Burdick 8300 and 8500 ECG Users Guide Rev B

BURDICK 8300 ELECTROCARDIOGRAPH BURDICK 8500 ELECTROCARDIOGRAPH USER’S GUIDE 70-00448-02 B

Information in this document is subject to change without notice. Names and data used in the examples are fictitious unless otherwise noted. CE Mark Declaration The CE marking of conformity indicates that the device having this symbol on its immediate label meets the applicable requirements of the European Medical Device Directive. Trademark Information Cardiac Science, the Shielded Heart logo, Quinton, Burdick, HeartCentrix‚ Pyramis‚ Q­Stress‚ Quest‚ Vision‚ Eclipse‚ and HeartStride are trademarks or registered trademarks of Cardiac Science Corporation. All other product and company names are trademarks or registered trademarks of their respective companies. Copyright © 2011 Cardiac Science Corporation. All Rights Reserved.

Note: This manual contains instructions for both the Burdick 8300 Electrocardiograph and Burdick 8500 Electrocardiograph.

Cardiac Science Corporation 3303 Monte Villa Parkway Bothell, WA 98021, USA 800.426.0337 (USA) 425.402.2000 [email protected] www.cardiacscience.com ii

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EC REP

MDSS GmbH Schiffgraben 41 D-30175 Hannover Germany Burdick 8300 and 8500 Electrocardiographs

Contents

Contents Chapter 1: General Information Contact information ... 1-2 General description... 1-3 Interpretive analysis program ... 1-4 Password protection ... 1-5 Help menu... 1-5 Quick selection ... 1-5 Paperless workflow... 1-5

Chapter 2: User Interface Keyboard ... 2-3 Display ... 2-10 Burdick 8300 Home screen ... 2-10 Burdick 8500 Home screen ... 2-11 Menu screens... 2-13

Chapter 3: User Settings Overview ... 3-2 Multiple users... 3-2 Password protection ... 3-2 Setup menu... 3-3 Print setup report ... 3-3 ECG... 3-4 Waveform preferences ... 3-8 Rhythm... 3-10 Patient setup... 3-12 Alternate chest electrode placement ... 3-13 Directory... 3-13 System... 3-14 Network connections ... 3-15 Printer and ECG destinations... 3-15 Print communications log ... 3-15 Printer system statistics... 3-15 Product keys... 3-15 Import/Export... 3-16 70-00448-02 B

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Contents

Order/record search configuration... 3-16 Service functions... 3-17

Chapter 4: Search Feature Search for orders ... 4-2 Create a patient record ... 4-3 Barcode verification ... 4-3

Chapter 5: Communications Setup Equipment connections ... 5-2 Network connection ... 5-2 Network configuration ... 5-2 Setup output destinations... 5-3 Adding a destination... 5-3 Edit a destination ... 5-4 Select default destinations... 5-5 Delete destination... 5-5 External printer setup... 5-6 Printer connection... 5-6 Verify printer operation... 5-6

Chapter 6: Patient Preparation Overview... 6-2 Patient preparation... 6-2 Skin preparation... 6-3 Electrode application... 6-4 Resting ECG lead placement & coding chart ... 6-5 Disposable resting ECG electrodes... 6-6 Applying limb electrodes ... 6-6 Applying chest electrodes... 6-7 Connecting cables and lead wires... 6-7 Alternative lead placements ... 6-8 Pediatric lead placement ... 6-8 Alternate chest lead... 6-8

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Chapter 7: Acquiring ECG Reports Patient demographics... 7-2 Acquiring a Stat ECG ... 7-6 Recommended workflow ... 7-7 Enter patient demographics... 7-7 Prepare the patient ... 7-7 Acquire ECG with new patient demographics ... 7-7 Acquire ECG from an existing patient... 7-8 Acquiring an ECG using pediatric lead placements ... 7-9 ECG reports ... 7-10 Plain paper printing... 7-10 Printing problems (thermal printer) ... 7-10 Saving reports... 7-10 ECG tips... 7-11 Patient data and interpretation ... 7-11 Acquiring a clean trace ... 7-11 Change recorder speed, gain, frequency response ... 7-12 Acquiring a rhythm report... 7-12 Acquiring an ECG using alternative lead placements ... 7-13

Chapter 8: Patient Records Working with patient records ... 8-2 Display a patient record ... 8-3 Enter new patient information ... 8-4 Print directory listing... 8-5 Print all unprinted ECGs ... 8-5 Show directory status... 8-5 View open orders... 8-5 Send new ECGs ... 8-6 Delete all records ... 8-6 Automatic deletion when the directory is full ... 8-7 Communications options... 8-8 Sending ECG records to an EMR system ... 8-8 Send all new or selected ECGs... 8-8 Select records to send ... 8-8 Retrieving patient orders from an EMR system with web services... 8-9 Retrieving orders ... 8-10

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Chapter 9: Sample Printouts Print Directory Report... 9-2 Setup Report... 9-3 Standard 12-Lead, 4-Channel ECG, Brief Statements... 9-6 Standard 12-Lead, 6-Channel ECG, Brief Statements... 9-7 Standard 12-lead Rhythm ECG ... 9-8 Measurement Matrix (Lead measurements report) ... 9-9 Median report (Median complex, Brief Statements)... 9-10

Chapter 10: Troubleshooting Basic troubleshooting ... 10-2 Trace problems ... 10-3 Printing... 10-5 Recognizing and reducing ECG artifacts ... 10-6 OVERLOAD message... 10-6 Rapid, large and erratic deflections ... 10-6 Motion artifact ... 10-6 Baseline wander... 10-7 Electrical interference ... 10-8

Chapter 11: Maintenance and Service Component replacement... 11-2 Battery... 11-2 Notice to responsible service personnel ... 11-5 Performance disclosures ... 11-6 Battery pack... 11-7 Heart rate detection... 11-7 40 Hz artifact filter ... 11-7 Pacemaker detection... 11-8

Chapter 12: Measurement Matrix Appendix A: Menu Structure

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1

General Information Contents

!

◆

Contact information

1-2

◆

General description

1-3

◆

Interpretive analysis program

1-4

◆

Password protection

1-5

◆

Help menu

1-5

◆

Quick selection

1-5

◆

Paperless workflow

1-5

WARNING! Safety information For important safety information see the Product Safety and Setup guide.

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General Information

Contact information Cardiac Science provides customer service and technical support. ◆

To order additional product or accessories, contact Customer Care.

◆

For assistance with the product or installation, contact Technical Support.

Customer Care 800.426. 0337 (U.S.A.) 425.402.2000 (U.S.A.) [email protected]

Technical Support 800.426.0337 (U.S.A.) 425.402.2000 (U.S.A.) [email protected] http://websupport.cardiacscience.com/webchat/

Outside the United States, contact International Operations or your local representative. International Operations Kirke Vaerloesevej 14 Vaerloese, Denmark DK3500 45.4438.0500

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General description

General description

Figure 1-1: Example of Burdick 8300

Figure 1-2: Example of Burdick 8500 ◆

Battery or AC operation

◆

8300: 5.7 inch monochrome backlit LCD screen 8500: 7 inch color LCD screen

◆

Thermal printer using LTR (8.5 x 11) or A4 (8.27x11.69), Z-fold paper

◆

Manual and automatic rhythm mode

◆

Standard or Cabrera lead format recording

◆

Stores (and analyzes on interpretive models) waveforms acquired during automatic mode

◆

Prints 200 pages (8300) or 300 pages (8500) with a fully charged battery.

◆

Battery continuously recharges while connected to AC power (except during printing)

◆

Selectable patient demographics

◆

Relative ECG trace gains of x1/2, x1, x2 (corresponds to 5, 10, and 20 mm/mV printer gains)

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General Information

Interpretive analysis program

!

WARNING! Misdiagnosis. U.S. Federal law restricts this device to sale by or on the order of a physician. This Burdick ECG device must be used by qualified operators only and any results interpreted by a qualified diagnostician.

This Burdick ECG device is available with an optional University of Glasgow interpretive analysis program. Features include: ◆

Factoring in age, gender, and race More than 500 measurements are factored into each analysis. Criteria for abnormalities include age, race, and gender. Race, for example, is key in identifying hypertrophy and T-wave abnormalities.

◆

User-selectable QTc Formulas for diagnosis and pharmaceutical studies To calculate QTc, select from Hodges, Bazett, Fridericia, or Framingham formulas.

◆

Retrospective Analysis Support The ECG device reanalyzes data after age, gender, race, drug therapy, or clinical classification are changed.

Refer to the ECG Interpretation Criteria Physician’s Guide for complete information.

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Password protection

Password protection The ECG device uses password protection to restrict administrative and directory access. For more information on enabling and setting the password, see Password protection on page 3-2.

Help menu To access the Help menu: 1.

Press Help.

2.

Use the navigation keys to select a topic and then press Select to print.

Note: Help is available at any time except during alphanumeric entry (for example, when entering the patient’s name).

Quick selection To quickly locate an item in a menu or patient list, enter the first character of the item. The system will skip to the next item beginning with that character.

Paperless workflow Paperless mode requires: ◆

Communication options must be installed and configured.

◆

Set Auto print to Off. Press Setup and then select: ECG | Auto ECG workflow |Auto print)

◆

Set Auto send to On. Press Setup and then select: ECG | Auto ECG workflow |Auto send)

Refer to Chapter 5, Communications Setup to configure communication options. Refer to Auto ECG workflow on page 3-6 to configure Auto print and Auto send.

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General Information

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2

User Interface Contents

!

◆

Keyboard

2-3

◆

Display

2-10

WARNING! Safety information For important safety information see the Product Safety and Setup guide.

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User Interface

The ECG device has an LCD display and keyboard. 1

2

3 2

4 Figure 2-1: Keyboard 1 2 3 4

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Navigation keys Menu keys On/Standby key ECG report keys

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Keyboard

Keyboard The Table 2-1 describes the keys on the ECG device. Note: Not all key functions are available on every screen. Table 2-1: Keys

Function

Key

Main Power

Description Powers on the ECG device. When the unit is on, press this key to:

On/Standby

User At the Home screen

•

Power off the ECG device when operating on battery power.

•

Go to Standby when connected to external power (The battery continues to charge.)

Alt+ 1 or 2

Selects either User 1 or User 2 Multiple users on page 3-2 also hold the Alt and another key to enter special characters.

ECG

Acquire and print a 12-lead ECG (a series of reports using pre-programmed lead sequences and settings).

STAT ECG

Acquire and print a 12-lead ECG before entering patient demographic information.

Auto Rhythm

Print an auto rhythm report (a rhythm strip with a pre-selected number of pages using the leads currently selected).

Manual Rhythm

Print a manual rhythm report (a continuous rhythm strip of the leads currently selected). This report runs until the Stop key is pressed.

Stop

Press Stop at any time to stop printing.

ECG

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User Interface

Table 2-1: Keys (continued)

Function

Key

Description

1, 2, 3, or 4

To select pre-programmed lead triplets. The leads are printed on manual rhythm and auto rhythm reports.

ECG Settings (Number Keys)

Custom lead 1 or Custom lead 2 to select userdefined leads. 5 or 6

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The leads are printed on manual rhythm and auto rhythm reports. See Setup Custom 1 (and Custom 2) on page 3-11 for setup information.

7

Select paper speed (12.5, 25, or 50 mm/sec).

8

Select ECG gain (5 mm/mV, 10 mm/mV, 20 mm/mV; L10, C5 mm/mV; or L20, C10 mm/mV.

9

Toggles the upper ECG filter frequency response (40 or 150 Hz).

0

For a 1 mV calibration pulse on auto or manual rhythm printouts.

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Keyboard

Table 2-1: Keys (continued)

Function Navigation

Key

Description

Back

Return to the previous menu or display.

Select

Accept or edit the current selection.

Previous Scroll up or down. Next

Left/Right

Move cursor to left or right.

Home

Go to the Home (or main) display.

Patient

Select a patient (current, new, or saved) also opens patient demographics for edit.

Clear

Clears patient demographics.

Directory

Access stored patient records

Send/Receive

Communication options

Setup

Configure settings

Help

Help menu

Menu

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User Interface

Table 2-1: Keys (continued)

Function

Key

Description

Main Keyboard

A through Z

Alphabetic characters

1 through 0

Numeric characters

Sym

Symbols. Press Sym to scroll through a list of special characters: (backslash), / (forward slash). : (colon), _ (underscore)

Delete

Delete one character

Form Feed

Advance one sheet of paper

Shift

Hold the Shift key and press another key to enter special characters or enter a capital letter. Note: Some special characters may require the Alt

and Shift keys together with a third key.

Alt

Hold the Alt key and press another key to enter special characters or to switch between User 1 and User 2. Note: Some special characters may require the Alt

and Shift keys together with a third key.

Special Character

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Enter

The Enter key has the same function as Select.

Spacebar

Use the Spacebar to insert a space between characters during text entry.

Shift + 1

! (exclamation point)

Shift + 2

@ (at sign)

Shift + 3

# (pound sign)

Shift + 4

$ (dollar sign)

Shift + 5

% (percent)

Shift + 6

^ (carrot)

Shift + 7

& (ampersand)

Shift + 8

* (asterisk)

Shift + 9

( (left parenthesis)

Shift + 0

) (right parenthesis)

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Keyboard

Table 2-1: Keys (continued)

Function

Key

Description

Note: Do not enter European (accented) characters in any password for this device.

Special Characters, continued

Alt + E

Hold down Alt then press E to step through the settings: è (e grave) é (e acute) ê (e circumflex) ë (e umlaut) ę (e ogonek)

Alt + Shift +E

Hold down Alt and Shift then press E to step through the settings: È (E grave) É (E acute) Ê (E circumflex) Ë (E umlaut) Ę (E ogonek)

Alt + Y

Hold down Alt then press Y to step through the settings: ý (y acute) ÿ (y umlaut)

Alt + Shift +Y

Hold down Alt and Shift then press Y to step through the settings: Ý (Y acute) Ÿ (Y diaeresis)

Alt + U

Hold down Alt then press U to step through the settings: ù (u grave) ú (u acute) û (u circumflex) ü (u umlaut)

Alt + Shift +U

Hold down Alt and Shift then press U to step through the settings: Ù (U grave) Ú (U acute) Û (U circumflex) Ü (U umlaut)

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