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Summary of Contents for Pagewriter XLi M1700A

Page 1: ...Model MI700A Pagewriter XLi Cardiograph Operating Guide ...

Page 2: ...The Keyboard and Front Panel ...

Page 3: ...ween two main displays Starts an Auto EGG recording Starts a Manual EGG recording Halts any cardiograph function Prints a copy of an Auto ECG which has just been acquired Advances the paper to the beginning of the next page Switches the cardiograph between On and Stadby When the cardiograph is in standby it is raot operational but it is powered Light indicates that the cardiograph must be plugged ...

Page 4: ...hapter 4 Maintariltaing he Cardiograph for further information about operaling your cardiograph safely Conventions Used in This Manual Warning Warning statements describe conditions or actions that can result in personal injury or lass of life Caution Caution statements describe conditions or actions that can result in damage to the equipment or software Note Notes contain additional information o...

Page 5: ...s Store ECGs Transmit or receive ECGs Troubleshoot problems Maintain the cardiograph Set up the cardiograph Install battery Install software Load paper Change applications Install or use Preview Plus Configure the cardiograph User t i Reference Guide Prepare patient Maintain the cardiograph Install and use the modem Order supplies Use filters Understand analysis Physician s Guide ...

Page 6: ...2 5 Choosing a Report Format 2 6 Auto Report Formats a a 2 6 Changingthe Report Format 2 7 Entering Patient ID a a 2 8 Reviewing and Changing Patient ID 2 9 Recording an Auto ECG a a 2 10 Recording an ECG From the Patient Module 2 12 Recording a Manual ECG 2 13 Understanding the hinted Report 2 14 3 e Making Copies of Auto ECGs Copying ECGs Automatically 3 1 Copying ECGs Manually 3 B ECG Report wi...

Page 7: ...ng Auto EGGS Transmitting ECGs 5 1 Transmitting More than One ECG a a 5 3 Receiving ECGs a 5 3 6 nonblleshooting Checking ECG Technique Identifying ECG Problems If the Recording Won t Start Preview Screen Problem a Error Messages 9 M ntGnirag the Cardiograph Care and Cleaning Cleaning the Cardiograph Cleaning the Keyboard Cleaning the Digital Array Printhead and Paper Sensor a a a Cleaning the Ele...

Page 8: ...st on the Displays B 11 Setting the Date a n d i m e B 11 C Specifications Basic Controls a a C l Patient Safety C 1 Instrument Test C 2 Power and Environment 42 2 D Installing Applications Installing Applications D l Changing Applications D 2 Configuring your Cardiograph to Start Up in a Chosen Application D 3 E Using XLi Preview Hus Reading the Preview Plus Screen E 2 Observing a Patient s ECG C...

Page 9: ...g the Digital Array Printhead 7 3 Replacing the Battery 7 4 The Battery Assembly B I Connecting the Power Cord and Patient Module Data Cable a a a B 2 Connecting the Patient Module Lead Wires and Data Cable B 3 Installing the Battery B 4 TheBatteryAssembly a B 5 Loading the Paper a a B 6 Inserting the Disk E 1 A Preview Plus Screen a E 2 A Reformat Report Screen ...

Page 10: ...ient Module Display Symbols 2 4 2 2 Report Annotations 2 15 2 3 Calibration Signals 2 16 6 1 ECG Problems a a 6 2 A 1 Patient ID Fields a a A 2 A 2 Medication and Diagnostic Codes A 3 A 3 Race Codes a a a A 3 ...

Page 11: ...Getting Acquainted Figure 1 1 The Pagewriter XLI HP M1700A Cardiograph A Patient Module B Preview Screen optional C Cardiograph D Disk Drive E Cart Getting Acquainted 1 1 ...

Page 12: ...ding from the cardiograph or from the patient module Provides selectable formats Auto and Manual Stores EGGSon a removable flexible disk Allows you to upgrade software simply r Operates on rechargeable batteries as well as AC power with battery installed rn Has a digital array printer with continuous feed paper r Displays signal quality and leads off conditions m Provides the ability to transmit A...

Page 13: ...orial Using the Hewlett Packard Page Writer XL Cardiographs For additional help on using your cardiograph refer to the Page Writer XEi User s Reference Guide This manual describes how t o perform the following tasks Recording an EGG as Editing patient ID Making copies of Auto ECGs as Storing Auto ECGs Deleting Auto ECGs rn Transmitting and receiving Auto ECCs Troubleshooting rn Caring for and main...

Page 14: ...l quality Using the optional preview screen i m Choosing a report format Entering patient ID Recording an ECG B Understanding the printed report Recording an ECG To record an ECG 1 If the cardiograph is not on press 2 Apply electrodes to the patient 3 Press or to record the ECG The rest of this chapter will include details on recording ECGs Recording an ECG 2 1 ...

Page 15: ...er to the Page Writer XLi Userj s Refiaence Guide Note Computerized ECG analysis should always be reviewed 3 by a qualified physician Proper patient preparation and electrode placement are the most important elements in producing a high quality ECG trace Prepare the patient by 1 Gently scrubbing the electrode site with gauze 2 Attaching the electrodes secrare ly 3 Reassuring and relaxing the patie...

Page 16: ...ust the contrast on the patient module display You can get better ECGs by viewing the patient module display before recording the ECG and adjusting the leads as necessary Noise bars for each lead extend downward to show noislz levels Collos scales on either side of the patient module display indicate by the length of the noise bar the severity of the noise See Table 2 1 Recording an ECG 2 3 ...

Page 17: ... Patient ID number appears on the patient module display when you press any time you have already recorded an ECG K you want to use this ID press to record the ECG If you do not want this ID enter a new patient ID number from the front key panel of the cardiograph t Cardiograph is busy Press again and the ECG will be recorded If you want to enter a patient ID number enter the number from the front...

Page 18: ...ality ECG When the cardiograph is on the preview screen is operating Before you connect the leads the screen shows the selected three Bead group Each lead is shown as a dotted line indicating that the lead is o K H As you connect the leads to the patient lead waveforms are displayed on the screen B YOUcan select diflereaat lead groups to display by pressing the and Q keys on the cardiograph s key ...

Page 19: ...tness on the screen with the two knobs on the lower right corner of the preview screen frame Note If the preview screen is dark when you turn on the cardiograph turn the contrast and brightness knobs for the proper brightness Choosing a Report Format Auto Report Formats If lead Auto reports may be displayed in 3 x 4 or 6 x 2 formats The 3 x 4 format displays shorter segments of waveform informatio...

Page 20: ...2 Press to select between Auto or Manual report menus softkeys change features of when setting the report to select the report presentation The selections are See the Page Writer X k i User s Reference Guide for more explanation of the report formats 4 Press to select which leads will be recorded Recording an ECG 2 7 ...

Page 21: ...or patient ID To enter patient identification 1 Press If you have already entered a patient ID number or have not turned off the cardiograph since recording an ECG the question New Patient When you press 9 all of the patient ID information will be cleared The question Patiene ID appears If you have not already entered another patient ID number this display also appears when you press a 3 Type the ...

Page 22: ...mation any time by pressing Exit This saves all entries including the currently displayed information Reviewing and To review and change the current patient ID Changing Patient ID information 1 Press the key The message New Patient appears 2 Press No The current patient I D appears and you can change any field Tips To enter information more quickly you can suppress 3 the request for information in...

Page 23: ...without further prompts H If you have not entered any patient I D information since turning on the cardiograph the message N o ID entered Continue will appear Press to record the EGG without patient ID Press start entering patient ID t a If you have entered patient ID information since the cardiograph was turned on the question Continue using ID appears If you have entered a patient identification...

Page 24: ...ECGs can be interpreted If you wish to suppress analysis or do not wish to have the electronic analysis information appear on the printed copy you may configure the cardiograph for these options Refer to the Pagewriter XLi Reference Guide for these procedures Recording an ECG 2 11 ...

Page 25: ...t 3 Check each lead for signal and electrode connection quality by observing the symbol on the patient module display or preview screen 4 Enter patient ID information at the front key panel 5 Press the button on the patient module The ECG recording starts Ir ou can halt the recording any t h e by pressing this button again To restart the recording press from the patient module The patient ID numbe...

Page 26: ...t module display 4 Press on the front panel Note Your cardiograph may be configured so that patient ID is automaticaUy checked for each time you start an ECG If you do not want to enter patient ID press again to override the request for patient ID The status message Printing Manual report appears The cardiograph will print the ECG continuously until you press the key or the button on the patient m...

Page 27: ...Understanding the Printed Report P 7 I QRS 7 1 BORDERLINE ECC I a QR V I V4 I I a V L v2 I l l I I n Figure 2 3 The ECG Report ...

Page 28: ...umber Referring physician Indication that ECG has not been overread Calibration signal See Table 2 3 Pacemaker pulse symbol I if present Sequence number the total number of ECGs that have been recorded Adult or Pediatric criteria version number Artifact filter F Frequency range AC line filter 8 Baseline Wander filter W Recording an ECG 2 15 ...

Page 29: ...The following table shows how the calibration pulse indicates ECG sensittivitgr Table 2 3 Calibration Signals 2 16 Recording an ECG ...

Page 30: ...cardiograph for AutoCopy refer to the Page Writer XLi User s Reference Guide If you wish to print a stored ECG refer to Printing a Stored ECG in the next chapter Copying ECGS If you require additional copies of an Auto ECG you Manually may manually copy the ECG Note You must copy the EGG before the cardiograph has been To copy an Auto ECG you have just recorde d 1 Press on the front key panel The ...

Page 31: ...r s Reference Guide 1 Your cardiograph may be configured so that the following display appears after you press 2 Press the key representing the type of analysis you want on the copy 3 After you make your choice the message Copying i of 1 appears and the copy is printed For further information about various analysis reports refer to the Page Writer XLi User Reference Guide 3 2 Making Coples of Auto...

Page 32: ...e Using CheckDisk II Reformatting flexible disks Manually Storing Auto ECGs Note Use only 1 44 MB high density flexible disks in the cardiograph EGGS can be stored automatically or manually T60 store an ECG you have just acquired 1 Insert an ECG disk in the disk drive Note 3 Check the Babel of the flexible disk that y m insert in the disk drive to be sure that it is an ECG disk and not a configura...

Page 33: ...insert is full insert another flexible disk 4 The message Storing E 6 appears This indicates the EGG has been stored on the disk It remains stored until you delete it Caution Do not remove the flexible disk from the cardiograph while the disk drive light is on Removing the flexible disk while the light is on can destroy information on the disk m The EGG S date and time are used to distinguish te m...

Page 34: ...o print Refer to Using ECG Log and Store Log later in this chapter for instructions on obtaining a list of ECGs on the flexible disk Stored ECGs are identified by patient ID number plus the date and time that the ECG was acquired To print a stored ECG 1 Press until the following display appears T r a n s m i t S t o r e 2 Press Files The display becomes The message Reading the disk splay appears s...

Page 35: ...L LaserJet You must configure the cardiograph for transmitting ECGs to an HP LaserJet printer For further information on this refer to the Pagewriter XLi User s Reference Guide Printing More than To print more than one ECG One ECG I As you scroll through the list of stored ECGs press for each EGG you want to print A selected patient ID number is shown with stars for example I23456 9 23 90 i 25 5iA...

Page 36: ... disk appears followed by a display similar to the one shown below ct Print PT 4 Press More The following display appears 5 Press 811 6 Press Print All the ECGs on the flexible disk currently in the cardiograph s disk drive will be printed Storing Auto ECGs 4 5 ...

Page 37: ...ou have changed flexible disks only the ECGs on the disk in the disk drive will be available for printing Reviewing and TQreview and change the patient ID information of a Changing Stored stored ECG Patient ID 1 Press until you see the following display Information 2 Press The following display appears 3 Press Edit The message Reading the disk appears followed by a display similar to the one shown...

Page 38: ...was originally typed in and you wish to change the information type the corrections Move the cursor to the information you wish t o change with the and Q keys and type the new information You can also move the cursor to the end of the line and backspace to where you wish to change information 8 When you are finished press i i t Analyze modified ECG appears if you wish to have the ECG essage Store ...

Page 39: ...ess The display becomes 3 Press Delete The message Reading the disk and a display similar to the following appear 4 Press or until the correct patient ID number appear Or a If you know ber of the ECG you want to delete press be Type the pa The question Start Deleting i FS 4 8 Storing Auto ECGs ...

Page 40: ...ECG Log The cardiograph automatically maintains two ECG logs and Store Log The ECG Log is a list of the last 60 Auto and Manual ECGs recorded on the cardiograph I shows the time and date the ECGs were recorded and if they were stored When more than 60 ECGs are listed the oldest ECGs disappear faom the list The Store Log lists a 1 1Auto ECGs stored on the flexible disk currently in the disk drive l...

Page 41: ...en see a message that ntage of storage space available on the flexible disk For example you may see a message such as Disk 25 f u l l Note The number of ECGs that can be stored on the flexible d disk varies See the Page Writer XLi L ser9s Reference Guide for more information on how many ECGs can be stored on a flexible disk 4 1 Storing Auto ECGs ...

Page 42: ...e disk Flexible Disks 1 Press until you see the following display 2 Press Uou will then see a message that indica ntage of storage space available on the flexible disk 3 Press Erase to reformat the flexible disk Storing Auto ECGs 4 11 ...

Page 43: ...he Page Writer XLi User s Refirence Guide Transmitting ECGs Note If you are using an external modem the cardiograph 3 must be plugged into AC power with the AC switch on to operate the modem For information about instding the modem for transmitting ECGs refer to the Page Writer XLi Userj s Reference You can only transmit Auto ECGs that are stored on a flexible disk To transmit an ECG 1 Press until...

Page 44: ... appears If you want a different ECG for that pa must scroll through the list by pressing The following display appears 6 Press the key under the number of the intended receiving site This number corresponds to the receiving site previously configured Messages such as Calling site Connected to s i t e Transmitting and Transmitting 1 of 1 ECG s might appearo 5 2 Transmitting and Receiving Auto ECGs...

Page 45: ... In step 5 Manual allows you to transmit to a site that has not been configured Note See the Page Writer XLi User s Reference Guide for more information about transmitting ECGs Receiving ECGS The cardiograph can receive ECGs whenever it is turned on and idle If the cardiograph is turned off it cannot receive ECGs All EGGS are printed as they are received You cannot edit or store received ECGs You ...

Page 46: ...uality of ECGs you record by carefully preparing the patient a Be sure the electrode site is clean and not covered by hair or clothing m Apply the electrodes securely They must neither slide nor be so tight that they cause discomfort The electrode paste gel or cream must cover an area the size of the non adhesive electrode but must not extend beyond it especially on the chest Refer to Checking Sig...

Page 47: ...ms that can occur when recording an ECG Table 6 1 ECG Problems filter in global configuration ossibly a poorly grounded Route electrode wires along the contact skin preparation not pulIing on the electrodes key when it has been Respiratory interference Move electrodes away from areas ...

Page 48: ...fortable patient teach electrodes high o m the s 1 s t resort press the Repair or replace faulty leads Note key can be configured to enable the baseline er and or the artifact filter See Pagewriter Guide for information on key Troubleshooting 6 3 ...

Page 49: ...ph will not record an ECG until you have loaded the paper or cleared a paper jam See Appendix B for details on loading the paper It is also possible that the paper sensor lens is dirty To clean the paper sensor lens follow the instructions in the next chapter B Is there an error message If the cardiograph still won t operate call your local Hewlett Packard service representative Preview Screen If ...

Page 50: ...the cardiograph on again f i r further information about error messages see the Page Writer XLi User s Reference Guide If you see the message 6503 the software must be re installed To re install the software 1 Turn off the cardiograph from the front panel 2 Insert the system disk or the custom configuration disk 3 Turn the cardiograph on again 4 Remove the disk when the disk drive light turns off ...

Page 51: ...e flexible disks Safety Calling for service Care and Cleaning The cardiograph and its accessories are designed to be cleaned by common cleaning solutions and non caustic detergents The following are some approved cleaning solutions for all of the outside surfaces of the cardiograph and the patient module a Mild soap and water Chlorine bleach 30ml l water Ammonia based household cleaners Isopropyl ...

Page 52: ...th dampened in any of the approved cleaning solutions listed above Avoid the lead wire inputs and cable connections Caution Do not use any strong solvents or abrasive cleaning materials Do not spill any liquids on the surface of the cardiograph Do not use the following to clean the cardiograph B Acetone Iodine based cleaners B Phenol based cleaners B Ethylene Oxide Sterilization 7 2 Maintaining th...

Page 53: ...h and immerse it in lukewarm water To clean the keyboard 1 Carefully insert a small screwdriver into the notches at the bottom edge of the keyboard and pry the keyboard up 2 Rinse off the keyboard and dry it 3 Snap it back into the cardiograph Do not wash the keyboard in hot water such as in a dishwasher Maintaining the Cardiograph 7 3 ...

Page 54: ...Piinthead B Paper Sensor If the print quality is uneven it may be due to a dirty printhead How frequently you must clean the printhead varies by how many ECGs are printed on the cardiograph If the paper fails to stop at the end of a page the paper sensor lens may be dirty 7 4 Maintaining the Cardiograph ...

Page 55: ... dust off of the paper sensor lens with a dry foam swab Do not use alcohol Cleaning the Clean the electrodes and patient cables with a soft Electrodes and cloth moistened with soapy water You also can use Cables a disinfectant or cleaning agent such as etylcide CidexQ L Q VVescodyne or es phene Wring any excess moisture from the cloth before cleaning Caution a Do not clean the patient cable with i...

Page 56: ...rage charge it in the cardiograph for 48 hours Then store it in a cool dry location Recharge a lead acid battery in storage for at least 24 hours every six months This ensures that the battery does not completely discharge while in storage The battery s shelf life is longer with cooler temperatures but do not store below freezing level Note If the equipment will be stored for longer than one month...

Page 57: ...uch it is used If the battery has been fully charged and requires recharging after a few ECGs consider replacing it Use only lead acid batteries with HP part number M1721A Figure 7 3 Replacing the Battery A Battery Door B Thumbscrews Maintainingthe Cardiograph 7 7 ...

Page 58: ...ack of the cardiograph loosen the Iarge thumbscrews on the battery door as in Figure 7 3 Warning The battery i s heavy and can cause injury if it is dropped 0 When removing the battery hom the drawer hold it from underneath to prevent dropping it 3 Slide the battery and battery door out of the cardiograph 4 Separate the battery door from the battery 7 8 Maintaining the Cardiograph ...

Page 59: ...ttery charge it for at least 24 hours before extensively using it on battery power To charge the battery plug the cardiograph into the wall outlet for 24 hours with the AC switch on Warning Properly dispose of or recycle depleted batteries 9 according to local regulations Da not disassemble puncture or incinerate the disposed batteries Note To verify battery capacity turn on the cardiograph while ...

Page 60: ...re available from local computer stores rn Glean the disk drive every six months unless the working environment is particularly dusty or dirty Clean the drive more often in dusty or dirty environments TraceMaster X G Management System users If you transfer ECGs to the TraceMaster System by disk clean the TraceMaster drive every six months unless the working environmentis particularly dusty or dirt...

Page 61: ...Never adapt a three prong plug to fit a two slot outlet Do not use this cardiograph near flammable anesthetics It is not intended for use in explosive environments s Only qualified personnel may service the cardiograph rn Do not touch the patient patient cable or cardiograph during defibrillation procedures Be sure that no electrodes on the patient contact any other conductive parts including eart...

Page 62: ...ntry The patient ID number is the only field that must be filled in for storage of Auto ECGs Refer to the Page W t e r XEI User9sReference Guide for further information on Fatient ID Note Your cardiograph may be configured so that patient ID is automatically requested each time you start an ECG If you do not want to enter patient ID press or again to override the request for pati Patient ID Code T...

Page 63: ...iastolic blood pressure value Race codes See Table A 3 Medication codes See Table 8 2 Diagnosis codes See Table A 2 Type the criteria version number For transmitting to ECG Management System or for future criteria updates requested the ECG Table A I Patient ID Fields A 2 Patient I D Code Tables ...

Page 64: ...nsive HB P o t a s s i u m chloride P u l m o n a r y disease Psychoactive drug R h e u m a t i c HD Barbiturate Aortic valvular disease Phenothiazine Mitral valvular disease N o k n o w n Rx No known Dx Table A 3 Race Codes Patient I D Code Tables A 3 Race Statement Aleutian or Eskimo American Indian Black Hawaiian Hispanic Oriental Pacific Islander White Other Race Code 1 2 3 4 5 6 7 8 9 ...

Page 65: ...the displays if necessary s Set the date and time Checkinn the Your cardiograph can be set to operate at nominal line Voltage Setting voltages of 100 120 220 230 or 240 Volts The line voltage was set at the factory to the setting for your area HoweverI it is a good idea to check this setting lkf the voltage setting is incorrect call Hewlett Packard service or have a qualified service engineer chan...

Page 66: ...le Data Cable A Patient Module Data Cable B AC Switch C Voltage Setting D Power Cord I Connect the power c r d and patient module data cable to the cardiograph as shown in Figure B 1 2 Plug the power cord into the wall outlet B 2 Setting up Your Cardiograph for the First Time ...

Page 67: ...nd the lead wires The lead wires have colored labels on the end nearest the electrode If you are using the patient module from the front of the cardiograph lead the patient module data cable through the hooks underneath the cardiograph on the cart The cable will snap into the two small hooks Attach the patient module data cable to the patient module as shown in Figure 6 2 Setting up Your Cardiogra...

Page 68: ... Installing and Using the Battery Figure 8 3 installing the Battery A Battery Door Be Thumbscrews B 4 Setting up Yapst Cardbgraph for the First Time ...

Page 69: ...raph and turn on the AC switch at the back of the cardiograph 2 From the back of the cardiograph loosen the large thumbscrews on the battery door as in Figure B 3 Warning The battery is heavy and can cause injury if it is dropped 9 When removing the battery from the drawer hold it from underneath to prevent dropping it 3 Install the battery on the battery door as shown in Figure B 4 Make sure that...

Page 70: ...lot C Battery Door 4 Slide the battery assembly into the cardiograph and finger tighten the screws on the battery door 5 Press the switch to On 6 Check that the battery and AC indicator lights are B 6 Setting up Your Cardiographfor the First Time ...

Page 71: ...r 24 hours with the AC switch on Caution Ifthe equipment will be stored for longer than one month remove the battery from the unit Note To verify battery capacity turn on the cardiograph while it is connected to AC power and the AC switch is on The cardiograph must be connected to AC power when verifying battery capacity Setting up Yaur Cardiograph for the First Time B 7 ...

Page 72: ...B Paper Sensing Hole C Paper D Cardboard Backing The cardiograph uses continuous feed paper For best results use Hewlett Packard paper in the cardiograph Caution Do not expose the paper to light Cover it for storage B 8 Setting up Your Cardicsgreph for the First Time ...

Page 73: ...ompartment so that the top side of the paper feeds grid side up over the top panel The paper sensing hole will be in the lower corner of the paper and the cardboard backing will be on the bottom 4 Pull a half sheet out and over the paper door Make sure that the paper is parallel with the sides of the paper door See Figure B 5 5 Slide the paper door back into place The door is latched when it snaps...

Page 74: ... of the cardiograph 3 Turn on the cardiograph 4 The name of the system configuration being installed appears on the display If you do not want to load this system configuration remove the disk and turn the cardiograph to Standby Find the desired application disk and start over at step 1 5 You may be prompted to choose which language to install as well as whether to select 50 or 60 Hz B 10 Setting ...

Page 75: ...the I Press while pressing the A key or the r key Displays repeatedly until you see the desired contrast The A key makes the display darker and the v key makes the display lighter To adjust the contrast on the patient module s display 1 Press while pressing the r key or the r key repeatedly until you see the desired contrast The key makes the display darker and the v key makes the display lighter ...

Page 76: ... the date to what it was before you changed it To set the time on the display 1 Press the key below the time The time change display appears 2 You can then change the time by ty correct hour minute and second Press the softkey to change between AM an8 P M settings if the date en set to AM PM when the time is correct Your cardiograph is ready to record an ECG after you connect the leads to the pati...

Page 77: ... full alphanumeric capability Display 640 x 400 pixel liquid crystal display for ECG preview 2 line 40 character liquid crystal for operator interaction Patient Module Start Stop button plus 14 signal quality indicators Patient Safety Patient Isolation Less than 10 pA leakage with 120 V ac 60 Hz or 240 V ac 50 Hz at input connector Input Impedance Greater than 25 Mohm at fQ Hz typically 100 Mohm a...

Page 78: ...ating Conditions 5 to 45 C 41 to 113 F 20 to 80 relative humidity to 4 550 m 15 000 ft altitude Environmental Storage Conditions 10 to 50 C 14 to 122 F 10 to 85 relative humidity to 4 550 rn 50 000 ft altitude Cardiograph Dimensions 39 5 by 56 5 by 14 cm 15 5 by 22 25 by 5 5 in Cardiograph Weight 21 7 kg 48 ib Cart Dimensions 85 by 43 by 91 5 cm 33 5 by 17 by 36 in Cart Weight 19 2 kg 38 ib Cart C...

Page 79: ...application disk in the disk drive in the front of the cardiograph For example insert the M11754A SAECG application disk in the cardiograph 3 Turn the cardiograph on The message Load SAECG application appears 4 Press Yes The copyright display appears briefly and then the following display appears The asterisks gradually extend across the display until the software instauation is complete The fol7o...

Page 80: ...lications display appears 2 Select the application you wish t o use To select Preview Plus press The following display appears To change t o anather application from an application such as Preview Plus or SAECG perform the following steps 1 Press until appears on the display 2 Press and the following display appears 3 Select the a l i c a t i o n vou wish t o use To select l Preview Plus press The...

Page 81: ...raph to start up in an Cardiograph to application you choose Refer to Table 5 1in Chapter Start Up in a 5 Configuring Your Cardiograph in the Pagemiter XEi User s Reference Guide for information on the Power on Chosen Application default Application ...

Page 82: ...een shows the waveform as well as settings and information about how to start Preview Plus functions The heart sate is displayed in the upper right corner of the screen and is updated every second Timed i n e a l Set at 3 r i m lgbse E I A Preview P US Screen E 2 Using XLI Preview Plus ...

Page 83: ...he message Continuous Preview I I 3 Press Yes When you record an Auto or a Manual EGG a copy will be printed Note Blbu cannot store EGGSwhen continuous preview is o n If you wish to store an Auto ECG you have just recorded turn off Continuous Preview and store the ECG as described in Chapter 4 Storing Auto ECGs To turn off Continuous Preview perform the following steps 1 Press until the hllowing d...

Page 84: ... which you wish the cardiograph to record Auto ECGs 4 Press The interval is now set 5 Press to begin the series of Auto ECGs An ECG will be recorded immediately and at each interval thereafter The Next ECG time will be counted down on the preview screen and the next timed Auto ECG will be recorded whew the interval ends 6 Press when you wish to stop the series of ECGs Note You cannot record timed ...

Page 85: ...for recording a delayed Manual ECG perform the following steps from the Preview Plus application Is Press until the following display appears The message 6 Second Delayed and the cardiograph will begin to save ECG information 4 When you see an ECG sample that you wish to print press 5 Press stop the printing Note When delayed Manual is on you can press Pressing will discontinue the delayed Manual ...

Page 86: ...To return to non delayed ECG mode perform the following steps 1 Press until the following display appears 2 Press The message 6 Second Delay mua pear 3 Press E 6 Using XLI Preview Plus ...

Page 87: ...G for printing perform the following steps 1 Insert the correct ECG storage disk in the cardiograph 2 Press The following display appears Prev b Ref ormat Timed You can then select an EGG t o 4 Select the EGG you wish to reformat A screen similar to the one in Figure E 2 appears Using Xbi Preview Plus E 7 ...

Page 88: ...t choice Figure E 2 A Reformat Report Screen You can now select format and features you wish to appear on the report a Use the arrow keys on the cardiograph to move the selection hightight to another setting to select the setting The asterix will t setting to print the reformatted ECG Note YOUcan not store the reformatted ECG It will be stored in the format in which it was origindy recorded Note A...

Page 89: ...ower using with modem 5 4 switch v 7 6 B 2 acquiring an ECG 2 6 Acquiring ECG 2 10 adjusting the contrast cardiograph B 11 adjusting the contrast patient module B 1l age 2 14 Age A 1 age designation 2 8 All 4 5 alternating current vi and 0 2 3 analysis computerized 2 2 ECG with 3 2 reports 3 2 suppressing 2 11 ...

Page 90: ...s 2 6 v 2 1 2 6 2 8 2 40 autoclave 7 5 Autocopy 3 1 Auto ECG v interpreting 2 4 1 recording an 2 10 recording interval E 4 AutoStore 2 10 4 2 B baseline wander 6 2 baseline wander filter v 2 14 6 2 battery 7 6 B 6 capacity level of v charging 7 6 7 9 B 6 disposing of 7 9 door 7 7 installing B 4 life 7 6 replacing 7 6 storing 7 6 thumbscrews 7 7 battery door B 4 B 5 Battery Level v brightness 2 6 b...

Page 91: ... time B 11 setting up B 1 ventilation slots 7 11 weight C 2 cast 1 1 B 3 construction 2 dimensions C 2 weight C 2 cart ID 2 15 caution vi changing applications D 2 patient ID 2 9 patient ID stored 4 6 charging the battery 7 6 7 9 B 6 CheckDisk 4 10 4 11 checking signal quality 2 3 Check paper supply Continue 6 4 chest lead sensitivity v 2 15 Choose desired malysis f o r copy 3 2 Choose s i t e 5 2...

Page 92: ...uration disk 4 1 configuring for receiving 5 1 5 3 for transmitting 5 1 Connected to s i t e 5 2 connecting the cables B 2 Continue using ID 2 10 Continuous Preview E 3 ContPrev E 3 contrast 2 6 adjusting 2 3 B 11 knob 2 5 6 4 v 3 1 copying ECG automatically 3 1 ECG manually 3 1 Copying 1 of 1 3 2 Copying auto report 3 1 copyright display D 1 Criteria Version A l criteria version number 2 14 custo...

Page 93: ...astolic BP A disk 4 9 configuration 4 1 custom configuration 6 5 ECG 4 1 full 4 2 handling 7 10 inserting in disk drive B 10 label 4 1 maintenance 7 10 reformatting 4 11 storage 4 2 system 4 1 6 5 B 10 unformatted 4 2 Disk 0 f u l l 4 11 Disk 25 f u l l 4 10 4 11 disk drive 1 1 4 1 4 2 7 10 B 10 light 4 2 6 5 display window v disposing of the battery 7 9 documentation map vii dotted line on previe...

Page 94: ...ng continuously 2 13 problems 6 2 quality 2 2 receiving 5 3 recording an 2 1 reformatted E 8 report 2 14 review 2 2 selecting 4 4 sensitivity 2 16 sequence number 2 14 stored 4 1 4 2 storing an 4 1 unselecting 4 4 with analysis 3 2 ECG disk 4 1 E 7 ECG format selecting E 8 receiving 5 1 transmitting 5 1 r v ECG technique checking 6 1 Edit 4 6 4 7 eject button B 10 electrode 2 1 2 10 2 12 2 83 B 3 ...

Page 95: ...2 14 Files 4 3 4 6 4 8 filter AC 6 2 artifact v baseline wander v 6 2 V 6 2 6 3 Find 4 4 4 7 4 8 5 2 flammable anesthetics 7 11 foam swab 7 5 format Auto 2 7 Manual 2 7 Format 2 51 formatted disk 4 2 formatting a disk 4 2 frequency range 2 14 front key panel 2 12 2 13 3 1 front panel iv 2 10 6 5 G good quality 2 5 green zone bar 2 4 grid paper B 9 ...

Page 96: ......

Page 97: ...m external 5 1 More 4 4 4 7 4 8 5 2 muscle artifact 6 2 N Name A 1 NewGroup 5 3 New Patient 2 8 2 9 Next 4 4 4 7 4 8 5 2 NO I D 2 4 Is I D entered Continue 2 10 noise bars 2 3 indicator high 2 4 indicator moderate 2 4 severity 2 3 non delayed ECG mode E 6 None 3 2 0 observing an ECG continuously E 3 On v V 2 1 7 9 B 6 operating conditions C 2 operator 2 14 Operator A 1 ...

Page 98: ...ID 2 4 2 8 9 2 12 2 13 4 7 changing 2 9 codes A 1 edit v editing stored 4 6 entry v A l number 2 14 4 3 review v reviewing 2 9 reviewing stored 4 6 Patient ID 2 8 Patient ID A 1 Patient ID 123456 4 7 patient isolation C 1 patient module 1 1 2 3 data cable 2 3 B 2 display 2 3 2 10 2 12 2 13 display symbols 2 4 patient name 2 14 patient preparation 2 2 power cord B 2 Prev E 5 Preview Plus E 5 Previe...

Page 99: ...uto report 2 10 Printing Manual report 2 13 print quality poor 6 3 uneven 7 4 Q quality print 7 4 R race 2 14 Race A l race codes A 3 Reading 1 of 1 ECG s 4 4 Reading the disk 5 2 Reading t h e disk 4 3 4 5 4 6 4 7 4 8 reanalyzing an ECG 4 7 Reasons 3 2 receiving ECGs 5 3 recharging the battery v recording Auto ECG 2 10 delayed Manual ECG E 5 EGG 2 1 Manual ECG 2 13 timed Auto ECG K4 recording int...

Page 100: ... annotations 2 14 Auto 2 7 Auto formats 2 6 format 2 6 Manual 2 7 presentation 2 7 quality 2 4 Report 2 7 2 12 report format changing 2 7 choosing 2 6 Requested by A 1 respiratory interference 6 2 restarting the recording 2 12 reviewing patient ID 2 9 rhythm strips 2 6 Room A room no 2 14 h A 1 Rx codes A 3 S safety symbols vi Select 4 4 4 7 4 8 5 2 selecting ECG format E 8 ECGs 4 4 language El 10...

Page 101: ...are installing B 10 loss 7 6 solvents recommended 7 2 V Y v D 1 start button 2 3 2 4 2 12 2 13 S t a r t Deleting i ECG s 4 8 starting the recording 2 12 CG A 1 V 2 7 2 13 5 3 storage conditions C 2 storage space available 4 10 4 11 Store 4 2 Store complete 4 2 stored ECG 4 1 4 2 Store Log 4 3 4 9 Store modified ECG 4 7 storing battery 99 6 ECG 2 8 paper B 8 Storing ECG 4 2 storing ECGs automatica...

Page 102: ...transmitting EGGS 5 3 Transmitting 3 of 1 ECG s 5 2 transmitting ECGs 5 1 Transmitting 5 2 tremor 6 2 troubleshooting 6 1 5 U unselected ECG 4 4 I v and 0 2 5 Q Q Q v User A field 2 14 User A Uses B A 1 User B field 2 14 V ventilation slots 7 11 viewing reformatted EGG G8 v voltage setting B 2 checking B l W 2 14 wandering baseline 6 2 weight 2 14 Wight A 1 wheel size C 2 ...

Page 103: ...X X 2 4 Xki cardiograph 1 1 Y yellow zone bar 2 4 ...

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