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CP 100 12-Lead Resting Electrocardiograph: Directions For Use

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CP 100™ 12-Lead Resting

Electrocardiograph

Directions for Use


ii Welch Allyn CP 100 Electrocardiograph

Copyright 2008, Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any
form, this manual or any part thereof without permission from Welch Allyn.

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.

Welch Allyn is a registered trademark of Welch Allyn, Inc., and CP 100 and CardioPerfect are trademarks of
Welch Allyn, Inc.

SD is a trademark of Toshiba.

Software in this product is copyright Welch Allyn or its vendors. All rights are reserved. The software is
protected by United States of America copyright laws and international treaty provisions applicable
worldwide. Under such laws, the licensee is entitled to use the copy of the software incorporated within
this instrument as intended in the operation of the product in which it is embedded. The software may not
be copied, decompiled, reverse-engineered, disassembled or otherwise reduced to human-perceivable
form. This is not a sale of the software or any copy of the software; all right, title and ownership of the
software remains with Welch Allyn or its vendors.

For information about any Welch Allyn product, please call Welch Allyn Technical Support:

USA 1 800 535 6663 Australia + 61 29 638 3000


+ 1 315 685 4560
Canada 1 800 561 8797 China + 86 216 327 9631
European Call Center + 353 46 906 7790 France + 331 6009 3366
Germany + 49 747 792 7186 Japan + 81 33 219 0071
Latin America + 1 305 669 9003 Netherlands + 31 15 750 5000
Singapore + 65 6419 8100 South Africa + 27 11 777 7555
United Kingdom + 44 207 365 6780 Sweden + 46 85 853 6551

Reorder Number (multi-language CD): 401150


Mat. Number (manual only): 708794, Ver: F

Welch Allyn Welch Allyn LTD.


4341 State Street Road, PO Box 220 Navan Business Park
Skaneateles Falls, NY 13153-0220 Dublin Road
Navan, County Meath, Republic of Ireland
Tel.: 353-46-90-67700
Fax: 353-46-90-67755

www.welchallyn.com

Printed in USA
iii

Contents
1 - Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
About This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Product Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Indications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Standard Features & Benefits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Controls, Indicators, and Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
About the Main Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Moving Through the Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
About the Patient Cable and Leads. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Using the Electrocardiograph Safely . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
General Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
General Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Getting Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

2 - Setting Up the Electrocardiograph . . . . . . . . . . . . . . . . . . . . . . . . . 19


Inspecting the Electrocardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Connecting the Patient Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Loading the Thermal Chart Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Powering the Electrocardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Verifying Proper Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Connecting an External USB Printer (Optional). . . . . . . . . . . . . . . . . . . . . . . . . . 24

3 - Reviewing the System Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25


“System Settings” Menu Tree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Reviewing the Device Configuration Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Reviewing the Device Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Transferring a Configuration to Another Electrocardiograph . . . . . . . . . . . . . . . . 30
iv Contents Welch Allyn CP 100 Electrocardiograph

4 - Reviewing the ECG Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31


“ECG Settings” Menu Tree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
About Auto ECG Reports . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Reviewing the Format Settings for Auto Reports. . . . . . . . . . . . . . . . . . . . . 35
Reviewing the Interpretation and Copy Settings for Auto Reports. . . . . . . . 36
Reviewing the Patient Data Fields Available. . . . . . . . . . . . . . . . . . . . . . . . . 37
Reviewing the Auto Report Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Reviewing the Miscellaneous ECG Settings. . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Turning the Augmented Pediatric Lead Set On and Off . . . . . . . . . . . . . . . . . . . 41

5 - Performing ECG Tests . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43


Connecting the Leads to the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Recording an Auto ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Recording a Normal Auto ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Recording a Stat Auto ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Recording a Rhythm ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Adjusting the ECG Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

6 - Maintaining the Electrocardiograph . . . . . . . . . . . . . . . . . . . . . . . . 57


Inspecting the Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Cleaning the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Testing the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Recharging a Fully Discharged Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Replacing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Replacing the Battery (DC) Fuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Replacing the AC Fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Storing the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Discarding the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

7 - Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Problem-Solving Suggestions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Service Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

A - Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

B - EMC Guidance and Manufacturer’s Declarations . . . . . . . . . . . . . 75

Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81
1

1 Introduction
About This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Product Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Indications for Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Standard Features & Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Controls, Indicators, and Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
About the Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Moving Through the Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
About the Patient Cable and Leads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Using the Electrocardiograph Safely . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Getting Help . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
2 Chapter 1 Introduction Welch Allyn CP 100 Electrocardiograph

About This Manual


This manual is written for clinical professionals with a working knowledge of medical
procedures and terminology as required for monitoring cardiac patients.

Before using the CP 100 electrocardiograph for clinical applications—or before setting up,
configuring, troubleshooting, or servicing the electrocardiograph—you must read and
understand this manual and all other information accompanying the electrocardiograph
and related options or accessories.

Product Overview
The Welch Allyn CP 100 electrocardiograph features a full alphanumeric keyboard, an LCD
display, full-size user-programmable reports, and the ability to operate on either battery or
AC power.

ECG tests sent to a memory card or removable USB storage device are compatible with
the Welch Allyn CardioPerfect™ workstation, which in turn can connect with other
electronic patient-information systems, such as billing and medical records.

For details, see the following sections:

• “Standard Features & Benefits” on page 3


• “Options” on page 5
• “Specifications” on page 73

Intended Use
The Welch Allyn electrocardiography and spirometry products (subject devices) are
intended for use by trained operators in health facilities. The subject devices provide the
following diagnostic functions:

• Acquiring and printing ECG waveforms using ECG front end modules (patient cables)
and associated accessories that provide signal acquisition for up to twelve (12) leads
of patient ECG waveforms through surface electrodes adhered to the body.

• Using optional algorithms to generate measurements, data presentations, graphical


presentations and interpretative statements on an advisory basis. These are
presented for review and interpretation by the clinician based upon knowledge of the
patient, the result of physical examination, the ECG tracings and other clinical
findings.
Directions for Use Chapter 1 Introduction 3

Indications for Use


The electrocardiograph is one of the tools that clinicians use to evaluate, diagnose, and
monitor patient cardiac function.

The 12-lead ECG interpretive algorithm provides a computer-generated analysis of


potential patient cardiac abnormalities which must be confirmed by a physician with other
relevant clinical information.

Standard Features & Benefits


Full alphanumeric keypad
Enter patient information quickly and easily.

LCD display
Enter data and program the system easily.

Unlimited storage on removable media


Use SD™ memory cards or removable USB storage devices to save as many ECG records
as you like. (Media are not included.) If both an SD memory card and a USB storage
device are connected, files are sent to the SD card. For media specifications, see
“Standard connectivity” on page 74.

Battery operation
Use the electrocardiograph almost anywhere. On battery power, you can print up to 100
ECGs continuously before needing to recharge.

User-definable ECG report format


Customize the report format for efficient reporting.

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).

Compatibility with external printer


You can connect an external printer. For details, see “Connecting an External USB Printer
(Optional)” on page 24.
4 Chapter 1 Introduction Welch Allyn CP 100 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. If you say yes, interpretation is not included in the report, and a message
indicating that a pacemaker was detected is displayed on the report.

Support for augmented pediatric lead set


The augmented pediatric lead set, an alternate placement of the precordial leads on
pediatric patients, is easier to use on the small chests of infants and young children.
It provides optimal vectors for early development of the heart for the change of right-to-
left ventricular dominance. For electrode placement locations, see Figure 28 on page 46.
Directions for Use Chapter 1 Introduction 5

Options
These options are available both for initial purchases and for upgrades.

• Automatic ECG interpretation

The optional MEANS interpretation algorithm, developed by the University of


Rotterdam in the Netherlands, provides automatic analysis of ECG tests. For more
information, see the MEANS Physicians' Manual or the PEDMEANS Physicians’
Manual on the CD that came with your electrocardiograph. The MEANS algorithm is
used for adult patients 18 years and older. The PEDMEANS algorithm is used for
pediatric patients from 1 day through 17 years old.

• Carts

Two specially designed carts are available for convenient transport and use of the
electrocardiograph, as shown here with the optional cable arm and shelf.

Figure 1. Office Cart Figure 2. Hospital Cart

Cable arm and Cable arm and


shelf (optional) shelf (optional)

Free-motion Durable, high-


plastic wheels quality, rubber
wheels with locks
6 Chapter 1 Introduction Welch Allyn CP 100 Electrocardiograph

Accessories
To order accessories, call Welch Allyn. For phone numbers, see page ii.

Item Customer Order Number Quantity

Resting tab electrodes 45008-0000 1000


Resting tab electrode adaptors 58581-0000 10
Thermal chart paper (1 case = 5 pads, 200 sheets each) 94018-0000 1 case
Welch cup RE-ELEC-CUP 1
Limb lead clamps, IEC RE-ELEC-CLP 4
Limb lead clamps, AHA 401432 4

Patient cable (Figure 11 on page 12)


• AHA 400293 1
• IEC 400294 1
• IEC, vacuum adapter 100920 1
• Vacuum system VAC-DT100-CP

Lead wires (10 wires per set)


• AHA banana 401129 1 set
• IEC banana 401122 1 set
• AHA pinch 401123 1 set
• IEC pinch 401124 1 set

Battery (Figure 39 on page 61) 100660 1


Dust cover 701586 1

Carts
• Utility cart 08265-0000 1
• Office cart (Figure 1 on page 5) 401393 1
• Hospital cart (Figure 2 on page 5) 401394 1
• Cable arm & shelf option (page 5) 401161 1

Interpretation upgrade option 100623 1

Product information

• Electrode placement wall poster 71300-0000 1

• CP 100 12-Lead Resting Electrocardiograph Directions 708794 1


for Use

• CP 100 product information multi-language CD 401150 1


Directions for Use Chapter 1 Introduction 7

Controls, Indicators, and Connectors


This section describes the controls, indicators, and connectors that are part of the
electrocardiograph.

Figure 3. Top

1! 2@ 3# 4$ 5% 6+ 7- 8* 9( 0)

Keyboard
See Figure 1 on page 9.

Figure 4. Back

AC power inlet

Equipotential stud

AC fuses
8 Chapter 1 Introduction Welch Allyn CP 100 Electrocardiograph

Figure 5. Right Side

Com port B (USB) SD memory card Not Reset


slot functional button

Figure 6. Front

Com port A
(for patient cable)

Figure 7. Left Side

Paper tray latch


Directions for Use Chapter 1 Introduction 9

Table 1. Keyboard

A B C D

N
1! 2@ 3# 4$ 5% 6+ 7- 8* 9( 0) E
M

J I H G F

Key Function

A. On/Off See “Powering the Electrocardiograph” on page 22.

B. Backspace Deletes the character to the left of the cursor.

C. Menu See “About the Main Menu” on page 10.

D. Auto ECG Begins Auto ECGs, normal and stat. See “Recording an Auto ECG” on page 48.

E. Rhythm ECG Begins a Rhythm ECG. See “Recording a Rhythm ECG” on page 54.

F. Navigation arrows See “Moving Through the Menus” on page 11.

G. Enter See “Moving Through the Menus” on page 11.

H. Stop/Cancel Stops any current activity. See “Moving Through the Menus” on page 11.

I. Space Enters a space.

J. Control (Applicable only for keyboards with characters above certain keys.) To enter a character
above a key, hold the Ctrl key while pressing that key. To capitalize the character, hold
Shift + Ctrl while pressing the key.

K. Shift Capitalizes letters. Also enters symbols (%, #, etc.). To enter a symbol, hold the
Shift key while pressing a number key.

L. Help See “Getting Help” on page 18.

M. Tab Moves through the data-entry fields.

N. Green LED Lights up when the electrocardiograph is connected to AC power.


10 Chapter 1 Introduction Welch Allyn CP 100 Electrocardiograph

About the Main Menu


The main menu appears when you press the Menu key .

Figure 8. Main Menu

9:17AM Oct 16 08
Main Menu

1 ECG Settings
2 System Settings
0 Exit

Submenu Purpose Procedure

ECG Settings Review or change ECG settings: Auto See “Reviewing the ECG Settings” on
Report format, Rhythm Report format, and page 31.
so on.

System Settings Review or change system settings: device See “Reviewing the System Settings” on
configuration, device info, user setup, and page 25.
so on.
Directions for Use Chapter 1 Introduction 11

Moving Through the Menus


Figure 9. Standard Menu Figure 10. Parent Menu With Submenu
9:17AM Oct 16 08 9:17AM Oct 16 08
Edit Auto Report Format

1 Format 1 Lead Arrangement 3x4 +1R


2 Interp Settings 2 Rhythm Lead 1 3x4 +3R
3 Patient Data 3 Rhythm Lead 2 6x2
0 Previous Menu 4 Rhythm Lead 3 12x1
5 Extended Measurements 6x2 50 mm/s
6 Average Cycles 6x2 10 Ext.
0 Previous Menu 2x6+1R

Desired Actions Keys to Press

To move up or down a list or

To open a standard menu (Figure 9) or or item’s number or letter

To move from parent menu to submenu on same


screen (Figure 10)

To perform an action
To accept data
To check or uncheck a checkbox

To return to parent menu from submenu on same (To select the highlighted submenu
screen (Figure 10) item.)

or (To make no change.)

To move back through the menus or zero key

To move through data-entry fields or

To return to the Ready screen from a standard menu


(Figure 9)
12 Chapter 1 Introduction Welch Allyn CP 100 Electrocardiograph

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.

Figure 11. Patient Cable and Leads

Chest leads
Left arm lead

Cable
rake Left leg lead

Electrocardiograph
connector

Right arm lead


Right leg lead
Directions for Use Chapter 1 Introduction 13

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.

Caution In this manual, indicates conditions or practices that could damage the
equipment or other property.

Caution On the product, means “Consult accompanying documentation.”

Shipping, Storing, and Environment Symbols

This end up Keep dry

Fragile Relative humidity limit

+49°C
Temperature limits Altitude limits

-20°C

Certification Symbols

Meets essential requirements of European Complies with applicable U.S. and Canadian
Medical Device Directive 93/42/EEC medical safety standards

European Regulatory Manager Australian registered importer


N344
14 Chapter 1 Introduction Welch Allyn CP 100 Electrocardiograph

Operation Symbols
For details on the keys, see Figure 1 on page 9.

On/standby (off) Help

Navigation arrows Backspace

Enter Shift

Auto ECG Menu

Rhythm ECG Stop/Cancel

SD memory card slot Com port A


(for patient cable)

Alternating current Battery charge level

Battery is charging. Battery is charged.

Dangerous voltage Direct current

AC fuse replacement information Ground equipotential


T2.0A/250V

Do not reuse. Sealed lead-acid battery

Do not dispose of this product as unsorted Recycle.


municipal waste. Prepare this product for
reuse or separate collection as specified by
Directive 2002/96/EC of the European Defibrillation-proof Type CF applied parts.
Parliament and the Council of the European (While the electrocardiograph is safety-rated
Union on Waste Electronic and Electrical “CF” for direct cardiac contact, it is not
Equipment (WEEE). If this product is intended to be connected directly to the
contaminated, this directive does not apply. patient’s heart. Only surface contact with the
For more specific disposal information, see patient’s skin is intended.)
www.welchallyn.com/weee, or contact
Welch Allyn Customer Service at +44 207
365 6780.

Com port B (USB)


Directions for Use Chapter 1 Introduction 15

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.

Warning statements indicate conditions or practices that could lead to illness, injury, or
death.

Warnings Related to the Environment

WARNING To ensure patient and device safety, leave 5 feet (1.5 meters) of
open area around the patient.

WARNING To avoid a possible explosion, do not use the electrocardiograph in


the presence of flammable anesthetics: mixtures containing air, oxygen, or
nitrous oxide.

WARNING When transporting the electrocardiograph on a cart, tuck the patient


cable away from the wheels so that it does not present a hazard.

Warnings Related to Accessories and Other Equipment

WARNING For operator and patient safety, peripheral equipment and


accessories that can come in direct patient contact must be in compliance with
all appropriate safety, EMC, and regulatory requirements. See “EMC Guidance
and Manufacturer’s Declarations” on page 75.

WARNING All signal input and output (I/O) connectors are intended for
connection of only devices complying with IEC 60601-1, or other IEC standards
(for example, IEC 60950), as appropriate to the device. Connecting additional
devices to the electrocardiograph might increase chassis or patient leakage
currents. To maintain operator and patient safety, consider the requirements of
IEC 60601-1-1. Measure the leakage currents to confirm that no electric shock
hazard exists. In the case of a USB printer, the printer (non-medical electrical
equipment) shall be situated outside the patient environment (reference IEC
60601-1-1). The printer used should be approved to the appropriate safety
standard for non-medical electrical equipment (IEC 60950, or its national
variants), and use of an isolation transformer is recommended. If there is a
requirement for the printer to be situated within the patient environment it is the
responsibility of the user to ensure that the system provides a level of safety in
compliance with IEC 60601-1 and 60601-1-1.

WARNING The electrocardiograph has not been designed for use with high-
frequency (HF) surgical equipment and does not protect against hazards to the
patient.
16 Chapter 1 Introduction Welch Allyn CP 100 Electrocardiograph

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.

WARNING To avoid serious injury or death, take these precautions during


patient defibrillation:

• Avoid contact with the electrocardiograph, patient cable, and patient.


• Verify that the patient leads are properly connected. See “Connecting the
Patient Cable” on page 20.
• Place defibrillator paddles properly in relation to electrodes.
• After defibrillation, pull each patient lead out of the patient cable and inspect
the tips for charring (black carbon marks). If there is any charring, the patient
cable and individual leads must be replaced. If there is no charring, fully
reinsert the leads into the patient cable. (Charring can occur only if a lead is
not fully inserted into the patient cable before defibrillation.)

WARNING To prevent the spread of infection, take these precautions:

• Dispose of single-use components (for example, electrodes) after using


them once.
• Regularly clean and disinfect all components that come in contact with
patients. See “Cleaning the Equipment” on page 58.
• Avoid ECG testing for patients with open, infectious sores.

WARNING Avoid positioning any leads or cables so that they could easily trip
someone or become wrapped around a patient’s neck.

WARNING Satisfactory maintenance procedures must be implemented, or


equipment failure and health hazards may result.

WARNING Only qualified service personnel should attempt to repair the


electrocardiograph. In case of a malfunction, call Technical Support and precisely
describe the problem. For phone numbers, see page ii.
Directions for Use Chapter 1 Introduction 17

General Cautions
The following caution statements apply to electrocardiograph use in general. Caution
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.

Caution statements indicate conditions or practices that could damage the equipment or
other property.

Caution When removing the electrocardiograph from storage, allow it to


thermally stabilize to surrounding environmental conditions before using it.

Caution To prevent possible damage to the keypad, do not use sharp or hard
objects to press keys. Only use fingertips.

Caution Do not expose the patient cable to strong ultra-violet radiation.

Caution Do not pull or stretch the patient cable. Doing so could result in
mechanical or electrical failures. Form the patient cable into a loose loop before
storing.

Caution Avoid positioning the patient cable where it might get pinched or
stepped on. If the cable’s impedance is altered, measurements might no longer
be accurate, and repair might be necessary.

Caution Using the equipotential terminal for anything but grounding purposes
may contribute to damage of the device.

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.

Caution The electrocardiograph meets the Class A requirements of IEC 60601-


1-2:2000 regarding incidental emission of radio frequency interference. As such it
is suitable for use in commercial grade electrical environments. If the
electrocardiograph is used in residential grade electrical environments and you
experience incidental interference with other equipment that uses radio
frequency signals to operate, minimize the interference as described under
“EMC Guidance and Manufacturer’s Declarations” on page 75.

Caution Other medical equipment—including but not limited to defibrillators,


ultrasound machines, pacemakers, and other stimulators—may be used
simultaneously with the electrocardiograph. However, such devices may disturb
the electrocardiograph signal.

Caution The power cord must be disconnected from AC power before cleaning,
maintaining, or servicing.
18 Chapter 1 Introduction Welch Allyn CP 100 Electrocardiograph

Getting Help
You can get help with the electrocardiograph in a variety of ways beyond this manual.

• Press the Help key from the Ready 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 ii.


19

2 Setting Up the Electrocardiograph


Inspecting the Electrocardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Connecting the Patient Cable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Loading the Thermal Chart Paper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Powering the Electrocardiograph. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Verifying Proper Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Connecting an External USB Printer (Optional) . . . . . . . . . . . . . . . . . . . . . . . 24
20 Chapter 2 Setting Up the Electrocardiograph Welch Allyn CP 100 Electrocardiograph

Inspecting the Electrocardiograph


1. Look for obvious signs of shipping damage. If you find any damage, contact Technical
Support. For phone numbers, see page ii.

2. Verify that you have received all appropriate options and accessories. See “Options”
on page 5 and “Accessories” on page 6.

Connecting the Patient Cable


WARNING Conductive parts of the patient cable, electrodes and associated
connections of defibrillation-proof Type CF applied parts, including the neutral
conductor of the patient cable and electrode, should not come into contact with
other conductive parts, including earth ground.

WARNING To avoid injury to the patient or damage to the device, never plug
patient leads into any other device or wall outlet.

1. Insert all leads into their proper positions, as labeled on the connectors.

Insert connectors fully so that no part of the metal ring remains exposed.
For example, see Figure 12. (To see the whole patient cable with all leads inserted,
see Figure 11 on page 12.)

WARNING Failure to insert all connectors fully may result in a loss of energy
being delivered to the patient during defibrillation and damage to the patient
cable itself. For other warnings related to defibrillation, see page 16.

2. Plug the patient cable into the port on the front of the electrocardiograph.
See Figure 13.

Figure 12. Inserting the Leads Figure 13. Plugging in the Connector

Metal ring
Directions for Use Chapter 2 Setting Up the Electrocardiograph 21

Loading the Thermal Chart Paper


1. Squeeze the latch. Pull the paper door to the left. See Figure 14.

If any paper remains in the tray, remove it.

2. Remove the outer packaging, including the cardboard bottom, from a new pack of
paper. Pull the top sheet back so that the paper’s grid side faces up and the Welch
Allyn name is on the bottom of the paper.

3. Slide the paper into the tray. See Figure 15.

If humidity is high, remove up to 10 sheets so that the paper fits properly.

4. Lay the top sheet over the paper door. Push the door to the right until it clicks.
See Figure 16.

Figure 14. Opening the Paper Door Figure 15. Loading the Paper

Paper tray

Latch

Figure 16. Closing the Paper Door


Tear bar Tips for handling thermal paper:

• Store in a cool, dry, dark place.

• Avoid exposure to bright light or UV sources.

• Avoid exposure to solvents, adhesives, or cleaning


fluids.

• Do not store with vinyls, plastics, or shrink wraps.


22 Chapter 2 Setting Up the Electrocardiograph Welch Allyn CP 100 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.

WARNING Where the integrity of external protective earth conductor


arrangement is in doubt, use battery power.

Caution Medical electrical equipment needs special precautions regarding EMC


and must be installed and used according to the information provided in “EMC
Guidance and Manufacturer’s Declarations” on page 75.

To Connect to AC Power

Plug one end of the power cord into the electrocardiograph’s AC power inlet. Plug the
other end into an AC outlet. The green LED on the keyboard lights up, indicating that
power is connected. See Figure 17.

To Keep the Battery Charged

Leave the electrocardiograph connected to AC power whenever possible. Battery charge


status is indicated on the screen by an icon: . Whenever the battery is charging and is
not yet fully charged, this icon appears: . For maximum battery performance, as often
as possible leave the electrocardiograph plugged in until you see the “fully charged”
icon: .

When the charge gets low, the icon flashes. When the charge gets too low to operate, a
warning message appears and the electrocardiograph beeps every 15 seconds for 1
minute, then it turns off.

For more, see “Recharging a Fully Discharged Battery” on page 60.

Figure 17. AC Power Inlet and Green LED

AC power inlet

On/Off key 1! 2@ 3# 4$ 5% 6+ 7- 8* 9( 0)

Green LED
Directions for Use Chapter 2 Setting Up the Electrocardiograph 23

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” on page 27.

Verifying Proper Operation


Once your electrocardiograph is set up, verify proper operation by using an ECG simulator
to acquire and print a standard 12-lead ECG of known amplitude. See Step 2 on page 59.

Note As part of your initial set-up, you may want to adjust the display contrast. To learn
how, see “Reviewing the Device Configuration Settings” on page 27.

You may also want to change other software settings, as described in the
following chapters:

• “Reviewing the System Settings” on page 25


• “Reviewing the ECG Settings” on page 31
24 Chapter 2 Setting Up the Electrocardiograph Welch Allyn CP 100 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:

Vendor Model PCL Version

HP Deskjet 995c PCL 3

HP Deskjet 5650 PCL 3 enhanced

HP Laser 1022 PCL 5E

Dell Laser 1710 PCL 5E & PCL 6

Lexmark Laser E240 PCL 6

No special software is required.

The external printer prints the following (always in black and white):

• Auto ECG reports


• Device settings
• Help pages

Rhythm ECGs always print to the internal printer.

See the warning regarding signal I/O connectors on page 15.

To Connect a Printer

Connect one end of a USB cable to the printer’s USB connector, and connect the other
end to the electrocardiograph’s USB connector: . For connector location, see Figure 5
on page 8.

To learn how to enable the external printer in the settings, see “Reviewing the Device
Configuration Settings” on page 27.
25

3 Reviewing the System Settings


“System Settings” Menu Tree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Reviewing the Device Configuration Settings . . . . . . . . . . . . . . . . . . . . . . . . . 27
Reviewing the Device Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Transferring a Configuration to Another Electrocardiograph . . . . . . . . . . . . 30

This chapter documents the system settings. For information on the following related
tasks, see the procedures identified here:

• Reviewing ECG settings


See “Reviewing the ECG Settings” on page 31.

• Printing all settings


See “Reviewing the Device Information” on page 29.
26 Chapter 3 Reviewing the System Settings Welch Allyn CP 100 Electrocardiograph

“System Settings” Menu Tree


System Settings

Device Device
Configuration Info

Set Date/Time About


Language Print Settings
Date Format Manage Settings
Time Format Enable Options
Weight Unit Upgrade Software
Height Unit Service Info
Power-Save
Practice ID
Device ID
Audio Beeper
Increase Contrast
Decrease Contrast
Contact Information
Printer Select
CAPS Lock
Directions for Use Chapter 3 Reviewing the System Settings 27

Reviewing the Device Configuration Settings


1. Press the Menu key .

2. Choose System Settings > Device Configuration.

The following screen appears.

Figure 18. “Device Configuration” Screen


9:17AM Oct 16 08
Device Configuration
1 Set Date/Time
2 Language
3 Date Format
4 Time Format
5 Weight Unit
6 Height Unit
7 Power-Save
8 Practice ID

3. Change any desired settings.

Setting Description

Set Date/Time Current date and time.

Language List of languages available. Changes take effect when the next screen appears.

Date Format MM/DD/YY (month/day/year)


DD/MM/YY (day/month/year)

Time Format 24-hour or AM/PM.

Weight Unit Kilograms (kg) or pounds (lb).

Height Unit Centimeters (cm), inches (in), or feet and inches (ft, in).

Power-Save On or off. When on, the electrocardiograph turns itself off after several idle minutes.

Practice ID Name of the practice, clinic, or hospital. This ID prints on all ECG reports.

Device ID Electrocardiograph identification. Enter up to 20 characters. This ID prints on all ECG


reports.

Audio Beeper On or off. When on, beeps to indicate errors, such as incorrect input, improper external
connections, or a printer error. Beeps may also indicate a low battery.

Increase Contrast Each time you select this choice, the display contrast immediately increases until you
reach maximum contrast.

Decrease Contrast Each time you select this choice, the display contrast immediately decreases until you
reach minimum contrast.

Contact Information Your office. Enter up to 40 characters. This information will appear on the accessories
Help page.
28 Chapter 3 Reviewing the System Settings Welch Allyn CP 100 Electrocardiograph

Setting (Continued) Description (Continued)

Printer Select Internal or External. When “External” is selected — and when an external printer is
connected and turned on — reports will print to that printer. For details, see “Connecting
an External USB Printer (Optional)” on page 24.

CAPS Lock On or off. Works just like a standard CAPS Lock key.
Directions for Use Chapter 3 Reviewing the System Settings 29

Reviewing the Device Information


1. Press the Menu key .

2. Choose System Settings > Device Info.

The following screen appears.

Figure 19. “Device Info” Screen


9:17AM Oct 16 08
Device Info
1 About
2 Print Settings
3 Manage Settings
4 Enable Options
5 Upgrade Software
6 Service Info
0 Previous Menu

3. Select the desired item:

Item Description

About Displays the following information about the electrocardiograph:

• serial number
• modules configured
• version numbers

Print Settings Prints your ECG and system settings.

Manage Settings See “Transferring a Configuration to Another Electrocardiograph” on page 30.

Enable Options Contact Technical Support. For phone numbers, see page ii.

Upgrade Software Contact Technical Support. For phone numbers, see page ii.

Service Info Accessible to service support only.


30 Chapter 3 Reviewing the System Settings Welch Allyn CP 100 Electrocardiograph

Transferring a Configuration to Another


Electrocardiograph
You can transfer your configuration from one CP 100 electrocardiograph to another.

To Transfer a Configuration

1. Insert a storage device (SD memory card or removable USB device) into an
electrocardiograph that is configured as desired.

2. Press the Menu key .

3. Choose System Settings > Device Info > Manage Settings > Export Files >
Export Configuration Files.

The files are copied to the storage device.

4. Remove the storage device, and insert it into another CP 100 electrocardiograph.

5. Choose System Settings > Device Info > Manage Settings > Import Files >
Import Configuration Files.

The files are copied to the electrocardiograph, and then it reboots.

Figure 20. Configuration File Transfer

Configuration file

or
31

4 Reviewing the ECG Settings


“ECG Settings” Menu Tree . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
About Auto ECG Reports. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Reviewing the Auto Report Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Reviewing the Miscellaneous ECG Settings . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Turning the Augmented Pediatric Lead Set On and Off . . . . . . . . . . . . . . . . . 41

This chapter documents the ECG settings. For information on the following related tasks,
see the procedures identified here:

• Reviewing system settings


See “Reviewing the System Settings” on page 25.

• Printing all settings


See “Reviewing the Device Information” on page 29.
32 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 100 Electrocardiograph

“ECG Settings” Menu Tree


ECG Settings

Edit Auto Report Miscellaneous


Auto Report Settings

Baseline Centering Augmented Lead Configuration


Lead Timing Lead Set Electrode Labels
Format Artifact Report Default Gain Setting
QTc Method Default Baseline Filter
Lead Arrangement Default Muscle Filter
Rhythm Lead 1 Mains Filter
Rhythm Lead 2
Rhythm Lead 3
Extended Measurements
Average Cycles

Interp Settings

Print Interpretation?
Copies
Copies With Interp
Reason Statements
Unconfirmed Report
Abnormal ECG

Patient Data

First Name
Middle Initial
Age/Birthdate
Weight
Height
Gender
Race
Medication
History
BP
Comments
Directions for Use Chapter 4 Reviewing the ECG Settings 33

About Auto ECG Reports


An Auto ECG is a report of ECG data in a user-defined format. For an example, see
Figure 21. To learn how to set up or interpret a report, see the references on page 34.

Figure 21. Auto Report Example — 3x4 +3R Lead Arrangement

A. Patient data B. ECG measurements C. Interpretation (optional)

D. Report status label

E. 3 rows, 4 columns

F. Rhythm leads

G. Software version

H. Device ID
O. Calibration M Gain K. AC filter
pulse
I. Practice ID
N. Paper speed L. Frequency range J. Date and time
34 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 100 Electrocardiograph

Item (in Figure 21 on page 33) Description

A. Patient data See “Reviewing the Patient Data Fields Available” on page 37.

B. ECG measurements Standard.

C. Interpretation (optional) See “Reviewing the Interpretation and Copy Settings for Auto Reports” on
page 36.

D. Report status label See “Reviewing the Interpretation and Copy Settings for Auto Reports” on
page 36.

E. 3 rows, 4 columns See “Reviewing the Format Settings for Auto Reports” on page 35.

F. Rhythm leads See “Reviewing the Format Settings for Auto Reports” on page 35.

G. Software version See also “Reviewing the Device Information” on page 29.

H. Device ID See “Device ID” on page 27.

I. Practice ID See “Practice ID” on page 27.

J. Date and time See “Set Date/Time” on page 27.

K. AC filter See “Mains Filter” on page 40.

L. Frequency range Lower limit: baseline filter on = 0.5, off = 0.3


Upper limit: muscle filter on = 35, off = 150
See “Adjust Baseline Filter” on page 55 and “Adjust Muscle Filter” on page 55.

M Gain See “Adjust Gain” on page 55.

N. Paper speed See “Adjust Speed” on page 55.

O. Calibration pulse Amplitude reference — represents the current height of a one-millivolt signal.
Is adjusted for the selected gain:

5 mm/mV = 0.5 x
10 mm/mV = 1 x
20 mm/mV = 2 x
Directions for Use Chapter 4 Reviewing the ECG Settings 35

Reviewing the Format Settings for Auto Reports


1. Press the Menu key .

2. Choose ECG Settings > Edit Auto Report > Format.

The following screen appears.

Figure 22. Auto Report “Format” Screen


9:17AM Oct 16 08
Format

1 Lead Arrangement
2 Rhythm Lead 1
3 Rhythm Lead 2
4 Rhythm Lead 3
5 Extended Measurements
6 Average Cycles
0 Previous Menu

3. Change any desired settings.

For a report example, see Figure 21 on page 33.

Setting Description

Lead Arrangement Arrangement of the leads on the report.

• 3x4 3 rows x 4 columns


• 3x4 +1R 3 rows x 4 columns + 1 rhythm lead
• 3x4 +3R 3 rows x 4 columns + 3 rhythm leads
• 6x2 6 rows x 2 columns
• 12x1 12 rows x 1 column
• 6x2 50 mm/s 6 rows x 2 columns, 50 mm/s
• 6x2 Ext. 6 rows x 2 columns, extended printouts
(two pages, 20 seconds of ECG data)
• 2x6 +1R 2 rows x 6 columns + 1 rhythm lead
• 6x2 +1R 6 rows x 2 columns + 1 rhythm lead
• No Print No report prints

Rhythm Lead 1 Rhythm lead to print at the bottom of all “+R” reports.

Rhythm Lead 2 Second rhythm lead to print at the bottom of 3x4 +3R reports.

Rhythm Lead 3 Third rhythm lead to print at the bottom of 3x4 +3R reports.

Extended On or off. When on, an additional page prints with the report. Extended measurements
Measurements include the values for several common parameters, such as Q, R, and S amplitude and
ST values. The amplitudes are expressed in microvolts. The durations are expressed in
milliseconds. The measurements cannot be edited.

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


• 6x2 50 mm/s + 6R 6 rows x 2 columns + 6 rhythm leads, 50 mm/s
• No Print Average cycles page does not print.
36 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 100 Electrocardiograph

Reviewing the Interpretation and Copy Settings for Auto Reports


1. Press the Menu key .

2. Choose ECG Settings > Edit Auto Report > Interp Settings.

The following screen appears.

Figure 23. “Interpretation Settings” Screen


9:17AM Oct 16 08
Interp Settings

1 Print Interpretation?
2 Copies
3 Copies With Interp
4 Reason Statements
5 Unconfirmed Report
6 Abnormal ECG
0 Previous Menu

3. Change any desired settings.

For a report example, see Figure 21 on page 33.

Setting Description

Print Interpretation? On or off. Determines whether interpretation is printed and saved with reports.

Copies Number of copies to print automatically in addition to the original report:


0, 1, 2, 3, 4, or 5.

Copies With Interp On or off. Determines whether interpretation is printed on the automatic copies.

Reason Statements On or off. Determines whether reasons (criteria) are printed with the interpretation
statements.

Unconfirmed Report On or off. Determines whether the label “Unconfirmed Report” is printed on reports.

Abnormal ECG On or off. Determines whether the label “Abnormal ECG” is printed on reports.
Available only for systems using automatic interpretation.
Directions for Use Chapter 4 Reviewing the ECG Settings 37

Reviewing the Patient Data Fields Available


You can determine which fields appear during patient data entry.

To Choose the Fields

1. Press the Menu key .

2. Choose ECG Settings > Edit Auto Report > Patient Data.

The following screen appears.

Figure 24. “Patient Data” Screen


9:17AM Oct 16 08
Patient Data
1 First Name
The Patient ID and Last Name fields always
2 Middle Initial appear on the Enter New Patient screen, as
3 Age/Birthdate shown in Figure 32 on page 49. Since these two
4 Weight fields cannot be disabled, they do not appear
5 Height
6 Gender
on this user-selectable list.
7 Race
8 Medication

3. Change any desired settings.

Disabled items (set to off or no) neither display nor print.

Field Description

First Name Yes or no. If yes, this field is enabled.

Middle Initial Yes or no. If yes, this field is enabled.

Age/Birthdate Birthdate, age, or off. Determines whether and how this data is labeled and entered. If
you’ll be testing patients from 1 day through 17 years old, select Birthdate for most
accurate results. If “age” is selected, age will be entered in years and months.

Weight Yes or no. If yes, this field is enabled for entering patients’ weight. For instructions on
changing the weight units (kg or lb), see “Reviewing the Device Configuration Settings”
on page 27.

Height Yes or no. If yes, this field is enabled for entering patients’ height. For instructions on
changing the height units (cm, in., or ft and in.), see “Reviewing the Device Configuration
Settings” on page 27.

Gender Yes or no. If yes, this field is enabled. Data-entry choices: Male, Female, or Unknown.

Race Yes or no. If yes, this field is enabled. Data-entry choices: Blank, Caucasian, Black,
Hispanic, Asian, Unknown.

Medication Yes or no. If yes, this field is enabled. During data entry, choose one item from the list of
patient medications.

History Yes or no. If yes, this field is enabled. During data entry, choose one item from the list of
patient clinical conditions.
38 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 100 Electrocardiograph

Field (Continued) Description (Continued)

BP Yes or no. If yes, this field is enabled for entering blood pressure in standard ### / ###
format.

Comments Yes or no. If yes, this field is enabled for entering comments.
Directions for Use Chapter 4 Reviewing the ECG Settings 39

Reviewing the Auto Report Settings


1. Press the Menu key .

2. Choose ECG Settings > Auto Report Settings.

The following screen appears.

Figure 25. “Auto Report Settings” Screen for ECG Settings

9:17AM Oct 16 08
Auto Report Settings

1 Baseline Centering
2 Lead Timing
3 Artifact Report
4 QTc Method
0 Previous Menu

3. Change any desired settings.

Setting Description

Baseline Centering On or off. When on, aligns the isolectric line of all leads.

Lead Timing Simultaneous or sequential. “Simultaneous” prints ECG data that was captured
simultaneously for all lead groups. “Sequential” prints ECG data that was captured at
sequential intervals for each lead group in turn.

Artifact Report On or off. When on, the electrocardiograph automatically prints an artifact report with
the Auto ECG report whenever artifact is detected and you override the “Waiting for
10 seconds of quality data” message. This report, a 12x1 format with all filters
disabled, shows the leads with artifact so that you can remedy the problem. (The
normal Auto ECG report, with filters enabled, might mask some of the artifact issues.)

QTc Method Bazett or Hodges. Computation method of correcting the waveform’s QT interval
based on the heart rate. The corrected number, expressed in milliseconds, is called
the QTc interval. This setting affects only the QTc interval displayed in the ECG
measurements portion of the ECG report.
40 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 100 Electrocardiograph

Reviewing the Miscellaneous ECG Settings


1. Press the Menu key .

2. Choose ECG Settings > Miscellaneous.

The following screen appears.

Figure 26. “Miscellaneous” Screen for ECG Settings

9:17AM Oct 16 08
Miscellaneous These three default settings—gain, baseline
1 Lead Configuration
filter, and muscle filter—determine the
2 Electrode Labels values used every time you begin a new test,
3 Default Gain Setting even if these values have been temporarily
4 Default Baseline Filter changed during ECG testing.
5 Default Muscle Filter
6 Mains Filter
0 Previous Menu

3. Change any desired settings.

Setting Description

Lead Configuration Standard (I II III, aVR aVL aVF, V1 V2 V3, V4 V5 V6) or


Cabrera (aVL I –aVR, II aVF III, V1 V2 V3, V4 V5 V6).

Electrode Labels AHA or IEC.

Default Gain Setting 5 mm/mV, 10 mm/mV, 20 mm/mV, or Auto. (AUTO is available for Auto ECGs only, not
rhythm ECGs. AUTO is usually the best setting, but some waveforms may be easier to
read on other settings.) For details, see “Adjust Gain” on page 55.

Default Baseline Filter On or off. For details, see “Adjust Baseline Filter” on page 55.

Default Muscle Filter On or off. For details, see “Adjust Muscle Filter” on page 55.

Mains Filter Off, 50 Hz, 60 Hz. Use of this filter is recommended. For suggestions on eliminating AC
interference, see page 69.
Directions for Use Chapter 4 Reviewing the ECG Settings 41

Turning the Augmented Pediatric Lead Set On and Off


For a description of the augmented pediatric lead set, see page 4.

1. 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 —
standard or augmented — each time you perform a test on a new patient.
42 Chapter 4 Reviewing the ECG Settings Welch Allyn CP 100 Electrocardiograph
43

5 Performing ECG Tests


Connecting the Leads to the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Recording an Auto ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Recording a Rhythm ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54
Adjusting the ECG Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
44 Chapter 5 Performing ECG Tests Welch Allyn CP 100 Electrocardiograph

Connecting the Leads to the Patient


1. 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?” for the patient to read.

b. Help the patient get warm and relaxed. Excessive patient movement could
interfere with the operation of the electrocardiograph.

c. Put the patient in a reclining position with the head slightly higher than the heart
and legs.

WARNING ECG electrodes could cause skin irritation. Examine the skin
for signs of irritation or inflammation.

2. Prepare electrode locations. See Figure 27 on page 45 or Figure 28 on page 46.

a. Shave if necessary.

b. Clean with alcohol or acetone.

c. Allow to dry.

3. Attach the electrodes and lead wires securely.

• For reusable electrodes:

Straps must neither slide nor be so tight as to cause discomfort.

The electrode paste, gel, or creme must cover an area the size of the electrode
but no larger, especially on the chest.

• For disposable tab electrodes:

Place the electrode tab between the “jaws” of the electrode adapter, keeping the
tab flat.

Gently tug on the adapter to ensure that it is properly placed on the electrode.
(Each time you remove and reattach an electrode, the conductive gel becomes
weaker and less effective.)
Directions for Use Chapter 5 Performing ECG Tests 45

Figure 27. Electrode Placement Locations — Adult and Standard Pediatric


B C
A D
E
F

J G

I H

Electrodes
AHA IEC Locations

A V1 C1 Fourth intercostal space at right sternal border.


red red
B V2 C2 Fourth intercostal space at left sternal border.
yellow yellow
C V3 C3 Midway between V2 and V4.
green green
D V4 C4 Fifth intercostal space at left of midclavicular line.
blue brown
E V5 C5 Anterior axillary line at same horizontal level as V4.
orange black
F V6 C6 Mid-axillary line on same horizontal level as V4 and V5.
purple purple
G LA L Just above left wrist on inside of arm.
black yellow
H LL F Just above left ankle.
red green
I RL N Just above right ankle.
green black
J RA R Just above right wrist on inside of arm.
white red
46 Chapter 5 Performing ECG Tests Welch Allyn CP 100 Electrocardiograph

Figure 28. Electrode Placement Locations — Augmented Pediatric


B
A C
D
J
E To use the augmented pediatric lead set, you
must enable it in the settings. See “Turning the
Augmented Pediatric Lead Set On and Off” on
page 41.

I F

H G

Electrodes
AHA IEC Locations
A V1 C1 Fourth intercostal space at right sternal border.
red red
B V2 C2 Fourth intercostal space at left sternal border.
yellow yellow
C V4 C4 Fifth intercostal space at left of midclavicular line.
blue brown
D V7 C7 Posterior axillary line at the same horizontal level as V4.
orange black
E V6 C6 Mid-axillary line on same horizontal level as V4.
purple purple
F LA L Just above left wrist on inside of arm.
black yellow
G LL F Just above left ankle.
red green
H RL N Just above right ankle.
green black
I RA R Just above right wrist on inside of arm.
white red
J V3R C3R Mirror position to standard V3 placement with respect to the mid-
green green sternal line.
Directions for Use Chapter 5 Performing ECG Tests 47

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 4.

6. If the Lead Status screen appears, as shown here, reattach any leads that are
flashing.

Figure 29. “Lead Status” Screen


9:17AM Oct 16 08
Lead Status
Check lead

C1
C2

The term “Artifact” might also appear on this screen. To eliminate artifact, you might
need to re-prep the patient, use fresh electrodes, or minimize patient motion during
the recording.

The most common ECG problems are poor electrode contact and loose leads.

When all leads have been connected for several seconds, the following screen
appears.

Figure 30. “Ready” Screen

9:17AM Oct 16 08
HR: 75

Press Auto ECG or Rhythm ECG to


start

7. Go to the procedure for the type of ECG test you want to perform.

• “Recording an Auto ECG” on page 48


• “Recording a Rhythm ECG” on page 54
48 Chapter 5 Performing ECG Tests Welch Allyn CP 100 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. To
learn how to set up the Auto ECG report format, see “About Auto ECG Reports” on
page 33.

As shown in the following diagram, there are the two types of Auto ECG: normal and stat.
For details, see these procedures:

• “Recording a Normal Auto ECG” on page 49


• “Recording a Stat Auto ECG” on page 53

Figure 31. Auto ECG Testing, Process Diagram

Normal Stat

Press quickly. Press and hold.

Enter patient data.

Auto Report prints.

Auto ECG Post-Print


screen.
Directions for Use Chapter 5 Performing ECG Tests 49

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 31 on page 48.

To Record a Normal Auto ECG

1. Press the Auto ECG key quickly.

Do not hold it down, or a stat ECG would begin.

The following screen appears.

Figure 32. “Enter New Patient” Screen


9:17AM Oct 16 08
Enter New Patient

Patient ID For details about these data fields—


Last Name including how to choose which fields
First Name display and print—see “Reviewing the
Birth Date / / MM / DD / YYYY
Weight lb.
Patient Data Fields Available” on page 37.
Height ft. in.
Gender

Use up and down arrows to change fields

2. Enter the patient data.

3. When finished, select Done (at the end of the list).

The Auto ECG Acquisition screen appears. See Figure 33 on page 50.
50 Chapter 5 Performing ECG Tests Welch Allyn CP 100 Electrocardiograph

Figure 33. “Auto ECG Acquisition” Screen


Doe, Jane 9:17AM Oct 16 08
Auto ECG Acquisition
Auto ECG : Acquisition HR: 75

Printing Report
The electrocardiograph displays messages here
Collecting Data
when it is doing the following:

Gain: 10 mm/mV
• Collecting data
Speed: 25 mm/s • Analyzing data
Baseline Filter: ON • Printing the report
Muscle Filter: ON

4. If prompted, choose whether to wait for the electrocardiograph to acquire 10 seconds


of filtered, processed data before printing.

If you override the wait time and print the available data immediately, be aware that
the printed data will be insufficient in quality or quantity or both.

The report prints.

Note If a red stripe appears along the edge of your report, replace the paper.
See “Loading the Thermal Chart Paper” on page 21.

After printing, the Auto ECG Post-Print screen appears. Figure 34 on page 51.
Directions for Use Chapter 5 Performing ECG Tests 51

Figure 34. “Auto ECG Post-Print” Screen


Doe, Jane 9:17AM Oct 16 08
Auto ECG : Post-Print

1. Exit

2. Print Copy

3. Repeat Test

4. Export Test

5. Select the desired item.

Item Effect

Exit The Ready screen appears if all leads are connected to the patient.

Print Copy A copy of the test prints.

To learn how to print multiple copies of all tests automatically, see “Reviewing the
Interpretation and Copy Settings for Auto Reports” on page 36.

Repeat Test The following screen appears.

Figure 35. “Auto ECG Repeat Test” Screen


Doe, Jane 9:17AM Oct 16 08
Auto ECG Repeat Test

1. Adjust Gain 10 mm/mV

2. Adjust Baseline Filter ON

3. Adjust Muscle Filter ON

4. Print ECG

1. (Optional) Adjust the waveforms.

See “Adjusting the ECG Waveforms” on page 55.

2. Choose Print ECG.

A new report prints.

Export Test Sends the test to the memory card. An SD memory card or removable USB storage device
must be in place.
52 Chapter 5 Performing ECG Tests Welch Allyn CP 100 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. These requirements are
unaffected by any other combination of filters turned on or off.
Measurements performed by the optional interpretation algorithm are
unaffected by any filter selections.
Directions for Use Chapter 5 Performing ECG Tests 53

Recording a Stat Auto ECG


A stat Auto ECG is an immediate printout.

Stat mode bypasses patient data entry, as shown in Figure 31 on page 48. A temporary
ID number is assigned to the patient to identify stat tests.

To Record a Stat Auto ECG

1. Press and hold the Auto ECG key .

The electrocardiograph begins acquiring ECG data. After it has acquired 10 seconds of
quality data, it prints a report.

2. Go to Step 4 on page 50.


54 Chapter 5 Performing ECG Tests Welch Allyn CP 100 Electrocardiograph

Recording a Rhythm ECG


A Rhythm ECG is a continuous, real-time printout of three leads at a time.

Rhythm ECGs are printouts only. They cannot be sent to an SD memory card or
removable USB storage device.

Figure 36. Rhythm ECG Testing, Process Diagram

(Optional) Adjust
Printing begins. or
waveforms.

To Record a Rhythm ECG

1. Press the Rhythm ECG key .

Printing begins, and the following screen appears.

Figure 37. “Rhythm ECG” Screen


Doe, Jane 9:17AM Oct 16 08
Rhythm ECG HR: 75

1. Change Leads I, II, III

2. Adjust Gain 10 mm/mV

3. Adjust Baseline Filter ON

4. Adjust Muscle Filter ON

5. Adjust Speed 25 mm/s

2. (Optional) Adjust the waveforms.

See “Adjusting the ECG Waveforms” on page 55.

3. Press or to stop printing.

The Ready screen appears if all leads are connected to the patient.
Directions for Use Chapter 5 Performing ECG Tests 55

Adjusting the ECG Waveforms


To adjust the waveforms after printing an Auto ECG or while printing a rhythm ECG,
press an item’s number key as needed until the desired choice appears.

Item Effect

Change Leads Cycles through the lead groups three at a time.


(available for Rhythm
ECG only)

Adjust Gain Cycles through the gain settings in mm/mV (5, 10, 20, AUTO), changing the waveform size.
(AUTO is available for Auto ECGs only, not rhythm ECGs. AUTO is usually the best setting, but
some waveforms may be easier to read on other settings.) To learn how to change the gain’s
default setting, see “Reviewing the Miscellaneous ECG Settings” on page 40.

5 mm/mV 10 mm/mV 20 mm/mV

Adjust Baseline Filter Toggles between the two baseline filter settings (on or off). This filter reduces “wandering
baseline,” an upward and downward fluctuation of the waveforms. It is preferable, if possible,
to eliminate or reduce wandering baseline by addressing the causes, as explained on page 68.
To learn how to change the filter’s default setting, see “Reviewing the Miscellaneous ECG
Settings” on page 40. Caution: You cannot perform ST segment analysis on waveforms that
were recorded with the muscle filter turned on. For details, see the caution on page 52.

Wandering baseline

Adjust Muscle Filter Toggles between the two muscle filter settings (on or off). This filter reduces muscle tremor
interference: random, irregular voltage superimposed on the waveforms. It is preferable,
if possible, to eliminate or reduce muscle tremor by addressing the causes, as explained
on page 68. To learn how to change the filter’s default setting, see “Reviewing the
Miscellaneous ECG Settings” on page 40. Caution: You cannot perform ST segment analysis on
waveforms that were recorded with the muscle filter turned on. For details, see the caution on
page 52.

Muscle tremor interference

Adjust Speed Cycles through the paper speed settings in mm/sec (10, 25, 50).
(available for Rhythm
ECG only) 10 mm/sec 25 mm/sec 50 mm/sec
56 Chapter 5 Performing ECG Tests Welch Allyn CP 100 Electrocardiograph
57

6 Maintaining the Electrocardiograph


Inspecting the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Cleaning the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58
Testing the Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59
Recharging a Fully Discharged Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60
Replacing the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 61
Replacing the Battery (DC) Fuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Replacing the AC Fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
Storing the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Discarding the Equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
58 Chapter 6 Maintaining the Electrocardiograph Welch Allyn CP 100 Electrocardiograph

Inspecting the Equipment


WARNING To ensure patient safety and proper operation, perform the
following inspections daily.

• Verify that patient leads are fully inserted. For details, see “Connecting the Patient
Cable” on page 20.

• Check for cracked or broken patient cable, patient leads, power cord,
communications cables, display, and enclosure.

• Check for bent or missing pins on all cables.

• Check all cable and cord connections; reseat if any connectors are loose.

Cleaning the Equipment


WARNING To prevent the spread of infection, the electrocardiograph and
patient cable must be kept clean, especially the components that come in
contact with patients.

Caution Do not let soap or water come into contact with the
electrocardiograph’s internal printer, connectors, or jacks.

Do not attempt to clean the electrocardiograph or the patient cable by


submersing them in liquid, autoclaving, or steam cleaning. Do not pour alcohol
directly on the equipment or soak any components in alcohol. 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 ii.

Monthly, or more often if needed, follow these cleaning instructions:

1. Disconnect the power plug from the AC outlet.

2. Wipe the exterior of the patient cable and electrocardiograph and with a damp cloth
using mild detergent diluted in water.

3. Use 70% isopropyl alcohol to disinfect patient cable, lead wires, and equipment.

4. Dry all components with a clean, soft cloth or paper towel.

5. Wait at least 10 minutes to allow all traces of alcohol to evaporate before turning the
electrocardiograph back on.
Directions for Use Chapter 6 Maintaining the Electrocardiograph 59

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:

1. Verify continued electrical safety of the device, using IEC 60601-1 or ANSI/AAMI ES1
methods and limits. Test for the following:

• Patient leakage current


• Chassis leakage current
• Earth leakage current
• Dielectric strength (AC and patient circuits)

2. Verify that the electrocardiograph is working properly, using an ECG simulator to


acquire and print a standard 12-lead ECG of known amplitude.

• Printing should be dark and even across the page.

• There should be no evidence of print-head dot failure (no printing breaks forming
horizontal streaks).

• Paper should move smoothly and consistently during printing.

• Waveforms should appear normal, with proper amplitude, and without distortion
or excessive noise.

• Paper should stop with perforations near the tear bar, indicating proper cue-
sensor operation. For tear-bar location, see Figure 16 on page 21.
60 Chapter 6 Maintaining the Electrocardiograph Welch Allyn CP 100 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.

To Recharge the Battery

1. Plug the electrocardiograph into AC power.

2. Verify that the green LED on the keyboard lights up. (See Figure 17 on page 22.)

If the LED does not light up, go to “Replacing the AC Fuses” on page 64.

3. Keep the electrocardiograph plugged in for 12 hours.

The first time you turn the electrocardiograph on after a full battery discharge, you are
prompted to reenter the date and time.

If the electrocardiograph still does not turn on when it is unplugged from AC power, you
may need to replace the battery or battery fuse. See “Replacing the Battery” on page 61
or “Replacing the Battery (DC) Fuse” on page 63.
Directions for Use Chapter 6 Maintaining the Electrocardiograph 61

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” on page 6.)

1. Unplug the electrocardiograph from AC power if connected.

2. Turn the electrocardiograph upside-down.

3. Unscrew and remove the battery door. See Figure 38.

4. Lift out the battery. See Figure 39.

Figure 38. Removing the Battery Door Figure 39. Lifting Out the Battery

5. Inspect the fuse. See Figure 40.

• If the “Z” wire is intact, go to Step 6.

• If the “Z” wire is broken or dark, replace the fuse. See “Replacing the Battery
(DC) Fuse” on page 63.

Figure 40. Battery Fuse Plugged In

“Z” wire
62 Chapter 6 Maintaining the Electrocardiograph Welch Allyn CP 100 Electrocardiograph

6. Unplug the two battery connectors. See Figure 41.

You may need to pull hard. Use pliers gently if necessary.

Figure 41. Battery Connectors

7. Connect a new battery by matching connector sizes. Do not force connectors to


mismatch.

8. Carefully tuck in all cables. Place the battery into the battery compartment. Fold the
strap so that it will not stick out when you replace the battery door. See Figure 42.

Figure 42. Folding the Battery Strap


Directions for Use Chapter 6 Maintaining the Electrocardiograph 63

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. Discard the old battery appropriately.

• In the USA, call 1-800-SAV-LEAD for instructions on how to recycle it.

• International users, contact your local authorities concerning recycling.

Replacing the Battery (DC) Fuse


If the battery (DC) fuse requires replacing, as described in Step 5 on page 61, follow these
steps. For the fuse value, see “Fuses” on page 73.

1. Remove and discard the fuse. See Figure 43.

You may need to pull hard. Use pliers gently if necessary.

2. Connect a new fuse. It goes in either way.

3. Go to Step 8 on page 62.

Figure 43. Battery Fuse Removed


64 Chapter 6 Maintaining the Electrocardiograph Welch Allyn CP 100 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.
For the fuse value, see “Fuses” on page 73.

1. Unplug the electrocardiograph from AC power if connected.

WARNING Failure to unplug could result in electrocution.

2. Use needle-nosed pliers to remove the fuse case. See Figure 44.

3. Inspect the fuses. If either fuse is dark or has a broken wire, replace the fuse.
See Figure 45.

4. Insert the fuse case. Line it up with the opening; it goes in only one way.

Figure 44. Removing AC Fuse Case Figure 45. AC Fuses Removed


Directions for Use Chapter 6 Maintaining the Electrocardiograph 65

Storing the Equipment


When storing the electrocardiograph, cords, and accessories, observe the environmental
storage conditions. See “Specifications” on page 73.

Discarding the Equipment


Discard the old battery appropriately.

• In the USA, call 1-800-SAV-LEAD for instructions on recycling it.

• International users, contact your local authorities concerning recycling.

Discard the electrocardiograph, cords, and accessories according to local laws.

Do not dispose of this product as unsorted municipal waste. Prepare this product for
reuse or separate collection as specified by Directive 2002/96/EC of the European
Parliament and the Council of the European Union on Waste Electronic and Electrical
Equipment (WEEE). If this product is contaminated, this directive does not apply. For
more specific disposal information, see www.welchallyn.com/weee, or contact Welch
Allyn Customer Service at +44 207 365 6780.
66 Chapter 6 Maintaining the Electrocardiograph Welch Allyn CP 100 Electrocardiograph
67

7 Troubleshooting
Problem-Solving Suggestions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Limited Warranty . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Service Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72
68 Chapter 7 Troubleshooting Welch Allyn CP 100 Electrocardiograph

Problem-Solving Suggestions
This section includes several tables:

• Lead quality problems (Table 2 on page 68)


• System failure problems (Table 3 on page 69)
• System messages (Table 4 on page 70)

If you try these suggestions and still have problems, contact Technical Support. For phone
numbers, see page ii.

Table 2. Lead Quality Problems

Condition Causes Actions

A dot is flashing on the Lead Status • Electrode contact may be poor. • Reattach the lead.
screen. • A lead may be loose. • Replace the electrode.
• Verify that the electrode area has been properly
OR Note: Square waves may indicate that the prepared: shaved, cleaned with alcohol or
electrocardiograph is inoperative, but they acetone, allowed to dry.
Lead-off information is displayed on the are more likely to indicate loose leads. • Verify that electrodes have been properly stored
screen. and handled.

OR

One or more leads prints as a square


wave:

Wandering baseline (an upward and • Electrodes that are dirty, corroded, • Clean skin with alcohol or acetone.
downward fluctuation of the waveforms): loose, or positioned on a bony area. • Reposition or replace electrodes.
• Insufficient or dried electrode gel. • Help patient relax.
• Oily skin or body lotions. • If wandering baseline persists, turn the baseline
• Rising and falling of chest during rapid filter on. See “Adjust Baseline Filter” on
or apprehensive breathing. page 55.

Muscle tremor interference (random, • Patient is uncomfortable, tense, • Help patient get comfortable.
irregular voltage superimposed on the nervous. • Check all electrode contacts.
waveforms). May resemble or coincide • Patient is cold and shivering. • If interference persists, turn the muscle-tremor
with AC interference: • Exam bed is too narrow or short to filter on. See “Adjust Muscle Filter” on page 55.
comfortably support arms and legs. • If interference still persists, the problem is
• Arm or leg electrode straps are too probably electrical in nature. See the following
tight. suggestions for reducing AC interference.
Directions for Use Chapter 7 Troubleshooting 69

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. • Verify that the patient is not touching any metal.
May resemble or coincide with muscle- • Insufficient or dried electrode gel. • Verify that the AC power cable is not touching
tremor interference. • Patient or technician touching an the patient lead cable.
electrode during recording. • Verify that the proper AC filter is selected. See
• Patient touching any metal parts of an “Mains Filter” on page 40.
exam table or bed. • If interference persists, unplug the
• Broken lead wire, patient cable, or electrocardiograph from AC power and run it on
power cord. the battery. If this solves the problem, you’ll
• Electrical devices in the immediate know that the noise was introduced through the
area, lighting, concealed wiring in power line.
walls or floors. • If interference still persists, the noise may be
• Improperly grounded electrical outlet. caused by other equipment in the room or by
• Incorrect AC filter frequency setting or poorly grounded power lines. Try moving to
AC filter is turned off. another room.

Table 3. System Failure Problems

Condition Causes Actions

Won't turn on when plugged into AC • Faulty AC power connection. • Check the AC power source.
power. • Blown AC fuses. • Check the AC fuses. See “Replacing the AC
• No AC power. Fuses” on page 64.

Won't turn on when unplugged from AC • Battery disconnected or incorrectly • Check battery connections. See “Replacing the
power. connected. Battery” on page 61.
• Battery low, not charging, depleted, or • Recharge the battery. See “Recharging a Fully
bad. Discharged Battery” on page 60.
• Blown battery fuse. • Replace battery. See “Replacing the Battery” on
page 61.
• Replace battery fuse. See “Replacing the Battery
(DC) Fuse” on page 63.

Shuts down during printing Battery low or bad. • Recharge the battery. See “Recharging a Fully
Discharged Battery” on page 60.
• Replace battery. See “Replacing the Battery” on
page 61.

Prints fewer than 10 reports on a full Degraded battery. Replace battery. See “Replacing the Battery” on
battery charge. page 61.

Unresponsive for an extended time. System frozen. Press the reset button by inserting a small object,
such as a paper clip, into the hole.

Reset button

The screen is too dark or too light. The contrast is to high or too low. Press Ctrl-R. The contrast resets to its default value.
70 Chapter 7 Troubleshooting Welch Allyn CP 100 Electrocardiograph

Table 4. System Messages (alphabetical order)

System Message Problems Actions

“Insufficient battery power to begin. Battery low or bad. • Recharge the battery. See “Recharging a Fully
Please connect AC power and try again.” Discharged Battery” on page 60.
• Replace battery. See “Replacing the Battery” on
page 61.

“Insufficient space available” Not enough space on memory card • Delete some tests from the card or USB storage
or removable USB storage device. device at a PC.
• Use a different card or USB storage device.

“Memory card error” Problem writing to memory card • Verify that the write-protect tab is in the
or removable USB storage device. unprotected position.
• Reseat the card in its slot.
• Use a different card or USB storage device.

“Out Of Paper” • Printer is out of paper. • Load paper. See “Loading the Thermal Chart
• Printer door is open. Paper” on page 21.
• Close the printer door. See “Loading the Thermal
Chart Paper” on page 21.

“Paper Jam” Paper was loaded incorrectly. Reload the paper. See “Loading the Thermal Chart
Paper” on page 21.

“Powering down” Low battery. Recharge the battery. See “Recharging a Fully
Discharged Battery” on page 60.

“Problem loading the following settings: Problem loading your settings at startup. Contact Technical Support. For phone numbers, see
<System> May indicate memory problems. page ii.
<ECG>
*
*
*
Using default settings.”

“Shutdown?” was pressed while printing a To shut down, press .


Rhythm ECG.
To cancel the shutdown, press .

“Temperature Error” Printer head temp is too high. Allow to cool, then try again.
Directions for Use Chapter 7 Troubleshooting 71

Limited Warranty
Welch Allyn, Inc., warrants that the Cardiopulmonary line of electrocardiographs, including
the CP 100 and CP 200 models (the Products) meet the labeled specifications of the
Products and will be free from defects in materials and workmanship that occur within 3
years after the date of purchase, except that accessories used with the Products are
warranted for 90 days after the date of purchase. Such accessories include: lead wires,
cabling, electrodes, and battery.

The date of purchase is: 1) the date specified in our records, if you purchased the Product
directly from us, 2) the date specified in the warranty registration card that we ask you to
send to us, or 3) if you don’t return the warranty registration card, 30 days after the date
on which the Product was sold to the dealer from whom you bought the Product, as
documented in our records.

This warranty does not cover damage caused by: 1) handling during shipping, 2) use or
maintenance contrary to labeled instructions, 3) alteration or repair by anyone not
authorized by Welch Allyn, and 4) accidents.

If a Product or accessory covered by this warranty is determined to be defective because


of defective materials, components, or workmanship, and the warranty claim is made
within the warranty period described above, Welch Allyn will, at its discretion, repair or
replace the defective 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.

You must obtain a return authorization from Welch Allyn to return your Product before you
send it to Welch Allyn’s designated service center for repair. Contact Welch Allyn
Technical Support. For phone numbers, see page ii.

THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED,


INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILTY
AND FITNESS FOR A PARTICULAR PURPOSE. WELCH ALLYN’S OBLIGATION UNDER
THIS WARRANTY IS LIMITED TO REPAIR OR REPLACEMENT OF PRODUCTS
CONTAINING A DEFECT. WELCH ALLYN IS NOT RESPONSIBLE FOR ANY INDIRECT OR
CONSEQUENTIAL DAMAGES RESULTING FROM A PRODUCT DEFECT COVERED BY
THE WARRANTY.
72 Chapter 7 Troubleshooting Welch Allyn CP 100 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.

If the product fails to function properly—or if you need assistance, service, or spare
parts—contact the nearest Welch Allyn Technical Support Center. For phone numbers,
see page ii.

Before contacting Welch Allyn, try to duplicate the problem, and check all accessories to
ensure that they are not causing the problem. When calling, please be prepared to
provide:

• Product name and model number and complete description of the problem.
• Serial number of your product (if applicable).
• Complete name, address and phone number of your facility.
• For out-of-warranty repairs or spare parts orders, a purchase order (or credit card)
number.
• For parts orders, the required spare or replacement part numbers.

If your product requires warranty, extended warranty, or non-warranty repair service,


please call first the nearest Welch Allyn Technical Support Center. A representative will
assist you troubleshooting the problem and will make every effort to solve it over the
phone, avoiding potential unnecessary returns.

In case a return cannot be avoided, the representative will record all necessary
information and will provide a Return Material Authorization (RMA) number, as well as the
appropriate return address. An RMA number must be obtained prior to any return.

If you have to return goods for service, follow these recommended packing instructions:

• Remove all hoses, cables, sensors, power cords, and ancillary products (as
appropriate) before packing, unless you suspect they are associated with the
problem.
• Wherever possible use the original shipping carton and packing materials.
• Include a packing list and the Welch Allyn Return Material Authorization (RMA)
number.

It is recommended that all returned goods be insured. Claims for loss or damage to the
product must be initiated by the sender.
73

A Specifications

Item Specification

Dimensions 16.2 in
(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

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) Inkjet or laser printer that supports PCL (printer control language)

Thermal paper speeds 10, 25, 50 mm/s

Gain settings:
Auto ECGs 5, 10, 20 mm/mV, AUTO
Rhythm ECGs 5, 10, 20 mm/mV

Report print formats:


Auto ECGs 3x4, 3x4+ 1R, 3x4 +3R, 6x2, 12x1, 6x2 50 mm/s, 6x2 Ext., 2x6 +1R, 6x2 +1R
Rhythm ECGs 3 leads at a time
Average cycles 3x4 50 mm/s + 3R, 6x2 50 mm/s + 6R

Frequency range 0.3 to 150 Hz

Digital sampling rate > 1,000 samples/second/channel

Pacemaker detection ANSI/AAMI EC11

Power requirement Universal AC power supply 100–240 V ~, 50/60 Hz ~, 2.2 A maximum

Fuses
AC Time-delay type, 2 amp 250 V rating, Littlefuse 0215002 or equivalent.
DC (battery fuse) Fast-acting type, 10 amp 32 V rating, Bussman ATC-10 or equivalent.

Lead configurations Standard, Cabrera

Rechargeable battery Lead acid gel, 6 volt, 5 AH


Prints up to 100 continuous ECGs per charge
12-hour recharging
74 Appendix A Specifications Welch Allyn CP 100 Electrocardiograph

Item (Continued) Specification (Continued)

Filters 0.5 Hz high-performance baseline filter


35 Hz muscle-tremor filter
AC-interference filter 50 Hz or 60 Hz

Safety, EMC, and regulatory ANSI/AAMI EC11* UL60601-1


compliance CAN/CSA C22.2 No. 601.1 IEC/EN 60601-1
CAN/CSA C22.2 No. 601.1.1 IEC/EN 60601-1-1
CAN/CSA C22.2 No. 601.1.2 IEC/EN 60601-1-2
CAN/CSA C22.2 No. 601.1.4 IEC/EN 60601-1-4
CAN/CSA C22.2 No. 601.2.25 IEC/EN 60601-2-25
CAN/CSA C22.2 No. 601.2.51 IEC/EN 60601-2-51

Standard connectivity Com port for USB cables or removable USB storage devices ( ≥ 64 MB, < 2 GB)
SD memory card slot (for use with cards ≥ 64 MB, < 2 GB)

Connectivity with electronic medical Supported through the Welch Allyn CardioPerfect workstation software
records

Electrodes Rigorously tested for conductivity, adhesion, and hypoallergenic qualities, and
exceed all AAMI standards

Cables and wires Meet or exceed IEC 60601

Environmental operating conditions:


Temperature +10° C to +40° C (+50° F to +104° F)
Relative humidity 15 – 95% noncondensing
Altitude 700 – 1060 hPa

Environmental storage conditions:


Temperature -20° C to +49° C (-4° F to +120° F)
Relative humidity 15 – 95% noncondensing (30 – 70% for printing)
Altitude 500 – 1060 hPa

Protection against electric shock Class I, internally powered


Type CF

Protection against ingress of water, IPX0


per IEC 60529

Mode of operation Continuous

*Per AAMI EC11:1991/(R)2001 Diagnostic Electrocardiographic Devices, Section 3.1.2.1 Disclosure of cautionary
information/ performance characteristics paragraph c) Accuracy of input signal reproduction, the manufacturer shall
disclose the methods used to establish overall system error and frequency response. Welch Allyn has used methods A & D,
as prescribed in section 3.2.7.2 and 4.2.7.2 of this same standard, to verify overall system error and frequency response.
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.

Specifications are subject to change without notice.


75

EMC Guidance and Manufacturer’s


B Declarations
Table 5. Electromagnetic Emissions

The CP 100 electrocardiograph is intended for use in the electromagnetic environment specified below. The customer or user of the CP 100
electrocardiograph should assure that it is used in such an environment.

Emissions Test Compliance Electromagnetic Environment - Guidance

RF emissions Group 1 The CP 100 electrocardiograph uses RF energy only for its internal function. Therefore,
its RF emissions are very low and are not likely to cause any interference in nearby
CISPR 11 electronic equipment.

RF emissions Class A The CP 100 electrocardiograph is suitable for use in all establishments other than
domestic and those directly connected to the public low-voltage power supply network
CISPR 11 that supplies buildings used for domestic purposes.

Harmonic emissions Class A

IEC 61000-3-2

Voltage fluctuations/ Complies


flicker emissions

IEC 61000-3-3
76 Appendix B EMC Guidance and Manufacturer’s Declarations Welch Allyn CP 100 Electrocardiograph

Table 6. Electromagnetic Immunity

The CP 100 electrocardiograph is intended for use in the electromagnetic environment specified below. The customer or user of the CP 100
electrocardiograph should assure that it is used in such an environment.

Immunity Test IEC 60601 Compliance Level Electromagnetic Environment - Guidance


Test Level

Electrostatic discharge ± 6 kV contact ± 6 kV contact Floors should be wood, concrete, or ceramic tile. If floors are
(ESD) covered with synthetic material, the relative humidity should
± 8 kV air ± 8 kV air be at least 30%.
IEC 61000-4-2

Electrical fast transient/ ±2 kV for power supply ±2 kV for power supply Mains power quality should be that of a typical commercial or
burst lines lines hospital environment.

IEC 61000-4-4 ±1 kV for input/output Not applicable


lines

Surge ±1 kV differential mode ±1 kV differential mode Mains power quality should be that of a typical commercial or
hospital environment.
IEC 61000-4-5 ±2 kV common mode ±2 kV common mode

Voltage dips, short >95% dip in 0.5 cycle >95% dip in 0.5 cycle Mains power quality should be that of a typical commercial or
interruptions, and hospital environment. If the user of the CP 100
voltage variations on 60% dip in 5 cycles 60% dip in 5 cycles electrocardiograph requires continued operation during power
power supply input mains interruptions, it is recommended that the CP 100
lines. 30% dip for 25 cycles 30% dip for 25 cycles electrocardiograph be powered from an uninterruptible power
supply or battery.
IEC 61000-4-11 >95% dip in 5 seconds >95% dip in 5 seconds

Power frequency 3 A/m 3 A/m Power frequency magnetic fields should be at levels
(50/60Hz) characteristic of a typical location in a typical commercial or
magnetic field hospital environment.

IEC 61000-4-8
Directions for Use Appendix B EMC Guidance and Manufacturer’s Declarations 77

Table 7. Electromagnetic Immunity

The CP 100 electrocardiograph is intended for use in the electromagnetic environment specified below. The customer or user of the CP 100
electrocardiograph should assure that it is used in such an environment.

Immunity Test IEC 60601 Compliance Electromagnetic Environment - Guidance


Test Level Level

Portable and mobile RF communications equipment should be used no closer


to any part of the CP 100 electrocardiograph, including cables, than the
recommended separation distance calculated from the equation applicable
to the frequency of the transmitter.

Recommended separation distance

Conducted RF 3 Vrms 3 Vrms d = (1.17) P


IEC 61000-4-6 150 kHz to 80 MHz

Radiated RF 3 V/m 3 V/m d = (1.17) P 80 MHz to 800 MHz


IEC 61000-4-3 80 MHz to 2.5 GHz
d = (2.33) P 800 MHz to 2.5 GHz

where P is the maximum output power rating of the transmitter in watts (W)
according to the transmitter manufacturer and d is the recommended
separation distance in metres (m).

Field strengths from fixed RF transmitters, as determined by an


electromagnetic site survey,a should be less than the compliance level in
each frequency range.b

Interference may occur in the vicinity of equipment marked with the


following symbol:

Note 1: At 80 MHz and 800 MHz, the higher frequency range applies.

Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures,
objects, and people.

a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio,
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 100
electrocardiograph is used exceeds the applicable RF compliance level above, the electrocardiograph should be observed to verify normal
operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the
electrocardiograph.
b
Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
78 Appendix B EMC Guidance and Manufacturer’s Declarations Welch Allyn CP 100 Electrocardiograph

Table 8. Recommended Separation Distances Between Portable and Mobile RF Communications Equipment
and the CP 100 Electrocardiograph

The CP 100 electrocardiograph is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The
customer or user of the CP 100 electrocardiograph can help prevent electromagnetic interference by maintaining a minimum distance between
portable and mobile RF communications equipment (transmitters) and the CP 100 electrocardiograph as recommended below, according to the
maximum output power of the communications equipment.

Separation Distance According to Frequency of Transmitter (m)

Rated Max. Output 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2.5 GHz
Power of Transmitter
(W) d = (1.17) P d = (1.17) P d = (2.33) P

0.01 0.117 0.117 0.233

0.1 0.37 0.37 0.74

1 1.17 1.17 2.33

10 3.70 3.70 7.37

100 11.70 11.70 23.30

For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters (m) can be estimated
using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W)
according to the transmitter manufacturer.

Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.

Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures,
objects, and people.
79

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

Auto ECG. A report typically showing a 10-second acquisition of 12 leads of ECG information combined
with patient data, interpretation, and measurements matrix. See also Rhythm ECG.

average cycles. 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.

confirmed, unconfirmed. Status of an Auto ECG report’s interpretation. Indicates whether the report has
been reviewed and accepted by a qualified physician.

electrocardiogram (ECG). A record of the electrical currents associated with heart muscle activity.
Sometimes called EKG for the German term, Elektrokardiogramm. See also Auto ECG; Rhythm ECG.

electrocardiograph. An instrument used to create electrocardiograms (ECGs).

extended measurements. Values for several common parameters, such as Q, R, and S amplitude and
ST values. The amplitudes are expressed in microvolts. The durations are expressed in milliseconds.
The measurements cannot be edited. Printed on a separate page, if enabled.

IEC. An abbreviation for International Electrotechnical Commission. The IEC electrode labeling scheme is
most commonly used in Europe.

lead. (1) An electrocardiograph wire connected to an electrode, which is attached to a patient’s skin. There
are 10 lead wires. (2) A waveform that represents ECG data from a particular view of the heart. The
data from the 10 lead wires is converted into 12 waveforms, also called leads: I, II, III, aVR, etc.

MEANS. An acronym for modular ECG analysis system. The optional MEANS interpretation algorithm,
developed by the University of Rotterdam, Netherlands, provides automatic analysis of ECG tests.
Also available in pediatric version: PEDMEANS.

PEDMEANS. See MEANS.

Power-Save. A user-selectable feature that automatically turns the electrocardiograph off after several idle
minutes.
80 Glossary Welch Allyn CP 100 Electrocardiograph

Rhythm ECG. A continuous, real-time printout of ECG data. See also Auto ECG.

workstation. See CardioPerfect workstation.


81

Index
3x4, 6x2, 12x1, etc. See leads: arrangements (formats) in C
Auto Reports
C1, C2, C3, etc. See IEC electrode labels
3x4 50 mm/s + 3R, 6x2 50 mm/s + 6R. See average cycles
Cabrera lead-grouping scheme, 40, 73
5 mm/mV, 10 mm/mV, etc. See gain settings
CAPS Lock, 28
50 or 60 Hz filter. See AC filter
CardioPerfect workstation
about, 2, 3
A carts, 5, 6, 15
caution symbol defined, 13
“Abnormal ECG” label, 36 CD (product information), ordering replacement, 6
"About" screen (device information), 29 cleaning procedures, 58
accessories, 6, 17, 71 clinical conditions. See history list
AC filter, 33, 34, 40, 69 Com ports, locations, 8
AC fuses, replacing, 64 configuration, transferring, 30
AC interference, 68, 69 configuration. See ECG settings; system settings
AC power. See powering the electrocardiograph confirming. See interpretation of ECGs, automatic: confirming
acquisition screen, 50 contact information, entering your, 27
AHA electrode labels (V1, V2, V3, etc.), 40, 45, 46 contact information for Welch Allyn, ii
arrow keys, using, 11 contrast, adjusting, 69
artifact report, 39 Control key (Ctrl), 9, 69
audio beeper, 27 copies, number to print, 36
augmented lead set, 4, 41, 46, 47 Customer Service, ii
"Auto ECG Acquisition" screen, 50
"Auto ECG Post-Print" screen, 51
Auto ECGs D
recording, 48–53
database. See CardioPerfect workstation
report settings, 33–38
data. See patient data
automatic interpretation. See interpretation of ECGs
date and time, 27, 33, 34
automatic shutdown. See Power-Save
defibrillation precautions, 16, 17, 20
average cycles, 35, 73
demographics. See patient data
device configuration settings, 27
B device ID, 27, 33, 34
"Device Info" screen, 29
baseline centering, 39 digital sampling rate, 73
baseline filter dust cover, ordering, 6
default, choosing (on or off), 40
enabling and disabling, 55
battery E
maintenance, 22, 60–63
ordering, 6 ECG acquisition screen, 50
ECG post-print screen, 51
specifications, 73
ECGs
Bazett QTc method, 39
performing tests, 43–55
beeper, 27
settings, 10, 31–41
See also Auto ECGs; Rhythm ECGs
82 Index Welch Allyn CP 100 Electrocardiograph

editing Internet address, ii


"Auto Report" ECG settings, 39 interpretation of ECGs, automatic
"miscellaneous" ECG settings, 40 about, 2, 3, 5
report formats, 33–38 confirming, 36
electrodes ordering, 6
labeling schemes. See AHA; IEC as printed on reports, 33, 34
ordering, 6 settings for Auto Reports, 36
placement locations, 4, 45, 46
specifications, 74
troubleshooting, 68 K
electromagnetic emissions. See EMC guidance and keyboard, 9, 73
declarations
electronic medical records (EMR), 2
EMC guidance and declarations, 75–78 L
"Enter New Patient" screen, 49
equipotential stud, 7, 17 language setting, 27
exporting tests to memory card, 51 leads
extended measurements, 35 10 lead wires vs. 12 waveform leads, 79
adjusting waveforms, 55
arrangements in reports, 35
F configurations (standard or Cabrera), 40, 73
electrode placement, 45, 46
features, 3 ordering, 6
filters, types of, 74 print timing (simultaneous or sequential), 39
See also specific filter names troubleshooting problems with, 68
flow (task) diagrams See also patient cable; electrodes; augmented lead set
Auto ECG testing (normal and stat), 48 "Lead Status" screen, 47
rhythm ECG testing, 54
formats. See Auto ECGs: report settings; Rhythm ECGs:
report settings M
frequency range, 33, 34, 73
fuses, 61, 63, 64 main menu, 10
mains. See AC
maintenance tasks, 57–65
G measurements. See extended measurements
medication list
gain settings choosing from, 37
changing, 55 memory card
default, choosing, 40 for communication with CardioPerfect workstation, 3
as printed on report, 33, 34 problems writing to, 70
sending tests to, 51
slot location, 8
H specification, 74
hardware set-up, 19–23 used with USB storage device, 3
height-unit setting, 27 menus, navigating through, 11
help, getting, 18 menu trees
history list ECG setup, 32
choosing from, 37 system setup, 26
Hodges QTc method, 39 “miscellaneous” ECG settings, 40–41
muscle filter, 40, 55
muscle-tremor interference, 68, 69
I
IEC electrode labels (C1, C2, C3, etc.), 40, 45, 46
indications for use, 3
N
inspection procedures, 58 navigating through the menus, 11
intended use, 2
Directions for Use Index 83

O S
on/off, manual and automatic, 23 safety, 15–17
options, 5 sampling rate, digital, 73
ordering information, 6 SD memory card. See memory card
sending tests to memory card, 51
sequential lead timing, 39
P serial number, displaying, 29
pacemakers, use with, 4, 17, 73 service policy, 72
paper. See thermal chart paper set-up. See hardware set-up; ECG settings; system settings
parts and accessories, 6, 17, 71 Shift key, 9
patient cable simultaneous lead timing, 39
connecting, 20, 44–47 specifications, 73–74
description & illustration, 12 speed settings. See thermal chart paper: speed settings
ordering, 6 stat Auto ECGs, 48, 53
precautions, 17 Stop/Cancel key, 9
See also electrodes; leads storage instructions, 65
patient data supplies, 6, 71
enabling and disabling fields, 37 symbols and markings, 13–14
entering, 49 system settings, 10, 25–29
as printed on reports, 33, 34
phone numbers, ii
poster, ordering replacement, 6
T
post-print screen, 51 Technical Support, ii
powering the electrocardiograph, 22–23, 73 testing the electrocardiograph, 59
Power-Save, 23, 27 thermal chart paper
practice ID, 27, 33 loading, 21
printer, external, 3, 24, 73 ordering, 6
printer, external (USB), 24, 28, 73 specifications, 73
printer, internal (thermal), 59, 73 speed settings, 33, 34, 55
"Print Settings" (printing your settings), 29 time and date. See date and time
print settings (report settings). See Auto ECGs: report settings; timing, lead, 39
Rhythm ECGs: report settings troubleshooting, 67–70

Q U
QTc method, 32, 39 ultrasound machines, use with, 17
“Unconfirmed” label, 33, 34, 36
See also interpretation of ECGs, automatic: confirming
R upgrades, 5, 29
"Ready" screen, 47 URL, ii
reason statements, 36 USB port (Com port B), 8
recycling instructions, 65 USB storage devices, 3, 74
repairs, 72
replacement parts and accessories, 6, 71
reports. See Auto ECGs; Rhythm ECGs
V
reset button, 8, 69 V1, V2, V3, etc. See AHA electrode labels
Rhythm ECGs versions, 29, 33, 34
recording, 54–55
84 Index Welch Allyn CP 100 Electrocardiograph

W
wall poster, ordering replacement, 6
warning symbol defined, 13
warranty, 71
waveforms, ECG. See leads
web site, ii
weight-unit setting, 27
Welch Allyn Technical Support, ii
Welch cups, ordering, 6
workstation. See CardioPerfect workstation
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): 401150


Mat. Number (manual only): 708794, Ver: F

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