Quick guide to ECG with CP 200™ Electrocardiograph

Quick guide to ECG with CP 200
Electrocardiograph
Performing a 12 Lead Resting ECG Test
1. Ensure good skin preparation for electrodes and correct lead placement for ECG leads.
2. Turn on ECG machine with power button.
3. Check ECG waveforms in ECG preview window. If desired, scroll through lead views.
Scroll
Auto ECG Spirometry Rhythm ECG Stop/Cancel OK
Auto ECG Spirometry Rhythm ECG Stop/Cancel OK
4. Press Auto ECG key Spirometry to enter Rhythm patient ECGID then Stop/Cancel select DONE OK
• Next select grey key under PRINT message to generate printout.
Auto ECG Spirometry Rhythm ECG Stop/Cancel OK
OR
5. Hold key for 3 seconds to bypass ID screen.
Auto ECG Auto ECG Spirometry SpirometryRhythm Rhythm ECG ECGStop/Cancel Stop/Cancel OK OK
• 12 lead resting ECG test will automatically printout.
Performing a 12 Lead Rhythm ECG Test
1. Press key to start rhythm strip test.
2. Press key again or key to stop rhythm strip test.
Always plug in CP 200 when not in use to charge battery.
Welch Allyn Australia The Metro Centre, Unit 5, 38-46 South Street, Rydalmere NSW 2116
Phone: 02 9638 3000 | Fax: 02 9638 3500 | www.welchallyn.com.au

EASY GUIDE
To The
CP 200

Section 1: Know Your Way Around The CP200
A. Back of the machine
• AC power inlet
• AC fuses
• Equipotential stud
B. Right side of machine
• Com port B (for USB cable)
• SD memory card slot
• Spirometry port
C. Left side of machine
• Paper tray latch
D. Front side of machine
• Com port A ( for patient cable)
E
Turning the machine off and on.
To turn the Electrocardiograph on press
To turn the Electrocardiograph off press
If the Power-Save is enabled, the electrocardiograph turns off automatically after several idle
minutes.
To Keep the Battery Charged
Whenever possible, leave the ECG machine connected to AC power. Battery charge status is
indicated on the screen by the battery icon . When the battery gets low, the icon flashes.
When the charge gets too low to operate, a warning message appears and the ECG machine
beeps every 15 seconds for 1 minute, then it tuns off.
On full battery power, you can print up to 100 ECG’s continuously before needing to recharge.
Clinical Support November 06 Propaq Information

F The keyboard
A. On/Off
B. Backspace
C. Menu
D. Help
E. Navigation arrows: - To move through the menus
F. Enter
G. Space
H. Shift: - Capitalises letters
I. Tab: - Moves through the data-entry fields
J. Green LED: - Lights up when ECG is connected to AC power
Clinical Support November 06 Propaq Information

G. Soft keys and function Keys
Soft key Buttons
These buttons activate the functions
Displayed on the screen above them.
FUNCTION KEYS
Auto ECG: Begins an auto ECG
Spirometry: Begins spirometry tests
Rhythm ECG: Begins rhythm ECG
Stop/Cancel: Stops any current activity
OK: Accepts data that you have entered or chooses a highlighted
item.
H Recording a Normal Auto ECG
1. Press the Auto ECG key quickly.
2. Enter or search for patient data.
• If searching for a patient, go to Scheduled Patients List screen and choose a patient from
the scheduled patients list.
Clinical Support November 06 Propaq Information

• If you are entering a new patient then fill in all the fields and press the Done on the soft
key.
3. Verify the quality of the ECG on the screen. Press the soft keys under the screen menu options to
adjust the waveforms.
4. Press Print ECG
I. Recording a Stat Auto ECG.
A stat auto ECG is an immediate printout that does not require you to enter a patient’s data.
A temporary ID number is assigned to the patient to identify stat tests .This number is found on the top
left hand side of the printout. After printing, you may enter the patient data by editing the test.
1. Press and HOLD the Auto ECG key
2. Press the soft keys to adjust the waveforms
The electrocardiograph begins requiring ECG data. After it has acquired 10 seconds of quality data, it
prints a report.
J. Recording a rhythm ECG.
A rhythm ECG is a continuous, real-time printout of a rhythm strip.
Rhythm ECGs are printouts only. They cannot be saved or sent electronically.
1. Press the Rhythm ECG key
2. Printing will begin
The screen displays 3 leads at a time from the leads currently printing: This can be set in the menus to 3,
6 or 12 simultaneous waveforms.
3. Press the soft keys to adjust the waveforms
4. Press or to stop printing.
Clinical Support November 06 Propaq Information

K. Moving Through the Menus
The main menu appears when you press the Menu key
To move up and down a list use or on the navigation wheel.
To open a standard menu use
To perform an action
To accept patient data use
To move back through the menus use
or zero key
To mo ve through data-entry fields use
To return to the ECG Previewscreen from a standard menu press
Reviewing the device Configuration Settings (To change date and time)
1. Press the Menu key
2. Choose System Settings>Device Configuration.
3. The Device Configuration Screen will appear
Clinical Support November 06 Propaq Information

Scrolling through this menu allows you to change any of the desired settings.
Whenever you want to get back to the main screen or are lost, press
Getting Help
The Help key
can be pressed from the ECG previewscreen or Lead Off screen
This buttons allows you to print off information including:
1. Auto ECG testing
2. Rhythm ECG testing
3. Troubleshooting
4. Accessories
5. What is an ECG?
6. Menu Navigation
7. Spirometry
Scheduled Patient List
The scheduled patient list identifies up to 40 patients whose data has been entered into the ECG’s
memory for an ECG test that day. At midnight every night, the list is automatically cleared.
When performing Auto ECG tests, you may select patients from this list rather than manually entering
their data at the time of the test.
To view, edit or add to the scheduled patient list 1. Press the Menu Key
2. Choose Scheduled Patients
Clinical Support November 06 Propaq Information

3. Press the desired soft keys: Add, Delete, Exit.
Loading Thermal Chart Paper
• Squeeze the latch, pull the paper door to the left
• Remove the outer packaging, including the cardboard bottom, from a new pack of paper.
• Pull the top sheet back so that the paper’s grid side faces up and the Welch Allyn name is on
the bottom of the paper.
• Slide the paper into the tray.
• Lay the top sheet cover over the paper door. Push the door to the right until it clicks.
• The first page will be ejected. When an ECG has been performed the paper will move to the
next perforation.
Cleaning the CP 200
• To prevent the spread of infection, the ECG and patient cable must be kept clean.
• Do not let soap or water come into contact with the ECG internal printer, connectors or jacks.
• Do not use alcohol directly on the equipment or soak any components in alcohol.
• Wipe the exterior of the patient cable and ECG with a damp cloth using a mild detergent diluted
in water.
• Use 70% isopropyl alcohol to disinfect patient cable, lead wires and equipment.
• Dry all components with a clean, soft cloth or paper towel.
• Wait at least 10 minutes to allow all traces of alcohol to evaporate before turning the ECG
machine back on.
Clinical Support November 06 Propaq Information

Welch Allyn CP 200 Electrocardiograph
Information and Tips for TROUBLEFREE ECG Printouts
1. Whenever possible, take the time to prep the skin before applying gel electrodes.
e.g. shave the area or use an alcohol wipe.
2. All 12 lead diagnostic ECG machines require a minimum of 10 seconds to capture
sufficient data.
3. For a quality ECG printout, wait 10 seconds AFTER attaching leads to the patient prior
to holding down the ECG key. Any artifact caused by touching the leads will then be
eliminated from your acquired ECG printout.
4. What does the “waiting 10 seconds for quality data” message mean?
This means that the machine has not yet had 10 seconds to acquire a full 12 lead ECG...
simply wait a few more seconds and the machine will generate a printout.
If the quality message does not disappear within 10 seconds…
The machine is detecting that a lead is off or picking up excessive artifact. Check the
contact between the leads and the patient. If you are unable to improve the quality due
to clinical conditions, press the enter key to override the quality message and the ECG
will simply print out.
5. Remember that holding down the ECG function key before all leads have been attached
for 10 seconds may result in an incomplete or poor quality 12 lead ECG printout.
Welch Allyn Australia The Metro Centre, Unit 5, 38-46 South Street, Rydalmere NSW 2116
Phone: 02 9638 3000 | Fax: 02 9638 3500 | www.welchallyn.com.au

AHA Diagnostic ECG Electrode Placement
The quality of an ECG is dependent on the preparation and
the resistance between the skin and the electrode. To ensure
a good quality ECG and minimize the skin/electrode
resistance, remember the following points:
1.) Ensure that the patient is warm and relaxed
2.) Shave electrode area before cleaning
3.) Thoroughly clean the area with alcohol
4.) Let dry prior to applying electrode
Resting ECG
RA and LA electrodes should be placed on the wrists.
RL and LL electrodes should be placed a few inches above the ankle.
Lead
V1
V2
V3
V4
V5
V6
Electrode Placement
Fourth intercostal space at
the right border of the sternum
Fourth intercostal space at
the left border of the sternum
Midway between locations
V2 and V4
At the mid-clavicular line in
the fifth intercostal space
At the anterior axillary line on
the same horizontal level as V4
At the mid-axillary line on the
same horizontal level as V4 and V5
For service or technical support, please call
(800) 535-6663. For supplies, please contact your
authorized Welch Allyn distributor.
Advancing Frontline Care
71300-0000 Rev. A

CP 200 Spirometry Option
Quick Reference
Caution — consult accompanying documentation.
To Record an FVC Test
1. Connect spirometer to electrocardiograph.
2. Press .
3. Enter or search for patient data (age, height, gender, race).
4. Select effort and curve types.
5. Press Start. Perform effort. Press Stop.
6. Accept or reject effort. Repeat from Step 4 until finished.
7. Press Test Done.
To Calibrate the Spirometer
1. Connect spirometer to electrocardiograph.
2. Press Menu key .
3. Choose Spirometry Settings > Calibration Settings >
Calibrate Spirometer.
4. Enter transducer lot code and calibration code.
5. Update ambient temperature, humidity, and barometric pressure.
(See your local weather reports.)
6. Follow prompts.
To Configure the Spirometer
1. Connect spirometer to electrocardiograph.
2. Press Menu key .
3. Choose Spirometry Settings.
4. Change desired settings.
800 535 6663, 315 685 4560 USA
For worldwide Technical Support numbers, see spirometry manual.
©2005 · Printed in USA · www.welchallyn.com · Mat: 703977 Rev: B

EASY GUIDE
To SPIROMETRY
With The
CP 200

Clinical Support November 06 Propaq Information

CALIBRATION
Calibration of the spirometer is recommended every day before testing. When opening a new package of
flow transducer, verify the lot number on the package label .If this lot number differs from the lot number used
during the most recent calibration, you must recalibrate the spirometer before resuming testing.
1. Spirometer Calibration initial screen
You can get to this screen in one of two ways.
a) At a prompt
Press
when asked to Calibrate Now?
This appears the first time you press the Spirometry key
each day.
b) Anytime
Press the Menu key
Spirometer.
, then choose Spirometry Settings>Calibration Settings>Calibrate
2. Fill in the relevant fields.
• Transducer lot and “cal” codes appear on the transducer package
• The syringe volume is always 3L
• It is not necessary to update the temperature, humidity or pressure unless in extreme
environmental conditions.
Clinical Support November 06 Propaq Information

3. Press one of the desired soft keys
• Verify Calibration
To verify the accuracy of the system, however you must still simulate inhalation and exhalation with the
calibration syringe.
• Calibrate 1 Flow
To calibrate the system using one inhale exhale cycle
• Calibrate 3 Flows
To calibrate the system using three inhale/exhale cycles at three different rates.
The “attach flow transducer” prompt appears.
4. Connect a new flow transducer to the pressure tubing
5. Attach the flow transducer to the syringe’s port. Push the flow transducer all the way in for a tight seal.
6. Pull the plunger all the way out.
7. Press Continue
8. Press Start
9. When the blue bar begins to move, push the plunger all the way in, then pull it all the way out, carefully
following the bar’s rate.
Clinical Support November 06 Propaq Information

When no air has moved for three seconds, the following happens.
For single flow calibrations: the results are displayed
For multiple-flow calibrations: another simulated exhalation screen appears.
It is recommended that poor calibration results are not accepted as spirometry tests may be inaccurate.
Clinical Support November 06 Propaq Information

Performing a Spirometry Test
1. Press .The first time this key is pressed each day, the prompt “Calibrate Now?”
appears.
2. “Enter New Patient” screen appears. Fill in all relevant data.(last name, patient ID h eight,
gender, age and race are mandatory and you will not be able to proceed if you have not
entered data in these fields.)
3. When finishing entering data, press the desired soft key:
• Clear - deletes the patient data and returns to the Patient ID field.
• Done- accepts the patient data and goes to the initial spirometry screen.
4. Press Effort Type : Choices include-
• FVC
• FVC Post
• SVC
• SVC Post
(FVC Post and SVC Post are available only if you have already accepted at least one pre-effort of the
same type.)
5. Press Curve as needed to select the curve type that you want to view whilst testing:
• Flow/Volume
• Volume/Time
• Tidal Volume
• Incentive
6. When ready, press Start
7. When finished, press Stop
8. “Effort Complete Screen” will appear.
Clinical Support November 06 Propaq Information

9. Review the data
10. Press either:
Accept Effort (pressing this key saves the effort)
Reject Effort (pressing this key deletes the effort)
11. If you want to perform another test, repeat steps 4-9
12. If you are finished with this test, press Test Done.
TO PRINT A TEST
When you have completed the test and the Test Results screen appears, press the soft
key Print Test.
RECORDING A POST TEST
• If there is no interruption between pre and post efforts the same screen continues to
display and you simply continue with the procedure.
• If there is an interruption ( eg another patient has been tested or the machine has
been turned off ) you need to recall the patient’s test-in-progress.
• Pre and post tests must happen on the same day, with the same calibration. The next
day or after calibration, tests become available for review only and you can not add
efforts to them.
TO RECALL A PATIENTS TEST
When “Enter New Patient” appears press Search or Schedule on the soft keys and select
a patient. Then press the desired soft keys.
Clinical Support November 06 Propaq Information

Spirometry Effort Acceptability & Reproducibility
An acceptable effort is defined as free from error and
Inaccurate Results From Coughing
Volume Time Curve Flow Volume Curve
artifacts. A reproducible effort is defined as being
without excessive variability. Criteria for determining
whether efforts are acceptable and reproducible are
outlined below.
Inaccurate Results From Glottis Closure
Volume Time Curve
Flow Volume Curve
Normal Volume Time Curve
Normal Flow Volume Curve
Inaccurate Results From Early Termination
Volume Time Curve
Flow Volume Curve
Flow volume curves exhibit a sharp initial peak flow close to the “Y” axis, then a
relatively straight descent at 45° to the baseline. Volume time curves show an
obvious plateau of at least 1 sec after 6 seconds of exhalation.
Inaccurate Results From Leaks
Volume Time Curve
Flow Volume Curve
Patient Preparation Patient Coaching
We recommend that you practice the • Place the flow transducer in your
procedure with the patient before
mouth, on top of your tongue &
starting the test, but first, you should
between your teeth.
prepare the patient for the procedure:
Inaccurate Results From Variable Effort
• Close lips and teeth around the flow
• Patient may sit or stand.
transducer to create a tight seal, like if
Volume Time Curve
Flow Volume Curve
you were blowing in a musical
• Patient should loosen tight clothing. instrument.
• Patient should elevate chin and extend • Keep your chin slightly elevated and
the neck slightly.
make sure that your tongue is out of
the flow transducer.
• Patient should use a nose clip or pinch
his/her nostrils with fingers.
• Take a good deep breath.
Reproducibility Criteria
• Now BLAST into the flow transducer
Inaccurate Results From Hesitation
as hard, fast and completely as
possible.
Volume Time Curve
Flow Volume Curve
• Largest FVC should be within 5%
of the next largest FVC.
• Keep blowing, squeeze all the air out.
• Largest FEV1 should be within 5% • Stop.
of the next largest FEV1.
• Must meet criteria for acceptability.
Example of Non-Reproducible and Reproducible Spirometry Test
Volume Time Curve
Flow Volume Curve
Volume Time Curve
Flow Volume Curve
Reproducible test
This example shows a
reproducible test with 3
acceptable curves. The 3 FVC
efforts are within 5% of each
other, which indicates that the
patient inhaled completely
before each expiration.
Coughing
Coughing during the first second
may affect the FEV1. Both volume
time and flow volume curves
show dips instead of smoothly
formed line.
Glottis closure
The flow of air is temporarily
completely cut off. Both curves
stop abruptly. An artificial plateau
is reached on volume time curves,
with a bend where the effort
stopped.
Early termination (< 6 sec)
No obvious plateau is reached on
volume time curves and the
exhalation is less than 6 seconds.
Flow volume curves show a low
total volume with flow dropping
sharply at the end of expiration.
Air leak can happen around the
flow transducer or from the nose.
Volume time curves drop instead of
reaching a plateau. Flow volume
curves backtrack at the end.
Variable effort
The patient forced out the air at
an inconsistent rate. Both curves
show dips similar to those for a
cough, making it difficult to
distinguish between the two
conditions. Tracings are
unacceptable if cough or variable
effort occurred during the first
second.
Hesitation, False Start or
Excessive Extrapolated Volume
The patient did not exhale as
forcefully as possible at the start
of the effort. Volume time curves
start slowly instead of climbing
sharply. The peak of the flow
volume curve is displaced to the
right, away from the vertical axis.
Non reproducible test
This example shows a nonreproducible
test with 3
acceptable curves. Note the
obvious variability in the FVC size
of the curves, most likely due to an
incomplete inhalation. Coach the
subject to take a deeper breath in
before performing the FVC
maneuver.
4341 State Street Road, P.O Box 220, Skaneateles Falls, New York 13153-0220 • www. welchallyn.com 703337 Rev. B

Spirometry Reference Chart
START
TERMINAL
BRONCHIOLE
CILIA
GOOD FVC
no
REPEAT
MANEUVER(S)
LARYNX
yes
TRACHEA
BEST OF 3?
no
yes
RATIO
ABNORMAL
yes
OBSTRUCTION
no
FVC NORMAL
yes
NORMAL
SPIROMETRY
no
RESTRICTION
LEFT MAIN
BRONCHUS
RIGHT MAIN
BRONCHUS
RIGHT
UPPER LOBE
LEFT UPPER LOBE
FEV 1 ≥ 100%
of Predicted?
no
yes
May be a
Physiological
Variant
Mild
Restriction
yes
70% ≤ FVC < LLN
of Predicted?
no
INTERLOBAR
FISSURE
RIGHT
MIDDLE LOBE
INTERLOBAR FISSURE
LEFT LOWER LOBE
70% ≤ FEV 1 < 100%
of Predicted?
no
60% ≤ FEV 1 < 70%
of Predicted?
yes
yes
Mild
Obstruction
Moderate
Obstruction
Moderate
Restriction
Moderately
Severe
Restriction
yes
60% ≤ FVC < 70%
of Predicted?
no
yes 50% ≤ FVC < 60%
of Predicted?
INTERLOBAR
FISSURE
RIGHT
LOWER LOBE
PULMONARY ARTERY
no
no
50% ≤ FEV 1 < 60%
of Predicted?
yes
Moderately
Severe
Obstruction
Severe
Restriction
yes 34% ≤ FVC < 50%
of Predicted?
no
no
34% ≤ FEV 1 < 50%
of Predicted?
yes
Severe
Obstruction
Very Severe
Restriction
yes
FVC < 34%
of Predicted?
DIAPHRAGM
no
FEV 1 < 34%
of Predicted?
yes
Very Severe
Obstruction
FVC Below 80% of predicted?
yes
PULMONARY VEIN
ALVEOLAR DUCT
TERMINAL
BRONCHIOLE
CAPILLARY
And low vital capacity, cannot rule out superimposed restriction.
ALVEOLUS
This flowchart follows The American Thoracic Society Example For Interpretation.
Typical Spirograms
ranging from normal
limits to severe
restriction.
Normal Spirometry
Note the sharp initial peak flow, then
relatively straight descent at about 45
degrees to the baseline. All of the
parameters are within normal limits.
Mild Obstruction
The FEV1/FVC% predicted is abnormal
(79%), indicating obstruction. The severity
of the obstruction is mild as judged
by the FEV1, which is 62% of the
predicted. Mild obstruction occurs
gradually over many years.
Moderate Obstruction
The FEV1/FVC% predicted is abnormal,
indicating obstruction. The FEV1 %
predictive is 63% indicating the
obstruction is moderate in severity. Note
the concave shape of the flow volume
curve with low flows after the initial
sharp peak flow.
Severe Obstruction
Severe obstruction with a low vital
capacity. All of the parameters are
abnormally low. The low FEV1/ FVC%
indicates obstruction, and the FEV1 of
only 28% of normals shows that the
obstruction is severe. A superimposed
restriction may also be present since the
FVC is abnormally low (46%).
Severe Restriction
FEV1/FVC% prediction of 101% is normal,
so obstruction does not exist. The FVC
however is only 41% of normal, indicating
severe restriction. FEV1 is also decreased
44% but to a lesser degree than the FVC in
restrictive disorders. Note the sharp peak
and rapid, straight, and steep decline of
the flow volume curve.
Typical Spirogram curve for normal,
obstruction and restriction patterns
Flow (L/sec)
12
10
8
6
4
2
Normal
Obstruction
Restriction
0
0 1 2 3 4 5 6
Volume (L)
For your protection, all of Welch Allyn
Spirometers use disposable flow
transducers that minimize the risk
Pat-Name: LECKY-CATHERINE CARMEN A GASPERO MD
Pat-Number: 0258974632 06-21-01 18:21
Age: 67 year Height: 70 ins Ethnic: C
Gender: F Weight: 131 lbs Smoker: N
Normals: NHANES III
Diagnosis: RESULTS APPEAR NORMAL ATS criteria met
UNCONFIRMED REPORT
PREDMEAS1%PRED MEAS1MEAS2 MEAS3
FVC 1 3.69 2.94 80 2.94 2.89 2.78
FEV1 1 2.80 2.22 80 2.22 2.23 2.19
FEV1/FVC % 76.0 75.5 99 75.5 77.1 78.5
FEV3/FVC % 90.6 96.1 106 96.1 97.8 98.1
FEF.2-1.2 1/s 5.21 4.10 79 4.10 4.00 3.91
FEF25-75% 1/s 2.54 1.76 69 1.76 1.86 1.89
FEF75-85% 1/s 0.66 0.56 85 0.56 0.54 0.62
PEF 1/min 375 313 83 313 307 310
FEF25% 1/s 5.70 4.67 82 4.67 4.50 4.27
FEF50% 1/s 3.44 2.31 67 2.31 2.24 2.21
FEF75% 1/s 1.09 0.65 60 0.65 0.80 0.83
FIVC 1 3.11 3.11 3.26 3.38
FIV1 1 3.01 3.01 2.95 3.07
FIV1/FIVC % 96.7 96.7 90.4 90.7
PIF 1/s 4.78 4.78 5.01 4.82
FIF50% 1/s 4.75 4.75 4.98 4.82
Flow=f (V)
Pat-Name:EVANGELISTA-NORMAN JAE C CHANG MD
Pat-Number: 0258975912 06-05-01 21:57
Age: 86 year Height: 71 ins Ethnic: C
Gender: M Weight: 202 lbs Smoker: N
Normals: NHANES III
Diagnosis: MILD OBSTRUCTION
ATS criteria met
MILD RESTRICTION
MAYBE POOR INITIAL EFFORT
UNCONFIRMED REPORT
PRED MEAS1 %PRED MEAS1 MEAS2 MEAS3
FVC 1 3.77 2.48 66 2.48 2.34 2.34
FEV1 1 2.85 1.49 62 1.49 1.55 1.37
FEV1/FVC % 75.9 59.9 79 59.9 66.2 58.7
FEV3/FVC % 88.3 90.1 102 90.1 89.1 89.7
FEF.2-1.2 1/S 1.74 1.74 2.03 1.43
FEF25-75% 1/S 3.59 0.96 27 0.96 0.89 0.89
FEF75-85% 1/S 0.32 0.32 0.25 0.30
PEF 1/min 477 128 27 128 217 117
FEF25% 1/S 7.24 1.97 27 1.97 2.39 1.77
FEF50% 1/S 5.76 1.03 18 1.03 1.23 0.99
FEF75% 1/S 2.76 0.45 16 0.45 0.36 0.43
FIVC 1 2.55 2.55 2.13 3.12
FIV1 1 1.39 1.39 1.20 1.72
FIV1/FIVC % 54.7 54.7 56.3 55.1
PIF 1/S 1.61 1.61 1.42 1.95
FIF50% 1/S 1.40 1.40 1.35 1.81
Flow=f (V)
Pat-Name: HEART-JULIETTE
PETER J ALAU MD
Pat-Number: 0258972445 03-15-01 16:12
Age: 51 year Height: 60 ins Ethnic: C
Gender: F Weight: 120 lbs Smoker: N
Normals: NHANES III
Diagnosis: MODERATE OBSTRUCTION ATS criteria not met
MAYBE POOR INITIAL EFFORT
UNCONFIRMED REPORT
PRED MEAS1 %PRED MEAS1 MEAS2 MEAS3
FVC 1 3.69 3.87 105 3.87 3.05 2.79
FEV1 1 2.80 1.77 63 1.77 2.32 2.14
FEV1/FVC % 76.0 45.6 60 46.6 75.9 76.7
FEV3/FVC % 90.6 57.2 63 57.2 95.2 96.8
FEF.2-1.2 1/S 5.21 2.85 55 2.85 4.44 3.51
FEF25-75% 1/S 2.54 0.24 9 0.24 1.84 1.77
FEF75-85% 1/S 0.66 1.40 211 1.40 0.48 0.53
PEF 1/min 375 194 52 194 341 286
FEF25% 1/S 5.70 2.67 47 2.67 4.70 3.82
FEF50% 1/S 3.44 0.32 9 0.32 2.23 1.95
FEF75% 1/S 1.09 1.86 170 1.86 0.72 0.78
FIVC 1 3.85 3.17 3.35
FIV1 1 3.40 3.05 3.00
FIV1/FIVC % 88.3 96.1 89.8
PIF 1/S 4.70 4.62 4.43
FIF50% 1/S 4.47 4.45 4.42
Flow=f (V)
Pat-Name: O’BRIAN-DAVID
JOHN P HEYWOOD MD
Pat-Number: 0258974632 05-07-01 14:37
Age: 56 year Height: 66 ins Ethnic: C
Gender: M Weight: 149 lbs Smoker: N
Normals: NHANES III
Diagnosis: SEVERE OBSTRUCTION ATS criteria met (PRE)
MAYBE AIR TRAPPING PRESENT ATS criteria met (POST)
MAYBE POOR INITIAL EFFORT
MARKED IMPROVED
UNCONFIRMED REPORT
PRE
POST
PRED MEAS1 %PRED MEAS1 %PRED %CH
FVC 1 3.96 1.83 46 2.48 63 35
FEV1 1 3.14 0.89 28 1.22 39 38
FEV1/FVC % 81.9 48.4 59 49.3 60 2
FEV3/FVC % 94.2 81.8 87 77.9 83 -5
FEF.2-1.2 1/S 0.58 1.11 91
FEF25-75% 1/S 4.10 0.42 10 0.51 12 20
FEF75-85% 1/S 0.22 0.21 -5
PEF 1/min 478 157 33 207 43 32
FEF25% 1/S 7.35 0.89 12 1.39 19 56
FEF50% 1/S 5.40 0.48 9 0.59 11 23
FEF75% 1/S 2.62 0.26 10 0.26 10 0
FIVC 1 2.11 2.69 28
FIV1 1 2.10 2.51 19
FIV1/FIVC % 99.5 93.2 -6
PIF 1/S 3.65 3.70 1
FIF50% 1/S 3.64 3.65 0
Flow=f (V)
Pat-Name: MEYRS-STEVEN DENISE R MADRICK MD
Pat-Number: 0258970824 07-22-01 18:36
Age: 81 year Height: 74 ins Ethnic: C
Gender: M Weight: 201 lbs Smoker: N
Normals: NHANES III
Diagnosis: SEVERE RESTRICTION
ATS criteria met
PRED MEAS1 %PRED MEAS1 MEAS2 MEAS3
FVC 1 4.89 2.01 41 2.01 1.81 1.65
FEV1 1 3.62 1.58 44 1.58 1.53 1.44
FEV1/FVC % 78.2 78.8 101 78.8 84.6 87.3
FEV3/FVC % 88.6 99.0 112 99.0
FEF.2-1.2 1/S 6.27 2.46 39 2.46 2.45 2.09
FEF25-75% 1/S 3.43 1.53 45 1.53 1.68 1.74
FEF75-85% 1/S 0.31 0.34 110 0.34 0.46 0.50
PEF 1/min 531 171 32 171 285 256
FEF25% 1/S 7.77 2.71 35 2.71 4.55 4.22
FEF50% 1/S 4.48 2.43 54 2.43 2.08 2.02
FEF75% 1/S 1.48 0.51 35 0.51 0.65 0.73
FIVC 1 2.08 2.08 2.45 1.80
FIV1 1 0.55 0.55 1.94 1.77
FIV1/FIVC % 26.3 26.3 79.1 98.6
PIF 1/S 1.89 1.89 2.85 2.82
FIF50% 1/S 1.82 1.82 2.84 2.80
Flow=f (V)
of cross contamination.
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Welch Allyn
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PO Box 220
Skaneateles Falls, NY 13153-0220
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Calib. : 03-15-01
Welch Allyn
Calib. : 03-15-01
Welch Allyn
Calib. : 03-15-01
Welch Allyn
Calib. : 03-15-01
Welch Allyn
Calib. : 03-15-01
Welch Allyn
Advancing Frontline Care
71038-3000 Rev. B