Agilent Technologies EXG User Manual

PageWriter 10/10iAgilent M2662AHandheld ElectrocardiographUser Manual

Safety Summaryx Revision 0.1Please see “Patient and Operational Safety Notes” in Chapter 1, “Getting Acquainted”, and Chapter 8, “Maintaining the Card

iPrinting History... ivConv

iiContentsChapter 3 Understanding the ECG Measurements Program and ReportUnderstanding the ECG Analysis Program ...

iiiChapter 7 TroubleshootingChecking ECG Technique ...

ivContentsAppendix A Setting Up Your CardiographThe Battery ...

1-1Chapter 1Getting Acquainted1 Getting AcquaintedThis chapter describes:• the features of the M2662A cardiograph• patient and operational safety is

The Keyboard and Front Panel1-20The Keyboard and Front PanelFigure 1-1 The Keyboard and Front Panel of the CardiographKey DescriptionADisplays the con

Navigating the Menus1-3Chapter 1Getting Acquainted1Navigating the Menus Use the following techniques to navigate the menus: 1. To access the menus, pr

About Your Cardiograph1-41About Your CardiographYour cardiograph:• Acquires 12 leads ECG signal simultaneously.• Displays signal quality and leads off

Patient and Operational Safety Notes1-5Chapter 1Getting AcquaintedReusable Electrodes Accessory Set• Battery Assembly• Power Cord • AC/DC Adapter• Pat

Patient and Operational Safety Notes1-6The Agilent patient cable supplied with this cardiograph is an integral part of the cardiograph’s safety featur

AC and Battery Operation1-7Chapter 1Getting AcquaintedLED SafetyThe infrared port located on the side panel of the cardiograph is classified as a Clas

AC and Battery Operation1-8The following is a list of AC and battery operating instructions: • A fully charged battery (without AC power) will operate

2-1Chapter 2Recording an ECG2 Recording an ECGThis chapter describes how to:• prepare the patient for an ECG• check the signal quality of the patient

Preparing the Patient2-2 Revision 0.11Preparing the Patient For electrode placement, refer to the following diagram:Figure 2-1Proper patient preparati

Preparing the Patient2-3Chapter 2Recording an ECGIf ECG connector is exposed to high-humidity environment (90-95%RH), it is possible that the device w

Understanding When a Signal is Acquired2-4 Revision 0.12Notes for Customers Using Disposable ElectrodesDisposable electrodes have conductive material

Checking Signal Quality2-5Chapter 2Recording an ECG2Checking Signal Quality You can produce better ECGs by previewing the lead traces on the screen be

Entering Patient Information2-6 Revision 0.12Entering Patient Information Your cardiograph allows entry of numeric patient ID, patient age, and sex. T

Understanding the Printed Report2-7Chapter 2Recording an ECG3. Move the cursor to the Age field by pressing and type the patient age.4. Move the curs

November 27, 2000 8:56 am DRAFTPageWriter 10/10i Agilent M2662AHandheld ElectrocardiographAgilent Part No. M2662-91100Printed in PRC in September 2000

Choosing a Report Format2-8 Revision 0.12The Auto ECG ReportFigure 2-2 The Auto ECG Report2Table 2-4 Auto Report AnnotationsDescriptionA Patient IDB

Choosing a Report Format2-9Chapter 2Recording an ECG2Basic MeasurementsThe basic measurements table gives standard interval and duration measurements

Choosing a Report Format2-10 Revision 0.12Calibration SignalsThe following table shows how the height of the calibration pulse indicates ECG sensitivi

Choosing a Report Format2-11Chapter 2Recording an ECG2Rhythm Report Formats Rhythm ECG reports may display any one of the 12-leads. Refer to Figure 2-

Choosing a Report Format2-12 Revision 0.1Figure 2-4 An Standard Auto 3x4 ECG with One Rhythm Strip (3x4 1R)Figure 2-5 An Auto 3x4 ECG with Three Rhyth

Choosing a Report Format2-13Chapter 2Recording an ECGFigure 2-6 An Auto 6x2 ECG (6x2) Figure 2-7 An Auto 12x1 ECG (12x1)

Choosing a Report Format2-14 Revision 0.1Figure 2-8 A Rhythm 1-Lead ECG2Changing the Report Format The bottom of the cardiograph display is similar to

Recording an Auto ECG2-15Chapter 2Recording an ECG3. You can change the leads, chart speed, and sensitivity by selecting , , or keys. •The key seque

Making Copies of Auto ECGs2-16 Revision 0.18. A message Store ECG? will display on the screen. Press Yes to store the ECG or press No to discard the E

Recording a Rhythm ECG2-17Chapter 2Recording an ECG2Recording a Rhythm ECG To record a Rhythm ECG, perform the following steps: 1. If the cardiograph

Printing Historyiv Revision 0.10Printing HistoryMarch 2000Edition1September 2000Edition 2ManufacturerAgilent Technologies, Inc.Healthcare Solutions Gr

3-1Chapter 3 Understanding ECG Measurements3 Understanding the ECG Measurements Program and ReportThis section explains how the Agilent M2662A cardiog

How the M2662A Measures ECGs3-2 Revision 0.14. Interpretation (PageWriter 10i only) - uses the extended measurements, with information about the patie

How the M2662A Measures ECGs3-3November 27, 2000 8:59 am DRAFTChapter 3 Understanding ECG Measurements3Waveform RecognitionThe first step of the measu

How the M2662A Measures ECGs3-4 Revision 0.1In each lead, the measurements for all the beats belonging to the selected beat group are averaged. The le

4-1Chapter 4: Configuring Your Cardiograph4 Configuring Your Cardiograph Your cardiograph may be customized to meet your particular requirements. This

The Configuration Menu4-23The Configuration Menu The configuration menu allows you to choose the screens from which you can set your cardiograph’s con

The Configuration Menu4-3Chapter 4: Configuring Your CardiographYou can set the filters to be used for both Auto and Rhythm reports.Auto Report:• The

The Configuration Menu4-4Table 4-1 Configurable Filters4. Press the key to move to the next menu item.The setting for the Setup ID Entry is highlight

The Configuration Menu4-5Chapter 4: Configuring Your Cardiograph9. To change or erase data on the Date/Time menu, press the key to erase all the char

5-1Chapter 5Storing ECGs5 Storing ECGsThis chapter contains information about storing and managing ECGs using the internal memory. Information about u

Conventions Used in This Manualv0Conventions Used in This ManualWarning statements describe conditions or actions that can result in personal injury o

Storing ECGs5-24Storing ECGsTo store the ECG, perform the following steps:1. After an ECG is acquired or printed, the following message will appear on

Managing Stored ECGs5-3Chapter 5Storing ECGs5. Press (F1) to delete one or more old ECGs. The Manage Stored ECGs screen will appear. The ECGs will be

Managing Stored ECGs5-43. Press (F3) to display the Manage Stored ECGs menu.4. Select the desired ECG from the list by pressing or to move the cur

View Stored ECGs5-5Chapter 5Storing ECGsThe cardiograph cannot record an ECG or perform other functions while printing a stored ECG.Deleting Stored EC

View Stored ECGs5-63. Press (F3) to display the View Stored ECGs menu.4. Select the desired ECG from the list by pressing or to move the cursor do

Printing the Log of ECGs Stored5-7Chapter 5Storing ECGs4Printing the Log of ECGs StoredTo print the Log of ECGs Stored, perform the following steps:1.

Printing the Log of ECGs Stored5-8Figure 5-1 Log of ECGs StoredTable 5-1 The Log of Stored ECGsDescriptionA Log TitleB Date and time of the reportC Se

6-1Chapter 6 Transmittingand Faxing Auto ECGs6 Transmitting and Faxing Auto ECGs5Transmitting ECGsThe cardiograph can transmit Auto ECGs to the Agilen

Transmitting ECGs6-2To transmit an ECG, perform the following steps:1. Press the key. The main menu appears.2. Select Transmit and Fax ECGs from the

Transmitting ECGs6-3Chapter 6 Transmittingand Faxing Auto ECGs5. Press (F1) to select the ECG.An asterisk appears to the left of selected ECGs. The

Noticevi Revision 0.10NoticeThe material contained in this document is subject to change without notice.Agilent Technologies makes no warranty of any

Transmitting ECGs6-4Changing a Telephone Directory EntryYou may need to add, delete, or change one of the entries stored in the telephone directory. T

Transmitting ECGs6-5Chapter 6 Transmittingand Faxing Auto ECGsThe transmission type specifies the way the cardiograph will send the ECG. Fax specifies

Transmitting ECGs6-6See your modem documentation for more details on special dialing commands.5. Move the cursor to the Type field. Select the transmi

7-1Chapter 7Troubleshooting7 Troubleshooting Your cardiograph is designed for reliable operation. If you have problems with an ECG, there are several

Identifying ECG Problems7-27Identifying ECG Problems The following table shows symptoms and solutions to problems that can occur when recording an ECG

Identifying ECG Problems7-3Chapter 7TroubleshootingIf the Recording Won’t Start If you press and the recording doesn’t start, investigate the followi

Error Messages7-47Error Messages The error messages that display on the screen will instruct you as to what action to take. If it is something that yo

Identifying Storage Problems7-5Chapter 7Troubleshooting7Identifying Storage ProblemsThe following table shows symptoms and solutions to problems that

Identifying Transmission Problems7-67Identifying Transmission ProblemsThe following table shows symptoms and solutions to problems that can occur when

Identifying Transmission Problems7-7Chapter 7TroubleshootingCheck modem or cable No power to modem, or poor modem cable connectionCheck that the modem

NoticeviiIntended UseThe M2662A Handheld Electrocardiograph is intended for:• Acquisition, digitization, recording, and retrieval of conventional diag

Identifying Transmission Problems7-8Transmission stopped unexpectedly. X of N ECGs sent.Modem was disconnected. Press any key to continue.Problem with

8-1Chapter 8 Maintaining the Cardiograph8 Maintaining the Cardiograph This chapter describes how to do regular checks to ensure the performance and sa

Maintenance Checks8-2Do not clean the patient cable with alcohol. Alcohol can cause the plastic to become brittle and may cause the cable to fail prem

Maintenance Checks8-3Chapter 8 Maintaining the Cardiograph8Cleaning the Electrodes and Cables The patient cable can be cleaned only with mild disinfec

Maintenance Checks8-48Patient Cable Test8Tool (M2662-00003)*This tool is used to short the lead wires together to test lead wire integrity. To test th

Caring for the Battery8-5Chapter 8 Maintaining the Cardiograph8Caring for the Battery The life of the nickel-metal hydride battery used in the cardiog

Cardiograph Repair and Service8-68Storing the Battery The battery should be removed from the unit and placed in storage if the cardiograph will not be

Supplies8-7Chapter 8 Maintaining the Cardiograph8Supplies Agilent Technologies offers a full range of supplies for cardiographs. The following list is

Supplies8-88Electrodes40490E Welsh electrode; 15 mm base 5 cc bulb; screw connection (IEC) 40494E Electrode, limb clamp (4 per pack)40421A Welsh el

Calling for Service8-9Chapter 8 Maintaining the Cardiograph8Calling for Service8Asia PacificAustralia India(+61)1800-033-397 91-11 682-6000P.R.China S

Noticeviii Revision 0.1The printer and its accessories (e.g. the infrared to parallel converter) may not meet the leakage current requirements specifi

A-1Appendix A Setting Up Your CardiographA Setting Up Your Cardiograph This chapter describes how to• Install the battery• Connect the power adapter a

The BatteryA-28The BatteryUse only Agilent batteries (part number M3941A/M3951A) in the cardiograph.8Installing and Charging the BatteryAgilent recomm

The BatteryA-3Appendix A Setting Up Your Cardiograph8Removing the BatteryTo remove the battery:1. Make sure the cardiograph is turned off and disconne

Connecting the CablesA-4Do not remove the “Do not Remove!” sticker. Otherwise the warranty will be void.8Connecting the Cables1. Plug the patient cabl

Connecting the PrinterA-5Appendix A Setting Up Your CardiographThe connector of the AC/DC Power Adapter provided with the cardiograph may resemble tho

Connecting the PrinterA-64. Make sure that the infrared adapter/interface is positioned within the 30°-wide range of the cardiograph’s infrared port.5

Connecting the Direct Transmission CableA-7Appendix A Setting Up Your Cardiograph8Connecting the Direct Transmission CableYou can transmit ECGs direct

Printing to Another Agilent CardiographA-88Printing to Another Agilent CardiographUsing a variation of a null modem cable* you can print ECGs directly

Transmitting or Faxing ECGs by ModemA-9Appendix A Setting Up Your Cardiograph8Transmitting or Faxing ECGs by ModemYou can also use a modem to transmit

Transmitting or Faxing ECGs by ModemA-104. Refer to your modem manual for instructions on connecting the modem to the modem data cable, the modem powe

Safety Summaryix0Safety SummarySafety Symbols Marked on the CardiographThe following safety symbols are used on the cardiograph or the power adapter:S

B-1Appendix BSpecificationsB Specifications8Basic Controls8ECG Controls• On/Off• Menu• Start/Stop• F1..F5• Arrow8ECG Format Selections• Auto (3x4 with

ECG Reproduction QualityB-28Battery• Rated 7.2V DC 2450mAh• Rechargeable NI-MH Battery Pack8ECG Reproduction QualityMeets or exceeds AAMI EC11-1991 st

Power and EnvironmentB-3Appendix BSpecifications8Power and Environment8AC/DC Power Adapter• Use only M3952A/M3953A• Class I• Rated Input: 100 to 240 V

Glossary-1November 21, 2000 10:57 am DRAFTGlossaryGlossaryAC filter: a filter that screens out ECG artifact caused by AC power line interference. Th

Glossary-2 Revision 0.1November 21, 2000 10:57 am DRAFTleads off: one or more lead names appearing in the upper-left corner of the screen and printer

IndexIndex-1November 20, 2000 3:32 pm DRAFTIndexNumerics3x4 Auto report, 2-113x4, 1R Auto report, 2-123x4, 3R Auto report,2-126x2 Auto report, 2-13AAC

IndexIndex-2November 20, 2000 3:32 pm DRAFTreport formatchanging, 2-14rhythm strip, Glossary-2Ssafety symbols, ixSCP, 6-5Select softkey, 1-3, 4-1, 4-2

9

0123M2662-91100Copyright © 2000Agilent Technologies Inc.Printed in PRC September 2000Edition 2