewall
12. Pins in plug of interface cable have suffered Check the plug to see whether pins mechanical data inside are damaged Measurement value not correctly transferred Start the transfer again Battery voltage to low See E 001 The battery voltage is correct as far as E 001 is concerned but during cuff inflation AT is shown on display Replace the batteries ll Push the battery cover on the Battery cover not correctly closed battery compartment until it engages cotton cloth and some alcohol Check the cuff for a blockage or kink in the tube If there is a kink in E 006 the cuff tube release the tube Otherwise send the unit in for repair ominous aim Battery voltage to low See E 001 Blood pressure cuff is not correctly connected Check the cuff connection Leak in cuff or connecting tube Perform the seal test Transfer and delete the data of the Mobil O Graph into the CPWS software Batteries defective Air tube blocked The recorder memory is full maximum 300 E 007 measurements and Events may be stored E 009 Serious fault due to pressure build up outside the Device has to be send in for repair Continuous alarm measurement process The codes mentioned above are the codes as shown on the device display Please refer to the CPWSW ABP Software manual for the codes as used by the software DIR 80012893 Ver B 40 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 5 6 Problem
13. Select the Attach database option o Select the folder and the database you want to attach c Copying the old data You can try to restore the data by overwriting the newly created database files with the old database files This is not a recommended way of restoring the data and Welch Allyn can not guarantee that this will work WARNING This is not a recommended way of restoring the data and Welch Allyn can not guarantee that this will work Stop the MSSQL service manager Overwrite the newly created database files with the old database files Start the MSSQL service manager Try to logon to the Welch Allyn CardioPerfect software using database authentication Username admin Password admin O O O O DIR 80012893 Ver B 46 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Welch Allyn CardioPerfect Enter logon Information here f Use anonymous login quest account f Use Windows NT authentication Use database authentication Username admin Password 6 1 2 Corrupted database To determine if the database is corrupted you need to use the following procedure e Start the Connection Setup in the Welch Allyn group e Try to select the database by clicking on the dropdown button Cardio Control Workstation Ga Enter the connection parameters below paLolepbBe o ooo Server local Database pm Cancel e If you are able to select the database for example
14. Settings des z General General Print Options for mailing tests Server Auto Signature Mail server Use Auto Signature LONGHORN Signature TCP IP Port mail server 1411 TCP IP Port notifications ha Change settings for all users Advanced settings h Play sound when new mail arves Cancel Apply Help Telemedicine General Settings DIR 80012893 Ver B 63 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 10 4 Troubleshooting Telemedicine 10 4 1 Possible error messages In this section a few known problems that might arise during the use of the Telemedicine functionality and the possible solutions are described No MailServer is active Start the Mail server see Installation and Configuration Unable to start Mail Server There can be only one instance of the Mail server running at a time If the Mail server is already running trying to run the executable CcMailServer will report the above mentioned error Check Windows Task Manager to verify that no instance of Mail server is running If no other instance of MailServer is running and the server still will not start it is possible that the default TCP IP ports used by MailServer are already used by another application or process Try changing the TCP IP ports in both workstation and the CC MailServer Configuration After changing the port settings restart both workstation and the Mail server
15. Solving suggestions Recollect MiniHolter cccccccseeeeeeeeeeeeeeeeeees 36 5 4 Problem Solving suggestions ABPM 6100 rarrrannnnnrrnnnrnnnnnnnnnnnanennnennnnennnnnnanennn 37 5 5 Problem Solving suggestions Mobil O Graph rrrnrarnnrnnnnnnnnrnrnnennnennnnrrnnnnanennn 38 5 6 Problem Solving suggestions Welch Allyn SpiroPerfect r rrrrrrnnnrnnnrnanenanenannn 41 5 7 Problem Solving suggestions SpiroPerfect VOT 400 r rrrrrrnrrrnnrrnanennrenanennnenenn 42 TROUBLESHOOTING CPWS WORKSTATION vaunnnnuvanvnnnnnnnnnnnnnnnnnnnnnnnnnnunne 43 6 1 Problem Access denied after logon cccccccccseccceeeceseceeeeceseeseeeseeeteneeseeesaues 43 0 1 15 NOt running MSSAL database Lua naan i i N E AEN 43 6 1 2 Corrupted CAlAD ASE site vincia stan casi ebice ra dead dedeatteeddartunesasens 47 6 1 3 User deactivated in the Administrator tool cccccccccceecceeeeeeeeeeeeeeseeeseeeeseeeeaaees 48 6 1 4 Wrong login name or Password rrrnnurennnnnennnnnvnnnnrrnnnnrnnnnrennanennnnrennnnsennnernnnnsennnnee 48 Od FEC Wall O E suecsanesescest E T vaatessberondsin E E N EE E E E 49 6 2 Problem Invalid release code rrrrrrannnnrnnrnanrnnrnannnernannnnrnnnnannnernannnnnnannnannurnnsnneen 49 6 3 Problem Can not use all the functions in the software rrrrarerrnrrrnrrrrarennnnnnn 50 6 4 Problem Limited rights in the CPWS software rrrrnnrrrorernnrrnnrrvnrrnrarennnrnnnnnnnne 50 6 5 Problem Limited
16. Solving suggestions Welch Allyn SpiroPerfect System Failure Problems Condition Causes Actions e Computer lost connection to the e Disconnect and reconnect the sensor sensor The Device sensor is not responding Check if the port settings in the e Software setting CPWS settings menu correspond with the used COM port e Wrong linearization file el aaa a ana PKO o E E PANE EA Check the flow transducer for Measured values are incorrect p potential obstruction Do a volume calibration to check e Out of calibration the gain factor and to recalibrate the device if necessary Retest with fingers positioned properly around the flow Values are too high intermittent Procedure error transducer Do not block the end of the flow transducer with your fingers or hand P Pin tg ts e Out of calibration Recalibrate with a 3 liter syringe s Somane Check in the settings menu to see g if the correct author is selected e Verify that the date of birth gender race and the height of the patient information are entered in the patient card these are needed for the calculation of the predicted values l ee e Verify LOT number and perform a e Wrong linearization file a eee verification test Check the connection between flow transducer and sensor e Replace the flow transducer The program does not predict values or the values appear incorrect PP Wrong information entered Unable to calibrate Hardwa
17. backup dialog box is displayed amp Schedule Backup x Select a device for this backup schedule Device name Type Location backup disk C MSSOLA BACKUP thecla 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 Schedule a backup C Once On date At time 21 4 00 0 00 Necscssececeeseesesetss fi m Day s C Weeks C Months lt Back Cancel If you select Then Once Enter the date and time at which the backup must be made and click Next Recurrent Enter the day or month at which the backup must be made Enter the time at which the backup must be made Click Next DIR 80012893 Ver B 24 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 5 If you scheduled a recurrent backup depending on which option was selected one of these dialogs is displayed Time of backupf s C Once at 0 00 Every Starting from 0 00 until 23 59 Every I week on Every 1 month on JV Monday J Saturday C Day J Tuesday J Sunday 1 Ofthe month P Wednesday Onthe I Thursday nds TEREA Friday OF the month Days lt Back Cancel Cancel Weeks Mont
18. problem the internal battery needs to be replaced send the unit in for repair The rechargeable batteries may be defective try replacing them Alert the patient to the urgency of obtaining a complete 24 hour recording Carry out a new manual measurement Verify the protocol see the CPWS ABP manual The Mobil O Graph displays error codes whenever an error situation is encountered Error codes will display on the unit s LCD Error codes that apply to a specific reading will also display in the ABP Workstation Software when the data is read from the unit The following table explains error codes generated by the ABPM 6100 monitor along with possible solutions for each error code DIR 80012893 Ver B 39 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual ABP Perfect Error codes Error code Causes Actions Check battery voltage Battery voltage to low e NiMH batteries U gt 2 75 V E 001 e Alkaline batteries U gt 3 10 V The patient has severe arrhythmias N A Inadequate pulse beats detected Refit the cuff The arm was moved during the measurement instruct the patient to keep the arm still during measurement Cuff not correctly fitted on the arm Check the fit of the cuff and the unit E 003 Battery voltage to low See E 001 Blood pressure outside measurement range N A E 002 Data transfer cable not correctly inserted in the Plug the cable into the recorder recorder correctly E 004 5 beeps
19. software e Selecting another protocol in the CLICONFG tool C windows system32 cliconfg exe o Add the Multiprotocol TCP IP and Named Pipes SQL Server Client Network Utility General Alias DB Library Options Network Libraries Disabled protocols Enabled protocols by onder AMY Link PS Pes TCP IP Apple alk Hamed Pipes Banyan VINES i Multiprotocal VIA G Disable 4 Properties Force protocol encryption W Enable shared memory protocol UE Cancel Apply Help e After applying the changes try to logon to the Welch Allyn CardioPerfect Workstation Software e If the logon fails contact the nearest Welch Allyn Technical Support Center 6 2 Problem Invalid release code The following error code can be caused by e Mistyping of the serial number or release code please verify o This numbers o The letter O is not a valid input in the release code Replace existing letters O with the number 0 e Release code doesn t match the software version Contact the nearest Welch Allyn Technical Support Center for verification of the numbers DIR 80012893 Ver B 49 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual License A Your release code is invalid 6 3 Problem Can not use all the functions in the software The user can not use all the functions in the Welch Allyn CardioPerfect Workstation software This can be caused by the following e Us
20. sure that you copy them to a save place on the hard disk o Remove the MSSQL database by using the Add Remove programs option in the control panel ER Add Remove Programs i Name ae Currently installed programs Sort by Name h Change or i ATI Display Driver Ei Remove Programs ig MSDE 0 To change this program or remove it From your ax 4 computer click Change Remayve sheila Menor Add Mew Programs 3 Welch Allyn CardioPerfect Size 50 3MB Add Remove vi i ni d Os Components Set Program Access and Defaults o Restart the computer after removing the MSSQL database o Reinstall the database using the Welch Allyn CardioPerfect CDROM for further instructions see the Installation manual during the reinstalling of the MSSQL server an empty ccdb database will be created o Try to logon to the Welch Allyn CardioPerfect software using database authentication Username admin Password admin DIR 80012893 Ver B 44 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Welch Allyn CardioPerfect SN Enter logon information here f Use anonymous login quest account f Use Windows NT authentication Use database authentication Username admin Password o If this works you can consider restoring the old data Restoring the old data You can try to restore the old data using the following options e Restoring a backup e Attaching a database only possible wi
21. 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 on the Restore button A warning is displayed Click Yes to start with the restore process When the restore process was successful a message is displayed 3 5 Index tuning wizard The index tuning wizard should be used at least quarterly for hospitals more frequently If the full recovery is not needed then full recovery should be set to Simple DIR 80012893 Ver B 26 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 4 Functional Verification Overview This section describes the procedure for a complete functional test to support recommended preventive maintenance schedules Functional verification does not require opening the device case Whenever the device is serviced or problems are suspected Welch Allyn recommends a Functional Check WARNING Only qualified service personnel should perform a full functional verification procedure WARNING Only qualified service personnel should perform leakage current test Refer to the Electrical Safety Analyzer manual for complete details on set up and use for testing e Earth Leakage e Chassis Leakage e Patient Leakage 4 1 Equipment required Commercially Available General purpose Medical Test Equipment Item Description ECG simulator Standard 12 lead ECG simulator C
22. you will be able to determine the accuracy of the unit being tested to within 4 0 mm Hg e Welch Allyn recommends using the most sensitive pressure standard possible when performing calibration checks A Setra Pressure Meter 2270 01 which is calibrated for 0 1 mm Hg works well for this application In the Federal Republic of Germany In accordance with Med Betreib the ABPM must be returned every 2 years to instrumentation control for calibration certification 4 4 3 Overpressure verification ABP device The ABP device should deflate the pressure at a pressure higher then gt 300 mmHg 10 To verify this use the following procedure 1 Set the ABP device in the manometer mode 2 Pressurize gauge to 300 mmHg 10 the unit should deflate the pressure 4 4 4 Leakage test The pressure on the ABP device may deflate with a maximum of 4 mmHg per minute To verify this use the following procedure Set the ABP device in the manometer mode Pressurize gauge to approximately 150 mmHg Note the pressure reading Wait for 1 minute and note the pressure reading again The difference between the two readings should be less then 4 mmHg dl un 4 4 5 Pressure release As a Safety precaution the device should release the pressure when it takes longer then 3 minutes to measure the blood pressure To verify this use the following procedure 1 Set the ABP device in the manometer mode 2 Pressurize gauge to approximately 150 mmHg 3 A
23. IR 80012893 Ver B 61 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Results Send Receive i x Code Description ID Done sending and receiving mall Telemedicine Status information after a successful send receive If you do encounter errors please turn to the Troubleshooting telemedicine section of this manual The errors are stored in the Mail Event log in the database step 8 View the event log in Administrator Tool Open the Administrator tool and select Telemedicine Event log from the Telemedicine section Errors that occur during sending and receiving mail as well as successfully sent or received tests and interpretations are logged here If no errors are shown in the event log the Telemedicine installation and configuration was successful If you do encounter errors please turn to the Troubleshooting telemedicine section of this manual 10 3 Other configuration issues 10 3 1 Mail server Using the CC MailServer Configuration tool in the Control panel the following default settings can be changed Folder for temporary mail files During the sending and receiving of mail messages temporary files are created in this directory As a default the Windows temp directory is used When changing this setting make sure the folder you are specifying exists and can be written to and read from Scheduling send receive Sending and receiving mail messages can be triggered manually
24. NING ccccccsecceeeeeeeeeeeeeeeeeeeseeeseeeaeees 56 PROBLEM SOLVING SUGGESTIONS SPIRO MODULE cccsecseeees 57 9 1 Problem No samples detected cccccceccsecceeceeceeeceeceeceeteecueceesseeseeseeeeeeeees 57 9 2 Problem Blue screen during recording Spirometry cccccecccceeeeeeeeeeeeeeeeeees 57 TELEMEDICINE LA 58 10 1 Telemedicine specific Requirements rrrarrrarenarernrrnnrrnnrnnnrnnnennnennnennsennnnnnennnennn 58 10 2 Installation and Configuration cece cece cece ce eeeae cece eeceeeeeeueeaeeeseeeeseeseeesaeeesaees 58 10 3 Other configuration ISSUES ec oceied ccchenteve ten soicerbxenccarcudadinenoie hdcenecdeaccusadensnosenceeneeous 62 VNR 62 DIR 80012893 Ver B 6 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual EE ETE KO EEE EEE 63 10 4 Troubleshooting Telemedicine arrrnrrnnrnnnnnnnrnnnrnnnrrnnrnnnrnnnnnarnnennnernnernnnnnnsnnnnnnn 64 10 4 1 Possible error meSSsages rrrrnnnnernnnernnnnernnnnvrnnnrevnnnrnvnnnennnunernnnnennnnsennnnennnnnennnnne 64 10 4 2 Mailserver ETO OG avsendere 64 10 42 53 Technical Support 2 suarsemresdegkereee satsene 65 l ECG CHECKLIST AND TEST RESULTS FORM anunnnrnnnnnnennnennnnnnnennnennnennnr 67 ll MINIHOLTER CHECKLIST AND TEST RESULTS FORM ennnnnrnnnrnnnrnnnnnnennnn 68 lll ABP CHECKLIST AND TEST RESULTS FORM rrnnnrnnnrnnernnennnnnnnnnnnnnnnnnnennnr 69 DIR 80012893 Ver
25. WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual irimi Hi BG ve da p Welch Allyn Welch Allyn Inc Staalweg 50 4341 State Street Road 2612 KK Delft Skaneateles Falls NY The Netherlands 13153 0220 USA www welchallyn com C 0297 DIR 80012893 Ver B Material No 711054 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual US Federal law restricts this device to sale by or on the Caution order of a physician Copyright Copyright 2008 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 Workstation and SpiroPerfect are registered trademarks of Welch Allyn Software in this product is Copyright 2008 Welch Allyn All rights are reserved The software is protected by United States of America copyright laws and internatio
26. Workstation and select File gt Settings gt General from the main menu In the Settings dialog select the mail tab In the Mail server field enter the name or IP address of the computer on which Telemedicine server is running After changing the Mail server entry you must exit the workstation and restart to register with the Mail server step 7 If you do not have the mail tab in the general settings you need to change your release code to activate Telemedicine See Changing the release code in the Workstation Manual Restart Workstation Exit Workstation and restart to apply changes and register with the Mail server Add contact s using Administrator Tool Start the Administrator Tool Select Contacts List from the Telemedicine section Click the Add button Enter the contact information The password entry must correspond between contacts on a host and on a remote system 2101 Display name virtual Hospital Address Jeca hospital com Password f Email Direct connection Cancel Hoe Administrator Tool configuring contacts to send to and receive from Click OK and close the Administrator Tool Testing In Workstation press the Send Receive button This will send the Send Receive request to the Mail server When the Mail server is finished Workstation will show a dialog with status information If no errors are reported the installation and configuration was successful D
27. accessories and replacement parts AN Caution Use of accessories other than those recommended by Welch Allyn may compromise product performance DIR 80012893 Ver B 2 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Warranty Service and Spare Parts Warranty All repairs on products under warranty must be performed or approved by Welch Allyn Unauthorized repairs will void the warranty In addition whether or not covered under warranty any product repair shall exclusively be performed by Welch Allyn certified service personnel Assistance and Parts If the product fails to function properly or if assistance service or spare parts are required please contact the nearest Welch Allyn Technical Support Center USA 1 800 535 6663 Canada 1 800 561 8797 Latin America 1 305 669 9591 South Africa 27 11 777 7509 European Call Center 353 469 067 790 Australia 61 2 9638 3000 United Kingdom 44 207 365 6780 Singapore 65 6291 0882 France 33 1 60 09 33 66 Japan 81 3 5212 7391 Germany 49 7477 927 173 China 86 21 6327 9631 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 please be prepared to provide Product name and model number and complete description of the problem The serial number of your product if applicable The complete name address and pho
28. al verification Action Recommended Procedure Complete Functional test Functional verification ABP device Complete Functional test Functional verification ABP device Complete Functional test Functional verification ABP device Troubleshooting and repair followed by Troubleshooting ABP device functional test Functional verification ABP device Return to Authorized service center Returning products 2 2 9 Spirometry configuration and Accessories Basic configuration Spirometry 703414 Sensor Spirometer USB Kit 703415 Pressure Tubing 703419 Disposable Flow Transducer order quantity 100 package includes Linearization file on CD 58550 0000 Nose Clip 703480 3 Liter Calibration Syringe DIR 80012893 Ver B WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 2 2 10 Ordering Information for Replacement Parts SpiroPerfect The following parts must be replaced as noted e Flow transducers amp nose clips Replace for each new patient e Pressure tubing Replace when dirty e Sensor Replace when faulty To order parts call the Welch Allyn Technical Support Center JNS Discard all Spirometry components according to local regulations Use of components other than those recommended by Welch Allyn may compromise product performance The Welch Allyn warranty can only be honored if you use Welch Allyn approved components and replacement parts Item Part Order Numbers Quantities Disposab
29. an damage or destroy electronic components Handle static sensitive components only at static safety workstation WARNING Consider all electrical and electronic components of the monitor as static sensitive WARNINGS Related to the CardioPerfect ECG recorders WARNING As with any electronic equipment Radio Frequency RF interference between the cardiograph and any existing RF transmitting or receiving equipment at the installation site including electro surgical equipment should be evaluated before the equipment is operated Pay special attention to electro surgical equipment and other RF transmitters that are in close proximity to the cardiograph as they are sources of RF interference as they may seriously degrade performance Like all electronic devices this cardiograph is susceptible to electrostatic discharge ESD Electrostatic discharge typically occurs when electrostatic energy is transferred to the patient the electrodes or the cardiograph ESD may result in ECG artifact that may appear as narrow spikes on the cardiograph display or on the printed report When ESD occurs the cardiograph s ECG interpretation may be inconsistent with the physician s interpretation Welch Allyn assumes no liability for failures resulting from RF interference between Welch Allyn medical electronics and any radio frequency generating equipment when these levels exceed those established by applicable standards WARNINGS Patient and operational safe
30. an only be performed by certified and qualified service personnel at an authorized Welch Allyn Service center No component level repair of circuit boards and Caution subassemblies is supported Use only the repair procedures described in the manual When performing a service procedure follow the instructions exactly as presented in this manual Failure to do so could damage the equipment invalidate the product warranty and lead to serious personal injury This guide provides troubleshooting installation and configuring information and instructions for functional testing and performance verification 2 1 Service Options 2 1 1 Warranty Service All repairs on products under warranty must be performed and or approved by Welch Allyn Refer all warranty service to Welch Allyn Factory Service or another authorized Welch Allyn Service Center Obtain an RMA number for all returns to Welch Allyn Factory Service see Returning Products Caution Unauthorized repairs will void the product warranty 2 1 2 Non Warranty Service Welch Allyn Factory Service and authorized Service Centers support non warranty repairs Contact any Welch Allyn regional service center for pricing and service options Welch Allyn offers modular repair parts for sale to support non warranty service This service must be performed only by qualified end user biomedical clinical engineers using this service installation manual 2 1 3 Technical Supp
31. at indicator will appear on the display record button briefly On every heartbeat there is a beep signal Press the Record button briefly The beep signal on every heartbeat will stop The looping symbol will appear with the 2 in the middle Press the Record button till a beep signal The Recollect will record an ECG and will store sounds and the green LED on the front of this on the Recollect Memory card After the set the Recollect will go on recording duration the Green LED will switch off and the indication on how many recordings can be stored will be one less then on point 4 Unplug the green electrode 2 from the The patient symbol is flashing and the number 2 ECG simulator and shortly remove a battery is on the display indicating that the problem is from the MiniHolter related to channel 2 ECG simulator and shortly remove a battery from the MiniHolter Measured Heart Rate within 1 BPM of the set Heart rate For further instructions see CPWS MiniHolter manual 1 If the correct time is not displayed the MiniHolter needs to be send in for service to a Welch Allyn Service center For further instructions see CPWS MiniHolter manual 3 For further instructions see CPWS MiniHolter manual Date Signature DIR 80012893 Ver B 68 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual lll ABP Checklist and Test Results Form Use a copy of the form to track your progress through the verification se
32. ation is not supported by Welch Allyn If there is no serial port available we advise to add a serial port using 1 PCMCIA gt RS232 converter 2 PCI gt RS232 converter DIR 80012893 Ver B 57 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 10 Telemedicine Telemedicine is an optional extension to the Welch Allyn CardioPerfect Workstation Without the correct release code the Telemedicine functionality will not be activated The Telemedicine option requires significant IT skills to install and configure For additional information on how to use Telemedicine please refer to the Workstation user manual With Telemedicine it is possible to send and receive tests and interpretations to and from predefined contacts This typically allows expertise sharing and second opinion consults but might also be used for administrative purposes in situations where replication cannot be used Telemedicine offers a choice of two types of communication Telemedicine messages can be sent and received either through e mail or through direct communication using TCP IP sockets In both cases the Internet or any other TCP IP network must be available as transportation infrastructure It is possible to use a mix of both email and direct socket connection Telemedicine like Welch Allyn CardioPerfect Workstation is built using a client server architecture This means Telemedicine scales from use on a single standal
33. ax please provide the following information Your name company name address phone number fax number and e mail address Product serial number DIR 80012893 Ver B 65 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Exact product name and version number Type of operating system Type of installation network or standalone A copy of the Welch Allyn CardioPerfect Technical Support Form Complete description of the problem and the steps to reproduce it If applicable we would also like to have the exact error message See also the Warranty Service and Spare Parts on page 3 DIR 80012893 Ver B 66 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual I ECG Checklist and Test Results Form Use a copy of the form to track your progress through the verification see 4 2 Functional Verification ECG Recorder Model ECG recorder PRO JIMD Portable Serial number ECG recorder sn Type of Computer interface ProLink UniLink UniLink CPCOM CPCOM CPCOM USB RS232 PCI PCMCIA ISA Serial number Computer interface eree Software version Software Serial number Tested by Test Date 1 You can find the Welch Allyn CardioPerfect software version and serial number in the information tab of the help function Patient Cable Verification test Computer Interface Cable Verification test Parameter Calibration pulse 10
34. by pressing the Send Receive button in Workstation When the Mail server is continuously connected to the Internet it might be more efficient to schedule checking for mail and sending out mail on a regular interval The scheduling interval can be set with a minimum of five minutes TCP IP Port Settings See the Troubleshooting telemedicine section of this manual Do not change the TCP IP settings if not necessary Only change the TCP IP port settings in combination with setting the TCP IP ports in Workstation Restart the Mail server after changing these settings Encryption options Mail messages are encrypted to protect the patient s identity and to secure that medical data cannot be read by anyone intercepting a mail message The default encryption setting is Triple DES a well known secure encryption algorithm Based on personal preference it is possible to select any of the other algorithms available It is not necessary that sender and receiver use the same encryption setting DIR 80012893 Ver B 62 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Delete non workstation e mail messages from Pop3 server Email only When using a dedicated e mail address for Telemedicine it is still possible to receive e mails that are not for Telemedicine An example of this is the ISP s newsletter or unwanted advertisements often referred to as spam With this option checked these messages are removed fro
35. ccdb this means that the database is not corrupted go to chapter 6 1 4 for further instructions e Create a new database using the DBBuilder tool provided on the Welch Allyn CardioPerfect CDROM SQL folder e Replace the CCDB name with CCDB1 for example and click on the Create Update button DIR 80012893 Ver B 47 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Database Builder v1 5 0 66 aka al Create or update the Cardio Control Workstation database Server Database name local ccdb Database folder CAMSSOL2Z00040 ata MSSOL Data Browse Progress 14 58 10 Creating new database cedbl on server local 14 50 19 Database created 14 58 19 Creating new audit database cedbl audit on server local 14 50 24 Audit Database created 14 58 24 Logged off Create Update E xit e Observe the creation of the database In cases of errors proceed to paragraph 6 1 5 e Try to select the newly created database using the Connection Setup e lf you are able to select this newly created database you can conclude that the original database is corrupted Restoring the corrupted database If there is a recent backup available you can try restoring this backup If this restore fails you can try the following procedure e Remove the database files manually o CCDB_DAT MDF o CCDB_LOG LDF o CCDBAUDIT DAT MDF Only CPWS software 1 5 0 or higher o CCDBAUDIT LOG LDF
36. ce is on DIR 80012893 Ver B 37 69 Interface cable WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual see the CPWS ABP manual e Verify if the Enable start button is checked in the ABP settings of the CPWS software see the CPWS ABP manual Patient activation button does not initiate readings while in the Regular Run Ambulatory Blood Pressure setting mode The ABPM 6100 monitor displays error codes whenever an error situation is encountered Error codes will display on the units LCD Error codes that apply to a specific reading will also display in the ABP Workstation Software when the data is read from the unit The following table explains error codes generated by the ABPM 6100 monitor along with possible solutions for each error code ABPM6100 Error codes Error code Causes Actions 1 Weak or no Oscillometric signal ries cuff position and cuff tightness 2 Artifact Erratic Oscillometric Signal Wess panem vo ka still during reading Try reading again 3 Exceeded retry count 4 inflate Instruct patient to remain still during attempts reading Try reading again A Exceeded measurement time limit Check air hose connections and 120 seconds make certain cuff is tight enough Reading aborted blocked valves or Check alr hose connections and 85 make certain air tubing is not pneumatics crimped 86 Reading aborted manual abort PU Start Stop button to restart reading 87 Readi
37. ch Allyn CardioPerfect Workstation installed yet do so now See the Installation guide for guidance Install at least the software database and telemedicine server components by running the setup If you have a network with multiple computers running workstation clients and one computer running the database server check the following options in the Select DIR 80012893 Ver B 58 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Components dialog of setup exe Software on the computers running workstation Database on the computer running the MSDE or MSSQL database server Telemedicine server on a computer with a connection to the internet After finishing setup continue with the next step step 2 Configure the Telemedicine server On the computer on which you have installed the Telemedicine server component go to the Windows Control Panel Double click to start the CC MailServer Configuration control panel applet If you plan to use e mail as communication mode go to the e mail tab press Change and fill in the e mail address server names and login details provided by your Internet Service Provider or your network administrator Edit email settings x Email address E Ca MyClinic com POPS serve PUPS server address pop myclinic com POPS username myname POPS Password BEEF SMTP serve SMTP server address mailhost myclinic com f SMTP serve
38. chedule an automatic backup rrrrnrnrrnnnrnvanrnvanrrvnnnnnnnnrnnnnrnnanrnnnnnennennnnnnrnnnnene 24 3 5 Index tuning wizard sasare eek abeennondsbedensecowexpndeancdanssbar 26 4 FUNCTIONAL VERIFICATION OVERVIEW rnnnrnnernnennnvnnnnnnnnnnennnennnnnnnnnnnnnn 27 Al EgUpPMenTeguUed essre E AEREE SE 217 4 2 Functional Verification ECG Recorder rrrarrrrnnnrnnnrrvnnnrnrnnrrrnnrennarennnrrnnnrennsnennn 27 4 2 1 Patient Cable Verification rrrnnrrrrnnnrnrannrrnanrrrnrernnnrnrnnnrnrannennannennansnnnnsnnnnnsnnnnnene 27 4 2 2 Computer Interface Verification c cc ecccceececseececeeeeeceeeeceeeesseeeesseeeeseeeeseeeeseeeeeas 28 4 2 3 Resting ECG Results Verification cccccccccssececessseecceeseeeseaseeessaseeeeseueesssaseeeses 29 4 3 Functional Verification MiniHolter 00 0 0 ccc cecccceceeeeeceeeeeeeeeeeeseeeeeeeeseeeseeeesaees 29 4 3 1 Patient Cable Verification cccccccccccceecccseececeecesseeeeseeeeeseeeesseeeesseeeeseeeseneeesaeeeeas 29 4 3 2 Checkpoints MiniHolter ccs cesececcsccstwecoedecsededsbeavedseci vee qoudacnedsssdapeddedexmedceadsceededubeacdoces 30 4 3 3 MiniHolter ECG Verification ccccccccccsscccceeeeceeeeeceeeeeseeceesecesseeeesseeeeseeeeseeeeesaees 30 4 4 Functional verification ABP device cccccssccceseecseeeeceeeeceeseceueesseeeessueenseeeseas 31 4 4 1 Visual inspection wcsidic dscns dhccedte Sadncdnnlccnneandanesdinewsnncecincdaunedsegaiin
39. d the test A mail message has been received that is sent by a known contact but the password is incorrect A rejection message has been sent back to the sender Action change contact password or let the sender change the password entry A time out has occurred trying to connect to a host Action Try again later the host may be down If the problem persists check the contact address of the host using the Administrator Tool Also verify that the network is functioning correctly Contact Host failed to receive mail message or time out waiting for reply from host Action Check the if local user account has writing rights in the temporary directory specified in the CC MailServer Configuration Check if there is enough disk space to temporarily store mail messages check if the database server has enough disk space to grow Contact Host failed to receive mail message or time out waiting for reply from host Action See error 112 Direct socket received unknown command or error Future use possibly host and client are using different software versions Also connection disconnected by host the host is going down during a connection Action handle like error 111 10 4 3 Technical Support If you have a technical question that you cannot answer with the provided tools please contact the technical support department or contact your local distributor When contacting the Installation amp Support department via phone e mail or f
40. dioPerfect Workstation Service and Advanced installation Manual Limited Warranty Statement Welch Allyn Inc warrants that the Welch Allyn CardioPerfect Workstation computer based product you have purchased meets the labeled specifications of the Product and will be free from defects in materials and workmanship that occur within 1 year after the date of purchase Accessories used with the Product are warranted for 90 days after the date of purchase The date of purchase is 1 the date specified in our records if you purchased the Product directly from us 2 the date specified in the warranty registration card that we ask you to send to us or 3 if you don t return the warranty registration card 120 days after the date on which the Product was sold to the dealer from whom you bought the Product as documented in our records This warranty does not cover damage caused by 1 handling during shipping 2 use or maintenance contrary to labeled instructions 3 alteration or repair by anyone not authorized by Welch Allyn and 4 accidents lf a Product or accessory covered by this warranty is determined to be defective because of defective materials components or workmanship and the warranty claim is made within the warranty period described above Welch Allyn will at its discretion repair or replace the defective Product or accessory free of charge You must obtain a return authorization from Welch Allyn to return your Product before you
41. e 4 4 Functional verification ABP device Serial number ABP Device E ABP device Type ABPM 6100 Mobil O Graph Welch Allyn CardioPerfect Software version Software Serial number pe Tested by a Test Date NE 1 You can find the Welch Allyn CardioPerfect software version and serial number in the information tab of the help function Calibration verification Manometer Device Difference Pressure Pressure If using a manometer mercury column or aneroid gauge rated at 3 0 mm Hg you will be able to determine the accuracy of the unit being tested to within 6 0 mm Hg If using a device e g digital pressure standard rated at 1 0 mm Hg you will be able to determine the accuracy of the unit being tested to within 4 0 mm Hg Overpressure verification Manometer Device Pass Fail Pressure Pressure pressure deflates pressure doesn t deflate gt 300 and lt 330 1 pp Leakage verification Manometer Device Pass Fail Pressure Pressure pressure deflates pressure deflates lt 4 mmHg in 1 min gt 4 mmHg in 1 min Pressure release verification Manometer Device Pass Fail Pressure Pressure pressure deflates pressure deflates lt 3 min gt 3 min Date Signature DIR 80012893 Ver B 69 69
42. e following components e ProLink or optical fiber interface cable e ECG recorder 7 3 Problem Framing Errors during recording Framing Errors on the screen can occur by e Wrong recorder settings in the CPWS software For further instructions please refer to the CPWS Resting ECG manual e Defective hardware try to replace the following components o ProLink or optical fiber interface cable o ECG recorder 7 4 Problem Lead Quality problems The following table describes different lead quality problems and possible actions to try to resolve this If you can not resolve the problem please contact the nearest Welch Allyn Technical support for further assistance Condition Actions Bad signal quality on screen e Electrode contact may be Reattach the lead poor e Replace the electrode OR A lead may be loose e Verify that the electrode area has been properly prepared shaved cleaned with alcohol or acetone allowed drying Indication on screen Bad signal quality and One or more leads prints as a Square wave Wandering baseline an upward Electrodes that are dirty e Clean skin with alcohol or and downward fluctuation of the corroded loose or acetone waveforms positioned on a bony area e Reposition or replace Insufficient or dried electrodes electrode gel e Help patient relax Oily skin or body lotions e If wandering baseline persists Rising and falling of chest turn the baseline filter on For during rapid or further in
43. ected to USB port of the computer computer e ProLink interface cable not connected to PC interface Verify the connection to the connector of the CardioPerfect Pro CardioPerfect Pro Cardiograph Cardiograph Recorder don t switch on when starting an ECG recording Check the recorder settings in the e Wrong device selected in the Welch Allyn CardioPerfect software Welch Allyn CardioPerfect software see the CPWS resting ECG manual e ProLink interface cable is defective e Replace ProLink interface cable ECG recorder LED is not on during ECG recording ECG recorder LED is red when powered by USB and without battery pack e Defective LED e Send the unit in for repair Defective PRO recorder Send the unit in for repair e Battery pack not charged e Battery pack defective e Defective PRO recorder Intended use Charge the battery pack and retry Replace the battery pack and retry Send the unit in for repair None ECG recorder LED is red when powered by a battery pack On Off switch doesn t function when DIR 80012893 Ver B 35 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual powered by USB and without battery pack eset ie sae dn kb when Defective PRO recorder e Send the unit in for repair 5 2 Problem Solving suggestions CardioPerfect MD Portable Cardiograph System Failure Problems Condition Actions LED is not on and optical fiber doesn t e Empty batte
44. er has limited rights in the CPWS software e User has limited rights on the operating system of the computer e Release code invalid 6 4 Problem Limited rights in the CPWS software Use the following procedure to verify this e Logon to the Welch Allyn CardioPerfect software using database authentication Username admin Password admin If you have changed the username or password use the modified logon information e Check the user settings in the administrator tool 6 5 Problem Limited rights on the operating system Use the following procedure to verify this e Logon on the computer as a local administrator e lf the missing functions are still not accessible go to next chapter e The restrictions are caused by the local security policy 6 6 Problem Release code invalid The release code activates the different modules in the CPWS software To verify which modules are activated use the following procedure e Start the CPWS software e Select option help gt information gt modules e Check if the expected modules are activated Information Welch Allyn CardioPerfect General Registration Modules O Information about the available diagnostic modules Module Version ABP Perfect 1 5 0 262 Cardio Perfect 1 5 0 343 Cardio Perfect ST 1 5 0 412 Recollect 1 5 0 189 Spiro Perfect 1 5 0 354 e If not all expected modules are activated contact the nearest Welch Allyn Technical Support Center with a proof
45. es Try moving to setting or AC filter is turned another room off 8 2 Problem Exercise device is not responding The Exercise device treadmill or ergometer doesn t respond e Verify the settings of the Exercise device For further instructions see the CPWS Stress ECG manual e Verify if the device is switched on and ready for communicating with the software for further instructions refer to the exercise device manual In case of treadmill verify the emergency button is unreleased Verify the serial cable is connected correctly and not damaged Verify the serial port is working correctly If you can not resolve the problem please contact the nearest Welch Allyn Technical support for further assistance DIR 80012893 Ver B 56 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 9 Problem Solving suggestions Spiro module This chapter describes the most common problem suggestions of the Spiro module 9 1 Problem No samples detected The following message appears when the device detected samples during the initialization Retry it and don t move the unit during the stabilization or breathe through the mouthpiece Communication error AN No samples detected Sensor unpluged or switched off Test has been terminated 9 2 Problem Blue screen during recording Spirometry This problem only occurs with the SpiroPerfect VCT400 in combination with an USB to serial converter Note This combin
46. f IEC 60601 1 1 Measure the leakage currents to confirm that no electric shock hazard exists e The personal computer used should adhere to the appropriate electromagnetic compatibility EMC standard for non medical electrical equipment CISPR 22 24 FCC Part 15 CE or national variants The CardioPerfect families of devices are an integral part of a personal Warning If it is required for the personal computer to be situated within the patient environment it is the responsibility of the user to ensure that the system provides a level of safety in compliance with IEC 60601 1 DIR 80012893 Ver B 8 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 1 2 Symbols Documentation Symbols Indicated conditions or practices that if continued or not corrected immediately WARNING l a could lead to illness injury or death Indicated conditions or practices that if continued or not corrected immediately CAUTION could damage the equipment Shipping Storing and Environment Symbols S PE i A 7 ampere Certification Symbols Meets essential requirements of European Medical Device Directive 3 42 EEC The authorized representative in the European Community Equipment symbols Type BF Equipment my Manufacture Date IR Defibrillation proof type BF applied part DIR 80012893 Ver B 9 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 1 3 Ser
47. figurations consist of PRO 60024 PC interface cable ProLink length 3 meter SE PRO BLT Belt for PRO Recorder Pouch SE PRO PCH Pouch for PRO Recorder Accessories Exercise ECG SE PC IEC PUSH Patient Cable PRO pushbutton Euro coded SE PC IEC PSHL Patient Cable PRO pushbutton X Long Euro coded SE PC AHA PSHL Patient Cable PRO pushbutton X Long AHA coded SE PC IEC CLIP Patient Cable PRO Clip ending Euro coded SE PC AHA CLIP Patient Cable PRO Clip ending AHA coded SE PC IEC CLPL Patient Cable PRO Clip ending X Long Euro coded PRO 60023 PRO USB Interface Cable 2 meters PRO 60025 PRO USB Interface Cable 5 meters SE SKN PREP Sand Paper Skin Prep 36 rolls SE ELEC Disposable Exercise ECG Electrodes Clip Push 25x SE ELEC 40 Disposable Exercise ECG Electrodes Clip Push 1000x 2 2 3 Recommended Service Intervals Resting Exercise ECG Interval or Condition Action Recommended Procedure Every oe MONNE pEr Complete Functional test Functional verification ECG recorder hospital procedure anit nee oe Complete Functional test Functional verification ECG recorder otherwise damaged Unit malfunctioning Complete Functional test Functional verification ECG recorder Troubleshooting ECG recorder Troubleshooting Software module Troubleshooting and repair followed by Unit does not pass functional test Troubleshooting Exercise device see the service Functional verification manual of the exercise device Functional verification
48. format tool see the ee Paseo CPWS MiniHolter manual e Prepare the flash card see the patient or protocol CPWS MiniHolter manual e Replace the flash card oe Green LED ENO ung dun LED defect e Send the unit in for repair recording Fed NG e Sound is set to LO on the Verify the setting on the MiniHolter g g MiniHolter see the CPWS MiniHolter manual the MiniHolt e MiniHolter e Defective MiniHolter e Send the unit in for repair Patient symbol is flashing Patient cable 5 4 Problem Solving suggestions ABPM 6100 I l et APY na System Failure Problems Condition Actions Check if the interface cable is correctly connected e Interface cable defective try to replace it e Replace batteries e Verify if the correct serial port is No communication between the e Ambulatory Blood Pressure setting selected in the CPWS software ABPM6100 and the computer see the CPWS ABP manual e Serial port is blocked by another application use the comlist tool i Serial port provided on the CPWS CDROM in the folder tools to check this e Verify the correct working of the serial port cm e Ensure a connection with the e Cuff ABPM 6100 is secure Cycle starts but cuff will not fully inflate gt Check bladder for leak e Replace batteries Blood Pressure readings are not Blood pressure protocol e Verify if the setting show i e Blood pressure protocol ar displayed during Regular Runs measurements on devi
49. fter less then 3 minutes the unit should deflate the pressure to O mmHg 4 5 Functional verification Spirometer DIR 80012893 Ver B 32 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Functional verification can be performed by using the Calibration procedure described in the CPWS Spiro manual Verify continued electrical safety of the Welch Allyn System using IEC 60601 1 or ANSI AAMI ES methods and limits Test for the following e Patient Leakage current e Chassis leakage current e Earth leakage current 4 5 1 Maintenance Welch Allyn SpiroPerfect The Spirometer sensor needs little maintenance to stay in good working condition Change the flow transducer for each patient Check periodically for damages Check that all connections are properly aligned and tight Visually check the pressure tubing for leaks and kinks Check for irreversible bending or compression of the pressure tubing between flow transducers and device Ensure Spirometer is calibrated and that proper linearization file is used The linearization file can be found on the Linearization Calibration CD that came with your flow transducer package For proper installation refer to chapter 7 of the CPWS Spiro manual Replace sensor when faulty Avoid placing Spirometer and any of its components in direct sunlight or in a dusty environment CAUTION To make reliable recordings calibrate the sensor on a daily basis Keep trac
50. hange the cardboard mouthpiece for each patient Check periodically for damages Check that all connections are properly aligned and tight Visually check the following e The PC connection cables should be inspected for any cracks exposed wires or other damage e The monitor itself should be visibly inspected for any signs of damage e SpiroPerfect sensor should be inspected for any visual damage e Donot remove any covers or break the warranty seal while inspecting the unit Ensure Spirometer is calibrated for further information refers to the CPWS Spiro manual CAUTION To make reliable recordings calibrate the sensor on a daily basis Keep track of the calibrations in the calibration log 4 6 1 Cleaning and Disinfection Procedure SpiroPerfect VCT 400 Mouthpiece The cardboard mouthpiece is for single patient use only Discard it after the test Housing Clean the outside of the housing with a non aggressive cleaning agent daily Holder and sensor Clean and disinfect the holder and sensor after each test Cleaning 1 Use an ultrasound bath with a household cleaning agent 2 Rinse thoroughly with distilled water afterwards 3 Letit dry Note Clean holder and sensor immediately after a test It will be more difficult to clean when saliva dries on the sensor Disinfection Leave the sensor and holder emerged in Ethyl alcohol max 70 for 5 to 10 minutes if it is left emerged for a longer period the glue inside the sens
51. hs lt Back Cancel Enter the preferred schedule in the next steps Click Next 6 A summary shows the details of the backup schedule Verify that this information is correct and click OK Restore the database Restoring is the process of recovering a damaged corrupt or missing database Several situations can arise that might require the recovery of the database Problem evaluation Prior to the recovery of the database you should evaluate the situation very carefully What is wrong with the database and what is the date of the most recent database backup Important When performing a database restore you can only recover the database to the point of the latest backup Any changes made to the database after the last backup will be lost To restore a database 1 Make sure that all users are logged out You cannot restore the database while it is being used 2 Under Database tools click Restore database lt CCW Administration Tool File Sections Language User Administration Telemedicine Database Administration me g Backup Database d T rT Restore Database DIR 80012893 Ver B Restore Backup User LoggedIn Connection local ccdb pr Restore Database Application Administration Change File HIPAA Auditing ee Name FromFile Size Descrip 25 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 3 Select
52. ion View Help fr General Power Driver Details Power Management 3 Ports COM amp LPT S Processors USB Root Hub Sound video and game controllers fer S s Storage volumes System devices z Universal Serial Bus controllers Generic USB Hub Intel R 82801FB FBM USB Universal Host Controller 2658 Intel R 82801FB FBM USB Universal Host Controller 2659 Intel R 82801FB FBM USB Universal Host Controller 2654 Intel R 82801FB FBM USB Universal Host Controller 2656 Intel R 82801FB FBM USB2 Enhanced Host Controller 265C USB Composite Device USB Composite Device USB High Speed Serial Converter for USB Spirometer USB Mass Storage Device USB Root Hub USB Root Hub USB Root Hub USB Root Hub USB Root Hub DIR 80012893 Ver B 52 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 7 2 2 Applications Hardware interfering Data loss can occur by applications or hardware which is interfering with the communication on the USB port for example Wireless network when not connected Bluetooth manager Infrared port Antivirus program Try to switch off the possible interfering products to see if this will resolve the problem If the above suggestions don t resolve the problems contact the nearest Welch Allyn Technical Support for further assistance 7 2 3 Defective hardware Data loss can occur by defective hardware try to replace th
53. is acts as the reservoir for the unit Connect the third leg of the Y connector to a high quality Known pressure standard Refer to the following calibration figure for a sketch of the test set up 3 Pressurize gauge to 300 mmHg and compare against pressure standard see following calibration figure If the unit does not meet the required calibration the unit needs to be returned to Welch Allyn for calibration or repair 4 Bleed pressure down no faster than 10 mmHg per second stopping to check the pressure at 250 200 150 100 and 50 mmHg Refer to the notes that follow for tolerances 5 When finished on the e ABPM 6100 remove one of the AA batteries from the battery compartment Then immediately replace the battery back in its proper orientation which will cause the unit to start the power up cycle e ABP Perfect switches it OFF and ON to return to normal mode DIR 80012893 Ver B 31 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Manometer Cuff Wrapped Around Cylinder Attach to Unit Note Your ability to measure the accuracy of the ABPM 6100 ABP Perfect depends upon the sensitivity of the pressure standard you use for the calibration procedure e If using a manometer mercury column or aneroid gauge rated at 3 0 mm Hg you will be able to determine the accuracy of the unit being tested to within 6 0 mm Hg e If using a device e g digital pressure standard rated at 1 0 mm Hg
54. k of the calibrations in the calibration log 4 5 2 Cleaning the Welch Allyn SpiroPerfect You cannot clean the Spirometer or any of its components If you choose to clean the calibration syringe wipe its external surfaces as needed with a cloth dampened with water only WARNING Satisfactory maintenance procedures must be implemented or equipment failure and health hazards may result Only qualified service personnel should repair the equipment SE FE WARNING To prevent cross contamination do not try to clean the flow transducers and nose clips Discard these items after a single patient use Wear rubber gloves when replacing flow transducers and wash hands after touching them could affect accuracy Replace the pressure tubing when it becomes dirty Recalibrate after replacement 1 CAUTION Do not clean the pressure tubing or sensor Trapped moisture Replace the sensor when it becomes faulty Ordering Information for Replacement Parts see Section 2 Do not immerse any part of the Spirometer into a cleaning liquid or sterilize it with hot water steam or air Do not use aromatic hydrocarbons rubbing alcohol or solvents for cleaning the Spirometer DIR 80012893 Ver B 33 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 4 6 Maintenance SpiroPerfect VCT400 The SpiroPerfect VCT400 sensor needs little maintenance to stay in good working condition Only clean and sterilize it C
55. l Configure the memory card in the Welch The patient symbol is flashing and Allyn CardioPerfect software for a 2 channel the Memory card gives the test Fit the card in the MiniHolter and press indication how many recordings can the record button briefly be stored Switch the ECG simulator on connect the patient cable to the MiniHolter and press the record button briefly The patient symbol is not flashing Heartbeat indicator will appear on the display On every heartbeat there is a beep signal Press the Record button briefly The beep signal on every heartbeat will stop The looping symbol will appear with the 2 in the middle Press the Record button till a beep signal The Recollect will record an ECG sounds and the green LED on the front of and will store this on the Recollect the Recollect will go on Memory card After the set recording duration the Green LED will switch off and the indication on how many recordings can be stored will be one less then on point 4 Unplug the green electrode 2 from the The patient symbol is flashing and ECG simulator and shortly remove a battery the number 2 is on the display from the MiniHolter indicating that the problem is related to channel 2 Unplug the black electrode 1 from the The patient symbol is flashing 2 ECG simulator and shortly remove a battery from the MiniHolter For further instructions see CPWS MiniHolter manual 1 If the correct time is not displayed the
56. le Flow 703418 25 pk Transducer 703419 100 pk CPWS CP200 Package includes Linearization file on CD Pressure Tubing 703415 1 CPWS CP200 om Sensor 703554 Spirometer USB Kit 58550 0000 1 Nose Clip 2 2 11 Ordering Information for Replacement Parts SpiroPerfect VCT 400 The following parts must be replaced as noted Cardboard mouthpiece amp nose clips Replace for each new patient Sensor Replace when faulty Sensor Holder Replace when broken Transparent Holder Replace when broken To order parts call the Welch Allyn Technical Support Center DIR 80012893 Ver B 19 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual J N e Discard all Spirometry components according to local regulations Use of components other than those recommended by Welch Allyn may compromise product performance The Welch Allyn warranty can only be honored if you use Welch Allyn approved components and replacement parts Part Numbers Order Quantities SP M 100 SP MC 1000 100 pk 1000 pk Item Cardboard mouthpiece Welch Allyn SpiroPerfect VCT 400 sensor SP SENSOR 1 SpiroPerfect VCT 400 Sensor Holder am SP SENS HLD 1 SpiroPerfect VCT 400 Transparent Holder SP HLD 1 TRANSP 2 2 12 Recommended Service Intervals Spirometry The Spirometer sensor needs little maintenance to stay in good working condition Change the flow transducer for each patient Check pe
57. ll electrode contacts and lead wires Verify that the patient is not touching any metal Verify that the AC power cable is not touching the patient lead cable Verify that the proper AC filter is selected For further instructions see the CPWS resting ECG manual If possible unplug electrical devices in the immediate area If interference still persists the noise may be caused by other equipment in the room or by poorly grounded power lines Try moving to another room 7 5 Problem Interference on printout but not during recording After recording the ECG on the computer the signal quality is less than during the recording on the screen Activate for viewing printing the ECG the same filter settings as during the recording of the ECG for further instructions see the CPWS resting ECG manual 7 6 Problem No Automatic computer interpretation on ECG This can be caused by the following e Software was not able to make an average complex because of o Bad ECG signal o Complexes differ too much o Complexes are outside the set limits e Pediatric lead set used V3R V1 V2 V4 V6 and V7 without the Pediatric MEANS option available e MEANS option not available contact the nearest Welch Allyn Technical Support Center with a proof of purchase DIR 80012893 Ver B 54 69 CardioPerfect Workstation Service and Advanced installation Manual WelchAllyn 8 Problem Solving suggestions Exercise ECG module This chapter desc
58. lyn service centers 4 4 2 Calibration verification ABP Device The ABP device needs to be set in to a manometer mode before you can perform the calibration verification To set the ABP device in the manometer mode use the following procedure depending on the type of Device ABPM 6100 With the ABPM 6100 unit already powered up remove one of the AA batteries from the battery compartment Then immediately replace the battery back in its proper orientation which will result in the unit to start the power up cycle While the LCD is displaying dashes press and hold down the Start Stop button The unit will display the software version the battery voltage followed by a click as the valves are closed When the process is finished a pressure value will be displayed on the LCD and the unit is ready to have the calibration checked ABP Perfect Press and hold the PROTOCOL and DAY NIGHT keys at the same time and then briefly operate the ON OFF key to switch on the unit The display will show 8888 for approximately 8 seconds The equipment will then switch to manometer mode and show P 000 Press the Start Key briefly so that the unit pumps for a short time The pump runs for as long as the START key is held down Disconnect the cuff assembly from the unit 2 Attach the appropriate end of a Y connector to the monitor Attach a cuff to the appropriate end of the Y connector and wrap around a suitably sized can or bottle Th
59. m the POP server The advantage is that the Mail server will only have to scan these messages once instead of each time it is checking for new mail This increases the Mail server s efficiency TCP IP port for direct connections Direct connection only If the default TCP IP port specified for Direct Socket connection is unavailable this setting can be changed However the TCP IP port for direct connection on the Mail server s acting as Client s must be identical to the port used on the Mail server acting as Host Restart the Mail server after changing this setting 10 3 2 Mail Client In Welch Allyn CardioPerfect Workstation Telemedicine settings can be accessed by selecting File gt Settings gt General from the main menu then select the mail tab The following values can be changed TCP IP ports Only change the TCP IP port settings in combination with setting the TCP IP ports in the Mail server See the previous section Mail server and Troubleshooting telemedicine Restart Welch Allyn CardioPerfect after changing this setting Auto signature To automatically sign the interpretations that are sent through mail select Use Auto Signature and type in the desired signature These settings are stored per Windows user This feature is present for backward compatibility As of version 1 3 full credentials of the interpreting physician will be sent with an interpretation and an auto signature is no longer required
60. mm mV Date Signature DIR 80012893 Ver B 67 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual ll MiniHolter Checklist and Test Results Form Use a copy of the form to track your progress through the verification 4 3 Functional Verification MiniHolter Note MiniHolter not sold in US Serial number MiniHolter Welch Allyn CardioPerfect Software version Software Serial number Tested by Test Date 1 You can find the Welch Allyn CardioPerfect software version and serial number in the information tab of the help function Expected result Pass Fail N A BJ dl off automatically after a few seconds If test 1 fails correct the time remove the Correct time is displayed The display switches batteries and repeat test 1after 6 hours off automatically after a few seconds Format a Recollect memory card with the The Memory Card symbol is flashing and the Welch Allyn Recollect Card Format tool Fit MiniHolter starts beeping the card in the MiniHolter and press the record button briefly Configure the memory card in the Welch The patient symbol is flashing and the Memory Allyn CardioPerfect software for a 2 channel card gives the indication how many recordings test Fit the card in the MiniHolter and press can be stored the record button briefly Switch the ECG simulator on connect the The patient symbol is not flashing patient cable to the MiniHolter and press the Heartbe
61. nager AER O SQL Server Service Manager AER O SQL Server Service Manager ol Sener FERRARI ka Sener FERRARI Sener FERRARI ka Services 50L Server vi Services 50L Server vi Services 50L Server vi Refresh services Refresh services i P b E EUTRE k Start Continue i gt mi Fo u li Pause E El Stop i Auto start service when DS starts Stopped FERRARI MSSGLServer Stopped FERRARI MSSGLServer Running FERRARI MSSGLServer Activate the Auto start service Try to start the MSSQL Go to Next Paragraph Try to start the MSSQL database database If the MSSQL database doesn t If the MSSQL database doesn t DIR 80012893 Ver B 43 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual start it needs to be reinstalled start it needs to be reinstalled use the following procedure use the following procedure Reinstalling the MSSQL database Deleting the MSSQL database will delete all data and is irreversible o Before removing the MSSQL database we advise to copy the data folder and the most recent backup to a save place on the hard disk e The standard database created by the Welch Allyn CardioPerfect software is called CCDB and this database consist of the following files CCDB_DAT MDF CCDB_LOG LDF CCDBAUDIT DAT MDF Only CPWS software 1 5 0 or higher CCDBAUDIT LOG LDF Only CPWS software 1 5 0 or higher e If there are additional databases created make
62. nal treaty provisions applicable worldwide Under such laws the licensee is entitled to use the copy of the software provided on the original distribution medium The software may not be copied decompiled reverse engineered disassembled or otherwise reduced to human perceivable form This is not a sale of the software or any copy of the software all right title and ownership of the software remains with Welch Allyn The information contained in this manual is subject to change without notice All changes will be in compliance with regulations governing manufacture of medical equipment User responsibility This product is designed to perform in conformity with the description thereof contained in this manual and accompanying labels and inserts when assembled operated maintained and repaired in accordance with the instructions provided A defective product should not be used Parts that are broken plainly worn missing or incomplete distorted or contaminated should be replaced immediately Should any repair or replacement become necessary we recommend that service be performed at the nearest approved service center The user of the product shall have the sole responsibility for any malfunction which results from improper use faulty maintenance improper repair damage or alteration by anyone other than Welch Allyn or their authorized service personnel Accessories The Welch Allyn warranty can only be honored if you use Welch Allyn approved
63. nce of flammable anesthetics connection of only devices complying with IEC 60601 1 or other IEC standards for example IEC 60950 as appropriate to the device Connecting additional devices to the Welch Allyn CardioPerfect family of devices may increase chassis or patient leakage currents To maintain operator and patient safety consider the requirements of IEC 60601 1 1 Measure the leakage currents to confirm that no electric shock hazard exists WARNING The Welch Allyn CardioPerfect family of devices has not been designed for use with high frequency HF surgical equipment and does not protect ER hazards to the patient WARNING Las E maintenance procedures must be implemented or Las E failure and health hazards may result WARNING Avoid positioning any leads or cables so that omme dill could easily trip oo MTT Related to using the Welch Allyn CardioPerfect family of devices DIR 80012893 Ver B 10 69 WelchAllyn CardioPerfect Workstation EE Service and Advanced installation Manual WARNINGS Related to repairing the Welch Allyn CardioPerfect family of devices WARNING Only qualified service personnel should attempt to repair the device In case of malfunction call Technical Support and precisely describe the problem For phone numbers see page 3 WARNING While under warranty the device must be serviced only by a Welch Allyn service technician WARNING Electrostatic discharge ESD c
64. ne number of your facility For out of warranty repairs or spare parts orders a purchase order or credit card number For parts order the required spare or replacement part number s Repairs If your product requires warranty extended warranty or non warranty repair service please call first the nearest Welch Allyn Technical Support Center A representative will assist you troubleshooting the problem and will make every effort to solve it over the phone avoiding potential unnecessary return In case the return cannot be avoided the representative will record all necessary information and will provide a Return Material Authorization RMA number as well as the appropriate return address A Return Material Authorization RMA number must be obtained prior to any return Note Welch Allyn does not accept returned products without an RMA Packing Instructions If you have to return goods for service follow these recommended packing instructions e Remove all hoses cables sensors power cords and ancillary products as appropriate before packing unless you suspect they are associated with the problem e Wherever possible use the original shipping carton and packing materials e Include a packing list and the Welch Allyn Return Material Authorization RMA number It is recommended that all returned goods be insured Claims for loss or damage to the product must be initiated by the sender DIR 80012893 Ver B 3 69 WelchAllyn Car
65. ng aborted inflate time out or Check air hose and cuff air leak Push Start Stop button to restart 88 Reading aborted safety time out reading If problem persists return for servicing 89 Reading aborted cuff Check air hose for blockage or overpressure kinking Service Required power supply 90 out of range or other hardware Rep ace batteries If problem persists return for servicing problem Service Required safety override ook Start Stop button o en 91 reading If problem persists return fitted or auto zero out of range f nen or servicing 97 Service Required Transducer out Return for servicing of range 98 Service Required A D out of range Return for servicing 99 Service Required EEPROM Unit needs to be recalibrated calibration data CRC failure Return for servicing The codes mentioned above are the codes as shown on the device display Please refer to the CPWSW ABP Software manual for the codes as used by the software 5 5 Problem Solving suggestions Mobil O Graph DIR 80012893 Ver B 38 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual System Failure Problems Condition Causes e No CO on display Mobil O Graph USB to Serial converter No communication between the ABPM6100 and the computer Interface cable e Batteries Ambulatory Blood Pressure setting Serial port Cuff Cycle starts but cuff will not fully inflate e Batteries
66. nu to Restart Continue step 6 5 x My Alerter S Application Manage Provides s LocalSystem _ LocalSystem Notifies sel Manual Services Local Manual st cMailservice Automatic LocalSystem Sa ClipBook Start Manual LocalSystem iy COM Event System Sel Manual LocalSystem iy Computer Browser l Pause Automatic LocalSystem Sa Defwatch pesume Automatic LocalSystem Sa DHCP Client Automatic LocalSystem Sa Distributed Link Tra gt All Tasks Automatic LocalSystem fy Distributed Transac Manual LocalSystem i DNS Client ete Automatic LocalSystem fs Event Log Properties Automatic LoralSyvstem Sy Fax Service Manual LocalSysterm Sa Indexing Service Help Manual LocalSystem Sa Internet Connection Provides n Manual LocalSystem Sa IPSEC Policy Agent Manages I Started Automatic LocalSystem Ma Logical Disk Manager Logical Disk Started Automatic LocalSystem Ma Logical Disk Manage Administrat Manual LocalSystem fy Messenger Sends and Started Automatic LocalSystem MSSOLServer Started Manual LocalSystem Sa Net Logon Supports p Started Automatic LocalSystern xl Stop and Start service CcMailService on Local Computer DIR 80012893 Ver B 60 69 WelchAllyn CardioPerfect Workstation step 4 step 5 step 6 step 7 Service and Advanced installation Manual Configure Workstation for Telemedicine Start
67. of purchase DIR 80012893 Ver B 50 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 7 Problem Solving suggestions Resting ECG module This chapter describes the most common problem suggestions of the Resting ECG module 7 1 Problem Invalid WDM handle Error message The invalid WWDM Handle error is related to the driver of the UniLink USB or ProLink interface cable Welch Allyn CardioPerfect Use the following procedure to resolve the problem e Determine first if the connection between the recorder and the computer is a USB interface cable If not change the port setting in the CPWS software to the correct interface For further instructions see the CPWS Resting ECG manual F Settings Modules pa ECG General Viewing Printing QT dispersion Recorder Recorder ALC filter Hz Model Frequency fe 50Hz MDXN1 v 600 v C 60Hz Port UniLink USB v Display switch off message Battery options Enable low battery warning Cancel Apply Help e Verify if the USB interface cable is connected to the USB port of the computer e lf the system worked before without any problem reboot the computer and verify if the problem is resolved e Check the device manager to see if the ProLink or UniLink USB is correctly installed If you don t see the device on the Other Devices tab reinstall the driver For further instructions see the CPWS Resting ECG manual DIR 80012893 Ve
68. omputer PIII or better Welch Allyn CardioPerfect software version 1 5 0 or higher installed DVM Digital Volt Meter Recollect Card Reader Electrical safety tester Reader for the Recollect SRAM card Commercially Available General purpose Medical Test Equipment 4 2 Functional Verification ECG Recorder A checklist of the functional tests is provided on Checklist and Test Results Form I It is recommended that you print a copy of the checklist each time you perform the functional verification procedure so you can record and save the test results If the ECG recorder ever requires service the records of test results often facilitate troubleshooting Verify continued electrical safety of the Welch Allyn System using IEC 60601 1 or ANSI AAMI ES methods and limits Test for the following e Patient Leakage current e Chassis leakage current e Earth leakage current 4 2 1 Patient Cable Verification 1 The Patient cable should be inspected for any cracks exposed wires or other damage 2 Each cable needs to be individual measured to ensure the correct impedance DIR 80012893 Ver B 27169 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Cable or h 13 AHA Pin Expected Pin Expected configuration impedance configuration impedance Pro patient cable Ohm MD patient cable Ohm LA 10 KQ RA R 2 1 09 9 gt 10 KO LL 10 KO Vi 10 KO V2 10 KO v3 cej 6 1 09 2 gt 10 KO V4 10 KQ ve
69. one 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 10 1 Telemedicine specific Requirements Check that the system on which you are planning to install Welch Allyn CardioPerfect Workstation with Telemedicine meets the requirements For the minimum configuration for Welch Allyn CardioPerfect Workstation see section 3 1 System Requirements in the Installation manual Before installing and configuring choose which communication type is best suited to your needs email direct socket or a mix of both E mail will probably be the best choice in most cases as it is easily available and requires low maintenance while direct connection might be necessary for a more time critical use For advice on how to create the best custom configuration contact Welch Allyn Cardio Control B V or your local distributor When using e mail prior to testing the e mail account using Telemedicine test the account using Microsoft Outlook Express or a similar program Instead of using the Internet as a transportation infrastructure you may use another WAN or LAN as long as it is TCP IP based and is accessible to all contacts you wish to communicate with using Telemedicine 10 2 Installation and Configuration This chapter explains the installation and configuration in detail step 1 Install Welch Allyn CardioPerfect Workstation If you do not have Wel
70. oned on a bony area Insufficient or dried electrode gel Patient or technician touching an electrode during recording Patient touching any metal parts Causes Actions Reattach the lead Replace the electrode Verify that the electrode area has been properly prepared shaved cleaned with alcohol or acetone allowed drying Clean skin with alcohol or acetone Reposition or replace electrodes If wandering baseline persists turn the baseline filter on For further instructions see the CPWS Stress ECG manual Check all electrode contacts If interference still persists the problem is probably electrical in nature See the following suggestions for reducing AC interference Check all electrode contacts and lead wires Verify that the patient is not touching any metal Verify that the AC power cable is not touching the patient lead cable Verify that the proper AC filter is selected For further instructions the 55 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Broken lead wire patient CPWS Stress ECG manual cable or power cord e f possible unplug electrical Electrical devices in the devices in the immediate immediate area lighting area concealed wiring in walls or e If interference still persists floors the noise may be caused by Improperly grounded other equipment in the room electrical outlet or by poorly grounded Incorrect AC filter frequency power lin
71. or may dissolve EAN Never use Isopropyl alcohol this dissolves the glue in the sensor The use of Spiritus Ketonatus Dilutus 70 is recommended This alcohol solution consists of 70 ethanol and 0 5 methylethylketon Other recommended disinfection substances are best used in an ultrasound bath e Secusept forte in a concentration of 1 5 e Lysoformin 3000 e Descogen After disinfection rinse the parts thoroughly with distilled water DIR 80012893 Ver B 34 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 5 Troubleshooting the CPWS family of devices This chapter describes the troubleshooting of the Welch Allyn CardioPerfect family of devices CardioPerfect Pro Cardiograph ECG Recorder CardioPerfect MD Portable Cardiograph Recollect MiniHolter ABPM 6100 Ambulatory Blood Pressure Device Mobil O Graph SpiroPerfect VCT 400 Spirometry Welch Allyn SpiroPerfect It is not allowed to open the Welch Allyn CardioPerfect family of devices for troubleshooting repair Opening the device will void the warranty Caution Replace accessories only with parts supplied or approved by Welch Allyn The use of any other accessories can lead to inferior device performance and will void the warranty 5 1 Problem Solving suggestions CardioPerfect Pro Cardiograph System Failure Problems Condition Actions e ProLink interface cable not e Verify the connection to the conn
72. ort Services Welch Allyn offers the following technical support services e Telephone support e Loaner equipment e Service Agreements e Replacement service parts e Factory service For information on any of these services contact Welch Allyn at the numbers listed on page 3 DIR 80012893 Ver B 14 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 2 1 4 Returning products To return a product for service contact Welch Allyn Technical Support and request a Return Material Authorization RMA number Note Welch Allyn does not accept returned products without an RMA When requesting an RMA please have the following information available e Product name model number and serial number e A complete return shipping address including a contact name and phone number include any special shipping instructions e Apurchase order number or credit card number if the product is not covered by warranty e A full description of the problem or service request To ship the unit please observe these packing guidelines e Remove from the package all hoses connectors cables sensors power cords and other ancillary products and equipment except those items that might be associated with the problem e Use the original shipping carton and packing materials or as close an approximation as possible e Include a packing list e Write the Welch Allyn RMA number with the Welch Allyn address on the outside of the
73. osing both your database and your backup if your computer crashes To create a backup device 1 Click Backup database 2 Click the Add device button The Backup device dialog box is displayed Backup Device Device name Devicel Type of device Disk Physical location C Tape 3 Enter the name of the backup device 4 Select the device type DIR 80012893 Ver B 22 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual If you select Then Disk 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 driver is connected to the computer that runs SQL server 3 3 Make a manual backup The simplest way to create a backup is to create one manually You can do this anytime you want end users do not have to log out Before you can make a backup you need to have created a backup device To make a manual backup 1 Select Backup database lt 8 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 Backup
74. ove it and stop quite abrupt when Hardware problem the movement is stopped provided there is no draft in the room If the vane does not rotate freely the turbine probably needs to be replaced Do a volume calibration to check e Out of calibration the gain factor and to recalibrate the device if necessary Retest with fingers positioned properly around the flow Values are too high intermittent Procedure error transducer Do not block the end of the flow transducer with your fingers or hand Flow data is out of range measured flow has exceeded the allowable limits e Out of calibration Recalibrate with a 3 liter syringe 3 Software cette e Check in the settings menu to see g if the correct author is selected e Verify that the date of birth gender race and the height of the patient information are entered in the patient card these are needed for the calculation of the predicted values e Check that the connection between the syringe and the flow transducer is tight and without leaks e Replace the sensor e Wrong Ambient setting e Verify the barometric pressure e Out of calibration Recalibrate with a 3 liter syringe Patient test values differ from values ge prosilem expected by physician e Verify the patient data The norm selection is dependent upon accurate input of patient data in the SpiroPerfect database Measured values are incorrect The program does not predict values or the val
75. pecified SMTP error Action Check the error description in the mail event log it will give the error text sent by the SMTP server DIR 80012893 Ver B 64 69 101 102 03 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual A time out has occurred trying to connect to the POP server Action Try again later the POP server might be down If the problem persists check the spelling of the POP server name using the CC MailServer Configuration Also verify that the network is functioning correctly A time out has occurred trying to receive email Action Try again later If the problem persists contact the ISP Unspecified POP error Action Check the error description in the mail event log it will give the error text sent by the POP server A mail message has been received that is sent by an unknown contact A rejection message has been sent back to the sender Action if desired Add the contact using the Administrator tool The mail message that has been received is invalid It is corrupted or cannot be read rejection message has been sent back to the sender Action Try again if problem persist contact Support It could be that the sender is using a different version of the software An interpretation has been received but the corresponding test is missing A rejection message has been sent back to the sender Action Possibly the test has been accidentally deleted ask the sender to sen
76. pply specifically to particular procedures or devices you can find in the corresponding user manuals device manuals CPWS Resting ECG manual and CPWS Pro manual CPWS Stress ECG manual and CPWS Pro manual CPWS Pocket ECG manual and CPWS Pro manual CPWS ABP manual and CPWS ABPM6100 manual CPWS Spiro manual CPWS MiniHolter manual Caution statements indicate conditions or practices that could damage the equipment or other property General Cautions Caution Use of accessories other than those recommended by Welch Allyn may compromise product performance Caution When removing the device from storage allow it to thermally stabilize to the surrounding environmental conditions before using it Caution To prevent possible damage to the device do not use sharp or hard objects to press keys Only use fingertips Caution Do not pull or stretch the cables Doing so could result in mechanical or electrical failures Form the cable into a loose loop before storing Caution Portable and mobile RF communications can affect the performance of the device DIR 80012893 Ver B 13 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 2 Purpose and Scope The service manual is a reference for periodic preventive maintenance and corrective service procedures Corrective service is supported to the level of field replaceable parts Opening and repair of the Welch Allyn CardioPerfect family of devices c
77. r B 51 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Device Manager File Action View Help 2 FERRARI sf Computer amp Disk drives 2 Display adapters DVD CD ROM drives Mg Human Interface Devices IDE ATA ATAPI controllers 5 gt Keyboards Mice and other pointing devices ig Monitors B Network adapters A Other devices A Cardio Perfect PRO Link USB Y Ports COM amp LPT MB Processors Sound video and game controllers as Storage volumes System devices Universal Serial Bus controllers my e fthe above suggestions don t resolve the problems contact the nearest Welch Allyn Technical Support for further assistance 7 2 Problem Fatal Port Error during recording Fatal port Errors are caused by data loss This data loss can be caused by e Power management on the computer e Other applications hardware which are interfering with the communication e Defective hardware 7 2 1 Power management To avoid data losses switch off the power savings as much as possible e Power savings in the BIOS of the computer for further instructions please refer to the manual of the computer e Windows Power management Control panel0 for further instructions please refer to the manual of the computer e Switch off the power management for each USB port only applicable for Windows XP Device Manager USB Root Hub Properties File Act
78. r requires authentication SMTP Uzerame myname SMTP password HAM Cancel MailServer Configuration Tool specify email settings example If you plan to use direct socket connection fill in the direct connection tab specifying whether this system will act as a host or a client in the direct connection communication protocol As a client specify a user name This name is used to login at the host This name should be identical to the contact address at the host system it should also be unique at the host system DIR 80012893 Ver B 59 69 CardioPerfect Workstation Service and Advanced installation Manual WelchAllyn Medical Diagnostic Workstation Telemedicine settings l X Direct connection General Email This machine will act az a Direct connection Server Direct connection Client TCP IP part for direct connections default 1423 len 1423 Ej Mame of this direct connection client site Save amp Close Cancel CC MailServer Configuration Tool specify Direct Socket settings example Click the Save and Close button to exit Continue with the next step step 3 Re Start Telemedicine Server Windows 2000 XP open the Services Microsoft Management Console This can be found in either the Windows Control Panel or under Administrative Tools in the Programs menu Select Cardio Control Telemedicine Service CcMailService and use the menu buttons or right click and use the popup me
79. re problem e Check that the connection between the syringe and the flow transducer is tight and without leaks ee e Verify LOT number and perform a e Wrong linearization file ee Ar E e Wrong Ambient setting Verify the barometric pressure e Out of calibration Recalibrate with a 3 liter syringe e Replace the flow transducer e Eliminate any leaks in the pressure tubing e Replace the sensor if damaged Patient test values differ from values Hardware problem expected by physician e Verify the patient data The norm selection is dependent upon accurate input of patient data in the SpiroPerfect database Wrong information entered DIR 80012893 Ver B 41 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 5 7 Problem Solving suggestions SpiroPerfect VCT 400 System Failure Problems Condition Actions e Check if the flow sensor is switched on switch located on the e Hardware power problem green bottom of the device LED is not on computer is on e PS2 cable is not connected to the PS2 port of the computer The Device sensor is not responding Send the unit in for repair e Check if the device is connected to a COM port Check if the port settings in the e Software setting CPWS settings menu correspond with the used COM port e Check the sensor Take it out of the device and move it freely in the room so that air streams through it The fan should rotate when you m
80. ribes the most common problem suggestions of the Exercise ECG module For the following problems refer to the appropriate chapters in the Exercise ECG manual Problem Chapter Invalid WDM Handle 7 1 Fatal Port Error during recording 7 2 Framing errors during recording 13 8 1 Problem Lead Quality problems The following table describes different lead quality problems and possible actions to try to resolve this If you can not resolve the problem please contact the nearest Welch Allyn Technical support for further assistance Condition Bad signal quality on screen OR Indication on screen Bad signal quality and One or more leads prints as a square wave Wandering baseline an upward and downward fluctuation of the waveforms Muscle tremor interference random irregular voltage superimposed on the waveforms May resemble or coincide with AC interference AC interference even peaked regular voltage superimposed on the waveforms May resemble or coincide with muscle tremor interference DIR 80012893 Ver B Electrode contact may be poor A lead may be loose Electrodes that are dirty corroded loose or positioned on a bony area or muscle Insufficient or dried electrode gel Oily skin or body lotions Rising and falling of chest during rapid or apprehensive breathing Patient is uncomfortable tense nervous Patient is cold and shivering Electrodes that are dirty corroded loose or positi
81. rights on the operating System rrrnrrrnnrnarnnarnnervnnrnnenvnnnvannnn 50 6 6 Problem Release code invalid rrarrnnrnarnnnennrrannnnrvanrnnnnannnnnnernnanneenannnnnnuennnnnenn 50 PROBLEM SOLVING SUGGESTIONS RESTING ECG MODULE 51 7 1 Problem Invalid WDM handle Error M SSaQ cccceccceeeeeeeseeeeeeseeeeaeeeeeees 51 7 2 Problem Fatal Port Error during recording cccceccceeeceeeceeeseeseeeeeeeeeeeeeeeeeess 52 7 2 1 Power management rrrnnnnnvnnnnnnnnnrrnnnnnrnnnnennnnrennnnsennnnsnnnnsennnnnennnennnssennnssnnnnsennnsee 52 7 2 2 Applications Hardware interfering c ccccccssececeeececeseeeceeeeeseecesseecesseeeeseeeeseeeetsees 53 7 2 3 Defective hardware rrarrrrarrnnnnennnnennnrnvanennaneranennunennnnennnsnnanennunennunennnnennnsnnunennnennnne 53 7 3 Problem Framing Errors during recording cccccceeeceeceeeeeeeeeeeseeeeeeeseeeeeeeseees 53 7 4 Problem Lead Quality problems ccecccccccseccceeeeeeeeeeeeeseeeseeeeseeeeseeeseeeeseeeaes 53 7 5 Problem Interference on printout but not during recording rarrrnnrrranernnrnvannnnn 54 7 6 Problem No Automatic computer interpretation on ECG rrrurnnnrnnnrnnnrnnnrnnnennnrr 54 PROBLEM SOLVING SUGGESTIONS EXERCISE ECG MODULE 55 8 1 Problem Lead Quality problems rrranrnnnrrnanennnnnranrnnnnnnanrnnnnnnanennnnennnnnnanennnennn 55 8 2 Problem Exercise device is not reSPO
82. riodically for damages Check that all connections are properly aligned and tight Visually check the pressure tubing for leaks and kinks Check for irreversible bending or compression of the pressure tubing between flow transducers and device Ensure Spirometer is calibrated and that proper linearization code is used The linearization code can be found on the Labeling that came with your flow transducer package For proper installation refer to the Calibration chapter manual CPWS Spiro Replace sensor when faulty Avoid placing Spirometer and any of its components in direct sunlight or in a dusty environment CAUTION To make reliable recordings calibrate the sensor on a daily basis Keep track of the calibrations in the calibration log Interval or Condition Action Recommended Procedure Unit has been dropped or otherwise damaged Recalibrate Calibration procedure CPWS Spiro manual DIR 80012893 Ver B 20 69 Welch CardioPerfect Workstation Service and Advanced installation Manual Unit malfunctioning Recalibrate Calibration procedure CPWS Spiro manual Troubleshooting and repair followed by Unit does not pass functional test calibration Troubleshooting Spirometer Return to Authorized service center Returning products DIR 80012893 Ver B 21 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 3 Backing up the database 3 1 Backup In a computer environment there is always a po
83. ry Replace battery type 6LR61 gives an output red light after switching Replace battery cable part number the recorder on e Battery cable is broken ean y p a ME ed e LED defective e Send the unit in for repair ee ae Defective recorder Send the unit in for repair LED is on red light e Battery almost empty Replace battery type 6LR61 e Defective recorder e Send the unit in for repair e Replace optical fiber part number e Optical fiber defective o SE FIBER 05 5 meter LED is on green light and the optical o SE FIBER 10 10 meter output gives a red light but not possible z to record an ECG i ee ene Replace interface Recorder defective e Send the unit in for repair 5 3 Problem Solving suggestions Recollect MiniHolter DIR 80012893 Ver B 36 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual System Failure Problems Condition Causes Actions Display is not working correctly e Send the unit in for repair e Time settings resets when the batteries z menimme en ee E are removed oe Kr dk det Check the hookup of the electrodes Patient cable not fitted correctly in the Recollect MiniHolter e Defective patient cable try to replace it Battery symbol is flashing e Replace Batteries J e Flash card formatted under Windows XP Format the card using Windows XP J Configure the card using the Flash card not configured correctly Recollect card
84. send it to Welch Allyn s designated service center for repair THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES EXPRESS OR IMPLIED INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE WELCH ALLYN S OBLIGATION UNDER THIS WARRANTY IS LIMITED TO REPAIR OR REPLACEMENT OF PRODUCTS CONTAINING A DEFECT WELCH ALLYN IS NOT RESPONSIBLE FOR ANY INDIRECT OR CONSEQUENTIAL DAMAGES RESULTING FROM A PRODUCT DEFECT COVERED BY THE WARRANTY DIR 80012893 Ver B 4 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual TABLE OF CONTENTS 1 SAFETY SUMMARY LP 8 061 ee T E E PE 8 EE 0 010 EEE 9 1 3 Servicing the Welch Allyn equipment Safely rrrarernnrrnnrrrnrrnnrrrnnrrranennnrnnnnnnnnr 10 VI General Warnings eide 10 WARNINGS Related to the CardioPerfect ECG recorders rrrrrnnnrrrnnnrrrnrnnnrenrnnnnnennnnnr 11 1 3 2 General NNN 13 2 PURPOSE AND SCOPE ennnnnnnnnnnnnnnennnennnnnnnnnnnnnnennnennnennnnnnnnnnnnnnennnennnennnennnen 14 Pee Te 80 010 9 PE EEE 14 211 Waranty SMN debet 14 2 1 2 Non Warranty S rviCe cccccccccccseseeccseseeecceucecceeseeeceeeeecesueeessageeessaeeesssaseessageees 14 2 1 3 Technical Support ServiCe cccccccccssccccsseecceeeceseeecceececaeeeecaueeeeaseeeeaeeeseuaeenaeees 14 21 15 DEE Ne 0 SEE EE 15 2 2 1 Resting ECG configuration and Accessories rrrnnrrrrrnnnnnrnnnnrrnrnnnrrnrnnsnenrnnnnrennnnee 15
85. shipping carton 2 2 Accessories 2 2 1 Resting ECG configuration and Accessories Basic Resting ECG configurations consist of PRO 60023 PRO USB Interface Cable 2 meters RE PC IEC BAN Patient Cable for PRO ECG Recorder banana Euro coded RE ELEC Disposable Electrodes for Banana Cable 50x Accessories Resting ECG RE PC IEC BAN Patient cable Pro banana Euro coded RE PC AHA BAN Patient cable Pro banana AHA coded PRO 60024 PC interface cable ProLink length 3 meter PRO 60025 PC interface cable ProLink length 5 meter RE SW MEANS Means Automatic Rest ECG interpretation RE PC IEC BANL Patient Cable PRO X Long banana Euro coded RE PC AHA BANL Patient Cable PRO X Long banana AHA coded RE ELEC SET Electrode set 6 cups 4 clamps ECG gel RE GEL One bottle of Electrodes Gel 240 Grams RE GEL 12 Box of Electrodes Gel 12 bottles RE ELEC CUP Welch Cup Electrode RE ELEC KID Pediatric Welch Cup Electrodes RE ELEC CLP Clamp Electrode Set RE ELEC Disposable Electrodes for Banana Cable 50x RE ELEC 20 Disposable Electrodes for Banana Cable 1000x DIR 80012893 Ver B 15 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 45008 0000 Resting Tab Electrodes box of 1000 100ECG 58581 0000 Universal Electrode Adapters for use with Resting Tab electrodes PRO 60019 PRO Recorder Battery Pack PRO 60039 PRO Recorder Battery Charger 2 2 2 Exercise ECG configuration and Accessories Basic Exercise ECG con
86. sion Jancsusecunnecnedeeewtmeeecenese 31 4 4 2 Calibration verification ABP Device rrrannrnrannrnrannornnnerrnnnerrnnnennnnnnnnnnennnnennnnnennnnnene 31 DIR 80012893 Ver B 5 69 WelchAllyn CardioPerfect Workstation 10 Service and Advanced installation Manual 4 4 3 Overpressure verification ABP device rrrnnnnnnnnnnnnnnnernnnnenrnnnennnnnnnnnnsnnnnsnnnnnennnnnene 32 4 4 4 Leakage test cdc ccs cinndcass pone idneiannesevenandsainncdinnctbedannadanscassneuanncenannbaacehaidinncabenanaeusnciinneds 32 4 4 5 Pressure release rrarrmrrvrrvarrrarrrarrrarrrnrrvnerrnnrnnnrnnnenanenanennnenanennernnnennnennesnnesnnesene 32 4 5 Functional verification Spirometer rrrnrrnnrrnnornnrnnnevnnennnrnnnnnnnnnernnnrrnnernnenunenenenn 32 4 5 1 Maintenance Welch Allyn SpiroPerfect rrrrnnrrnnrnnrrnrnnnnenvnnnnrnnnnnrrenrnnnrennnnnnrennnnnne 33 4 5 2 Cleaning the Welch Allyn SpiroPerfect rrrrnnrrnnnnrnvrrnnnnrnrnnnnrrvnnnnrennnnerernnnsnrennnnere 33 4 6 Maintenance SpiroPerfect VCT400 rrrrarnrannrernnennnennnennrnnernnernnnrnnernnnrnnnenunenenene 34 4 6 1 Cleaning and Disinfection Procedure SpiroPerfect VCT 400 r rrrnnrrnnnnrennnnnrnnnnnrr 34 TROUBLESHOOTING THE CPWS FAMILY OF DEVICEG cc ecseees 35 5 1 Problem Solving suggestions CardioPerfect Pro Cardiograph c scceeeee 35 5 2 Problem Solving suggestions CardioPerfect MD Portable Cardiograph 36 5 3 Problem
87. ssibility that something goes wrong hard disks can crash databases can get corrupted system software can fail and users can make mistakes When one of these events takes place database tables may be lost or corrupted To limit the possible risk of data loss you should back up your files regularly Full backup With the Administrator tool you can make a full backup your database During the backup copies of the database and the transaction log are made These copies can be used to restore the database after the database has become corrupt or is lost during a catastrophic event After the backup the transaction log is truncated Manually Automatically You can backup a database in two different ways e Manually The simplest way to perform a backup of the database You can manually backup the database at any time you want e Automatically A backup or a series of backups at a fixed date and time When you want to backup the database automatically you need to schedule a backup To configure the backup device e Inthe Administration Tool select Database Administration 3 2 Create a backup device Before you can make a backup of the database you need to create a backup device A backup device is a place where you store the backup It can be a file on your hard disk or network drive or a tape We advise you to create a backup device on a different hard disk than the one that contains the database If you do not do this you run the risk of l
88. sting ECG and follow the instructions on the screen 11 You should see the ECG traces on the computer screen 12 Monitor the ECG traces for approximately one minute 13 Record a Resting ECG 14 If you pass the complete procedure without problems the communication is working 1 For further instructions see CPWS Workstation manual Section 2 Working with patients For further instructions see CPWS Resting ECG manual 3 In case of problems errors try to resolve it with the use of the troubleshooting guide DIR 80012893 Ver B 28 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 4 2 3 Resting ECG Results Verification To verify the ECG results you can perform the following procedure a Select the ECG on the screen which you recorded b Print the following print formats 4x3 25 mm s Measurements c Manually measure the following parameters and compare them with the computer measurements You can fill in the test results on Checklist and Test Results Form I Heart rate 1BPM Height Calibration pulse R wave in Lead I V1 V2 V3 V4 V5 and V6 4 3 Functional Verification MiniHolter Note MiniHolter not sold in the US A checklist of the functional tests is provided at the end of this manual Checklist and Test Results Form Il It is recommended that you print a copy of the checklist each time you perform the functional verification procedure so you can record and save the test results
89. structions see the apprehensive breathing CPWS resting ECG manual DIR 80012893 Ver B 53 69 WelchAllyn Muscle tremor interference random irregular voltage superimposed on the waveforms May resemble or coincide with AC interference AC interference even peaked regular voltage superimposed on the waveforms May resemble or coincide with muscle tremor interference CardioPerfect Workstation Service and Advanced installation Manual Patient is uncomfortable tense nervous Patient is cold and shivering Exam bed is too narrow or short to comfortably support arms and legs Arm or leg electrode straps are too tight Electrodes that are dirty corroded loose or positioned on a bony area Insufficient or dried electrode gel Patient or technician touching an electrode during recording Patient touching any metal parts of an exam table or bed Broken lead wire patient cable or power cord Electrical devices in the immediate area lighting concealed wiring in walls or floors Improperly grounded electrical outlet Incorrect AC filter frequency setting or AC filter is turned off Help patient get comfortable Check all electrode contacts If interference persists turn the muscle filter on For further instructions see the CPWS resting ECG manual If interference still persists the problem is probably electrical in nature See the following suggestions for reducing AC interference Check a
90. th version 1 5 0 or full MSSQL license e Copying the old data If the restore of the database fails contact the nearest Welch Allyn Technical Support Center a Restoring a backup o If the MSSQL server is reinstalled you first need to create an empty backup before you can restore the backup o Replace this backup file by the old backup file o Restore the database b Attaching a database o You can attach a database with the use of the MSSQL Enterprise manager this tool is only available on a full MSSQL server o With the DBBuilder tool provided on the Welch Allyn CardioPerfect CDROM SQL folder you can attach the database using the following procedure o This option is only available on the DBBuilder tool from version 1 5 0 and higher o Start the DBBuilder tool and right click on the Create Update button DIR 80012893 Ver B 45 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Database Builder v1 5 0 66 ral Create or update the Cardio Control Workstation database Server Database name local codb kd Database folder CAMSSGL2000 D atalMSS0GLD ata Browse Progress 14 07 59 Database Builder Started Detach Database Drop database Run SQL Script o Select the option Drop database and follow the instructions on the screen WARNING Deleting the MSSQL database will delete all data and is irreversible o right click on the Create Update button o
91. tion MiniHolter Return to Authorized service center Returning products 2 2 6 Pocket ECG configuration and Accessories PE PROLINK RE SW ECG RE PC IEC BAN RE ELEC PRO 60019 PRO 60039 DIR 80012893 Ver B Basic configuration Pocket ECG Pocket PC interface cable Patient cable Pro banana Euro coded Disposable Electrodes for Banana Cable 50x PRO Recorder Battery Pack PRO Recorder Battery Charger 17 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual Accessories Pocket ECG PRO 60041 PRO 60042 2 2 7 Amb ABPM 6100 6100 24 6100 21 6100 12 6100 22 6100 23 Power cord European Power cord UK ulatory Blood Pressure configuration and Accessories Basic configuration Ambulatory Blood Pressure Ambulatory Blood Pressure Device ABPM PC Interface Cable ABPM Pouch ABPM Cuff Adult 254 343mm ABPM Shoulder Strap ABPM Belt Accessories Ambulatory Blood Pressure 5100 42E Patient Diary English Set of 50 5100 44 Cuff Anchoring Pads Set of 50 6100 10 ABPM Cuff Pediatric 160 218mm 6100 11 ABPM Cuff Small Adult 211 266mm 6100 13 ABPM Cuff Adult Plus 270 420mm 6100 14 ABPM Cuff Large Adult 343 482mm 6100 25 ABPM Calibration Y Fitting 2 2 8 Recommended Service Intervals Ambulatory Blood Pressure Interval or Condition Every 6 24 months per hospital procedure Unit has been dropped or otherwise damaged Unit malfunctioning Unit does not pass Function
92. ty notes WARNING Your cardiograph isolates all connections to the patient from electrical ground and all other conductive circuits in the cardiograph This reduces the possibility of hazardous currents passing from the cardiograph through the patient s heart to ground To ensure the patient s safety and your own please observe the following When operating your Welch Allyn System from AC power be sure it and all other electrical equipment connected to or near the patient are effectively grounded Use only grounded power cords three wire power cords with grounded plugs Also make sure the outlet accepts the plug and is grounded Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong or ground clip The patient cable should be routed away from power cords and any other electrical equipment Failure to do so can result in AC power line frequency interference on the ECG trace DIR 80012893 Ver B 11 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual The Welch Allyn warranty can only be honored if you use Welch Allyn approved accessories and replacement parts See Maintaining the Cardiograph for more information DIR 80012893 Ver B 12 69 WelchAllyn CardioPerfect Workstation Service and Advanced installation Manual 1 3 2 General Cautions The following caution statements apply to the Welch Allyn CardioPerfect family of devices in general Caution statements that a
93. vicing the Welch Allyn equipment safely Before using or servicing the Welch Allyn Equipment you must read and understand the following safety related information 1 3 1 General Warnings The following warning statements apply to the Welch Allyn CardioPerfect family of devices in general Warning statements that apply specifically to particular procedures or devices you can find in the corresponding user manuals device manuals CPWS Resting ECG manual and CPWS Pro manual CPWS Stress ECG manual and CPWS Pro manual CPWS Pocket ECG manual and CPWS Pro manual CPWS ABP manual and CPWS ABPM6100 manual CPWS Spiro manual CPWS MiniHolter manual WARNING Do not use the Welch Allyn CardioPerfect family of devices in an MRI suite or hyperbaric chamber WARNING Do not autoclave the Welch Allyn CardioPerfect family of devices or cables WARNINGS Related to Accessories and other equipment WARNING For operator and patient safety peripheral equipment and accessories that can come in direct patient contact must be in compliance with all appropriate safety EMC and regulatory requirements For detailed information on this requirement we refer to the Guidance and the manufacturer s declaration of the user and device manuals WARNING All signal input and output I O connectors are intended for WARNINGS Related to the environment WARNING To avoid a possible explosion do not use the Welch Allyn CardioPerfect family of devices in the prese

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