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PageWriter TC70 Cardiograph

QUICK HELP GUIDE
To wake up the cardiograph:
Lift the cover or press any key.
If the unit does not start, press the
power button.
Contents
Skin Prep . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Attaching Electrodes and Lead Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Standard 12-Lead AAMI/IEC - Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Standard 12-Lead AAMI/IEC - Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Pediatric 15-Lead AAMI/IEC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Adult Balanced 16-Lead AAMI/IEC - Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Adult Balanced 16-Lead AAMI/IEC - Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
Adult Posterior 15-Lead AAMI/IEC - Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Adult Posterior 15-Lead AAMI/IEC - Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Using the Patient Interface Module (PIM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Checking Signal Quality. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Signal Quality Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Taking a STAT or Urgent ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Taking an ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Using the Worklist (Orders) Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Worklist Screen Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Finding a Patient Order. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Using the Preview Screen. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Preview Screen Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Critical Values Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Change Report Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

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Transferring ECGs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Using the Main ECG Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Main ECG Screen Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Waveform Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Available Lead Formats . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Using the Status Bar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
About Exams . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Using Event Markers and Disclose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Using Event Markers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Using Disclose, Default Static View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Using Disclose, Live Monitor View . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Using Disclose, Saved Event Markers. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Using Rhythm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Cardiograph and Cart Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Using the Cardiograph Cart . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Using the Wheel Positioners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Wheel Brake . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Using the Cardiograph . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Close Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Load Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
 1
Skin Prep
Always follow good skin prep techniques for every patient. Proper skin prep helps to ensure a good quality ECG. Skin is a poor
conductor of electricity and frequently creates artifact that distorts the ECG signal.

To prepare the skin for an ECG:

1 Clip hair from electrode sites if necessary

(excessive hair prevents a good connection).

2 Wash the skin thoroughly with soap and water.

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3 Dry the skin vigorously to increase capillary blood flow to the

tissues and to remove the dead, dry skin cells and oil.

Do not use alcohol to clean the skin because it dries the skin.
If there is no time, rub the electrode sites with gauze to remove
the dead, dry skin and to increase capillary flow (adult patients only).

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Attaching Electrodes and Lead Wires
Electrode Placement

Standard 12-Lead AAMI/IEC - Male Standard 12-Lead AAMI/IEC - Female

V2/C2 V3/C3 V2/C2 V3/C3

V1/C1 V4/C4 V1/C1 V4/C4
V5/C5 V5/C5
RA/R LA/L RA/R LA/L
V6/C6 V6/C6

RL/N LL/F RL/N LL/F

Place the precordial electrodes on

top of the breast. Do not place the
electrodes underneath the breast
tissue.

AAMI Color IEC Color Location

V1 Red C1 Red Right side of sternum in the 4th intercostal space
V2 Yellow C2 Yellow Left side of sternum in the 4th intercostal space
V3 Green C3 Green Midway between V2/C2 and V4/C4
V4 Blue C4 Brown Left midclavicular line in the 5th intercostal space
V5 Orange C5 Black Anterior axillary line at same level as V4/C4 and V6/C6, midway between V4/C4 and V6/C6
V6 Purple C6 Purple Left mid-axillary line (middle of the arm pit) at the same level as V4/C4
RA White R Red Inside right arm between wrist and elbow
LA Black L Yellow Inside left arm between wrist and elbow
RL Green N Black Inside right calf between knee and ankle
LL Red F Green Inside left calf between knee and ankle

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Pediatric 15-Lead AAMI/IEC

V1/C1 V2/C2
V3R/C3R V3/C3

RA/R LA/L V4R/C4R V4/C4 V7/C7

V5/C5
V6/C6
RL/N LL/F

AAMI Color IEC Color Location

V1 Red C1 Red Right side of sternum in the 4th intercostal space
V2 Yellow C2 Yellow Left side of sternum in the 4th intercostal space
V3 Green C3 Green Midway between V2/C2 and V4/C4
V4 Blue C4 Brown Left midclavicular line in the 5th intercostal space
V3R Yellow C3R Pink Midway between V1/C1 and V4R/C4R, right side of chest
V4R Red C4R Gray Midclavicular line in the 5th intercostal space, right side of chest
V5 Orange C5 Black Anterior axillary line at same level as V4/C4 and V6/C6, midway between V4/C4 and V6/C6
V6 Purple C6 Purple Left mid-axillary line (middle of the arm pit) at the same level as V4/C4
V7 Black C7 Orange Left posterior axillary line at the same level as V6/C6
RA White R Red Inside right arm between wrist and elbow
LA Black L Yellow Inside left arm between wrist and elbow
RL Green N Black Inside right calf between knee and ankle
LL Red F Green Inside left calf between knee and ankle

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Adult Balanced 16-Lead AAMI/IEC - Male Adult Balanced 16-Lead AAMI/IEC - Female 5
V1/C1 V2/C2 V1/C1 V2/C2
V3R/C3R V3/C3 V3R/C3R V3/C3
V4R/C4R V4/C4 V4R/C4R V4/C4
V5/C5 V5/C5
V6/C6 V6/C6

RA/R LA/L RA/R LA/L

RL/N LL/F RL/N LL/F

V7/C7 V7/C7
V8/C8 V8/C8

Place the precordial electrodes

on top of the breast. Do not
place the electrodes underneath
the breast tissue.

AAMI Color IEC Color Location

V1 Red C1 Red Right side of sternum in the 4th intercostal space
V2 Yellow C2 Yellow Left side of sternum in the 4th intercostal space
V3 Green C3 Green Midway between V2/C2 and V4/C4
V4 Blue C4 Brown Left midclavicular line in the 5th intercostal space
V3R Yellow C3R Pink Midway between V1/C1 and V4R/C4R, right side of chest
V4R Red C4R Gray Midclavicular line in the 5th intercostal space, right side of chest
V5 Orange C5 Black Anterior axillary line at same level as V4/C4 and V6/C6, midway between V4/C4 and V6/C6
V6 Purple C6 Purple Left mid-axillary line (middle of the arm pit) at the same level as V4/C4
V7 Black C7 Orange Left posterior axillary line at the same level as V6/C6
V8 Blue C8 Blue Under the left mid-scapular line at the same level as V6/C6
RA White R Red Inside right arm between wrist and elbow
LA Black L Yellow Inside left arm between wrist and elbow
RL Green N Black Inside right calf between knee and ankle
LL Red F Green Inside left calf between knee and ankle

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Adult Posterior 15-Lead AAMI/IEC - Male Adult Posterior 15-Lead AAMI/IEC - Female
V1/C1 V2/C2 V1/C1 V2/C2
V3/C3 V3/C3
V4/C4 V4/C4
V5/C5 V5/C5
V6/C6 V6/C6

RA/R LA/L RA/R LA/L

RL/N LL/F RL/N LL/F

V7/C7 V7/C7
V8/C8 V8/C8
V9/C9 V9/C9
Place the precordial electrodes on
top of the breast. Do not place the
electrodes underneath the breast
tissue.

AAMI Color IEC Color Location

V1 Red C1 Red Right side of sternum in the 4th intercostal space
V2 Yellow C2 Yellow Left side of sternum in the 4th intercostal space
V3 Green C3 Green Midway between V2/C2 and V4/C4
V4 Blue C4 Brown Midclavicular line in 5th intercostal space
V5 Orange C5 Black Anterior axillary line at same level as V4/C4 and V6/C6, midway between V4/C4 and V6/C6
V6 Purple C6 Purple Mid-axillary line (middle of the arm pit) at the same level as V4/C4
V7 Black C7 Orange Left posterior axillary line at the same level as V6/C6
V8 Blue C8 Blue Under the left mid-scapular line at the same level as V6/C6
V9 Yellow C9 Yellow Left paraspinal border at the same level as V6/C6
RA White R Red Inside right arm between wrist and elbow
LA Black L Yellow Inside left arm between wrist and elbow
RL Green N Black Inside right calf between knee and ankle
LL Red F Green Inside left calf between knee and ankle
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Using the Patient Interface Module (PIM)
Patient Interface Module (PIM)

ECG
button

16-Lead PIM 12-Lead PIM The PIM is an electronic

device and can feel warm
if placed on bare skin.
Using the ECG Button on PIM
If the PIM is placed on the
When lit, press to take ECG.
patient’s bare skin, always
Press twice rapidly to take STAT
place a sheet or cloth
or urgent ECG (button does not
between the PIM and
have to be lit).
the patient.

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Checking Signal Quality

Check the color-coded waveforms on the main screen. The color of the waveform indicates the lead signal quality.

Waveform Color Indicates Possible Causes

Green Good connection; when all leads are of
good quality, the ECG button is lit.
Take the ECG.
Yellow Moderate noise level, artifact, electrode Dry gel on electrode
interference, or a poor electrode Inadequate patient preparation
connection Electrical interference from another device
Moderate patient movement, tense patient

Orange Severe artifact, electrical interference, Electrical interference from another device
or a poor electrode connection Patient tremors, shivering patient, inadequate patient preparation
One or more limb leads are disconnected Very poor electrode contact, dry electrodes
(chest leads display orange) Limb lead(s) are disconnected

Red dotted line Loose electrode connection Inoperative electrode, electrode that has fallen off of the patient
ECG waveform data that cannot Defibrillation has been performed too recently to take ECG measurements
be analyzed Other cause that renders waveform data useless

Touch the Map button to check for any loose or inoperative electrodes or lead wires. A red mark identifies the
location of a bad electrode or lead connection.

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Signal Quality Troubleshooting
Wandering Baseline

Somatic Tremors

AC Interference

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Wandering Baseline

Possible Cause Solution

Inadequate patient preparation Reassure the patient and make sure that the patient is comfortable. If the patient has
tremors, attach the limb electrodes higher on the patient (closer to torso).
Moderate patient movement
Ensure that the lead wires are not pulling on the electrodes and that the electrodes are
Very poor electrode contact firmly attached.

Patient respiratory interference Turn on the Baseline Wander filter.

Somatic Tremors

Possible Cause Solution

The patient is cold and shivering Place a blanket on the patient to warm the patient.

Patient has tremors Assist with limiting patient movement.

AC Interference

Possible Cause Solution

Electrical interference from another device Check for devices that could be causing electrical interference. Unplug the devices or
(IV pump, microwave oven, cellular phone, switch to battery power.
wireless device)
Lay the lead wires alongside the limbs and away from any electrical devices.
An electrical device near the cardiograph that is
improperly grounded Turn on the AC filter.

An improperly gelled electrode (dried gel)

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Taking a STAT or Urgent ECG

1 Check signal quality of the waveforms on the screen, or touch the Map button.

Green waveform Good signal Any disconnected leads are

indicated with a red mark.
Yellow waveform Moderate artifact
Orange waveform Severe artifact; disconnected limb lead(s)
Red waveform Cannot be analyzed
Red dotted line Loose electrode

2 When all waveforms are green, press the ECG button (on the PIM or above the keyboard) twice rapidly.

If a message appears that patient information

is missing, touch Continue.

The ECG is acquired and appears on the Preview screen. See page 21 for information on using the Preview screen.

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Taking an ECG

1 Connect the patient. Check signal quality. Touch the Map button to display the location of any loose
electrodes or leads. A loose lead or electrode is indicated by a red mark.

2 Once the patient is connected, the ID button is lit. Touch the ID button. Enter patient information.
Required information is indicated in blue type and must be completed in full in order to transfer the ECG
to TraceMaster.

Touch the Find Patient tab to

search for a patient order.

Touch the Worklist tab to select a pending order.

The number on the tab indicates how many pending
orders are available in the Worklist. See page 13 for
information on using the Worklist.

3 When all required patient information has been entered, and all leads are connected and are of good
quality, the ECG button is lit. Touch the ECG button on the cardiograph or on the PIM. The ECG is
acquired and appears on the Preview screen. See page 21 for information on using the Preview screen.

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Using the Worklist (Orders) Screen
Worklist Screen Parts (continued on page 15)

B E

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Worklist Screen Parts

Name Description
A Worklist tabs Touch a tab to select it. The selected tab is highlighted in blue.

The number on the Worklist tab is how many pending orders are available on the cardiograph.

B Selected Inbox The currently selected Inbox. Touch the dropdown arrow button ( ) to open the dropdown list and to select a
different Inbox.

Select USB to view orders saved to the USB memory stick. Ensure that the USB memory stick is fully inserted into the
USB connector (front right side of cardiograph).

C Order Information Bar Each column on the bar contains a category of patient information included in orders. Touch any column to sort the
patient information for that column in ascending or in descending order. The selected column is indicated with an
arrow ( ).

Touch the Select column header to select or to deselect all displayed orders.

D Selected Order Touch an order to select it. Do not touch order(s) from the Select column, or the order(s) will not be selected. A
checkmark in the box underneath the Select column ( ) indicates that an order is selected. The most recently selected
order is highlighted in blue.
Touch the square with or without a checkmark to view all of the information in an order in a separate window. Touch the
window when done to close it.

E Get Orders button Touch this button to download orders from the selected Inbox ( B).

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Worklist Screen Parts

F I

G H

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Worklist Screen Parts

Name Description
F Order Storage Information Displays order storage information including: New Appended or New: this is the number of orders most recently
downloaded to the cardiograph. Available is the total number of additional orders that can be stored in the
Worklist. Up to 200 total orders can be stored in the Worklist. Selected is the number of orders currently selected.

G Message Bar Status messages appear here when actions are occurring.

H Stop button Touch this button to stop the downloading of orders, or to stop the deletion of orders.

I Cancel button Touch this button to exit the Worklist screen.

J Select button Touch this button to select the blue highlighted order in the worklist and apply it to the current patient. Note: only 1
order can be selected.

K Delete button Touch this button to delete the selected orders ( ) from the Worklist.

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Finding a Patient Order (continued on page 19)

B
B

D
C

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Wildcard Search
To search for an order using a wildcard, enter * into the field. For example, to search for orders for all
patients with the last name of Doe, type Doe into the Last Name field, and type * into the first name field.

Finding a Patient Order

Name Description

A Search Location The current selected order search location.

Touch the dropdown arrow ( ) to open the dropdown list of available search locations. Touch a location to select it.

B Order Search Fields Enter patient information into these fields. The entered information will be used to search for orders. Press the Tab key
(on keyboard) to move to the next field, or press Tab and Shift keys to move back to the previous field.
To scan barcode data into a search field, place the cursor in the field. Scan the barcode data.

Enter * into a field to search using a wildcard (see box above).

Each column on the bar contains a category of patient information included in orders. Touch any column to sort the
C Order Information Bar
patient information for that column in ascending or in descending order. The selected column is indicated with an
arrow ( ).
Touch the Select column header to select or to deselect all displayed orders.
D Selectable Order Search Touch the dropdown arrow ( ) to open the dropdown list of additional search fields. Touch a search field to select it.
Field Note:The selected order search field must be enabled as part of your order management system.

The available search fields include: Order Number, Account Number, Gender, Unit Number, and Priority
(STAT) . These search fields can be used to refine a search if too many orders are returned from an initial search.

Enter * into a field to search using a wildcard (see box above).

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Finding a Patient Order

F G H I

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Finding a Patient Order

Name Description

E Order Search Information Displays information about search results. Found is the number of total orders that match the entered search information.
Listed is the number of orders displayed on the screen; a maximum of 200 orders can be displayed.
Selected is the number of orders currently selected.

F Find Button Touch this button to search for orders using the entered search information.

G Select Button Touch this button to select the blue highlighted order for the current patient session. Note: only 1 order can be selected.

H Download Button Touch this button to download the selected order(s) to the Worklist so that they may be selected for future patients.

I Cancel Button Touch this button to exit the Search screen.

J Order Search Results This area displays the orders that match the entered search information.

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Using the Preview Screen
Preview Screen Parts (continued on page 23)
The Preview screen displays how the ECG will appear when printed. The ECG may automatically print, save, or transfer to TraceMaster,
or you can touch the Print, Save, or Transfer buttons on this screen to manually perform these functions.
A B

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Preview Screen Parts

Name Description

A Layout Button Touch to change the format of the ECG report displayed on the screen, to change if the waveforms are displayed
simultaneously or time sequentially, to change the rhythm lead, and to change the amount of interpretation that appears
on the ECG report. The new settings are immediately applied.

B Settings Button Touch to change optional filter settings (Artifact, Baseline Wander), to change pacing detection setting, and to change
the speed setting, and the waveform scale setting. The new settings are immediately applied.

C Print Button Touch to print the displayed ECG.

D Save Button Touch to save the displayed ECG to the Archive.

E Transfer Button Touch to send the ECG to TraceMaster for processing. Note: Only ECGs with complete patient information can be sent
to TraceMaster.Touch the ID button to complete any missing patient information that is required by your facility.

F Last ECG Touch to review on this Preview screen and print on the cardiograph the most recent previous ECG from the same
patient (requires active TraceMaster connection).

Note:The Print, Save, Transfer, or Last ECG buttons may not appear on this screen, or may appear grayed out (cannot be selected) depending on how the cardiograph
is configured. If the buttons are grayed out, the cardiograph automatically perform these functions. If the buttons do not appear, the cardiograph is not configured to support
these functions.

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Preview Screen Parts

J I

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Preview Screen Parts

G Page forward and back buttons Touch to view additional pages of the ECG report.

H Close Button Touch to close the Preview screen and return to the Main screen.

I Page Advance Button Touch to advance the printer paper to the beginning of the next page.

J ID Button Touch to enter missing patient information, or to edit existing patient information for the displayed ECG
(not available with Last ECG feature). Note: On the Preview screen, this feature is not used to enter patient
information for a new patient.

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Critical Values Message

987654321 6/28/2007 2:14:17 PM Doe, Jane(H) Community Hospital (21)

Born 1/1/1938 Female Race: Other 195 lbs 65 in BP: Dept: ER (45)
Rx No known Rx
Oper: Williams
Dx No known Dx
Rate 35 . COMPLETE AV BLOCK WITH WIDE QRS COMPLEX..............................V-rate<50, QRSd>140, AV dissoc

PR
QRSD 144
QT 652 Order: O-123
QTc 497 Enc: E-123
Fac: West Campus (5)
--AXIS--
P 76 - ABNORMAL ECG - Requested by: Phelps (A12445)
QRS -12
T 106
>>>> Complete Heart Block <<<<
Unconfirmed Diagnosis
Critical Values Message
I aVR V1 V4

If any of these statements appear

on this area of the ECG, get help
II aVL V2 V5
immediately!

Complete Heart Block

III aVF V3 V6

Very High Heart Rate

II
Acute MI
Acute Ischemia
Dev: 132 Speed: 25 mm/sec Limb: 10mm/mV Chest: 10 mm/mV 60~ 0.05-150 Hz PH090A P?

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Change Report Format

Press the down arrow key or the up arrow key to change the report format displayed on the screen.

Change Interpretation Level

Press and hold the Shift key (on keyboard), then press the down arrow key or the up arrow key to change the level of interpretation
displayed on the screen.

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Transferring ECGs
Archive Screen Parts (continued on page 29)
The Archive screen is used to transfer completed ECGs to TraceMaster or to a USB memory stick, to delete ECGs, to print a list of saved ECGs, and to
download ECGs from a TraceMaster Remote Site to the cardiograph (if supported).
A B C

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Archive Screen Parts

Name Description
A Selected Archive List The currently selected Archive. Touch the dropdown arrow button ( ) to open the dropdown list of available Archives.
Touch an Archive to select it.

B Transfer Destination The currently selected ECG transfer destination. Touch the dropdown arrow button ( ) to open the dropdown
list of available transfer destinations. Touch a transfer destination to select it.

C Transfer Delete Option The currently selected transfer delete option for ECGs. Touch the dropdown arrow button ( ) to open the dropdown
list of available options. Touch an option to select it. Note: Once ECGs are deleted from the Archive they cannot be retrieved.

D ECG Information Bar Each column on the bar contains a category of patient information associated with the ECGs. Touch any column to sort
the patient information for that column in ascending or in descending order based on the column heading. The selected
column is indicated with an arrow ( ). Touch the Select column header to select or to deselect all ECGs displayed in
the list.

E Selected ECGs A checkmark in the box underneath the Select column ( ) indicates that an ECG is selected. A selected ECG is
highlighted in blue.
Touch the square with or without a checkmark to view all of the information associated with the ECG in a separate window.
Touch the window when done to close it. Touch the Select column header to select or to deselect all ECGs displayed in
the list.

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Archive Screen Parts

G H I J K L M

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Archive Screen Parts

Name Description

F Archive Storage Displays ECG storage information for the selected Archive. Stored ECGs is total number of ECGs stored in the
Information selected Archive. Available ECGs is the number of additional ECGs that can be saved to the selected Archive before ECGs
will need to be deleted to free up space. Selected ECGs is the number of currently selected ECGs (highlighted in blue).

Touch to enter missing patient information for the selected ECG (highlighted in blue). Note: patient information may
G ID Button only be entered for one ECG at a time.This feature is not used to enter patient information for a new patient.

Touch to view the selected ECG (highlighted in blue) on the Preview screen. From the Preview screen, the ECG
H ECG Button may be viewed and printed in a variety of different report formats.

I Complete ID Information ECGs displayed in the list above that are highlighted in white have complete patient information and may be transferred
to TraceMaster. ECGs displayed in the list above that are highlighted in orange are missing required patient information
and cannot be transferred to TraceMaster. Touch the ID button to complete the required patient information fields.

J Main Button Touch to exit the Archive and to return to the Main screen.

K Print List Button Touch to print a list of the ECGs saved to the selected Archive.

L Delete Button Touch to delete selected ECGs ( ).

M Transfer Button Touch to transfer selected ECGs ( ). Note: only ECGs with complete required patient information can be
transferred.Touch the ID button to enter missing patient information that is required by your facility.

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Using the Main ECG Screen
Main ECG Screen Parts

C D E F G H I J

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Main ECG Screen Parts

Name Description

A Status Bar Displays operating information for the cardiograph. See page 35 for more information.

B Waveform Display area The display area for waveform data. The waveforms are color-coded to indicate signal quality. See page 8 for more
information.

C Map Button Touch to identify the location of any loose or disconnected electrodes or leads.

D ID Button Touch to enter patient information for the current patient, or to select a pending order from the Worklist.

E ECG Button Touch to take an ECG. Touch twice rapidly to take a STAT or urgent ECG.

F Rhythm Button Touch to record rhythm strips of up to 12 or 16 leads.

G Disclose Button Touch to view up to 20 minutes of continuous data for a selected lead, and to view saved Events.

H Archive Button Touch to view, print, and transfer ECGs saved to the Archive.

I Setup Button Touch to change cardiograph settings, or to use Service Utilities (may require entering a password to access).

J Help Button Touch to get help with using the cardiograph.

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Using the Main ECG Screen
Waveform Display
The format of the waveforms displayed on the screen can be changed at any time.
Press the down arrow key or the up arrow key to change the lead format displayed on the screen.

Split Screen View

This split screen view shows 6 limb and augmented leads on the left; up to 10 precordial and posterior leads on the right.

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Available Lead Formats

12-Lead Format 16-Lead Format

12 x 1 16 x 1
This is the default view that provides ten seconds of continuous ECG waveform This is the default view that provides ten seconds of continuous ECG waveform
data for each lead. data for up to 16 leads.

Press key Press key

6x2 Split Screen view

This split screen view shows the limb and augmented leads on the left; the This split screen view shows 6 limb and augmented leads on the left; up to 10
precordial leads on the right. precordial and posterior leads on the right.

Press key Press key

3x4 3x4
This view shows a standard 12-lead view with 3 rows of 4 leads; the limb and This view only shows a standard 12-lead view with 3 rows of 4 leads; the limb and
augmented leads are on the left, and the precordial leads are on the right. augmented leads are on the left, and the precordial leads are on the right.

Note: this view does not show right side precordial or posterior leads.

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Using the Status Bar
A B C D E F G H I

N M L K J

Name Description

A Exam Settings The current selected Exam type. Touch the button to change the Exam setting. See page 37 for more information.

B Report Settings
Touch button to change printed ECG report settings, and to change the amount and type of interpretive information
on the ECG report.

C General Settings
Touch button to change filter settings, pacing detection settings, and to change waveform size and scale settings.

D Event Marker Warning If this flashing icon appears, saved Event markers ( ) have not yet been reviewed on the Disclose screen, and will
be deleted within the next 5 minutes. Touch the Disclose button to review saved Events.

E PIM Disconnected If this icon appears, the Patient Interface Module (PIM) is disconnected from the cardiograph. Check the PIM cable.

F Caps Lock On Indicator This icon indicates that the Caps Lock setting is enabled (keyboard types in all capital letters). Touch the Caps Lock key
(on keyboard) to disable the setting.

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Status Bar Parts

Name Description

G LAN Connectivity Status Current LAN connectivity status; a red “x” (as shown) indicates no connection. Tap the icon to view full LAN
connectivity status information.

H Wireless LAN The current wireless LAN connectivity status. The number of green bars indicates signal strength; the more bars the
Connectivity Status better the signal. Tap the icon to view full wireless LAN connectivity status information.

I Battery Status The current battery power status. Tap the icon to view full battery operating information, and estimated remaining
operating time for current battery charge.

J Current Date and Time The current date and time. The date and time can be changed in the Archive or in Setup (may require entering a
password to access); on these screens, tap the displayed date and time to change it.

K Patient Heart Rate The heart rate of the current patient in beats per minute (bpm).

L Patient Date of Birth Date of birth of the current patient.

M Patient Name The name of the current patient.

N Patient ID number The ID number of the current patient.

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About Exams
Touch to change Touch to change filter, pacing,
Selected Exam printed report settings and waveform scale settings

Exam settings define:

leads displayed on the screen
leads printed on the ECG
all printed ECG report settings

1 Touch button to
select a new Exam
2
type Note: Resting
Extended Lead is
only available with
the 16-lead option

Touch button to select

an Exam profile; the new
Exams settings are
applied immediately

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Using Event Markers and Disclose

Using Event Markers

1 Main or Rhythm screen: if a clinically significant event is viewed, touch and press down on the screen directly above the waveform for two seconds to
capture the significant data for future review and processing.

Event mark

Once the data is captured, a white Event mark appears above the waveform.

As the waveform data on the screen refreshes, additional Events can be captured
as necessary. Even though an Event scrolls off of the screen, it is saved for review
on the Disclose screen.

Note: A maximum of 15 Events can be captured.

If this icon flashes on the The Disclose button on the bottom

Status Bar (top of screen) toolbar displays the number of Events
touch Disclose button captured for the current patient session.
immediately, or saved
Events will be deleted.

2 The captured Event(s) can be fully reviewed from the Disclose screen. Wait 15 seconds after capturing an Event, and then touch the Disclose button to
open the screen. The Disclose screen displays up to 20 minutes of waveform data for a selected lead.

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Using Disclose, Default Static View
Use the Disclose screen to review Events, or to view up to 20 minutes of continuous waveform data for a selected lead.

Touch the Disclose button (from the main screen). The Disclose screen appears and displays up to five minutes of static waveform data for the
selected lead. This is the default Disclose view. For information on viewing live waveform data on this screen, see page 40.

Touch this button to change the

displayed Disclose lead.

This box contains 10 seconds of data that can

be printed as an ECG; touch a spot on the
screen to move it.

Touch the ECG button

to take an ECG of the data inside the box.

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Using Disclose, Live Monitor View

The Disclose screen can also display live ECG data in “monitor” view.

Touch this button to Touch this button to

review Events that enter “monitor” view
occurred more than and to display live
20 minutes in the past. waveforms.

Touch this button to print an ECG of This is a data timeline (up to 20 minutes). Orange shade
the most recent 10 seconds of waveform indicates data displayed above the timeline. Tap the screen
data (12 leads or up to optional 16 leads). to move the orange area. White lines are Events.

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Using Disclose, Saved Event Markers
Events that occurred more than 20 minutes in the past are saved as 30-second segments that can be reviewed on the screen.

Events that occurred more than 20 minutes

in the past are saved in 30-second segments
that can be reviewed and printed as ECG
reports.

Touch this button to print an ECG of the data

captured in the orange box.

Touch a spot on the 30-second segment to

move the orange box.

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Using Rhythm
Touch the Rhythm button (from the main screen) to print continuous reports of up to 12 or 16 leads.

Touch this button to change pacing, or

scale settings, or to enable or disable
the Artifact filter

Touch this button to stop printing

the Rhythm report

Touch this button to change the

Rhythm leads

Touch this button to advance

the printer paper to the
beginning of the next page.

Touch this button to exit Rhythm

and to return to the main screen. 42
 43
Cardiograph and Cart Parts
A AC Power indicator (when lit, cardiograph is connected to AC power)
B Power button (press lightly to put into Standby, press and hold to shut down)
A B C D
C Patient ID button
D ECG button ID ECG

E USB memory stick connector

F Keyboard E
G Printer/Paper Drawer
H Touch screen F H
I Battery compartment
J Patient Interface Module (PIM) G
K Storage shelf
L Basket (optional) I
M Storage bin (optional)
N Wheel brake (see page 45)
O Wheel positioners (see page 45) J
K
L

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Rear Cardiograph Panel

A Modem connector
B LAN connector
C Barcode scanner connector
D ECG analog out connector (not supported)
E Power connector
F Wireless LAN card slot (shown with protective cap installed)
G Patient Interface Module (PIM) connector
H USB connector

A E

B F

C G

D H

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Using the Cardiograph Cart

Using the Wheel Positioners Wheel Brake

1 Align the front wheels so they are straight. Step on gray rear wheel brake
2 Step down on both wheel positioners. to lock the cart wheels. The
3 Move cart forward until the wheels “lock.” cart will not move. Step on the
wheel brake again to unlock
Cart will move forward or backward in a the wheels.
straight line and will maneuver better in tight
spaces.

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Using the Cardiograph

Close Display
To protect patient privacy, close display to put cardiograph
into Standby. Patient information is not visible in open
environments. All patient information is saved. Lift the
display to return the cardiograph to active use.

Load Paper
Open paper drawer and lift up the hold down bar (A).
Load paper so that alignment hole is at lower left (B).
Lower hold-down bar (C)

A B C

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Philips Medical Systems

©Copyright 2009 Koninklijke Philips Electronics N.V. All rights are reserved.
3000 Minuteman Road
Printed in U.S.A.
Andover, MA 01810 USA
PageWriter TC70 Cardiograph
Quick Help Guide
453564106331 Edition 2