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Philips PageWriter TC70 Instructions For Use Manual

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PageWriter TC70/TC50 Cardiograph
INSTRUCTIONS FOR USE

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   Summary of Contents for Philips PageWriter TC70

  • Page 1 PageWriter TC70/TC50 Cardiograph INSTRUCTIONS FOR USE...
  • Page 2 About This Edition laws, but may also reduce physician. THIS Published by Philips the ability of Philips PRODUCT IS NOT Medical Systems Medical Systems to INTENDED FOR HOME provide accurate and USE.
  • Page 3 The Philips ECG Algorithm........
  • Page 4: Table Of Contents

    PageWriter TC70 Cardiograph Components ........1-5...
  • Page 5 Contacting a Philips Response Center ........
  • Page 6 ST Map Reports............4-34 Contents-4 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 7 Tachycardia Critical Value Statements ......... . B-4 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 8 PageWriter TC70 Touchscreen Display ........
  • Page 9 PageWriter TC50 Cardiograph AC Output Voltage ......C-5 PageWriter TC70 Cardiograph Dimensions ........C-6 PageWriter TC70 Cardiograph Weight .
  • Page 10 Table of Contents Contents-8 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 11: Safety Summary

    PageWriter TC50 Cardiographs About the Instructions for Use This PageWriter TC70 and PageWriter TC50 Cardiograph Instructions for Use is intended to assist users in the safe and effective use of the product. Before attempting to operate this product, read this Instructions for Use, and note and strictly observe all Warning and Cautions as described in this document.
  • Page 12 Modem Connector Connect an analog phone line to the connector directly above this symbol. Attention; read the Instructions See the PageWriter TC70 and PageWriter TC50 for Use Cardiograph Instructions for Use. Patient Interface Module (PIM) Connect the PIM patient data cable to the connector Connector located directly above this symbol.
  • Page 13 Equipotential Grounding Post Equipotential grounding post used for establishing common ground between instruments. Class II Protection against electric shock (PageWriter TC70 Cardiograph only). Fuse The PageWriter TC50 Cardiograph contains a 1.6 amp (250V) time-delay fuse. PageWriter TC50/TC70 Cardiograph Instructions for Use...
  • Page 14 Safety Summary Safety Symbols Marked on the Cardiograph Packaging Safety Symbols Marked on the Cardiograph Packaging Symbol Description Keep dry. Ambient temperature range of -20 C (-4 F) to 50 C (122 F) (non-condensing) for transport and storage. Note: the batteries will discharge at a rapid rate if the cardiograph is stored at a high temperature.
  • Page 15 Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart Safety Summary Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph Cart Symbol Name Description Cart Transport Do not transport the cart with the drawer open. Cart Drawer Weight Do not place more than 3 kilograms or 6.6...
  • Page 16 Safety Summary Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph AC Power Adapter Safety and Regulatory Symbols Marked on the PageWriter TC70 Cardiograph AC Power Adapter Symbol Name Description No serviceable parts There are no serviceable parts inside the AC inside adapter.
  • Page 17 CAUTION Only use Philips Medical Systems replacement parts and supplies with the cardiograph. The use of non- approved replacement parts and supplies with the cardiograph is strictly prohibited. Cardiograph safety and performance are not guaranteed when non-approved replacement parts and supplies are used with the cardiograph.
  • Page 18  approved to IEC 60601-1 Medical Electrical Equipment or IEC 60950-1 Information Technology Equipment. Only use patient electrodes that are approved by Philips Medical Systems. The use of non-  approved patient electrodes may degrade cardiograph performance. To prevent burns to the patient, remove all ECG electrodes and lead wires prior to the use of ...
  • Page 19 Analog ECG Output Signal Port Important Patient and Safety Information Only use the AC power adapter designed to be used with the PageWriter TC70 cardiograph,  part number 453564094411, in order to ensure continued compliance with the requirements of IEC 60601-1.
  • Page 20 When operating the PageWriter TC50 cardiograph with one battery installed, only use the  Philips battery with part number 989803170371. Do not use the battery with Philips part number 989803160981 for one battery operation. When operating the PageWriter TC50 cardiograph with one battery installed, the single ...
  • Page 21 ECG Interpretation Important Patient and Safety Information ECG Interpretation CAUTION Always enter accurate patient information (including age and gender) if using the Philips DXL ECG Algorithm or Philips 12-Lead Algorithm for ECG interpretation. Electrodes Philips recommends the use of disposable electrodes at all times for all patient applications.
  • Page 22 Any combination of instruments should be evaluated by local safety personnel before being put into service. IEC 60601-2-51 For information on the standard IEC 60601-2-51, please go to the Philips InCenter web site  ). For information on using the Philips InCenter site, see page 1- incenter.medical.philips.com...
  • Page 23  Patient Data Cable WARNING The Philips Medical Systems patient data cable (supplied with cardiograph) is an integral part of the cardiograph safety features. Use of any other patient data cable may lead to the distortion or corruption of patient ECG data, may compromise defibrillation protection and degrade cardiograph performance, and overall cardiograph safety may be seriously degraded.
  • Page 24: Touch Screen

    Information” on page 1-45 for more information. Software WARNING Only install Philips Medical Systems software on the cardiograph. The installation or use of software not approved by Philips Medical Systems is strictly prohibited and cardiograph safety and performance are not guaranteed.
  • Page 25: Intended Use

    WARNING Do not use the USB memory stick to import ECGs from other cardiographs, or other non-Philips devices onto the PageWriter TC70 cardiograph or PageWriter TC50 cardiograph. Only use the USB memory stick that is available for purchase as an optional accessory from Philips CAUTIONS Medical Systems with the PageWriter TC cardiograph.
  • Page 26: Indications For Use

    16-lead reports may include or exclude ECG measurements, reasons, or analysis statements. Intended Use The intended use of the Philips ECG Algorithm is to analyze multi-channel ECG signals from adult and pediatric patients with algorithms that provide measurements, data presentations, graphical presentations, and interpretations for review by the user.
  • Page 27: Chapter 1 Getting Started

    Getting Started Welcome to the PageWriter TC70 and TC50 cardiographs, a versatile and powerful addition to your cardiac care patient workflow. The PageWriter TC cardiographs help to simplify patient cardiac care through easy-to-use 1-2-3 touch screen operation, color-coded signal quality indicators, and integrated connectivity with the TraceMaster ECG Management System for one touch patient order download and ECG transmission.
  • Page 28: Pagewriter Tc70/tc50 Cardiograph Learning Kit

    PageWriter TC70/TC50 Cardiograph Learning Kit Philips Medical Systems provides detailed instructional and reference materials in the PageWriter TC70/TC50 Cardiograph Learning Kit. The PageWriter TC70/TC50 Cardiograph Learning Kit contains the Quick Help Guide, User Skills Checklists, and the User Documentation and Training DVD. Figure 1-1...
  • Page 29 Updates to this training program will be available on a periodic basis, and may be downloaded from the Philips InCenter site. For more information on accessing and using the Philips InCenter site, see “Using the Philips InCenter Site"...
  • Page 30: Philips Ecg Xml Information

    1.03, version 1.04, and version 1.04.01. Version 1.03 exports ECG data in 12-lead format only, version 1.04 exports ECG data for up to 16 leads, and version 1.04.01 exports ECG data for up to 16 leads and includes full interpretation from the Philips DXL Algorithm.
  • Page 31: Using The Philips Incenter Site

    InCenter site. Registration for the InCenter site requires the serial number of at least one PageWriter TC70 or PageWriter TC50 cardiograph in active use at your facility. The serial number is found on the product identification label.
  • Page 32 Getting Started PageWriter TC70 Cardiograph Components Figure 1-2 PageWriter TC70 Cardiograph (left front view) A Touch screen F ECG button B Audio speaker G Paper tray C AC power on indicator light H Keyboard D Power/Standby button E ID button...
  • Page 33 Getting Started PageWriter TC70 Cardiograph Components Figure 1-3 PageWriter TC70 Cardiograph (right front view) Battery compartment USB memory stick connector PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 34 Do not connect the modem card to a phone line when the cardiograph is connected to a WARNING patient. Do not insert a USB memory stick into the cardiograph, or remove a USB memory from the CAUTION cardiograph when the cardiograph is acquiring ECG data from a patient. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 35: Pagewriter Tc50 Cardiograph Components

    PageWriter TC50 Cardiograph (right front view) A Touch screen F Keyboard B Audio speakers G AC power on indicator light C Battery compartment H Power/Standby button D USB memory stick connector ID button E Paper tray ECG button PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 36 Hospital Only or Hospital Grade. Never adapt a grounded plug to fit an ungrounded outlet by removing the ground prong. Use the equipotential post when redundant earth ground is necessary according to IEC 60601-1-1. 1-10 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 37: Assembling The Pagewriter Tc70 Cardiograph Cart

    Assembling the PageWriter TC70 Cardiograph Cart Assembling the PageWriter TC70 Cardiograph Cart The PageWriter TC70 cardiograph is available with an optional cart that includes a locking storage drawer, storage bin, and a built-in holder for the PIM (patient interface module). The instructions in this section describe the unassembled cart option.
  • Page 38 Getting Started Assembling the PageWriter TC70 Cardiograph Cart Hold the beam steadily. Turn the cart onto the side to expose the bottom of the cart. Place the ground strap onto the screw end. Attach the bolt screws and tighten using the provided wrench. Ensure that the bolt screws are tightened to 80-100 in lbs.
  • Page 39 Getting Started Assembling the PageWriter TC70 Cardiograph Cart Turn the cart upright. Attach the top shelf to the beam using the provided bolts and wrench. Tighten the bolts to 80-100 in lbs. Align the rear feet of the cardiograph with the rear locking holes on the cart. Align the front feet of the cardiograph with the front screw holes on the cart.
  • Page 40: Assembling The Pagewriter Tc50 Cardiograph Cart

    PIM (patient interface module). A second storage bin is available as an optional accessory. The instructions in this section describe the unassembled cart option. For information on ordering the cart, see “PageWriter TC70 and PageWriter TC50 Cardiograph Supply Part Numbers" on page 1-46.
  • Page 41 Getting Started Assembling the PageWriter TC50 Cardiograph Cart Figure 1-8 Unassembled Cart Kit Contents To attach the cardiograph to the cart: Insert the beam into the cart base. PageWriter TC70/TC50 Cardiograph Instructions for Use 1-15...
  • Page 42 Hold the beam steadily. Turn the cart onto the side to expose the bottom of the cart. Place the ground strap onto the screw end. Attach the bolt screws and tighten using the provided wrench. Ensure that the bolt screws are tightened to 80-100 in lbs. 1-16 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 43 Getting Started Assembling the PageWriter TC50 Cardiograph Cart Turn the cart upright. Attach the bin to the beam. Insert the bin dividers as shown. PageWriter TC70/TC50 Cardiograph Instructions for Use 1-17...
  • Page 44 Align the rear feet of the cardiograph with the rear holes on the cart. Lower the front feet of the cardiograph into the front holes on the cart and push the cardiograph into place. Ensure that the cardiograph is locked into the slot on the front right of the cart. 1-18 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 45: Using The Cart Wheel Positioners And Brake

    Align the front wheels so that they are straight. Step on both wheel positioners. Move the cart forward until the wheels lock into position. The cart will move forward or backward in a straight line. PageWriter TC70/TC50 Cardiograph Instructions for Use 1-19...
  • Page 46: Patient Interface Module (pim)

    16-lead PIM, see “Configuring the 16-Lead PIM" on page 1-26. N O T E Figure 1-9 shows AAMI version PIMs. Figure 1-9 16-lead (left) and 12-lead (right) Patient Interface Module (PIM) 1-20 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 47: About Class A And Class B Patient Data Cables And Pims

    Both Class A and Class B patient data cables have 5 pins on the connector end that attaches to the cardiograph. Class A patient data cables can only be used with a Class A PIM on the PageWriter TC70 cardiograph. Class B patient data cables can only be used with a Class B PIM on either a PageWriter TC70 or a PageWriter TC50 cardiograph.
  • Page 48: Attaching The Patient Data Cable To The Pim And Cardiograph

    WARNING Ensure that the patient data cable is securely connected to the PIM connector ( on the rear panel of the cardiograph. WARNING The Philips Medical Systems patient data cable (supplied with cardiograph) is an integral part of the cardiograph safety features. Use of any other patient data cable may lead to...
  • Page 49 Align the raised circle on the cable connector upright as shown in the figure. Turn the cable connector to the right to lock it into position. PageWriter TC70/TC50 Cardiograph Instructions for Use 1-23...
  • Page 50: Special Note About Patient Interface Module (pim)

    If the PIM is left on the patient’s skin for an extended period of time while the cardiograph is being used for monitoring purposes, the PIM could reach a maximum temperature of 46 °C (114.8 °F) in a room environment with a temperature of 40 °C (104 °F). 1-24 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 51: Pim Ecg Button

    ECGs from the bedside. For information on connecting the PIM to the patient, or on using the PIM ECG button, see “The Patient Session” on page 3-1. Figure 1-13 The 16-Lead PIM with ECG button A PIM ECG button PageWriter TC70/TC50 Cardiograph Instructions for Use 1-25...
  • Page 52: Configuring The 16-lead Pim

    For information on ordering the 16-lead PIM option, see “PageWriter TC70 and PageWriter TC50 Cardiograph Supply Part Numbers” on page 1-46. When using the 16-lead PIM, always ensure that the leads connected to the Patient Interface Module CAUTION (PIM) are the same leads that are displayed on the cardiograph screen.
  • Page 53 Attach the appropriate color-coded identification clip (included in the lead kit) to the lead, and attach the small color clip near the connector end of the lead wire. Figure 1-16 Attaching the color clips to the lead PageWriter TC70/TC50 Cardiograph Instructions for Use 1-27...
  • Page 54: Recommended 16-lead Configurations

    15 and 16-Lead PIM Configuration Options Lead Option Standard 12-leads plus extended Lead Placement leads (AAMI/IEC) Pediatric V3R (C3R), V4R (C4R), V7 (C7) (15 leads) Posterior V7 (C7), V8 (C8), V9 (C9) (15 leads) 1-28 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 55: Installing The Batteries

    When operating the PageWriter TC70 or PageWriter TC50 cardiograph with two batteries  installed, ensure that both batteries contain the same Philips part number. The battery part number identification label is found on the bottom of the battery. The cardiograph cannot operate with two batteries that contain different part numbers.
  • Page 56 Installing the Batteries To install the batteries: Open the battery door. Locate the two gold pull tabs inside of the battery compartment. Pull the tabs straight out of the battery compartment and lay flat. 1-30 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 57 Push in the battery and ensure that the battery is fully inserted into the slot. The pull tab will insert along with the battery. Insert the second battery following the same procedure. PageWriter TC70/TC50 Cardiograph Instructions for Use 1-31...
  • Page 58: Charging The Batteries

    There are configurable power saving features available on the cardiograph. These features are used to help prolong overall battery life, and to optimize battery power use between battery charges. CAUTION When removing the batteries from the cardiograph, the batteries could feel warm to the touch. 1-32 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 59: Calibrating The Batteries

    The cardiograph can operate on AC power while the batteries are charging, but the batteries will charge at a slower rate. Figure 1-18 Battery Power Indicator on the Status Bar A Battery level indicator PageWriter TC70/TC50 Cardiograph Instructions for Use 1-33...
  • Page 60 Plug the cardiograph into AC power to recharge the batteries. No or Dead Battery 1-34 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 61: Using The Wireless Lan Card

    Cardiograph Network Configuration Guide available on the User Documentation and Training DVD, or the file can be downloaded from the Philips InCenter site. Only use wireless LAN cards with the PageWriter TC70 or PageWriter TC50 cardiographs that have CAUTION been purchased from Philips Medical Systems. The use of non-approved wireless LAN cards with either model cardiograph is not tested or supported, and Philips Medical Systems does not guarantee cardiograph operation or wireless LAN connectivity.
  • Page 62: Using The Modem Card

    Cardiographs guide. This guide is available for download from the Philips InCenter site. For information on the Philips InCenter site, see “Using the Philips InCenter Site" on page 1-5. The PageWriter TC70 and TC50 cardiographs only support the USB memory stick that is available for CAUTION purchase as an optional accessory from Philips Medical Systems.
  • Page 63: Using The Barcode Reader

    CAUTION cardiograph when the cardiograph is acquiring ECG data from a patient. Only use the USB memory stick to transfer data between a PageWriter TC70 or TC50 cardiograph CAUTION and a computer. Do not use the memory stick with other devices.
  • Page 64: Using The Cardiograph Touch Screen

    Using the Cardiograph Touch Screen The touch screen provides access to all of the cardiograph features. Simply touch the buttons on the screen to open the different screens and to perform different functions. 1-38 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 65: Touch Screen Overview

    The Exam Type selected for the current patient  session. The available Exam Types are: Resting 12-  , and Lead Resting Extended Lead Timed ECG. Touch the button to change the selected Exam  Type. PageWriter TC70/TC50 Cardiograph Instructions for Use 1-39...
  • Page 66 The settings underneath this button include the  selected ECG report layout settings, and the level of interpretation generated by the Philips 12 or 16-lead algorithm that are being applied to the selected Exam Type. Any of the settings on this screen may be ...
  • Page 67 ( ) displays Disclose  the number of Events currently stored in Disclose. 1-2-3 Operation , and buttons are used in Features sequence to acquire and print a standard 12-lead or 16-lead ECG. PageWriter TC70/TC50 Cardiograph Instructions for Use 1-41...
  • Page 68: Using The Main Ecg Screen

    Press the up arrow key (on keyboard) to change the display back to a standard 12, 15, or 16-lead view with no split screen. The standard view provides ten seconds of continuous ECG waveform data for each lead. 1-42 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 69: The Status Bar

    ECG Layout The current ECG report layout settings,  including the level of interpretation generated by the Philips 12 or 16-lead algorithm. Any of the settings on this screen may be  edited for the current patient session. Operating Settings The current selected filters (Artifact, Baseline ...
  • Page 70 LAN signal and that the cardiograph should be moved to an area with a stronger signal. Gray solid bars ( ) indicate that the wireless  adapter is unable to associate to an access point. 1-44 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 71: Supplies And Ordering Information

    Name, and ID Number patient ID number for the current patient session. Supplies and Ordering Information The part numbers for all supplies for the PageWriter TC70 and PageWriter TC50 cardiographs are listed in this section. Ordering Supplies All supplies may be ordered on the web at: http://shop.medical.philips.com...
  • Page 72: Special Note About Welsh Bulb Electrodes

    Figure 1-25 Welsh Bulb Electrode Welsh Bulb electrodes are offered as an optional supply part with the PageWriter TC70 and PageWriter TC50 cardiographs. Special care is necessary when using these electrodes. Pay special attention to all warnings associated with these electrodes. For information on cleaning the reusable Welsh Bulb electrodes, see “Reusable Electrode Cleaning"...
  • Page 73: Complete Lead Sets

    142.21 cm/56 in, chest leads 106.6cm/42 in, extended leads 121.9cm/48 in) Lead Accessories Part Number Description 989803129231 Alligator Clips for Disposable Tab Electrodes (AAMI) (10 total per pack) 989803129241 Alligator Clips for Disposable Tab Electrodes (IEC) (10 total per pack) PageWriter TC70/TC50 Cardiograph Instructions for Use 1-47...
  • Page 74: Disposable And Reusable Electrodes

    989803101691 Reusable Adult Limb Clamp Electrode (4 total electrodes) (AAMI/IEC) 989803101341 Reusable Adult Limb Plate Electrode for push-in type connection, nickel-silver (4 total electrodes) (AAMI/IEC) 989803100601 Rubber Strap for Reusable Limb Plate Electrodes (38 cm/15 in) (4 total straps) (AAMI/IEC) 1-48 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 75: Printer Paper

    PageWriter TC50 only, or for 2 battery operation for both PageWriter TC70 and TC50 cardiographs) Keyboard Covers Part Number Description 989803166511 PageWriter TC70 Cardiograph Keyboard Cover (5 per pack) 989803166501 PageWriter TC50 Cardiograph Keyboard Cover (5 per pack) Replacement Fuse Part Number Description 453564131221 PageWriter TC50 Cardiograph 1.6 amp (250 V) Replacement...
  • Page 76: Ordering Options And Upgrades

    Getting Started Ordering Options and Upgrades Ordering Options and Upgrades For more information on ordering any of the following cardiograph upgrades or options, please contact your Philips Sales Representative or your local distributor. Table 1-5 Data Input Options Option Number...
  • Page 77: Product Troubleshooting

    For information on product troubleshooting, see the PageWriter TC Cardiograph Service Manual included on the User Documentation and Training DVD, or the file may be downloaded from the Philips InCenter site. For information on using the InCenter site, see page 1-5. This document provides comprehensive information on product troubleshooting, performance verification and safety tests, using the Service Utilities accessed from the Setup menu, and installing software upgrades.
  • Page 78: Europe Response Centers

    Netherlands 31 40 27 211 27 Norway 47 800 84 080 Poland 31 40 2781619 MCR Response Center (located in The Netherlands) Rumania 31 40 2781619 MCR Response Center (located in The Netherlands) 1-52 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 79: Asia Response Centers

    81 (0)120 095 205 Korea 82 (0)2 3445 9010 Malaysia 1800 886 188 New Zealand 0800 251 400 Philippines 63 2 8162617 ext. 875 Singapore 1800 Philips Taiwan 0800 005 616 Thailand 66 (0)2 614 3569 PageWriter TC70/TC50 Cardiograph Instructions for Use 1-53...
  • Page 80: Africa And Middle East

    Getting Started Contacting a Philips Response Center Africa and Middle East Country Telephone Number All countries 31 40 2781619 MCR Response Center (located in The Netherlands) 1-54 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 81: Chapter 2 Configuring Default Clinical Settings

    Configuring Default Clinical Settings All of the settings on the PageWriter TC70 cardiograph or PageWriter TC50 cardiograph may be customized to meet the needs of a specific clinical environment. The cardiograph is shipped with factory default settings, and any of these settings may be changed. All configuration of the cardiograph is completed on the screens.
  • Page 82: Configuration With A Third Party Ecg Management System

    N O T E You cannot transfer custom settings between different models of cardiographs. For example, you can only transfer custom settings from a PageWriter TC70 cardiograph to another PageWriter TC70 cardiograph, and not to a PageWriter TC50 cardiograph. N O T E Wireless LAN card settings specified in the Summit WLAN Adapter are saved with the custom settings file.
  • Page 83: Opening The Setup Screens

    Touch to configure password and power  save features Includes Maintenance Tests that can be  used to troubleshoot or to optimize cardiograph performance. For more information, see "Cardiograph Care and Maintenance" on page 5-1. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 84: Using Online Help

    Touch a tab or touch the name of the field or option so that it is highlighted in blue. Help for the selected item displays in the blue Information box at the bottom of the screen (see Figure 2-2 on page 2-5). PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 85: Configuring 12-lead And 16-lead Exam Settings

    The 16-lead Exams settings will only appear if a 16-lead Patient Interface Module (PIM) is connected to the cardiograph. For information on configuring the 16-lead PIM for use with the PageWriter TC70 cardiograph, see "Configuring the 16-Lead PIM" on page 1-26.
  • Page 86 ECG data shown on the report is captured simultaneously, or time sequentially. On the right side of the screen, select an interpretation level for the Philips 12-lead or 16-lead algorithm. Touch the button to continue.
  • Page 87 Configuring Default Clinical Settings Configuring 12-Lead and 16-Lead Exam Settings The Create New Exam profile window appears. Enter a name for the Exam. Touch PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 88 Configuring Default Clinical Settings Configuring 12-Lead and 16-Lead Exam Settings PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 89: Chapter 3 The Patient Session

    A patient session begins by entering accurate patient information. Patient information is then linked with all waveform data acquired during the patient session. Entering accurate patient information (age, gender) is highly recommended if using the Philips 12-Lead CAUTION Algorithm, version PH090A, or the Philips DXL ECG Algorithm, version PH100B, for ECG interpretation.
  • Page 90 12 or 16-lead ECG of captured Event data – view continuous waveform data for a selected Disclose lead – print a 1-minute report of a selected Disclose lead – view live waveform data for a selected Disclose lead PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 91 3-39. connection. The patient session ends when: New patient information is entered or a pending order is selected  The cardiograph enters Standby or is shut down  are selected Archive Setup  PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 92: Patient Preparation

    If there is no time to follow the procedure above, rub the site with gauze to remove dead, dry skin and to increase capillary flow. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 93: Electrode Placement

    Midway between V1 and V4R, right side of chest Midclavicular line in the fifth intercostal space, right side of chest Left posterior axillary line at the same level as V6 Under the left mid-scapular line at the same level as V6 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 94 AAMI and IEC Lead Labeling and Electrode Placement (continued) AAMI Lead IEC Lead Electrode Position Left paraspinal border at the same level as V6 Figure 3-1 Male Standard 12-Lead Electrode Placement (AAMI/IEC) V2/C2 V3/C3 V1/C1 V4/C4 V5/C5 V6/C6 RA/R LA/L RL/N LL/F PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 95 The Patient Session Patient Preparation Figure 3-2 Female Standard 12-Lead Electrode Placement (AAMI/IEC) V2/C2 V3/C3 V1/C1 V4/C4 V5/C5 V6/C6 RA/R LA/L LL/F RL/N PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 96 The Patient Session Patient Preparation Figure 3-3 Pediatric 15-Lead Electrode Placement (AAMI/IEC) V2/C2 V1/C1 V3R/C3R V3/C3 V4R/C4R V4/C4 V5/C5 V6/C6 RA/R LA/L RL/N LL/F V7/C7 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 97 The Patient Session Patient Preparation Figure 3-4 Male Balanced 16-Lead Electrode Placement (AAMI/IEC) V1/C1 V2/C2 V3R/C3R V3/C3 V4R/C4R V4/C4 V5/C5 V6/C6 RA/R LA/L RL/N LL/F V7/C7 V8/C8 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 98 The Patient Session Patient Preparation Figure 3-5 Female Balanced 16-Lead Electrode Placement (AAMI/IEC) V1/C1 V2/C2 V3R/C3R V3/C3 V4R/C4R V4/C4 V5/C5 V6/C6 RA/R LA/L RL/N LL/F V7/C7 V8/C8 3-10 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 99 The Patient Session Patient Preparation Figure 3-6 Male Posterior 15-Lead Electrode Placement (AAMI/IEC) V2/C2 V1/C1 V3/C3 V4/C4 V5/C5 V6/C6 LA/L RA/R RL/N LL/F V7/C7 V8/C8 V9/C9 PageWriter TC70/TC50 Cardiograph Instructions for Use 3-11...
  • Page 100: Attaching Disposable Electrodes

    Attach the electrodes to the skin. A good test for firm electrode contact is to try to move it. If it moves easily, the electrode connection is too loose. Do not allow the electrodes to move in any way. 3-12 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 101: Attaching Welsh Bulb And Limb Clamp Electrodes

    This electrode is used on the chest or back. The limb clamp electrodes are used on the arms and legs. Philips recommends the application of highly conductive multipurpose electrolyte gel to the electrode site whenever Welsh Bulb and limb clamp electrodes are used.
  • Page 102: Attaching The Lead Wires

    Detach the rubber bulb from the metal cup by pulling. Follow the procedure “Reusable Electrode Cleaning” on page 5-4 to clean reusable electrodes after each use. Attaching the Lead Wires Each lead wire tip is labeled and color-coded for easy identification. 3-14 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 103: Using The On/standby Button

    Ensure that all patient data from an active patient session is saved before entering Standby, or CAUTION shutting down the cardiograph. Unsaved patient data (patient identification information, unreviewed Event Markers, unsaved ECGs) is deleted when the cardiograph enters Standby. Figure 3-9 The On/Standby button A On/Standby button PageWriter TC70/TC50 Cardiograph Instructions for Use 3-15...
  • Page 104: Entering Patient Information

    To move to the next field on the screen, press the Tab key (on keyboard).  To move to the previous field on the screen, press and hold the Shift key (on keyboard) and  then press the Tab key. 3-16 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 105: Entering Id Information With The Keyboard

    The cardiograph must be connected to the network in order to use the order search feature. To search for orders: Touch the button. The ID screen appears. Touch the tab (top of screen). The selected tab is highlighted in blue. Find Patient PageWriter TC70/TC50 Cardiograph Instructions for Use 3-17...
  • Page 106: Editing Id Information

    Edit Patient ID select it. The selected tab is highlighted in blue. Edit the ID information displayed on the screen. Press the Tab key (on keyboard) to scroll between the different fields. 3-18 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 107: Checking Signal Quality

    Patient tremors, shivering  One or more limb leads are patient, inadequate  disconnected (chest leads preparation display in orange) Very poor electrode  contact, dry electrodes PageWriter TC70/TC50 Cardiograph Instructions for Use 3-19...
  • Page 108: Leads Map

    ECG. Skin is a poor conductor of electricity and frequently creates artifact that distorts the ECG signal. For more information, see "Patient Preparation" on page 3-4. 3-20 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 109 Run the lead wire open and short tests, as described in “Lead Wire Performance Test” on page 5-14. If the lead wire open and short tests fail, contact the Philips Response Center. See “Contacting a Philips Response Center” on page 1-39. One or more leads Improper or incomplete...
  • Page 110 PIM or lead cables. Contact the Philips Response Center. See “Contacting a Philips Response Center” on page 1-39. PIM reset (up to ten...
  • Page 111 Run the lead wire open and short tests, as described on page 5-14. If the lead wire open and short tests fail, contact the Philips Response Center. See “Contacting a Philips Response Center” on page 1-39. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 112: Urgent (stat) Ecgs

    See Figure 3-10 on page 3-25  In the split screen display, the limb and augmented  leads on the left, and the precordial leads are on the right 3-24 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 113: Taking An Auto Ecg

    When the ECG button illuminates, it means that the ECG is ready to be taken. To take an Auto ECG:  When the button is lit, press it to take an Auto ECG. PageWriter TC70/TC50 Cardiograph Instructions for Use 3-25...
  • Page 114: Using The Preview Screen

    If the buttons are grayed out, your cardiograph is configured to automatically perform these functions. If the buttons do not appear, your cardiograph is not configured to support these functions. Figure 3-11 The Preview Screen 3-26 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 115 Press and hold the Shift key (on keyboard) and then press the  down arrow key ( ) or the up arrow key ( ) to change the level of interpretation displayed on the ECG. PageWriter TC70/TC50 Cardiograph Instructions for Use 3-27...
  • Page 116: Using The Last Ecg Feature On The Preview Screen

    When a previous patient ECG is printed at the cardiograph using the feature, a Last ECG watermark appears on the ECG report specifying that this is a previously recorded ECG. Figure 3-12 Previous ECG Watermark on ECG Report 3-28 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 117: Viewing Event Markers On The Preview Screen

    “Critical Value Statements” on page B-1. These Critical Values include the statements , and for the Philips ACUTE MI VERY HIGH HEART RATE COMPLETE HEART BLOCK DXL ECG Algorithm version PH100B, the statement is supported. ACUTE ISCHEMIA PageWriter TC70/TC50 Cardiograph Instructions for Use 3-29...
  • Page 118: Very High Heart Rate Critical Value

    The Patient Session Rhythm ECG Acquisition Very High Heart Rate Critical Value For the Philips DXL ECG Algorithm version PH100B, the statement VERY HIGH HEART is generated by the following formula: the measured heart rate in beats per minute, RATE minus the patient age in years.
  • Page 119: Special Note About Artifact Filter

    Due to this fact, use of the Artifact filter may make it impossible to detect pacemaker pulses, and may affect P waves, and the entire QRS-T complex. Only use the Artifact filter for ECGs that otherwise would be unreadable due to significant levels of muscle artifact. PageWriter TC70/TC50 Cardiograph Instructions for Use 3-31...
  • Page 120 Feature Name Description Item Settings Button Touch to: change Artifact filter settings  change pacing setting  change waveform speed setting  change waveform scale setting  The new settings are immediately applied. 3-32 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 121: Disclose Ecg Acquisition

    Disclose ECG acquisition is used to review Events captured on the Main or Rhythm screens. For the PageWriter TC70 cardiograph, up to 20 minutes of continuous ECG waveform data for a selected lead can be reviewed, in either a static or in a live view. For the PageWriter TC50 cardiograph, up to 12 minutes of continuous ECG waveform data for a selected lead can be reviewed in either a static or in a live view.
  • Page 122: Reviewing Events On The Disclose Screen

    Once the data is captured, a white Event Marker appears above the waveform. For the PageWriter TC70 cardiograph, a maximum of 15 Events can be captured for an individual patient session. For the PageWriter TC50 cardiograph, a maximum of 10 Events can be captured for an individual patient session.
  • Page 123 ECG report The ECG report is derived from the 10-seconds of data that is  captured inside the orange Focus box The new settings are immediately applied. PageWriter TC70/TC50 Cardiograph Instructions for Use 3-35...
  • Page 124 Tap any area of the waveform display area to move the Focus  The time and date at the upper left corner of the Focus Box is  the beginning time and date of the waveform data captured inside the Focus Box 3-36 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 125: Reviewing Previous Events

    While within the same patient session, Events that occurred more than 20 minutes in the past for the PageWriter TC70 cardiograph, or more than 12 minutes in the past for the PageWriter TC50 cardiograph, are saved as 30-second segments that can be reviewed on the Previous Events screen.
  • Page 126: Transferring Ecgs From The Archive

    Touch an ECG displayed in the directory to select it for transfer. A selected ECG is highlighted in blue. To select or to deselect all ECGs in the directory, touch the Select column header (top of screen). 3-38 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 127: Downloading Ecgs From Tracemaster

    For more information, see the PageWriter TC Cardiograph Network Configuration Guide, which is available for download from the Philips InCenter site. For information on using the Philips InCenter site, see "Using the Philips InCenter Site" on page 1-5. Touch the...
  • Page 128 The Patient Session Downloading ECGs from TraceMaster 3-40 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 129: Chapter 4 Reading The Printed Ecg Report

    Reading the Printed ECG Report The ECG report formats described in this chapter are available on the PageWriter TC70 or TC50 cardiograph with installed software version A.03.00 and higher. Figure 4-1 A 12-Lead 3x4, 1R Report (page one) A Interpretive, Reason, and Severity Statements (see page 4-3)I Report Information (see page 4-12)
  • Page 130 ECG report if more than four fields are configured. Figure 4-2 A 12-Lead 3x4, 1R Report (page two) Q Additional Patient Clinical Information Fields (see page 4-6) R Additional Configurable Clinical Information (see page 4-9) PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 131: Interpretive, Reason, And Severity Statements

    ECG. This severity code is printed on the front page of the ECG report. Table 4-1 Overall ECG Severity with Code Severity Code No Severity Normal ECG Otherwise Normal ECG Borderline ECG Abnormal ECG Defective ECG PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 132: Critical Values

    Critical Values appear on the ECG report if specific interpretive statements are generated by the Philips DXL ECG Algorithm. These statements are intended to alert caregivers of an ongoing or imminent cardiac event, such as a silent MI, that require immediate clinical treatment.
  • Page 133: Basic Measurements

    For certain clinical situations, the Fridericia corrected QT interval may be preferable over Bazett’s, and this additional measurement may be configured to appear in the measurements section of the printed ECG report. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 134: Patient Id Clinical Information

    This area of page one or page two of the ECG report contains clinical patient information that is entered on the patient information entry screen, or that is contained in the order associated with the ECG. This includes information about the patient’s Medications (Rx), Diagnoses PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 135: Patient Id Information

    Figure 4-10 Patient ID Clinical Information on the ECG Report (page two) Patient ID Information This section contains patient identification information. The example below is for informational purposes only. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 136: Institution Information

    247 lbs, 70 in. Patient weight and height  BP: 133/90 Patient blood pressure (mm/Hg)  Institution Information This block of identification information is optional and is fully configurable. The example below is for informational purposes only. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 137: Configurable Clinical Information

    The first four clinical fields appear on page one of the ECG report. The fifth and subsequent fields appear on page two of the ECG report. The examples below are for informational purposes only. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 138 Reading the Printed ECG Report Configurable Clinical Information Figure 4-13 Configurable Clinical Information on the ECG Report (page one) Figure 4-14 Configurable Clinical Information on the ECG Report (page two) 4-10 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 139: Ecg Order Information

    Institution-defined order number, part of order management  system. Enc: E-123 Institution-defined encounter number, part of order  management system. Reason: Annual Physical The reason for acquiring the ECG, may be part of an order  management system. PageWriter TC70/TC50 Cardiograph Instructions for Use 4-11...
  • Page 140: Physician Information

    Indicates that the ECG report has not been overread by a  qualified physician. This statement may be customized by an institution.  COPY The ECG report is a printed copy of an original. 4-12 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 141: Calibration Information

    If the calibration pulse is stepped the precordial leads were recorded at half the scale  of the limb leads. Table 4-6 Calibration Pulse Shapes Calibration Pulse Shape Limb Precordial (mm/mV) (mm/mV) PageWriter TC70/TC50 Cardiograph Instructions for Use 4-13...
  • Page 142 For ECG recordings where the precordial leads or limb leads were recorded at a gain other than 10mm/mV, the statement Non-standard lead gains appears in the Report Information section on the printed report. Figure 4-19 Calibration information on the ECG report 4-14 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 143: Time Separator

    These marks enable the overreader to identify false pacemaker pulse detections, or if true pulses are not being detected. Figure 4-22 Pacing Detection Setting on the ECG report PageWriter TC70/TC50 Cardiograph Instructions for Use 4-15...
  • Page 144 Use this setting if small amplitude  pacemaker pulses are not being detected at the default ( ) setting. Not Known if Paced False pacemaker pulse detections may occur  if the ECG is noisy. 4-16 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 145: Algorithm Version Number

    (Philips 12-Lead Algorithm), or as PH090A PH100B (Philips DXL ECG Algorithm). A Critical Values ( ), or lead reversal detection symbol ( can also appear in this area of the ECG report if these optional features are enabled. Figure 4-23...
  • Page 146: Filter Settings

    ECG reports. When the Artifact filter is used, the symbol is included in the filter information box at the lower right corner of the printed ECG report. 4-18 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 147: Ac Filter

    The maximum fidelity waveform is always stored in the permanent record. Bailey JJ, Berson AS, Garson A, Horan LG, Macfarlane PW, Mortara DW, Zywietz C. “Recommendations for Standardization and Specifications in Automated Electrocardiography: Bandwidth and Digital Signal Processing.” Circulation 81:730-739 (1990). PageWriter TC70/TC50 Cardiograph Instructions for Use 4-19...
  • Page 148: Baseline Wander Filter

    If contour analysis is important in Rhythm mode, use the 0.05 Hz Rhythm high-pass frequency response setting that minimizes the ST segment distortion. Rhythm characteristics of the ECG are accurately recorded, regardless of the low-pass frequency setting in Rhythm mode. 4-20 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 149: Speed And Sensitivity Settings

    Device Identification Number This identification number may be entered at the acquisition device. This number is used to identify the individual device that acquired the ECG. Figure 4-30 Device ID on the ECG Report PageWriter TC70/TC50 Cardiograph Instructions for Use 4-21...
  • Page 150: 12-lead Ecg Report Examples

    (if configured). Panoramic (Pan-12) report with Cabrera Leads. The Pan-12 report shows a one-second  representative complex for each Cabrera Lead and three pre-selected rhythm strips at the bottom (aVF, V2, V5). 4-22 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 151 Reading the Printed ECG Report 12-Lead ECG Report Examples Figure 4-31 3x4, 1R Report with Standard Leads PageWriter TC70/TC50 Cardiograph Instructions for Use 4-23...
  • Page 152 Reading the Printed ECG Report 12-Lead ECG Report Examples Figure 4-32 3x4, 1R Report with Cabrera Leads and Simultaneous Acquisition 4-24 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 153 Reading the Printed ECG Report 12-Lead ECG Report Examples Figure 4-33 6x2 Report with Cabrera Leads PageWriter TC70/TC50 Cardiograph Instructions for Use 4-25...
  • Page 154 Reading the Printed ECG Report 12-Lead ECG Report Examples Figure 4-34 12x1 Report with Cabrera Leads (page one) 4-26 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 155 Reading the Printed ECG Report 12-Lead ECG Report Examples Figure 4-35 12x1 Report with Cabrera Leads (page two) PageWriter TC70/TC50 Cardiograph Instructions for Use 4-27...
  • Page 156 12-Lead ECG Report Examples Figure 4-36 Panoramic (Pan-12) Report N O T E Leads are displayed in Cabrera sequence on the Panoramic (Pan-12) Report regardless of the selected lead standard on the acquisition device. 4-28 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 157: 15 And 16-lead Ecg Report Examples

    Pediatric 3x5, 1R report with Standard Leads  Pediatric 3x5, 3R report with Standard Leads  Balanced 4x4, 1R report with Standard Leads  Adult Posterior 3x5 3R report with Standard Leads  PageWriter TC70/TC50 Cardiograph Instructions for Use 4-29...
  • Page 158 Reading the Printed ECG Report 15 and 16-Lead ECG Report Examples Figure 4-37 Pediatric 3x5, 1R Report with Standard Leads 4-30 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 159 Reading the Printed ECG Report 15 and 16-Lead ECG Report Examples Figure 4-38 Pediatric 3x5, 3R Report with Standard Leads PageWriter TC70/TC50 Cardiograph Instructions for Use 4-31...
  • Page 160 Reading the Printed ECG Report 15 and 16-Lead ECG Report Examples Figure 4-39 Adult Balanced 4x4, 1R with Standard Leads 4-32 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 161 Reading the Printed ECG Report 15 and 16-Lead ECG Report Examples Figure 4-40 Adult Posterior 3x5, 3R Report with Standard Leads PageWriter TC70/TC50 Cardiograph Instructions for Use 4-33...
  • Page 162: St Map Reports

    1 eight-second rhythm strip at the bottom, and the ST Maps at the right side of the report. N O T E Extended leads are not included in the ST Map, however, the lead values for all extended leads are listed next to, or underneath the ST Map. 4-34 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 163 Reading the Printed ECG Report ST Map Reports Figure 4-41 3x4 1R 8ST Report PageWriter TC70/TC50 Cardiograph Instructions for Use 4-35...
  • Page 164 Reading the Printed ECG Report ST Map Reports Figure 4-42 3x4 1R 10ST Report 4-36 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 165 Reading the Printed ECG Report ST Map Reports Figure 4-43 3x5 1R ST Report PageWriter TC70/TC50 Cardiograph Instructions for Use 4-37...
  • Page 166 Reading the Printed ECG Report ST Map Reports Figure 4-44 4x4 1R ST Report 4-38 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 167: Rhythm Report

    Rhythm reports are not analyzed, so they do not provide measurement information or interpretive statements, and they are not saved to the Archive. The calibration pulse appears at the beginning of each ECG trace. PageWriter TC70/TC50 Cardiograph Instructions for Use 4-39...
  • Page 168 Reading the Printed ECG Report Rhythm Report Figure 4-45 Rhythm Report with 6 Leads 4-40 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 169 Reading the Printed ECG Report Rhythm Report Figure 4-46 Rhythm Report with 12 Leads PageWriter TC70/TC50 Cardiograph Instructions for Use 4-41...
  • Page 170: 1-minute Disclose Report

    Disclose lead. Disclose reports are not analyzed, so they do not provide measurement information or interpretive statements, and they are not saved to the Archive. Each 10-second waveform segment on the report is labeled next to the lead name. Figure 4-47 1-Minute Disclose Report 4-42 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 171: Extended Measurements Report

    Extended Measurements Report The Extended Measurements Report summarizes the output of the Philips 12-Lead Algorithm version PH090A, or of the Philips DXL ECG Algorithm version PH100B. The report includes the morphology characteristics for the individual leads, and the rhythm characteristics for the rhythm groups.
  • Page 172 Reading the Printed ECG Report Extended Measurements Report 4-44 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 173 Cardiograph Care and Maintenance The following chapter contains information about basic cardiograph care, and periodic cardiograph maintenance that may be required. If further technical assistance is required, contact the nearest Philips Response Center, see page 1-51. Table 5-1 Recommended Frequency of Maintenance Tasks...
  • Page 174: Cardiograph And Pim Cleaning

    PIM after direct contact with the patient’s skin may cause infectious materials to be transferred between patients. To clean the cardiograph and PIM: Unplug the AC power cord. Ensure that the AC power indicator light (next to power button) is not lit. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 175: Approved Cleaning Solutions

    Prior to cleaning the patient data cable, inspect the patient data cable for any cracks or breaks in the cable insulation. If the integrity of the patient data cable is not assured, replace the patient data cable. Contact Philips Medical Systems for further assistance, see “Contacting a Philips Response Center” on page 1-39.
  • Page 176: Reusable Electrode Cleaning

    Reusable limb clamp and Welsh Bulb electrodes must be cleaned after each use. Always clean and disinfect reusable electrodes before patient use. Failure to properly WARNING clean and disinfect reusable electrodes before patient use may cause infectious materials to be transferred between patients. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 177: Cleaning The Print Head

    Cleaning the Print Head Clean the print head periodically, as a dirty print head may cause poor or uneven print quality. Clean the print head more frequently when printing large volumes of ECGs. PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 178 Cardiograph Care and Maintenance Cleaning the Print Head Figure 5-2 PageWriter TC70 Cardiograph Cleaning the Print Head A Print head Figure 5-3 PageWriter TC50 Cardiograph Cleaning the Print Head A Print head To clean the print head: Open the paper drawer.
  • Page 179: Printer Paper

    Printer Paper Replace the printer paper when a red stripe appears on the printed ECG report. Only use Philips Medical Systems replacement printer paper. For part ordering information, see “Supplies and Ordering Information” on page 1-45. To change the printer paper: Open the paper drawer and remove any remaining sheets.
  • Page 180: Battery Maintenance And Care

    When operating the PageWriter TC50 cardiograph with one battery installed, only use the  Philips battery with part number 989803170371. Do not use the battery with Philips part number 989803160981 for one battery operation. When operating the PageWriter TC50 cardiograph with two batteries installed, ensure that ...
  • Page 181: Replacing The Batteries

    If the batteries are fully charged but lose significant power after only a few ECGs, consider replacement. For information on ordering replacement batteries, see “PageWriter TC70 and PageWriter TC50 Cardiograph Supply Part Numbers” on page 1-46. To install the batteries: Unplug the cardiograph from AC power.
  • Page 182 Battery Maintenance and Care Open the battery door. Remove both batteries from the battery compartment by pulling on the gold straps. Insert the battery with the external connector facing the bottom rear of the compartment. 5-10 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 183 Insert the second battery following the same procedure. N O T E If operating the PageWriter TC50 cardiograph with one battery installed, the battery may be inserted into either battery compartment. Reinstall the battery door. PageWriter TC70/TC50 Cardiograph Instructions for Use 5-11...
  • Page 184: Battery Calibration

    When the battery power indicators are not functioning so that they are useful in your daily work environment, Philips recommends calibrating the batteries following the procedure described in this section.
  • Page 185 N O T E Accessing the Service Utility may require entering a password. If a password is lost and cannot be retrieved, contact the Philips Response Center for assistance (see page 1-51). From the Service Utility screen, ensure that the...
  • Page 186: Patient Interface Module (pim) Test

    Class B 12-lead PIM (Philips part number 453564150741, AAMI and 453564150761, IEC) or the Class B 16-lead PIM (Philips part number 453564150751, AAMI and 453564150771, IEC) and the Class B patient data cable (Philips part number 989803164281 Touch the button to close the window.
  • Page 187: Lead Wire Performance Test

    When the cardiograph has reached the end of its product life, dispose of it according to local ordinances. When any of the cardiograph accessories reach the end of their product life, dispose of these items in accordance with manufacturer instructions and local ordinances. PageWriter TC70/TC50 Cardiograph Instructions for Use 5-15...
  • Page 188: Maintaining The Touch Screen

    TraceMaster server using the Time Synchronization feature. For more information on configuring the Time Synchronization feature on the cardiograph, see the PageWriter TC70/TC50 Cardiograph Network Configuration Guide on the User Documentation and Training DVD.
  • Page 189: Replacing The Pagewriter Tc50 Cardiograph Fuse

    N O T E Opening the Setup screens may require entering a password. If a password is lost and cannot be retrieved, call the Philips Response Center for further assistance. See "Contacting a Philips Response Center" on page 1-51. To set the date and time: Touch the Setup button on the main toolbar.
  • Page 190 AC power indicator light on TC50 cardiograph A AC power on indicator light Only use replacement AC fuses with Philips part number 453564131221, or use a 1.6 amp (250V) time-delay fuse the same size and configuration as the original fuse.
  • Page 191 Replacing the PageWriter TC50 Cardiograph Fuse Cardiograph Care and Maintenance Insert the new fuse using the same orientation. Push the fuse all the way into the fuse holder slot. The fuse snaps into place. PageWriter TC70/TC50 Cardiograph Instructions for Use 5-19...
  • Page 192 Cardiograph Care and Maintenance Replacing the PageWriter TC50 Cardiograph Fuse 5-20 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 193: Philips 12-lead Algorithm Version Ph090a Exclude Low Certainty Suppressed Statements

    Introduction This Appendix includes a listing of all borderline interpretive statements that are suppressed using the Borderline Statement Suppression feature that is available with both the Philips 12- Lead Algorithm version PH090A, and with the Philips DXL ECG Algorithm version PH100B.
  • Page 194 Nonspecific ST Depression, Inferior Leads.....ST <-0.10mV, II III aVF Junctional ST Depression....ST <-0.10mV any 3 leads Minimal ST Depression......ST <-0.05mV in 2 leads SEALP ST Elevation, Prob Normal Variation, Ant-lat....ST >0.15 mV, I aVL V2-V6 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 195: Exclude All Suppressed Statements

    Philips 12-Lead Algorithm Version PH090A Exclude All Suppressed Statements The interpretive statements listed in Table A-1, “Philips 12-Lead Algorithm Version PH090A Exclude Low Certainty - Suppressed Statements,” on page A-1, and the interpretive statements listed in Table A-2, “Philips 12-Lead Algorithm Version PH090A Exclude All Setting - Suppressed Statements,”...
  • Page 196 Minimal ST Elevation, Anterior Leads......ST >0.08mV, V1-V4 MSTEAL Minimal ST Elevation, Anterolateral Leads....ST >0.06mV, I aVL V2-V6 MSTEI Minimal ST Elevation, Inferior Leads......ST >0.06mV, II III aVF MSTEL Minimal ST Elevation, Lateral Leads..ST >0.07mV, I aVL V5 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 197 Minimal ST Depression, Anterior Leads....ST <-0.03mV, V2-V4 SD0IN Minimal St Depression, Inferior Leads....ST <-0.03mV, II III aVF SD0LA Minimal St Depression, Lateral Leads....ST <-0.03mV, I aVL V5 V6 SD0NS Minimal St Depression..ST <-0.03mV, T neg, any 2 leads PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 198: Philips Dxl Ecg Algorithm Version Ph100b Exclude Low Certainty Suppressed Statements

    Consider right atrial enlargement....P >0.24mV limb lead Abnormal R-wave progression, early transition....QRS area>0 in V2 RSR' in V1 or V2, right VCD or RVH....QRS area ETRSR1 positive & R' V1/V2 LOWT Borderline T wave abnormalities........flat T PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 199 ST elev, probably normal variation, ant leads..ST>0.15mV, SEANP V2-V5 ST elevation, probably normal variation, inf..ST>0.15mV, II SEINP III aVF SPRB Borderline short PR interval......PR int < ** mS Borderline T wave abnormalities...T axis not between (-10,100) TAXAB PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 200: Philips Dxl Ecg Algorithm Version Ph100b

    The interpretive statements listed in Table A-3, “Philips DXL ECG Algorithm Version PH100B Exclude Low Certainty - Suppressed Statements,” on page A-6, and the interpretive statements listed in Table A-4, “Philips DXL ECG Algorithm Version PH100B Exclude All Setting - Suppressed Statements,” on page A-8, are suppressed when the...
  • Page 201 Probable right atrial enlargement..biphasic P >0.20 mV in V1 Borderline repol abnormality, ant-lat leads..ST dep, REPBAL T flat/neg, I aVL V2-V6 Borderline repol abnormality, ant leads.....ST dep, REPBAN T flat/neg, V2-V4 Borderline repol abnormality, inf-lat leads..ST dep, REPBIL T flat/neg, inf/lat PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 202 II III aVF Borderline T abnormalities, lateral leads.....T flat/neg, T0LA I aVL V5 V6 Borderline T wave abnormalities..T/QRS ratio < 1/20 or flat T T0NS Tall T waves, probably normal variant..T >1.2mV, age 16-30 TTW30 A-10 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 203 ACritical Value Statements Introduction This Appendix includes a listing of all interpretive statements generated by the Philips 12- Lead Algorithm version PH090A, and by the Philips DXL ECG Algorithm version PH100B, that will result in a Critical Value statement appearing on the ECG report. Use of the Critical Values feature makes it simple to align with the Joint Commission’s National Patient Safety...
  • Page 204: Philips 12-lead Algorithm Version Ph090a Acute Myocardial Infarction Critical Value Statements

    Probable Inferior Infarct, Acute Q>25 mS, ST>0.10 mV, II III aVF IMI67 Inferior Infarct, Possibly Acute Q >35 mS, ST >0.10 mV, II III aVF IMIA Inferior Infarct, Acute Q>35 mS, ST>0.10 mV, II III aVF PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 205 PINJL ST Elevation, Probable Lateral Injury ST >0.08 mV, I aVL V5 V6 PMIA Posterior Infarct, Acute prominent R T, ST <-.05 V1-V4 PPMIA Probable Posterior Infarct, Acute prominent R T, ST <-.05 V1-V3 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 206: Philips 12-lead Algorithm Version Ph090a Tachycardia Critical Value Statements

    Table B-3 Philips 12-Lead Algorithm Version PH090A Complete Heart Block Interpretive Statements Statement Code Interpretive Statement 3AVB Complete Av Block 3AVBIR Complete Av Block With Wide Qrs Complex 3AVBFF Atrial Flutter/fibrillation With Complete Av Block PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 207: Philips Dxl Ecg Algorithm Version Ph100b Acute Myocardial Infarction Critical Value Statements

    Inferolateral infarct, acute......ST>.10mV, inf-lat leads ILMIAX Inferolateral infarct, acute (LCx)....ST>.10mV, inf-lat leads ILMIAR Inferolateral infarct, acute (RCA)....ST>.10mV, inf-lat leads ASMIAP Probable anteroseptal infarct, acute....ST>0.15mV, T upright, V1-V2 ASMIPA Anteroseptal infarct, possibly acute....Q>35mS, ST>0.15mV, V1-V2 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 208 Anterolateral infarct, acute (LAD)....ST >0.20mV, V2-V6, I, aVL RMIAP Probable right ventricular infarct, acute...ST>.08, V3R-V5R, aVR & STd in RMIA Right ventricular infarct, acute....ST>.10, V3R-V5R, aVR & STd in lat RMIAR Right ventricular infarct, acute (RCA)..ST>.08, aVR V3R-V5R & STd lat PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 209: Philips Dxl Ecg Algorithm Version Ph100b Tachycardia Critical Value Statements

    Complete Heart Block Critical Value Statements Statement Code Interpretive Statement 3AVB AV block, complete (third degree)..V-rate<***, AV dissociation 3AVBIR Complete AV block with wide QRS complex..V-rate<***, QRSd>***, AV dissoc 3AVBFF A-flutter/fibrillation w/ complete AV block...A-rate>220, V-rate<***, AV dissoc PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 210: Philips Dxl Ecg Algorithm Version Ph100b Acute Ischemia Critical Value Statements

    ECG report. Acute Ischemia Table B-7 Philips DXL ECG Algorithm Version PH100B Acute Ischemia Critical Value Statements Statement Code Interpretive Statement LMMVD Repol abnrm, severe global ischemia (LM/3VD) STe aVR, STd & Tneg, ant/lat/inf PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 211: Technical Specifications

     PageWriter TC50 Keyboard Three-quarter size full alphanumeric capability QWERTY keyboard  PageWriter TC70 Touchscreen Display 1024 x 768 pixel resolution  30.4 cm x 22.8 cm (11.96 x 6.22 in) color liquid crystal touch screen display with backlight ...
  • Page 212: Patient Interface Module Signal Acquisition

    The operation of the cardiograph below this value may cause incorrect ECG analysis. Filters AC noise  Baseline Wander  Artifact  Printer Printer Resolution High-resolution, digital-array printer using thermal-sensitive paper  200 dpi (voltage axis) by 500 dpi (time axis)  PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 213: Report Formats

    Rhythm (up to 12, or up to optional 16 selected leads)  Battery Operation SMBus compliant batteries  Voltage 9.0 to 12.6 VDC  Current 6.0 A max per battery (continuous)  Power 35 to 44 W max per battery (continuous)  PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 214: Pagewriter Tc70/tc50 Two Battery Operating Capacity

    PageWriter TC50 One Battery Operating Capacity The battery capacity for the PageWriter TC50 cardiograph with a single battery installed  using the battery with Philips part number 989803170371, is 30 minutes of continuous Rhythm printing, or 30 total ECG reports Status Display Full Charge Capacity (mAHR) ...
  • Page 215: Magnetic Card Reader (optional

    PageWriter TC50 Cardiograph AC Input Voltage Input voltage: 100 to 240 VAC  Input voltage frequency: 50 to 60 Hz  Input current: 1.2A  PageWriter TC50 Cardiograph AC Output Voltage Output: 15 Volts DC, 4.0A, 60W  PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 216: Pagewriter Tc70 Cardiograph Dimensions

     PageWriter TC50 Cardiograph Dimensions 405 mm length x 310 mm width x 130 mm height (15.94 inches wide x 12.20 inches deep x  5.11 inches height) with top cover in down position PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 217: Pagewriter Tc50 Cardiograph Weight

    9 kg (19.84 lb) including accessories  PageWriter TC70 and PageWriter TC50 Cardiograph Shipping Container Weight Maximum shipping weight of packaged PageWriter TC70 or PageWriter TC50 cardiograph  (including all accessories) is 17.1 kg (37.69 lb) Safety and Performance Meets the following requirements for safety and performance: IEC 60601-1: 1988 +A1:1991 +A2:1995 Medical electrical equipment –...
  • Page 218: Electromagnetic Compatibility (emc

    WARNING The PageWriter TC70 cardiograph or PageWriter TC50 should not be used next to or stacked on top of other equipment. If you must stack the product, you must check that normal operation is possible in the necessary configuration before the product is used.
  • Page 219: Reducing Electromagnetic Interference

    Electromagnetic Compatibility (EMC) Specifications Reducing Electromagnetic Interference The PageWriter TC70 cardiograph and PageWriter TC50 cardiograph and accessories may become sensitive to interference from other RF energy sources including power lines. RF energy sources include other medical devices, wireless devices, information technology equipment, and radio/television transmission.
  • Page 220 Electromagnetic Emissions The PageWriter TC70 cardiograph is intended for use in the electromagnetic environment specified in the table below. The customer or the user of the PageWriter TC70 cardiograph should assure that it is used in such an environment. Emissions Test...
  • Page 221 Table C-2 Guidance and Manufacturer’s Declaration: Electromagnetic Immunity (continued) The PageWriter TC70 cardiograph or PageWriter TC50 cardiograph is intended for use in the electromagnetic environment specified below. The customer or the user of the PageWriter TC70 cardiograph or PageWriter TC50 cardiograph should assure that it is used in such an environment.
  • Page 222 Table C-2 Guidance and Manufacturer’s Declaration: Electromagentic Immunity (continued) The PageWriter TC70 cardiograph and PageWriter TC50 cardiograph are intended for use in the electromagnetic environment specified below. The customer or the user of the PageWriter TC70 cardiograph or PageWriter TC50 cardiograph should assure that it is used in such an environment.
  • Page 223 To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the PageWriter TC70 cardiograph or PageWriter TC50 cardiograph are used exceeds the applicable RF compliance level above, the PageWriter TC70 cardiograph or PageWriter TC50 cardiograph should be observed to verify normal opera- tion.
  • Page 224: Wireless Lan Card Specifications

    Broadcom BCM4318E Input Power Requirements 3.3 VDC +/- 5% Typical Power Consumption (at maximum transmit power setting) Transmit: 400 mA (1320mW)  Receive: 180 mA (594mW)  Standby: 10 mA (33 mW)  C-14 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 225 24, 36 Mbps: 16-QAM 48, 54 Mbps: 64-QAM Regulatory Domain Support FCC (Americas, parts of Asia, and Middle East)  ETSI (Europe, Middle East, Africa, and parts of Asia)  TELEC (Japan)  PageWriter TC70/TC50 Cardiograph Instructions for Use C-15...
  • Page 226 50 ns 5.5 Mbps: 400 ns 24 Mbps: 250 ns 6 Mbps: 400 ns 36 Mbps: 250 ns 9 Mbps: 400 ns 48 Mbps: 150 ns 11 Mbps: 200 ns 54 Mbps: 150 ns C-16 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 227 802.1X Extensible Authentication Protocol Types LEAP  EAP-FAST  EAP-TLS  PEAP-GTC  PEAP-MSCHAPv2  Compliance ETSI Regulatory Domain EN 300 328  EN 301 489  EN 60590  EN 50371  EU 2002/95/EC (RoHS)  PageWriter TC70/TC50 Cardiograph Instructions for Use C-17...
  • Page 228  Cisco Compatible Extensions (CCX) Version 4 Summit SDC-CF22AG Wireless Adapter (Option D22) Length 67 mm (2.64 inches) Width 43 mm (1.69 inches) Thickness 5 mm (0.2 inches) Weight 28 grams (1 ounce) C-18 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 229 IEEE 802.11a, 802.11b, 802.11d, 802.11e, 802.11g, 802.11h, 802.11i Frequency Band ETSI/KCC TELEC 2.412 to 2.473 GHz 2.412 to 2.483 GHz 2.412 to 2.495 GHz Wireless Media Direct Sequence-Spread Spectrum (DSSS)  Orthogonal Frequency Divisional Multiplexing (OFDM)  PageWriter TC70/TC50 Cardiograph Instructions for Use C-19...
  • Page 230 ETSI (Europe, Middle East, Africa, and parts of Asia)  TELEC (Japan)  KCC (Korea)  Operating Channels FCC: 11 (3 non-overlapping)  ETSI and KCC: 13 (3 non-overlapping)  TELEC: 14 (4 non-overlapping)  C-20 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 231 350 ns 5.5 Mbps: 400 ns 24 Mbps: 250 ns 6 Mbps: 400 ns 36 Mbps: 250 ns 9 Mbps: 400 ns 48 Mbps: 150 ns 11 Mbps: 200 ns 54 Mbps: 150 ns PageWriter TC70/TC50 Cardiograph Instructions for Use C-21...
  • Page 232 PEAP-GTC  PEAP-MSCHAPv2  Compliance ETSI Regulatory Domain EN 300 328  EN 301 489-1, EN 301 489-17  EN 301 893  EN 60950-1  EN 50371  EU 2002/95/EC (RoHS)  C-22 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 233  ARIB STD - T66  ARIB STD T71  Certifications Wi-Fi Alliance 802.11a, 802.11b, 802.11g  WPA: Personal and Enterprise  WPA2: Personal and Enterprise  Cisco Compatible Extensions (CCX) Version 4 PageWriter TC70/TC50 Cardiograph Instructions for Use C-23...
  • Page 234 Specifications Wireless LAN Card Specifications C-24 PageWriter TC70/TC50 Cardiograph Instructions for Use...
  • Page 235 12x1 report with cabrera leads 4-26 4-10 charging indicator 1-33 16-leads configuration installing 1-29 attaching color clips to leads with a Philips TraceMasterVue maintenance and care ECG Management System 1-28 part numbers 1-49 configuring PIM 1-26 replacement options Configuring Cardiograph and 1-28 Bazett’s formula rate-corrected QT...
  • Page 236 with same settings order information IEC electrode placement 4-11 female diagram Critical overview male diagram Critical Value Warning Statements pacing detection settings 3-10 3-11 4-15 listing panoramic (Pan-12) report 4-28 on Preview screen IEC leads Patient ID information 3-29 part number Very High Heart Rate clinical information 1-47...
  • Page 237 Philips 12-Lead Algorithm green waveform 3-19 cleaning Physician’s Guide 1-51 Leads Map 3-20 part number Philips InCenter web site 1-46 orange waveform 3-19 document errors Patient ID Information red dotted line 3-20 errors opening PDF on ECG report...
  • Page 238 5-16 numbers 1-51 maintenance 5-16 reviewing Patient ID information overview 1-38 troubleshooting Rhythm 3-30 Philips Response Center phone changing leads on the printed numbers 1-51 report 3-31 red stripe on printed report pediatric 3-30 signal acquisition issues 3-20 using...
  • Page 239 Philips Medical Systems 3000 Minuteman Road Andover, MA 01810 USA Printed in USA PageWriter TC70/TC50 Cardiograph Instructions For Use 453564164431 Edition 2 *453564164431* *Edition 2*...

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