Philips PageWriter 100 Instructions For Use Manual
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Philips PageWriter 100 Instructions For Use Manual

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PageWriter 100
M1772A
I N S T R U C T I O N S F O R U S E

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Summary of Contents for Philips PageWriter 100

  • Page 1 PageWriter 100 M1772A I N S T R U C T I O N S F O R U S E...
  • Page 3 3DJH:ULWHU  0$ &DUGLRJUDSK PageWriter 100 M1772A Cardiograph...

  • Page 4: Edition History

    Directive 93/42/EEC and carries the surrounding devices should be assessed prior to using the cardiograph. mark accordingly. Philips shall not be liable for errors 0123 contained herein or for incidental or CAUTION consequential damages in connection...

  • Page 5: Conventions Used In This Manual

    The following safety symbols are used on the cardiograph. Caution - See operating instructions. Meets IEC type CF leakage current requirements and is defibrillator protected (Isolated ECG input). Alternating current. Equipotential (identifies independent protective earth con- ductor to the cardiograph). PageWriter 100 M1772A Cardiograph...
  • Page 6 &RQYHQWLRQV Fuse. Indicates power control for cardiograph. Indicates operating frequency in cycles per second. Please see "Patient and Operational Safety Notes", in Chapter 1, Getting Acquainted, for further information about operating your cardiograph safely.
  • Page 7 8QGHUVWDQGLQJ :KHQ D 6LJQDO LV $FTXLUHG  5HFRUGLQJ DQ $XWR (&*  &RUUHFWLQJ D /HDGV 2II &RQGLWLRQ  $XWR 5HSRUW )LOWHUV  0DNLQJ &RSLHV RI $XWR (&*V  5HFRUGLQJ D 0DQXDO (&*  &KDQJLQJ 0DQXDO 5HSRUW 6HWWLQJV  PageWriter 100 M1772A Cardiograph Contents-1...
  • Page 8 5HVWRULQJ WKH (&* 7UDFH $IWHU 'HILEULOODWLRQ RU 5HFRQQHFWLQJ /HDGV  0DQXDO 5HSRUW )LOWHUV  8QGHUVWDQGLQJ WKH 3ULQWHG 5HSRUW  &KRRVLQJ D 5HSRUW )RUPDW  $XWR 5HSRUW )RUPDW  0DQXDO 5HSRUW )RUPDWV  $Q $XWR 5HSRUW ([DPSOH  0DQXDO 5HSRUW ([DPSOHV  7URXEOHVKRRWLQJ &KHFNLQJ (&* 7HFKQLTXH  ,GHQWLI\LQJ (&* 3UREOHPV ...
  • Page 9 ,QVWDOOLQJ WKH %DWWHU\  5HPRYLQJ WKH %DWWHU\  &RQQHFWLQJ WKH &DEOHV  /RDGLQJ 3DSHU  %DVLF &RQWUROV  )UHTXHQF\ DQG ,PSXOVH 5HVSRQVH  ,QVWUXPHQW 7HVW  3DWLHQW 6DIHW\  3RZHU DQG (QYLURQPHQW  *ORVVDU\  PageWriter 100 M1772A Cardiograph Contents-3...
  • Page 10 Contents-4...
  • Page 11  *HWWLQJ $FTXDLQWHG This chapter describes to the new user the many features of the PageWriter 100 cardiograph, patient and operational safety, and AC/ battery operation. The user should become familiar with this material, especially the safety information, prior to using the cardiograph.
  • Page 12 )LJXUH  7KH 3DJH:ULWHU  &DUGLRJUDSK A. Patient Cable B. Cardiograph Bottom View of Cardiograph Getting Acquainted...
  • Page 13 )LJXUH  %RWWRP 9LHZ RI &DUGLRJUDSK A. AC Fuse Holders B. Mounting Point for M1705B Cart (Mounting screw included with cart) C. Battery Door PageWriter 100 M1772A Cardiograph...
  • Page 14 The Keyboard and Front Panel 7KH .H\ERDUG DQG )URQW 3DQHO The Keyboard and Front Panel of the Cardiograph. Instructions This text describes how the front-panel lights indicate the operating status of the cardiograph: Attention: A flashing Auto light indicates that the ECG is being acquired.
  • Page 15 Prints a copy of the last Auto ECG. If you want additional &RS\ copies of an Auto ECG, you must print them before recording another Auto or Manual ECG.See “Making Copies of Auto ECGs” , Recording an ECG for more information. PageWriter 100 M1772A Cardiograph...
  • Page 16 Patient Cable 1 package of paper PageWriter 100 Instructions for Use For electrodes, contact your local Philips Sales Office or your authorized Philips Dealer or Distributor. Reusable Electrodes — Options: ABG, ABK, ABM, ABZ, AB4, AKV, ACQ, AB2, AC6, ACJ.
  • Page 17 Patient Cable 1 package of paper Disposable electrode starter set Tab electrode adapters PageWriter 100 Instructions for Use $ERXW 7KLV 0DQXDO This guide contains concise operating instructions for cardiograph users. This manual describes how to perform the following tasks: Recording an ECG...
  • Page 18 Patient and Operational Safety Notes 3DWLHQW DQG 2SHUDWLRQDO 6DIHW\ 1RWHV 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, observe the following reminders.
  • Page 19 Do not block the ventilation slots located on both sides and to the rear of the cardiograph. Lack of ventilation may cause cardiograph to overheat and components to fail. The cardiograph’s warranty is only assured if you use approved accessories and replacement parts. PageWriter 100 M1772A Cardiograph...
  • Page 20 AC and DC (Battery) Operation $& DQG '& %DWWHU\ 2SHUDWLRQ Your cardiograph requires the battery to be installed for proper operation—even if the cardiograph is plugged into AC power, it cannot print an ECG report without the battery. For information about replacing or installing the battery, refer to Appendix A, Setting up Your Cardiograph for the First Time.
  • Page 21 AC and DC (Battery) Operation The PageWriter 100 cardiograph has a battery-saving feature: it will turn itself to Standby (off) after 30 minutes of instrument inactivity. This prevents the cardiograph from being accidentally left on for extended periods of time.
  • Page 22 AC and DC (Battery) Operation 1-12 Getting Acquainted...
  • Page 23 3. Press to record the ECG. 4. Check the quality of the recorded ECG on the printed report. The rest of this chapter discusses the details of setting up and recording ECGs and understanding the printed report. PageWriter 100 M1772A Cardiograph...
  • Page 24 Preparing the Patient 3UHSDULQJ WKH 3DWLHQW For electrode placement information, refer to the diagram on the top of your cardiograph. Proper patient preparation and electrode placement are the most important elements in producing a high quality ECG trace. Prepare the patient by performing the following steps. 1.
  • Page 25 Each time an electrode is lifted off the skin and attached again, the conductive gel becomes weaker and less effective. 8QGHUVWDQGLQJ :KHQ D 6LJQDO LV $FTXLUHG Your PageWriter 100 cardiograph attempts to acquire a good signal for an Auto report before you press the $XWR key.
  • Page 26 Recording an Auto ECG 5HFRUGLQJ DQ $XWR (&* To record an Auto ECG, perform the following steps. 2Q6WDQGE\ 1. If the cardiograph is not On, press . The front panel lights are lit as the cardiograph performs a short power-on sequence.
  • Page 27 V2 means the V2 electrode is not con- nected. $XWR 5HSRUW )LOWHUV The PageWriter 100 allows you to choose between two sets of filters for Auto ECG reports: The 0.15-40 Hz filters (0.15 Hz Baseline Wander and 40 Hz Noise) are enabled when the Filter light is on.
  • Page 28 Making Copies of Auto ECGs 0DNLQJ &RSLHV RI $XWR (&*V If you require additional copies of an Auto ECG, you may copy the last ECG that was recorded. &RS\ To copy your most recent Auto ECG, press the key. 127( You must copy the ECG before the cardiograph has been turned to Standby (off) and before another ECG has been acquired.
  • Page 29 The cardiograph will print the ECG continuously until you press the 6WRS key. 127( 0DQXDO If accurate ECG ST contours are required in mode, turn off the )LOWHU key to activate the 0.05-150 Hz filters. See “Manual Report Filters” for more details. PageWriter 100 M1772A Cardiograph...
  • Page 30 Recording a Manual ECG &KDQJLQJ 0DQXDO 5HSRUW 6HWWLQJV The following Manual report settings can be changed while a Manual report is printing: &KDUW 6SHHG (&* 6L]H 9 /HDGV sensitivity )LOWHU Lead group selection ( ) Each can be changed by pressing the appropriate key. There is no need 6WRS to press prior to changing settings.
  • Page 31 Manual Report Filters 0DQXDO 5HSRUW )LOWHUV The PageWriter 100 allows you to choose between two sets of filters for Manual ECG reports: The 0.05-40 Hz filters (0.05 Hz Baseline Wander and 40 Hz Noise) are enabled when the filter light is on. It delivers the least amount of noise.
  • Page 32 Understanding the Printed Report 8QGHUVWDQGLQJ WKH 3ULQWHG 5HSRUW )LJXUH  $XWR (&* 5HSRUW 2-10 Recording an ECG...
  • Page 33 Sequence number, the total number of ECGs the cardiograph has recorded. Filter settings: * AC filter * Frequency range * Baseline Wander filter (W). Cardiograph settings for speed and for limb and chest lead sensitivity. PageWriter 100 M1772A Cardiograph 2-11...
  • Page 34 Understanding the Printed Report The following table shows how the height of the calibration pulse indicates ECG sensitivity. 7DEOH  &DOLEUDWLRQ 6LJQDOV ECG Size (mm/mV) Calibration Pulse ECG Size V Leads V Leads Limb Leads Auto Manual mm/mV Indicator (V1 - V6) Limb Leads V Leads 2-12...
  • Page 35 7DEOH  0DQXDO /HDG *URXSV Number of Light on Lead Groups Leads (from left) Leftmost I, II, III aVR, aVL, aVF II, aVF, V2 Rightmost V1, V2, V3, V4, V5, V6 PageWriter 100 M1772A Cardiograph 2-13...
  • Page 36 Choosing a Report Format $Q $XWR 5HSRUW ([DPSOH The following figure is an example of the Auto ECG report format. )LJXUH  $Q $XWR [ (&* ZLWK RQH 5K\WP VWULS [ 5 $Q $XWR 2-14 Recording an ECG...
  • Page 37 Choosing a Report Format 0DQXDO 5HSRUW ([DPSOHV The following figures show examples of manual ECG report formats. )LJXUH  $ 0DQXO /HDG (&* PageWriter 100 M1772A Cardiograph 2-15...
  • Page 38 Choosing a Report Format )LJXUH  $ 0DQXDO /HDG (&* 2-16 Recording an ECG...
  • Page 39  7URXEOHVKRRWLQJ Your cardiograph is designed for reliable operation. If you have problems with an ECG, there are several things you can check before calling for service. This chapter tells how to solve basic ECG problems. &KHFNLQJ (&* 7HFKQLTXH Many problems in taking an ECG may be related to electrode application.

  • Page 40: Troubleshooting

    Identifying ECG Problems ,GHQWLI\LQJ (&* 3UREOHPV The following table shows symptoms and solutions to problems that can occur when recording an ECG. 7DEOH  (&* 3UREOHPV DQG 6ROXWLRQV Problem Cause Possible Solutions Power line AC Poor electrode contact. Dry or dirty Reapply electrodes.
  • Page 41 If the cardiograph is plugged into AC power and the AC light is not on, check the two line fuses. See "Replacing the Fuses, In Chapter 4, Maintaining the Cardiograph for fuse information. Is the patient cable connected to the cardiograph? PageWriter 100 M1772A Cardiograph...
  • Page 42 3. Press . If the cardiograph turns itself to Standby (off), the battery is not operating properly. If the cardiograph still won’t operate, call your local Philips service representative. ,I WKH &DUGLRJUDSK :RQªW 3ULQW D 0DQXDO 5HSRUW Is the paper sensor lens dirty or obstructed?
  • Page 43 Identifying ECG Problems Clean the paper sensor lens. See Chapter 4, Maintaining the Cardiograph and Figure 4-1for more information. Is the cardiograph out of paper? Load paper. See "Loading the Paper" in Chapter 4, Maintaining the Cardiograph PageWriter 100 M1772A Cardiograph...
  • Page 44 Identifying ECG Problems Troubleshooting...

  • Page 45: Care And Cleaning

    4 Maintaining the Cardiograph Care and Cleaning The outside surfaces of the cardiograph and its accessories (except the patient cable) are designed to be cleaned by mild soap and water or isopropyl alcohol. The patient cable can be cleaned only with mild disinfectant or soap and water.
  • Page 46 Care and Cleaning Chlorine bleach Ammonia-based cleaners Cleaning the Electrodes and Cables Clean the electrodes and patient cables with a soft cloth moistened with a recommended disinfectant or cleaning agent from the following list: Cetylcide (may discolor cable) Cidex Lysol Disinfectant Lysol...
  • Page 47 ECGs you print and the quality and type of paper you use. If the paper fails to stop at the end of a page, the paper sensor lens may be dirty. PageWriter 100 M1772A Cardiograph...
  • Page 48 Care and Cleaning To clean the printhead: &$87,21 Touch the equipotential connector on the back of the cardiograph to discharge any static electricity stored on your skin before touching the printhead. The printhead can be damaged by static electricity. 1. From the front of the cardiograph, unlatch and open the paper door. The printhead is to the right under the paper blade and behind a brush.

  • Page 49: Loading The Paper

    A. Paper Door Latch B. Paper Sensing Hole C. Paper D. Cardboard Backing 3DJH $GYDQFH The cardiograph uses continuous-feed Z-fold paper. For best results use the paper brand as supplied with your cardiograph. See "Supplies" for ordering information. PageWriter 100 M1772A Cardiograph...
  • Page 50 Loading the Paper To load the paper: 1. From the front of the cardiograph, release the latch on the left side and slide the paper door to your left. 2. Remove the outer packaging on the paper stack. 3. Place the paper stack in the compartment so that the top side of the paper feeds grid side up over the top panel.
  • Page 51 However, where long term storage is desired, the user should consider photocopying or microfilming, or electronic or optical storage or a fade resistant paper. The PTP™ brand thermal papers offer improved archivability. See "Supplies" for ordering information. PageWriter 100 M1772A Cardiograph...

  • Page 52: Caring For The Battery

    A depleted battery requires 16 hours of continuous charge time to fully charge. Because it is not always possible to allow a full charge cycle between uses, the PageWriter 100 was designed to charge a depleted battery to 90% of its capacity in approximately 7 hours.

  • Page 53: Replacing The Fuses

    7. Insert a new fuse in the holder, slide the fuse cap back into the case. Fuse must be of the same type and rating as described on the label located next to the fuse holders. 8. Tighten the fuse cap 1/2-turn clockwise. PageWriter 100 M1772A Cardiograph...
  • Page 54 Replacing the Fuses 9. Repeat the operation for the other AC fuse. )LJXUH  7KH $& )XVH +ROGHUV A. AC Fuse holders (2) 4-10 Maintaining the Cardiograph...
  • Page 55 Supplies Supplies Philips offers a full range of supplies for cardiographs. The following list is a collection of the most frequently ordered items. Pricing and availability of these and other supplies are available from Philips Medical Supplies Centers. USA: Call 1-800-225-0230...
  • Page 56 Supplies Patient Cable M3702C AHA Patient Cable with leads M3703C IEC Patient Cable with leads Carrying Case M2463A Soft Carrying Case Electrodes 40490E Welsh electrode; 15mm base 5cc bulb; screw connection(IEC) 40491E Limb plate electrode(IEC) (4 per pack) 40421A Welsh electrodes; 15mm base 5cc bulb; push-in connection(AHA) (6 per box) 40424A Limb plate electrode(AHA) (4 per...
  • Page 57 M2254A Universal tab electrode adapter (10 per pack) 40498E Grabber electrode adapter for 4 mm banana leads (IEC), (10 per pack) Cart M1705B Cart Fuses 2110-0620 AC fuse; 0.4 Amp 250 V 2110-0930 Battery fuse PageWriter 100 M1772A Cardiograph 4-13...

  • Page 58: Calling For Service

    Calling for Service Calling for Service For telephone assistance, call the Response Center nearest to you, or visit our website at: www.medical.philips.com/cms and follow the link for services. 4-14 Maintaining the Cardiograph...

  • Page 59: United States Of America

    Calling for Service United States of America Medical Response Center Tel: (800) 548-8833 Latin America Tel: 305-269-7500 Canada Eastern Region Central & Western Regions Tel: (800) 361-9790 Tel: (800) 268-1221 Other International Areas Australia France Tel: 131147 Tel: 0803 35 34 33 Germany Italy Tel: 0 18 05 32 62 77...
  • Page 60 Calling for Service Spain Tel: 34 91 631 31 00 4-16 Maintaining the Cardiograph...
  • Page 61 $ 6HWWLQJ XS <RXU &DUGLRJUDSK IRU WKH )LUVW 7LPH Before using your cardiograph for the first time you must prepare it by performing the following tasks: Check the voltage setting Install the battery Connect the cables Load the paper...
  • Page 62 Checking the Voltage Setting &KHFNLQJ WKH 9ROWDJH 6HWWLQJ Your cardiograph can be set to operate at nominal line voltages of 115 or 230 Volts (See NOTE ). The line voltage was set at the factory to the setting for your area. However, it is a good idea to check this setting. Refer to Figure A-1 for the physical location of the voltage select switch.
  • Page 63 127( The equipotential connector is only used when the cardiograph must be plugged into an ungrounded outlet. See "Patient and Operational Safety Notes" in Chapter 1, Getting Acquainted for more information about using the equipotential connector. PageWriter 100 M1772A Cardiograph...
  • Page 64 The Battery 7KH %DWWHU\ Your cardiograph requires the battery to be installed for proper operation—even if the cardiograph is plugged into AC power, it cannot operate without the battery. Use only the approved battery, part number M2460A, in the cardiograph. ,QVWDOOLQJ WKH %DWWHU\ To install the battery: 127(...
  • Page 65 1. Unplug the cardiograph from AC power. 2. Turn the cardiograph bottom-side up. 3. Slide the battery door in the direction of the arrow until it unlatches (approximately 1/2 inch), as shown in Figure A-2 . Lift off the door. PageWriter 100 M1772A Cardiograph...
  • Page 66 The Battery 4. Unplug the battery connector from the cardiograph by squeezing the edges of the connector and pulling it straight out from the cardiograph. 5. Remove the battery and cable. 6. If the battery has been removed for storage, replace the battery cover by placing the battery door into its slots and sliding the door in the opposite direction of the arrow until it latches, as shown in Figure A-2.
  • Page 67 FRQQHFWRU DW WKH UHDU RI WKH FDUGLRJUDSK WR WKH SRZHU VRXUFH JURXQG )LJXUH $ VKRZV WKH ORFDWLRQ RI WKH HTXLSRWHQWLDO FRQQHFWRU 5HIHU WR 3DWLHQW DQG 2SHUDWLRQDO 6DIHW\ 1RWHV LQ &KDSWHU  *HWWLQJ $FTXDLQWHG IRU PRUH LQIRUPDWLRQ DERXW XVLQJ WKH HTXLSRWHQWLDO FRQQHFWRU PageWriter 100 M1772A Cardiograph...
  • Page 68 Connecting the Cables )LJXUH $ &RQQHFWLQJ WKH 3DWLHQW &DEOH A. Patient Cable Connect the Patient cable to the front of the cardiograph as shown in Figure A-5 and screw in both thumb-screws. Setting up Your Cardiograph for the First Time...
  • Page 69 B. Paper Sensing Hole C. Paper D. Cardboard Backing 3DJH $GYDQFH The cardiograph uses continuous-feed Z-fold paper. For best results use the paper brand as supplied with your cardiograph. See "Supplies" in Chapter 4 for ordering information. PageWriter 100 M1772A Cardiograph...
  • Page 70 Loading Paper To load the paper: 1. From the front of the cardiograph, release the latch on the left side and slide the paper door to your left. 2. Remove the outer packaging on the paper stack. 3. Place the paper stack in the compartment so that the top side of the paper feeds grid side up over the top panel.
  • Page 71 % 6SHFLILFDWLRQV Conforms to applicable IEC, UL, AAMI, CSA specifications. %DVLF &RQWUROV ECG Controls: On/Standby, Auto, Manual, Copy, Filter, Page Advance (paper feed), Stop. ECG Format Controls: Chart Speed, ECG size, V Leads sensitivity. ECG Format Selections: Auto (3x4 with 1 rhythm lead); Manual (with 3 or 6 leads).
  • Page 72 Instrument Test ,QVWUXPHQW 7HVW $XWR A self-test may be started by pressing and holding both the 0DQXDO 2Q6WDQGE\ keys while turning on the cardiograph with the key. The instrument performs an internal self-test. The test results are printed on the report for use by service personnel. This self-test runs continuously until the cardiograph is turned to Standby (off).
  • Page 73 Term for filter which reduces baseline wander. EDWWHU\ VDYHU  Term for the cardiograph turning to Standby automatically after a preset time period to conserve power. The battery saver is factory set for 30 minutes of cardiograph inactivity. PageWriter 100 M1772A Cardiograph Glossary-1...
  • Page 74 Glossary FDOLEUDWLRQ SXOVH  A 200 ms, 1 mV square or stepped wave pulse which appears on the printed record. The calibration pulse shows the sensitiv- ity at which the ECG was recorded. F\FOH SRZHU  2Q6WDQGE\ To press the button to Standby (off) and then back to On.
  • Page 75 AC power. VWDQGDUG OHDGV  The conventional twelve lead order is I, II, III, aVR, aVL, aVF, V1 - V6. :HOVK FXSV  Reusable electrodes held in place with suction cups. PageWriter 100 M1772A Cardiograph Glossary-3...
  • Page 76 Glossary Glossary-4...
  • Page 77 Manual 76 Auto 19, 30 Cart quality 27 Auto ECG mounting point 17 recording 30 and copy 32 cart, M1705B 57 report 76 copying 32 case, carrying 56 recording 30 Chart Speed 18 Auto Filters 31 PageWriter 100 M1772A Cardiograph Index-1...
  • Page 78 Anti-fade 55 Auto 31 loading paper 49, 69 loading 49, 69 Manual 34 Low Battery light 23 storing 50 fliter paper problems 43 Baseline Wander 35 paper sensor Maintenance 45 front panel 18, 76 cleaning 48 PageWriter 100 M1772A Cardiograph Index-2...
  • Page 79 Standby mode 77 print problems 44 Stop 19, 32, 33, 37 Printed Report Storing 50 understanding 34 storing printhead ECG paper 50 cleaning 48 patient ECG records the battery 53 supplies 54 switch, voltage select 62 PageWriter 100 M1772A Cardiograph Index-3...
  • Page 80 Index-4...
  • Page 82 3DUW 1XPEHU 0 3ULQWHG LQ 86$   (GLWLRQ  '$$(&&...

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