Welch Allyn Diagnostic Cardiology Suite Resting ECG, User Manual - Hill-Rom

Transcription

Welch Allyn Diagnostic CardiologySuite Resting ECGUser Manual

2019 Welch Allyn. All rights are reserved. To support the intended use of the product described in this publication,the purchaser of the product is permitted to copy this publication, for internal distribution only, from the mediaprovided by Welch Allyn. No other use, reproduction, or distribution of this publication, or any part of it, is permittedwithout written permission from Welch Allyn. Welch Allyn assumes no responsibility for any injury to anyone, or forany illegal or improper use of the product, that may result from failure to use this product in accordance with theinstructions, cautions, warnings, or statement of intended use published in this manual.CAUTION Federal law restricts this device to sale by or on the order of aphysician.This document contains confidential information that belongs to Welch Allyn. No part of this document may betransmitted, reproduced, used, or disclosed outside of the receiving organization without the express writtenconsent of Welch Allyn. Welch Allyn is a registered trademark of Welch Allyn. AM12 ,WAM are trademarks of WelchAllyn. Microsoft and Windows are registered trademarks of Microsoft Corporation. Adobe and Acrobat are registeredtrademarks of Adobe Systems Incorporated. DICOM is the registered trademark of the National ElectricalManufacturers Association for its standards publications relating to digital communications of medical information.Citrix and Citrix XenApp are registered trademarks of Citrix Systems, Inc. Software V2.1.0 2019Welch Allyn and Connex are registered trademarks of Welch Allyn.For information about any Welch Allyn product, visit: tmlFor patent information, please visit www.welchallyn.com/patentsCustomer Service and Technical Support: l 1.888.667.8272,mor tech.support@hillrom.com80023961 Ver. CRevision date: 2019-10901128 CARDIOPULMONARY ECG SYSTEMWelch Allyn, Inc.4341 State Street RoadSkaneateles Falls, NY 13153 USAwelchallyn.com

iiiContentsNotices . 1Manufacturer’s Responsibility . 1Responsibility of the Customer . 1Equipment Identification . 1Copyright and Trademark Notices . 1Other Important Information . 1User Safety . 3Warnings . 3FCC Compliance Statement . 6Cautions . 6Note(s) . 7Symbols . 11General Care . 13Precautions . 13Inspection . 13Cleaning and Disinfecting . 13Introduction . 15Manual Purpose . 15Audience . 15Indications for Use . 15System Description . 17Acquisition Module Types . 17Welch Allyn Wireless Acquisition Module with Lead Wires . 18Welch Allyn AM12 Acquisition Module with Lead Wires . 19Connecting the Acquisition Module . 20Pairing the Acquisition Module . 20Lead Fail Indication . 21Installation . 23Resting ECG Application Installer . 23System Installation . 23Software Upgrade . 23Software Uninstallation . 24

ivContentsWelch Allyn Diagnostic Cardiology Suite Resting ECGResting ECG Display Overview . 25Customizing the Resting ECG Module . 29Modality Settings and Default Values . 30Waveforms Tab . 30Acquire Tab . 31Full Disclosure Tab . 32Resting ECG Tab . 33Record an ECG . 37Patient Preparation . 37Patient Hookup . 37Acquire ECGs . 40Viewing Resting ECG Exams . 47Context Menu Settings . 47Interpreting a Resting ECG Exam . 55Edit a Resting ECG Report . 55Editing Measurements . 56Settings . 58Measurement Caliper Tool . 58Viewing Patient Information . 60Printing Resting ECG Reports . 61Printing . 61Report Print Preview . 61Configure the Report . 62Troubleshooting . 65Appendix A: System Specifications . 69Welch Allyn Diagnostic Cardiology Suite – ECG Specifications . 69Welch Allyn Wireless Acquisition Module Specifications . 69UTK Specifications . 70ECG Acquisition Module Accessories . 71Appendix B: Electromagnetic Compatibility (EMC) . 73Electromagnetic Compatibility (EMC) . 73Appendix C: Warranty Information . 77Your Welch Allyn Warranty . 77

1NoticesManufacturer’s ResponsibilityWelch Allyn is responsible for the effects on safety and performance only if: Assembly operations, extensions, readjustments, modifications, or repairs arecarried out only by persons authorized by Welch Allyn. The device is used in accordance with the instructions for use.Responsibility of the CustomerThe user of this device is responsible for ensuring the implementation of a satisfactorymaintenance schedule. Failure to do so may cause undue failure and possible healthhazards.Equipment IdentificationWelch Allyn equipment is identified by a serial and reference number on the back of thedevice. Care should be taken so that these numbers are not defaced. Softwareequipment is accompanied by an identification card; carefully store this card as theinformation is needed for activation, upgrade and customer service. This information canbe entered at the time of installation to help ensure the information is not lost.Copyright and Trademark NoticesThis document contains information that is protected by copyright. All rights arereserved. No part of this document may be photocopied, reproduced, or translated toanother language without prior written consent of Welch Allyn.Other Important InformationThe information in this document is subject to change without notice.Welch Allyn makes no warranty of any kind with regard to this material including, but notlimited to, implied warranties of merchantability and fitness for a particular purpose.Welch Allyn assumes no responsibility for any errors or omissions that may appear inthis document. Welch Allyn makes no commitment to update or to keep current theinformation contained in this document.

2NoticesWelch Allyn Diagnostic Cardiology Suite Resting ECG

3User SafetyWARNING Means there is the possibility of personal injury to you orothers.CAUTION Means there is the possibility of damage to the device.NoteProvides information to further assist in the use of the device.This manual may contain screen shots and pictures. Any screen shots and pictures areprovided for reference only. Consult the actual screen in the host language for specificwording.WarningsWARNING This manual gives important information about the use andsafety of this device. Deviating from operating procedures, misuse ormisapplication of the device, or ignoring specifications andrecommendations could result in increased risk of harm to users, patientsand bystanders, or damage to the device.WARNING The personal computer (non-medical electrical equipment) shallbe situated outside the patient environment (reference IEC 60601-1). Thepersonal computer used should adhere to the appropriate safety standardfor non-medical electrical equipment (IEC 60950, or its national variants),and use of an isolation transformer is recommended. The personalcomputer used should adhere to the appropriate electromagneticcompatibility (EMC) standard for non-medical electrical equipment (CISPR22/24 - FCC Part 15 - CE, or related national variants). If it is required for thepersonal computer to be situated within the patient environment, it is theresponsibility of the user to ensure that the system provides a level ofsafety in compliance with IEC 60601-1. To ensure the safety of the patientit must not be possible for the operator to touch the patient and thecomputer at the same time. In general, at least 1.5 meters (5’) of open areamust surround the patient to achieve this.WARNING Device captures and presents data reflecting a patient’sphysiological condition that when reviewed by a trained physician orclinician can be useful in determining a diagnosis; however, the data shouldnot be used as a sole means for determining a patient’s diagnosis.

4User SafetyWelch Allyn Diagnostic Cardiology Suite Resting ECGWARNING Users are expected to be licensed clinical professionalsknowledgeable about medical procedures and patient care, and adequatelytrained in the use of this device. Before attempting to use this device forclinical applications, the operator must read and understand the contents ofthe user manual and other accompanying documents. Inadequateknowledge or training could result in increased risk of harm to users,patients and bystanders, or damage to the device. Contact service foradditional training options.WARNING To maintain designed operator and patient safety, peripheralequipment and accessories used that can come in direct patient contactmust be in compliance with UL 60601-1, IEC 60601-1, and IEC 60601-2-25.Only use parts and accessories supplied with the device and availablethrough Welch Allyn. Equipment relying only on basic insulation forprotection against electric shock should not be used in the system.WARNING Patient cables intended for use with the device include seriesresistance (9 Kohm minimum) in each lead for defibrillation protection.Patient cables should be checked for cracks or breakage prior to use.WARNING Conductive parts of the patient cable, electrodes, andassociated connections of type CF applied parts, including the neutralconductor of the patient cable and electrodes, should not come intocontact with other conductive parts including earth ground.WARNING Do not attempt to clean the patient cables by submersing intoa liquid, autoclaving, or steam cleaning as this may damage equipment orreduce its usable life. Wipe the exterior surfaces with a warm water andmild detergent solution and then dry with a clean cloth. Use of unspecifiedcleaning/disinfecting agents, failure to follow recommended procedures, orcontact with unspecified materials could result in increased risk of harm tousers, patients and bystanders, or damage to the device.WARNING The device is part of an integral personal computer-baseddiagnostic system. The user must adhere to all warnings in order to ensuresafe and reliable performance.WARNING If operated on AC ( ) power, the personal computer must beconnected with its original power cable to an electrical installation thatcomplies with applicable regulations for environments where patients aretreated.WARNING If the personal computer is situated within the patientenvironment, to maintain designed operator and patient safety when a LANnetwork connection is being used, the network cable must be connectedto the device through an Ethernet isolator module that complies with IEC60601-1-1 (available from Welch Allyn).WARNING ECG electrodes could cause skin irritation; patients should beexamined for signs of irritation or inflammation. Electrode materials andingredients are specified on the packaging or are available from the vendorupon request.

User manualUser Safety 5WARNING To avoid the possibility of serious injury or death during patientdefibrillation, do not come into contact with device or patient cables.Additionally, proper placement of defibrillator paddles in relation to theelectrodes is required to minimize harm to the patient.WARNING Proper clinical procedure must be employed to prep theelectrode sites and to monitor the patient for excessive skin irritation,inflammation, or other adverse reactions. Electrodes are intended for shortterm use and should be removed from the patient promptly followingtesting. Do not mix electrodes made of dissimilar metals.WARNING To avoid potential for spread of disease or infection, single-usedisposable components (e.g., electrodes) must not be reused. To maintainsafety and effectiveness, electrodes must not be used beyond theirexpiration date.WARNING A possible explosion hazard exists. Do not use the device inthe presence of flammable anesthetic mixture.WARNING Possible malfunction risks may be present when installingthird-party software. Welch Allyn cannot verify the compatibility of allpossible hardware/software combinations.WARNING The device has not been designed for use with high-frequency(HF) surgical equipment and does not provide a protective means againsthazards to the patient.WARNING When the 40 Hz filter is used, the frequency responserequirement for diagnostic ECG equipment cannot be met. The 40 Hz filtersignificantly reduces high-frequency components of the ECG andpacemaker spike amplitudes, and is recommended only if high-frequencynoise cannot be reduced by proper procedures.WARNING The quality of the signal produced by the device may beadversely affected by the use of other medical equipment, including butnot limited to defibrillation and ultrasound machines.WARNING Use only recommended alkaline battery cells with the WelchAllyn Wireless Acquisition Module. Use of other cells may present a risk offire or explosion.WARNING The Welch Allyn Wireless Acquisition Module low batterywarning function is designed for alkaline battery cells only. Use of othercells may result in failure of the low battery warning possibly resulting in amalfunction of the device.WARNING Test the Welch Allyn Diagnostic Cardiology Suite functionsafter each Microsoft critical and security update with a simulator prior topatient use.WARNING Damaged or suspected inoperative equipment must beimmediately removed from use and must be checked/repaired by qualifiedservice personnel prior to continued use.WARNING To prevent emission of substances that may damage theenvironment, dispose of the device, its components and accessories and/orpacking materials that are past the shelf life in accordance with localregulations.

6User SafetyWelch Allyn Diagnostic Cardiology Suite Resting ECGWARNING Proper functioning backup items such as, display monitor, andother equipment are recommended on hand to prevent delayed treatmentdue to an inoperable device.FCC Compliance StatementIn the United States use of this device is regulated by the Federal CommunicationsCommission (FCC). The Welch Allyn Wireless Acquisition Module with its antennacomplies with FCC’s RF exposure limits for general population/uncontrolled exposure.FCC Warning (Part 15.21): Changes or modifications not expressly approved by the partyresponsible for compliance could void the user’s authority to operate the device.WAM FCC ID:HJR-WAM2500UTK FCC ID:HJR-UTK2500These devices comply with Part 15 of the FCC rules. Operation is subject to thefollowing conditions:1. This device may not cause harmful interference, and2. This device must accept any interference received, including interference that maycause undesired operation.CautionsCAUTION Do not pull or stretch patient cables as this could result inmechanical and/or electrical failures. Patient cables should be stored afterforming them into a loose loop.CAUTION Windows compatibility, updates and anti-virus policy: TheWelch Allyn Diagnostic Cardiology Suite software has been fully testedwith Windows 7 (32-bit and 64-bit) Professional Service Pack 1, andWindows 10 Pro (64-bit) operating systems. The Welch Allyn DiagnosticCardiology Suite software has also been tested with Windows Server 2012R2 and Windows Server 2016. Although it is unlikely that Windowsupdates and security patches affect the Welch Allyn Diagnostic CardiologySuite functionality, Welch Allyn recommends turning automatic Windowsupdate off, and periodically running it manually. A functional test should beexecuted after update, which includes acquiring a recording, editing andprinting a report, as well as importing an order and exporting results, ifactivated. Compatibility of the Welch Allyn Diagnostic Cardiology Suite withcorporate anti-virus software packages has been evaluated. Welch Allynrecommends excluding the Welch Allyn Diagnostic Cardiology Suitedatabase folder (normally C:\ProgramData\MiPgSqlData on a stand-alonesystem or the server) from the folders to be scanned. In addition, anti-viruspatch updates and system scans should be scheduled for time periodswhen the system is not actively in use or performed manually.CAUTION No other non-recommended PC application software should berunning while the Welch Allyn Diagnostic Cardiology Suite application isbeing used.

User manualUser Safety 7CAUTION It is recommended that all resting ECG workstations and reviewstations be periodically updated with Microsoft critical and security updatesto protect from malware attacks and to fix critical Microsoft softwareissues.CAUTION To prevent delivery of malware into the system Welch Allynrecommends that institution operating procedures are written to preventmalware to be transmitted into the system from removable media.CAUTION The Welch Allyn Wireless Acquisition Module will only workwith receiving devices that are equipped with the appropriate option.CAUTION This Welch Allyn Wireless Acquisition Module is notrecommended for use in the presence of imaging equipment such asMagnetic Resonance Imaging (MRI) and Computed Tomography (CT)devices, etc.CAUTION The following equipment may cause interference with theWelch Allyn Wireless Acquisition Module RF channel: microwave ovens,diathermy units with LANs (spread spectrum), amateur radios, andgovernment radar.CAUTION AA batteries are known to leak their contents when stored inunused equipment. Remove battery from Welch Allyn Wireless AcquisitionModule when not used for an extended period of time.CAUTION Be careful to insert the correct lead wire into the connectorblock with the appropriate input connector by matching the lead wire labelsto the acquisition lead labels.CAUTION Test information should be backed up to prevent loss of criticaldata as a result of a malware attack or system failure.Note(s)NoteLocal administrator permissions are required for software installation, andapplication configuration. Local user privileges are required for applicationusers. Roaming and temporary accounts are not supported.NoteThe application times out automatically after 8 hours of applicationinactivity. Any operation (e.g. Exam Search, Patient Search, editing exams,starting an exam, etc.) will reset the timeout start time. When returning tothe application after the timeout, the user is prompted to enter logincredentials.NoteWhen the server is unavailable in a distributed configuration, the clientworkstation will notify the user with a prompt to proceed in Offline Modeor cancel. In Offline Mode, scheduled orders are not available. An exam canbe conducted with manually entered demographics and will be storedlocally. When the server becomes available, the user is prompted with a listof unsent exams and a selection to send exams to the server database.NotePatient movements may generate excessive artifact that may affect thequality of the ECG traces and the proper analysis performed by the device.NoteProper patient preparation is important to application of ECG electrodes andoperation of the device.

8User SafetyWelch Allyn Diagnostic Cardiology Suite Resting ECGNoteThere is no known safety hazard if other equipment, such as pacemakersor other stimulators, is used simultaneously with the device; however,disturbance to the signal may occur.NoteIf an electrode is not properly connected to the patient, or one or more ofthe patient cable lead wires is damaged, the display will indicate a lead faultfor the lead(s) where the condition is present.NoteA thick baseline present on the display while using the AM12 may be dueto an auto-calibration error. Review the LED indicator on the AM12 toensure the unit is connected, or disconnect and reconnect to the PC USBport to re-calibrate. If the issue persists, contact technical support.NoteThe Welch Allyn Wireless Acquisition Module has an LED battery indicationthat will automatically start flashing if the battery has been dischargedbelow its lower threshold of 1.0 volts.NoteDuring normal operation, the green LED on the acquisition modules willdisplay continuously.NoteIf the Welch Allyn Wireless Acquisition Module battery cover is openedduring transmission, the device will stop transmitting. The battery must bereinserted and the cover fastened to resume operation.NoteThe Welch Allyn Wireless Acquisition Module will automatically turn off(LED off) if the battery has been severely discharged.NoteThe Welch Allyn Wireless Acquisition Module will automatically turn offwhen the application is closed.NoteThe Welch Allyn Wireless Acquisition Module will automatically turn offafter being disconnected from the patient. This will happen regardless ofcomputer battery/AC power state.NoteA thick baseline present on the display while using the Welch AllynWireless Acquisition Module may occur because the device is turned off,has no battery, has not being paired correctly, is operating out of range, orhas a calibration error. Review the LED indicator and auditory advisory onthe device to ensure the unit is turned on, has proper battery level, ispaired correctly, and is within recommended proximity of the UTK, orpower cycle (turn off then turn on) the device to re-calibrate.NoteAs defined by IEC 60601-1 and IEC 60601-2-25, the device is classified asfollows: NoteType CF, defibrillation-proof applied parts.If not specifically indicated otherwise, personal computer equipment usedwith the device can be regarded as: Class I (if the computer has a three-prong power inlet) or class II (if it has atwo-prong inlet) Ordinary equipment Equipment not suitable for use in the presence of a flammable anestheticmixture Continuous operation

User manualUser Safety 9NoteNoteNoteTo prevent possible damage to the device during transport and storage(while in original packaging) the following environmental conditions mustbe adhered to (for ECG accessories, such as electrodes, refer to applicablepackaging):Ambient temperature:-20 C to 60 C (-4 F to 149 F)Relative humidity:10% to 95%, non-condensingAllow the device and any computer equipment used to stabilize within itsintended operating environment for a minimum of two hours prior to use.Refer to the computer equipment user manual for allowable environmentalconditions. The allowable environmental conditions for the Welch Allynwireless and AM12 acquisition modules are as follows:Ambient temperature:10 C to 40 C (50 F to 104 F)Relative humidity:10% to 95%, non-condensingThe Welch Allyn Wireless Acquisition Module is UL classified:WITH RESPECT TO ELECTRIC SHOCK, FIRE AND MECHANICAL HAZARDSONLY IN ACCORDANCE WITH: ANSI/AAMI ES60601-1, CAN/CSA-C22.2No. 60601-1, IEC 60601-1, IEC 60601-2-25.

10User SafetyWelch Allyn Diagnostic Cardiology Suite Resting ECG

11SymbolsDocumentation symbolsWARNING The warning statements in this manual identify conditions or practices that couldlead to illness, injury, or death.CAUTION The caution statements in this manual identify conditions or practices that couldresult in damage to the equipment or other property, or loss of data. This definition applies toboth yellow and black and white symbols.Miscellaneous symbolsManufacturerDo not dispose as unsortedmunicipal waste. Requiresseparate handling for wastedisposal according to localrequirements.Follow instructions/directions foruse (DFU) -- mandatory action. Acopy of the DFU is available on thiswebsite. A printed copy of the DFUcan be ordered from Welch Allynfor delivery within 7 calendar days.Defibrillation-proof Type CF appliedpartsUSBSerial NumberReorder NumberBatch CodeModel IdentifierGlobal Trade Item NumberAcquire 12 Lead ECGBy prescription or order ofphysician or dentist

12SymbolsWelch Allyn Diagnostic Cardiology Suite Resting ECGMedical DeviceNoteRefer to the manual(s) accompanying the device that pertain to thecomputer hardware for additional definitions of symbols that may bepresent.Package Symbol DelineationThis end upFragileKeep dryKeep away from heatAcceptable temperature range

13General CarePrecautions Turn off the device before inspecting or cleaning. Do not immerse the device in water. Do not use organic solvents, ammonia-based solutions, alcohol, or abrasive cleaningagents which may damage equipment surfaces.InspectionInspect your equipment daily prior to operation. If you notice anything that requiresrepair, contact an authorized service person to make the repairs. Verify that all cords and connectors are securely seated. Check the case and chassis for any visible damage. Inspect cords and connectors for any visible damage. Inspect keys and controls for proper function and appearance.Cleaning and Disinfecting1. Disconnect the power source. Remove cables and lead wires from device beforecleaning.2. For general cleaning of cables and lead wires, use a soft, lint-free cloth lightlymoistened with a mild soap and water solution. Wipe and air dry.3. For disinfecting the exterior surfaces of the device, patient acquisition module,cables, and lead wires, wipe exterior using: Clorox Healthcare Bleach Germicidal Wipes (use according to instructions onproduct label), or a soft, lint-free cloth with a solution of sodium hypochlorite (10% household bleachand water solution) minimum 1

maintenance schedule. Failure to do so may cause undue failure and possible health hazards. Equipment Identification Welch Allyn equipment is identified by a serial and reference number on the back of the device. Care should be taken so that these numbers are not defaced. Software