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CardioPerfect Workstation Service and Advanced installation Manual

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1. Database Builder v1 5 0 66 ral Create or update the Cardio Control Workstation database Server Database name local ccdb Database folder C XM55QL2000D ata MSSOL D 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 N irreversible o right click on the Create Update button o 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 46 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Welch Allyn CardioPerfect Enter logon information here C Use anonymous login guest account f Use Windows N
2. ccccccceceeeeceeeeceeeeceeeeeeeeeaeeees 20 3 BACKING UP THE DATABAGE vernnnnnnvrnnnnnnnnnnnnnnneennnnnnnernnnnnneennnnnnneennnnnnnennnnnnneennn 22 gt ACI Opes eiantacreatees E OE NE EN 22 3 2 Create a backup device cccccccccccssssseeeeeeececeaeesseeceeeeeesseeaasseeeeeeeessssaaseeeeeeeess 22 33 MENN 23 3 4 Schedule an automatic DACKUP ccccsessssssssseeeeceeeeeeeeeeeeeeeaeeeeessssseeeeeeeeeeeeeeeees 24 39 ETEN ee 26 4 FUNCTIONAL VERIFICATION OVERVIEW rnnnnnvvernnnnnnvennnnnnnennnnnnnnennnnnnneennnnnnner 27 41 ETNE ge 27 4 2 Functional Verification ECG Recorder rrrrrnnnnnnnnnnnnnnnnonnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnnn 27 4 2 1 Patient Cable Verification ornrnanarnrrarnrrernrrennrnavarnerernrvennrnennennnrnanennenennenenn 27 4 2 2 Computer Interface VerifiCation cccccececceceececeeeeeeeeeeeeeeeeeeeeeeeaeeeeeeeeeeeaeegees 28 4 2 3 Resting ECG Results Verification cccccccccccceceeeeeeeeeeeeeeeeeeeeseeeeseeeeeeeaeaeeees 29 4 3 Functional Verification MiniHolter ccccccccsssssseseeeeeeeeeseeeesseeeceeeeessaaaesseeeeeeess 29 ads Patent Gable VEN ION varens endene 29 4 3 2 Checkpoints MiniHolter rnarannnnrnanannnnrnrnavnnnnnrnennnnnnnnsnanennnnenannnunnsnanannnnnnsnsnenn 30 425 0 MnHoler ECG veriealbn uarderrstrnrseeeiedeee seede 30 4 4 Functional verification ABP device s sssseeeeeeeeeeeeeceeeeeaaaaeeasesseeeeeeeeeeeeeeeess 31 AA
3. Welch Allyn CardioPerfect Workstation and SpiroPerfect are registered trademarks of Welch Allyn Software in this product is Copyright 2007 Welch Allyn Cardio Control BV All rights are reserved The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide Under such laws the licensee is entitled to use the copy of the software provided on the original distribution medium The software may not be copied decompiled reverse engineered disassembled or otherwise reduced to human perceivable form This is not a sale of the software or any copy of the software all right title and ownership of the software remains with Welch Allyn The information contained in this manual is subject to change without notice All changes will be in compliance with regulations governing manufacture of medical equipment Document WACPWS SAI ENGRev 00 Version 1 6 0 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
4. 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 lt gt For further instructions see WACP 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 2 For further instructions see WACP MiniHolter manual 3 For further instructions see WACP 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 WACP MiniHolter manual Print the recorded MiniHolter ECG and determine the heart rate 30 69 Welch Allyn 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 yo
5. Haw Gehoduke SG Ser ot Agen CRBC BD MUST DE running SY NST LESING SOR LIS sint ser Logbed th Corherhare Josh ard p 2 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 WACPWS SAI ENG Rev 00 Version 1 6 0 23 69 Welch Allyn 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 backup dialog box is displayed EG Srhedule Rart up Saker ar de oe bod hi backup sd uer Dawca rains Type bon _ back dgk CARS SOLP BACK UF hads T append meds C Ovens meirg ma Select the b
6. Note Not sold in US Product is discontinued Basic configuration MiniHolter Event ECG REC RECORDER MiniHolter Event ECG Recorder REC BELT Standard Adjustable Belt REC CC MiniHolter Carrying Case REC ELEC VLC Chest Electrodes 25 pieces REC MC 90 90 Minute Memory Card REC PC 2 Dual Lead Patient Cable REC SW WACP Workstation Event ECG Software Accessories MiniHolter Event ECG REC BELT W Wide Adjustable Belt REC ELEC NF Wrist Electrodes 12 pieces REC ELEC NF10 Wrist Electrodes 120 pieces 10 bags REC ELEC VL10 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 Every 6 24 months per hospital procedure Complete Functional test Complete Functional test Complete Functional test Unit has been dropped or otherwise damaged Unit malfunctioning Procedure Functional verification MiniHolter Functional verification MiniHolter Functional verification MiniHolter Unit does not pass Functional verification Troubleshooting and repair followed by Troubleshooting MiniHolter functional test Functional verification MiniHolter Return to Authorized service center Returning products 2 2 6 Pocket ECG configuration and Accessories Basic configuration Pocket ECG PE PROLINK Pocket PC interface cable RE SW ECG RE PC IEC BAN Patient cable Pro banana Euro coded RE ELEC Disposable Electrodes for Banana
7. W 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 MSSQL server is not running and Auto start Service was not activated MSSQL server is not running MSSQL server is running ama aE FERRARI r Server 5 GL Server Refresh services Ds p Start Continue Stopped FERRARI MSSOLServer Try to start the MSSQL database 50 SQL Server Service Manager ail k FERRARI v ee Server li Pause Stop FO SQL Server Service Manager FO SQL Server Service Manager Server FERRARI Server SOL Sever v Refresh services Services Services Services D d Start Continue h Auto start service when DS starts Running FERRARI M5SOLServer Go to Next Paragraph Stopped WFERRARI MSSOLServer Activate the Auto start service Try to start the MSSQL database If the MSSQL database doesn t start it needs to be reinstalled use the following procedure If the MSSQL database doesn t start it needs to be reinstalled use the following procedure 43 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Reinstalling the MSSQL database Deleting the MSSQ
8. _ Description Done sending and receiving mail 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 by pressing the Send Receive button in Workstation When the Mail server is continuously connected to the Internet it might be more efficient to
9. 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 1 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 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 0Q Black 1 3 oa 3 og White 2 6 oo NA NA Green 2 7 oa 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 29 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 4 3 2 Checkpoints MiniHolter Place the batt
10. 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 eo or pig ewok ig Check the fit of the cuff and the unit E 003 See E 001 N A Data transfer cable not correctly inserted in the Plug the cable into the recorder recorder correctly E 004 5 beeps Pins in plug of interface cable have suffered Check the plug to see whether pins mechanical data inside are damaged Start the transfer again See E 001 The battery voltage is correct as far as E 001 is concerned but during cuff inflation DAT is shown on display Replace the batteries ABP Perfect Error codes Batteries def ective EDEL Push the battery cover on the Battery cover not correctly closed battery compartment until it engages Clean the battery contact with a Battery contacts are corroded son cloth and come alcohol Check the cuff for a blockage or kink in the tube If there is a kink in pM nee the cuff tube release the tube E 006 Sier dth Tint Con nuGUE alarm therwise send the unit in for repair 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 E 007 The recorder memory is full maximum 300 Mobi O Graph into the WACPWS measurements and Events may be stored so
11. 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 e Product name and model number and complete description of the problem The serial number of your product if applicable The complete name address and phone number of your facility For out of warranty repairs or spare parts orders a purchase order or credit card number 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 packin
12. 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 e Send the unit in for repair e Check if the device is connected to e Hardware connection problem a COM port e Check if the port settings in the e Software setting WACP settings menu correspond sotwaesetrg 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 move 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 e Doavolume calibration to check e Out of calibration the gain factor and to recalibrate the device if necessary e 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 Pein A SES flow has exceeded the allowable limits Out of calibratio yring e Software settin e Check in the settings menu to see 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 th
13. Nee NTE OCU ON eaer EE e AE E E eta T 31 4 4 2 Calibration verification ABP Device rrarnrnannrnennrnannrnavennavennenennrnanernenennenennenenn 31 Welch Allyn CardioPerfect Workstation 10 Service and Advanced installation Manual 4 4 3 Overpressure verification ABP device rrannnnnrnanannnnnnnnanennnnrnanennnnenavenennnnnnenenn 32 2 NN 32 4 4 5 Pressure release urea nxceascdnasaannhane give rctionmebaceaininasynansnesatsrconmakutaaiionayunnavenccas 32 4 5 Functional verification Spirometer ccccccceccssseseeeeeeeeeeeeeeesseeeeeeeeesseeaaseeeeeeeess 32 4 5 1 Maintenance Welch Allyn SpiroPerfect rarnrnrnannrnrnrnanernrnnnavennnnenevenennnnenenenn 33 4 5 2 Cleaning the Welch Allyn SpiroPerfect ccccccececeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeeees 33 4 6 Maintenance SpiroPerfect VCT400 cccccceccececeeeeeeeeeeeeeeeeeessesseeeeeeeeeeeeeeeess 34 4 6 1 Cleaning and Disinfection Procedure SpiroPerfect VOT 400 cccceeeeeee eee ees 34 TROUBLESHOOTING THE WACP FAMILY OF DEVIGCES nnnnnnnnnnnvvvvvennnnnnnnnnn 35 5 1 Problem Solving suggestions CardioPerfect Pro Cardiograph ccccccccceeees 35 5 2 Problem Solving suggestions CardioPerfect MD Portable Cardiograph 36 53 Problem Solving suggestions Recollect MiniHolter rrrrrrrrrnnnnnnnnnnvvnnnnnnnnnnnnnnnre 36 5 4 Problem Solving suggestions ABPM 6100 ccccccccceseseseseeeeessssseeee
14. PP JE E 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 wthin 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 Leakage verification Manometer Device Pass Fail e anal pressure deflates pressure deflates lt 4 mmHg in 1 min gt 4 mmHg in 1 min FE S EE EE Pressure release verification Manometer Device Pass Fail Pressure Pressure pressure deflates pressure deflates lt 3 min gt 3 min ee E 150 Date Signature 69 69
15. Welch Allyn 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 Noe 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 A purchase order number or credit card number if the product is not covered by warranty e A full description of the problem or service request To ship the unit please observe these packing guidelines e Remove from the package all hoses connectors cables sensors power cords and other ancillary products and equipment except those items that might be associated with the problem e Use the original shipping carton and packing materials or as close an approximation as possible e Include a packing list e Write the Welch Allyn RMA number with the Welch Allyn address on the outside of the shipping carton 2 2 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 Accesso
16. can occur by defective hardware try to replace the 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 WACPWS software For further instructions please refer to the WACP 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 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 Electrode contact may be poor A lead may be loose Electrodes that are dirty corroded loose or positioned on a bony area Insufficient or dried electrode gel Oily skin or body lotions Rising and falling of chest during rapid or apprehensive breathing 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
17. devices in general Warning statements that apply specifically to particular procedures or devices you can find in the corresponding user manuals device manuals e WACP Resting ECG manual and WACP Pro manual e WACP Stress ECG manual and WACP Pro manual WACP Pocket ECG manual and WACP Pro manual WACP ABP manual and WACP ABPM6100 manual WACP Spiro manual WACP 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 EEE 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 presence 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 chass
18. 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 27 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Cable PTT atT i esvceces Legeenss AHA Expected Pin Expected soniicuration impedance configuration impedance Pro ae cable gt MD patient cable Ohm LA 09 10 KQ RA 4 3 va 39 10 KQ LL 10 KQ Vi 10 KO v2 10 KQ V3 ce 6 og 2 10 KQ v4 10 KQ ve cof 8 oa 4 10 KQ ve cop OT oa 5 10 KQ RL 10 KQ 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 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 RE LINK USB Resting ECG only recorder SE LINK USB Stress and Rest ECG RE LINK SER Resting ECG only PCI slot CPCOM PCI Obsolete PCMCIA slot CPCOM PCMCIA Obsolete ISA slot CPCOM ISA 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
19. electrodes Help patient relax If wandering baseline persists turn the baseline filter on For further instructions see the WACP resting ECG manual 53 69 Welch Allyn 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 WACP resting ECG manual If interference still persists the problem is probably electrical in nature See
20. the following suggestions for reducing AC interference Check all electrode contacts and lead wires Verify that the patient is not touching any metal Verify that the AC power cable is not touching the patient lead cable Verify that the proper AC filter is selected For further instructions see the WACP 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 WACP 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 54 69 CardioPerfect Workstation Welch Allyn 8 Problem Solving suggestions Exercise ECG module Service and Adv
21. tie 74 Services Action view LocalSvstem Lacalsystem Notifies sel Manual 884 Alerter Sa Application Manage Provides s Services Local Manual Automatic Localsystem et dct pr ea en VET VST Start ee er ey COM Event System SOR Manual LocalSystem Sa Computer Browser Padoa Automatic LocalSvstem Sa Defwatch surie Automatic LocalSystem Sa DHCP Client Automatic LocalSystem Sa Distributed Link Tra gt All Tasks Automatic LocalSvstem 24 Distributed Transac Manual LocalSystem RA DNS Client EE Automatic LocalSystem Sy Event Log Properties Automatic LocalSystem Sey Fax Service Manual LocalSystem Sa Indexing Service Help Manual LocalSystern 24 Internet Caonnectio Provides n Manual LocalSystem 24 IPSEC Policy Agent Manages I Started Automatic LocalSystem Sa Logical Disk Manager Logical Disk Started Automatic LocalSystem Sa Logical Disk Manage Administrat Manual LocalSystem 84 Messenger Sends and Started Automatic LocalSvstem Sa MSSOLServer Started Manual LocalSystem Sn Net Logon Supports p Started Automatic LocalSystern Welch Allyn CardioPerfect Workstation step 4 step 5 step 6 step 7 Service and Advanced installation Manual Configure Workstation for Telemedicine Start Workstation and select File gt Settings gt General from the main menu In the Settings dialog select the mail t
22. 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 33 69 Welch Allyn 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 Change 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 Do not remove any covers or break the warranty seal while inspecting the unit Ensure Spirometer is calibrated for further information refers to the WACP 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 w
23. Cable 50x PRO 60019 PRO Recorder Battery Pack PRO 60039 PRO Recorder Battery Charger 17 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Accessories Pocket ECG PRO 60041 PRO 60042 2 2 1 ABPM 6100 6100 24 6100 21 6100 12 6100 22 6100 23 Power cord European Power cord UK Ambulatory 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 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 2 2 9 703414 703415 703419 98550 0000 703480 Complete Functional test Functional verification ABP device Complete Functional test Functional verification ABP device Complete Functional test Functional verification ABP device Troubleshooting and repair followe
24. CardioPerfect Workstation Service and Advanced installation Manual Welch Allyn CardioPerfect Workstation H RT PETTEE Ne ill Al Ad ibisi H ny oe ee hl alj E HH i iL i ia 7 i HE iiti Be E Arr it Advancing Frontline Care he Heal f ii EA eel EN ad pie E Welch Allyn Cardio Control BV Welch Allyn Inc Staalweg 50 4341 State Street Road 2612 KK Delft Skaneateles Falls NY The Netherlands 13153 0220 USA www welchallyn com C Eve WACPWS SAI ENG Rev 00 Version 1 6 0 Welch Allyn 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 2007 Welch Allyn Cardio Control BV 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 Cardio Control BV to provide accurate and up to date information to users and operators alike
25. CardioPerfect software version and serial number in the information tab of the help function Patient Cable Verification test Result Ohm lt gt Test Expected result N A 1 Press the record button briefly Correct time is displayed The display switches 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 fora 2 channel card gives the indication how many recordings test Fit the card in the MiniHolter and press canbe 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 Heartbeat 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 fron
26. Click the Add device button The Backup device dialog box is displayed Ss Hark up berre Dece ress Type ol device i Dick FP h ncal oc ston 3 Enter the name of the backup device 4 Select the device type 22 69 Welch Allyn 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 CW fdnaniebration Tol Bie Seton Language Batkup Osakan Appicalon dmervstrabon i Backup Mame at AP Backup Pab fly A eee Ea et Backup D asbes Sdministestion Back of the oktan D stabare Backup bo l rl Deica mane Veps iwan gt Bach Database BlomPontse cid mesang Peers Deag dick CAMS SOL BAck x Hober dik CAMSSOLTBALK Reno Device A oaf ado ick CMS SOLTBACEK Pisthoe Oslebspe Apcend to meds Ogee aiig media PT Scheda
27. L database will delete all data and is N irreversible o Before removing the MSSQL database we advise to copy the data folder and the most recent backup to a save place on the hard disk e The standard database created by the Welch Allyn CardioPerfect software is called CCDB and this database consist of the following files CCDB DAT MDF CCDB LOG LDF CCDBAUDIT DAT MDF Only CPWS software 1 5 0 or higher CCDBAUDIT LOG LDF Only CPWS software 1 5 0 or higher e If there are additional databases created make sure that you copy them to a save place on the hard disk o Remove the MSSQL database by using the Add Remove programs option in the control panel Er Add Remove Programs par Currently installed programs Change or le ATI Display Driver Remove Programs ig MSDE po To change this program or remove it From your gt gt computer click Change Remove Add New Programs G Welch Allyn CardioPerfect Add Remove vi i gi d OWS Components i Set Program Access and Defaults Sort by Mame h al Change Remove Size 30 SME 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 a
28. M 6100 monitor along with possible solutions for each error code ABPM6100 Error codes Error code Causes Actions 1 Weak or no Oscillometric signal Check cuff position and cuff tightness pn 2 Artifact Erratic Oscillometric Signal Instruct pauem p En still during reading Try reading again 3 Exceeded retry count 4 inflate Instruct patient to remain still during attempts reading Try reading again Exceeded measurement time limit Check air hose connections and 120 seconds make certain cuff is tight enough R Check air hose connections and Reading aborted blocked valves or ae aoe make certain air tubing is not 85 pneumatics crimped 86 Reading aborted manual abort den e button to restart 87 a aborted inflate time out or Check ar heseandcun 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 m a Hs er N Replace batteries If problem CHE Orange Or OMe NAA persists return for servicing problem 91 Service Required safety override one dere button o rouy fitted or auto zero outof range reading If problem persists return for servicing k Required Transducer out wk 98 Sene 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 t
29. T 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 g Enter the connection parameters below 5 ervel local Database Cancel e If you are able to select the database for example ccdb this means that the database is not corrupted go to chapter 6 1 4 for further instructions e Create a new database using the DBBuilder tool provided on the Welch Allyn CardioPerfect CDROM SQL folder e Replace the CCDB name with CCDB1 for example and click on the Create Update button 47 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Database Builder v1 5 0 66 1 Create or update the Cardio Control Workstation database TEVET Database name E ccdb h Database folder C MSSQL2000 Data MSSQL Data Browse Progress 14 58 10 Creating new database cedbl on server local 14 50 19 Database created 14 50 19 Creating new audit database cedb audit on server local 14 58 24 Audit Database created 14 56 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 databa
30. ab 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 Contacts F oj x Display name virtual Hospital Address ecg hospital com Password T ps 4 f Email Direct connection geet Heb 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 61 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual
31. ackup device and backup type you want to use and click Next Select whether you want to schedule a single backup or a recurring number of backups EE Schedule Backup ces 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 WS SAI ENG Rev 00 Version 1 6 0 24 69 Welch Allyn 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 Teme of his 3 te F bond P Saadiy C Oe I er rn FT ae HR I wera EERE E M lhi ute z D gt LIER 2 aTi url pa Days Weeks Months Enter the preferred schedule in the next steps Click Next 6 A summary shows the details of the backup schedule Verify that this information is correct and click OK Restore the database Restoring is the process of recovering a damaged corrupt or missing database Several situations can arise that might require the recovery of the database Problem evaluation Prior to the recovery of the database you should evaluate the situation very carefully What is wrong with the database and what is the date of the most recent database backup Important When performing a database restore you can only recover the database to the point of th
32. act the nearest Welch Allyn Technical Support Center for verification of the numbers S SAI ENG Rev 00 Version 1 6 0 49 69 Welch Allyn 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 User has limited rights in the WACPWS software e User has limited rights on the operating system of the computer e Release code invalid 6 4 Problem Limited rights in the WACPWS 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 WACPWS software To verify which modules are activated use the following procedure e Start the WACPWS software e Select option help gt in
33. al AN Warning If it is required for the personal computer to be situated within the patient environment it is the responsibility of the user to ensure that the system provides a level of safety in compliance with IEC 60601 1 8 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 1 2 Symbols Documentation Symbols Indicated conditions or practices that if continued or not corrected immediately WARNING or 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 Bg pee oo Expiration date 200x XX ae Keep away om sunah away Keep away om sunah sunlight l Temperature Range Certification Symbols Meets essential requirements of European Medical Device Directive 3 42 EEC The authorized representative in the European Community Equipment symbols Serial Number Reference Number Type BF Equipment Manufacture Date Defibrillation proof type BF applied part 9 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 1 3 Servicing the Welch Allyn equipment safely Before using or servicing the Welch Allyn Equipment you must read and understand the following safety related information 1 3 1 General Warnings The following warning statements apply to the Welch Allyn CardioPerfect family of
34. alid WDM handle Error message ccccccceeeesssseeeeeeeeeeeeseseeeeeeeees 51 7 2 Problem Fatal Port Error during reCOrding cccsccceeeeeeeeeseeeeeeeeeeeeaeenseeeeeeeees 52 2 Power MAMAS MCG acs crunapmspeuchancummousatendvon dekan 52 7 2 2 Applications Hardware interfering ccccccececeeseceeeeeeeeeeeeeeeeeeeseeeeeeaeeeeeegeaeeeeneaes 53 feo DENN NANTES 53 7 3 Problem Framing Errors during recording ecsececceeeeeeeeeeeeeeeeeeeeeeaeaeseeeeeeeess 53 74 Problem Lead Quality problems scccivessssenctessesixedsadongeahsacsceiusccictunaresauinedseceessecwues 53 7 5 Problem Interference on printout but not during recording cccccccssseeeeeeeeeees 54 7 6 Problem No Automatic computer interpretation on EGG rrrnnnrnnnvnvnvrrnvvrvrvnvrnnnn 54 PROBLEM SOLVING SUGGESTIONS EXERCISE ECG MODULE 55 8 1 Problem Lead Quality problems so cccscesitncssesscersseeisnenstestecieeeiiacnterntubedenseanieaceecoas 55 8 2 Problem Exercise device is not reSPONCING ccceeeeeeeeeeeeeeeeaeeeeeeeeeeeeeeeeeeeeeeeeees 56 PROBLEM SOLVING SUGGESTIONS SPIRO MODULE 0 sesso 57 9 1 Problem No samples detected cccccccccccccceessssseeeeeecceeeeeseeeeeeeessseeansseeeeeeess 57 9 2 Problem Blue screen during recording Spirometry rrrrrrrrrrrnnnnnnnnrvrnnnrnnnnnnnnnnnr 57 TE CEMEDICINE ne 58 10 1 Telemedicine specific REQUIFEMENKS cccccceeeeeeeee
35. anced installation Manual This chapter describes the most common problem suggestions of the Exercise ECG module For the following problems refer to the appropriate chapters in the Exercise ECG manual Problem Chapter Invalid WDM Handle 7 1 Fatal Port Error during recording 7 2 Framing errors during recording 7 3 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 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 cor
36. at the connection between the syringe and the flow transducer is tight and without leaks Replace the sensor Verify the barometric pressure Recalibrate with a 3 liter syringe The Device sensor is not responding Measured values are incorrect The program does not predict values or the values appear incorrect e Wrong information entered Unable to calibrate Hardware problem e Wrong Ambient setting e Out of calibration Patient test values differ from values ee pe expected by physician Verify the patient data The norm selection is dependent upon accurate input of patient data in the SpiroPerfect database e Wrong information entered 42 69 CardioPerfect Workstation Welch Allyn Service and Advanced installation Manual 6 Troubleshooting WACP Workstation 6 1 Problem Access denied after logon The Problem Access denied can be caused by Not running SQL database Corrupted database User deactivated in the Administrator Tool Wrong login name or password Firewall 6 1 1 Not running MSSQL database Not running of the database causes one or all of the following error messages on the screen Welch Allyn CardioPerfect Welch Allyn CardioPerfect fx A Access denied Welch Allyn CardioPerfect Eg Unable to start MailClient For Telemedicine IN EMS a i Use anonymous login guest account C Use Windows NT authentication C Use database authentication Username ET Password
37. be inspected for any cracks exposed wires or other damage 2 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 Resting 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 WACP Workstation manual Section 2 Working with patients 2 For further instructions see WACP Resting ECG manual 3 In case of problems errors try to resolve it with the use of the troubleshooting guide 28 69 Welch Allyn 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
38. bing 703415 1 CPWS CP200 2m The following parts must be replaced as noted e Cardboard mouthpiece amp nose clips Replace for each new patient e Sensor Replace when faulty e Sensor Holder Replace when broken e Transparent Holder Replace when broken To order parts call the Welch Allyn Technical Support Center 19 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual UN WARNING Discard all Spirometry components according to local regulations Use of components other than those recommended by Welch Allyn Cardio Control BV may compromise product performance The Welch Allyn Cardio Control BV warranty can only be honored if you use Welch Allyn Cardio Control BV approved components and replacement parts Item Part Numbers Order Quantities Cardboard mouthpiece SP M 100 SP MC 1000 100 pk 1000 pk Welch Allyn SpiroPerfect VCT 400 SP SENSOR 1 sensor SpiroPerfect VCT 400 Sensor Holder 2 SP SENS HLD 1 SP HLD 1 TRANSP SpiroPerfect VCT 400 Transparent Holder i CPL 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 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 be
39. 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 Cardio Control BV or their authorized service personnel Accessories The Welch Allyn Cardio Control BV warranty can only be honored if you use Welch Allyn Cardio Control BV approved accessories and replacement parts AN Caution Use of accessories other than those recommended by Welch Allyn Cardio _ Control BV may compromise product performance 2 69 Welch Allyn 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
40. ction 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 fax please provide the following information Your name company name address phone number fax number and e mail address Product serial number 65 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Exact product name and version numbe
41. d e Verify that the date of birth gender race and the height of the patient W inf information are entered in the i en MON nen one patient card these are needed for the calculation of the predicted values e Wrong linearization file e Verify LOT number and perform a verification test e Check the connection between flow transducer and sensor e Replace the flow transducer The program does not predict values or the values appear incorrect Unable to calibrate Hardware problem e Check that the connection between the syringe and the flow transducer is tight and without leaks e Wrong linearization file e Verify LOT number and perform a verification test e Wrong Ambient setting e Verify the barometric pressure e Out of calibration e Recalibrate with a 3 liter syringe e Replace the flow transducer Patient test values differ from values Hardware problem Biminate any leaks in the pressure tubing expected by physician xp y pay e Replace the sensor if damaged e Verify the patient data The norm selection is dependent upon accurate input of patient data in the SpiroPerfect database e Wrong information entered 41 69 Welch Allyn CardioPerfect Workstation S ervice 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
42. d ON to return to normal mode 31 69 Welch Allyn 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 f 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 f using a device e g digital pressure standard rated at 1 0 mm Hg you will be able to determine the accuracy of the unit being tested to within 4 0 mm Hg e Welch Allyn recommends using the most sensitive pressure standard possible when performing calibration checks A Setra Pressure Meter 2270 01 which is calibrated for 0 1 mm Hg works well for this application 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 pe
43. d by Troubleshooting ABP device functional test Functional verification ABP device Return to Authorized service center Returning products Spirometry configuration and Accessories Basic configuration Spirometry Sensor Spirometer USB Kit Pressure Tubing Disposable Flow Transducer order quantity 100 package includes Linearization file on CD Nose Clip 3 Liter Calibration Syringe 18 69 Welch Allyn 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 UN WARNING Discard all Spirometry components according to local regulations Use of components other than those recommended by Welch Allyn Cardio Control BV may compromise product performance The Welch Allyn Cardio Control BV warranty can only be honored if you use Welch Allyn Cardio Control BV approved components and replacement parts CPWS CP200 Sensor 703554 1 Item o Order 1 numbers Quantities Disposable Flow 703418 25 pk 703419 100 pk Package includes Linearization file on CD Spirometer USB Kit Nose Clip 58550 0000 1 2 2 11 Ordering Information for Replacement Parts SpiroPerfect VCT 400 Transducer Pressure Tu
44. dmin WACPWS SAI ENG Rev 00 Version 1 6 0 44 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Welch Allyn CardioPerfect Enter logon information here C Use anonymous login guest account C Use Windows NT authentication j Use database authentication Username admin Password o If this works you can consider restoring the old data Restoring the old data You can try to restore the old data using the following options e Restoring a backup e Attaching a database only possible with version 1 5 0 or full MSSQL license e Copying the old data If the restore of the database fails contact the nearest Welch Allyn Technical Support Center a Restoring a backup o If 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 45 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual
45. e Warning instructions exactly as presented in this manual Failure to do so could damage the equipment invalidate the product warranty and lead to serious personal injury This guide provides troubleshooting installation and configuring information and instructions for functional testing and performance verification 2 1 Service Options 2 1 1 Warranty Service All repairs on products under warranty must be performed and or approved by Welch Allyn Refer all warranty service to Welch Allyn Factory Service or another authorized Welch Allyn Service Center Obtain an RMA number for all returns to Welch Allyn Factory Service see Returning Products N Caution Unauthorized repairs will void the product warranty 2 1 2 Non Warranty Service Welch Allyn Factory Service and authorized Service Centers support non warranty repairs Contact any Welch Allyn regional service center for pricing and service options Welch Allyn offers modular repair parts for sale to support non warranty service This service must be performed only by qualified end user biomedical clinical engineers using this service installation manual 2 1 3 Technical Support Services Welch Allyn offers the following technical support services e Telephone support e Loaner equipment e Service Agreements e Replacement service parts e Factory service For information on any of these services contact Welch Allyn at the numbers listed on page 3 14 69
46. e 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 85 DC Administration Tool 10 gt BE Section Language Beton Gain Eha e Tern Dae i ne Hane Fiom File Jz Denn Al Ra oer Dalab in Acar alka Backup Onas E m Restore Cstabase cor Logged In Conmaction fea pr WACPWS SAI ENG Rev 00 Version 1 6 0 25 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 3 Select the backup that you want to restore If you have moved your backup files to a different location use the Change File button to locate the backup files 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 26 69 Welch Allyn 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 re
47. e Problems Condition Display is not working correctly Time settings resets when the batteries are removed Patient symbol is flashing Battery symbol is flashing Flash card symbol is flashing Green LED is not burning during recording No sound when starting a recording on the MiniHolter CardioPerfect Workstation Service and Advanced installation Manual Causes Internal memory battery empty e Patient electrodes hookup not correct Patient cable e Flash card formatted under Windows XP e Flash card not c onfigured correctly e Flash card doesn t contain a patient or protocol Flash card defective e LED defect e Sound is set to LO on the MiniHolter Defective MiniHolter Actions Send the unit in for repair Send the unit in for repair Check the hookup of the electrodes Patient cable not fitted correctly in the Recollect MiniHolter Defective patient cable try to replace it Replace Batteries Format the card using Windows XP Configure the card using the Recollect card format tool see the WACP MiniHolter manual Prepare the flash card see the WACP MiniHolter manual Replace the flash card Send the unit in for repair Verify the setting on the MiniHolter see the WACP MiniHolter manual Send the unit in for repair 5 4 Problem Solving suggestions ABPM 6100 System Failure Problems Condition No communication between the ABPM6100 and the computer Cycle starts but cuff will not fu
48. e 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 losing both your database and your backup if your computer crashes To create a backup device 1 Click Backup database 2
49. eck 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 WACP 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 track 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 EE ANG 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 CAUTION Do not clean the pressure tubing or sensor Trapped moisture could affect accuracy Replace the pressure tubing when it becomes dirty Recalibrate after replacement Replace the sensor
50. eeeeeeaaeaaeeseeeeeeeeeeeeeeeseeees 58 10 2 Installation and Configuration ce cceeeeeeeseeeeeeeeeeeeeeeeeeeeseeeeeaeaasaeesseeeeeeeeeeeeeeeeess 58 10 3 Other ee ae Ve 10 got ee ee ee ee ee 62 10 3 1 Mail Server 2 0 ccc cece ccc e cence cence cece eee e cea e ee ee eases essa eseseaeeseseaeeseaeaeeseaegeeneaeaes 62 6 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual V NR 63 10 4 Troubleshooting Telemedicine rrrrrnnnnrnrrrrvrrvrnnnnnnnnrrrrnrrnnnnnnnnnnsrnnnnnnnnnnnnnnssennnnn 64 10 4 1 Possible error messages rrrrnnrnnnnnnnenenenenrnenenenananrnenenennnenenennnenenenenenenenenenene 64 10 4 2 Mail server error codes rarnannnnnnrnanannnnnnavannnnrnrnanennnnenavnnnnnenanannnnenanansnnenennenn 64 10 43 Technical SUP ansees barkedanednn 65 I ECG CHECKLIST AND TEST RESULTS FORM rrnnsvvvrnnnnnnvnnnnnnnnennnnnnneernnnnnneennn 67 ll MINIHOLTER CHECKLIST AND TEST RESULTS FORM svernnnnvvnnnnnvennnnnvennnn 68 lil ABP CHECKLIST AND TEST RESULTS FORM runssvrvnnvvrnnnvvnnnnnennnnnennnnvennnnvennnn 69 7 69 Welch Allyn 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 responsibil
51. eeeeeeeeeeeess 37 5 5 Problem Solving suggestions Mobil O Graph rrrrnnnnnrrnrrvnnrrrnnnnnnnnrvvnnnnnnnnnnnnnnnee 39 5 6 Problem Solving suggestions Welch Allyn SpiroPertect ccccceesessseeeeeeeees 41 5 7 Problem Solving suggestions SpiroPerfect VOT 400 rrrrrrrnrrrnnnnnnnnnvvvnnnnnnnnnnnnnnee 42 TROUBLESHOOTING WACP WORKSTATION ssvrersnnnnnnvvennnnnnnnnevennnnnnnnevenennnnnn 43 6 1 Problem Access denied after lOQON cccccccccssssssseeeececeeeeeesseeeeeeeeessaaensseeeeeeess 43 6 1 1 Not running MSSQL database cccccccccc ccc eeceeceeeeeee eee eee eee eeeeeeeeeeeaeeeeeeeeeeeeeees 43 612 Corrupted o 3 1 Og EEE EEE ERE 47 6 1 3 User deactivated in the Administrator tool cccccccececeeeeeeeeeeeeeeaeeeeeeeeeseeeeees 48 6 1 4 Wrong login name or Password aranenenenennnnvnnnnnenenenenenenenenenenrnenenenenenenenennnnenen 48 HR ANN 49 6 2 Problem Invalid release 006 saavvaeeers enes 49 6 3 Problem Can not use all the functions in the software rrrrrrrrrvrrrrrrrrrrrrnnnnnnnnnrr 50 6 4 Problem Limited rights in the WACPWS software rrrrrrrnnrrrnnnnnnnnrvrnnnrnnnnnnnnnnre 50 6 5 Problem Limited rights on the operating system rrrrrnnnnnnrnronnrnnnnnnrnnnnnnnnnnennn 50 6 6 Problem Release code invalid cccccccccssssecceeeeeesseceeeeeaeeseceeseesaeseceeeseeeseeeeeeeaas 50 PROBLEM SOLVING SUGGESTIONS RESTING ECG MODULE 51 7 1 Problem Inv
52. ensenensentenennn 14 AM 1950 011 g EEE 14 2 1 1 Warranty Service arnrnnrnrnarnrvannrrennrnarnrnanarnnnennnnennrnennrnannrnnnernenennenennenennnnennsne 14 ENVER 14 213 Technical Support SEPT exnaciwaivancianccataraaiedaaserenrsveaivandieaawhecaqeionatneeadneniie 14 24 PAC LURK OO UGS EEE EEE 15 22 PRE eee 15 2 2 1 Resting ECG configuration and Accessories rrrrnrnrnnrnrnnrnrrvenerennenennerennenennennn 15 2 2 2 Exercise ECG configuration and Accessories rrrnrrrnnrnrnnrnrnvenerennerennerennenennennn 16 2 2 3 Recommended Service Intervals Resting Exercise ECG r rrnrnrnnrnrnnrnrnnrnrnvenn 16 2 2 4 MiniHolter Event ECG configuration and Accessories rrnrrrrnrrvnnrrrnnrrennenrnnennn 17 2 2 5 Recommended Service Intervals MiniHolter Event EGG ararnrnrnavannrnrnavennrnener 17 2 2 6 Pocket ECG configuration and Accessories arrnrnrnnnnnnrvnnnnnnrrnnennerrenennernenennenn 17 2 2 7 Ambulatory Blood Pressure configuration and Accessories ceeeeeeeeeeeees 18 2 2 8 Recommended Service Intervals Ambulatory Blood PresSure r rrrrrrrraravarern 18 2 2 9 Spirometry configuration and Accessories rrnrrrrnrrrnnrnrnnenrrrenerernenennerennenennennn 18 2 2 10 Ordering Information for Replacement Parts SpiroPerfect rrrrnannrnrnanarnrnenen 19 2 2 11 Ordering Information for Replacement Parts SpiroPerfect VOT 400 19 2 2 12 Recommended Service Intervals Spirometry
53. erfect 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 _h Disconnect the cuff assembly from the unit 2 Attach the appropriate end of a Y connector to the monitor Attach a cuff to the appropriate end of the Y connector and wrap around a Suitably sized can or bottle This acts as the reservoir for the unit Connect the third leg of the Y connector to a high quality known pressure standard Refer to the following calibration figure for a sketch of the test set up 3 Pressurize gauge to 300 mmHg and compare against pressure standard see following calibration figure If the unit does not meet the required calibration the unit needs to be returned to Welch Allyn for calibration or repair 4 Bleed pressure down no faster than 10 mmHg per second stopping to check the pressure at 250 200 150 100 and 50 mmHg Refer to the notes that follow for tolerances 5 When finished on the e ABPM 6100 remove one of the AA batteries from the battery compartment Then immediately replace the battery back in its proper orientation which will cause the unit to start the power up cycle e ABP Perfect switches it OFF an
54. eries in the MiniHolter and check the following points Expectedresult eae the record button briefly Correct time is displayed The display switches off automatically after a few seconds If test 1 fails correct the time remove the Correct time is displayed The batteries and repeat test 1 after 6 hours display switches off automatically after a few seconds Condition 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 4 Configure the memory card in the Welch The patient symbol is flashing and Allyn CardioPerfect software fora 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 Pass Fail Switch the ECG simulator on connect the The patient symbol is not flashing patient cable to the MiniHolter and press the Heartbeat indicator will appear on record button briefly 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
55. ername myname SMTP password Fre eee 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 59 69 CardioPerfect Workstation Welch Allyn Medical Diagnostic Workstation Telemedicine settings l x Service and Advanced installation Manual Direct connection General Email This machine will act as a Direct connection Server f Direct connection Client TEF IP part for direct connections default 1423 E 1423 i Name 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 menu to Restart Continue step 6 ioj x
56. es 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 CardioP erfect 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 F Setlings La General ensa Print o Options lor maling iseis Saver mabe Si gresture Hal serve T Use Auto Signature LONGHORN Cignature TEPP Por
57. formation gt modules e Check if the expected modules are activated Welch Allyn CardioPertect Genera Argarain Hodi Inana n sbg ul the eve b s oasgratis module bl rd de Varson Aeon Spit Falt e If not all expected modules are activated contact the nearest Welch Allyn Technical Support Center with a proof of purchase 50 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 7 Problem Solving suggestions Resting ECG module This chapter describes the most common problem suggestions of the Resting ECG module 7 1 Problem Invalid WDM handle Error message The invalid WDM Handle error is related to the driver of the 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 WACPWS software to the correct interface For further instructions see the WACP Resting ECG manual T Settings he ECG Genel Weng Profing OT depeson Reto Recoda AC ie He Hodet Frequency f Fil Hz Mite T ka Bo I C Gl He Peat UniLink USB lF Dipa suich oh message Battery options M Ensble be battery namma e Verify if the USB interface cable is connected to the USB port of the computer e If the system worked before without any problem reboot the computer and verify if
58. ftware 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 WACPW ABP Software manual for the codes as used by the software 40 69 Welch Allyn CardioPerfect Workstation S ervice and Advanced installation Manual 5 6 Problem Solving suggestions Welch Allyn SpiroPerfect g System Failure Problems Condition Causes Actions e Computer lost connection to the e Disconnect and reconnect the sensor sensor The Device sens or is not responding e Check if the port settings in the e Software setting WACP settings menu correspond with the used COM port eer e Verify LOT number and perform a e Wrong linearization file ee e Hardware problem Check the flow transducer for Measured values are incorrect potential obstruction e Doavolume calibration to check e Out of calibration the gain factor and to recalibrate the device if necessary e 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 e Out of calibration e Recalibrate with a 3 liter syringe flow has exceeded the allowable limits e Check in the settings menu to see SOME eg if the correct author is selecte
59. g 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 3 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Limited Warranty Statement Welch Allyn Inc warrants that the Welch Allyn CardioPerfect Workstation computer based product you have purchased meets the labeled specifications of the Product and will be free from defects in materials and workmanship that occur within 1 year after the date of purchase Accessories used with the Product are warranted for 90 days after the date of purchase The date of purchase is 1 the date specified in our records if you purchased the Product directly from us 2 the date specified in the warranty registration card that we ask you to send to us or 3 if you don t return the warranty registration card 120 days after the date on which the Product was sold to the dealer from whom you bought the Product as documented in our records This warranty does not cover damage caused by 1 handling during shipping 2 use or maintenance contrary to labeled instructions 3 alteration or repair by anyone not authorized by Welch Allyn and 4 accidents If a Product or accessory cove
60. he codes as shown on the device display Please refer to the WACPW ABP Software manual for the codes as used by the software 38 69 Welch Allyn CardioPerfect Workstation S ervice and Advanced installation Manual 5 5 Problem Solving suggestions Mobil O Graph SE 7 Ve I i System Failure Problems Condition Causes Actions e No CO on display Mobil O Graph e USB to Serial converter Interface cable a e Batteries No communication between the ABPM6100 and the computer e Ambulatory Blood Pressure setting e Serial port e Cuff Cycle starts but cuff will not fully inflate e Batteries e Blood Pressure readings are not displayed during Regular Runs e Blood pressure protocol Time settings resets when the batteries The internal battery rechargeable are removed is flat e The batteries were drained No measurements were carried out prematurely during the night phase e The patient switched off the Mobil O Graph No automatic measurements are carried The first manual measurement was out unsuccessful or not performed The measurement interval is not as you An incorrect protocol was set expected 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 batte
61. hen e Intended use e None 35 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual powered by USB and without battery pack On Off switch doesn t function when e Defective PRO recorder e Send the unit in for repair powered by a battery pack 5 2 Problem Solving suggestions CardioPerfect MD Portable Cardiograph System Failure Problems Condition Causes Actions LED is not on and optical fiber doesn t e Empty battery e Replace battery type 6LR61 gives an output red light after switching e Replace battery cable part number Here Battery cable is broken SE BAT CON LED is not on but the optical output e LED defective e Send the unit in for repair gives a red light LED is on green light but the optical output doesn t gives a red light LED is on red light e Defective recorder e Send the unit in for repair e Battery almost empty e 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 o SEFIBER 10 10 meter Replace interface LED is on green light and the optical output gives a red light but not possible to record an ECG e UniLink or CPCOM interface card defective e Recorder defective e Send the unit in for repair 5 3 Problem Solving suggestions Recollect MiniHolter WACPWS SAI ENG Rev 00 Version 1 6 0 36 69 Welch Allyn System Failur
62. is 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 against hazards to the patient WARNINGS Related to using the Welch Allyn CardioPerfect family of devices equipment failure and health hazards may result WARNING Avoid positioning any leads or cables so that they could easily trip someone 10 69 Welch Allyn CardioPerfect Workstation 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 can damage or destroy electronic components Handle static sensitive components only at static safety workstation WARNING Consider all electrical and electronic components of the monitor as static sensitive WARNINGS Related to the CardioPerfect ECG recorders interference between the cardiograph and any existing RF transmitting or receiving equipment at
63. ith 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 Let it 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 sensor may dissolve GATEN 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 34 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 5 Troubleshooting the WACP 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 Mobil O Graph SpiroPerfect VCT 400 Welch Allyn SpiroPerfect Ambulatory Blood Pressure De
64. ity 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 of IEC 60601 1 1 Measure the leakage currents to confirm that no electric shock hazard exists e The personal computer used should adhere to the appropriate electromagnetic compatibility EMC standard for non medical electrical equipment CISPR 22 24 FCC Part 15 CE or national variants The CardioPerfect families of devices are an integral part of a person
65. lly inflate Blood Pressure readings are not Causes Interface cable e Ambulatory Blood Pressure setting Serial port e e Blood pressure protocol Actions 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 WACPWS software see the WACP ABP manual Serial port is blocked by another application use the comlist tool provided on the WACPWS CDROM in the folder tools to check this Verify the correct working of the serial port Ensure a connection with the ABPM 6100 is secure Check bladder for leak Replace batteries Verify if the setting show 37 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual measurements on device is on see the WACP ABP manual e Verify if the Enable start button is checked in the ABP settings of the CPWS software see the WACP ABP manual displayed during Regular Runs Patient activation button does not initiate readings while in the Regular Run e Ambulatory Blood Pressure setting mode The ABPM 6100 monitor displays error codes whenever an error situation is encountered Error codes will display on the unit s LCD Error codes that apply to a specific reading will also display in the ABP Workstation Software when the data is read from the unit The following table explains error codes generated by the ABP
66. ncy power lines Try moving to setting or AC filter is turned another room off 8 2 Problem Exercise device is not responding The Exercise device treadmill or ergometer doesn t respond e Verify the settings of the Exercise device For further instructions see the WACP 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 56 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 9 Problem Solving suggestions Spiro module This chapter describes the most common problem suggestions of the Spiro module 9 1 Problem No samples detected The following message appears when the device detected samples during the initialization Retry it and don t move the unit during the stabilization or breathe through the mouthpiece Communication error A Mo 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 Noe This combination i
67. quire 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 AN test Refer to the Electrical Safety Analyzer manual for complete details on set up and use for testing e Earth Leakage e Chassis Leakage e Patient Leakage 4 1 Equipment required Commercially Available General purpose Medical Test Equipment Item Description ECG simulator Standard 12 lead ECG simulator Computer PIII or better Welch Allyn CardioPerfect software version 1 5 0 or higher installed DVM Digital Volt Meter 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 ES1 methods and limits Test for the following e Patient Leakage current
68. r 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 66 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Il 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 MD Portable Serial number ECG recorder Type of Computer interface ProLink UniLink UniLink CPCOM CPCOM CPCOM USB RS232 PCI PCMCIA ISA Serial number Computer interface 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 Patient Cable Verification test Result Ohm L TRA lt gt Date Signature 67 69 Welch Allyn CardioPerfect Workstation S ervice 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 1 You can find the Welch Allyn
69. r 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 ee ee 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 After less then 3 minutes the unit should deflate the pressure to 0 mmHg 4 5 Functional verification Spirometer 32 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Functional verification can be performed by using the Calibration procedure described in the WACP Spiro manual Verify continued electrical safety of the Welch Allyn System using IEC 60601 1 or ANSI AAMI ES1 methods and limits Test for the following e Patient Leakage current e Chassis leakage current e Earth leakage current 4 5 1 Maintenance Welch Allyn SpiroPerfect g 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 Ch
70. red by this warranty is determined to be defective because of defective materials components or workmanship and the warranty claim is made within the warranty period described above Welch Allyn will at its discretion repair or replace the defective Product or accessory free of charge You must obtain a return authorization from Welch Allyn to return your Product before you send it to Welch Allyn s designated service center for repair THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES EXPRESS OR IMPLIED INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE WELCH ALLYN S OBLIGATION UNDER THIS WARRANTY IS LIMITED TO REPAIR OR REPLACEMENT OF PRODUCTS CONTAINING A DEFECT WELCH ALLYN IS NOT RESPONSIBLE FOR ANY INDIRECT OR CONSEQUENTIAL DAMAGES RESULTING FROM A PRODUCT DEFECT COVERED BY THE WARRANTY 4 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual TABLE OF CONTENTS 1 SAFETY SUMMARY siviccscsccsvavscsnscancsisanutvedeieesusecanswaveussensassamncesdeseencdesaunuadcereassacazmnsucesst 8 Na 616 en 10 OE NE EE NE 8 2 SN 9 1 3 Servicing the Welch Allyn equipment safely rrrnnnnnnnnvvnnnnnrnnrvrnnnnnnnnnnnnnnnnnnnnnnn 10 FEE CAE 0 EN EEE EE 10 WARNINGS Related to the CardioPerfect ECG recorders rrnrrarnrnannrnrvarnrvernrvennenenn 11 RET NE 13 2 PURPOSE AND SCOPE ressesvasenrenensentesrnsentesentenensentesensentesentesensentenensenees
71. ries Verify if the correct serial port is selected in the WACPWS software see the WACP ABP manual Try the Use safe initialization see the WACP ABP manual Serial port is blocked by another application use the comlist tool provided on the WACPWS 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 WACP 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 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 WACP ABP manual The Mobil O Graph displays error codes whenever an error situation is encountered Error codes will 39 69 Welch Allyn CardioPerfect Workstation S ervice and Advanced installation Manual 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 Error code Causes Actions
72. ries 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 ELEG 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 ELEG CUP Welch Cup Electrode RE ELEG KID Pediatric Welch Cup Electrodes RE ELEG CLP Clamp Electrode Set RE ELEC Disposable Electrodes for Banana Cable 50x RE ELEC 20 Disposable Electrodes for Banana Cable 1000x 15 69 Welch Allyn 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 configurations 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 SE PC IEC PSHL SE PC A HA PSHL SE PC IEC CLIP SE PC AHA CLIP SE PC IEC CLPL Patient Cable PRO pushbutton E
73. roded loose or positioned on a bony area Insufficient or dried electrode gel Patient or technician touching an electrode during recording Patient touching any metal parts Causes Actions Reattach the lead Replace the electrode Verify that the electrode area has been properly prepared shaved cleaned with alcohol or acetone allowed drying Clean skin with alcohol or acetone Reposition or replace electrodes If wandering baseline persists turn the baseline filter on For further instructions see the WACP 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 CardioPerfect Workstation Service and Advanced installation Manual Broken lead wire patient WACP 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 freque
74. s 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 57 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 10 Telemedicine Telemedicine is an optional extension to the Welch Allyn CardioPerfect Workstation Without the correct release code the Telemedicine functionality will not be activated The Telemedicine option requires significant IT skills to install and configure For additional information on how to use Telemedicine please refer to the Workstation user manual With Telemedicine it is possible to send and receive tests and interpretations to and from predefined contacts This typically allows expertise sharing and second opinion consults but might also be used for administrative purposes in situations where replication cannot be used Telemedicine offers a choice of two types of communication Telemedicine messages can be sent and received either through e mail or through direct communication using TCP IP sockets In both cases the Internet or any other TCP IP network must be available as transportation infrastructure It is possible to use a mix of both email and direct socket connection Telemedicine like Welch Allyn CardioPerfect Workstation is built using a client server architecture This means Telemedicine scales from use on a single standalone computer with a modem
75. 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 62 69 Welch Allyn 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 from the POP server The advantage is that the Mail server will only have to scan these messages once instead of each time it is checking for new mail This increas
76. se 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 11 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual The Welch Allyn Cardio Control BV warranty can only be honored if you use Welch Allyn Cardio Control BV approved accessories and replacement parts See Maintaining the Cardiograph for more information 12 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 1 3 2 General Cautions The following caution statements apply to the Welch Allyn CardioPerfect family of devices in general Caution statements that apply specifically to particular procedures or devices you can find in the corresponding user manuals device manuals e WACP Resting ECG manual and WACP Pro manual e WACP Stress ECG manual and WACP Pro manual e WACP Pocket ECG manual and WACP Pro manual e WACP ABP manual and WACP ABPM6100 manual e WACP Spiro man
77. se using the Connection Setup e If you are able to select this newly created database you can conclude that the original database is corrupted Restoring the corrupted database If there is a recent backup available you can try restoring this backup If this restore fails you can try the following procedure e Remove the database files manually o CCDB DAT MDF o CCDB LOG LDF o CCDBAUDIT DAT MDF Only CPWS software 1 5 0 or higher o CCDBAUDIT LOG LDF Only CPWS software 1 5 0 or higher e Create a new database ccdb using the DBBuilder tool provided on the Welch Allyn CardioPerfect CDROM SQL folder e Try to restore the backup 6 1 3 User deactivated in the Administrator tool Try to logon to the Welch Allyn CardioPerfect software using database authentication e Username admin e Password admin If you have changed the username or password use the modified logon information If the logon succeeds you need to verify the user settings in the administrator tool 6 1 4 Wrong login name or Password Verify the user settings in the administrator tool 48 69 Welch Allyn 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 CardioPerfec
78. station 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 58 69 Welch Allyn CardioPerfect Workstation step 2 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 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 a x Email address E Ca MyClinic com PUPS serve PUPS server address pop myclinic com POPS username myname PO F3 Password HREREE gt SMTP serve SMTP server address mailhost myclinic com h SMTP server requires authentication SMTP Us
79. t med saver 1411 a TCPVIP Port notificahors Wiz l Change sellings im al users fF a sacl eee RES Aduanced sellings Telemedicine General Settings 63 69 Welch Allyn 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 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
80. t 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 Unplug the black electrode 1 from the The patient symbol is flashing 2 ECG simulator and shortly remove a battery home from the MiniHolter Measured Heart Rate within 1 BPM of the For further instructions see WACP 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 2 For further instructions see WACP MiniHolter manual 3 For further instructions see WACP MiniHolter manual Date Signature 68 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Ill ABP Checklist and Test Results Form Use a copy of the form to track your progress through the verification see 4 4 Functional verification ABP device ESN TETT e Sofware Sera mer Tested by Test Date ee 1 You can find the Welch Allyn CardioPerfect software version and serial number in the information tab of the help function Calibration verification Pressure Pressure 3000 e e o PO e o oo PT e o KE e o oo o 1
81. t 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 software e Selecting another protocol in the CLICONFG tool C windows system32 cliconfg exe o Add the Multiprotocol TCP IP and Named Pipes gt SQL Server Client Network Utility General Alias DB Library Options Network Libraries Disabled protocols Enabled protocols by onder NW Link Pe Pet ITCPAP pplet alk Named Pipes Banyan VINES i i Multiprotacal VLA i lt lt Disable I Force protocol encryption i Enable shared memory protocol UF 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 Cont
82. 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 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 too large Ask the ISP about any size restrictions Unspecified SMTP error Action Check the error description in the mail event log it will give the error text sent by the SMTP server 102 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 64 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual A time out has occurred trying
83. 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 Cardio Control BV assumes no liability for failures resulting from RF interference between Welch Allyn Cardio Control BV medical electronics and any radio frequency generating equipment when these levels exceed those established by applicable standards WARNING As with any electronic equipment Radio Frequency RF WARNINGS Patient and operational safety notes WARNING Your cardiograph isolates all connections to the patient from electrical ground and all other conductive circuits in the cardiograph This reduces the possibility of hazardous currents passing from the cardiograph through the patient s heart to ground To ensure the patient s safety and your own plea
84. 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 WACP Resting ECG manual VALLA DVUIG IQG ATEN Day NA VUareoinn 1 an VVA U r VVO S AT EI N I MTV JU VEIS UT A O U 51 69 CardioPerfect Workstation Service and Advanced installation Manual Device Manager Computas F Aa Disk drives E Depi adapters ROM dree Gig Humen Interface Danos IDE ATAsATAPT controllers EF hes 5 Mice and other ponting devices i BE Monitors Pad ese or map rss COSTE oe Ver BG Se Cardio Perfect PRO Link USB 2 JA Ports COM Bi LPT H Processors Sound video ard gane controller Salt Shor age vane Eo derem F Universal Serial Bus controllers e If the above suggestions don t resolve the problems contact the nearest Welch Allyn Technical Support for further assistance 7 2 Problem Fatal Port Error during recording Fatal port Errors are caused by data loss This data loss can be caused by e Power management on the computer e Other applications hardware which are interfering with the communication e Defective hardware 7 2 1 Power management To avoid data losses switch off the power savings as much as possible e Power savings in the BIOS of the computer for further instructions please refer to the manual of the computer e Windo
85. 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 Welch Allyn CardioPerfect Work
86. to connect to the POP server Action Try again later the POP server might be down If the problem persists check the spelling of the POP server name using the CC MailServer Configuration Also verify that the network is functioning correctly A time out has occurred trying to receive email Action Try again later If the problem persists contact the ISP Unspecified POP error Action Check the error description in the mail event log it will give the error text sent by the POP server A mail message has been received that is sent by an unknown contact A rejection message has been sent back to the sender Action if desired Add the contact using the Administrator tool The mail message that has been received is invalid It is corrupted or cannot be read A rejection message has been sent back to the sender Action Try again if problem persist contact Support It could be that the sender is using a different version of the software An interpretation has been received but the corresponding test is missing A rejection message has been sent back to the sender Action Possibly the test has been accidentally deleted ask the sender to send the 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 A
87. tween 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 WACP 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 I ies l otherwise damaged Recalibrate Calibration procedure WACP Spiro manual VATA FA DYMAIG IEGALIENI Da AA lavrainn d OA NACDWQ QAVENG Rav NN Varcinn AN VAGFVS SAV ENG hev UU Version 1 0 U Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual Unit malfunctioning Recalibrate Calibration procedure WACP Spiro manual Troubleshooting and repair followed b Unit does not pass i nctional tesi g p y Troubleshooting Spirometer calibration Return to Authorized service center Returning products 21 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 3 Backing up the database 3 1 Backup In a computer environment there is always a possibility that something goes wrong hard disks can crash databases can get corrupted system software can fail and users can mak
88. u 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 Allyn 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 P
89. ual e WACP 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 Cardio Control BV may compromise product performance Caution When removing the device from storage allow it to thermally stabilize to the surrounding environmental conditions before using It i 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 13 69 Welch Allyn CardioPerfect Workstation Service and Advanced installation Manual 2 Purpose and Scope The service manual is a reference for periodic preventive maintenance and corrective service procedures Corrective service is supported to the level of field replaceable parts Opening and repair of the Welch Allyn CardioPerfect family of devices can only be performed by certified and qualified service personnel at an authorized Welch Allyn service center No component level repair of circuit boards and Caution subassemblies is supported Use only the repair procedures described in the manual When performing a service procedure follow th
90. uro coded Patient Cable PRO pushbutton X Long Euro coded Patient Cable PRO pushbutton X Long AHA coded Patient Cable PRO Clip ending Euro coded Patient Cable PRO Clip ending AHA coded 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 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 ECG recorder Complete Functional test Functional verification ECG recorder Complete Functional test Functional verification ECG recorder Troubleshooting ECG recorder Troubleshooting Software module Troubleshooting and repair followed by functional test Troubleshooting Exercise device see the service manual of the exercise device Functional verification ECG recorder Return to Authorized service center Returning products Only applicable for Exercise ECG 16 69 Welch Allyn 2 2 4 CardioPerfect Workstation Service and Advanced installation Manual MiniHolter Event ECG configuration and Accessories
91. vice Spirometry 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 connected to USB port of the computer computer e ProLink interface cable not connected to PC interface e Verify the connection to the connector of the CardioPerfect Pro CardioPerfect Pro Cardiograph Cardiograph Recorder don t switch on when starting an ECG recording e Check the recorder settings in the e Wrong device selected in the Welch Allyn CardioPerfect software Welch Allyn CardioPerfect software see the WACP resting ECG manual e ProLink interface cable is defective e Replace ProLink interface cable a LED is not on during ECG e Defective LED e Send the unit in for repair a dre erd ie e Defective PRO recorder e Send the unit in for repair e Battery pack not charged e Charge the battery pack and retry ans reg IS red when powered Ta Battery pack defective e Replace the battery pack and retry e Defective PRO recorder e Send the unit in for repair On Off switch doesn t function w
92. ws 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 gt Derio Manager USA Root Hub Properties Da sin H en Beaetieres thea General Power Driver Data Pose kansgemen Bf Fot KOM ELFT Elk Procemore USE Foot Hub r smv k onl gre bl ni amp dak Ser ge val Sees Geet Lier ria Som riar eraa LS Hb iriak SS LEE Liri Host or 2053 iraki ea eS a Ho i SER F ried er E LEE Une Host roi 2631 PreskF Se LEGE Lines Hine riro smh MAR Se Lee Seo Hart r TES HiT Comps Been LER Carpe Lese LESE Pgh Sead Serie Correa Por 195 Sear LEE Pins Sr be eee LEE Eid Hub LESE Fro Hi LESE Fint Hub me frk Find Hiski pt LEE Pool Hal WACPWS SAI ENG Rev 00 Version 1 6 0 52 69 Welch Allyn 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 Bluetooth manager Infrared port Antivirus program Wireless network when not connected 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 0 Defective hardware Data loss

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