Welch-allyn CP 200 12-Lead Resting Electrocardiograph - User M User Manual

CP 200™ 12-Lead Resting ElectrocardiographDirections for Use

6 Chapter 1 Introduction Welch Allyn CP 200 ElectrocardiographAccessoriesTo order accessories, call Welch Allyn. For phone numbers, see page ii.Item

96 Appendix A Specifications Welch Allyn CP 200 Electrocardiograph*Per AAMI EC11:1991/(R)2001 Diagnostic Electrocardiographic Devices, Section 3.1.2

B97EMC Guidance and Manufacturer’s DeclarationsTable 5. Electromagnetic EmissionsThe CP 200 electrocardiograph is intended for use in the electromagn

98 Appendix B EMC Guidance and Manufacturer’s Declarations Welch Allyn CP 200 ElectrocardiographTable 6. Electromagnetic ImmunityThe CP 200 electro

Directions for Use Appendix B EMC Guidance and Manufacturer’s Declarations 99Table 7. Electromagnetic ImmunityThe CP 200 electrocardiograph is inte

100 Appendix B EMC Guidance and Manufacturer’s Declarations Welch Allyn CP 200 ElectrocardiographTable 8. Recommended Separation Distances Between

101GlossaryAHA. An abbreviation for American Heart Association. The AHA electrode labeling scheme is most commonly used in the United States. audit tr

102 Glossary Welch Allyn CP 200 Electrocardiographlead. (1) An electrocardiograph wire connected to an electrode, which is attached to a patient’s ski

103Index3x4, 6x2, 12x1, etc. See leads: arrangements (formats) in Auto Reports3x4 50 mm/s + 3R, 6x2 50 mm/s + 6R. See average cycles5 mm/mV, 10 mm/mV,

104 Index Welch Allyn CP 200 ElectrocardiographDdatabase. See CardioPerfect workstation; scheduled patients list; test directory (saved tests)data. Se

Directions for Use Index 105Kkey, network, 36keyboard, 9, 95keys. See function keys; keyboard; softkeysLlanguage setting, 29leads10 lead wires vs. 12

Directions for Use Chapter 1 Introduction 7Controls, Indicators, and ConnectorsThis section describes the controls, indicators, and connectors that

106 Index Welch Allyn CP 200 ElectrocardiographQQTc method, 38, 46Rreason statements, 43recycling instructions, 87repairs, 94replacement parts and acc

Reorder Number (multi-language CD): 401151Mat. Number (manual only): 708793, Ver: F4341 State Street Road, PO Box 220, Skaneateles Falls, NY 13153-022

8 Chapter 1 Introduction Welch Allyn CP 200 ElectrocardiographFigure 5. Right Side Figure 6. Front Figure 7. Left SideCom port B (USB) SD memory

Directions for Use Chapter 1 Introduction 9Table 1. KeyboardKey FunctionA. On/Off See “Powering the Electrocardiograph” on page 24.B. Backspace Del

10 Chapter 1 Introduction Welch Allyn CP 200 ElectrocardiographFigure 8. Softkeys and Function KeysSoftkeysThese softkeys display text or images th

Directions for Use Chapter 1 Introduction 11About the Main MenuThe main menu appears when you press the Menu key . (If you are in spirometry mode wh

12 Chapter 1 Introduction Welch Allyn CP 200 ElectrocardiographMoving Through the MenusFigure 10. Standard Menu Figure 11. Parent Menu With Submen

Directions for Use Chapter 1 Introduction 13About the Patient Cable and LeadsThe patient cable processes the patient’s ECG data and transmits it to

14 Chapter 1 Introduction Welch Allyn CP 200 ElectrocardiographSymbolsThe symbols illustrated on the following pages may appear on the electrocardio

Directions for Use Chapter 1 Introduction 15Operation SymbolsFor details on the keys, see Figure 1 on page 9.On/standby (off) HelpNavigation arrows

ii Welch Allyn CP 200 ElectrocardiographCopyright 2008, Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any fo

16 Chapter 1 Introduction Welch Allyn CP 200 ElectrocardiographUsing the Electrocardiograph SafelyBefore using or servicing the electrocardiograph,

Directions for Use Chapter 1 Introduction 17Warnings Related to Using the ElectrocardiographWARNING This device captures and presents data reflect

18 Chapter 1 Introduction Welch Allyn CP 200 ElectrocardiographGeneral CautionsThe following caution statements apply to electrocardiograph use in g

Directions for Use Chapter 1 Introduction 19Getting HelpYou can get help with the electrocardiograph in a variety of ways beyond this manual.• Press

20 Chapter 1 Introduction Welch Allyn CP 200 Electrocardiograph

221Setting Up the ElectrocardiographInspecting the Electrocardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22Connecting

22 Chapter 2 Setting Up the Electrocardiograph Welch Allyn CP 200 ElectrocardiographInspecting the Electrocardiograph1. Look for obvious signs of sh

Directions for Use Chapter 2 Setting Up the Electrocardiograph 23Loading the Thermal Chart Paper 1. Squeeze the latch. Pull the paper door to the le

24 Chapter 2 Setting Up the Electrocardiograph Welch Allyn CP 200 ElectrocardiographPowering the ElectrocardiographThe electrocardiograph can run on

Directions for Use Chapter 2 Setting Up the Electrocardiograph 25To Turn the Electrocardiograph OnPress . To Turn the Electrocardiograph OffPress a

iiiContents1 - Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1About This Manual . . . . . . .

26 Chapter 2 Setting Up the Electrocardiograph Welch Allyn CP 200 ElectrocardiographConnecting an External USB Printer (Optional)If desired, you can

327Reviewing the System Settings“System Settings” Menu Tree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28Reviewing the

28 Chapter 3 Reviewing the System Settings Welch Allyn CP 200 Electrocardiograph“System Settings” Menu TreeSystem SettingsDevice ConfigurationDevice

Directions for Use Chapter 3 Reviewing the System Settings 29Reviewing the Device Configuration Settings1. Press the Menu key .2. Choose System Set

30 Chapter 3 Reviewing the System Settings Welch Allyn CP 200 ElectrocardiographPressure Unit mmHg, mbar, inHg, kPa. For spirometry only. Determines

Directions for Use Chapter 3 Reviewing the System Settings 31Reviewing the Device Information1. Press the Menu key .2. Choose System Settings >

32 Chapter 3 Reviewing the System Settings Welch Allyn CP 200 ElectrocardiographReviewing the Connectivity SettingsSee also “Configuring the Electro

Directions for Use Chapter 3 Reviewing the System Settings 33Reviewing the Medication ListThe medication list determines which medications are avail

34 Chapter 3 Reviewing the System Settings Welch Allyn CP 200 ElectrocardiographReviewing the History ListThe history list determines which clinical

Directions for Use Chapter 3 Reviewing the System Settings 35Transferring a Configuration to Another ElectrocardiographYou can transfer your configu

iv Contents Welch Allyn CP 200 ElectrocardiographReviewing the Format Settings for Auto Reports. . . . . . . . . . . . . . . . . . . . . 41Reviewing t

36 Chapter 3 Reviewing the System Settings Welch Allyn CP 200 ElectrocardiographConfiguring the Electrocardiograph for Wireless CommunicationBefore

437Reviewing the ECG Settings“ECG Settings” Menu Tree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38About Auto ECG

38 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 Electrocardiograph“ECG Settings” Menu TreeECG SettingsEditAuto Report 1 or 2Auto Report S

Directions for Use Chapter 4 Reviewing the ECG Settings 39About Auto ECG ReportsAn Auto ECG is a report of ECG data in one of two user-defined forma

40 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 ElectrocardiographItem (in Figure 25 on page 39) DescriptionA. Patient data See “Reviewin

Directions for Use Chapter 4 Reviewing the ECG Settings 41Reviewing the Format Settings for Auto Reports1. Press the Menu key . 2. Choose ECG Setti

42 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 ElectrocardiographAverage Cycles If desired, an additional page prints with the report. A

Directions for Use Chapter 4 Reviewing the ECG Settings 43Reviewing the Interpretation and Copy Settings for Auto Reports1. Press the Menu key . 2.

44 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 ElectrocardiographReviewing the Patient Data Fields Available for Auto ReportsYou can det

Directions for Use Chapter 4 Reviewing the ECG Settings 45Medication Yes or no. If yes, this field is enabled. During data entry, choose up to three

11IntroductionAbout This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2Product Overview . .

46 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 ElectrocardiographReviewing the Auto Report Settings1. Press the Menu key . 2. Choose EC

Directions for Use Chapter 4 Reviewing the ECG Settings 47Reviewing the Rhythm Report Settings1. Press the Menu key .2. Choose ECG Settings > Rh

48 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 ElectrocardiographReviewing the Miscellaneous ECG Settings1. Press the Menu key . 2. Cho

Directions for Use Chapter 4 Reviewing the ECG Settings 49Turning the Augmented Pediatric Lead Set On and OffFor a description of the augmented pedi

50 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 Electrocardiograph

551Performing ECG TestsConnecting the Leads to the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52Recording an Auto ECG. .

52 Chapter 5 Performing ECG Tests Welch Allyn CP 200 ElectrocardiographConnecting the Leads to the Patient1. Help the patient get comfortable. Patie

Directions for Use Chapter 5 Performing ECG Tests 53Figure 32. Electrode Placement Locations — Adult and Standard PediatricElectrodesAHA IEC Locati

54 Chapter 5 Performing ECG Tests Welch Allyn CP 200 ElectrocardiographFigure 33. Electrode Placement Locations — Augmented PediatricElectrodesAHA

Directions for Use Chapter 5 Performing ECG Tests 554. If the electrocardiograph’s display is blank, press . 5. If prompted to select a lead set typ

2 Chapter 1 Introduction Welch Allyn CP 200 ElectrocardiographAbout This ManualThis manual is written for clinical professionals with a working know

56 Chapter 5 Performing ECG Tests Welch Allyn CP 200 ElectrocardiographRecording an Auto ECGAn Auto ECG is a report typically showing a 10-second ac

Directions for Use Chapter 5 Performing ECG Tests 57Recording a Normal Auto ECGFor a normal Auto ECG, you enter patient data and do other optional t

58 Chapter 5 Performing ECG Tests Welch Allyn CP 200 ElectrocardiographFigure 38. “Auto ECG Acquisition” Screen4. Verify ECG quality on the screen.

Directions for Use Chapter 5 Performing ECG Tests 59Figure 39. “Auto ECG Post-Print” Screen8. Press the desired softkey.Softkey EffectPrint Copy Pr

60 Chapter 5 Performing ECG Tests Welch Allyn CP 200 Electrocardiograph Caution The requirements of AAMI EC11, Section 3.2.7.2, Frequency and Impu

Directions for Use Chapter 5 Performing ECG Tests 61To Edit or Confirm a Test Directly After Printing1. From the Auto ECG Post-Print screen (Figure

62 Chapter 5 Performing ECG Tests Welch Allyn CP 200 ElectrocardiographRecording a Stat Auto ECGA stat Auto ECG is an immediate printout in Auto Rep

Directions for Use Chapter 5 Performing ECG Tests 63Recording a Rhythm ECGA Rhythm ECG is a continuous, real-time printout of a rhythm strip with a

64 Chapter 5 Performing ECG Tests Welch Allyn CP 200 ElectrocardiographRecalling Saved Patient DataDuring an ECG or spirometry test, instead of ente

Directions for Use Chapter 5 Performing ECG Tests 65To Search by Entering a Patient’s Name or ID1. From the Enter New Patient screen (Figure 37 on p

Directions for Use Chapter 1 Introduction 3Indications for UseThe electrocardiograph is one of the tools that clinicians use to evaluate, diagnose,

66 Chapter 5 Performing ECG Tests Welch Allyn CP 200 ElectrocardiographFigure 44. “Patient Search Results” Screen4. Take the desired action.•Press

Directions for Use Chapter 5 Performing ECG Tests 67To Choose a Patient from the Scheduled Patients List1. From the Enter New Patient screen (Figure

68 Chapter 5 Performing ECG Tests Welch Allyn CP 200 ElectrocardiographAdjusting the ECG WaveformsThe following softkeys appear on the Auto ECG Acqu

669Performing Administrative TasksManaging Saved Tests In the Test Directory . . . . . . . . . . . . . . . . . . . . . . . . . . 70Managing the Schedu

70 Chapter 6 Performing Administrative Tasks Welch Allyn CP 200 ElectrocardiographManaging Saved Tests In the Test DirectoryThe test directory is th

Directions for Use Chapter 6 Performing Administrative Tasks 71To Print, Send, or Delete Saved Tests1. Press the Menu key .2. Choose Test Directory

72 Chapter 6 Performing Administrative Tasks Welch Allyn CP 200 ElectrocardiographTo Edit or Confirm Saved Tests1. Select the desired test(s) from t

Directions for Use Chapter 6 Performing Administrative Tasks 73Previous Test Saves any changes, and displays the previous test. Appears only when pr

74 Chapter 6 Performing Administrative Tasks Welch Allyn CP 200 ElectrocardiographManaging the Scheduled Patients ListThe scheduled patients list id

Directions for Use Chapter 6 Performing Administrative Tasks 75Managing Data SecurityThe CP 200 electrocardiograph incorporates security features th

4 Chapter 1 Introduction Welch Allyn CP 200 ElectrocardiographPacemaker detectionIf the software detects the possible presence of a pacemaker, it as

76 Chapter 6 Performing Administrative Tasks Welch Allyn CP 200 ElectrocardiographWorking With the User List and User LoginThe user list identifies

Directions for Use Chapter 6 Performing Administrative Tasks 77To Review or Edit the User List1. Press the Menu key . 2. Choose System Settings >

78 Chapter 6 Performing Administrative Tasks Welch Allyn CP 200 ElectrocardiographWorking With the Audit TrailAn audit trail, a collection of inform

779Maintaining the ElectrocardiographInspecting the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80Clean

80 Chapter 7 Maintaining the Electrocardiograph Welch Allyn CP 200 ElectrocardiographInspecting the Equipment• Verify that patient leads are fully i

Directions for Use Chapter 7 Maintaining the Electrocardiograph 81Testing the EquipmentWhenever the electrocardiograph is serviced or problems are s

82 Chapter 7 Maintaining the Electrocardiograph Welch Allyn CP 200 ElectrocardiographRecharging a Fully Discharged Battery If the electrocardiograph

Directions for Use Chapter 7 Maintaining the Electrocardiograph 83Replacing the BatteryIf you have recharged the battery and the electrocardiograph

84 Chapter 7 Maintaining the Electrocardiograph Welch Allyn CP 200 Electrocardiograph6. Unplug the two battery connectors. See Figure 53.You may nee

Directions for Use Chapter 7 Maintaining the Electrocardiograph 859. Replace the battery door and screws. Turn the electrocardiograph rightside-up.I

Directions for Use Chapter 1 Introduction 5OptionsThese options are available both for initial purchases and for upgrades.• SpirometryWith a disposa

86 Chapter 7 Maintaining the Electrocardiograph Welch Allyn CP 200 ElectrocardiographReplacing the AC FusesIf the green LED on the keyboard does not

Directions for Use Chapter 7 Maintaining the Electrocardiograph 87Storing the EquipmentWhen storing the electrocardiograph, cords, and accessories,

88 Chapter 7 Maintaining the Electrocardiograph Welch Allyn CP 200 Electrocardiograph

889TroubleshootingProblem-Solving Suggestions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90Limited Warranty . . . . .

90 Chapter 8 Troubleshooting Welch Allyn CP 200 ElectrocardiographProblem-Solving SuggestionsThis section includes several tables:• Lead quality pro

Directions for Use Chapter 8 Troubleshooting 91 AC interference (even-peaked, regular voltage superimposed on the waveforms). May resemble or coinci

92 Chapter 8 Troubleshooting Welch Allyn CP 200 ElectrocardiographTable 4. System Messages (alphabetical order)System Message Problems Actions“A te

Directions for Use Chapter 8 Troubleshooting 93Limited WarrantyWelch Allyn, Inc., warrants that the Cardiopulmonary line of electrocardiographs, inc

94 Chapter 8 Troubleshooting Welch Allyn CP 200 ElectrocardiographService PolicyAll repairs on products under warranty must be performed or approved

A95SpecificationsItem SpecificationDimensionsWeight 11.6 lb (5.3 kg)Keyboard type Elastomer keypad with complete alphanumeric keysSoft-key menu and de