Welch Allyn CardioPerfect Ambulatory Blood Pressure Monitoring Quick Reference Guide

Page 1
CARDIOPERFECT
AMBULATORY BLOOD
PRESSURE MONITORING
QUICK START GUIDE
Page 2

UNDERSTANDING ERROR CODES

ERROR CODE DESCRIPTION
1
2
3
4
Unknown error
After 2 seconds the pulse has not reached the falling level
Heart frequency has not reached its defined range
Variation of the heart frequency is too large
Less than 4 measurements were taken
The rising level was not reached within 2 seconds after the falling level
Pulse bandwidth is out of range
Movement artefact
Maximum number of beats encountered in a stage
The heart frequency was out of range in more than 3 pressure stages
The difference between systole and diastole was too small
The systole is considerably bigger than the pump pressure
An oscillation value was smaller than the start or end value
The pulse bandwidth is smaller than at start or end point
The MAP is out of range
The systole is out of range
The diastole is too large
The number of stages is too large
The oscillation value is too large
The total time is too long
A function took too much time
The battery voltage is too low
5
6
7
8
No cuff was detected
Too many measurements were taken—OR—No memory was available in EEPROM
No measurements were taken—OR—The measurements were stopped
Hardware failure—OR—Error at zero alignment or pumping started unexpectedly

SIZING CHART

Correct cuff sizing is vital to the accuracy of monitoring data. Find the circumference of the patient’s upper arm and refer to this cuff sizing chart for proper cuff selection.
CUFF SIZE
Pediatric Cuff
Small Adult Cuff
Adult Cuff
Adult Plus Cuff NA
Large Adult Cuff
ARM CIRCUMFERENCE SOFT DISPOSABLE CUFFS
Part 5082-94-3
15.8–21.3 cm
Par
20.0–27 cm
Par
25.3–34.4 cm
Par
32.0–43.4 cm
t 5082-95-3
t 5082-96-3
t 5082-97-3
ARM CIRCUMFERENCE REUSABLE SLEEVE CUFFS
NA
t 101340
Par 18–27 cm
t 101341
Par 25–35 cm
t 101342
Par 33–40 cm
t 101343
Par 39–46 cm
ARM CIRCUMFERENCE TRADITIONAL REUSABLE CUFFS
Part 6100-10
16.0–21.8 cm
t 6100-11
Par
21.1–26.6 cm
t 6100-12
Par
25.4–34.3 cm
t 6100-13
Par
27.0–42.0 cm
t 6100-14
Par
34.3–48.2 cm
NOTE: The codes listed in the table are
the codes displayed by the CardioPerfect software. They are different from the error codes which can appear on the ABPM 6100 LCD display.
Page 3
AMBULATORY
BLOOD PRESSURE
MONITORING
QUICK START GUIDE
!
IMPORTANT!
Make sure of the following before the patient leaves the office:
The belt or shoulder strap and pouch are
.
positioned comfor
The Start/Stop button is accessible to the patient.
(Even if the Start button is disabled in the Study Parameters, the Start/Stop button will still allow the patient to cancel a reading.)
The ABPM 6100 monitor is concealed accor
to the patient’s wishes.
Remember the patient’
normal tasks can significantly impact the relevance of monitoring data.
tably
s comfor
ding
t and ability to per
for
m
If the display is on, briefly review with the patient how
ead the data.
to r
Explain to the patient the kind of information required in
the Patient Diary.
If the Start button is enabled, explain to the patient that
he or she has the option to initiate readings using the
t/Stop button.
Star
Page 4
1 Install software
This quick start guide is intended for use with CardioPerfect
Workstation Version 1.6.0 or higher.
For complete directions for use and warnings, please consult
your user manual located on the software CD.
2 Set up monitor
Install two fresh AA batteries in the back of the ABPM 6100 recorder.
Connect the PC interface cable to the serial port on the back
of the computer.
Connect the other end to the bottom of the ABPM 6100 recorder.
If you are using a USB port:
Install the Keyspan USB to serial converter software first,
then plug in the adapter.
3 Communicate with your monitor
If you are using a USB port:
Go to Start/Programs/Keyspan USB Serial Adapter.
Select Keyspan Serial Assistant.
Verify which COM port was
assigned to adapter.
Start the CardioPerfect Workstation Software:
Go to File/Settings/ABPM.
Select Advanced.
Match proper COM port to Keyspan
Serial Assistant.
4 Select Patient
Open the CardioPerfect Workstation Software by
double clicking on the CardioPer
To enter a new patient:
fect icon.
1. Click the Patient button.
2. Fill in Patient Card.
o select a patient fr
T
om the database:
1. In the Search box, type the patient name or number (can be a partial entry).
2. Click the
Go button.
3. Click on the patient for whom you want to record the test.
5 Program your monitor
Click on the ABP Icon.
ou will hear a few beeps followed by the New ABP T
Y
Select Protocol, Referring Physician, etc. and click OK.
The r
der is now pr
ecor
ogrammed with the patient infor
est window
and will turn itself off. Disconnect the monitor from the computer.
.
mation
Page 5
6 Fit your patient with the monitor and cuff
Place an appropriate size cuff around the patient’s
nondominant arm.
osition the cuff so that the Artery Marker label
P
is directly over the brachial artery.
Connect the hose of the cuff to the monitor, place
the monitor in the pouch, and attach the monitor to the patient.
7 Prepare your patient
If the unit is in Sleep Mode (no display on the LCD), press
the Start/Stop button to “wake” the unit.
Press the Start/Stop button again to initiate a manual
reading. This will cause the cuff to inflate and a reading to be taken.
NOTE: the automatic measurements will not start until at least one manual measurement is taken
Review the following instructions with your patient:
Avoid excess movement during readings.
Relax arm slightly away from body.
Avoid hand movement.
Avoid flexing muscle during reading.
Do not remove cuff between readings.
Sleeve Cuff Traditional Cuff
8 Retrieve data
When your patient returns, remove the recorder and accessories.
Turn the recorder off by holding down the Start/Stop button
for five seconds or until the unit beeps five times.
Connect the recorder to the computer.
Start the CardioPerfect Workstation Software and search for
the patient in the database.
Select the Read Back icon.
Make your selections from the ABP Measur
window and pr
ess OK to transfer and save the data to
ement Read Back
the computer.
9 Review data and print report
You can choose from multiple ABPM report templates.
If automatic printing is checked in the ABPM Print settings,
the report should print now.
If you did not select Automatic Printing in
the Settings, click on the down arrow next to the Print icon and choose Print Selected Formats to initiate printing.
If you just want to print one page, click on the Print icon,
t page.
epor
and select the desir
ed r
Page 6
AMBULATORY BLOOD PRESSURE MONITORING PATIENT INFORMATION
i
Ambulatory blood pressure monitoring (ABPM) takes numerous readings of your blood pressure over a 24-hour period or longer. It provides accurate and reliable information and can give you and your doctor
truer picture of your blood pressure than occasional visits and readings taken at your doctor’s office.
a
How often will my blood pressure be taken?
Usually, your heart rate and blood pressure will be measured at 15- to 30-minute periods during the day and
very 30 minutes to one hour at night. Although you may notice the first few times the cuff inflates, you will
e soon become used to the monitor. Most people find it very easy to wear.
How does APBM work?
This ABPM uses the oscillometric method, which involves measuring movement of the blood after closing off the brachial artery, the main artery that runs from the shoulder down to the elbow. The data is stored and then interpreted by trained professionals in your doctor’s office.
Be advised of the following:
Pressing the Start/Stop button during a reading will cancel that reading and deflate the cuff regardless of
whether the Start button is set to On or Off in the Study Parameters.
Undress carefully at bedtime, using caution not to disconnect the hose from the monitor.
Placing a pillow over the monitor during sleep will reduce any electrical hum from the ABPM 6100 unit.
PATIENT DO’S AND DON’TS
DO
Wear a loose fitting blouse or shirt.
Record time, symptom/mood and activity/position in the patient diary.
Activate a reading (if the Start/Stop button is activated) at the first sign of symptoms.
Remain motionless during readings.
Keep vehicle driving and travel to a minimum.
n.
etur
Bring diar
y upon r
DON’T
Remove the cuf
Get the monitor wet.
Use power tools or heavy equipment during a reading.
Remove the batteries from the unit.
ear long-sleeved sweaters or dresses during monitoring period.
W
Swim, shower
Operate heavy equipment or power tools, as vibrations may functionally disrupt the monitor.
f.
, or bathe during monitoring.
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