Welch Allyn CP 100 Manual

CP Series
Electrocardiographs
Update to Directions for Use
CP 100 CP 200

ii Welch Allyn CP Series Electrocardiographs
Copyright 2012 Welch Allyn
Mat. Number: 719375,Ver: A
www.welchallyn.com
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1
Update Through Software Version 2.6
This update describes changes in operation through software version 2.6 of the CP 100
and CP 200electrocardiographs and the CP 200 spirometry option. This document
supplements information in the following manuals:
• CP 100 12-Lead Resting Electrocardiograph Directions for Use
• CP 200 12-Lead Resting Electrocardiograph Directions for Use
• CP 200 Spirometry Option Directions for Use
Updated USB drivers for Windows 7 32-bit and 64-bit operating systems
Enables connectivity to CardioPerfect Workstation (CPWS).
Support for lithium ion battery
• The lithium ion battery features include:
• Increased operating capacity
• Long battery life
This software release includes all the previous software improvements.
Updated Battery Information for the CP 100/CP 200
WARNING Lithium ion battery. Risk of fire, explosion, and burns. Do not short-
circuit, crush, incinerate, or disassemble the battery pack. Never dispose of
batteries in refuse containers. Always recycle batteries according to local
regulations.
Caution If you only install the 2.6 software without upgrading to a lithium ion
battery an incorrect battery charging status will result. To continue using your
Lead-Acid battery choose System Settings > Device Configuration and then
choose the Battery Type > Lead-Acid.

2Welch Allyn CP Series Electrocardiographs
Symbols
Updated “System Settings” Menu Tree
Rechargeable lithium ion battery China RoHS (restriction of hazardous substances)
symbols for control of pollution caused by electronic
information products. 5-year environment-friendly use
period (EFUP) for batteries.
Separate the battery from other
disposables for recycling.
Recycle
System Settings
Device
Configuration
Set Date/Time
Language
Date Format
Time Format
Weight Unit
Height Unit
Power-Save
Practice ID
Device ID
Audio Beeper
Flow Unit*
Pressure Unit*
Temperature*
Increase Display Contrast
Decrease Display Contrast
Contact Information
Printer Select
CAPS Lock
Battery Type
*Applicable for spirometry only.

Update Through Software Version 2.6 3
Selecting the Battery Type in the Device Configuration settings
1. Press the Menu key .
2. Choose System Settings >Device Configuration.
The following screen appears.
“Device Configuration” Screen
3. Choose the Battery Type settings.
• Lead-Acid
• Lithium
4. Press the Enter key .
5. Choose the Previous Menu.
Reviewing the Device Information
1. Press the Menu key .
2. Choose System Settings >Device Info.
The following screen appears.
“Device Info” Screen
3. Select About.
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
I CAPS Lock
J Battery Type
9:17AM Oct 16 12
Lead-Acid
Lithium
Lead-Acid Lithium ion
Device Info
1 About
9:17AM Oct

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Scroll to the bottom of the list to view your battery type (either Lead-Acid or Lithium).
Battery Specifications
Item Description
About Displays the following information about the electrocardiograph:
• serial number
• modules configured
• version numbers
• battery voltage
• battery current
• battery type
Rechargeable Battery Specification
Lithium ion Lithium iron phosphate, 6 volt, 6 AH
Prints up to 100 continuous ECGs per charge
12-hour recharging
Lead-Acid Lead-Acid gel, 6 volt, 5 AH
Prints up to 100 continuous ECGs per charge
12-hour recharging

Feature updates prior to the 2.6 software release 5
Feature updates prior to the 2.6
software release
If your CP 100 electrocardiograph has a serial number of 10020000, or greater, or your
CP 200 electrocardiograph has a serial number 20020000, or greater, this update
describes the changes in the operation of your electrocardiograph.
If your electrocardiograph has a serial number that is lower than 1002000 or 2002000, and
your device was recently serviced, it may contain some or all of these new features
depending on the scope of the services performed.
This document supplements information in the following manuals:
• CP 100 12-Lead Resting Electrocardiograph Directions for Use (mat. 708794)
• CP 200 12-Lead Resting Electrocardiograph Directions for Use (mat. 708793)
• CP 200 Spirometry Option Directions for Use (mat. 708795)
Battery Deep-Discharge Disconnect Added
A battery deep-discharge disconnect has been added to reduce the likelihood that your
CP 100 or CP 200 electrocardiograph will operate on a deeply discharged battery. The
disconnect prevents permanent damage to the battery when the battery is left uncharged
for long periods of time.
This functions automatically when the electrocardiograph battery voltage is less than
5.25V in sleep mode. Once a battery disconnect has occurred, the electrocardiograph will
not operate on battery power until it is charged to 6.2V or higher. This also protects the
electrocardiograph from operating on a malfunctioning battery that cannot be charged to
6.2V or higher.
Reset Button
If the electrocardiograph stops functioning, you can press and hold the Power On/Off key
for approximately 7 seconds to restart the electrocardiograph. Release the key once the
restart begins. The key is located on the upper left of the electrocardiograph keyboard.
Figure 1. Reset Button
The previous method of resetting the electrocardiograph is still available. Reset the
electrocardiograph by pressing the reset button located on the right side. To press the
1
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Press and hold

6Welch Allyn CP Series Electrocardiographs
reset button, insert a small object, such as small paper clip, into the hole next to the
Spirometry port.
Bi-Colored Keyboard LED
Figure 2. Keyboard LED
The bi-colored LED on the keyboard
indicates the battery status. When green,
the LED indicates that AC power is
present. When yellow, the LED indicates a
low battery that should be charged. The
LED is located below the Power On/Off
key on the upper left of the
electrocardiograph keyboard.
Alternate Patient Cable and Leads
The Lead configuration has changed so that all individually replaceable lead wires extend
from the same end of the patient cable. This new configuration is intended to make the
connection of the lead wires easier for you. It is different now than it has been in previous
models where the LL (F) and RL (N) leads attached to the opposite end of the patient
cable with respect to the other leads. See Figure 3“Patient Cable and Leads”.
Figure 3. Patient Cable and Leads
There has been no change to the replaceable lead wires. They remain compatible with
previous models and are equivalent in function.
1
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2
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3
#
4
$
5
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6
+
Bi-colored LED
Left leg lead
Right leg lead
Chest leads
Cable
rakes
Electrocardiograph
connector
Right arm lead
Left arm lead

Feature updates prior to the 2.6 software release 7
Connecting the Patient Cable
Insert all leads into their proper positions, as labeled on the connectors. See Figure 4
“Inserting the Leads”.
Figure 4. Inserting the Leads
Updated Information for the CP 100/CP 200
Heart rate monitor operation
The heart rate indicated on the CP 100 or CP 200 LCD display is for reference only. Make
manual measurements of the ECG intervals and magnitudes on printed ECG reports only.
The increased R wave amplitudes that are produced by some patient simulators may
produce heart rate readings two times higher than normal because the R waves can be
counted as T waves.
The CP 100 and CP 200 devices are not intended to be used as heart rate monitors. Heart
rate monitors are covered by other standards for example: ANSI/AAMI standard EC13:
Cardiac monitors, heart rate meters and alarms.
Artifact
A combination of abnormally large R wave amplitude and waveform shapes delivered by
some patient simulators can trigger artifact warnings. These warnings are not consistent
with actual patient morphologies. The noise warning is designed as a guide to limit low
quality ECGs.
The CP 100 and CP 200 devices are compliant to all applicable standards specified in the
device manual for diagnostic electrocardiographs including: IEC/EN 60601-2-51 and ANSI/
AAMI EC11.
Reducing Artifact
• Use only resting tab electrodes that have not past their product expiration date.
Store only in an air tight pouch within the product recommended environmental
conditions.
• When using the reusable bulbs, limb plates, or clamp electrodes, always replace
expired or dried up electrode gel.
• When using the reusable bulbs, limb plates, or clamp electrodes, use only an
ECG conductive gel to obtain optimum conductivity. Do not use ultrasound gel.
• Orient the adapter (alligator) clips so that the metal from the clip is able to make
contact with the conductive area of the resting tab electrode.

8Welch Allyn CP Series Electrocardiographs
• Replace the patient lead if the banana spring at the end of the lead is broken or
damaged.
Updated Battery Information for the CP 100/CP 200
Electrocardiograph Battery - Preparation and Operation
Battery performance:
The sealed lead-acid battery provides 200 to 300 discharge/charge cycles under normal
operating conditions before it should be replaced. Typical battery usage will require
battery replacement approximately once per year. Reduced battery performance and
longevity will result if the recommendations for maximum battery performance are not
followed.
The electrocardiograph uses a single, rechargeable Sealed Lead Acid (SLA) battery pack. It
is designed to print up to 100 continuous rhythm ECG pages or to print 25 AUTO ECG
tests per full charge. The typical charge time of the sealed lead-acid battery is 12-16 hours,
but can take up to 36 hours for a highly discharged battery.
Prior to using your new electrocardiograph in battery mode:
Caution Charge the Battery. Upon receipt of your new electrocardiograph, it is
important to charge the electrocardiograph's battery for at least 12 hours before
using it in battery mode.
Note The electrocardiograph is fully functional when connected to AC power,
regardless of the battery charge state. Using the electrocardiograph while
charging the battery does not affect the charge time.