Welch Allyn ELI 280 Addendum User Manual
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Welch Allyn ELI 280 Addendum User Manual

Exercise stress option
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Manufactured by Welch Allyn, Inc. Skaneateles Falls, NY U.S.A.
Caution: Federal law restricts this device to sale by or on the order of a physician.
The Stress Option for the Welch Allyn ELI 280 is not available in the U.S. or Canada.
The Welch Allyn ELI 280 and Burdick ELI 280 Resting Electrocardiographs are available in the U.S. and
Canada.
Welch Allyn
®
ELI
280
EXERCISE STRESS OPTION
ADDENDUM TO ELI 280
USER MANUAL
®

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Summary of Contents for Welch Allyn ELI 280

  • Page 1 Caution: Federal law restricts this device to sale by or on the order of a physician. The Stress Option for the Welch Allyn ELI 280 is not available in the U.S. or Canada. The Welch Allyn ELI 280 and Burdick ELI 280 Resting Electrocardiographs are available in the U.S. and...
  • Page 2 Welch Allyn, Inc. Welch Allyn is a registered trademark of Welch Allyn, Inc. ELI is a trademark of Welch Allyn, Inc. Windows is a trademark of Microsoft Corp. Software V2.2.0.

  • Page 3: Table Of Contents

    USER SAFETY INFORMATION ........................6 WARNING(S) ................................6 .................................. 6 AUTIONS EQUIPMENT SYMBOLS AND MARKINGS ...................... 7 ..............................7 YMBOL ELINEATION USING THE ELI 280 EXERCISE STRESS OPTION ....................9 ..........................9 TARTING THE XERCISE TRESS PTION ..........................11 SING THE...
  • Page 4 Figure 2 Exercise Phase Display ..........................13 Figure 3 Recovery Phase Display ..........................14 Figure 4 Electrode Positioning ............................ 17 Page | 2...

  • Page 5: Notices

    Failure to do so may cause undue failure and possible health hazards. This manual must be kept in a safe place to prevent its deterioration and/or alteration. The user and Welch Allyn, Inc. authorized personnel must have access to this manual at any time.

  • Page 6: Warranty Information

    Welch Allyn or an authorized distributor or representative of Welch Allyn, and (ii) all risk of loss in transit. It is expressly agreed that the liability of Welch Allyn is limited and that Welch Allyn does not function as an insurer.
  • Page 7 PRODUCT/S FOR ANY AND ALL LOSSES AND DAMAGES RESULTING FROM ANY CAUSE SHALL BE THE REPAIR OR REPLACEMENT OF DEFECTIVE PRODUCT/S TO THE EXTENT THAT THE DEFECT IS NOTICED AND WELCH ALLYN IS NOTIFIED WITHIN THE WARRANTY PERIOD. IN NO EVENT, INCLUDING THE CLAIM FOR NEGLIGENCE, SHALL WELCH ALLYN BE LIABLE FOR INCIDENTAL,...

  • Page 8: User Safety Information

    • Before attempting to use the device, the user must read and understand the contents of the user manual and any accompanying documents. Contact Welch Allyn service for additional training options. Cautions •...

  • Page 9: Equipment Symbols And Markings

    4. EQUIPMENT SYMBOLS AND MARKINGS Symbol Delineation WARNING The warning statements in this manual identify conditions or practices that could lead to illness, injury, or death. In addition, when used on a patient applied part, this symbol indicates defibrillation protection is in the cables. Warning symbols will appear with a grey background in a black and white document.
  • Page 10 Follow instructions/directions for use (DFU) -- mandatory action. A copy of the DFU is available on this website. A printed copy of the DFU can be ordered from Welch Allyn for delivery within 7 calendar days. Medical Device Reorder Number...

  • Page 11: Using The Eli 280 Exercise Stress Option

    Starting the Exercise Stress Option Power the ELI 280 ON. After the ELI 280 startup screen appears, select the Patient Information icon located on the right hand side of the real-time ECG display. 1. Enter patient demographics manually, from the Directory, or from the MWL.
  • Page 12 USING THE ELI 280 EXERCISE STRESS OPTION 4. Select the button for the type of exercise equipment to be used: • Ergometer = . button • Treadmill = button • None (Pharmacological) = Ergom. button, then select Ergoselect, then None •...

  • Page 13: Using The Exercise Stress Option

    1. Select the Begin button to start the pre-exercise phase. Selections will appear similar to those shown in Figure 1-1. At the start of an exercise stress test, the ELI 280 will take a few seconds to learn the QRS morphology prior to display of the Start Exe and 12-lead ECG buttons.
  • Page 14 Select OK to save changes and return to ECG display. Select Cancel to return to the ECG display without change. ECG Printout ECG printouts will use the ELI 280 ECG configuration and lead format from the resting ECG settings. Cardiac stress exam ECG printouts include: •...
  • Page 15 USING THE ELI 280 EXERCISE STRESS OPTION 2. Select the Start Exe button to start the exercise phase. Selections will appear similar to those shown in Figure 2-1. Figure 2 Exercise Phase Display Recovery: Allows movement from Exercise to the Recovery phase.
  • Page 16 USING THE ELI 280 EXERCISE STRESS OPTION 3. Select the Recovery button to start the recovery phase. Selections will appear similar to those shown in Figure 3-1. Figure 3 Recovery Phase Display End Test: Ends the Recovery phase and automatically prints the exam summary. Display is returned to the ELI 280 resting ECG functions.
  • Page 17 The final report footer includes: serial number, site name, site number, cart number, and software version. NOTE: Should a printer fault occur during report printing, ELI 280 will remain on the REC page allowing 3 attempts to correct the fault and end the exam before returning to the resting ECG function.

  • Page 18: Conducting An Exercise Stress Test

    6. CONDUCTING AN EXERCISE STRESS TEST Patient Preparation Before attaching the electrodes, ensure the patient fully understands the procedure and what to expect. • Privacy is very important to ensure the patient is relaxed. • Explain the method to be taken for skin preparation and electrode application. •...
  • Page 19 CONDUCTING AN EXERCISE STRESS TEST Choose the best locations for limb lead placement according to body type. Avoid muscular and loose, flabby skin locations. Prevent pulling on the lead wires by means of strain relief as needed with use of surgical tape or a stress vest available from most medical supply companies.
  • Page 20 CONDUCTING AN EXERCISE STRESS TEST Patient Hookup Summary Table AAMI Lead IEC Lead Electrode Position On the 4 intercostal space at the right sternal border. On the 4 intercostal space at the left sternal border. Yellow Yellow Midway between V2/C2 and V4/C4 electrodes. Green Green On the 5...

  • Page 21: Strain Relief And Artifact

    CONDUCTING AN EXERCISE STRESS TEST Strain Relief and Artifact Because the patient is ambulatory and will be exercising, steps must be taken to ensure the best possible ECG quality. The ECG quality may look good at rest but may not when the patient begins to exercise. Artifact is frequently associated with poor electrode contact, poor skin preparation, and poor lead positioning.

  • Page 22: Conducting An Exercise Stress Test

    CONDUCTING AN EXERCISE STRESS TEST Conducting an Exercise Stress Test For each new exercise stress test, the user must select the appropriate profile and protocol. Changes in any protocol can be made in the settings. 1. Select Patient Information and then select the Stress button. 2.
  • Page 23 CONDUCTING AN EXERCISE STRESS TEST Before beginning the Exercise phase of the test, instruct the patient to follow the appropriate steps below: For Treadmill 1. Have the patient straddle the belt. (You should turn the treadmill on when the belt has been safely straddled).

  • Page 24: Exercise Phase

    The treadmill or ergometer advances the workload to the parameters identified for the first stage of exercise. 1. Allow the ELI 280 to acquire and print ECGs at the prescribed times set by the protocol being used. 2. Manually acquire and enter an NIBP value as your policy requires.

  • Page 25: Treadmill/Ergometer Hookup

    ELI 280 to Treadmill Hookup Instructions 1. Connect one end of the ELI 280 USB interface cable to the USB Device port on the back of the ELI 280, and the other end to the USB connection port on the treadmill.

  • Page 26: Protocols

    8. PROTOCOLS The following protocols are delivered with every ELI 280 with the Exercise Stress option enabled: • Bruce • Modified Bruce • Naughton • Balke These sample protocols produce the following operations and conditions: • An automatic ECG printout at the end of each stage.
  • Page 27 PROTOCOLS PROTOCOL: BRUCE STAGE NUMBER DURATION SPEED (MPH) GRADE (%) ---- PRE-EXE EXE-1 3:00 10.0 EXE-2 3:00 12.0 EXE-3 3:00 14.0 EXE-4 3:00 16.0 EXE-5 3:00 18.0 EXE-6 3:00 20.0 EXE-7 3:00 22.0 ---- PROTOCOL: MODIFIED BRUCE STAGE NUMBER DURATION SPEED (MPH) GRADE (%) ----...
  • Page 28 PROTOCOLS PROTOCOL: BALKE STAGE NUMBER DURATION SPEED GRADE ---- PRE-EXE EXE-1 3:00 3:00 EXE-2 3:00 EXE-3 3:00 EXE-4 3:00 EXE-5 10.0 3:00 EXE-6 12.5 3:00 EXE-7 15.0 3:00 EXE- 17.5 3:00 EXE- 20.0 3:00 EXE-10 22.5 ---- PROTOCOL: ERGOMETER – PROGRAMMED AT THE START OF EACH TEST TIME STAGE NUMBER WORKLOAD (WATTS)

  • Page 29: Troubleshooting

    Wait one minute and turn power back ON. Proceed with test. Treadmill power switch off, or Secure the treadmill to the ELI 280 treadmill interface cable not properly cable connections. Turn treadmill attached. main power switch ON. (Switch is located at the base of the treadmill hood, left side.)

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