HP Pagewriter XLi M1700A User manual

Model MI700A
Pagewriter XLi Cardiograph
Operating Guide

The Keyboard and
Front Panel

Low Battery
Battery Level
AC%
Changes the paper speed of the ECG. It switches between 5, 10,
25, and 50 mm/second for Manual and between
25 and 50 Auto.
Changes the limb and chest lead sensitivity between
5, 10,and 20
mm/mV.
Changes the chest Bead sensitivity between full and half size with
respect to the value set by the key.
Turns artifact and baseline wander filters on and off depending on
which filter or filters are set in configuration.
Allows patient identification entry, review, and edit.
These five keys (f1
- f5) directly beneath the display window
perform different functions at different times. For this reason, they
are called "softkeys." When the key is active, a label describing its
function appears above it
in the display window.
Changes the softkey selection between two main displays.
Starts an Auto EGG recording.
Starts a Manual EGG recording.
Halts any cardiograph function.
Prints
a copy of an Auto ECG which has just been acquired.
Advances the paper to the beginning of the next page.
Switches the cardiograph between
On and Stadby. When the.
cardiograph is in standby, it is raot operational; but it is powered.
Light indicates that the cardiograph must be plugged in and
recharged.
Lights indicate the remaining capacity level of the battery. When
the battery is fully charged, all the lights are on.
Light
will be on when the power cord is plugged into a wall outlet
and the
AC switch is on. This indicates that the battery is
charging. The
AC switch is on the back of the cardiograph.
Pressed with
@ at power-on for cardiograph self-test.
Select leads on preview screen. When typing information,
@ @
move the cursor in patient ID entry and configuration. Shift - @
and arrow keys will adjust the contrast on the cardiograph
display.
The Enter key.

Safety Summary
Safety Symbols
The following symbols are used on the cardiograph or
Marked an the the carta
Cardiograph
Caution - See operating instructions
-l@t Type CF, defibrillation protected
% Alternating current
0
Equipotential (this is on the ground lug)
B
The maximum weight that the cart can hold.
Please see Chapter
4, Maintariltaing %he Cardiograph, for
further information about operaling your cardiograph
safely.
Conventions Used in
This Manual
Warning
Warning statements describe conditions or actions that
@
can result in personal injury or lass of life.
Caution
Caution statements describe conditions or actions that
can result
in damage to the equipment or software.
Note
Notes contain additional information on cardiograph
represents the temporary key labels
that
appear on the display.
@
represents keys on the front panel.

Documentation
Map
Documentation Map
If you want to: Use this mmud:
Verify that all equipment is included Packing Lis-t
Record ECGs Operaiing Guicle
Enter patient ID
Make copies of ECGs
Store ECGs
Transmit or receive ECGs
Troubleshoot problems
Maintain the cardiograph
Set up the cardiograph
Install battery
Install software
Load paper
Change applications
Install or use Preview Plus
Configure the cardiograph
User 'ti Reference Guide
Prepare patient
Maintain the cardiograph
Install
and use the modem
Order supplies
Use filters
Underst and analysis Physician's Guide

Contents
1. Getting Acqueaiglted
About Your Cardiograph . . . . . . . 1-2
About This Manual . a a a . a 1- 3
2, Recording an ECG '
Recording an ECG . . . - - . 2-1
Preparing the Patient + - a 2-2
Checking Signal Quality
. . . . . . . . 2-3
Using the Preview Screen (Optional)
a 2- 5
Choosing a Report Format . . . .. . . 2-6
Auto Report Formats
. a a . 2- 6
Changingthe Report Format .
2- 7
Entering Patient ID . a a 2-8
Reviewing and Changing Patient ID - 2- 9
Recording an Auto ECG . * a a 2-10
Recording an ECG From the Patient
Module
. 2-12
Recording
a Manual ECG . . . . . . . 2- 13
Understanding the hinted Report . . . 2- 14
3e
Making Copies of Auto ECGs
Copying ECGs Automatically . . . . . 3- 1
Copying ECGs Manually . . . . . . . 3- B
ECG Report with Analysis a a a a 3-2

4, Storing Auto ECGs
MmudEy Storing Auto ECGs ..... 4- 1
Printing a Stored ECG a - 4-3
Printing More than One ECG .... 4-41.
Reviewing and Changing Stored Patient ID
i[nformation . a a a 4- 6
Deleting a Stored ECG - . 4- 8
Deleting More than One ECG .... 4- 9
Using ECG-Log and Store-Log ..... 4- 9
Using CheckDisk a *
4- 10
Reformatting Flexible Disks ...... 4- 11
5.
nansitting and Receiving Auto EGGS
Transmitting ECGs . - - * 5- 1
Transmitting More than? One ECG a a 5-3
Receiving ECGs + a *
5- 3
6. nonblleshooting
Checking ECG Technique .......
Identifying ECG Problems .......
If the Recording Won't Start .....
Preview Screen Problem . a
Error Messages ............
'9, M~ntGnirag the Cardiograph
Care and Cleaning ..........
Cleaning the Cardiograph ......
Cleaning the Keyboard ......
Cleaning the Digital Array Printhead
and Paper Sensor
a a a -
Cleaning the Electrodes and Cables .
Caring for the Battery ........
Storing the Battery .........
Replacing the Battery .......
Disk Handling and Maintenance
Instructions
...........
Safety. ..............
CalEng for Service ........

United States of America 7-12
Canada
7-12
Other International Areas 7-12
A. Patient ID Code Tables
B.
Setting up Your Cardiograph for the First Time
Checking the Voltage Setting . . . . . . B- l
Connecting the Cables . . . . . . . . B-2
Installing and Using the Battery
. . . . B-4
Loading the Paper - a . a . B-8
Installing Software . . . . . . . . . . B-10
Adjusting the Contrast on the Displays B-11
Setting the Date and'~ime . B-11
C. Specifications
Basic Controls . a a . C- l
Patient Safety .
. C- 1
Instrument Test . . . . . . . . . . . C-2
Power and Environment
. . . . . . . . 42-2
D. Installing Applications
Installing Applications D- l
Changing Applications . . . . . . . . D-2
Configuring your Cardiograph
to Start Up
in a Chosen Application - D-3
E, Using XLi Preview Hus
Reading the Preview Plus Screen . . . . E- 2
Observing a Patient's ECG Continuously
E- 3
Recording Timed Auto ECGs . . . . . E-4
Recording Delayed Manual ECGs . . . . E- 5
Reformatting a Stored EGG . . . . . . E- 7
Index

Figures
1-1. The PageWriter Xki HP MI700A
Cardiograph. a a
2-1. The Patient Module. a -
2-2- The Preview Screen. a -
2-3. The ECG Report. -
7-1. Removing the Keyboard, . , . . . .
7-2. Cleaning the Digital Array Printhead.
7-3. Replacing the Battery. . . . . . . .
7-4. The Battery Assembly. .
B-I. Connecting the Power Cord and Patient
Module Data Cable. a a a
B-2. Connecting the Patient Module Lead
Wires and Data Cable.
. - -
B-3. Installing the Battery. . . . . . . . .
B-4. TheBatteryAssembly .. a
B-5. Loading the Paper. a a - -
B-6. Inserting the Disk. . . . . . . . : .
E-1. A Preview Plus Screen. - a
E-2. A Reformat Report Screen. . . . . .

2-1. Patient Module Display Symbols . 2-4
.........
2-2. Report Annotations 2- 15
.........
2-3. Calibration Signals 2-16
6-1. ECG Problems
. a a 6- 2
A-1. Patient ID Fields , a a A-2
A-2. Medication and Diagnostic Codes ... A- 3
A-3. Race Codes a * a a A- 3

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

Abut Your
Your PageWriter Xki cardiograph:
Cardiograph
Acquires up to 16 leads simultaneously.
Analyzes and interprets the complete ECG.
m Allows you to check lead quality on the preview screea
or patient module before printing the ECG.
rn Allows you to start an ECG recording from the
cardiograph or from the patient module.
Provides selectable formats (Auto and Manual).
Stores EGGSon a removable flexible disk.
Allows you to upgrade software simply.
r Operates on rechargeable batteries as well as AC
power (with battery installed).
rn Has a digital array printer with continuous-feed paper.
-r~ Displays signal quality and leads off conditions.
m Provides the ability to transmit Auto ECGs via
modem, fax modern, or direct connection,
1-2 Getting Acquainted

About This Manual
Keep this Operating Guide with your cardiograph in the
place provided on the cart. This guide contains concise
operating instructions for experienced Pagewriter XLi
cardiograph users. If you are unfamiliar with using this
cardiograph, please view the videotape tutorial,
Using
the Hewlett-Packard Page Writer
XL Cardiographs. For
additional help on using your cardiograph, refer to the
Page Writer XEi User's Reference Guide.
This manual describes how to perform the following
tasks:
Recording an EGG
as Editing patient ID
Making copies of Auto ECGs
as Storing Auto ECGs
Deleting Auto
ECGs
rn Transmitting and receiving Auto ECCs
Troubleshooting
rn Caring for and maintaining the cardiograph
Preparing your cardiograph for use
Getting Acquainted 1-3

Recording an ECG
This chapter contains the following information about
recording an
ECG on your Pagewriter XLi cardiograph.
Preparing the patient
FB Checking signal quality
Using the optional preview screen
im Choosing a report format
Entering patient ID
Recording an ECG
B Understanding the printed report
Recording an ECG
To record an ECG:
1. If the cardiograph is not on, press
2. Apply electrodes to the patient.
3. Press or to record the ECG.
The rest of this chapter will include details on recording
ECGs,
Recording an ECG 2-1

Preparing the
For electrode placement information, refer to the label
Patient
on the top of your cardiograph. For tips OW proper ECG
technique, see the videotape Using the Hewlett-Packard
Page Writer XL Cardiographs. Also refer to the
Page Writer XLi Userjs Refiaence Guide.
Note
Computerized ECG analysis should always be reviewed
3 by a qualified physician.
Proper patient preparation and electrode placement are
the most important elements in producing
a high quality
ECG trace. Prepare the patient by:
1. Gently scrubbing the electrode site with gauze.
2, Attaching the electrodes secrare'ly.
3. Reassuring and relaxing the patient.
2-2 Recording an ECG

Checking Signal
Quality
Figure 2-1. The Patient Module.
A. Lead Wises
B. Patient Module Data Cable
C. Start and Stop Button
D, Color Scale
E. Patient Module Display
I?. Shorting Plugs
@ - @ and keys will adjust the contrast on the
patient module display-
You can get better ECGs by viewing the patient module
display before recording
the ECG and adjusting the
leads as necessary. Noise bars for each lead extend
downward to show noislz levels. Collos scales on either
side of the patient module display indicate by the length.'
of the noise bar, the severity of the noise.
See Table 2-1.
Recording an ECG 2-3

Table 2-1. Patient Module Display Symbols
Yellow zone bar: Moderate noise level.
Red zone bar:
High noise level. ECG report quality will be affected.
Check patient preparation.
Optional lead not installed. (Shorting plug present)
Patient
ID number appears on the patient module display when you
press
@ any time you have already recorded an ECG. K you
.
want to use this ID, press @ to record the ECG. If you do not want
this
ID, enter a new patient ID number from the front key
panel of the cardiograph.
***************t Cardiograph is busy.
Press
@ again and the ECG will be recorded. If you want to enter
a patient ID number, enter the number from the front
2-4 Recording an ECG

Using the Preview
Screen (Optional)
Figure 2-2. The Pkev"sew Screen.
A, Brightness knob
B. Contrast knob
The preview screen is another way besides the patient
module display to ensure that you record
a good quality
ECG. When the cardiograph is on, the preview screen is
operating, ,
Before you connect the leads, the screen shows the
selected three Bead group. Each lead is shown as
a
dotted line indicating that the lead is oK
H As you connect the leads to the patient, lead
waveforms are displayed on the screen.
B YOU can select diflereaat lead groups to display by
pressing the @ and Q keys on the cardiograph's key
panel.

H When you press the key?
EECG information is
acquired. A fixed display of the Auto
ECG waveform
then appears.
B You may halt the recording if you see artifact or other
ECG waveform problems on the fixed display,
m When vou mess the 'kev, there is
a continuous
display of three
lead waveforms ow the screen.
B You can adjust the contrast and brightness on the
screen with the two knobs on the lower right corner
of
the preview screen frame.
Note
If the preview screen is dark when you turn on the
cardiograph, turn the contrast and brightness knobs for
the proper brightness.
Choosing a Report
Format
Auto Report Formats
If-lead Auto reports may be displayed in 3 x 4 or 6 x 2
formats. The 3 x 4 format displays shorter segments of
waveform information than the
6 x 2 format. Rhythm
strips may be added to display a longer segment of one
or three leads
in the 3 x 4 format,
2-6 Recording an EGG

Changing the Report
To change the report format:
Format ' 1. press . You will see a display similar to the one
shown
below.
2. Press to select between Auto or Manual
report menus.
softkeys change features of
) when setting the report
to select the report presentation. The
selections are:
See the
Page WriterXki User's Reference Guide for
more explanation of the report formats.
4. Press to select which leads will. be recorded.
Recording an ECG 2-7