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Contents

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Table of Contents

Introduction

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1
Warnings, Cautions, and Notes  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-1
Starting the Program  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-2
Setting up a New User . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-3
ABP Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-5
Logging Off the System  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-6
User Permissions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-6
Electronic Signature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-7
System Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1-8

Report Manager

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-1
Displaying Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-2
Tracking Open Windows. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7
Opening a Patient Report (Importing). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-7
Saving a Report  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2-9

Initializing the Monitor

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
Entering Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-1
Monitor Initialization  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-3
Summary  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3-6

Acquiring Patient Data

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-1
Performing Data Transfer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-1
Entering Patient Demographic Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-2
Entering Test-Related Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-4
Entering Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4-5

Reviewing the Report

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-1
Cover Page — Patient Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-2
ABP Report Summary  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-3
Interpretation  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-4
Raw Data Graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-5
Discrete Raw Data Graph. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-6
ABP Raw Data Tabular  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-7
Hourly Average Graph  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-8
Discrete Hourly Average Graph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-9
ABP Hourly Data Tabular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-10
Caliper Summary View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-11
Edit Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5-12

System Setup

Overview. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1
Configuring Windows Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-1
Configuring System Settings  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-2
Report Format Tab . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-3
Statistics Tab  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-6
Monitor Tab  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-8
System Tab  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6-10

Summary of Contents for Spacelabs Medical 92506

Page 1: ...Ambulatory Blood Pressure Report Management System 92506 Operations Manual 070 0932 00 Rev C ...

Page 2: ...he equipment which are classified by Spacelabs Medical as field repairable Spacelabs Medical is committed to providing comprehensive customer support beginning with your initial inquiry through purchase training and service for the life of your Spacelabs Medical equipment CORPORATE OFFICES U S A Spacelabs Medical Inc 5150 220th Ave SE Issaquah WA 98029 Telephone 425 657 7200 Telephone 800 522 7025...

Page 3: ...ation 3 3 Summary 3 6 Acquiring Patient Data Overview 4 1 Performing Data Transfer 4 1 Entering Patient Demographic Information 4 2 Entering Test Related Information 4 4 Entering Patient Information 4 5 Reviewing the Report Overview 5 1 Cover Page Patient Information 5 2 ABP Report Summary 5 3 Interpretation 5 4 Raw Data Graph 5 5 Discrete Raw Data Graph 5 6 ABP Raw Data Tabular 5 7 Hourly Average...

Page 4: ...g and Sending Files Printing the Report 7 1 Printing Pictures of the Display 7 2 Faxing Reports 7 3 Sending Reports Via E mail Portable Document Format 7 4 Maintenance and Troubleshooting Overview 8 1 Troubleshooting 8 1 Diagnosis Tool 8 8 Appendix A Symbols ...

Page 5: ...he perimeter of the bed table or chair and 7 1 2 feet or 2 29 m above the floor Remove the arm cuff from the patient before defibrillation There is a risk of defibrillation failure burns and equipment damage if defibrillator paddles contact the arm cuff or ABP monitor In the special case where the patient has a defibrillator at home family members and in home caregivers who could be responsible fo...

Page 6: ...d review the results of the ABP reading before treatment or non treatment of any patient Installing the application on an operating system not specified on the 92506 Ambulatory Blood Pressure Report Management System data sheet P N 061 1283 00 is not supported The regional language settings for the operating system must be identical to that of the application Starting the Program When the ABP Repo...

Page 7: ...uired to change your password Click OK to close the confirmation box Enter the old and new password information and then click OK The Client application starts and the Main Menu displays Setting up a New User The first time you log on to the system the software will prompt you to establish a User ID 1 Double click the Client application icon to start the program A confirmation box appears Figure 1...

Page 8: ...nt application adds you as a user 5 Click OK when the confirmation box appears 6 Enter your User ID and Password and then press ENTER at the User Login window 7 Click OK at the message stating that the initial password has expired 8 Enter the old and new password information and then click OK The Client application starts and the Main Menu displays Inactivity Logon If the application remains inact...

Page 9: ... Initializing the Monitor on page 3 1 Upload Monitor refer to Acquiring Patient Data on page 4 1 Review Edit Patient Test refer to Reviewing the Report on page 5 1 View Change System Settings refer to System Setup on page 6 1 Log Off Exit refer to Logging Off the System on page 1 6 Click the appropriate button to continue Note The Select group list box only appears if multiple groups are set up on...

Page 10: ...able 1 User Permission Serial No Task User Permission Yes No System Administrator Physician Nurse Technician Admin User Admin User Admin User 1 Create a new patient record by entering the demographics in the Initialization wizard while importing from a file Yes Yes Yes Yes Yes Yes Yes 2 Modify an existing patient s demographics Yes Yes Yes Yes Yes Yes Yes 3 Delete a patient record and demographics...

Page 11: ...eate a custom report format for printing or sending through e mail The Report Format tab on the System Settings dialog box will not be displayed Yes Yes No Yes Yes Yes Yes 11 Delete an individual reading from the set of readings in the ABP report test Yes Yes Yes Yes Yes No No 12 Modify monitor settings change the minimum and maximum values of the blood pressure readings etc Yes Yes Yes Yes No No ...

Page 12: ...ation Your version of the Client application does not support the object s function Patient demographics or report information has been confirmed Menu Bars Click an item on the menu bar to open a list of menu commands corresponding to that item Figure 1 5 Example of a menu bar You can use either the mouse or the keyboard to select a item in a menu Using the Keyboard To access menu items using the ...

Page 13: ...orm the same function Figure 1 6 Example of a toolbar The icons presented in the toolbar change according to what is shown in the active window You may also choose which toolbars are displayed and whether or not the text labels are ON or OFF To change these options Right click anywhere in the toolbar area A shortcut menu appears Options are active when a check mark is next to the name If you make ...

Page 14: ......

Page 15: ...verview The Report Manager is the starting point for accessing and organizing patient records Click Review Edit Patient Test on the Main Menu to access the Report Manager Figure 2 1 Report Manager Note To return to the Main Menu click the Close icon on the toolbar at the top of the Report Manager window This will also close all open reports ...

Page 16: ... Monitor Time are empty by default The default value for Monitor Time is 01 01 1900 The default search fields include First Name Last Name Patient ID Physician Monitor Time and Status Figure 2 2 Default search options Advanced search enables you to search on multiple conditions at the same time Click Advanced on the toolbar to display the advanced search options Figure 2 3 Advanced search options ...

Page 17: ...arch conditions using a combination of the Field Operator and Criteria boxes 4 Click Add to Search to add a search condition to the box below the Field Operator and Criteria boxes In Figure 2 4 the final search condition was achieved as follows Figure 2 4 Example of search combinations To clear all search conditions specified and refresh the list of records with the default search conditions click...

Page 18: ... these factors for later use in case you need to search on these factors or a similar set of factors again To save search factors 1 Click Save Search 2 Specify in the Save As dialog box the folder where you want to save the file and then specify a file name for the set of factors Figure 2 5 3 Click Save Figure 2 5 Save As dialog box ...

Page 19: ...ve Search button to save a set of search factors you can recall and use this search file To load a previously saved search file 1 Click Load Search 2 Browse from the Open dialog box to the folder containing the saved set of search factors and then specify the file name Figure 2 6 3 Click Open Figure 2 6 Open dialog box ...

Page 20: ...pecific report in the list Each column contains the text Enter text here Click in the desired column box and type the appropriate data for the patient record you wish to locate Figure 2 8 Type text into a Quick Find edit box For example to locate the record for a patient with a last name of Smith click in the Enter text here box in the Patient Name column and type Smith The Report Manager window d...

Page 21: ...Report files generated with previous versions of ABP that used the extension rpt can be imported into the present system by selecting Open from the File menu Current version abp files not listed in the Report Manager can also be imported in this manner To open import a patient report 1 Select Review Edit Patient Test from the Main Menu 2 Select Open from the File menu 3 Click the Look In drop down...

Page 22: ...lect Open Multiple from the File menu The Open dialog box opens Figure 2 10 Figure 2 10 Open dialog box 3 Click the Look in arrow and browse to the folder where the report files are stored 4 Select one or more report files from the list and click Open Note You may open files of multiple types by selecting in the Files of type text box The Multiple Open Report File dialog box opens Figure 2 11 Figu...

Page 23: ...import the assigned files 9 Click OK when the successful import message appears Figure 2 12 Figure 2 12 Import successful message The files are now available in the Report Manager Saving a Report Saving in abp Format To save a report in abp format 1 Select a patient record in the Report Manager 2 Select Save from the File menu 3 Browse to the folder where you want to save the files and click OK No...

Page 24: ...ensions are available to differentiate between the different sections of the report These files may be opened in a standard text editor such as Windows Notepad All of these file types are in a comma separated value CSV format enabling your to export them into a spreadsheet program for example Excel The following table lists the various options and their corresponding file extensions To save the re...

Page 25: ... s name to appear in the file name Note The default file name consists of the patient ID and the date and time when the report was generated The patient name is optional 5 Specify the Destination Folder where you want to save the file s Note The default folder is C Spacelabs Export 6 Click Finish Figure 2 14 displays examples of four files created using the procedure specified above The pdf file i...

Page 26: ...tensions t and pdf cannot be imported back into the ABP report management system You can open the files listed in Figure 2 14 using any standard text editor for example Windows Notepad You can export the files that are in CSV format to a spreadsheet program using the standard Windows copy and paste procedures Figure 2 15 Sample txc file ...

Page 27: ...onitor for additional information To record data from a patient first initialize the monitor 1 Connect the ABP monitor to the ABP Report Management System using the monitor interface cable 2 Start the Client application to display the Main Menu 3 Click Initialize Monitor to start the Monitor Initialization Wizard Entering Patient Information The Monitor Initialization Wizard opens when you click I...

Page 28: ...appropriate information in any of the Enter text here boxes below each column title The closest match will display at the top of the list For more information refer to Quick Find Feature on page 2 6 3 Select the name of the physician from the Physician list box Continue with Optional Information on page 3 3 New Patients For new patients enter the appropriate information in each text box under Pati...

Page 29: ... Serial Number from the available list Note This list can be edited Click New Edit to add delete or edit the available selections Any changes you make will be saved automatically Monitor Initialization After completing the patient demographic information in the Monitor Initialization Wizard click Next to select various settings for the ABP monitor Figure 3 3 Figure 3 3 Monitor Initialization Wizar...

Page 30: ...ization Wizard dialog box Figure 3 4 Figure 3 4 Monitor Initialization Wizard Initialize Monitor Note In the time box type or select the upload time if you want the upload time to be different from the system time 3 Click Initialize Monitor to complete the initialization process 4 Click Finish to return to the Main Menu when the system has finished initializing the monitor indicated by a fully sha...

Page 31: ...sired If the Tone check box is selected an audible tone will precede each blood pressure reading In most situations ensure that Tone is not selected for sleep periods Once a period is defined the pie chart on the right automatically updates to reflect the changes Refer to Figure 3 3 The pie chart reflects the sleep and wake period settings with numbers representing the readings per hour asterisks ...

Page 32: ...to the monitor settings as necessary refer to Adding a Configuration on page 3 5 4 Click Next 5 Click the Initialize Monitor button to complete the initialization process Figure 3 4 6 Click Finish to return to the Main Menu when the system has finished initializing the monitor indicated by a fully shaded progress bar Summary The ABP monitor is now ready to record patient information Refer to the A...

Page 33: ...ion for analysis To acquire and analyze data 1 Connect the ABP monitor to the ABP Report Management System using the monitor interface cable 2 Start the Client application 3 Click Upload Monitor on the Main Menu The Acquisition Wizard opens and guides you through the steps necessary to acquire the patient record from the recording media Performing Data Transfer The Acquisition Wizard starts with t...

Page 34: ...monitor to the system To initialize the monitor over the modem select Modem under Select Communication Mode Once the data transfer is complete indicated by a fully shaded progress bar click Next The Enter Patient Demographic Information dialog box appears Entering Patient Demographic Information Figure 4 2 Acquisition Wizard Patient Demographics If you entered patient information during monitor in...

Page 35: ... Figure 4 3 Patients List 2 Select the patient s name from the list and click Close The patient s demographic information displays in the Acquisition Wizard dialog box Figure 4 2 Note To quickly locate a patient in the Patients List dialog box type the appropriate data into any of the Enter text here boxes below each column title For more information refer to Quick Find Feature on page 2 6 3 Edit ...

Page 36: ... enter the patient s Last Name 64 characters maximum 3 Press TAB and enter the patient s First Name 64 characters maximum 4 Select a physician from the Physician list 5 Enter the patient s middle name in the Second Last Name box if desired 64 characters maximum 6 Enter the patient s date of birth race and gender if desired 7 Click Next The Optional Test Related Information dialog box opens Figure ...

Page 37: ...om the Nurse Technician list 4 Click Next to display the Enter Patient Information dialog box Entering Patient Information Figure 4 5 Acquisition Wizard Enter Patient Information Note The fields in this dialog box are optional Click Finish if you do not wish to include any of this information in the patient s report Some of the information in this dialog box may be filled in automatically if infor...

Page 38: ...tion information and display the Medications dialog box For more information on working in the Medications dialog box refer to Medications on page 4 7 6 Click Finish The Client application automatically analyzes the data as the last step in the acquisition process In addition the application automatically adds the test to the database and opens the report for further review and editing Diary Event...

Page 39: ...entry select the entry in the Event List and click Remove Note Click New Edit to add or delete the available selections Any changes you make in this window are saved automatically 5 Click Close when you have completed editing to return to the Enter Patient Information dialog box Figure 4 5 Medications To display the Medications dialog box Figure 4 7 and edit patient medication information click Ne...

Page 40: ...on to the patient s list 1 Select the medication from the Medications list 2 Enter the dose amount date and time 3 Select the Annotation check box if medication annotation is to be included in the final report 4 Click Add 5 Repeat step 1 through step 4 to edit another medication 6 Click OK ...

Page 41: ...lient application 2 Click Review Edit Patient Test from the Main Menu to open the Report Manager window 3 Double click the record you wish to review or edit or highlight the record and click Review The Patient Information page opens Refer to Figure 5 1 on page 5 2 Note To select multiple records to review hold down the CTRL key click each report and click Review 4 Advance through the pages of the ...

Page 42: ...ation as necessary To confirm the patient demographics 1 Right click an open area on the Patient Information page 2 Select Confirm Patient Demographics from the menu 3 Enter your User ID and Password and click OK Once you confirm patient demographics you will not be able to edit most demographic fields Note To unconfirm previously confirmed patient demographics right click any open area on the Pat...

Page 43: ... the prescribed periods are also recorded This page also indicates the percentage of time that the readings in each of the periods were higher than the statistical boundaries Dipping is an indication of the change in blood pressure between day or wake and night or sleep It is the percentage change for the mean systolic and diastolic readings for the day and night If there is no day or no night per...

Page 44: ...ired interpretation Repeat this step to select more than one interpretation AND OR Type interpretation information directly into the Interpretation edit box Note Click New Edit to add delete or edit the available selections Any changes you make in this window are saved automatically To confirm the test 1 Select your name from the Confirmed by drop down list box 2 Enter your User ID and Password an...

Page 45: ... heart rate The statistical sleep period is the horizontal gray bar at the bottom of the BP graph The statistical settings thresholds are the black horizontal line s in the BP graph Each type of measurement BP MAP systole etc is represented by a unique color in the graphic summary Refer to Table 1 to locate and identify information in the graph Clicking in the graph area results in a vertical line...

Page 46: ...e diastolic measurement and the red dot represents the MAP measurement Inserting Calipers into Graphical Data To insert a caliper 1 Click the desired first reading and drag the mouse over to the desired last reading and then release the mouse button The selected readings appear highlighted in black 2 Right click and select Insert Caliper from the menu A dialog box opens displaying summary informat...

Page 47: ...omes from the ABP monitor AE signifies an automatic edit which has configurable limits set on the Statistics tab of the System Settings dialog box ME signifies a manual edit which the operator initiates Angle brackets and signify an estimated reading for example 114 You can edit a cell in the Edit Status column if the cell does not already contain an EE or an AE status To edit the cell 1 Click the...

Page 48: ...HR bottom graph displays the hourly averages of heart rate The statistical sleep period is the horizontal gray bar at the bottom of the BP graph The statistical settings thresholds are the black horizontal line s in the BP graph Each type of measurement BP MAP systole etc is represented by a unique color graph Refer to Table 2 to locate and identify information in the graph Clicking in the graph a...

Page 49: ...rly Average Graph The Discrete Hourly Average Graph is similar to the Hourly Average Graph refer to Hourly Average Graph on page 5 8 Note The Discrete Hourly Average Graph does not use colors to represent the systolic diastolic and MAP measurements For each reading the upper end point represents the hourly average systolic value the lower end point represents the hourly average diastolic value and...

Page 50: ...vertical scroll bar to move through the rows This page may be viewed only you cannot edit any values Mean Averages are the averages of the hourly averages The time format in the ABP Hourly Data Tabular window is a user configurable setting For more information on the time formats available or to change the time format refer to Tabular Time Format on page 6 4 Click Next to continue to the next page...

Page 51: ...and standard deviation for systolic diastolic MAP pulse pressure and heart rate values and any comments This page also displays the time of each occurrence of minimum and maximum systolic and diastolic values You may insert edit and delete calipers on this page Inserting Calipers Note To insert calipers into graphical data refer to Inserting Calipers into Graphical Data on page 5 6 To insert calip...

Page 52: ...rs 1 Click the appropriate caliper summary from the list 2 Click Delete Edit Summary The Edit Summary page is a summary of all raw data readings that are out of range of the Auto Edit limits and is available only as a part of the hard copy printout For information on setting Auto Edit limits refer to Statistics Tab on page 6 6 The Edit Summary is very similar to the Raw Data Summary The Edit Summa...

Page 53: ...e are two types of information that you may wish to personalize Windows settings System settings Configuring Windows Settings Your workstation should arrive with the Windows settings preconfigured as appropriate for your region Use the Windows Control Panel to set the formats for Time Date Height units Weight units Refer to the 92506 Ambulatory Blood Pressure Management System data sheet P N 061 1...

Page 54: ...r access To access System Settings 1 Start the Client application 2 Click View Change System Settings on the Main Menu The System Settings dialog box opens Figure 6 1 Figure 6 1 System Settings dialog box There are four tabs in the System Settings dialog box Report Format Statistics Monitor System Note The Report Format tab is available only to certain users refer to User Permissions on page 1 6 O...

Page 55: ...e default setting for all reports no changes are necessary Click the Statistics tab or click OK to close the System Settings dialog box To view and edit the options on the Report Format tab select the Use Custom Report check box Figure 6 2 Report Format tab Use Custom Report selected To create custom report format settings 1 Select the pages you want to include in reports Use Clear All Select All ...

Page 56: ...g box when you are finished customizing the report format settings or select the Statistics tab to continue refer to Statistics Tab on page 6 6 Tabular Time Format There are three time formats that you can select for Tabular Time Format The time format you select affects how the data is displayed in the ABP Hourly Data Tabular summary for more information refer to ABP Hourly Data Tabular on page 5...

Page 57: ...nced dialog box The User Advanced dialog box contains check boxes for enabling custom labels to include on reports Custom labels are user configurable and may include information such as secondary patient ID number refer to Custom Label Settings on page 6 10 Select one or more check boxes to enable the option of entering custom labels in the report or clear the check boxes to disable the option ...

Page 58: ...d select an option from the list if there are existing statistical setting configurations The settings for your selection will display on the Statistics tab OR Click New Edit if this is the first time you have configured statistical settings The Statistical Settings dialog box opens Type a name for your configuration into the Item text box and click Add Click Close 2 Define the edit limits for dat...

Page 59: ...table value for a systolic reading The value entered must be 2 and must be greater than the Diastolic Min value Diastolic Max Highest acceptable value for a diastolic reading The value entered cannot exceed 200 and must be less than Systolic Max value Diastolic Min Lowest acceptable value for a diastolic reading The value entered must be 1 and must be less than the Systolic Min value MAP Max Highe...

Page 60: ...existing configuration follow the instructions below Figure 6 6 Monitor Initialization Options Creating a New Configuration To create a new monitor initialization configuration or to select an existing configuration 1 Click New Edit if this is the first time you have configured the Monitor Initialization settings The Monitor Initialization List dialog box opens 2 Type a name for your configuration...

Page 61: ...nd Sleep Configuration The physician may require that the blood pressure readings occur more often during certain times of the day and less often during other times Configure the Wake periods and Sleep periods as necessary to meet the physician s requirements Make any necessary changes to the Start Hour and Readings Hour options If you select the Tone check box an audible tone will precede each bl...

Page 62: ...m labels identification fields can be added by the system administrator to include specific information on the cover page of each report in addition to standard report information for example a secondary patient identification number or an important message that a physician wants to appear in each report In the electronic report the custom label consists of a label name and a text entry box On the...

Page 63: ...n refer to User Advanced Dialog Box on page 6 5 3 Click OK The next time the report is acquired in a ABP Report Management System the cover page of the electronic report will contain a text entry box for that custom identification field Figure 6 9 Example of custom label Editing a Custom Label If you change a custom label all future generated reports will contain the new custom label Existing repo...

Page 64: ...ssword dialog box To change your password 1 Type in your current password and press TAB 2 Type in a new password and press TAB 3 Type in the new password again 4 Type in a password reminder in the Optional Password Helper text box if desired 5 Click OK Adding Editing and Deleting User Profiles Click New User on the System tab to access the User List dialog box Figure 6 11 User List dialog box From...

Page 65: ...ressing TAB Figure 6 12 New User dialog box 2 Type in a User ID and press TAB 3 Type in the first name last name and second last name pressing the TAB key after each Note You can use the Second Last Name field which is optional to enter a middle name 4 Type in the phone number as well as an extension if desired 5 Create a new password and type it in the Password text box and the Confirm Password t...

Page 66: ...Adding User Profiles on page 6 13 4 Click OK when you finish editing Deleting User Profiles Note Only users with administrative profiles may delete the User Profiles When a person leaves a position and in other similar situations it is appropriate to delete a user profile from the Client application Note You can deny access to a user without removing the user from the user list by selecting the Ac...

Page 67: ...t Update Delete and All Examples of patient records activity audits are an audit of every instance a test was read or an audit of every activity related to the patient demographics for tests When auditing system activities you may select an option User Role Permissions ABP Test Others or All and what activity you wish to audit Read Insert Update Delete or All Examples of system activity audits are...

Page 68: ...patient s name The Test category limits the audit trail to items related to the actual tests or reports Adding a test changing a statistical setting and inserting a diary entry are examples The All category covers both Patient Demographics activity and Test activity 4 Select the action that you wish to audit from the Action Type list Read Insert Update Delete and All 5 Do one of the following from...

Page 69: ...ssion Column Heading Description Action Describes the action that was taken Patient Describes which patient record was affected Patient Audit only Test Indicates the date of the patient test Patient Audit only Who Indicates the user who made the change When Indicates when the user made the change Classification Indicates what was changed Group Involved Indicates which group was involved or affecte...

Page 70: ...n the list the scroll bar will only appear if the list does not fit in the dialog box 2 Use the scroll bar at the bottom of the Audit Trail dialog box to view all of the columns in the dialog box 3 Double click or click and drag the bars between the column titles to expand the columns as necessary 4 Click Print to print the report 5 Click Close ...

Page 71: ...tient data 1 Select the desired record in the Report Manager window 2 Select the desired print option from the Print menu Printing Reports Select Print Report from the Print menu to print the entire report as defined in the System Settings dialog box refer to Report Format Tab on page 6 3 Printing Specific Pages Select Print Specific Pages from the Print menu to print only those final report pages...

Page 72: ...the active window only Obtain a printout from the printer Obtain a picture that can be pasted into a document such as WordPad or a graphic program document Obtaining a Picture of the Entire Screen Display To obtain a picture of the entire display 1 Press PRINT SCREEN to open the Print dialog box Figure 7 1 2 Click OK to print the picture OR Click Cancel to paste the picture into a document refer t...

Page 73: ...w Obtaining a Picture to Paste To obtain a picture to paste 1 Press PRINT SCREEN or ALT PRINT SCREEN to open the Print dialog box 2 Click Cancel 3 Open the document into which you want to paste the picture 4 Paste the picture into the document Faxing Reports Note To use the Fax option you must have a modem and fax software installed 1 Print as you normally would refer to Printing the Report on pag...

Page 74: ...b site http www adobe com Note The full version of Adobe Acrobat must be purchased and installed on your computer in order to create a pdf file and send patient reports via e mail To e mail an ABP report 1 Create a PDF file from the report using Adobe Acrobat Distiller 2 Highlight the PDF file in the Report Manager window Note To select more than one file hold down the CTRL key 3 Select Send and t...

Page 75: ...he enclosure are cracked or missing Any connector shows signs of deterioration such as cracking All functions of the ABP Report Management System are designed to be user friendly and easy to understand If questions arise or you would like additional information contact your local representative Note Please consult the operating instructions that accompanied your monitor for event codes and additio...

Page 76: ...SQL Server 7 0 Service Manager 2 Ensure that the Start Continue option is selected If the option is not selected your SQL Server is not running 3 Click the Start Continue option to start the SQL server Problem Probable Cause Solution The on line manuals do not open when the F1 key is pressed The manuals are not installed on the PC 1 Navigate to the installed manuals folder 2 Check if pdf files exi...

Page 77: ...osing the correct COM port in the initialization upload wizard The monitor does not show any readings or time in its display The batteries in the ABP monitor may need to be replaced Replace the batteries in the monitor and check if the monitor displays correct readings If the problem persists contact Spacelabs Medical support Problem Probable Cause Remedy The Print feature is not working The print...

Page 78: ...em persists contact Spacelabs Medical support Cannot change the patient s details in the report The patient demographics may have been confirmed 1 Double click the report in the Report Manager to access the patient s information 2 Right click and select Unconfirmed Patient Demographics 3 Enter your login name and password You can now modify the patient s details Problem Probable Cause Solution The...

Page 79: ...u 2 Click Acquire Monitor Data and transfer the data from the ABP monitor into the Report Management System 3 Click Next 4 Click Search Patient and associate the test with the patient in the database What is the difference between a report status that is confirmed versus a report status that is non confirmed The status of the report is confirmed when a physician or any user validates and confirms ...

Page 80: ... are annotations and how do I set them The medications and the diary activities of a patient may be annotated to display on the raw data graph Select the Annotation check box while adding medication or while adding a diary activity How can I create another user profile 1 Click View Change System Settings on the Main Menu 2 Select the System tab 3 Click New User 4 Click Add on the User List dialog ...

Page 81: ...mation There are two types of audits a System Audit and a Patient Audit A System Audit reflects various system actions insertion deletion reading such as lists of users and available tests A Patient Audit reflects various patient actions insertion deletion reading for patient details 1 Click View Change System Settings on the Main Menu 2 Go to the System tab System Audit 1 Click the System Audit b...

Page 82: ...and select Programs Spacelabs ABPDiagnosis 3 Click Diagnose on the AbpDiagnosis dialog box The application performs the following checks in the order listed Gathers hardware related information about the system Confirms the operating system version Confirms the Internet Explorer version Checks configuration information Checks the application executable Checks the MSDE Microsoft Desktop Engine inst...

Page 83: ...orkstation as a text file Figure 8 2 Diagnosis complete 5 If you encounter non fixable errors e mail the log file to the support team by clicking the Mail Log button Refer to Figure 8 3 on page 8 10 Note An e mail program for example Microsoft Outlook must be installed on your computer for the Mail Log option to function Your personal information or patient data from your installation of the Clien...

Page 84: ...gnostics log file to Spacelabs Medical Note If the following dialog box appears when you click Send click Yes to proceed with sending the file to tech support This is a security feature built into some e mail client software applications Figure 8 4 Send e mail confirmation ...

Page 85: ...AL FUNCTIONS Key Mouse Connection RECORD Key START STOP Key NORMAL SCREEN Key START STOP MONITOR SETUP Key STOP or CANCEL Key ALARMS Key CONTINUE Key PREVIOUS MENU Key ENTER Key ON Power Connection to Mains OFF Power Disconnection from Mains ON Position for Push Button Power Switch OFF Position for Push Button Power Switch On Direction ON OFF Television Video Display Video Output ON Part of the In...

Page 86: ... Indicator Remote Control Indicator Local Control PRINT REPORT Key Indicator Out of Paper Partial ON OFF Recorder Paper Normal Screen Return to Prior Menu Clock Time Setting Key TREND TIMER Key HELP Explain Prior Screen Key Keypad Activate Recorder for Graphics Indoor Use Only START NIBP Key Auto Mode NIBP Output No Output Terminated Symbol Description Symbol Description 1 2 3 1 2 3 ...

Page 87: ... Serial Port 2 External marker push button connection SDLC Port Arterial Pulse Electrocardiograph or Defibrillator Synchronization Gas Exhaust Foot Switch Enlarge Zoom Delete PCMCIA Card Event Keep Dry Fragile Handle with Care Environmental Shipping Storage Altitude Limitations This Way Up Environmental Shipping Storage Temperature Limitations Environmental Shipping Storage Humidity Limitations Sy...

Page 88: ...te battery signs may be reversed All batteries should be disposed of properly to protect the environment Lithium batteries should be fully discharged before disposal Batteries such as lead acid Pb and nickel cadmium Ni Cd must be recycled Please follow your internal procedures and or local provincial laws regarding disposal or recycling This symbol indicates that the waste of electrical and electr...

Page 89: ...equire a grounded outlet IEC 60601 1 Type B equipment The unit displaying this symbol contains an adequate degree of protection against electric shock IEC 60601 1 Type BF equipment The unit displaying this symbol contains an F type isolated floating patient applied part providing an adequate degree of protection against electric shock IEC 60601 1 Type BF equipment which is defibrillator proof The ...

Page 90: ...ope Risk of Explosion if Used in the Presence of Flammable Anesthetics Attention Consult Operations or Service Manual for Description Note Note Caution Caution About Potential Danger to a Device Warning Warning About Potential Danger to Human Beings Fetal Monitor Connection Analog Noninvasive Blood Pressure NIBP Neonate Physiological Monitor Connection RS 232 Digital Fetal Monitor Connection RS 23...

Page 91: ... Spacelabs TruLink Compatible Nellcor OxiMax Compatible Nellcor OxiMax Compatible Masimo SET Compatible Symbol Description Symbol Description 1 32 Access Codes 1 Through 32 AIR Air ANT 1 ANT 2 Diversity Antenna System 1 Diversity Antenna System 2 Arr1 ArrNet2 Arrhythmia Net 1 Arrhythmia Net 2 CH ch EEG EMG or ECG Channel EEG Channels CH1 CH2 CH3 CH4 EMG Channel CH5 cmH2O Centimeters of Water C O C...

Page 92: ...ogram NIBP nibp Noninvasive Blood Pressure N2O Nitrous Oxide O2 Oxygen PRESS press PRS Pressure RESP resp Respiration SDLC Synchronous Data Link Control SPO2 SpO2 SpO2 SaO2 Arterial Oxygen Saturation as Measured by Pulse Oximetry SVO2 SvO2 SvO2 Mixed Venous Oxygen Saturation SYS sys Systolic T1 T2 T3 T4 Temperature 1 Temperature 2 Temperature 3 Temperature 4 TEMP temp Temperature UA Uterine Activi...

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