Propaq Encore Vital Signs Monitor 202, 204 and 206EL SW 2.5X Reference Guide

ii

Welch Allyn Propaq Encore Vital Signs Monitor

© 2009 Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any form, this manual or any part thereof without permission from Welch Allyn. Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the product, that may result from failure to use this product in accordance with the instructions, cautions, warnings, or statement of intended use published in this manual. Welch Allyn, Propaq, Acuity, and Smartcuf are registered trademarks of Welch Allyn. SET and Masimo are registered trademarks of Masimo Corporation. Possession or purchase of a Masimo SpO2-equipped monitor does not convey any express or implied license to use the device with unauthorized sensors or cables which would, alone or in combination with this device, fall within the scope of one or more of the patents relating to this device. Nellcor and Oximax are registered trademarks of Nellcor Puritan Bennett. Software in this product is copyright by Welch Allyn or its vendors. All rights are reserved. The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide. Under such laws, the licensee is entitled to use the copy of the software incorporated with this instrument as intended in the operation of the product in which it is embedded. The software may not be copied, decompiled, reverse-engineered, disassembled or otherwise reduced to human-perceivable form. This is not a sale of the software or any copy of the software; all right, title and ownership of the software remain with Welch Allyn or its vendors. For information about any Welch Allyn product, call the nearest Welch Allyn representative: USA

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REF 810-1719-XX (CD) Manual Part Number 810-0640-06 Ver A 2009-10

Welch Allyn, Inc. 8500 SW Creekside Place Beaverton, OR 97008-7107 USA www.welchallyn.com

Welch Allyn Ltd Navan Business Park Dublin Road, Navan County Meath, Republic of Ireland

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Contents 1 - General information... 1 Safety summary... 1 Symbols... 3 Propaq Encore documentation... 5 The documentation set... 5 About this reference guide... 5 Statement of expectations of the reader... 5

2 - Getting started... 7 Introducing the Propaq Encore... 7 Intended use... 7 Propaq Encore models and options... 7 Expansion module... 8 Propaq Encore pulse oximetry option (SpO2)... 8 Capnography (CO2) options... 8 Impedance pneumography (RESP) option... 8 Printer option... 8 Propaq-to-Acuity® option... 9 Modem-Propaq option... 9 HP-compatible side panel option... 9 Using the Propaq Encore... 9 System controls (right side panel)... 9 Alarm lights... 10 Power-up screen... 11 Patient connections... 13 Propaq Encore display... 15 Propaq Encore buttons... 16 Propaq Encore menus... 17 Monitor setup... 20 Selecting waveforms for display... 22 Setting the time and date... 22 Changing the date format, filter, and units... 23 Setting the current, custom, and power-up modes... 23 Printer functions... 25 Learning the Propaq Encore... 26 Using in-service mode... 26 What you can do with in-service mode... 27 What you cannot do with in-service mode... 27 Confirm and learn alarm behavior in the in-service mode... 27

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3 - Patient monitoring... 29 ECG/RESP... 29 Intended use–impedance pneumography (RESP)... 29 Intended use–ECG... 30 ECG connector and applicable accessories... 31 Preparation... 31 How ECG/RESP is displayed... 33 Using the Propaq Encore with pacemaker patients... 35 Using the filter to better display a waveform... 36 Simultaneous equipment alerts... 36 ECG messages... 36 RESP messages... 36 Invasive pressure... 37 Intended use... 37 Invasive pressure connectors and transducers... 37 Preparation... 38 Rezeroing a transducer... 39 How invasive pressure is displayed... 39 Invasive pressure messages... 41 NIBP... 42 Intended use... 42 Improve NIBP accuracy with Smartcuf®... 43 NIBP connector and cuffs... 44 Preparation... 44 Important information about automatic measurements... 48 NIBP messages... 48 Temperature... 50 Intended use... 50 Temperature connectors and probes... 50 Preparation... 50 How temperature is displayed... 51 Temperature messages... 51 Pulse oximetry (SpO2)... 52 Perform SpO2 monitoring with Masimo option... 53 Perform SpO2 monitoring with Nellcor option... 54 Perform SpO2 “spot-cCheck” monitoring... 56 Capnography (CO2)... 57 Intended use... 57 CO2 measurements and display... 58 CO2 display menus and status window... 59 Mainstream CO2 monitoring... 61 How to set up the CO2 channel and alarm limits... 62 Sidestream CO2 monitoring... 64 CO2 messages... 66

4 - Alarms and limits... 69 Description of alarm and alert tone patterns... 69 Silence an active patient alarm or equipment alert tone for 90 seconds... 69 Silence an alarm or alert tone for 90 seconds... 69 Re-enable an alarm or alert tone before the 90-second silence period has elapsed... 70

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Indications during a 90-second silence period... 70 Inhibit alarm and alert tones for four minutes: 4 SUSPND... 70 Initiate a four-minute suspend period... 70 Resume alarm and alert tone capability before the four-minute period has elapsed... 70 Indications during a four-minute suspend period... 70 Inhibit alarm and alert tones indefinitely: ALL ALARMS... 71 Indefinitely suspend all alarm and alert tones... 71 Resume all alarm and alert tone capability... 71 Indications during an all-alarms suspended period... 71 Summary of alarm and alert keys and Acuity Central Station messages... 72 Alarm holdoffs... 73 Propaq audio and visual alarm hold-offs... 73 Propaq audio alarm hold-off with Acuity... 73 Setting alarm limits... 74 Adjust limits with STAT SET... 74 Power-up equipment alert: program fault, settings lost... 75 Troubleshooting system error messages... 75

5 - Trends... 77 The trend status window and menu... 77 How trends are accumulated... 77 NIBP trends... 78 Displaying trends... 78 Selecting a trend (NXT TRND)... 78

6 - Printing... 79 Printing patient data... 79 Printing waveforms... 79 Printing NIBP measurements... 80 Printing the apnea ticket... 81 Printing when a patient alarm occurs... 81 OxyCRG... 82 Printing trends... 83 Printing a single trend... 83 Printing several trends... 83 Automatic trend prints... 83

7 - Acuity Central Monitoring system... 85 Intended use... 85 Connecting to the Acuity system... 85 Key-press route to Acuity menu... 87 Press NET OFF to disconnect from Acuity... 87 Printing at Acuity... 87 Network alert message... 88

8 - Power sources... 89 Power adapter intended use... 89 Verifying proper power-adapter configuration... 89 Replacing the power-adapter fuses... 90 Battery care... 91 Recharging time... 91

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Monitor functions resumed... 91 Operating times using battery power... 91 Monitor functions based on battery voltage... 92 Checking battery voltage... 92 Replacing the fuse... 92

9 - Care and maintenance... 93 Avoid electrostatic discharge... 93 Inspect and clean the monitor and accessories... 93 Maintenance... 94 Service interval recommendations... 94 Recycling monitor components... 95 Within the European Union... 95 Outside the European Union... 95 Monitor care... 95 Environmental operating and storage limits... 95 Extended storage precautions... 95 Printer paper removal... 96 Printer maintenance... 96 Customer services... 97 Ordering and customer service... 97 Technical service... 97 Repacking... 97

10 - Specifications... 99 ECG... 99 Real-time ECG analog/defib sync... 101 Impedance pneumography (RESP)... 102 Invasive pressure... 103 NIBP... 104 Temperature... 105 Pulse oximetry (SpO2)... 106 Masimo... 106 Nellcor... 107 Capnography (CO2)... 108 Mainstream CO2... 109 Sidestream CO2... 110 Alarms... 111 Trends... 111 Display... 112 Monitor (environmental)... 113 Monitor (physical)... 114 Printer... 115 Power... 116 Power adapters... 117 Factory default settings... 118 In-service simulated values... 120 EMC compliance... 121

Glossary... 13

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1 General information Safety summary This Safety Summary should be read by all Propaq Encore users. Specific warnings and cautions will be found throughout the Propaq Encore documentation where they apply. WARNING This monitor is to be operated by qualified personnel only. The operator of this monitor should read this entire manual, the monitor reference guide or directions for use, and all accessory directions for use before operating the monitor. WARNING Place the Propaq monitor and accessories in locations where they cannot harm the patient if they fall from their shelf or mount. Lift the monitor only by its handle; do not lift it by any attached cables. WARNING Do not connect more than one patient to a monitor. Do not connect more than one monitor to a patient. WARNING Do not use the Propaq Encore in an MRI suite or a hyperbaric chamber. WARNING Do not autoclave the Propaq. Autoclave accessories only if the manufacturer's instructions clearly approve it. Many accessories can be severely damaged by autoclaving. WARNING Inspect the power adapter cord periodically for fraying or other damage, and replace the adapter as needed. Do not operate the apparatus from mains power with a damaged power adapter cord or plug. WARNING When using a power adapter with this monitor, be sure to connect the power adapter to a three-wire, grounded, hospital-grade receptacle. Do not under any circumstances attempt to remove the grounding conductor from the power plug of the power adapter. Do not plug the power adapter into an extension cord. If there is any doubt about the integrity of the protective earth ground of the receptacle for the power adapter, do not plug in the power adapter; operate the monitor only on battery power. Contact your biomedical engineering department for assistance in identifying the proper power receptacle and making appropriate power connections. WARNING Make frequent electrical and visual checks on cables and electrode wires. WARNING Avoid electrosurgery burns at monitoring sites by ensuring proper connection of the electrosurgery return circuit so that the return paths cannot be made through monitoring electrodes and probes.

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WARNING During defibrillation, keep the discharge paddles away from ECG and other electrodes, as well as other conductive parts in contact with the patient. Avoid contact with any accessories connected to the Propaq’s left side panel. WARNING To ensure patient safety, the conductive parts of the ECG electrodes (including associated connectors) and other patient-applied parts should not contact other conductive parts, including earth ground, at any time. WARNING Do not operate this product in the presence of flammable anesthetics or other flammable substance in combination with air, oxygenenriched environments, or nitrous oxide; explosion can result. WARNING Within certain governmental jurisdictions, all interconnected accessory equipment must be labeled by an approved testing laboratory. After interconnection with accessory equipment, risk (leakage) current and grounding requirements must be maintained. WARNING To ensure conformance to risk (leakage) current requirements when operating from an ac mains power source, use only a Welch Allyn® 503-0054 series power adapter. WARNING This monitor should only be repaired by qualified service personnel. The operator should not attempt to open the monitor case or perform any maintenance on the monitor except for procedures explicitly described in this manual that can be performed by operators such as inspection and cleaning. WARNING To ensure patient safety, use only accessories recommended or supplied by Welch Allyn. For a list of those accessories, see the Welch Allyn Products and Accessories guide (810-0409-XX), which accompanies this manual. Accessories must be used according to your hospital’s standards and the manufacturer’s recommendations. Always refer to the manufacturer’s directions for use. Use of accessories not recommended by Welch Allyn may result in increased electromagnetic emissions or decreased electromagnetic immunity of the equipment. WARNING Safe interconnection between the Propaq monitor and other devices must comply with applicable medical systems safety standards such as IEC 60601-1-1. Within certain governmental jurisdictions, all interconnected accessory equipment must be labeled by an approved testing laboratory. After interconnection with accessory equipment, risk (leakage) current and grounding requirements must be maintained. WARNING As with all medical equipment, carefully route the patient cabling to reduce the possibility of patient entanglement or strangulation. WARNING A product that has been dropped or severely abused should be checked by qualified service personnel to verify proper operation and acceptable risk (leakage) current values. WARNING The pulse oximetry channel should NOT be used as an apnea monitor. WARNING Do not use the pulse oximeter as a replacement or substitute for ECG-based arrhythmia analysis.

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General information

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WARNING If the monitor detects an unrecoverable problem, an error message window appears containing an error number and a short message. Report such errors to Welch Allyn. WARNING When taking NIBP measurements, periodically observe the patient’s limb to make sure that the circulation is not impaired for a prolonged period of time. Also make sure the blood pressure cuff is properly placed according to Propaq Encore Directions for Use or Propaq Encore Reference Guide. Be especially careful when using the short-term automatic mode (TURBOCUF). Prolonged impairment of circulation or improper cuff placement can cause contusions. WARNING The range of values measured by the monitoring parameters is provided in the Specifications section of Propaq Encore Directions for Use or Propaq Encore Reference Guide. Operation of the monitor outside the range of specified values is not recommended and may cause inaccurate results. WARNING Electronic equipment that emits very strong electromagnetic or radio frequency signals can cause electrical interference with monitor operation, including causing the monitor to turn off power. Avoid operating this monitor near such equipment. For guidance about electromagnetic emissions and the recommended separation distance between the monitor and such equipment, refer to the specifications section of this manual. Caution Changes or modifications not expressly approved by Welch Allyn could void the purchaser’s authority to operate the equipment. Caution Federal (U.S.A.) law restricts this device to sale, distribution, or use by or on the order of a licensed medical practitioner. The Propaq Encore should be serviced only by a Welch Allyn service technician while under warranty. Propaq Encore Service Manual (810-0696-XX) is available from Welch Allyn to assist the biomedical engineer during post-warranty period service.

Symbols The following symbols may appear on the Propaq Encore monitor or accessories or documentation. These internationally recognized symbols are defined by the International Electrotechnical Commission, IEC 878 and IEC 417A. WARNING Indicates conditions that could lead to illness, injury, or death. Caution In this manual, indicates conditions that could damage equipment or other property. Caution On the product, means “Consult the accompanying documentation.”

Off (Standby)

On

Patient connections are Type CF, isolated for direct cardiac application, and protected against defibrillation.

Transformer meets requirements of a short-circuit-proof safety-isolating power transformer. Alternating current

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Welch Allyn Propaq Encore Vital Signs Monitor

For continued fire protection, use only the specified fuse.

Patient connections are Type BF, and protected against defibrillation.

For indoor use only (on power adapter only)

Direct current

Patient connections are Type B.

Caution: On the product, means “Consult accompanying documentation.”

Enclosure Protection Drip proof: Classification IPX1 per IEC Publication 529

The CE Mark signifies the device has met all essential requirements of European Medical Device Directive 93/42/EEC for a Class 1 product. (This symbol is on the Universal Power Adapter.)

Battery charging when green indicator illuminated The CE Mark and Notified Body Registration Number signify the device has met all essential requirements of European Medical Device Directive 93/42/EEC.

IPX1

NRTL/C

Evaluated to CSA 601-1 and UL2601-1

Two way communication port

The Canadian StandardsAssociation has evaluated this device according to CSA 601-1 and Underwriters Laboratory Standard UL 2601-1. (This symbol is on the Universal Power Adapter.) Input port

Temperature sensor input

Output port

Single-use only (not reusable). Apply the NIBP cuff as shown.

NIBP cuff sizes: Thigh Large adult Adult Small adult Child Infant

Pb

Non-ionizing electromagnetic radiation

Fuse

Separate lead acid battery from other disposables for recycling

Recycle the monitor and battery separately from other disposables. www.welchallyn.com/weee

Temperature limits

Stacking limit (by number)

Humidity limit

n%

Altitude limit n

n

Keep away from rain

Fragile

This device has been tested and certified by the Canadian Standards Association International to comply with applicable U.S. and Canadian medical safety standards. C

US

Reference Guide

General information

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Propaq Encore documentation The documentation set The Propaq Encore documentation set consists of documents for the clinician, the biomedical technician, and the department head or purchaser of accessories for the Propaq Encore monitors. This Propaq Encore Reference Guide contains important safety and operating information for the clinician. Propaq Encore Service Manual (810-0696-XX) contains information on how to properly maintain the Propaq Encore through routine calibration, inspection, and maintenance. Welch Allyn Products and Accessories guide (810-0409-XX) provides a comprehensive list of accessories recommended for Propaq Encore monitors and options.

About this reference guide This Reference Guide provides descriptions and operating information for the Propaq Encore models 202EL, 204EL, and 206EL, including all available options at the time of this manual's printing.

Statement of expectations of the reader This Reference Guide was written for the clinician. Although this guide may describe some monitoring techniques, Welch Allyn expects that you are a trained clinician who knows how to take and interpret a patient’s vital signs. The Propaq Encore has been designed as a quality monitor; however, inherent limitations require that good clinical judgment always prevails.

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2 Getting started Introducing the Propaq Encore Intended use Before using the Propaq Encore on a patient, be sure you understand the Safety Summary at the front of this book. It provides important information about safely using the Propaq Encore. The Propaq Encore monitor is intended to be used by skilled clinicians for multiparameter vital signs monitoring of neonatal, pediatric, and adult patients in health care facility bedside applications; as well as for intra- and interfacility transport. Propaq Encore monitors that do not include CO2 or printer options are able to withstand light rain exposure over short periods of time (uniform distribution of approximately 1 mm of water/ minute for 10 minutes or less).

Propaq Encore models and options Three models of Propaq Encore monitors are available. Features common to all models

ECG, 3-lead or 5-lead configurations, 0.05-40/0.5-40 Hz NIBP, with neonatal, pediatric and adult modes Temperature, 2 channels: YSI 400 and 700 series-compatible connectors Defibrillator Synchronization Real-time Analog output of ECG Electrocautery noise suppression on all channels except Impedance Pneumography

206EL

Two Invasive Pressure Channels

204EL

One Invasive Pressure Channel

202EL

No Invasive Pressure

Options available for each model

Pulse Oximetry (SpO2) Capnography (CO2) (available only with SpO2): Mainstream Capnography (MCO2) Sidestream Capnography (SCO2) Dualstream Capnography (Both MCO2 and SCO2) Impedance Pneumography (RESP) (available only with SpO2) Printer HP-compatible side panel

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Welch Allyn Propaq Encore Vital Signs Monitor

Expansion module The Propaq Encore Expansion Module attaches to the monitor and houses additional capabilities. The Expansion Module can be fitted with the SpO2, CO2, and Printer options. ALARM(S) OFF Light ALARM Light

SpO2 Option

Mainstream CO2 Option

Expansion Module

Printer Option Sidestream CO2 Option

Propaq Encore pulse oximetry option (SpO2) The Propaq Encore Pulse Oximetry option (SpO2) is installed in the Expansion Module or in a smaller unit that attaches to the rear of the monitor: Masimo® Pulse Oximetry option Nellcor® Pulse Oximetry option

Capnography (CO2) options The Propaq Encore CO2 options allow carbon-dioxide monitoring. The mainstream CO2 option and sidestream CO2 option allow CO2 monitoring directly in the breathing circuit of a ventilator. The sidestream CO2 option also allows CO2 monitoring of non-intubated patients through a cannula. The CO2 options can be installed separately, or together as Dualstream CO2 in the Expansion Module. These options require the Pulse Oximetry (SpO2) option.

Impedance pneumography (RESP) option The RESP option detects the rate or absence of respiratory effort, and is configured with the Pulse Oximetry option.

Printer option The Expansion Module with Printer (EMP) provides a lightweight 3-channel recorder.

Reference Guide

Getting started

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Propaq-to-Acuity option ®

This option allows communication between the Propaq Encore and the Acuity Central Monitoring System by means of an ethernet network system installed in your facility. The Acuity System operator can view the patient data and control most of the bedside Propaq functions. The Propaq Encore connects to the Acuity System through an Acuity network cable that plugs into the Propaq right side panel.

Modem-Propaq option This option allows telecommunication between a Propaq Encore and the Acuity System by means of external modems. This option is configured with the Propaq-to-Acuity option. For more information refer to Modem-Propaq Reference Guide.

HP-compatible side panel option The HP connector-compatible option makes the Propaq Encore compatible with many Hewlett-Packard sensors and accessories used with the Hewlett Packard Component Monitoring System. This option replaces the standard Propaq Encore left side panel.

Using the Propaq Encore System controls (right side panel) MONITOR

On/Off Switch

DEFIB SYNCHRO

!

Defib Sync Connector Contact Welch Allyn technical support for information (for specifications, see page 101) Real-time ECG Output Connector

Input Fuse

Speaker

3A 2AG

EKG x 1000

Battery Charging Light

! Power Input Connector

!

Connector for Acuity or Modem-Propaq

12-28V, 3A

WARNING Safe interconnection between the Propaq Encore and other devices must comply with applicable medical systems safety standards such as IEC 60101-1.

On/Off switch This switch turns the monitor on and off. The switch is recessed to prevent accidentally turning off the monitor, which would result in losing patient data.

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Welch Allyn Propaq Encore Vital Signs Monitor

Input fuse The input fuse, which protects the Propaq Encore against power surges, is a 3-Ampere fuse, externally replaceable by qualified service personnel. See “Replacing the fuse” on page 92 for fuse replacement instructions.

Power input connector This receptacle accepts the Welch Allyn ac power adapter, which must be used for ac mains operation and battery charging. The Propaq Encore is also designed to operate with other 12-28 volt, dc-only power sources, such as a vehicle battery system.

Defib sync connector This connector allows connection with a LIFEPAK 5 or LIFEPAK 6s defibrillator for synchronized cardioversion. See “Real-time ECG analog/defib sync” on page 101.

Real-time ECG output connector This connector provides a real-time analog ECG signal output.

Battery charging light This green light turns on when a power source (ac power adapter or external dc source) is connected and the battery is charging. Although the monitor may be turned off, battery charging continues when an external power source is connected.

Connector for Acuity or Modem-Propaq This connector allows either direct connection to an Acuity System, or connection to an external modem for telecommunication to an Acuity System. For more information about the Acuity System, see “Acuity Central Monitoring system” on page 85. For more information about the Modem-Propaq, refer to Modem-Propaq Reference Guide.

Alarm lights Alarms and limits are described in detail beginning on “Alarms and limits” on page 69.

ALARM light When an alarm limit is violated, the red ALARM light turns on.

ALARM(S) OFF light When any alarm limit is turned off, the yellow ALARM(S) OFF light turns on.

Reference Guide

Getting started

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Power-up screen WELCH ALLYN MODEL PROPAQ 204 DIAGNOSTICS IN PROGRESS

When you first turn on the monitor, the power-up screen displays information about the Propaq Encore and the monitor runs diagnostic tests to ensure proper functioning.

BATTERY: 8.3 VOLTS SOFTWARE VERSION 2.50.00 (c) WELCH ALLYN PROTOCOL INC. 1988-2007

A few seconds later, the top two lines of the screen are replaced with text indicating the current patient mode (adult, pediatric, or neonatal).

PEDIATRIC MODE DIAGNOSTICS IN PROGRESS BATTERY: 8.3 VOLTS SOFTWARE VERSION 2.50.00 (c) WELCH ALLYN PROTOCOL INC. 1988-2007

WARNING Before you use a Propaq on a new patient, always turn off the Propaq for a few seconds, then turn it on again. This clears the prior patient’s trend values, alarm limit settings, and NIBP cuff inflation target. 1.

If the Propaq Encore has been used for a previous patient, switch the monitor off, then on again. The monitor will turn on in the powerup patient mode with the associated settings.

Note

Verify that the powerup tone is produced. If the monitor has SpO2, verify two tones are produced to make sure that both speakers are working.

2. Verify the monitor is in the correct patient mode according to the patient’s age. If the patient mode is not correct, change it. (See “Monitor setup” on page 20 to change the patient mode.) WARNING Always check the patient mode when monitoring a new patient. The patient mode determines default alarm limits, maximum cuff inflation pressure, and internal algorithm settings. 3. Verify the battery voltage is sufficient for monitoring. If it is less than 7.4 V, connect to a power adapter (see “Power adapter intended use” on page 89 for information about the power adapter).

Power-up equipment alert: program fault, settings lost If a PROGRAM FAULT: SETTINGS LOST, TIME/DAY RESET equipment alert appears when you turn on the monitor, the monitor cannot recall the programmed custom settings and current time and date. This can occur if the battery is drained or after new software has been installed. If this occurs, the monitor provides a special sequence of display windows to help you regain use of your monitor as quickly as possible. Do the following: 1.

Connect an ac power adapter to recharge the battery (if the battery is drained).

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Welch Allyn Propaq Encore Vital Signs Monitor

2. Press any button below the equipment alert screen to acknowledge the alert. The monitor will display the Mode Setup window (shown on page 23). 3. Press these buttons to select one of the Factory patient modes for use: Factory Adult mode

POWERUP*, YES.

Factory Pediatric mode

NEXT, POWERUP*, YES.

Factory Neonatal mode

NEXT, NEXT, POWERUP*, YES.

After you press YES, the monitor will display the Time/Day window. 4. Press NEXT, UP, and DOWN as needed to set the time and date. Then press ENTER to store the new time and date. Note

These display screens are only displayed in this order if the PROGRAM FAULT equipment alert occurs.

5. Turn off the monitor, then turn it on again so the settings will take effect. The monitor is ready for use. If you want to store some customized patient mode program settings, refer to page 23. If you follow these steps and the equipment alert reappears at powerup, the monitor may need to be serviced and the battery replaced. Contact a qualified service person.

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Getting started

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Patient connections The left side panels differ depending on the Propaq Encore model. All models have ECG, NIBP, and two temperature connectors. The Propaq Encore 204 left side panel includes one invasive-pressure connector, and the Propaq Encore 206 includes two invasivepressure connectors.

ECG / EKG RESP

INV. BP

P1

ECG / EKG RESP

INV. BP

P1

ECG / EKG RESP

! NIBP PSNI

T1

NIBP PSNI !

T1

NIBP PSNI !

T2

T2

T2 INV. BP

Propaq Encore 202 EL

ECG / EKG RESP

Propaq Encore 204 EL

INV. BP

P1 ECG / EKG RESP

T1

P2

Propaq Encore 206 EL

INV. BP

P1 ECG / EKG RESP

! COMPATIBLE HP

! COMPATIBLE HP

P S N I

! COMPATIBLE HP

NIBP

NIBP

202 HP

P S N I

P S N I

204 HP

INV. BP

P2

NIBP

206 HP

On Propaqs with the Hewlett-Packard connector option, all models have only one temperature connector, the YSI 400 connector.

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Welch Allyn Propaq Encore Vital Signs Monitor

Option connectors CO2

CO2

! !

Sidestream CO2 Connector

Mainstream CO2 Connector

Cable: see the Welch Allyn Products and Accessories guide (810-0409-XX) Masimo SpO2 Connector (motion tolerant)

Nellcor SpO2 Connector

Reference Guide

Getting started

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Propaq Encore display The display shows waveforms, vital sign numeric values, Propaq Encore status, and alarm information in different windows. Different vital sign numeric values (such as heart rate and blood pressures) have upper and lower range limits. If the Propaq Encore detects a vital sign value outside of the Propaq's measurable range, the monitor displays – – – (below the range) or + + + (above the range) instead of the vital sign value. WARNING The Propaq Encore will show + + + for HR numerics between 301350 beats per minute. Above 350 beats per minute, it may display incorrectly low heart rates, due to intermittent picking of R-waves. Note

Due to differences in software versions and standards required by different countries, the displays shown in this reference guide may be slightly different than the display on your Propaq Encore.

Time of day, caution and status messages.

Waveform window

Status window

ETCO2 concentration

Bells indicate alarm limit status Temperature values are displayed here. Heart Rate Source: Noninvasive blood Heart Rate in beats per HR indicates ECG; pressure values can minute. PR indicates blood pressure appear here. or SpO2.

18:45:28 NIBP S 122 T1 102.3 F III mV 1cm MON CO2 GAS COMPENSATION: OFF RESPONSE : NORMAL : MAINSTREAM CO2 SOURCE SWEEP SPEED : 6.25 mm/s BAROMETER : 762.2 mmHg

GAS COMP RESPONSE SOURCE

HR ART

60

122 ( 85) 58

PA 35/ 18 MCO2 BR

35 12 92 PREV MENU

mmHg SpO2

Breath Rate from CO2 Oxygen saturation is a percentage value.

Systolic, diastolic, and (if space permits) mean pressures are displayed.

The screenspace is reallocated when vital signs are added or removed. By changing the size of the numeric windows below the heart rate, the Propaq Encore provides the best possible view of all numerics for vitals signs being monitored.