Directions for Use
132 Pages
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Page 1
Propaq CS Vital Signs Monitor ®
Directions for Use Models 242, 244, 246 Software version 3.7X
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Welch Allyn Propaq CS Vital Signs Monitor
© 2012 Welch Allyn. All rights are reserved. To support the intended use of the product described in this publication, the purchaser of the product is permitted to copy this publication, for internal distribution only, from the media provided by 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, FlexNet, 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 Welch Allyn Technical Support:
USA
+ 1 315 685 4560 800 535 6663
Australia
+ 61 2 9638 3000
Canada
800 561 8797
China
+ 86 216 327 9631
European Call Center
+ 35 3 46 906 7790
France
+ 33 1 55 69 58 49
Germany
+ 49 695 098 5132
Japan
+81 42 703 6084
Latin America
+ 1 305 669 9003
Netherlands
+ 31 202 061 360
Singapore
+ 65 6419 8100
South Africa
+ 27 11 777 7555
United Kingdom
+ 44 20 7365 6780
Sweden
+ 46 8 58 53 65 51
DIR 80017878 Ver A
Welch Allyn Protocol, Inc. 8500 SW Creekside Place Beaverton, OR 97008-7107 USA
www.welchallyn.com
Regulatory Affairs Representative Welch Allyn Limited Navan Business Park Dublin Road Navan, County Meath Republic of Ireland
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Contents 1 - General information... 1 Intended use... 1 Symbols... 2 General warnings and cautions... 3 Controls and connectors... 7 Display... 10 Menus... 11 Learn Propaq CS operation with Inservice Mode... 13
2 - Setup... 15 Prepare the Propaq CS monitor for a new patient... 15 Set patient alarms and alarm limits... 17 Change the current Patient Mode... 18 Change Powerup Patient Mode or store customized settings... 19
3 - Monitoring... 21 Perform ECG/RESP monitoring... 21 Using the Propaq CS monitor with pacemaker patients... 27 Perform Invasive Blood Pressure (IBP) monitoring... 28 Take a Noninvasive Blood-Pressure (NIBP) reading... 32 Perform temperature monitoring... 37 Perform SpO2 monitoring... 38 Perform Mainstream CO2 monitoring... 43 Perform sidestream CO2 monitoring... 45 Set up the CO2 display and alarm limits... 47
4 - Alarms & Alerts... 51 Description of alarm and alert tone patterns... 51 Silence an active alarm or alert tone for 90 seconds... 51 Inhibit alarm and alert tones for four minutes: 4 MIN SUSPND... 53 Inhibit alarm and alert tones indefinitely: ALL ALARMS... 54 Summary of alarm and alert keys and Acuity Central Station messages... 55 Customize alarm limits based on patient’s current vital signs... 56 Alarm holdoffs... 57 Connect nurse call option... 57 Troubleshooting equipment alert messages... 58
5 - Printing & trends... 67 Print patient data... 67 Display or print trends... 68 Set printer options and automatic printing... 70 Print OxyCRG... 71
6 - Acuity... 73 Understanding the Propaq CS, Acuity, and FlexNet network... 73 Hardwired (Serial) connection to Acuity... 77 Wireless connection to Acuity... 79
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Contents
Welch Allyn Propaq CS Vital Signs Monitor
7 - Maintenance... 83 Avoid electrostatic discharge... 83 Connect the AC power adapter to recharge the battery... 83 Replace monitor input power fuse... 86 Install printer paper... 87 Inspect and clean the monitor and accessories... 88 Service interval recommendations... 89 Recycling monitor components... 89 Extended storage precautions... 90 Change the Wireless Propaq CS network name... 90
8 - Reference... 93 Set the time and date... 93 Change the date format, ECG filter, and units... 94 Factory default settings... 95 Specifications... 97
9 - Compliance... 117 Index... 123
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1 General information Intended use The Propaq CS 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. It is also intended for intra-facility transport. •
The ECG channel is intended for five-lead or three-lead ECG monitoring.
•
The Respiration (RESP) channel is intended to detect the rate or absence of respiratory effort, deriving the signal by measuring the ac impedance between selected terminals of ECG electrodes.
•
The Invasive Pressure (IBP) channel is intended for measuring arterial, venous, and intracranial pressures (and umbilical artery and vein pressures for neonates) using invasive transducers.
•
The Noninvasive Blood Pressure (NIBP) channel is intended for indirectly measuring arterial pressures using an inflatable cuff. If ECG is also monitored, the Propaq CS Smartcuf™ software algorithm automatically synchronizes the NIBP measurement process to the occurrences of the R-wave, increasing accuracy in cases of extreme artifact and diminished pulses. The operator may disable or enable the Smartcuf algorithm in the NIBP Menu.
•
The Temperature (TEMP) channel is intended to measure temperature using an attachable probe.
•
The Pulse Oximetry (SpO2) channel is intended to noninvasively measure oxygen saturation of arteriolar hemoglobin at a peripheral measurement site.
•
The Capnography (CO2) channel is intended to noninvasively measure the following vital signs or events: End-tidal CO2 (ETCO2), Inspired CO2 (INCO2), Breath Rate, and Apnea.
•
Propaq CS 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).
This guide was written for clinicians. 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. This monitor has been designed as a quality monitor; however, inherent limitations require that good clinical judgment always prevail.
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General information
Welch Allyn Propaq CS Vital Signs Monitor
Symbols 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.”
The following symbols may appear on the Propaq CS monitor or accessories. They are defined by the International Electrotechnical Commission, IEC 878 and IEC 417A. Off (Standby)
Two-way communication port
On
Input port
For continued fire protection, use only the specified fuse
Output port
Direct current
Alternating current
Non-ionizing electromagnetic radiation. This device contains an approved RLAN module frequency 2402 to 2480 MHz
Non-ionizing electromagnetic radiation. This device contains an approved RLAN module frequency 5150 to 5825 MHz
Fuse
Recycle the monitor and battery separately from other waste. Refer to www.welchallyn.com/weee for collection point and additional information.
Direct current or alternating current
Separate batteries from other disposables for recycling.
Caution: Refer to Directions For Use and accompanying documentation
IPX1
Enclosure Protection Drip proof: Classification IPX1 per EN 60529
See the accompanying manual
Urgent alarm notification (output to Nurse Call system)
Battery charging when green indicator illuminated
Temperature sensor input
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
Patient connections are Type BF, and protected against defibrillation
For indoor use only (on power adapter only)
Protected during defibrillation
n
This way up Fragile Keep away from rain Patient connections are Type B
Stacking limit by number Temperature limits
n% n
Humidity limit Altitude limit The device has met all essential requirements of European Medical Device Directive 93/42/EEC for a Class 1 product
Directions for Use
General information
The CE Mark and Notified Body Registration Number signify the device has met all essential requirements of European Medical Device Directive 93/42/EEC Restrictions for use of wireless device in Europe. European Communities Class 2 radio equipment
NRTL/C
Evaluated to CSA 601-1 and UL2601-1
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The Canadian Standards Association has evaluated this device according to CSA 601-1 and Underwriters Laboratory Standard UL 2601-1. This device has been tested and certified by the Canadian Standards Association International to comply with applicable U.S. and Canadian medical safety standards. Apply the NIBP cuff as shown.
NIBP cuff sizes: Thigh Large adult Adult Small adult Child Infant FCC ID: PGUWA11A07 IC: 4168a-WA11A07
Apply the NIBP cuff as shown. Single-use only (not reusable).
This device complies with FCC and Industry Canada requirements for international radiators (802.11 wireless)
General warnings and cautions Familiarize yourself with all warnings and cautions before using the Propaq CS monitor. In addition to the following, other warnings and cautions appear throughout this manual. WARNING Safe interconnection between the Propaq CS monitor and other devices must comply with applicable medical systems safety standards such as IEC 60101-1-1. 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 This monitor is to be operated by qualified personnel only. The operator of this monitor should read this entire manual and all accessory directions for use before operating the monitor. WARNING Before you use a Propaq CS monitor on a new patient, always turn off the monitor 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. 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. WARNING The monitor may not meet its performance specifications if stored or used outside the specified temperature and humidity ranges. 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.
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General information
Welch Allyn Propaq CS Vital Signs Monitor
WARNING Do not connect more than one patient to a monitor. Do not connect more than one monitor to a patient. WARNING Inspect the power adapter cord periodically for fraying or other damage, and replace the adapter as needed. Do not operate the apparatus from ac power with a damaged power adapter cord or plug. WARNING Make frequent electrical and visual checks on cables, sensors, and electrode wires. All cables, sensors, and electrode wires must be inspected, properly maintained, and in proper working order to allow the equipment to function properly and protect patient safety. WARNING As with all medical equipment, carefully route the patient cabling to reduce the possibility of patient entanglement or strangulation. 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. 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 monitor’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, oxygen-enriched environments, or nitrous oxide; explosion can result. WARNING Electronic equipment that emits strong electromagnetic or radio frequency signals can cause electrical interference with ECG monitor operation. This interference may distort the displayed or recorded ECG signal, thereby preventing accurate rhythm analysis. Avoid operating this device near equipment of this type. 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 To help protect against electrical shock due to leakage current, use only accessories approved by Welch Allyn. Visit www.welchallyn.com. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty. WARNING Always use accessories according to the standards of your facility and according to the manufacturer's directions for use. WARNING Use of accessories not recommended by Welch Allyn may result in increased electromagnetic emissions or decreased electromagnetic immunity of the equipment.
Directions for Use
General information
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WARNING If a product has been dropped or severely abused, send it to a qualified service person to confirm proper operation and acceptable risk (leakage) current values. WARNING Some or all NIBP safety functions are disabled in the NIBP TEST screen in the Service Menu. Do not attempt to conduct NIBP TEST when the cuff is attached to a patient. WARNING Do not use the Propaq CS monitor in a Magnetic Resonance Imaging (MRI) suite or a hyperbaric chamber. Such use can cause fire or explosion resulting in patient injury and monitor damage. WARNING Impedance pneumography and CO2 monitoring may not operate properly when used in conjunction with high-frequency jet ventilation or high-frequency oscillatory ventilation. 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 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 the Propaq CS Directions for Use. 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 the Propaq CS Directions for Use. 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. WARNING Military radars are allocated as primary users in the bandwidths between 5.25 - 5.35 GHz and 5.47 to 5.725 GHz. In the event a radar signature is detected, the Access Point moves to a new channel, which can temporarily interrupt patient monitoring. If the device (wireless) is operated near a military radar, the radar could cause damage to the device. WARNING This product contains no user-serviceable components. Any unauthorized changes to the product invalidate Welch Allyn’s warranty and also invalidate all applicable regulatory certifications and approvals. WARNING Do not use the pulse oximeter as a replacement or substitute for ECG-based arrhythmia analysis.
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General information
Welch Allyn Propaq CS Vital Signs Monitor
WARNING The bedside patient monitor is the primary alarming source for the patient and a central station is a backup alarm source. The central station is only as reliable as its network and should be relied on only as a backup alarming device. WARNING The leading cause of patient death or serious injury reported with the use of patient monitoring equipment is failure to respond to alarms notifying the user of an adverse change in patient condition. If you are relying on visual alarm notifications, maintain a clear line of sight and remain within 4 meters of the monitor or the central station. If you are relying on audio alarm notifications, make sure that you can hear audio alarms from where you are. Set the volume as needed considering the environment and ambient noise levels. Verify that the alarm is audible to a clinician working at the maximum distance from the monitor or central station. WARNING Auto-reboots occur and wireless connection is occasionally disrupted. During this period, the bedside monitors continue to provide their primary alarming functions. Auto-reboots occur infrequently, due to poor environmental conditions. Failure to perform preventative maintenance can increase the frequency of occurrence. WARNING False alarms may occur in some situations. You must understand and address the cause of the false alarms whenever possible to eliminate the possibility of repeated false alarms and alarm fatigue, which might result in a failure to respond to an actual alarm situation. Caution Changes or modifications not expressly approved by Welch Allyn could void the purchaser’s authority to operate the equipment. Caution Do not autoclave the Propaq CS monitor. Autoclave accessories only if the manufacturer's instructions clearly approve it. Many accessories can be severely damaged by autoclaving. Caution Federal USA law restricts this device to sale, distribution, or use by or on the order of a licensed medical practitioner. It is possible for the monitor to detect a problem that prevents the monitor from operating properly. If this occurs, the monitor displays an error message and error number. Report such errors to Welch Allyn. The Propaq CS monitor should be serviced only by a Welch Allyn service technician while under warranty. Propaq CS Service Manual (810-2708-XX) is available from Welch Allyn to assist the biomedical engineer during post-warranty period service.
Directions for Use
General information
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Controls and connectors Yellow antenna cap indicates Wireless Propaq CS Alarm Light
Nurse Call Option
Alarm(s) Off Light Silence/Reset Silences alarm tone for 90 seconds or re-enables alarm tone (if active) SpO2 Option Start/Stop NIBP Starts or stops NIBP reading
Home
Mainstream CO2 Option
Returns the display to the Main Menu
Printer Option Sidestream CO2 Option
Printer Buttons
Touch-screen controls The front panel touch-screen provides five softkeys along the bottom and three icon-labeled keys along the right side. An Acuity® NET OFF key is displayed in the upper left corner if the monitor is connected to an Acuity system. These keys allow control of all monitoring and setup functions. Note
Avoid pressing more than one touch-screen key at a time. Touching more than one key area at a time can cause the touch-screen to misinterpret the command and respond to the wrong key. Caution Do not touch the screen with a sharp object such as a pen or pencil. Sharp objects can damage the touch-screen. Use your finger to press the touch-screen keys.
System control and connectors (right side panel) On/Off Switch
MONITOR
DEFIB SYNCHRO
!
Input Fuse
3A 2AG
EKG x 1000
!
12-28V, 3A
Real-time ECG Output Connector Speaker
!
Power Input Connector
Defib Sync Connector Contact Welch Allyn technical support for information (for specifications, see page 99)
Connector for Acuity or Modem-Propaq Battery Charging Light
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General information
Welch Allyn Propaq CS Vital Signs Monitor
Patient connectors (left side panel) Model 242 ECG NIBP Temperature (two channels)*
ECG / EKG RESP
Model 244 ECG Invasiv Pressure (one channel) NIBP Temperature (two channels)* INV. BP
P1
ECG / EKG RESP
Model 246 ECG Invasive Pressure (two channels) NIBP Temperature (two channels)* INV. BP
P1
ECG / EKG RESP
! NIBP PSNI
T1
NIBP PSNI
T1
!
T2
NIBP PSNI !
T2
T2
INV. BP
Propaq CS Model 242 ECG / EKG RESP
T1
P2
Propaq CS Model 244
Propaq CS Model 246
INV. BP
INV. BP
P1 ECG / EKG RESP
P1 ECG / EKG RESP
! COMPATIBLE HP
! COMPATIBLE HP
P S N I
! COMPATIBLE HP
NIBP
NIBP
HP Model 242*
P S N I
P S N I
HP Model 244*
INV. BP
P2
HP Model 246*
*The HP (Hewlett-Packard) side panels provide only one temperature connector.
NIBP
Directions for Use
General information
Option connectors CO2
CO2
! !
Mainstream CO2 Connector
Sidestream CO2 Connector
Nurse Call Connector
SpO2 Interface Cable SpO2 Interface Cable
Masimo SpO2 Connector (motion-tolerant)
Masimo SpO2 Connector (motion-tolerant)
Nellcor SpO2 Connector
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General information
Welch Allyn Propaq CS Vital Signs Monitor
Display You can select up to four waveforms to be shown on the Propaq CS monitor. When only one waveform is selected, a trend window automatically appears beneath the waveform. NET OFF to disconnect monitor from Acuity network.
Patient name entered at Acuity Central Station. When selected, trends are displayed here.
Patient mode
Time of day
Status messages can appear here.
17:05:10 NET ADULT OFF ON NETWORK ALLEN KIM
PRINT FAULT
BPM
II mV 1cm
P1
MON
P2
S D ( 96) mmHg (M)
79 25 9 122 58
S (M) D ( 15) mmHg
V mV 1cm MON
NIBP
130
TEMP
S (M) D ( 85) mmHg
P 100
T1 100.4 T2 98.6 1.8 ΔT
F
1
STATSCALE automatically adjusts all waveform scales for optimum viewing.
112 121
HR
70 30
MCO2
BR
mmHg
Br/m
P 15
SpO2
2
0
38 12
97
%
STATSCALE
ALARMS
ACUITY
Heart Rate Source: HR indicates ECG; PR indicates blood pressure or SpO2. Heart Rate in beats per minute. Bells indicate alarm limit status All numeric values are continuously displayed and updated. If the monitor detects a vital sign outside the measurable range, it displays - - - (below the range) or + + + (above the range).
MORE
TRENDS
While changing monitor settings, a status window may appear below the waveform: ECG1 waveform is always displayed if active.
17:05:10 NET ADULT OFF ON NETWORK ALLEN KIM
PRINT FAULT
BPM
II mV 1cm
P1
(M)
ECG/RESP
79 25 9 122 58
(M)
D
( 15) mmHg
: OFF
HR/PR TONE PACER DISPLAY
: ON
ECG BANDWIDTH
: MONITOR (0.5-40Hz)
RESP LEAD
: Ld2 (RA-LL)
RESP MONITORING : ON
NIBP (M)
TEMP F
T1 100.4 T2 98.6 1.8 ΔT
MCO2
BR
mmHg
Br/m
%
CHANGE
S D
( 85) mmHg
38 12
SpO2 NEXT
S D
( 96) mmHg P2 S
MON
Status window
112 121
HR
97
PREVIOUS MENU
Systolic, diastolic, and mean pressures are uniquely labeled and displayed. ETCO2 concentration Breath Rate from CO2 Oxygen saturation is a percentage value.
Directions for Use
General information
Menus Menus for some patient vital signs are displayed only if the option is included in your Propaq CS monitor.
Main Menu MAIN MENU NIBP
ECG/ RESP
INVASIVE PRESSURE
SETUP
SpO2/ CO2
SpO2
CO2
PREVIOUS MENU
CO2 MENU 1 RANGE
mm/s
MORE
PREVIOUS MENU
CO2 MENU 2A (NO CO2 SENSORS) GAS COMP
RESPONSE
PREVIOUS MENU
CO2 MENU 2B (MAINSTREAM CO2 ACTIVE) GAS COMP
RESPONSE
SOURCE
PREVIOUS MENU
CO2 MENU 2C (SIDESTREAM CO2 ACTIVE) GAS COMP
RESPONSE
SOURCE
FLOW RATE
SpO2 MENU 1 SIZE
MORE
PREVIOUS MENU
SpO2 MENU 2 RESPONSE
C-LOCK
PREVIOUS MENU
INVASIVE PRESSURE MENU 1 RANGE
RESCALE
ZERO P1
ZERO P2
CANCEL
CANCEL
MORE
INVASIVE PRESSURE MENU 2 LABEL P1
FORMAT P1
LABEL P2
FORMAT P2
PREVIOUS MENU
ECG/RESP MENU 1 ECG1 SIZE
ECG1 LEAD
ECG2 SIZE
RESP SIZE
MORE
ECG/RESP MENU 2 NEXT
CHANGE
PREVIOUS MENU
NIBP MENU START STOP
AUTO/ MANUAL
INTERVAL
TURBOCUF
SMARTCUF
PREVIOUS MENU
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General information
Welch Allyn Propaq CS Vital Signs Monitor
Setup Menus ECG/ RESP
INVASIVE PRESSURE
SpO2/ CO2
SETUP
ALARMS
WAVE SELECT
TRENDS
MORE
NIBP
SETUP MENU 1 STAT SCALE
SETUP MENU 2
ACUITY
NEXT
CHANGE
WAVE SELECT
PRINTER
MORE
TREND MENU PRINT
NEXT TREND
PRINT OXYCRG
SNAPSHOT
PREVIOUS MENU
LIMITS
PREVIOUS MENU
DOWN
ON/ OFF
ACUITY MENU (HARDWIRED CONNECTION)1 NET OFF
ALARMS MENU STAT SET
4 MIN SUSPND RESUME
ALARM LIMITS MENU2 NEXT PARAMETER
NEXT SETTING
UP
1Acuity Menu is displayed if the
monitor is connected to Acuity. See “Understanding the Propaq CS, Acuity, and FlexNet network” on page 73 for details about Acuity hardwired and wireless communication options. 2ON/OFF key is not displayed for
HR/PR alarm limits if the HR/PR ALARM LIMITS setting is set to CANNOT TURN OFF.
TIME/DAY MENU NEXT
UP
DOWN
ENTER
SERVICE
IBP TEST
SpO2 TEST
CO2 TEST
MORE
PIXEL TEST
NET TEST
PCMCIA TEST6
MORE
SCREEN CAL
SYSTEM
RADIO
MORE
ALL ALARMS
PREVIOUS MENU
SERVICE MENU 13 NIBP TEST
SERVICE MENU 23 TEMP TEST
SERVICE MENU 33 SETTINGS
SETTINGS MENU NEXT
3Service menu tests are only
for use by authorized service personnel and are only available in the Adult patient mode. RADIO key is only displayed for Wireless Propaq CS. 4 Patient Mode menu is
accessed when CHANGE is pressed for PATIENT MODE.
CHANGE
PRINTER SETUP MENU NEXT
CHANGE CHANGE
PRINT TREND
PREVIOUS MENU
INSERVICE
PREVIOUS MENU
WAVE SELECT MENU NEXT
ON/ OFF
NO INSERVICE
PATIENT MODE MENU4 NEONATAL
PEDIATRIC
ADULT
SETUP
PREVIOUS MENU
USE NOW
SAVE
PREVIOUS MENU
MODE SETUP MENU NEXT
POWERUP*
5 Radio menu is displayed for
Wireless Propaq CS. 6 2.4 GHz radio card models
only.
RADIO MENU5 NETWORK STATUS6 NETWORK MONITOR6
CHANGE NET NAME
PREVIOUS MENU
Directions for Use
General information
13
Learn Propaq CS operation with Inservice Mode You can practice using the Propaq CS monitor with the in-service mode of operation. The in-service mode cannot be activated while you are monitoring a patient. In in-service mode, the monitor display and all printouts include the message SIMULATING or SIMULATED DATA. To practice with your Propaq CS monitor: 1. Disconnect all patient cables connected to the monitor. You can leave the NIBP cuff connected to the monitor so you can take NIBP measurements. 2. To temporarily remove customized alarm settings, press Home, SETUP, MORE, CHANGE, SETUP, USE NOW, YES. 3. To put the Propaq monitor in (non-alarming) Inservice Mode 1, press Home, SETUP, WAVE SELECT, INSERVICE. 4. To set the Propaq monitor in (alarming) Inservice Mode 2, press Home, SETUP, WAVE SELECT, INSERVICE. Within 5 seconds, the monitor alarms because the “patient’s” vital signs fall outside the alarm limit ranges. 5. Confirm the following: The monitor is sounding an alarm A vital sign numeric is flashing The small red light in the top right corner of the monitor is flashing The SILENCE and LIMITS keys are showing on the screen 6. To silence the alarm tone for 90 seconds, press Silence/Reset or SILENCE. Visual alarm indications remain, and the alarm tone resets after the 90-second silence period. 7. To bring the Propaq monitor back into the (non-alarming) Inservice Mode 1, press INSERVICE. The “patient’s” vital sign readings will return to acceptable levels within the alarm limit range. 8. While in the inservice mode, you can press any monitor keys (except the AUTO/MANUAL key in the NIBP Menu) to change a function setting. For example, you can change ECG and RESP waveform sizes, set alarm limits, or set custom settings. You can also apply the NIBP cuff to yourself and take NIBP measurements. 9. Turn off the Propaq monitor. Any previously set custom patient mode settings are restored when you turn it on again. Under these conditions, if the monitor fails to generate visual or auditory alarm indications, carefully repeat the above steps. If the monitor is still unresponsive, remove it from circulation and take it to your facility’s biomedical service department for evaluation.
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General information
Welch Allyn Propaq CS Vital Signs Monitor
Note
The inservice mode is not available if the monitor detects that a sensor has been connected (except for an NIBP cuff) or the NIBP Automatic Mode has been selected. If the monitor is in inservice mode and you connect a sensor (except for an NIBP cuff) or press the NIBP AUTO/MANUAL key, the monitor will turn off power to exit the inservice mode, and then turn on in the normal operating mode. The pacemaker signal indicators are not displayed in the inservice mode.
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2 Setup Prepare the Propaq CS monitor for a new patient WARNING Before you use a Propaq CS monitor on a new patient, always turn it off for a few seconds and then turn it on again. This clears the prior patient’s trend values, alarm limit settings, and NIBP cuff inflation target. 1. Press the gray recessed MONITOR button on the right side of the monitor to turn the monitor off (if it is on). Press it again to turn the monitor on. The monitor displays the powerup screen for about 10 seconds, then displays the Main Menu. The monitor is in the powerup patient mode with the associated settings. 2. Confirm that the monitor emits a tone. If the monitor has SpO2, listen for two tones and confirm both speakers are working. Note
Check the battery voltage level on the powerup screen (or check it on the Time/Day window: Home, SETUP, MORE, MORE). If the battery voltage is 7.4V or less or a low battery message is displayed, connect the monitor to an ac power adapter to recharge the battery (page 20). Connecting the adapter does not interrupt patient monitoring.
Home
3. Confirm the monitor is in the correct patient mode according to the patient’s age. If the patient mode is not correct, from the Main Menu press SETUP, MORE, CHANGE to access the Patient Mode window: PATIENT MODE
BATTERY: 8.2 VOLTS
SELECT PATIENT MODE BASED ON AGE: NEO : < 44 WEEKS GEST. AGE PED : > 44 WEEKS GEST. AGE, < 9 YEARS ADULT: > 9 YEARS NEONATAL
PEDIATRIC
ADULT
SETUP
PREVIOUS MENU
4. Based on the patient’s age, press NEONATAL, PEDIATRIC, or ADULT. When the confirmation window appears, press YES to confirm your selection.
16
Setup
Welch Allyn Propaq CS Vital Signs Monitor
Whenever you change the patient mode, the alarm limit settings, maximum NIBP cuff inflation pressures, and internal computations are automatically changed to the defaults for that patient mode. See page 19 for information about preset Factory patient modes or programmable Custom patient modes. Note
If you change the patient mode, the CO2 alarm limits in the new mode might vary slightly from the originally-programmed CO2 alarm limits for the new mode. Check the CO2 alarm limits.
5. To select which vital sign waveforms will display, from the Main Menu press SETUP, MORE, WAVE SELECT. Use NEXT and ON/OFF to turn on the desired waveforms in the Wave Select window. SETUP
WAVE SELECT
ECG1 : ON
CO2 : ON
ECG2 : ON
RESP : ON
PA
: ON
SpO2 : ON
P2
: ON
NIBP : ON
NEXT
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INSERVICE
ON/ OFF
You can turn on all waveforms, but only the first four waveforms selected as ON in the Wave Select window are displayed. You cannot turn off the ECG1 waveform. 6. To set the HR/PR source, display sweep speed, tone volumes, and display brightness, from the Main Menu press SETUP, MORE to access Setup Menu 2. Use NEXT and CHANGE to select settings. SETUP CURRENT SOURCE : SELECTED SOURCE : SWEEP (mm/s) :
HR/PR
RR/BR
??? ECG 25.0
??? --6.25
ALARM TONE HR/PR TONE
: LOW : OFF
PATIENT MODE
:
BRIGHTNESS
: NORMAL
NEXT
CHANGE
? ? ? is displayed until a source is active.
ADULT
WAVE SELECT
PRINTER
MORE
CURRENT SOURCE When the selected HR/PR source is no longer available, the current source is the active source with highest priority. The RR/BR source cannot be manually selected. It is always CO2 if CO2 is active. Otherwise, it is ECG/RESP. SELECTED SOURCE The user-selected HR/PR source is displayed along with the HR/PR source currently used by the monitor.