Philips PageWriter 100 User manual

INSTRUCTIONS FOR USE
Cardiograph
PageWriter 100
M1772A


ii
About This Edition
Edition 5
Printed in the USA
Publication number M1772-91900
The information in this guide applies to
the M1772 PageWriter 100
Cardiograph. This information is
subject to change without notic
Philips shall not be liable for errors
contained herein or for incidental or
consequential damages in connection
with the furnishing, performance, or use
of this material.
Edition History
Edition 1, September 1994
Edition 2, April 1995
Edition 3, February 1996
Edition 4, November 1999
Edition 5, January 2002
Copyright
Copyright © 2001
Philips Electronics North America
Corporation
All rights are reserved.
Reproduction in whole or in part is
prohibited without the prior written
consent of the copyright holder.
Philips Medical Systems
3000 Minuteman Road
Andover, MA 01810-1099
USA
(978) 687-1501
WARNING
Radio Frequency (RF) interference
from nearby transmitting devices may
seriously degrade performance of the
PageWriter 100 Cardiograph.
Electromagnetic compatibility with
surrounding devices should be assessed
prior to using the cardiograph.
CAUTION
Use of accessories other than those
recommended by Philips may
compromise product performance.
THIS PRODUCT IS NOT INTENDED
FOR HOME USE.
IN THE U.S., FEDERAL LAW
RESTRICTS THIS DEVICE TO SALE
ON OR BY THE ORDER OF A
PHYSICIAN.
Medical Device Directive
The M1772 PageWriter 100
Cardiograph complies with the
requirements of the Medical Device
Directive 93/42/EEC and carries the
0123 mark accordingly.
Authorized EU-representative:
Philips GmbH
Health Care Solutions, 71034
Boeblingen
Germany
Fax: +49-7031-14-2346

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PageWriter 100 M1772A Cardiograph iii
Conventions Used in This Manual
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&$87, 1 Caution statements describe conditions or actions that can result in
damage to the equipment or software.
1 7( Notes contain additional information on cardiograph usage.
Represents keys on the front panel.
Safety Summary
Safety Symbols Marked on the Cardiograph
The following safety symbols are used on the cardiograph.
Caution - See operating instructions.
Meets IEC type CF leakage current requirements and is
defibrillator protected (Isolated ECG input).
Alternating current.
Equipotential (identifies independent protective earth con-
ductor to the cardiograph).
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Please see "Patient and Operational Safety Notes", in Chapter 1,
Getting Acquainted, for further information about operating your
cardiograph safely.
Fuse.
Indicates power control for cardiograph.
Hz Indicates operating frequency in cycles per second.
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Contents-2
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Contents-4

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This chapter describes to the new user the many features of the
PageWriter 100 cardiograph, patient and operational safety, and AC/
battery operation. The user should become familiar with this material,
especially the safety information, prior to using the cardiograph.
1 7( See Appendix A, “Setting up Your Cardiograph for the First Time”
for information on checking the voltage switch setting, installing the
battery, connecting the cables, and loading paper. Each of these tasks
must be done prior to operating the cardiograph for the first time.

1-2 Getting Acquainted
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A. Patient Cable
B. Cardiograph
Bottom View of Cardiograph

The Keyboard and Front Panel
1-4 Getting Acquainted
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The Keyboard and Front Panel of the Cardiograph.
AInstructions This text describes how the front-panel lights indicate the
operating status of the cardiograph:
Attention: A flashing Auto light indicates that the ECG is being
acquired. When the light stays on, the acquisition is com-
plete.
A flashing Chart Speed light indicates a paper supply
problem.
A flashing Manual lead group light indicates an electrode
connection problem.
BAC Light will be on when the power cord is plugged into AC
power. This also indicates that the battery, if installed, is
charging.

The Keyboard and Front Panel
PageWriter 100 M1772A Cardiograph 1-5
1
1
CLow Battery This light indicates that the cardiograph must be plugged
in to recharge the battery.
D Switches the cardiograph between On and Standby.
Standby means the cardiograph is off but it is still keeping
the battery charged as long as the cardiograph is plugged
into AC power.
Sequentially changes the chart speed from 5, => 10, =>
25, => 50, => 5 mm/second.
Sequentially changes the limb and chest lead sensitivity
from 5, => 10, => 20, => 5 mm/mV.
Reduces the chest lead sensitivity to 50% of the value set
by .
Turns the Baseline Wander and Noise filters on or off. See
“Auto Report Filters” , and “Manual Report Filters”
for more information.
Advances the paper to the beginning of the next page.
Starts an Auto ECG recording.
Starts a Manual ECG recording.
Sequentially changes the lead group used to generate a
Manual ECG from I II III, => aVR aVL aVF, => II aVF
V2, => V1-V6, => I II III.
Halts any cardiograph function.
Prints a copy of the last Auto ECG. If you want additional
copies of an Auto ECG, you must print them before
recording another Auto or Manual ECG.See “Making
Copies of Auto ECGs” , Recording an ECG for more
information.
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About Your Cardiograph
1-6 Getting Acquainted
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Your PageWriter 100 cardiograph:
lAcquires 12 leads simultaneously.
lProvides selectable Manual formats.
lOperates on a rechargeable battery. AC power charges the
battery.
lHas a digital array printer with continuous-feed paper.
lHas a 200 sheet Z-fold paper capacity.
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Your cardiograph was shipped with one of three accessory sets,
according to your geographic option:
No Electrodes — Options: ABB, ABD, ABE, ABF, ABH, ABS,
ABU, ABX, ABZ, AKD, ACB, AC4, AB9, ABN
lPower cord
lPatient Cable
l1 package of paper
lPageWriter 100 Instructions for Use
For electrodes, contact your local Philips Sales Office or your
authorized Philips Dealer or Distributor.
Reusable Electrodes — Options: ABG, ABK, ABM, ABZ, AB4,
AKV, ACQ, AB2, AC6, ACJ.
lPower cord
lPatient Cable
l1 package of paper
l6 Welsh bulb electrodes
l4 limb electrodes and straps
lPageWriter 100 Instructions for Use

About This Manual
PageWriter 100 M1772A Cardiograph 1-7
1
1
Disposable Electrodes — Options: ABA, ABC
lPower cord
lPatient Cable
l1 package of paper
lDisposable electrode starter set
lTab electrode adapters
lPageWriter 100 Instructions for Use
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This guide contains concise operating instructions for cardiograph
users. This manual describes how to perform the following tasks:
lRecording an ECG
lTroubleshooting
lCaring for and maintaining the cardiograph
lPreparing your cardiograph for use

Patient and Operational Safety Notes
1-8 Getting Acquainted
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Your cardiograph isolates all connections to the patient from electrical
ground and all other conductive circuits in the cardiograph. This
reduces the possibility of hazardous currents passing from the
cardiograph through the patient’s heart to ground. To ensure the
patient’s safety and your own, observe the following reminders.
lWhen operating your cardiograph from AC power, be sure it
and all other electrical equipment connected to or near the
patient are effectively grounded.
Use only grounded power cords (three-wire power cords with
grounded plugs). Also make sure the outlet accepts the plug and
is grounded. Never modify a grounded plug to fit an
ungrounded outlet, i.e. removing the ground prong or ground
clip to fit an ungrounded outlet. Should an ungrounded plug
adapter be necessary, use a ground strap to connect the
equipotential connector at the rear of the instrument to the
power source ground.
lThe patient cable should be routed away from power cords and
any other electrical equipment. Failure to do so can result in AC
line frequency interference on the ECG trace.
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Patient and Operational Safety Notes
PageWriter 100 M1772A Cardiograph 1-9
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&$87, 1 Do not block the ventilation slots located on both sides and to the rear
of the cardiograph. Lack of ventilation may cause cardiograph to
overheat and components to fail.
lThe cardiograph’s warranty is only assured if you use approved
accessories and replacement parts.

AC and DC (Battery) Operation
1-10 Getting Acquainted
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Your cardiograph requires the battery to be installed for proper
operation—even if the cardiograph is plugged into AC power, it cannot
print an ECG report without the battery. For information about
replacing or installing the battery, refer to Appendix A, Setting up
Your Cardiograph for the First Time.
The following is a list of AC and battery operating instructions:
lA fully charged battery (without AC power) will print
approximately 40 Auto ECGs, or approximately 40 minutes of
continuous Manual ECG information.
lThe Low Battery light indicates the battery needs to be
charged. If the Low Battery light begins to flash, this indicates
the cardiograph is about to shut down due to a very low battery.
Plug the cardiograph into AC power.
lFrom the time the Low Battery light first comes on to when the
cardiograph automatically turns itself to Standby (off), there is
typically enough reserve battery capacity to print two Auto
ECG reports or 2 minutes of Manual ECG data. A weak or
faulty battery will reduce this time.
lA discharged battery requires at least 5 minutes charging time,
with the cardiograph in Standby (off), to print an Auto ECG.
lA discharged battery requires at least 10 minutes charging time,
with the cardiograph in Standby (off), to print a 1-minute
Manual ECG.
1 7( If the cardiograph is turned on while the battery is being charged, these
charging times are doubled (10 minutes for an Auto ECG and 20
minutes for a 1-minute Manual ECG).
This manual suits for next models
1
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