Directions for Use
194 Pages
Preview
Page 1
Propaq LT Vital Signs Monitor ®
HALL, ROBERT E.
3456187 Adult
II
SpO2
3:00:06P
Rm 239
1mV/cm
2x
80 140/78 12 97 % NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
Directions for Use Software version 1.5X
ii
Welch Allyn Propaq LT Vital Signs Monitor
© 2008 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, Smartcuf, and FlexNet are registered trademarks of Welch Allyn. ParamSet is a trademark of Welch Allyn. Masimo, SET, LNOP, and LNCS are registered trademarks, and FastSAT and APOD are 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
+ 1 315 685 4560 800 535 6663
Australia
+ 61 2 9638 3000 800 074 793
Canada
800 561 8797
China
+ 86 216 327 9631
European Call Center
+ 35 3 46 906 7790
France
+ 33 1 60 09 33 66
Germany
+ 49 7477 92 71 86
Japan
+ 81 3 3219 0071
Latin America
+ 1 305 669 9003
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+ 31 15 750 5000
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+ 65 6419 8100
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REF 810-2711-XX (CD) REF 810-2709-XX (Printed, English only) Manual 810-2724-01 A, 2008-06
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
iii
Contents 1 - Introduction... 1 Intended use... 1 Symbols... 1 Safety... 4 Controls, indicators, and connectors... 7 Features and functions... 9 Models... 9 Accessories... 10 USB option... 10 HIPAA considerations... 11
2 - Overview of monitor operation... 13 Turning on the monitor... 13 Selecting a language... 14 About the charging/communications cradle... 14 Displaying data... 17 About navigation... 29 Menus... 31 About monitor information screens... 36 Using demo mode... 38 Power saving... 42 Turning off the monitor... 42 Communicating with an Acuity Central Station... 42 About error detection... 42 Transporting the monitor with the patient... 43
3 - Standalone monitoring... 45 Overview... 45 Preparing for a new patient... 45 Continuing to monitor a patient on power-up... 49 Monitoring ECG and Resp... 50 Monitoring SpO2... 58 Monitoring blood pressure (NIBP)... 63 Changing the default settings... 67 To discontinue monitoring... 69
4 - Monitoring in communication with Acuity... 71 About wireless monitoring... 71 Establishing communication with Acuity... 72 Monitoring a patient outside of network range... 73 About Acuity message menus... 73
5 - Alarms and alerts... 79 Overview... 79 Silencing an alarm or alert tone... 79 Suspending the alarm tone... 80 Changing alarm limits... 82
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Contents
Welch Allyn Propaq LT Vital Signs Monitor
About ParamSet... 83 Responding to an alarm... 83 Responding to an alert... 83 About battery charge status... 84 Alert messages and status messages... 85
6 - Storing and reviewing patient data... 89 Overview... 89 Capturing a data snapshot... 89 Reviewing data at the monitor... 90 Reviewing data at a PC... 93 Reviewing data at Acuity... 93
7 - Printing patient data... 95 Overview... 95 Printing... 96 AutoPrint options... 98
8 - Monitor configuration... 101 Overview... 101 About factory configuration... 101 About default configuration... 102 About temporary configuration... 102 About Acuity-defined configuration... 102 Parameter configuration matrix... 103
9 - PC utility... 111 Introduction... 111 Installation... 112 Using the Configuration Utility to configure the monitor... 114 Configuration settings... 116 About AutoPrint... 119
Configuration worksheet... 121 Identification... 122 Default Settings... 124 Display Settings... 126 Mode Settings... 129 ParamSet Settings... 131 Feature Enable... 133 Authorization... 136
10 - Maintenance... 137 Recharging the battery... 137 Inspecting and cleaning the monitor and accessories... 138 Recycling monitor components... 139
A - Specifications... 141 B - Compliance... 157 Limited warranty... 185 Index... 187
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1 Introduction Intended use The Propaq LT Series (802LTAN, 802LTAS, 802LT0N, 802LTRN, 802LT0S, and 802LTRS) monitors are portable devices intended to be used by clinicians and medically qualified personnel for single- or multiparameter vital-signs monitoring of ambulatory and nonambulatory patients, including neonate, pediatric and adult patients. These devices are indicated for ECG, noninvasive blood pressure (NIBP), respiration and SpO2. The most likely locations for patients to be monitored by these devices are hospital general medical-surgical, telemetry, and intermediate care floors, hospital emergency departments, transport, emergency medical services, and other healthcare applications. The monitors can be used as standalone devices or as devices networked to an Acuity® Central Station (referred to in this manual as ‘Acuity’) through wireless communication over a Welch Allyn® FlexNet® network. Federal USA law restricts this device to sale, distribution, or use by or on the order of a licensed healthcare professional. Even though this manual describes some monitoring techniques, the monitor is intended for use only by trained and experienced clinicians who know how to measure and interpret vital signs.
Symbols Table 1. Directions for use 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.”
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Introduction
Welch Allyn Propaq LT Vital Signs Monitor
Table 2. Control buttons Monitor Power - Turn the monitor power on or off.
Down - Move the cursor down to the next display item.
Action - Act based on what is highlighted. (See “Using the action button” on page 29.)
Silence/Reset - Silence the current alarm tone for 90 seconds or reset a silenced alarm tone.
Left - Move the cursor left to the next display item; decrease the parameter value. Right - Move the cursor right to the next display item; increase the parameter value.
Display - Cycle to the next configured display format, or cancel the current control, setup, or pop-up menu. Snapshot - Record a 21-second period of numeric and waveform data.
Up - Move the cursor up to the next display item.
Start/Stop NIBP - Start or stop an NIBP measurement.
Cradle Monitor Release - Press and then hold while removing the monitor from the cradle.
Table 3. Status indicators Monitor (green) Monitoring normally (no active alarms or alerts). Connection to Acuity is confirmed and patient identification is confirmed. (Wireless only, Acuity enabled.) (green flashing) Monitoring normally (no active alarms or alerts). (Standalone only.) Patient confirmed, and monitor then intentionally disconnected. (Wireless only, Acuity enabled.) (yellow) At least one alarm is disabled. Monitor disconnected, connecting or connected; patient not confirmed. (Wireless only, Acuity enabled.) (yellow flashing) Equipment alert. Acuity message windows. (Wireless only, Acuity enabled.) (red flashing) Patient alarm.
Upper and lower alarm limits for this parameter are on. The upper alarm limit for this parameter is on and the lower is off. The upper alarm limit for this parameter is off and the lower is on. Upper and lower alarm limits for this parameter are off. A snapshot exists for this period. The snapshot for this period has been replaced with a more recent snapshot. (green) The battery is fully charged. The battery is partially full. The battery is partially full and is charging. (yellow) The battery is low. The battery is low and is charging.
Directions for Use
Introduction
Table 3. Status indicators (continued) (red)
The battery is near failure; the monitor will shut down soon. If this indicator appears while the monitor is in the cradle, the battery cannot be charged and must be replaced. The battery is near failure and is charging. The monitor will shut down if removed from the cradle.
The monitor is communicating wirelessly with the network and with Acuity. (Wireless only, Acuity enabled.) The monitor is not communicating with the wireless network. (Wireless only, Acuity enabled.) (Flashing) The monitor is communicating with the network but is not communicating with Acuity. (Wireless only, Acuity enabled.) The monitor is communicating by USB cable with a PC. Cradle (green) Cradle is powered.
(green) Monitor battery is charging. NOTE: When the battery is fully charged, this indicator is not lit.
(yellow) Cradle fault or battery fault.
Table 4. Labels Monitor Proceed with caution. If in doubt, refer to the accompanying documentation.
Enclosure protection: Drip-proof. Class IPX1 per EN60529:1991.
The monitor or accessory meets all essential requirements of the European Medical Device Directive 93/42/EEC for a Class II-b product.
The monitor is certified by the Canadian Standards Association International to comply with applicable US and Canadian medical safety standards.
The monitor or accessory meets all essential requirements of the European Medical Device Directive 93/42/EEC for a Class I product.
Type CF patient connections, isolated for direct cardiac application and protected against defibrillation.
Australian registered importer.
Hazard Class 9, IATA/ICAO (International Air Transport Association/International Civil Aviation Organization).
Restrictions for use of wireless device in Europe. European Communities Class 2 radio equipment.
This device complies with the 47 CFR Part 15 radiated and conducted emissions requirements.
N344
FCC ID: PGUWA11A07 IC:4168a-WA11A07
This device complies with FCC and Industry Canada requirements for international radiators (802.11 wireless).
See the accompanying manual.
Non-ionizing electromagnetic radiation. This device contains an approved RLAN module of frequency 5150-5825 MHz.
Recycle the monitor, cradle, and battery separately from other waste. (Refer to www.welchallyn.com/weee for collectionpoint and additional information.)
Non-ionizing electromagnetic radiation. This device contains an approved RLAN module of frequency 2402-2480 MHz. (Wireless only, Acuity enabled; see “EMC” on page 160.)
High voltage. Do not touch during defibrillation.
Direct current.
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Introduction
Welch Allyn Propaq LT Vital Signs Monitor
Table 4. Labels Recycle the battery separately from other disposables.
Li ++ 7.4V 1900mAh
Lithium-ion battery.
Li ++
Battery replacement specification.
This monitor (2.4 GHz) is approved for use during all phases of flight aboard U.S. Army aircraft. AWR: MIL STD: 461E. Army: CE101, CS101, T, CS115, S116, RE102, RE103. Cradle
Power in (DC).
Fuse replacement specification. T3A/250V
USB cable connector.
For indoor use only.
Input power (DC) pin pattern. Product packaging Store this way up.
Humidity limit.
Temperature limits.
Altitude limits.
Rain protection required.
Contents are fragile.
Stacking limit.
Recycle the packaging material.
Safety The monitor is safe for patients and clinicians when used in accordance with the instructions and with the warning and caution statements presented in this manual. All personnel must read and understand all warning and caution statements presented in this manual before using the monitor. •
Failure to understand and observe any warning statement in this manual could lead to patient injury, illness, or death.
•
Failure to understand and observe any caution statement in this manual could lead to equipment damage or loss of patient data.
General warnings These statements apply to all aspects of patient monitoring. Statements which apply specifically to one aspect of monitoring, such as NIBP or SpO2 monitoring, are presented in the corresponding sections of the manual. WARNING Many environmental variables, including patient physiology and clinical application, can affect the accuracy and performance of the monitor. The clinician must verify all vital-signs information prior to patient intervention. WARNING Always check the patient mode (adult, pediatric, or neonate) when monitoring a new patient. The patient mode determines default alarm limits and internal algorithm settings. Make sure the monitor has settings that are appropriate before monitoring the patient.
Directions for Use
Introduction
5
WARNING Make sure Acuity patients, and especially those prone to arrhythmias, are kept under close surveillance. While monitoring patients with Acuity, the clinician must review all clinical data before implementing therapy. As with all computerized arrhythmia analysis systems, Acuity cannot replace skilled care and proper surveillance by a clinician. WARNING It is possible for Acuity alarms, alerts, or other events to go unnoticed if clinical personnel are not present at Acuity or if interruptions occur in power or system operations. To help reduce this possible occurrence, Acuity must be installed with redundant power supplies and redundant means of operator surveillance, such as secondary Acuity Central Stations and hallway message panels. WARNING The monitor might not meet its performance specifications if stored or used outside the specified temperature and humidity ranges. WARNING Use of respiration monitoring by impedance pneumography can affect the operation of some pacemakers. If pacemaker operation is affected, turn off respiration pneumography. (See Figure 61 on page 55.) WARNING Do not connect more than one patient to a monitor. WARNING Do not connect more than one monitor to a patient. WARNING During defibrillation, keep discharge paddles away from the monitor ECG lead wires, electrodes, any other monitor sensors, and other conductive parts in contact with the patient. WARNING Do not operate this product in the presence of flammable anaesthetics or other flammable substances in combination with air or oxygen-enriched environments. Failure to observe this warning can result in an explosion. WARNING Do not use the 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 Do not operate this monitor near equipment that emits strong electromagnetic or radio-frequency signals. Electronic equipment of this type can cause electrical interference with monitor operation, which can distort the ECG signal and prevent accurate rhythm analysis. WARNING To comply with Federal Communications Commission (FCC) RF exposure requirements and to avoid exposure to radio-frequency (RF) radiation, always use the monitor in accordance with the operating conditions and instructions provided in this manual. WARNING Pacemaker signals can differ from one pacemaker to the next. The Association for Advancement of Medical Instrumentation (AAMI) cautions that “in some devices, rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon rate meter alarms. All pacemaker patients should be kept under close or constant observation.” See “Pacer pulse rejection” on page 143 for disclosure of the pacemaker pulse rejection capability of this instrument.
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Introduction
Welch Allyn Propaq LT Vital Signs Monitor
WARNING Use only accessories supplied by Welch Allyn or recommended in the Welch Allyn Products and Accessories guide (810-0409-XX). Use of any other accessories can result in inaccurate patient data and damage to the equipment. Always use accessories according to facility standards and the manufacturer’s recommendations. Always refer to the manufacturer’s instructions. ®
®
WARNING Use of Masimo LNOP sensors/cables will not provide protection in accordance with IEC defibrillation standards when used with this device. WARNING Use only ECG cables supplied or specified by Welch Allyn. Use of any other ECG cables can negate defibrillator protection and can create a risk of patient injury due to shock. WARNING Frequently inspect-electrically and visually-all cables, sensors, and electrode wires. Replace any damaged cables, sensors or wires. Failure to properly inspect and keep in excellent working order all cables, sensors, and electrode wires can result in hazards to patients and to equipment failure and damage. WARNING Always properly connect the electrosurgery return circuit. Improper circuit connection can cause current to return through monitor electrodes and probes, creating a burn hazard for patients. WARNING Always keep patient motion to a minimum. Motion artifact can cause inaccurate measurement of patient vital signs. WARNING Carefully route and secure patient cabling, using the supplied garment clips. Improperly routed and secured cabling can cause the patient to become entangled in the cables, creating a strangulation hazard. WARNING When the patient is wearing the monitor or being transported by stretcher with the monitor connected, always take care to position the monitor carrying straps on the patient. Be certain that the straps do not and cannot cross the neck or throat and cause choking, and the straps do not restrict movement of the patient’s arms or legs. WARNING Never use a monitor that is not working properly. If the monitor is not working properly, patient waveforms might be inaccurate or might not be displayed. WARNING If the monitor is damaged, or if you see any indication that the monitor is not operating properly, disconnect it from the patient. Do not return it to service until it has been inspected and, if necessary, repaired by qualified service personnel. WARNING This wireless medical device was tested and, when used with a metal-free accessory between the monitor and the patient, complies with FCC RF Exposure (SAR) guidelines. The use of accessories containing metal may not ensure compliance with FCC RF exposure guidelines. Specific Absorption Rate (SAR) is a measurement of radio frequency energy. The FCC permits a maximum SAR value of 1.6 mW/g. The highest SAR value for this patient monitor, when worn by a patient in accordance with the directions for use, is 0.560 mW/g. WARNING High-power radars are allocated as primary users of the bandwidth between 5.25 GHz and 5.35 GHz and between 5.65 GHz and 5.85 GHz. These radars can cause interference with this device and can damage this device.
Directions for Use
Introduction
7
WARNING Do not use the pulse oximeter as a replacement or substitute for ECG-based arrhythmia analysis.
General cautions Caution Do not autoclave the monitor. Caution Autoclave accessories only if the manufacturer's instructions clearly direct you to do so. Many accessories can be damaged by autoclaving. Caution Changes or modifications not expressly approved by Welch Allyn could void the purchaser’s authority to operate the equipment. Caution 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.
Controls, indicators, and connectors Figure 1. Controls
HALL, ROBERT E.
3456187 Adult,
Display
Cycle to the next configured display format, or cancel the current control, setup, or pop-up menu.
Power
Turn the monitor power on or off.
Silence/Reset
Silence the current alarm tone for 90 seconds or reset a silenced alarm tone. Move the display cursor up, down, right, or left to highlight an item; change parameter values.
3:00:06P
Rm 239
II 1mV/cm
Arrows SpO2
2x
40/78 78 12 97 80 140 97% HR/min NIBP mmHg (102) Resp/min SpO2 @2:47P Manual
Action
Act based on what is highlighted. (See “Using the action button” on page 29.)
NIBP Start/Stop
Start or stop an NIBP measurement.
Snapshot
Record 21 seconds of numeric and waveform data.
Monitor release
Release the monitor from the cradle.
Figure 2. Indicators: Monitor
HALL, ROBERT E.
3456187 Adult,
3:00:06P
Rm 239
II 1mV/cm
SpO2
2x
Green
Connection to Acuity is confirmed and patient identification is confirmed. (Wireless only, Acuity enabled.)
Green (flashing)
Monitoring normally; no active alarms or alerts. (Standalone.) Patient was confirmed and the monitor was then intentionally disconnected. (Wireless only, Acuity enabled.)
Yellow
At least one alarm limit is disabled. (Standalone.) Not monitoring (Wireless only, Acuity enabled).
Yellow (flashing)
Equipment alert. (Standalone.) Acuity message windows. (Wireless only, Acuity enabled.)
Red (flashing)
Patient alarm.
40/78 78 12 97 80 140 97% NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
Propaq LT
8
Introduction
Welch Allyn Propaq LT Vital Signs Monitor
HALL, ROBERT E.
3456187 Adult,
3:00:06P
Rm 239
II 1mV/cm
Figure 3. Indicators: cradle SpO2
2x
40/78 78 12 97 80 140 97% NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
HALL, ROBERT E.
3456187 Adult,
3:00:06P
Off
Battery is full or monitor is not in the cradle
Green
Battery is charging
Yellow
Cradle fault or battery fault
Green
Cradle is connected to power
Off
Cradle is not connected to power, or cradle fault
Rm 239
II 1mV/cm
SpO2
2x
40/78 78 12 97 80 140 97% NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
Figure 4. Connectors: monitor SpO2 sensor connector ECG/Resp cable connector NIBP hose connector
Strap connectors
Power and data connector (from the cradle)
Figure 5. Connectors: cradle Monitor power and data connector
Fuse holder
USB connector for data to and from the PC (optional) Power (DC) input connector
Directions for Use
Introduction
9
Features and functions • • •
Monitoring of neonate, pediatric and adult patients Display of ECG, SpO2, and Resp waveform traces Accurate reading of NIBP in the presence of motion artifact, using Welch Allyn’s ® patented Smartcuf motion-tolerant technology SpO2 monitoring with advanced technology for accuracy under conditions of low perfusion ™ Configurable adjustments to alarm limits with ParamSet technology Standalone operation with local patient alarms and equipment alerts Optional two-way wireless communication within a Welch Allyn FlexNet network, providing monitoring and remote control at an Acuity Central Station Color LCD for display of numerics and waveform data Configurable display formats and monitoring capabilities Internal antenna Rechargeable lithium-ion battery Weight of approximately 2 pounds (0.9 kg) Durability Tolerance of brief exposure to water HIPAA support Error detection
• • • • • • • • • • • • •
Models The monitor is available in two standalone models and two wireless models. Feature
Model 802LTAN
Model 802LT0N
Model 802LTRN
Model 802LTAS
Model 802LT0S
Model 802LTRS
3-lead and 5-lead ECG
x
x
x
x
x
x
Respiration rate (Resp)
x
x
x
x
x
x
x
x
x
x
x
x
Masimo SpO2 ®
Nellcor SpO2
x
x
x
Noninvasive blood pressure (NIBP)
x
x
x
802.11a (5-GHz) radio for FlexNet wireless communication with Acuity
x
x
802.11 FHSS (2.4-GHz) radio for FlexNet wireless communication with Acuity Cradle to recharge the monitor battery
x
x
x
x
x
x
x
x
USB
Option
Option
Option
Option
Option
Option
Upload patient data from the monitor to a PC and download custom monitor configurations from a PC to the monitor
Option
Option
Option
Option
Option
Option
10
Introduction
Welch Allyn Propaq LT Vital Signs Monitor
Accessories The following accessories are available for use with the monitor and the cradle: • • • • • • • • • • • • • •
Large Color Display Interface and cables Propaq LT Monitor PC Utility software (CD) Propaq LT Monitor Service Manual (CD) Propaq LT Monitor Directions for Use (CD) Patient carry strap Patient wearable strap Transport stretcher strap Connector panel plugs SpO2 cables and sensors 3-lead and 5-lead ECG cables and cable extensions ECG electrodes NIBP hoses and cuffs Battery pack AC power adapter WARNING Use only accessories supplied by Welch Allyn or recommended in Welch Allyn Products and Accessories. WARNING Always use accessories according to your facility’s standards and the manufacturer’s recommendations. WARNING Always refer to the manufacturer’s directions for use.
For ordering information, see Welch Allyn Products and Accessories (810-0409-XX).
USB option The monitor can be purchased with the optional USB data transfer capability, which enables communication between the monitor and a PC. (See “About the USB data transfer option” on page 15.)
Directions for Use
Introduction
11
HIPAA considerations Each medical facility is responsible for creating and enforcing policies and procedures to guarantee compliance with the regulations defined in 45 CFR 160-164 of the Health Insurance Portability and Accountability Act (HIPAA) of 1996. The Propaq LT Monitor, the Large Color Display Interface, the Propaq LT Monitor Configuration Utility, and the Propaq LT Monitor AutoPrint Utility incorporate security features that support your implementation of the HIPAA requirements for ensuring that patient information is kept private and confidential.
Monitor •
Clinicians can lock the monitor display to prevent the display of patient vital signs. For patient protection when the monitor display is locked, the display is restored instantly in the event of a button press (unless button-pad lock-out is enabled), an alarm or an alert.
•
Clinicians can lock the monitor buttons to prevent any unauthorized access to the monitor controls. To protect the patient when the buttons are locked, access to the buttons is restored instantly in the event of an alarm or an alert.
•
No physiological data transmitted by radio from the monitor is in clear text. All data sent is encoded using Welch Allyn's proprietary PSI Communications Protocol and can only be decrypted by a Welch Allyn Acuity Central Station residing on the local Welch Allyn FlexNet network. By default, data transmitted using the 802.11a standard is also encrypted using AES (Advanced Encryption Standard).
Configuration utility The Configuration Utility never contains patient data.
AutoPrint utility •
All patient data is stored in a Welch Allyn proprietary data format which is readable only by machine.
•
All patient data is deleted from the PC when it is sent to the printer.
12
Introduction
Welch Allyn Propaq LT Vital Signs Monitor
13
2 Overview of monitor operation Turning on the monitor The monitor runs through an operational self-test each time it is powered on. Always verify that it follows the power-on sequence shown below. When Step 3 completes as described, the monitor has verified that the visual and audible alarm indicators are working properly. If Step 4 does not complete as described, remove the monitor from service and have it examined by a qualified service person. To turn on the monitor 1.
Press and hold
until a tone sounds.
2. A tone sounds as the green, yellow, and red lights turn on and off. This occurs twice. 3. The splash screen appears, identifying the product and displaying the message “Diagnostics in progress”. The green light turns on and off quickly while the low tone sounds, the yellow light turns on and off quickly while the medium tone sounds, and the red light turns on and off quickly while the loud tone sounds. Figure 6. Splash screen
Propaq® LT
Diagnostics in progress
Application Version 1.00.00 Bootcore Version 1.00.00 c Welch Allyn 2005
4. The splash screen is replaced by one of the power-on screens shown here: Figure 7. Power-up screens Portland Westside Hospital Emergency Department
Portland Westside Hospital Emergency Department
No data saved.
There is patient data stored for
Note! Hall, Robert E. ID: 3456187
Select ( ) to delete data and start a new patient.
Select ( ) to Start a New Patient.
Start New Patient
Info
Demo
Start New Patient Continue Patient
Info Demo
To start monitoring from this point, see “Standalone monitoring” on page 45. To practice using the monitor, see “Using demo mode” on page 38.
14
Overview of monitor operation
Welch Allyn Propaq LT Vital Signs Monitor
Selecting a language To change the language of the monitor interface 1.
If the monitor power is on, press
2. Press
to turn it off.
to turn the monitor power on.
3. Immediately after pressing , and before any screen appears, simultaneously press and . Keep the buttons pressed until the language selection screen appears. Figure 8. Language selection screen
English Deutsch Français Español Italiano
4. Press
,
5. Press
.
, , and
Polski Nederl Svenska Português Japanese
to highlight the language you wish to use.
Power-on continues in the selected language. Note
If you select French, HR/PR alarm limits cannot be turned off unless you go through the service menus to change this setting. If you do change this setting, the change stays in effect through power cycles. For information about using the service menus, refer to the Propaq LT Monitor Service Manual (810-1811-XX).
The monitor always powers on in this language until the setting is changed again. The setting can be changed again only if one of the following occurs: •
This procedure is repeated.
•
A new configuration is downloaded from a PC. (See “Using the Configuration Utility to configure the monitor” on page 114).
•
A new configuration is downloaded from Acuity.
About the charging/communications cradle When the charging/communication cradle (the cradle) is attached to AC power (or to vehicle DC power) and the monitor is seated in the cradle, the cradle does the following: •
Recharges the monitor battery, whether patient monitoring is occurring or not.
•
Powers the monitor, conserving the charge on the monitor battery.
•
(If the cradle has the USB data transfer option) enables data transfer between a PC and a monitor. See “About the USB data transfer option” on page 15.
Directions for Use
Overview of monitor operation
15
WARNING Never download a configuration file to the monitor while you are monitoring a patient with the monitor in the cradle. •
Communication with the network (and Acuity) is interrupted if you download a configuration to the monitor or upload patient data from the monitor.
•
Changing the monitor configuration shuts down the monitor and deletes all patient data from the monitor.
Figure 9. Monitor and cradle Monitor HALL, ROBERT E.
3456187 Adult,
3:00:06P
Rm 239
II 1mV/cm
SpO2
2x
40/78 78 12 97 80 140 97% NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
Cradle
The cradle is intended to hold the monitor when the patient is in bed or is otherwise stationary. The cradle can sit on a flat surface near the patient or attach to the bed rail (using the bed-rail hook). If the monitor is in the cradle and the AC power adapter is connected to the cradle, the monitor runs on AC power rather than battery power. This keeps the monitor battery at full charge so that the monitor can then run on battery power when it is removed from the cradle to accompany the patient away from the bed. The cradle can be connected to AC power at all times, whether the monitor is present or not.
About the USB data transfer option A cradle configured with the optional USB communication port and connected to a PC with the Propaq LT Configuration Utility and the Propaq LT AutoPrint Utility can be used for the following: •
Creating custom monitor configurations on the PC and downloading them to any number of monitors. (See “Monitor configuration” on page 101.)
•
Uploading the configuration file from the monitor to the PC.
•
Uploading patient data from the monitor to the PC for printing. (See “Printing patient data” on page 95.)
Setting up the cradle 1.
Place the cradle on a table or shelf, or hang it on a bed rail. WARNING Place the cradle so that it cannot fall on the patient.
Caution Locate the cradle near the patient but not so close that it interferes with patient care.
16
Overview of monitor operation
Welch Allyn Propaq LT Vital Signs Monitor
2. Connect the AC adapter to an AC power outlet and to the cradle. The indicator (green) on the front of the cradle indicates that the AC power adapter is connected. Figure 10. Cradle status indicators
HALL, ROBERT E.
3456187 Adult,
3:00:06P
Rm 239
II 1mV/cm
SpO2
2x
40/78 78 12 97 80 140 97% HR/min NIBP mmHg (102) Resp/min SpO2 @2:47P Manual
Green
Monitor battery charging
Yellow Battery or charger failed (Indicates either that the temperature of the battery pack is out of range or that service is required.) Green
AC power connected
3. Insert the monitor into the cradle. When the monitor is properly seated, it clicks into place. (green) on the cradle indicates that the monitor battery is charging. (See “Recharging the battery” on page 137.) Note
The monitor can be inserted into the cradle when power is on or off. If monitor power is on, inserting the monitor in the cradle or removing the monitor from the cradle does not interrupt patient monitoring.
Removing the monitor from the cradle To remove the monitor, depress the release button on the front of the cradle. With the button depressed, hold the cradle securely with one hand, grasp the monitor firmly with the other hand, and lift the monitor out. Figure 11. Monitor release button
HALL, ROBERT E.
3456187 Adult,
3:00:06P
Rm 239
II 1mV/cm
SpO2
2x
40/78 78 12 97 80 140 97% NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
Monitor release button