Welch Allyn CP 200 Directions For Use Manual
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Welch Allyn CP 200 Directions For Use Manual

12-lead resting electrocardiograp
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  • Page 1 ™ CP 200 12-Lead Resting Electrocardiograph Directions for Use...
  • Page 2 Caution: Federal US law restricts sale of the device identified in this manual to, or on the order of, a licensed physician. Welch Allyn assumes no responsibility for any injury, or for any illegal or improper use of the product, that may result from failure to use this product in accordance with the instructions, cautions, warnings, or indications for use published in this manual.

  • Page 3: Table Of Contents

    Contents 1 - Introduction ..........1 About This Manual .
  • Page 4 Contents Welch Allyn CP 200 Electrocardiograph Reviewing the Format Settings for Auto Reports..... 41 Reviewing the Interpretation and Copy Settings for Auto Reports..43 Reviewing the Patient Data Fields Available for Auto Reports .

  • Page 5: Introduction

    Introduction About This Manual ..........2 Product Overview .

  • Page 6: About This Manual

    50 ECG and 50 spirometry records, full-size user- programmable reports, and the ability to operate on either battery or AC power. For centralized ECG data storage, the CP 200 electrocardiograph can connect to a Welch Allyn CardioPerfect™ workstation, which in turn can connect with other electronic patient- information systems, such as billing and medical records.

  • Page 7: Indications For Use

    Removable leads for ECG patient cable Replace leads individually if needed. Compatibility with CardioPerfect workstation software Store and manage data electronically by transferring records to a Welch Allyn CardioPerfect workstation: • via an SD memory card or removable USB storage device (media not included) •...
  • Page 8 Chapter 1 Introduction Welch Allyn CP 200 Electrocardiograph Pacemaker detection If the software detects the possible presence of a pacemaker, it asks you whether the patient has a pacemaker. If you say no, interpretation (if purchased) is included in the report.

  • Page 9: Options

    This option provides a radio and PC software to enable wireless communication between your information network and the electrocardiograph. You can use the wireless link to send tests to the Welch Allyn CardioPerfect workstation, retrieve patient demographic information, or process orders from your EMR system via a...

  • Page 10: Accessories

    Chapter 1 Introduction Welch Allyn CP 200 Electrocardiograph Accessories To order accessories, call Welch Allyn. For phone numbers, see page Item Customer Order Number Quantity Resting tab electrodes 45008-0000 1000 Resting tab electrode adaptors 58581-0000 Thermal chart paper (1 case = 5 pads, 200 sheets each)

  • Page 11: Controls, Indicators, And Connectors

    Directions for Use Chapter 1 Introduction Controls, Indicators, and Connectors This section describes the controls, indicators, and connectors that are part of the electrocardiograph. Figure 3. Top Softkeys and functions keys Figure 8 on page 10. Keyboard Figure 1 on page 9. Figure 4.
  • Page 12 Chapter 1 Introduction Welch Allyn CP 200 Electrocardiograph Figure 5. Right Side Com port B (USB) SD memory card Spirometry port Reset slot button Figure 6. Front Com port A (for patient cable) Figure 7. Left Side Paper tray latch...
  • Page 13 Directions for Use Chapter 1 Introduction Table 1. Keyboard Function A. On/Off “Powering the Electrocardiograph” on page 24. B. Backspace Deletes the character to the left of the cursor. C. Menu “About the Main Menu” on page 11. D. Help “Getting Help”...
  • Page 14 Chapter 1 Introduction Welch Allyn CP 200 Electrocardiograph Figure 8. Softkeys and Function Keys Softkeys These softkeys display text or images that correspond to the unlabeled buttons below them. The content changes from screen to screen. Softkey buttons These buttons activate the functions displayed above them.

  • Page 15: About The Main Menu

    Directions for Use Chapter 1 Introduction About the Main Menu The main menu appears when you press the Menu key . (If you are in spirometry mode when you press this key, the Spirometry Settings menu appears.) Figure 9. Main Menu 9:17AM Oct 16 08 Main Menu 1 Test Directory...

  • Page 16: Moving Through The Menus

    Chapter 1 Introduction Welch Allyn CP 200 Electrocardiograph Moving Through the Menus Figure 10. Standard Menu Figure 11. Parent Menu With Submenu 9:17AM Oct 16 08 9:17AM Oct 16 08 Format Edit Auto Report 1 1 Lead Arrangement 1 Format...

  • Page 17: About The Patient Cable And Leads

    Directions for Use Chapter 1 Introduction About the Patient Cable and Leads The patient cable processes the patient’s ECG data and transmits it to the electrocardiograph. To make handling convenient, the ten leads are arranged to point toward the appropriate parts of the body. The cable rake, which slides easily, prevents the chest leads from tangling.

  • Page 18: Symbols

    Chapter 1 Introduction Welch Allyn CP 200 Electrocardiograph Symbols The symbols illustrated on the following pages may appear on the electrocardiograph, on the packaging, on the shipping container, or in this manual. Documentation Symbols WARNING Indicates conditions or practices that could lead to illness, injury, or death.
  • Page 19 Equipment (WEEE). If this product is patient’s heart. Only surface contact with the contaminated, this directive does not apply. patient’s skin is intended.) For more specific disposal information, see www.welchallyn.com/weee, or contact Type BF applied part Welch Allyn Customer Service at +44 207 365 6780.

  • Page 20: Using The Electrocardiograph Safely

    Chapter 1 Introduction Welch Allyn CP 200 Electrocardiograph Using the Electrocardiograph Safely Before using or servicing the electrocardiograph, you must read and understand the following safety-related information. General Warnings The following warning statements apply to electrocardiograph use in general. Warning statements that apply specifically to particular procedures, such as connecting the patient cable or performing an ECG test, appear in the corresponding sections of the manual.
  • Page 21 Directions for Use Chapter 1 Introduction Warnings Related to Using the Electrocardiograph WARNING This device captures and presents data reflecting a patient’s physiological condition. When reviewed by a trained physician or clinician, this data can be useful in determining a diagnosis. However, the data should not be used as a sole means for determining a patient’s diagnosis.

  • Page 22: General Cautions

    Caution Use only parts and accessories supplied with the device and available through Welch Allyn. The use of accessories other than those specified may result in degraded performance of this device. Caution Portable and mobile RF communications equipment can affect the performance of the electrocardiograph.

  • Page 23: Getting Help

    ECG Preview screen or Lead Status screen for a list of topics available to print. • Review the other information that came with the electrocardiograph. For list, see “Product information” on page 6. • Contact Welch Allyn. For phone numbers, see page...
  • Page 24 Chapter 1 Introduction Welch Allyn CP 200 Electrocardiograph...

  • Page 25: Setting Up The Electrocardiograph

    Setting Up the Electrocardiograph Inspecting the Electrocardiograph ........22 Connecting the Patient Cable .

  • Page 26: Inspecting The Electrocardiograph

    Chapter 2 Setting Up the Electrocardiograph Welch Allyn CP 200 Electrocardiograph Inspecting the Electrocardiograph Look for obvious signs of shipping damage. If you find any damage, contact Technical Support. For phone numbers, see page 2. Verify that you have received all appropriate options and accessories. See “Options”...

  • Page 27: Loading The Thermal Chart Paper

    Directions for Use Chapter 2 Setting Up the Electrocardiograph Loading the Thermal Chart Paper Squeeze the latch. Pull the paper door to the left. See Figure If any paper remains in the tray, remove it. 2. Remove the outer packaging, including the cardboard bottom, from a new pack of paper.

  • Page 28: Powering The Electrocardiograph

    Chapter 2 Setting Up the Electrocardiograph Welch Allyn CP 200 Electrocardiograph Powering the Electrocardiograph The electrocardiograph can run on AC or battery power. WARNING To ensure that electrical safety is maintained when using AC power, the device must be plugged into a hospital-grade outlet.

  • Page 29: Verifying Proper Operation

    Directions for Use Chapter 2 Setting Up the Electrocardiograph To Turn the Electrocardiograph On Press To Turn the Electrocardiograph Off Press and hold. Note If Power-Save is enabled, the electrocardiograph turns off automatically after several idle minutes. To learn how to enable or disable Power-Save, see “Reviewing the Device Configuration Settings”...

  • Page 30: Connecting An External Usb Printer (Optional)

    Chapter 2 Setting Up the Electrocardiograph Welch Allyn CP 200 Electrocardiograph Connecting an External USB Printer (Optional) If desired, you can connect an external printer. It must be a USB inkjet or laser printer that supports PCL (printer control language), such as the following:...

  • Page 31: Reviewing The System Settings

    Reviewing the System Settings “System Settings” Menu Tree ........28 Reviewing the Device Configuration Settings .

  • Page 32: System Settings" Menu Tree

    Chapter 3 Reviewing the System Settings Welch Allyn CP 200 Electrocardiograph “System Settings” Menu Tree System Settings Device Device Device Connectivity Configuration Info Administration Settings “Managing Data Set Date/Time About Connectivity Mode Security” on page 75. Language Print Settings Network Settings...

  • Page 33: Reviewing The Device Configuration Settings

    Electrocardiograph identification. Enter up to 20 characters. This ID prints on all ECG reports. When this field is filled in for multiple electrocardiographs, a connected EMR system can direct work orders appropriately via a Welch Allyn HL7 interface. Audio Beeper On or off.
  • Page 34 Chapter 3 Reviewing the System Settings Welch Allyn CP 200 Electrocardiograph Setting (Continued) Description (Continued) Pressure Unit mmHg, mbar, inHg, kPa. For spirometry only. Determines the units for the calibration menu’s atmospheric pressure values. Temperature Fahrenheit or Celsius. For spirometry only. Determines the units for the calibration menu’s temperature values.

  • Page 35: Reviewing The Device Information

    Directions for Use Chapter 3 Reviewing the System Settings Reviewing the Device Information Press the Menu key 2. Choose System Settings > Device Info. The following screen appears. Figure 20. “Device Info” Screen 9:17AM Oct 16 08 Device Info 1 About 2 Print Settings 3 Manage Settings 4 Enable Options...

  • Page 36: Reviewing The Connectivity Settings

    Chapter 3 Reviewing the System Settings Welch Allyn CP 200 Electrocardiograph Reviewing the Connectivity Settings See also “Configuring the Electrocardiograph for Wireless Communication” on page 36. Press the Menu key 2. Choose System Settings > Connectivity Settings. The following screen appears.

  • Page 37: Reviewing The Medication List

    Directions for Use Chapter 3 Reviewing the System Settings Reviewing the Medication List The medication list determines which medications are available to choose during patient data entry. Press the Menu key 2. Choose Edit Medication List. The following screen appears. Figure 22.

  • Page 38: Reviewing The History List

    Chapter 3 Reviewing the System Settings Welch Allyn CP 200 Electrocardiograph Reviewing the History List The history list determines which clinical conditions are available to choose during patient data entry. Press the Menu key 2. Choose Edit History List. The following screen appears.

  • Page 39: Transferring A Configuration To Another Electrocardiograph

    Chapter 3 Reviewing the System Settings Transferring a Configuration to Another Electrocardiograph You can transfer your configuration from one CP 200 electrocardiograph to another. If you have the spirometry option, its configuration is included in the transfer. To Transfer a Configuration Insert a storage device (SD memory card or removable USB device) into an electrocardiograph that is configured as desired.

  • Page 40: Configuring The Electrocardiograph For Wireless Communication

    Chapter 3 Reviewing the System Settings Welch Allyn CP 200 Electrocardiograph Configuring the Electrocardiograph for Wireless Communication Before you configure the electrocardiograph for wireless communication, verify the following: • A wireless radio is installed in the electrocardiograph’s USB slot according to the instructions that were shipped with the radio.

  • Page 41: Reviewing The Ecg Settings

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

  • Page 42: Ecg Settings" Menu Tree

    Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 Electrocardiograph “ECG Settings” Menu Tree ECG Settings Edit Auto Report Rhythm Report Miscellaneous Auto Report Settings Settings 1 or 2 Baseline Centering Lead Configuration Augmented Lead Arrangement Lead Timing Electrode Labels...

  • Page 43: About Auto Ecg Reports

    Directions for Use Chapter 4 Reviewing the ECG Settings About Auto ECG Reports An Auto ECG is a report of ECG data in one of two user-defined formats: Auto Report 1 or Auto Report 2. For an example, see Figure 25.
  • Page 44 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 Electrocardiograph Item (in Figure 25 on page 39) Description A. Patient data “Reviewing the Patient Data Fields Available for Auto Reports” on page 44. B. ECG measurements Standard. C. Interpretation (optional) “Reviewing the Interpretation and Copy Settings for Auto Reports”...

  • Page 45: Reviewing The Format Settings For Auto Reports

    Directions for Use Chapter 4 Reviewing the ECG Settings Reviewing the Format Settings for Auto Reports Press the Menu key 2. Choose ECG Settings > Edit Auto Report 1 (or 2) > Format. The following screen appears. Figure 26. Auto Report “Format” Screen 9:17AM Oct 16 08 Format 1 Lead Arrangement...
  • Page 46 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 Electrocardiograph Setting (Continued) Description (Continued) Average Cycles If desired, an additional page prints with the report. Average cycles show the dominant waveforms for all 12 leads. • 3x4 50 mm/s + 3R 3 rows x 4 columns + 3 rhythm leads, 50 mm/s •...

  • Page 47: Reviewing The Interpretation And Copy Settings For Auto Reports

    Directions for Use Chapter 4 Reviewing the ECG Settings Reviewing the Interpretation and Copy Settings for Auto Reports Press the Menu key 2. Choose ECG Settings > Edit Auto Report 1 (or 2) > Interp Settings. The following screen appears. Figure 27.

  • Page 48: Reviewing The Patient Data Fields Available For Auto Reports

    Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 Electrocardiograph Reviewing the Patient Data Fields Available for Auto Reports You can determine which fields appear during patient data entry for Auto ECGs. Spirometry tests use a separate set of data-entry fields, as described in the Note spirometry manual.
  • Page 49 Directions for Use Chapter 4 Reviewing the ECG Settings Field (Continued) Description (Continued) Medication Yes or no. If yes, this field is enabled. During data entry, choose up to three items from the list of patient medications. To learn how to edit this list, see “Reviewing the Medication List”...

  • Page 50: Reviewing The Auto Report Settings

    Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 Electrocardiograph Reviewing the Auto Report Settings Press the Menu key 2. Choose ECG Settings > Auto Report Settings. The following screen appears. Figure 29. “Auto Report Settings” Screen for ECG Settings...

  • Page 51: Reviewing The Rhythm Report Settings

    Directions for Use Chapter 4 Reviewing the ECG Settings Reviewing the Rhythm Report Settings Press the Menu key 2. Choose ECG Settings > Rhythm Report Settings. The following screen appears. Figure 30. ”Rhythm Report Settings” Menu 9:17AM Oct 16 08 Rhythm Report Settings 1 Lead Arrangement 2 Default Rhythm Speed...

  • Page 52: Reviewing The Miscellaneous Ecg Settings

    Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 Electrocardiograph Reviewing the Miscellaneous ECG Settings Press the Menu key 2. Choose ECG Settings > Miscellaneous. The following screen appears. Figure 31. “Miscellaneous” Screen for ECG Settings 9:17AM Oct 16 08 These three default settings—gain, baseline...

  • Page 53: Turning The Augmented Pediatric Lead Set On And Off

    Directions for Use Chapter 4 Reviewing the ECG Settings Turning the Augmented Pediatric Lead Set On and Off For a description of the augmented pediatric lead set, see page Press the Menu key 2. Choose ECG Settings > Augmented Lead Set > On or Off. When this option is turned on, the system will prompt you to select the lead set —...
  • Page 54 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 200 Electrocardiograph...

  • Page 55: Performing Ecg Tests

    Performing ECG Tests Connecting the Leads to the Patient ....... . 52 Recording an Auto ECG.

  • Page 56: Connecting The Leads To The Patient

    Chapter 5 Performing ECG Tests Welch Allyn CP 200 Electrocardiograph Connecting the Leads to the Patient Help the patient get comfortable. Patient preparation is important for a successful ECG. a. Describe the procedure. If desired, press the Help key and print the page entitled “What Is An ECG?”...
  • Page 57 Directions for Use Chapter 5 Performing ECG Tests Figure 32. Electrode Placement Locations — Adult and Standard Pediatric Electrodes Locations Fourth intercostal space at right sternal border. Fourth intercostal space at left sternal border. yellow yellow Midway between V2 and V4. green green Fifth intercostal space at left of midclavicular line.
  • Page 58 Chapter 5 Performing ECG Tests Welch Allyn CP 200 Electrocardiograph Figure 33. Electrode Placement Locations — Augmented Pediatric To use the augmented pediatric lead set, you must enable it in the settings. See “Turning the Augmented Pediatric Lead Set On and Off”...
  • Page 59 Directions for Use Chapter 5 Performing ECG Tests 4. If the electrocardiograph’s display is blank, press 5. If prompted to select a lead set type, select Standard or Augmented. For a description of the augmented pediatric lead set, see page 6.

  • Page 60: Recording An Auto Ecg

    Chapter 5 Performing ECG Tests Welch Allyn CP 200 Electrocardiograph Recording an Auto ECG An Auto ECG is a report typically showing a 10-second acquisition of 12 leads of ECG information combined with patient data, interpretation, and measurements matrix. Two user-defined formats are available: Auto Report 1 or Auto Report 2.

  • Page 61: Recording A Normal Auto Ecg

    Directions for Use Chapter 5 Performing ECG Tests Recording a Normal Auto ECG For a normal Auto ECG, you enter patient data and do other optional tasks before printing, as shown in Figure 36 on page 56. To Record a Normal Auto ECG Press the Auto ECG key quickly.
  • Page 62 Chapter 5 Performing ECG Tests Welch Allyn CP 200 Electrocardiograph Figure 38. “Auto ECG Acquisition” Screen Doe, Jane 9:17AM Oct 16 08 Auto ECG Acquisition HR: 75 Softkeys for adjusting the AUTO waveforms or printing Baseline Muscle Print Leads Gain...
  • Page 63 Directions for Use Chapter 5 Performing ECG Tests Figure 39. “Auto ECG Post-Print” Screen Doe, Jane 9:17AM Oct 16 08 HR: 75 Auto ECG Post-Print Softkeys for choosing post-printing options Print Edit Manual Repeat Exit Copy Test Save Test 8. Press the desired softkey. Softkey Effect Print Copy...
  • Page 64 Chapter 5 Performing ECG Tests Welch Allyn CP 200 Electrocardiograph Caution The requirements of AAMI EC11, Section 3.2.7 .2, Frequency and Impulse Response, for an impulse triangle waveform may be impacted by up to 5 milliseconds of small amplitude dampened ringing immediately after the impulse when the muscle filter (35 Hz) is turned on or a small amplitude offset when the baseline filter (0.5 Hz) is turned on.
  • Page 65 Directions for Use Chapter 5 Performing ECG Tests To Edit or Confirm a Test Directly After Printing Note A qualified physician must review and confirm all tests before patients are treated. If changes are needed for any saved test, you can edit two types of data: •...

  • Page 66: Recording A Stat Auto Ecg

    Chapter 5 Performing ECG Tests Welch Allyn CP 200 Electrocardiograph Recording a Stat Auto ECG A stat Auto ECG is an immediate printout in Auto Report 1 format. Stat mode bypasses patient data entry, as shown in Figure 36 on page 56. A temporary ID number is assigned to the patient to identify stat tests.

  • Page 67: Recording A Rhythm Ecg

    Directions for Use Chapter 5 Performing ECG Tests Recording a Rhythm ECG A Rhythm ECG is a continuous, real-time printout of a rhythm strip with a user-defined lead arrangement. For details on reviewing or changing the lead arrangement in your reports, see “Reviewing the Rhythm Report Settings”...

  • Page 68: Recalling Saved Patient Data

    Chapter 5 Performing ECG Tests Welch Allyn CP 200 Electrocardiograph Recalling Saved Patient Data During an ECG or spirometry test, instead of entering patient data manually you can recall saved patient data in either of two ways: • Search by entering a patient’s name or ID.
  • Page 69 Directions for Use Chapter 5 Performing ECG Tests To Search by Entering a Patient’s Name or ID From the Enter New Patient screen on page 57), press Search. (Figure 37 If prompted to log in, enter your user ID and password. The following screen appears.
  • Page 70 Chapter 5 Performing ECG Tests Welch Allyn CP 200 Electrocardiograph Figure 44. “Patient Search Results” Screen 9:17AM Oct 16 08 Patient Search Results Patient ID Patient Name Your search results (matching names from saved patient data). Back Select 4. Take the desired action.
  • Page 71 The electrocardiograph searches its own scheduled patients list. If there is no scheduled patients list, then it searches for orders in a connected EMR system (if any) via a Welch Allyn HL7 interface. If one or more scheduled patients match your entry, their names appear.

  • Page 72: Adjusting The Ecg Waveforms

    Chapter 5 Performing ECG Tests Welch Allyn CP 200 Electrocardiograph Adjusting the ECG Waveforms The following softkeys appear on the Auto ECG Acquisition and Rhythm ECG screens (Figure 38 on page 58 and Figure 41 on page 63). Use these softkeys before printing an Auto ECG or while printing a rhythm ECG.

  • Page 73: Performing Administrative Tasks

    Performing Administrative Tasks Managing Saved Tests In the Test Directory ......70 Managing the Scheduled Patients List.

  • Page 74: Managing Saved Tests In The Test Directory

    Chapter 6 Performing Administrative Tasks Welch Allyn CP 200 Electrocardiograph Managing Saved Tests In the Test Directory The test directory is the collection of tests saved in the electrocardiograph’s memory. This directory holds up to 50 ECG and 50 spirometry tests. When the directory gets full, the electrocardiograph prompts you to delete the oldest tests before saving new ones.
  • Page 75 Directions for Use Chapter 6 Performing Administrative Tasks To Print, Send, or Delete Saved Tests Press the Menu key 2. Choose Test Directory. If prompted to log in, enter your user ID and password. The following screen appears. Figure 47. Test Directory “Search” Screen 9:17AM Oct 16 08 Search Use these criteria to find and perform actions...
  • Page 76 Chapter 6 Performing Administrative Tasks Welch Allyn CP 200 Electrocardiograph To Edit or Confirm Saved Tests Note A qualified physician must review and confirm all tests before patients are treated. If changes are needed for any saved test, you can edit two types of information: •...
  • Page 77 Directions for Use Chapter 6 Performing Administrative Tasks Softkey Effect (Continued) Previous Test Saves any changes, and displays the previous test. Appears only when previous tests are available in your search results. Next Test Saves any changes, and displays the next test. Appears only when next tests are available in your search results.

  • Page 78: Managing The Scheduled Patients List

    Chapter 6 Performing Administrative Tasks Welch Allyn CP 200 Electrocardiograph Managing the Scheduled Patients List The scheduled patients list identifies patients whose data has been entered into the electrocardiograph’s memory for an ECG or spirometry test that day. When performing Auto ECG or spirometry tests, you may select patients from this list rather than manually entering their data at the time of the test.

  • Page 79: Managing Data Security

    Chapter 6 Performing Administrative Tasks Managing Data Security The CP 200 electrocardiograph incorporates security features that can keep patient data private and confidential. To implement your data security plan, use the Device Administration menu, which is illustrated here and described in the following pages.

  • Page 80: Working With The User List And User Login

    Chapter 6 Performing Administrative Tasks Welch Allyn CP 200 Electrocardiograph Working With the User List and User Login The user list identifies all individuals who are authorized to access patient data. The user list can hold up to 25 users. After the list reaches 25 users, you can add names only if some names are set to inactive status.
  • Page 81 Note If no administrator-level password has been assigned, the system’s default user ID and password — available from Welch Allyn — works here. These defaults exist solely to provide access to the user list in the event that user login is enabled before an administrator is assigned.

  • Page 82: Working With The Audit Trail

    Chapter 6 Performing Administrative Tasks Welch Allyn CP 200 Electrocardiograph Working With the Audit Trail An audit trail, a collection of information about user activity, may be helpful or even required for record-keeping. It tracks who did what when, including these types of activity: •...

  • Page 83: Maintaining The Electrocardiograph

    Maintaining the Electrocardiograph Inspecting the Equipment ......... 80 Cleaning the Equipment .

  • Page 84: Inspecting The Equipment

    If alcohol or liquids spill into the electrocardiograph while cleaning, arrange to have it checked before using it again. For Welch Allyn phone numbers, see page Monthly, or more often if needed, follow these cleaning instructions: Disconnect the power plug from the AC outlet.

  • Page 85: Testing The Equipment

    Testing the Equipment WARNING Only qualified service personnel should perform leakage current tests. Whenever the electrocardiograph is serviced or problems are suspected, Welch Allyn recommends the following test procedures: Verify continued electrical safety of the device, using IEC 60601-1 or ANSI/AAMI ES1 methods and limits.

  • Page 86: Recharging A Fully Discharged Battery

    Chapter 7 Maintaining the Electrocardiograph Welch Allyn CP 200 Electrocardiograph Recharging a Fully Discharged Battery If the electrocardiograph does not turn on when unplugged, the battery may be fully discharged. Note Regardless of the battery condition, you can use the electrocardiograph whenever it is plugged in.

  • Page 87: Replacing The Battery

    Directions for Use Chapter 7 Maintaining the Electrocardiograph Replacing the Battery If you have recharged the battery and the electrocardiograph still does not turn on when unplugged, or if the battery loses its charge quickly, replace the battery as follows. (For part number, see “Accessories”...
  • Page 88 Chapter 7 Maintaining the Electrocardiograph Welch Allyn CP 200 Electrocardiograph 6. Unplug the two battery connectors. See Figure You may need to pull hard. Use pliers gently if necessary. Figure 53. Battery Connectors Connect a new battery by matching connector sizes. Do not force connectors to mismatch.

  • Page 89: Replacing The Battery (Dc) Fuse

    Directions for Use Chapter 7 Maintaining the Electrocardiograph 9. Replace the battery door and screws. Turn the electrocardiograph rightside-up. It turns on automatically and displays a prompt to enter date and time. 10. Enter the date and time. The electrocardiograph is ready to use. 11.

  • Page 90: Replacing The Ac Fuses

    Chapter 7 Maintaining the Electrocardiograph Welch Allyn CP 200 Electrocardiograph Replacing the AC Fuses If the green LED on the keyboard does not light up when the electrocardiograph is connected to AC power, you may need to replace one or both of the AC fuses, as follows.

  • Page 91: Storing The Equipment

    Directions for Use Chapter 7 Maintaining the Electrocardiograph Storing the Equipment When storing the electrocardiograph, cords, and accessories, observe the environmental storage conditions. See “Specifications” on page 95. Discarding the Equipment Discard the old battery appropriately. • In the USA, call 1-800-SAV-LEAD for instructions on recycling it. •...
  • Page 92 Chapter 7 Maintaining the Electrocardiograph Welch Allyn CP 200 Electrocardiograph...

  • Page 93: Troubleshooting

    Troubleshooting Problem-Solving Suggestions ........90 Limited Warranty .

  • Page 94: Problem-Solving Suggestions

    Chapter 8 Troubleshooting Welch Allyn CP 200 Electrocardiograph Problem-Solving Suggestions This section includes several tables: • Lead quality problems (Table 2 on page 90) • System failure problems (Table 3 on page 91) • System messages (Table 4 on page 92) If you try these suggestions and still have problems, contact Technical Support.
  • Page 95 Directions for Use Chapter 8 Troubleshooting Table 2. Lead Quality Problems (Continued) Condition Causes Actions AC interference (even-peaked, regular • Electrodes that are dirty, corroded, • Check all electrode contacts and lead wires. voltage superimposed on the waveforms). loose, or positioned on a bony area. •...
  • Page 96 Chapter 8 Troubleshooting Welch Allyn CP 200 Electrocardiograph Table 4. System Messages (alphabetical order) System Message Problems Actions “A test is being printed that has not been was pressed while printing an To shut down without saving the test, press saved and will be lost.

  • Page 97: Limited Warranty

    Product or accessory free of charge. If your Product requires repairs covered by this warranty, upon your request Welch Allyn will loan to you, at no cost, a substitute Product for use until your repaired Product is returned.

  • Page 98: Service Policy

    Welch Allyn CP 200 Electrocardiograph Service Policy 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.

  • Page 99: A - Specifications

    Specifications Item Specification 16.2 in Dimensions (41.1 cm) 6.2 in (15.7 cm) 15.6 in (39.7 cm) Weight 11.6 lb (5.3 kg) Keyboard type Elastomer keypad with complete alphanumeric keys Soft-key menu and dedicated function keys Paper type 8.25 x 11 inches (21 x 28 cm), Z-fold thermal paper, 200 sheets Thermal printer (internal) Computer-controlled dot array, 8 dots/mm USB printer (external)
  • Page 100 Because of the sampling characteristics and the asynchronism between sample rate and signal rate, digital ECG systems such as the CP 100 and CP 200 may produce a noticeable modulating effect from one cycle to the next, particularly in pediatric recordings. This phenomenon is not physiologic.

  • Page 101: B - Emc Guidance And Manufacturer's Declarations

    Declarations Table 5. Electromagnetic Emissions The CP 200 electrocardiograph is intended for use in the electromagnetic environment specified below. The customer or user of the CP 200 electrocardiograph should assure that it is used in such an environment. Emissions Test...
  • Page 102 Welch Allyn CP 200 Electrocardiograph Table 6. Electromagnetic Immunity The CP 200 electrocardiograph is intended for use in the electromagnetic environment specified below. The customer or user of the CP 200 electrocardiograph should assure that it is used in such an environment.
  • Page 103 AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the CP 200 electrocardiograph is used exceeds the applicable RF compliance level above, the electrocardiograph should be observed to verify normal operation.
  • Page 104 CP 200 Electrocardiograph The CP 200 electrocardiograph is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or user of the CP 200 electrocardiograph can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the CP 200 electrocardiograph as recommended below, according to the maximum output power of the communications equipment.

  • Page 105: Glossary

    Dominant waveforms for all 12 leads. Printed on a separate page, if enabled. CardioPerfect workstation. A PC using Welch Allyn CardioPerfect software. Stores ECG and spirometry test data. Can communicate with other electronic patient-information systems, such as billing and medical records.
  • Page 106 Information about a scheduled test, including (1) the patient’s demographics and (2) a description of the test. The CP 200 electrocardiograph can download orders from an EMR via the Welch Allyn HL7 interface. Typically, at the start of the day a clinician downloads a list of orders for a given electrocardiograph and works through the list as patients arrive.

  • Page 107: Index

    CardioPerfect workstation automatic shutdown. See Power-Save connectivity settings Auto Report 2, enabling contact information, entering your Auto Save contact information for Welch Allyn Auto Send contrast, adjusting Auto Send setting Control key (Ctrl) average cycles copies, number to print...
  • Page 108 Index Welch Allyn CP 200 Electrocardiograph database. See CardioPerfect workstation; scheduled patients features list; test directory (saved tests) filters, types of data. See patient data See also specific filter names date and time flow (task) diagrams defibrillation precautions Auto ECG testing (normal and stat) demographics.
  • Page 109 Directions for Use Index key, network navigating through the menus keyboard network key keys. See function keys; keyboard; softkeys network settings language setting OK key leads on/off, manual and automatic 10 lead wires vs. 12 waveform leads options adjusting waveforms ordering information arrangements in reports –...
  • Page 110 Index Welch Allyn CP 200 Electrocardiograph QTc method Technical Support test directory (saved tests) – testing connectivity settings testing the electrocardiograph thermal chart paper reason statements loading recycling instructions ordering repairs specifications replacement parts and accessories speed settings reports. See Auto ECGs; Rhythm ECGs time and date.
  • Page 112 4341 State Street Road, PO Box 220, Skaneateles Falls, NY 13153-0220 USA 1 800 535 6663, + 1 315 685 4560 www.welchallyn.com Reorder Number (multi-language CD): 401151 Mat. Number (manual only): 708793, Ver: F...

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