CardioPerfect Workstation Exercise ECG Module - User Manual European Regulatory Manager Welch Allyn Ltd. Navan Business Park Dublin Road Navan, County Meath, Republic of Ireland Tel.: +353 46 90 67700 Fax: +353 46 90 67754 0297 DIR 80012335 Ver. D Welch Allyn 4341 State Street Road Skaneateles Falls, NY 13153-0220 USA www.welchallyn.
CardioPerfect Workstation Exercise ECG Module - User Manual Caution US Federal law restricts this device to sale by or on the order of a physician. Copyright © Copyright 2010, Welch Allyn. All rights are reserved. No one is permitted to translate, reproduce or duplicate this manual or any part thereof, in any form, without prior written permission from Welch Allyn.
CardioPerfect Workstation Exercise ECG Module - User Manual Warranty, Service, and Spare Parts Warranty 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.
CardioPerfect Workstation Exercise ECG Module - User Manual Limited Warranty Statement Welch Allyn, Inc. warrants that the Welch Allyn CardioPerfect Workstation computer based product you have purchased meets the labeled specifications of the Product and will be free from defects in materials and workmanship that occur within 1 year after the date of purchase. Accessories used with the Product are warranted for 90 days after the date of purchase.
CardioPerfect Workstation Exercise ECG Module - User Manual Table of Contents 1. GETTING STARTED ..............................................................................8 1.1 1.2 2. The Welch Allyn CardioPerfect Exercise ECG window .............................................. 8 Structure of an exercise ECG ..................................................................................... 9 RECORDING AN EXERCISE ECG ......................................................10 2.1 2.2 2.3 3.
CardioPerfect Workstation Exercise ECG Module - User Manual 11.3 11.4 11.5 12. 12.1 12.2 13. 14. 15. 15.1 15.2 R-wave triggering Interface capabilities ................................................................ 67 Install the PCI CPCOM card (MD recorder only) .................................................. 68 Install the PCMCIA CPCOM Card (MD recorder only).......................................... 69 SAFETY AND PRECAUTIONS ............................................................
CardioPerfect Workstation Exercise ECG Module - User Manual Welcome Welcome to the Welch Allyn CardioPerfect Exercise ECG module of Welch Allyn CardioPerfect Workstation. This module offers you exciting features and provides everything you expect from an exercise ECG software package. This manual provides the necessary information for the installation, operation and maintenance of the Welch Allyn CardioPerfect Exercise ECG recording system.
CardioPerfect Workstation Exercise ECG Module - User Manual 1. Getting started 1.1 The Welch Allyn CardioPerfect Exercise ECG window This section will guide you around the various parts of Welch Allyn CardioPerfect Exercise ECG. Search area Toolbar Menu bar Title bar Workspace Shortcut menu Status bar Title bar The title bar displays the name of the program. The title bar contains three buttons that you can use to maximize, minimize and close the Workstation window.
CardioPerfect Workstation Exercise ECG Module - User Manual Shortcut menu In the workspace, you can use shortcut menus to access the most common tasks. You can access these tasks by clicking on the workspace with your right mouse button. Shortcut menus only contain those tasks that can be performed in one specific test or part of that test. As a result, shortcut menus look different in different views.
CardioPerfect Workstation Exercise ECG Module - User Manual 2. Recording an exercise ECG 2.1 The Real-time monitor The Real-time monitor is displayed when you start a new exercise ECG. During the test, this window allows you to control and monitor all aspects of the test, and review any recorded results. Button bar Overview area Tabs ECG traces Tabs ECG traces The leads of the ECG. You can select different lead configurations (1x12, 2x6, 4x3) from the shortcut menu.
CardioPerfect Workstation Exercise ECG Module - User Manual Button bar Start/stop button With the Start (stop) button, you start (stop) an ECG recording. Next phase The Next phase button displays the name of the next phase for example Go to recovery. With it you move to the next phase in the exercise protocol. Next stage The Next Stage button displays the name of the next stage. With it you move to the next stage of the current phase in the exercise protocol.
CardioPerfect Workstation Exercise ECG Module - User Manual Overview area Overview area In the Overview area, you can find the following information about the exercise ECG: Phase of the exercise ECG (monitoring, exercise, recovery) and the duration of the phase. Number and name of the Stage that is currently being recorded The current heart rate of the patient and the current heart rate as a percentage of the maximum predicted heart rate.
CardioPerfect Workstation Exercise ECG Module - User Manual Tabs below the ECG traces: History tab The History tab shows the history of all twelve leads. Here, you can move back in time, or print a view, while the exercise ECG recording continues. Clicking the double arrow buttons moves forward and backward from event to event. ST/Slope tab This ST/slope tab shows the comparison between the actual and referral ST measurement. The arrows below give the direction of the slope.
CardioPerfect Workstation Exercise ECG Module - User Manual To record an exercise ECG: 1. Place electrodes on the patient. 2. 3. 4. 5. 6. 7. Important: Because Welch Allyn CardioPerfect Exercise ECG is a 12 lead electrocardiograph all electrodes must be connected! Proper skin preparation (abrasion if necessary) and proper electrodes are essential for a good signal quality. In the Workstation, select or create a patient. Create a new exercise ECG. The Real-time monitor is displayed.
CardioPerfect Workstation Exercise ECG Module - User Manual 2.2.1. Place electrodes on the patient When you connect the electrodes to the patient, make sure that the electrodes and their connectors (also the RL/N electrode) do not contact other conducting parts (including earth). Connect the electrodes in the following positions: AHA RA IEC R LA V1 V2 V3 V4 V5 LL RL L C1 C2 C3 C4 V6 N C5 F C6 V1 Fourth intercostal space at the right border of the sternum.
CardioPerfect Workstation Exercise ECG Module - User Manual To create a new ECG: 1. In the File menu, point to New and click Exercise ECG. The New exercise ECG dialog box is displayed. Click on the General tab. Target workload only applicable for Ergometers In the Test area, enter the target heart rate or enter the target heart rate as a percentage of the predicted maximum heart rate, see also page 26. For ergometers, you can also enter the target workload, see also 2.3.13 Target Workload. 2.
CardioPerfect Workstation Exercise ECG Module - User Manual 4. Test information and test observations: Click on the Test information tab to add general information about the test, including for example the reasons for the recording and risk factors. Click on the Test observation tab to add information Select a keyword from the left pane, then select a value from the picklist in the right pane. If other is selected, free text can be entered in the entry box below the picklist 5.
CardioPerfect Workstation Exercise ECG Module - User Manual 2.2.4. Add Physicians to the test With Welch Allyn CardioPerfect workstation you can link the names of three types of physicians to an exercise test: Referring physician Ordering physician; the physician that ordered the test Attending physician; the physician that is supervising the test. You can add the names of the physicians in the New exercise ECG dialog.
CardioPerfect Workstation Exercise ECG Module - User Manual 2.3 Real-time monitor You are now ready to record the test. In the Real-time monitor, click the Start button to start recording. After the Start button is pressed, it will change to a Stop test button. Welch Allyn CardioPerfect Exercise ECG automatically starts the first phase and stage of the test protocol and moves automatically to the next stage according to the test protocol.
CardioPerfect Workstation Exercise ECG Module - User Manual To select a different chart speed for the view: In the Overview area, above the ECG traces, select a value [mm/sec] from the dropdown list. The new speed is immediately displayed. To select a different sensitivity for the view: In the Overview area, point to Sensitivity and select a value [mm/mV] from the dropdown list. The new sensitivity is immediately displayed. Note: The options above are also available from the shortcut menu. 2.3.2.
CardioPerfect Workstation Exercise ECG Module - User Manual Bigemini Triplet PVC run Couplet Arrest When Welch Allyn CardioPerfect Exercise ECG detects an arrhythmia, an event is created that displays the time of occurrence and a description of the arrhythmia. The event is displayed in the event list, see 7.2 for more information on configuring which events will be displayed or printed. You can also capture events yourself.
CardioPerfect Workstation Exercise ECG Module - User Manual Depending on the type of event, the following dialog will appear: Dyspnea and Chest pain Perceived exertion The Borg CR10 scale is used to add dyspnea and chest pain parameters to the test. The Borg RPE scale is used to add Patient Perceived Exertion to the test. 0 0.3 0.5 0.7 1 1.5 2 2.
CardioPerfect Workstation Exercise ECG Module - User Manual 2.3.7. Apply filters Baseline filter ECG traces can contain baseline wander that disturbs the signal. You can use the baseline filter to filter out this disturbance. When you use the baseline filter, the recorded signal is not changed. You only change the way the signal is displayed and printed. To filter out baseline wander during recording: In the Real-time monitor, check the Baseline option in the Overview area or press F3.
CardioPerfect Workstation Exercise ECG Module - User Manual Load change Change Keyboard keys [CTRL + ↑] [CTRL + ↓] Treadmill Elevation + Elevation - Increment/ decrement + 1% - 1% Ergometer [CTRL + →] Speed + + 0.1 km/h N/A [CTRL + ←] Speed - - 0.1 km/h N/A Load + Load - Increment/ decrement + 5 Watt - 5 Watt When a key combination is pressed, e.g. [CTRL+↑], when the load change window is not visible, the load change window will pop-up and the corresponding load will change.
CardioPerfect Workstation Exercise ECG Module - User Manual 2.3.9. Pacemaker pulse detection The Welch Allyn CardioPerfect software is able to display pacemaker pulse spikes detected by the hardware. These spikes are marked with a symbol in the Real time monitor, in Review mode and on printouts. When the Pacemaker pulse detection is on, the detected spikes are marked on the trace, as shown here.
CardioPerfect Workstation Exercise ECG Module - User Manual In the few moments between a lead being disconnected and that event being detected by the software, pacemaker spikes may be erroneously detected. As a result, a group of pacemaker markers may be shown on the trace just before the square waves are shown. The pacemaker pulse detection will be suppressed as soon as the square waves are shown, and will continue to be suppressed until the erroneous signal is corrected. 2.3.11.
CardioPerfect Workstation Exercise ECG Module - User Manual 2.3.13. Target Workload If an Ergometer was selected as exercise device, the Real-time monitor displays the current Workload and the current Workload as a percentage of the Target Workload during recording, in the overview area. The Target Workload can be adjusted at the start of a new exercise ECG in the New Exercise ECG window. The Standard Target Workload shown is calculated with the following formula: Target Workload = ((2 * Height) - (2.
CardioPerfect Workstation Exercise ECG Module - User Manual 3. Viewing an exercise ECG 3.1 About viewing exercise ECGs Welch Allyn CardioPerfect Exercise ECG offers various views on an exercise ECG. Each view highlights a different aspect of the ECG. You can have a look at all twelve leads in full disclosure, 2x6 and 4x3 format, but you can also view the test results in a summary report.
CardioPerfect Workstation Exercise ECG Module - User Manual 3.2.3. Navigate through recording time You can move through the recording time of an exercise ECG in a number of ways. Scrolling: with the vertical scroll bar at the right side of the window, you can move through the entire recording. Binoculars icon: if you move the mouse over the binoculars, a selection of global events is displayed. If you click on one of these events, you are automatically taken to that point in the recording.
CardioPerfect Workstation Exercise ECG Module - User Manual 3.3 Work with the Summary view Summary view The summary view displays a report with the most important information, measurements and results. The default summary view can be adjusted to your own preferences from the settings menu. See page 55 for more information. The default summary view consists of: The name, number, birth date, gender, height and weight of the Patient information patient.
CardioPerfect Workstation Exercise ECG Module - User Manual Trends and Graphs ST table An overview of the ST values as calculated in the ST table view. Heart rate trend The heart rate trend as calculated in the Heart rate view. ST trend The ST value chart of a predefined lead Blood pressure The blood pressure, heart rate and corresponding rate pressure product. 3.4 3.4.1.
CardioPerfect Workstation Exercise ECG Module - User Manual 3.4.2. Display markers Markers indicate where in the QRS complex the measurement reference points have been set. These reference points are automatically calculated, but they can be modified. You can use a marker as a starting point for your observations or measurements. Markers can only be displayed in the Averages tab.
CardioPerfect Workstation Exercise ECG Module - User Manual 1. In the Averages view, click your right mouse button on the average that you want to compare. 2. In the shortcut menu, click Go to Full disclosure. The Full disclosure view opens at the same point in the recording that you clicked in the Average view. To switch from full disclosure data to averages: 1. In the Full disclosure view, click your right mouse button on the point that you want to see in the Averages view. 2.
CardioPerfect Workstation Exercise ECG Module - User Manual The Full disclosure view displays the following events with a marker: Blood pressure measurements Phase or workload changes User events Comments Arrhythmias (optionally, see 7.2 to configure) 3.5.2. View leads To view one lead: Click on the button of the lead you want to view. To view workload changes: 1. Click your right mouse button to display the shortcut menu. 2. Click Workload changes.
CardioPerfect Workstation Exercise ECG Module - User Manual Regardless of the filter used, the rhythm characteristics of the ECG are accurately recorded and do not affect the interpretation algorithm. 3.6 Work with the 2x6 and 4x3 view 2x6 view The 2x6 view displays the 12 leads in two columns and six rows.
CardioPerfect Workstation Exercise ECG Module - User Manual If accurate ST segment contours are required for ECGs, do not use the 0.5 Hz baseline wander filter. This filter suppresses baseline wander to the extent that it may alter the ST segment. Instead, configure your cardiograph to operate without the baseline wander filter. Regardless of the filter used, the rhythm characteristics of the ECG are accurately recorded and do not affect the interpretation algorithm. 3.
CardioPerfect Workstation Exercise ECG Module - User Manual You can also change the QRS end (J) marker yourself in the Average complex view. See page 33. 3.7.2. Display ST slopes Welch Allyn CardioPerfect Exercise ECG not only measures ST levels, but can also calculate the value of ST slopes. The ST slope value gives additional qualitative information about your ST level measurements. The ST slope is calculated as follows: (ST at J+60 - ST at J+40) / 20 msec.
CardioPerfect Workstation Exercise ECG Module - User Manual RPP = (Systolic blood pressure * heart rate) The RPP is listed in the Trends view in units of 100 bpm.mmHg. 3.8.2. Copy ST measurements into other applications: The ST table can be copied, fully or partly, into other MS windows applications. Select a single measurement row with a left mouse click or select multiple rows with left mouse click and/or left mouse click (for a group of contiguous rows).
CardioPerfect Workstation Exercise ECG Module - User Manual 3.10 Work with the ST/HR view 3.10.1. ST/HR view The ST/HR view plots the ST segment depression against the heart rate. You can display this graph for each lead. In the left hand pane, the ST/HR index is shown. More information can be found in Okin PM, Kligfield P (1989), Computer-based implementation of the STsegment/heart rate slope, American Journal of Cardiology.
CardioPerfect Workstation Exercise ECG Module - User Manual 4. Interpreting an exercise ECG Once you have viewed, measured and compared the information in the exercise ECG, you can add, edit and confirm the interpretation. 4.1 Edit, save and confirm interpretation After test anyone with edit rights can edit an unconfirmed interpretation in the Interpretation editor. In this editor, you can enter your own texts.
CardioPerfect Workstation Exercise ECG Module - User Manual 4.2 View interpretation history When you change something in an interpretation, Welch Allyn CardioPerfect Exercise ECG does not change the original interpretation, but creates a new one. This way, an audit trail is kept of the interpretation history. A copy of all interpretations is kept in the interpretation history. To view the interpretation history: 1. In the Tools menu, click History. The Interpretation history window is displayed.
CardioPerfect Workstation Exercise ECG Module - User Manual To delete some or all leads from the full disclosure: 1. In the Tools menu, click Full disclosure clean up... 2. In the Full disclosure cleanup window, select whether you want to delete all leads or specific leads. 3. If you selected specific leads, click on the lead that you want to delete, and use the arrow button to move that lead to the right hand column. 4. Click OK. DIR 80012335 Ver.
CardioPerfect Workstation Exercise ECG Module - User Manual 5. Printing an exercise ECG This section holds a brief outline on printing an exercise ECG for a more elaborate description on printing with the Welch Allyn CardioPerfect software please refer to the Workstation manual. 5.1 Print an exercise ECG You can make a printout of each view in the exercise ECG. Making a printout Click on the Print button in the toolbar or select Print from the File menu. Select the report you want to print.
CardioPerfect Workstation Exercise ECG Module - User Manual 5.1.1. Print formats The exercise ECG Module can print the following reports: 2x6 Sequential or Simultaneous 4x3 + 1R Sequential or Simultaneous Averages 2 pages Cabrera Averages 2 pages Averages Full disclosure 25 mm/s Full disclosure 10 mm/s Full disclosure 5 mm/s Heart rate Rhythm ST table ST trends Summary Each report contains the view and a header that displays additional information.
CardioPerfect Workstation Exercise ECG Module - User Manual 6. Maintaining the recorder 6.1 About maintaining the recorder To keep your Welch Allyn CardioPerfect recorder in good working condition, please observe the following: Remove the battery when you do not use the recorder for a long period of time. Do not expose the recorder to temperatures lower than -15 ºC or higher than 45 ºC, at a maximum non-condensing humidity of 95%. Clean the cables regularly.
CardioPerfect Workstation Exercise ECG Module - User Manual To replace the battery of Welch Allyn CardioPerfect MD models: The battery compartment is located at the bottom of the unit. 1. 2. 3. 4. 5. Place your fingers in the two recesses of the battery compartment. Remove the lid by squeezing it. Unfasten and remove the battery. Insert a new 9V alkaline battery. Click the lid back into place.
CardioPerfect Workstation Exercise ECG Module - User Manual To charge the battery of Welch Allyn CardioPerfect Pro models: The battery compartment is located at the bottom of the unit. 1. Pull the battery compartment from the recorder by holding the Welch Allyn CardioPerfect Pro recorder with one hand and pressing on both sides off the battery compartment with your other hand. 2. Connect the power adapter to an electrical outlet, insert the charger cable into the top of the battery pack.
CardioPerfect Workstation Exercise ECG Module - User Manual 7. Customizing the Exercise ECG module You can customize Welch Allyn CardioPerfect to your own preferences. To open the settings click Settings in the File menu. The features that you can customize are located in the Exercise ECG settings. In the navigation bar click Exercise ECG: 7.1 Exercise ECG settings- General tab Use the General tab to customize general functions of Welch Allyn CardioPerfect Exercise ECG.
CardioPerfect Workstation Exercise ECG Module - User Manual Lead order With this option, you can select the order in which the leads are displayed. Two ECG lead sequences are provided: the standard lead sequence or the Cabrera format. Amplitude unit With this option, you can select the unit in which the measured amplitudes are expressed. You can select either millimeter or microvolt. The millimeter setting is dependent on the sensitivity that you use. The microvolt setting is sensitivity-independent.
CardioPerfect Workstation Exercise ECG Module - User Manual You can create a selection in three ways: A selection of events: all events of a certain kind are included, such as all arrhythmias, all start points of a new phase, or all user events. A selection of common or similar points in a test: for example, all blood pressure measurements that were made during the Exercise phase. A selection of points at specific times during the test To create a selection of events for printing or viewing: 1.
CardioPerfect Workstation Exercise ECG Module - User Manual Examples If you select... Blood pressure In phase... Exercise You see... All blood pressure measurements that were entered during the Exercise phase, but no blood pressure measurements that were recorded during the Pretest, Recovery or Posttest phases.
CardioPerfect Workstation Exercise ECG Module - User Manual Default report formats (printing after recording) Selected From this list of formats, you can select the formats that are printed when automatic printing is enabled. These formats are also printed when you click Print selected formats in the ECG window. Full disclosure lead From this list, you can select the default lead that appears in the Full disclosure view and print.
CardioPerfect Workstation Exercise ECG Module - User Manual 7.5 Exercise ECG-settings -Devices tab Use the Devices tab to select and configure the exercise devices. Important: In order to make changes in this section, you must have Windows Administration privileges. These privileges are set outside of CardioPerfect application, and are specific to each computer. If a section is grayed out, you do not have the necessary privileges, and should consult your IT administrator.
CardioPerfect Workstation Exercise ECG Module - User Manual 7.6 Exercise ECG settings- Recorder tab The Recorder tab is only accessible if you have Windows administrator rights. Use the Recorder tab to adjust settings for the Welch Allyn CardioPerfect recorder. The Recorder tab contains the following options: Recorder model Model The recorder model that is used. Use the MDX4 option for an MD recorder at 300, 600 Hz or 1200 Hz. Use the MDXN1 for a Pro recorder.
CardioPerfect Workstation Exercise ECG Module - User Manual 7.7 Exercise ECG settings- Summary tab In the summary tab of the Exercise ECG settings the contents of the Summary report can be adjusted, see Viewing an exercise ECG page 28. The summary tab of the Exercise ECG settings shows which information is currently displayed in the Summary report view. To change the Summary report you can select a previously created template or add a new template.
CardioPerfect Workstation Exercise ECG Module - User Manual To customize a new summary report template: 1. Click on the Add new template button in the Exercise ECG settings-Summary tab. 2. Select which fields should be included in the Summary report. The options button will change with the option selected above the button, if no options are available for the selected item the button is disabled.
CardioPerfect Workstation Exercise ECG Module - User Manual The window will close and the now available information in the summary report will be shown in the checkboxes. Editing existing templates It is possible to edit an existing template, a .htm file, by hand by using Notepad or a html editor. For more information see the section on customizing .txt files in the Workstation manual. Note: Do not overwrite the built-in default summary file: xecg_summary_std.
CardioPerfect Workstation Exercise ECG Module - User Manual 8. Customize exercise protocols 8.1 Protocols, phases and stages A protocol is a set of predefined rules and conventions of how a test is structured. With the Protocol editor, you can create protocols for The structure of a treadmill test. The structure of an ergometer test. The points in time at which the blood pressure is automatically measured or the points in time when a Blood Pressure prompt will appear.
CardioPerfect Workstation Exercise ECG Module - User Manual Expression: Variables You can use an expression to create a stage that is dependent on weight, height, age, etc.
CardioPerfect Workstation Exercise ECG Module - User Manual Select a mode, see picture: 1. Select Timed mode to create a protocol which will run independent of the ergometer or treadmill stages. An independent protocol consists of stages, each of which has its own duration. Regardless of whether you hold or accelerate an exercise device stage, the independent BP or print protocol will continue to run using the stage intervals defined for that protocol. 2.
CardioPerfect Workstation Exercise ECG Module - User Manual 8.5 8.5.1. Working with protocols Create a new protocol The procedure for creating a new protocol is the same for treadmill, ergometer, blood pressure and printer protocols. After you create a new protocol, continue with defining the stages for that protocol. To create a new protocol: 1. Select the Protocol editor from the Tools menu. 2.
CardioPerfect Workstation Exercise ECG Module - User Manual 8.6 Working with stages 8.6.1. Create a new stage Once you have created a new protocol, you can define the different stages for that protocol. Each phase in the protocol can have a number of stages. When you design these stages, take into account that not every test may use all phases, and that the protocol needs to be specified accordingly. Most Treadmill and Ergometer protocols only have stages in the Exercise and Recovery phase.
CardioPerfect Workstation Exercise ECG Module - User Manual 9. Troubleshooting 9.1 Test recovery Recover a test after a computer crash When a recording is not finished properly, for instance due to a computer crash, you can still recover the full disclosure of that recording. To recover a test after a computer crash: 1. Start Workstation. 2. Start Welch Allyn CardioPerfect Exercise ECG (for instance by opening another exercise ECG). 3. In the Tools menu, click Full disclosure recovery... 4.
CardioPerfect Workstation Exercise ECG Module - User Manual When you start a recording you do not see the ECG traces on the screen and you receive a number of errors Make sure that the setting for the sampling frequency in the ‘Recorder’ tab of the ECG settings matches the sampling frequency of your recorder. The sampling frequency can be either 300, 600 or 1200 Hz. Make sure that the correct Recorder model is selected (File> Settings> Exercise ECG> Recorder tab).
CardioPerfect Workstation Exercise ECG Module - User Manual 10. Before installing the Exercise ECG software In this chapter, you will find information about the structure of the Welch Allyn CardioPerfect Exercise ECG software. 10.1 Structure The workstation consists of two elements: Hardware: the recorder and the interface to the computer. Software: the Exercise ECG module that runs in the Welch Allyn CardioPerfect Workstation. The recorder must be connected to the computer that runs the module.
CardioPerfect Workstation Exercise ECG Module - User Manual 11. Installing the Exercise ECG Module Before you can start recording ECGs, you need to Install the hardware Install the correct drivers (when you use a CPCOM card or USB Unilink) Configure the software The installation procedures of the CPCOM cards depend on the operating system of your computer. Therefore, all sets of instructions include explanations for each operating system. 11.
CardioPerfect Workstation Exercise ECG Module - User Manual 3. If a Portable or MD recorder is used, insert one end of the optical fiber into the optical output receptacle at the back of the recorder and insert the other end into the receptacle on the Unilink.
CardioPerfect Workstation Exercise ECG Module - User Manual Analog TTL Note: Cables which connect to the Pro Link must be terminated in a mini-phone, 3.5 mm, stereo plug. The interfacing cables must follow the connection convention summarized by the following pin assignment diagram: No Connection Reference (-) Signal (+) Connector pin assignment The TTL and Analog connections are not intended to be used with Caution audio/IT equipment. 11.
CardioPerfect Workstation Exercise ECG Module - User Manual Configuring the Software After you have installed the PCI CPCOM card you need to configure the Workstation software in order to allow communication between the program and the PCI-CPCOM card. To configure Welch Allyn CardioPerfect Workstation: 1. Start Welch Allyn CardioPerfect Workstation and log in as Administrator 2. In the File menu, click Settings, click Exercise ECG and click on the Recorder tab. 3. Set the Port setting to CPCOM-PCI. 4.
CardioPerfect Workstation Exercise ECG Module - User Manual 12. Safety and precautions 12.1 Conventions Warning Warning statements describe conditions or actions that can result in personal injury or loss of life. Caution Caution statements describe conditions or actions that can result in damage to the equipment or software. Note Notes contain additional information on cardiograph usage.
CardioPerfect Workstation Exercise ECG Module - User Manual Electromagnetic Compatibility When using the CardioPerfect Pro cardiograph, electromagnetic compatibility with surrounding devices should be considered and evaluated. The CardioPerfect Pro cardiograph complies with IEC 60601-1-2 limits for EMC. 12.
CardioPerfect Workstation Exercise ECG Module - User Manual Multiple portable outlet sockets shall not be placed on the floor. Multiple portable outlet sockets or extension cord shall not be connected to the system. Do not connect items which are not part of the system The use of multiple (non-) medical electrical equipment connected to the same patient may pose a safety hazard due to the summation of leakage currents from each instrument.
CardioPerfect Workstation Exercise ECG Module - User Manual 13. Guidance and Manufacturer’s Declarations Caution The Welch Allyn CardioPerfect Pro Cardiograph needs special precautions regarding EMC and needs to be installed and put into service according to the following EMC information provided. Portable and mobile RF communications equipment can affect the Welch Allyn CardioPerfect Pro Cardiograph.
CardioPerfect Workstation Exercise ECG Module - User Manual Electromagnetic Immunity The Welch Allyn CardioPerfect Pro Cardiograph is intended for use in the electromagnetic environment specified below. The customer or the user of the Welch Allyn CardioPerfect Pro Cardiograph should assure that it is used in such an environment.
CardioPerfect Workstation Exercise ECG Module - User Manual Electromagnetic Immunity The Welch Allyn CardioPerfect Pro Cardiograph is intended for use in the electromagnetic environment specified below. The customer or the user of the Welch Allyn CardioPerfect Pro Cardiograph should assure that it is used in such an environment.
CardioPerfect Workstation Exercise ECG Module - User Manual Recommended separation distances between portable and mobile RF communications equipment and the Welch Allyn CardioPerfect Pro Cardiograph The Welch Allyn CardioPerfect Pro Cardiograph is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
CardioPerfect Workstation Exercise ECG Module - User Manual 14. Function keys The Welch Allyn CardioPerfect module is, just like all Windows applications, designed for working with the mouse. However, there might be situations in which working with the keyboard can be quicker. Therefore a number of functions within the Welch Allyn CardioPerfect module can also be selected directly using the keyboard.
CardioPerfect Workstation Exercise ECG Module - User Manual Viewing Key [CTRL]+[DOWN] [CTRL]+[UP] [CTRL]+[Z] [CTRL]+[I] [CTRL]+[H] [CTRL]+[R] [ALT]+[0] [ALT]+[2] [ALT]+[4] [ALT]+[6] [ALT]+[8] [ALT]+[D] DIR 80012335 Ver. D Function Zooms out. Zooms in. Reset zooming Opens the Interpretation window Opens the Interpretation History Activates the refresh functionality, which clears all user made measurements.
CardioPerfect Workstation Exercise ECG Module - User Manual 15. Additional information 15.1 Duke Treadmill score The Duke Treadmill Score (DTS) was introduced by DB Mark cs1. According to the ACC/AHA Practice Guidelines, the Duke Treadmill Score adds significant prognostic information to the standard clinical data3. Besides improving diagnostic and prognostic accuracy, scores eliminate physician bias and lessen the variability of decision making2.
CardioPerfect Workstation Exercise ECG Module - User Manual 1. Mark DB, Hlatky MA, Harrell FE Jr, Lee KL, Califf RM, Pryor DB. Exercise treadmill score for predicting prognosis in coronary artery disease. Ann Intern Med 1987;106:793-800. 2. Mark DB, Shaw L, Harrell FE Jr, et al. Prognostic value of a treadmill exercise score in outpatients with suspected coronary artery disease. N Engl J Med 1991;325:84953. 3. Gibbons RJ, et al. ACC/AHA 2002 Guideline Update for Exercise Testing.
CardioPerfect Workstation Exercise ECG Module - User Manual Index 2x6 ................................. 10, 28, 29, 35, 49 Print...............................................26, 44 4x3 ........................................28, 29, 35, 48 Print...............................................26, 44 Action menu............. 18, 21, 23, 29, 32, 34 Add comment..........................................21 Arrhythmia ....................... 7, 11, 33, 34, 49 Automatic Blood pressure........................
CardioPerfect Workstation Exercise ECG Module - User Manual Graph ..................................................36 Trend...................................................31 View ....................................................38 Highest ST ........................................13, 48 History.....................................................41 Tab ......................................................13 Import Protocol ...............................................61 Install CPCOM.............
CardioPerfect Workstation Exercise ECG Module - User Manual Tab ......................................................12 View ....................................................36 Unilink .....................................................65 USB ............................................14, 65, 66 View Exercise ECG......................................28 Interpretation history ...........................41 DIR 80012335 Ver. D Viewing tab ............................................ 49 Workload.......
