Propaq CS Vital Signs Monitor ® Directions for Use Models 242, 244, 246 Software version 3.
ii Welch Allyn Propaq CS 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.
iii Contents 1 - General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 General warnings and cautions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Controls and connectors. . . . . . . . . . .
iv Contents Welch Allyn Propaq CS Vital Signs Monitor 7 - Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81 Avoid electrostatic discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Connect the AC power adapter to recharge the battery . . . . . . . . . . . . . . . . . . . Replace monitor input power fuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Install printer paper . . . . . . . . . . . . .
1 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.
2 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.
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 3 The Canadian Standards Association has evaluated this device according to CSA 601-1 and Underwriters Laboratory Standard UL 2601-1.
4 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.
Directions for Use General information 5 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.
6 General information Welch Allyn Propaq CS Vital Signs Monitor 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.
Directions for Use General information 7 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
8 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 Propaq CS Model 244 INV.
Directions for Use General information Option connectors CO2 CO2 ! ! Mainstream CO2 Connector Sidestream CO2 Connector Cable: see Welch Allyn Products and Accessories (810-0409-XX) Masimo SpO2 Connector (motion-tolerant) Nurse Call Connector Cable: see Welch Allyn Products and Accessories (810-0409-XX) Masimo SpO2 Connector (motion-tolerant) Nellcor SpO2 Connector 9
10 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. Patient mode Time of day Status messages can appear here.
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.
12 General information Welch Allyn Propaq CS Vital Signs Monitor Setup Menus NIBP ECG/ RESP INVASIVE PRESSURE SETUP SpO2/ CO2 SETUP MENU 1 STAT SCALE ALARMS WAVE SELECT TRENDS MORE 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 1Acuit
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.
14 General information Note Welch Allyn Propaq CS Vital Signs Monitor 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.
15 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.
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.
Directions for Use Setup SWEEP (mm/s) 17 Selectable sweep speeds for HR/PR: 12.5, 25, 50 mm/sec. Selectable sweep speeds for RR/BR: 3.13, 6.25, 12.5 mm/sec. ALARM TONE Sets the Alarm Tone volume to HIGH, MEDIUM, or LOW. HR/PR TONE Sets the Heart Tone volume to HIGH, MEDIUM, LOW, or OFF. BRIGHTNESS Sets the display brightness to NORMAL or LOW. WARNING At the highest volume alarm level, the sound pressure level does not exceed safe limits (OSHA HSM 73-1101, 1972).
18 Setup Welch Allyn Propaq CS Vital Signs Monitor 3. Press NEXT PARAMETER to highlight the parameter you want to change, then press NEXT SETTING to highlight the limit you want to change. 4. Press UP, DOWN, or ON/OFF to change the limits. The apnea alarm cannot be turned off at any time. 5. After setting the desired limits, press Home to return to the Main Menu. Home Change the current Patient Mode 1.
Directions for Use Setup 19 Change Powerup Patient Mode or store customized settings The Propaq CS monitor has standard, preset, default powerup settings and alarm limits for each patient mode: Adult, Pediatric, and Neonatal. These are “Factory Patient Mode” settings (listed on “Factory default settings” on page 93). You can also choose to customize and store programmable powerup settings and alarm limits for each patient mode. These are “Custom Patient Mode” settings.
20 Setup Welch Allyn Propaq CS Vital Signs Monitor Customize Patient Mode settings 1. From the Main Menu, press SETUP, MORE, CHANGE, SETUP to access the Mode Setup window. 2. The patient mode you want to reprogram (ADULT, PED, or NEO) must be currently selected. To make sure it is currently selected, press NEXT as needed to highlight the desired mode, then press USE NOW and YES. 3.
21 3 Monitoring Perform ECG/RESP monitoring WARNING Impedance pneumography detects respiratory effort via changes in chest volume; therefore, impedance pneumography can be used to detect central apnea. However, apnea episodes with continued respiratory effort, such as obstructive apnea and mixed apnea, may go undetected. Also, artifact due to patient motion, apnea mattress shaking, or electrocautery use may cause apnea episodes to go undetected.
22 Monitoring Welch Allyn Propaq CS Vital Signs Monitor WARNING High-intensity radio frequency (RF) energy from external sources, such as an improperly connected electrosurgical unit, can induce heat into electrodes and cables which can cause burns on the patient. Reading errors and damage to equipment may also result.
Directions for Use Monitoring • 23 Severe artifact and interference (such as defibrillation interference) can cause the waveform to move off the display for a few seconds before it is restored. Prepare for ECG/RESP monitoring 1. Inspect the ECG cable and replace it if it shows signs of wear, breakage, or fraying. 2. Select the appropriate patient mode. To change patient modes, from the Main Menu press SETUP, MORE, CHANGE, then the desired patient mode (NEONATAL, PEDIATRIC, or ADULT) and then YES. 3.
24 Monitoring Welch Allyn Propaq CS Vital Signs Monitor RA LA LA RA V1 V6 One of six V lead electrode placement sites for the C lead. RL 5-lead Configuration 7. LL LL Neonate 3-lead Configuration Plug the ECG cable into the ECG connector on the monitor's left side panel. 8. Support the ECG cable so it does not stress the electrode wires, ECG cable connectors, or electrodes. 9.
Directions for Use Monitoring ECG1 SIZE 25 Selects the ECG1 waveform size: 4, 2, 1, 0.5, or 0.2 mV/cm. ECG1 LEAD Selects the ECG1 lead: I, II, III, aVR, aVL, aVF, or V. Selections aVR, aVL, aVF, and V are only available with a 5-lead ECG cable. The ECG2 lead is always V, except when the ECG1 lead is V (in that case the ECG2 lead is II). ECG2 SIZE Selects the ECG2 waveform size: 4, 2, 1, 0.5, or 0.2 mV/cm. RESP SIZE Selects the RESP waveform size: 1x, 2x, 4x, 8x, or 16x.
26 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Always use Extended Mode when observing ST segment morphology on the display or printer. Although Monitor Mode is useful to minimize baseline wander due to artifact, ST segments can be distorted in Monitor Mode. This can potentially cause underestimation of ST elevation and overestimation of ST depression. Although the monitor does not have automated ST segment monitoring, ST segments may be accurately displayed and printed in Extended Mode.
Directions for Use Monitoring 27 Using the Propaq CS monitor with pacemaker patients 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.
28 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Perform Invasive Blood Pressure (IBP) monitoring WARNING If electrocautery is used, always avoid using any transducer with a conductive (metal) case that is electrically connected to its cable shield. Using a conductive transducer case with such a shield connection risks high-frequency burns at the ECG electrodes if the transducer case becomes earth grounded.
Directions for Use Monitoring 29 5. If the ZERO menu is not displayed, from the Main Menu press INVASIVE PRESSURE, and then ZERO P1 (or ZERO P2). The word ZEROING appears in the numerics window during zeroing. If you want to cancel the zeroing process, press CANCEL. 6. Wait for a brief tone to sound and the word ZEROED to appear in the blood pressure numerics window. 7. Close the transducer's stopcock. The monitor displays the pressure scale and numerics. 8.
30 Monitoring Welch Allyn Propaq CS Vital Signs Monitor 10. To display all invasive pressure waveforms on one scale (when two IBP channels are active), press RANGE to select the Range Mode. Range Mode displays both waveforms on one scale. N V 90 P R S 0 RANGE RESCALE ZERO P1 Press RANGE again to select another scale. Five scales are available: 300/150/0 180/90/0 120/60/0 60/30/0 30/15/0 Choose the scale carefully to make sure both waveforms are displayed (if monitored). 11.
Directions for Use Monitoring 13. To change the format of the IBP numerics, from the second IBP menu press FORMAT. P1 121 79 S D (M) First format ( 96) mmHg To restore the first format, press FORMAT again. P1 ( 96) (M) S / D 121 Second format 79 mmHg 14. Set alarms according to your facility’s standards.
32 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Take a Noninvasive Blood-Pressure (NIBP) reading WARNING 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 cuff is properly placed according to the following instructions. Prolonged impairment of circulation or improper cuff placement can cause bruising.
Directions for Use Monitoring 33 To enable the Smartcuf filter: • Connect the ECG leads to the patient and perform ECG monitoring during NIBP. • From the Main Menu, press NIBP to display the NIBP Menu (shown on page 34) and set Smartcuf to ON.
34 Monitoring Welch Allyn Propaq CS Vital Signs Monitor 3. Place the cuff on the limb. Cuff applied evenly and snugly with bottom edge of cuff one inch above antecubital fossa. Possible cuff placements for neonates If possible, place it at the same level as the heart. If above the heart, add 1.9 mmHg to the NIBP measurement for every inch above the heart. If below the heart, subtract 1.9 mmHg for every inch. The cuff should be snug, but not uncomfortable. The hose must not be kinked or pinched.
Directions for Use Monitoring START/STOP 35 Starts and stops NIBP measurements. During the measurement, you can press STOP (or the Start/Stop NIBP key at the right side of the screen) to stop the measurement and vent the cuff. If the Propaq CS monitor does not recognize a valid NIBP reading, it automatically attempts another measurement while displaying a retry message. The monitor attempts up to two retries (depending on patient mode and settings).
36 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Perform temperature monitoring 1. Place the temperature probe on the patient. WARNING Application and use of metal-jacketed temperature probes that come in contact with conductive objects or clinical personnel during electrocautery may cause burns at the patient-probe/electrode contact points. Do not touch conductive temperature sensors during defibrillation or cautery.
Directions for Use Monitoring 37 Perform SpO2 monitoring WARNING Oxygen saturation measurements using pulse oximetry are highly dependent on proper placement of the sensor and patient conditions. Patient conditions such as shivering and smoke inhalation may result in erroneous oxygen saturation readings. If pulse oximetry measurements are suspect, verify the reading using another clinically accepted measurement method, such as arterial blood gas measurements on a co-oximeter.
38 Monitoring Welch Allyn Propaq CS Vital Signs Monitor to the sensor, the patient is in cardiac arrest or shock, or the patient has hypotension, severe vasoconstriction, severe anemia, or hypothermia. Perform SpO2 monitoring with Masimo option 1. Attach the sensor to the patient according to the sensor manufacturer's instructions, observing all warnings and cautions.
Directions for Use Monitoring 39 Perform SpO2 monitoring with Nellcor option 1. Attach the sensor to the patient according to the sensor manufacturer's instructions, observing all warnings and cautions. WARNING Use only Nellcor accessories and sensors with the monitor with Nellcor SpO2 option, as listed in Welch Allyn Products and Accessories (810-0409-XX). 2. When using a Nellcor SpO2 sensor extension cable, inspect the cable before use. Replace it if it shows any signs of wear, breakage, or fraying.
40 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Response (Seconds) Indications for use NORMAL 5-7 Use for relatively stable patients. FAST 2-3 Use when patient movement is minimal. SLOW 10-15 Use when patients exhibiting movement are preventing accurate measurement at NORMAL setting. 9. If the C-LOCK function is desired, press C-LOCK to set it to ON.
Directions for Use Monitoring 41 Perform SpO2 “spot-check” monitoring The SpO2 Standby Mode allows you to remove the SpO2 sensor from a patient without having to disable all alarms or disconnect the SpO2 sensor cable from the Propaq CS monitor. You can therefore perform intermittent or “spot-check” SpO2 monitoring. 1. While monitoring SpO2, remove the SpO2 sensor from the patient, but leave it connected to the monitor.
42 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Perform Mainstream CO2 monitoring The capnography (CO2) option measures End-tidal CO2 (ETCO2), Inspired CO2 (INCO2), Breath Rate, and Apnea. Patients using mainstream CO2 must either be intubated or breathing through a tight-fitting face mask connected to a breathing system such as an anesthesia circle system. The mainstream CO2 option requires the SpO2 option.
Directions for Use Monitoring 43 WARNING Before using an airway adapter, always look through the window lumen and inspect the adapter for inadvertently lodged obstructions and for window integrity. WARNING If the sensor does not easily slide onto the adapter, do not attempt to force these components together. They fit together in only one way. Take care not to damage the glass window. WARNING After attaching the sensor to the adapter, check for proper placement.
44 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Perform sidestream CO2 monitoring The capnography (CO2) option measures End-tidal CO2 (ETCO2), Inspired CO2 (INCO2), Breath Rate, and Apnea. Patients using sidestream CO2 can either be intubated or nonintubated using a CO2 Sampling cannula or a combination CO2 Sampling/Oxygen Delivery nasal cannula. The sidestream CO2 option requires the SpO2 option. WARNING Do not use sidestream CO2 if flammable anesthetic gases are in use.
Directions for Use Monitoring 45 2. See page 46 and set up the CO2 display and alarm limits, and then continue this procedure with step 3. 3. A. For a non-intubated patient, position the cannula on the patient according to the manufacturer’s instructions. CO2 watertrap adapter Sample line WARNING - Do not connect sample line or patient input to exhaust port Exhaust port To cannula WARNING The cannula is disposable and should only be used for a single patient.
46 Monitoring Welch Allyn Propaq CS Vital Signs Monitor WARNING The exhaust port for sidestream CO2 is an output for the expired gases from the patient and any connected breathing apparatus. The exhaust port is intended only for connection to gas collection equipment such as gas scavenger devices (the device should comply with ISO 8835-3:1997 E). Do not allow any other connection to the exhaust port. WARNING If using a watertrap, the watertrap is disposable and should only be used for a single patient.
Directions for Use Monitoring 47 2. Press RANGE to select the CO2 waveform scale or range. mmHg kPa % 0-100 0-14 0-14 0-60 (default) 0-30 0-8 0-4 0-8 0-4 To change CO2 units (mmHg, kPa, or %) see “Change the date format, ECG filter, and units” on page 92. Note If an inspired value is displayed indicating patient rebreathing (non-zero INCO2), check the patient breathing circuit for proper function.
48 Monitoring Welch Allyn Propaq CS Vital Signs Monitor 7. Press SOURCE to change between mainstream CO2 and sidestream CO2 monitoring (if both options are installed), or to disable CO2 monitoring. Choosing OFF allows you to disable CO2 monitoring without removing the watertrap or sensor. When CO2 is off, OFF is displayed for CO2 numerics. 8. For sidestream CO2, press FLOW RATE to set the sampling flow rate (90 or 175 ml/ min). You can change the flow rate while sidestream CO2 is active. 9.
49 4 Alarms & Alerts Description of alarm and alert tone patterns • Patient alarm tone pattern: one second on, two seconds off • Apnea alarm tone pattern: one second on, one second off (fastest) • Equipment alert tone pattern: one second on, four seconds off (slowest) Note Propaq monitors connected to an Acuity Central Monitoring System can sound distinct tone patterns for certain alarms, such as life-threatening Arrhythmia and ST alarms.
50 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Re-enable an alarm or alert tone before the 90-second silence period has elapsed 1. Press Silence/Reset. Indications during a 90-second silence period At the Propaq CS monitor At the Acuity Central Station During the silence period, the usual visual alarm and alert indications are displayed. If a new alarm or alert occurs, the new alarm or alert tone interrupts the silence period.
Directions for Use Alarms & Alerts 51 Inhibit alarm and alert tones for four minutes: 4 MIN SUSPND As you perform patient care, there might be occasions when you want to suspend potential or current alarm and alert tones for a period of four minutes. Initiate a four minute suspend period 1. Press Home, SETUP, ALARMS, 4 MIN SUSPND. Resume alarm and alert tone capability before the four minute period has elapsed 1. Press Silence/Reset.
52 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Inhibit alarm and alert tones indefinitely: ALL ALARMS Note This feature requires access to the Service Menu. The Service Menu features are not intended for use during ordinary, routine operation. You can suspend potential or current alarm and alert tones for an indefinite period of time. The tones are disabled until someone re-enables them. Indefinitely suspend all alarm and alert tones 1.
Directions for Use Alarms & Alerts 53 Summary of alarm and alert keys and Acuity Central Station messages The following table summarizes Silence and Suspend behaviors and Acuity Central Station messages for different combinations of current and previous Propaq monitor and Acuity software versions. Note When your facility uses both older and newer Propaq monitors and Acuity software versions, be aware that messages vary at the Acuity Central Station.
54 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Customize alarm limits based on patient’s current vital signs To quickly set all alarm limits, from the Main Menu press SETUP, ALARMS, STAT SET. The monitor turns on all alarms and calculates new alarm limits based on the patient’s current vital sign values. Make sure that the new limits are appropriate for the patient.
Directions for Use Alarms & Alerts 55 Alarm holdoffs To help minimize false alarms, the monitor briefly delays or “holds off” triggering alarms for limit violations for HR/PR, SpO2, and RR/BR. After the alarm holdoff period begins, if the monitor detects that the patient’s vital sign has returned to acceptable limits, the monitor cancels the alarm holdoff. The next time a vital sign limit is violated, the monitor starts a new holdoff period.
56 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Troubleshooting equipment alert messages Simultaneous equipment alerts MULTIPLE. If multiple equipment alerts occur simultaneously, the Propaq monitor displays this message. In this situation, the source of the alert may not be displayed (resulting in the message MULTIPLE). Look for blank numeric or waveform areas on the display, or status messages at the top of the display to identify the source(s) of multiple alerts.
Directions for Use Alarms & Alerts 57 IBP messages TRANSDUCER NOT DETECTED. The transducer connection is broken. TRANSDUCER SHORT CIRCUIT. This message appears when the Propaq CS monitor senses a short in the transducer. The transducer should be replaced. INCOMPATIBLE TRANSDUCER. Check the compatible transducers listed in the Welch Allyn Products and Accessories booklet to confirm you are using a compatible transducer.
58 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor channel has not updated its calibration in 15 minutes, the channel will briefly deactivate until a new calibration has occurred. LOW BATTERY, NIBP DISABLED (ERR# 11). The battery lacks sufficient voltage to be able to operate the NIBP channel. Connect the Propaq CS monitor to the ac power adapter. SERVICE REQUIRED, NIBP DISABLED (ERR# 12). Have the monitor serviced. CUFF TOO LARGE FOR PATIENT MODE (ERR# 13).
Directions for Use Alarms & Alerts 59 Temperature messages PROBE NOT DETECTED. This message occurs when the Propaq CS monitor has successfully measured temperature and a probe is then disconnected. Reconnect the probe or acknowledge the equipment alert by pressing any menu key. PROBE SHORT. Verify that the probe is properly inserted in the left side panel. If so, replace probe. CALIBRATION ERROR, TEMP DISABLED.
60 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor waveform is displayed without range values. Replace the adapter or replace the sensor. LACK OF WAVE - CHECK ADAPTER, SENSOR. Either the airway adapter is obstructed or the CO2 sensor has failed. Replace the airway adapter if it is obstructed. The sensor must be unplugged and plugged in again. LOW BATTERY - HEATER DISABLED (UNCAL appears in the numerics area). The monitor’s battery voltage is too low.
Directions for Use Alarms & Alerts 61 ALTIMETER NOT CALIBRATED - EEPROM. The sidestream CO2 option has not been calibrated. Refer the Propaq CS monitor to a biomedical engineer for calibration. AMBIENT TEMPERATURE TOO HIGH. The sensor temperature is too high. The sidestream CO2 option is disabed until the ambient temperature is within the operating range specifications. AMBIENT TEMPERATURE TOO LOW. The sensor temperature is too low.
62 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Network alert messages with Acuity CHECK ACUITY/SERIAL CONNECTION. The Propaq CS detects a problem in the hardwired (serial) communication with Acuity. Check the Acuity network cable to be sure it is plugged into the side panel and the bedside Acuity jack. If the cable is damaged, replace the cable. If the cable appears undamaged and the Acuity system is operating normally, contact biomedical engineering for assistance.
Directions for Use Alarms & Alerts 63 Printer alert messages CHECK DOOR. The door on the bottom of the printer is open. Close the door to remove this message. LOW BATTERY, PRINTER DISABLED. The monitor’s battery voltage is too low to support printing. Connect the ac power adapter to recharge the battery (see “Connect the AC power adapter to recharge the battery” on page 81). OVERHEATING. The printer is overheating. Service may be required. PAPER OUT.
64 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor
65 5 Printing & trends Print patient data Print the displayed waveforms Press SNAPSHOT or START/STOP. The Propaq CS monitor prints up to three of the displayed waveforms. When four waveforms are displayed, the monitor prints the top three displayed waveforms (except for the ECG2 waveform which is never printed). If you pressed START/STOP, the monitor continues to print until you press START/ STOP again.
66 Printing & trends Welch Allyn Propaq CS Vital Signs Monitor Display or print trends Display or print a single trend 1. To display a patient data trend, press SETUP, TRENDS from the Main Menu. The monitor displays the Trend Menu: The monitor stores trends every 2 minutes (except for NIBP) for up to 5 hours. After 5 hours, newly recorded trends replace the oldest trends. NIBP trends are stored when measured. Up to 128 NIBP trends can be stored (up to 8 hours).
Directions for Use Printing & trends 67 Print multiple trends manually or automatically 1. Press SETUP, MORE, PRINTER from the Main Menu to display the Printer Setup Page: P2 SETUP PAGE PRINTER Specifies what time the trends automatically print. Trends are printed every 4 hours beginning at either 01, 02, 03, or 04 hours. (OFF=no printing.) Select ON to include in trend printing. CONTINUOUS AUTO PRINT ALARM PRINT NIBP TICKET APNEA TICKET OXYCRG ON ALARM AUTO TREND NIBP : RESP : P1 : : : : : : : 25.
68 Printing & trends Welch Allyn Propaq CS Vital Signs Monitor Set printer options and automatic printing 1. Press SETUP, MORE, PRINTER from the Main Menu to display the Printer Setup Page: P2 SETUP PAGE PRINTER CONTINUOUS AUTO PRINT ALARM PRINT NIBP TICKET APNEA TICKET OXYCRG ON ALARM AUTO TREND NIBP : RESP : P1 : : : : : : : 25.0 mm/s OFF OFF OFF ON OFF : 01 05 09 13 17 21 ON : OFF P2 TEMP : OFF OFF ON (M) NIBP CHANGE Press to scroll to the next selection.
Directions for Use Printing & trends 69 If an SpO2 or HR/PR alarm occurs, the OxyCRG prints 60 seconds later. If an Apnea or RR/BR alarm occurs, the OxyCRG prints 75 seconds later. Highlighted labels in the printout indicate which alarms occurred. AUTO TREND Automatically print trends at the selected hours. Only the parameters set to ON (for NIBP, RESP, P1, P2, or TEMP) are included in trend printouts.
70 Printing & trends Welch Allyn Propaq CS Vital Signs Monitor
71 6 Acuity Understanding the Propaq CS, Acuity, and FlexNet network This section describes the operation of the Propaq CS monitor (software version 3.5X) with the Acuity FlexNet network. It describes both the Acuity hardwired and wireless communication options for the Propaq CS monitor. WARNING When connecting the Acuity hardwire connection, connect the Propaq CS monitor to an Acuity system only. Connecting to other networks could damage the monitor or injure the patient.
72 Acuity Welch Allyn Propaq CS Vital Signs Monitor WARNING Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards (e.g., EN 60950 for data processing equipment and EN 60601-1 for medical equipment). Furthermore, all configurations shall comply with the system standard IEC 601-1-1.
Directions for Use Acuity 73 If the Wireless Propaq CS is moved out of range or loses communication with the FlexNet network and Acuity, it continues to monitor the patient and display patient data. While not communicating with Acuity, the Propaq CS continues to generate local patient alarms or alert messages. Acuity does not perform waveform analysis or generate arrhythmia or ST analysis messages while the Propaq CS is not communicating with Acuity.
74 Acuity Welch Allyn Propaq CS Vital Signs Monitor The Acuity Menu The Acuity Menu on the Propaq CS allows you to control some of the interaction with the Acuity network. The Acuity Menu is only accessible while the monitor is connected to the Acuity network. The Acuity Menu for the Wireless Propaq CS provides additional functions that allow you to manage the patient assignment and patient location from the monitor. These functions are described later in this document.
Directions for Use Acuity 75 Hardwired (Serial) connection to Acuity Connect the monitor to the Acuity System 1. If the Propaq CS monitor has already been connected to the patient, save the patient’s Trends and Alarm Limit settings by keeping the monitor turned on. The monitor transmits up to five hours of trend information when you connect it to the Acuity network.
76 Acuity Welch Allyn Propaq CS Vital Signs Monitor Disconnect the hardwired monitor from the Acuity System Press to disconnect from Acuity 17:05:10 NET ADULT OFF ON NETWORK PRINT FAULT II mV 1cm MON 1. To disconnect the Propaq CS monitor from the Acuity network, press the NET OFF key on the upper left corner of the monitor display. (From the Main Menu you can also press SETUP, ACUITY, NET OFF.) 2.
Directions for Use Acuity 77 Wireless connection to Acuity Connect a new patient 1. Make sure the Acuity network cable is not plugged into the Acuity connector and an Acuity bedside network jack. Turn on power to the Wireless Propaq CS. 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.
78 Acuity Welch Allyn Propaq CS Vital Signs Monitor Monitor a patient out of range of Acuity While out of range of Acuity, the Wireless Propaq CS continues to monitor the patient and provide local alarms or alerts at the Propaq CS as needed. When the patient with the Wireless Propaq CS goes out of range of Acuity, do the following: 1. A DROPOUT equipment alert occurs at the Acuity Central Station. Acknowledge the alert at Acuity. 2.
Directions for Use Acuity 79 Reassign a monitored patient to a new room in the same unit If a patient is being monitored and you want to assign them to a new room in the same unit, follow these steps. 1. From the Main Menu, press SETUP, ACUITY, PATIENT, NEW ROOM. Within a few seconds the Wireless Propaq CS displays a list of all available rooms, including the patient’s current room.
80 Acuity Welch Allyn Propaq CS Vital Signs Monitor Reassign the Wireless Propaq CS to a new patient If you want to discontinue monitoring a patient and connect the Wireless Propaq CS to a new patient, follow these steps. 1. From the Main Menu, press SETUP, ACUITY, END TELE. 2. Turn off the monitor power, then turn it on again after a few seconds. As an alternative to Steps 1 and 2, from the Main Menu you can press SETUP, ACUITY, PATIENT, NEW PAT for the same result.
81 7 Maintenance Avoid electrostatic discharge When humidity in the working environment decreases, the human body and other insulators can become charged with static electricity due to friction. To prevent unwanted electrostatic discharge (ESD), follow these standard guidelines: • Maintain the recommended humidity of 40% to 60% in the work environment. • Dissipate electrostatic charge before performing routine operator maintenance.
82 Maintenance Welch Allyn Propaq CS Vital Signs Monitor 2. Plug the ac adapter power cord into the ac power adapter and the ac power source outlet. 3. Plug the ac adapter cord into the power input connector on the right side of the monitor. MONITOR DEFIB SYNCHRO ! Green battery charging light 3A 2AG EKG x 1000 ! Right Side Panel ! Power input connector 12-28V, 3A 4. Confirm that the green battery charging light is on. The ac power adapter charges the battery even when monitor power is off.
Directions for Use Maintenance 83 Replace power adapter fuses If the green battery charging light is off and the ac power adapter does not provide power to the monitor even when all connections are intact, the adapter fuses may need to be replaced. This procedure must be performed by a qualified service person. To change fuses: 1. Unplug the removable power cord from the ac power source and adapter. Fuse Fuse Module Voltage Selector and Indicator Power Adapter Spare Fuse 2.
84 Maintenance Welch Allyn Propaq CS Vital Signs Monitor Replace monitor input power fuse If the green battery charging light is off and the ac power adapter does not provide power to the monitor even when all connections are intact, the monitor’s input power fuse may need to be replaced. This procedure must be performed by a qualified service person. To change fuses: 1. Disconnect the monitor from the patient and turn off the monitor.
Directions for Use Maintenance 85 Install printer paper Caution Use only low-debris printer paper listed in Welch Allyn Products and Accessories. Use of other paper can cause unclear printing of patient data, printhead damage, and eventual printer failure. Store all paper (including a monitor loaded with paper) in compliance with paper storage specifications (“Printer specifications” on page 111). 1. Lay the monitor on its back to gain access to the bottom of the printer. 2.
86 Maintenance Welch Allyn Propaq CS Vital Signs Monitor Inspect and clean the monitor and accessories Before cleaning, thoroughly inspect the monitor and all accessories for any signs of damage, cracks, or improper mechanical function of keypads, switches, connectors, and printer paper door. While gently bending and flexing cables and tubing, inspect for damage, cracks, cuts, abrasions, extreme wear, exposed wires or bent connectors. Confirm connectors securely engage.
Directions for Use Maintenance 87 Service interval recommendations At the intervals recommended below, qualified biomedical service personnel should service the Propaq CS monitor. Service information is described in Propaq CS Service Manual (810-2708-XX).
88 Maintenance Welch Allyn Propaq CS Vital Signs Monitor Extended storage precautions Caution If a Propaq CS monitor has a battery installed or ac power connected and is stored for an extended period of time without use, the printer paper can cause damage to the printhead. Before storing a Propaq CS monitor for more than two months without use, remove the roll of printer paper.
Directions for Use Maintenance The monitor displays a confirmation screen asking you to confirm that you want to change the network name. • If you press YES, the monitor automatically turns itself off, then turns on and seeks to connect to a FlexNet network with the new network name. • If you press NO, the monitor displays the Change Net Name screen again.
90 Maintenance Welch Allyn Propaq CS Vital Signs Monitor
91 8 Reference Set the time and date 1. From the Main Menu press SETUP, MORE, MORE to display the Time/Day window: (M) TIME H:MIN:S MO/DA/YR 15:55:10 10/21/99 TEMP F DOWN 58 100.4 98.6 1.8 BR mmHg Br/m % UP T1 T2 ΔT MCO2 38 12 SpO2 NEXT D ( 85) mmHg DAY ENTER 97 SERVICE 2. Press NEXT, UP, and DOWN as needed to set the time and date. Then press ENTER to store the new time and date.
92 Reference Welch Allyn Propaq CS Vital Signs Monitor Change the date format, ECG filter, and units 1. Make sure you are in the Adult patient mode (from the Main Menu press SETUP, MORE, CHANGE, ADULT, YES). 2. From the Main Menu press SETUP, MORE, MORE, SERVICE, YES (to access the Service Menu), MORE, MORE, SETTINGS. The monitor displays the Settings window: P2 SETTINGS BATTERY: 9.
Directions for Use Reference 93 Factory default settings The monitor is shipped from the factory with these preset default settings. For information about how to customize your monitor settings, see “Change Powerup Patient Mode or store customized settings” on page 19.
94 Reference Welch Allyn Propaq CS Vital Signs Monitor Setting HR Limits NIBP Limits - Systolic NIBP Limits - Diastolic NIBP Limits - Mean P1, P2 Limits - Systolic P1, P2 Limits - Diastolic P1, P2 Limits - Mean SpO2 Limits RR/BR TEMP Limits ΔT Limits ETCO2 Limits INCO2 Limits Apnea Delay Printer Alarm Print Printer Auto Print Printer NIBP Ticket Printer Apnea Ticket Printer Print Speed Printer Auto Trend Printer Trend Selections Printer OxyCRG on Alarm a.
Directions for Use Reference 95 Specifications ECG specifications The ECG channel meets all the requirements for Cardiac Monitors Heart Rate Meters and Alarms specified ANSI/AAMI EC13-1992, except for Standardizing Voltage (section 3.2.9.9). The channel also meets the American National Standard, Safe Current Limits for Electromedical Apparatus (ANSI/AAMI ES1-1993).
96 Reference Welch Allyn Propaq CS Vital Signs Monitor Characteristic QRS Detector Heart Rate Range HR/PR Alarm Limits Range Heart Rate Meter Response Time HR Accuracy Heart Rate Averaging Method Drift Tolerance (AAMI Specification EC13-1992, 3.2.6.3) Pacer Display Pacer Pulse Rejection Specification Adult or Pediatric Amplitude Range: 0.22 to 5.0 mV (RTI) Neonatal Amplitude Range: 0.1 to 5.
Directions for Use Reference 97 Real-Time ECG analog/defib sync specifications Special cables are required to interface the defib sync connector to a Physio-Control LIFEPAK 5 or LIFEPAK 6s defibrillator. The sync and real-time ECG outputs do not operate during in-service mode. Signal Specification Sync Output 0 to 5 V pulse, 100 ±5 ms wide, starts within 35 ms after peak of R-wave. 15 mA short circuit current.
98 Reference Welch Allyn Propaq CS Vital Signs Monitor Invasive pressure specifications Characteristic Specification Transducer Type Strain-gauge resistive bridge, or HP quartz (with HP Option). a Transducer Excitation Impedance Range 200 to 2000 Ω Transducer sensitivity 5 µV/V/mmHg Excitation Voltage 4.85 V Pulsed dc @ 181 Hz b Connector ITT-Cannon plug MS3106F-14S-6P Std. Hewlett-Packard compatible 12-pin connector (optional).
Directions for Use Reference 99 NIBP specifications Characteristic Method Control Auto Intervals Turbocuf Displayed Pressures Systolic Range Specification Oscillometric Automatic and manual measurement control 1, 2, 3, 5, 10, 15, 30, and 60 minutes Maximum measurements allowable in a 5-minute period Systolic, Diastolic, and Mean plus on-screen manometer Adult: 30 to 260 mmHg Ped: 30 to 160 mmHg Neonate: 25 to 120 mmHg Diastolic Range Adult: 20 to 235 mmHg Ped: 15 to 130 mmHg Neonate: 10 to 105 mmHg Mean
100 Reference Welch Allyn Propaq CS Vital Signs Monitor Temperature specifications Characteristic Specification Range 0° to +50°C; 32° to +122°F Displays T1, T2, and ΔT Probes Compatible with YSI Series 400 and 700 probes. HP side panel only compatible with YSI 400 and has HP connector. Units °C and °F selectable Channel Accuracy Temperature RangeTolerance 0° to +10°C±0.2°C >10° to +50°C±0.1°C +32° to +50°F±0.4°F >50° to +122°F±0.2°F Resolution 0.
Directions for Use Reference 101 Pulse oximetry (SpO2) specifications Pulse Oximetry (SpO2) Specifications for Masimo SpO2 Characteristic Saturation (% SpO2) Range Resolution Alarm Limits Probe Accuracy (25° to 41° C) Adults, Pediatrics: No motion Neonates: No motion Adults, Pediatrics, Neonates: During Motiona,b Pulse Rate Range: No motion Range: During motiona,b Resolution Alarm Limits Pulse Rate Accuracy No Motion During Motiona,b Measurement averaging time Alarm Hold-Off Time Period Circuitry Elect
102 Reference Welch Allyn Propaq CS Vital Signs Monitor Pulse oximetry (SpO2) specifications for Nellcor SpO2 Characteristic Saturation (% SpO2) Range Resolution Alarm Limitsb Probe Accuracyc (saturation levels between 70% and 100%, 28° to 42°C) Adult/Pediatric Neonatal Pulse Rate Range Alarm Limits Pulse Rate Accuracy Alarm Hold-Off Time Period Circuitry Electrosurgery interference suppression Sensor Compatibility Sensor LEDs RED Wavelength INFRARED (IR) Wavelength Sensor Energies (Radiant Power) Elect
Directions for Use Reference 103 Capnography (CO2) specifications General CO2 Specifications (mainstream CO2 and sidestream CO2) Characteristic Screen Display Numeric Display Ranges Waveform Scale (Maximum) Units Sweep Speed Response Modes Gas Compensation Alarm Limit Ranges Resolution Accuracy Altitude Error Screen Display Breath rate (BR) source Units Range Resolution Accuracy Alarm Limits Range Apnea Ticket Apnea Alarm Accuracy Apnea delay setting Pressure Compensation Operating Range Screen Disp
104 Reference Welch Allyn Propaq CS Vital Signs Monitor Mainstream CO2 specifications Characteristic Specification Mainstream CO2 sensor Sensor Type Mainstream Principle of Operation Non-dispersive, infrared, single-beam, single path/wavelength, ratiometric Warm-up time (CO2 sensor and monitor) 45 s typical, 3 min maximum Response Time 30 ms typical, 60 ms maximum Waveform Rise Time <120 ms to 90% after step change Calibration Verify semi-annually, calibrate only as required Sensor Housing Temperature 4
Directions for Use Reference 105 Sidestream CO2 specifications Characteristic Sensor Type Principle of Operation Operating Ambient Temperature Startup Time Rise Time Delay Time Total System Response Time Calibration Sampling Chamber Pneumatic and Exhaust System Barometric Pressure Compensation BTPS, ATPS, STPDb Sampling Line Watertrap Flow Rate a. b.
106 Reference Welch Allyn Propaq CS Vital Signs Monitor Alarms specifications Characteristic Indicators Tone Frequency Tone Patterns Selectable Tone Volume Limits Control Alarm Priority Alarm on Tachycardias Apnea delay setting Alarm Holdoff Time Perioda Audio Alarm Holdoff with Acuity a.
Directions for Use Reference 107 Trends specifications Characteristic Model 242 Parameters Model 244 Parameters Model 246 Parameters Duration Resolution a.
108 Reference Welch Allyn Propaq CS Vital Signs Monitor Wireless Propaq CS Radio specifications (5 GHz) Characteristic FlexNet™ Network Modulation Output power IEEE standards Monitors per access point Specification 5 GHz orthogonal frequency division multiplexing (OFDM) wireless local area network (WLAN) and 10/100/1000 base-T Ethernet network OFDM 40 mW maximum; country-dependent 802.11a, 802.11e, 802.11h, 802.1X 20 (max.) Caution Some countries restrict the use of 5-GHz bandwidths. The 802.
Directions for Use Reference 109 Wireless Propaq CS Radio specifications (2.4 GHz) Characteristic FlexNet Network Frequencya Modulation Output Power IEEE 802.11 compliant Wireless Propaq CS monitors per Access Point Specification 2.4 GHz Wireless Local Area Network (WLAN) and 10/100 Base-T Ethernet network 2.402 to 2.480 GHz GFSK, Frequency Hopping Spread Spectrum (FHSS) 112 mW (maximum) Yes 10 (max.) a.
110 Reference Welch Allyn Propaq CS Vital Signs Monitor Monitor (physical) specifications Characteristic Specification Protection classifications, all configurations a Type of Protection against Electric Power adapter class 1 Shock—Power Adapter Type of Protection against Electric Protective earth not available in monitor. Monitor designed and tested to meet Shock—Monitor (connected to power Double Insulation Requirement.
Directions for Use Reference 111 Printer specifications Characteristic Operating Modes Auto Print Intervals Auto Trend Shifts Number of Waveforms Grid Annotation Printing Speeds Printing Method Dot structure Printing width Horizontal Dot Pitch Vertical Dot Pitch Paper Feed Method Paper Feed Precision Paper Width Reliability Operating Temperature Shipping and Storage Temperature Operating Relative Humidity Shipping, Storage Relative Humidity Operating Altitude Shipping and Storage Altitude Shock Vibrat
112 Reference Welch Allyn Propaq CS Vital Signs Monitor Power Specifications Characteristic Mode of Operation Battery Pack Type Battery Pack Capacity Battery Recharger Circuitry DC Input Power Required Input Fuse Rating Battery Recharge Time with instrument on Battery Recharge Time with instrument off Recharge time until monitor is usable, starting with discharged but non-faulty battery Low Battery Voltage and Operation Specification Continuous Sealed, gel-type lead acid Monitor only: 8 V, 2.
Directions for Use Reference 113 Power Adapter Specifications Characteristic Specification Protection classifications, all adapters a b Type of Protection Against Electric Shock Class I, (Protectively Earthed) Degree of Protection Against Harmful Ingress For ordinary, indoor locations only.
114 Reference Welch Allyn Propaq CS Vital Signs Monitor
115 9 Compliance General The 802.11a Wireless PC Card must be installed and used in strict accordance with the manufacturer’s instructions as described in the user documentation that comes with the product. This product contains encryption. It is unlawful to export out of the U.S. without obtaining a U.S. Export License. Federal Communications Commission (FCC) This device complies with part 15 of the FCC Rules.
116 Chapter 9 Compliance Welch Allyn Micropaq Monitor substitution or attachment of connecting cables and equipment other than specified by Welch Allyn. The correction of interference caused by such unauthorized modification, substitution or attachment will be the responsibility of the user. Industry Canada (IC) emissions This device complies with RSS 210 of Industry Canada.
Directions for Use Chapter 9 Compliance 117 Electromagnetic compatibility Special precautions concerning electromagnetic compatibility (EMC) must be taken for all medical electrical equipment. The Propaq CS monitor complies with IEC EN 60601-12:2001. • All medical electrical equipment must be installed and put into service in accordance with the EMC information provided in this document and in Propaq Directions for Use.
118 Chapter 9 Compliance Welch Allyn Micropaq Monitor Propaq CS Monitor: Guidance and manufacturer’s declaration—Electromagnetic immunity The Propaq CS monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance level Electromagnetic environment— guidance EN ISO9919 20 V/m.
Directions for Use Chapter 9 Compliance 119 Propaq CS Monitor: Guidance and manufacturer’s declaration—Electromagnetic immunity The Propaq CS monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment.
120 Chapter 9 Compliance Welch Allyn Micropaq Monitor Recommended separation distances between portable and mobile RF communications equipment and the Propaq CS Monitor The Propaq CS monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
121 Index A B Access points, 72 AC Power Adapter Change fuses, 83 Change voltage selection, 83 Connect to monitor, 81 AC power adapter, specifications, 113 AC power filter for ECG, 26 Acuity, 72 Connector, 7 Connect the monitor to Acuity, 75 Disconnect the monitor, 76 Warnings, 75 Acuity network equipment alert message, 62 Airway adapter, Mainstream CO2, 42 Alarm Holdoffs, 106 Alarm Limits CO2, 48 Customize alarm limits (STAT SET), 54 Setup, 17 Alarm Limits Menu, 17 Alarms Automatic printing on alarm, 68
122 Index Date format setting, 92 Decimal character setting, 92 Default inflation pressure (NIBP), 32 Default settings, 93 DEFIB FAULT message, 63 Defibrillator Synchronization Connector, 7 Equipment alert messages, 63 Specifications, 97 Delete all patient trends, 67 Disconnect monitor from Acuity, 76 Disinfection instructions, 86 Display Artifact interference, 23 CO2, 46 ECG/RESP, 24 Equipment alert messages, 56 General description, 10 IBP waveforms, 29 NIBP, 34 Pacemaker indicators, 27 Specifications, 1
Directions for Use Equipment alert messages, 57 Monitoring, 28 Numeric format adjustment, 31 Range Mode, 30 Rescale Mode, 30 Specifications, 98 Transducer, 28 Zero a transducer, 28 Impedance Pneumography (see RESP) INCO2 (Inspired CO2), 42, 44 Input power fuse replacement, 84 INSERV, 13 In-Service mode, 13 Inspect the monitor, 86 Interference filter for ECG, 26 Interference with electrosurgery, ECG, 24 Invasive Blood Pressure (see IBP) L Label selection for IBP, 30 Lead selection, RESP, 26 Learn to use En
124 Index Symbol in display, 34, 66 Symbol in printout, 65 TURBOCUF repeated measurements, 35 Warnings, 32 NIBP IN PROGRESS message, 58 NIBP ticket (printout), 68 NIBP Trend, 66 Non-Invasive Blood Pressure (see NIBP) Nurse Call Alarm Description, 55 Specifications, 106 O Options, 8 Out of range, 72 OxyCRG Automatic printing on alarm, 68 Description, 69 How to print, 69 Oxygen saturation display, 38, 39 Oxygen saturation measurement(see SpO2) Welch Allyn Propaq CS Vital Signs Monitor Displayed trend, 66
Directions for Use Set time and date, 91 Settings, factory default, 93 Setup Alarm limits, 17 Alarms, 17 Custom patient modes, 19 New patient, 15 Patient modes, 19 Powerup patient mode, 19 Setup Menus, 12 Side panel Left side panel, 8 Right side panel, 7 Sidestream CO2 Alarm limits, 48 Display, 46 Equipment alert messages, 60 Flow rate, 48 Gas compensation, 47 Menus, 46 Monitoring, 44 Rapid breath rate and ETCO2 values, 44 Rapid respiratory rate for children, 44 Response time, 47 Specifications, 105 SpO2 o
126 Index U Units of measure, CO2, 92 Units of measure, temperature, 36, 92 V Ventilation, high frequency and RESP, 22 VERY LOW BATTERY message, 63 Vital sign waveform display, 16 Volume tone selection, 16 W WARMUP message, Mainstream CO2, 46 Warnings Acuity, 75 ECG/RESP, 21 IBP, 28 Mainstream CO2, 42 NIBP, 32 Pacemaker patients, 27 Sidestream CO2, 44 SpO2, 37 Temperature, 36 Warranty period service, 6 Watertrap for Sidestream CO2, 44 Waveform CO2, 46 ECG size adjustment, 25 IBP, 30 RESP size adjustment
