Vital Signs Monitor 300 Series Directions for Use Software version 1.
ii Welch Allyn Vital Signs Monitor 300 Series Copyright 2005 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 About This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Product Overview . . . . . . . . . . .
iv Contents Welch Allyn Vital Signs Monitor 300 Series Warnings and Cautions — SpO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . SpO2 Monitoring Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Monitoring Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Warnings and Cautions — Temperature. . . . . . . . . . . . . . . . . . . . . . . . . . . . Setting the Temperature Measurement Type. . . . . . . . . .
Directions for Use Contents v Monitor Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Performance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 Physical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75 Electrical. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76 Environmental . . .
vi Contents Welch Allyn Vital Signs Monitor 300 Series
1 1 General Information About This Manual This manual contains information about the Welch Allyn Vital Signs Monitor 300 Series monitor.
2 Chapter 1 General Information Welch Allyn Vital Signs Monitor 300 Series Symbols The symbols illustrated on the following pages appear on the monitor or in this document. Table 1. Symbols: Certification and Operation 0123 This device has been tested and certified by the Canadian Standards Association International to comply with applicable U.S. and Canadian medical safety standards.
Directions for Use Chapter 1 General Information Table 3. Symbols: Connectors Temperature Probe Cable Connector SpO2 SpO2 Sensor Cable Connector RS232 Cable Connector AC Power Adapter Cable Connector Nurse Call Cable Connector NIBP Hose Connector Table 4. Symbols: Printer Door Press to open the printer door Load paper this direction The functions of the monitor front panel controls illustrated here are described in detail elsewhere in this document. Table 5.
4 Chapter 1 General Information Welch Allyn Vital Signs Monitor 300 Series Table 6.
Directions for Use Chapter 1 General Information 5 Warnings and Cautions All operating and service personnel must be familiar with the information presented here, and with other warnings and cautions which appear throughout this document. Warning and caution labels can appear on the monitor, the packaging, the shipping container, or in this document.
6 Chapter 1 General Information Welch Allyn Vital Signs Monitor 300 Series WARNING Do not connect more than one patient to a monitor. WARNING If the monitor is dropped or damaged, it must be thoroughly tested by a qualified service person before it is returned to service. WARNING Periodically check all cords and cables for damage, wear, or fraying; replace as needed. WARNING The monitor contains no operator-serviceable parts, other than the replaceable paper roll.
Directions for Use Chapter 1 General Information 7 Displays, Indicators, Controls, and Connections This section describes the measurement displays, status indicators, function controls, and connections of the monitor. Numeric Measurement and Message Displays SYS, DIA, and SpO2. Displays systolic and diastolic blood pressure and SpO2, or related alarm thresholds and error codes. (See “Error Codes” on page 60.) Displays pulse rate and temperature, or related alarm thresholds and error codes.
8 Chapter 1 General Information Welch Allyn Vital Signs Monitor 300 Series Status Indicators Temperature Units NIBP Measurement Units kilopascals kPa millimeters of mercury mmHg Pulse Amplitude Indicator ºF ºC degrees Fahrenheit degrees Celsius Temperature Type M monitored Patient type neonate alarms not silenced pediatric adult alarms silenced Battery Status power is off power is on charged ——— charging - - - - discharged
Directions for Use Chapter 1 General Information Function Controls Print Menu Up/Down Power On/Off Power is on Power is off Review Data Set NIBP Interval Start/Stop NIBP (AUTO button) Set Alarm Limits Silence Alarms Alarms Silenced 9
10 Chapter 1 General Information Welch Allyn Vital Signs Monitor 300 Series Connections Nurse Call Cable Connector SpO2 30V x.
11 2 Setup This chapter describes the set-up procedures for patient monitoring. Connections Use the procedures described below to connect components to the monitor. Connecting AC Power The monitor operates on DC power, supplied by either the internal battery or the AC power adapter. (For information on the battery, refer to “Battery Operation” on page 71 and “Electrical” on page 76.) When the AC power adapter is connected, it simultaneously powers the monitor and charges the internal battery.
12 Chapter 2 Setup Welch Allyn Vital Signs Monitor 300 Series To use the AC power adapter: 1. Plug the power adapter into the AC power source. 2. Plug the power adapter connector into the monitor DC port. AC Power Adapter Port Use the AC power adapter to fully charge the battery before using the monitor. (This can take up to 12 hours.) Caution Fully charge the battery before using the monitor for the first time. Failure to do so will result in poor battery performance and reduced battery life.
Directions for Use Chapter 2 Setup 13 Connecting the NIBP Cuff Hose Attach the hose to the monitor and the cuff as follows, referring to the illustration below: 1. Screw the hose connector onto the NIBP connector on the monitor. 2. Connect the monitor hose connector to the mating connector on the cuff. Threaded NIBP Hose Connector For information on NIBP measurements, see “Patient Monitoring” on page 31.
14 Chapter 2 Setup Welch Allyn Vital Signs Monitor 300 Series Connecting the Temperature Probe Cable Follow these steps to connect the temperature probe cable to the monitor. 1. Locate the temperature probe connector port on the back of the monitor. 2. Holding the temperature probe cable connector with the spring tab on the right, carefully insert it into the monitor temperature probe connector port. The spring tab clicks out when the connector halves are fully and correctly mated. 3.
Directions for Use Chapter 2 Setup 15 Connecting and Disconnecting the SpO2 Sensor Cable To connect the SpO2 sensor cable: 1. Locate the SpO2 sensor cable connector (labeled SpO2) on the side of the monitor. 2. Note the hole patterns of the connector halves, and align the cable connector accordingly. Note Verify that the sensor cable connector has slots on both sides. If the cable connector has a slot on only one side, then the sensor is not compatible with the monitor.
16 Chapter 2 Setup Welch Allyn Vital Signs Monitor 300 Series To disconnect the SpO2 cable, refer to the instructions shown in the illustration below. Note Always grasp the cable by the connector shoulder. Do not pull on the cable itself. Thumb presses the upper tab to free the connector. Thumb and forefinger grasp the shoulder of the connector cable to pull the cable connector out of the connector port. For information on SpO2 measurements, see “Patient Monitoring” on page 31.
Directions for Use Chapter 2 Setup 17 Power On, Power-on Self-Test, and Power Off When the battery is charged, press to turn on the monitor. The monitor runs a diagnostic self-test each time it powers up. • If all tested functions are working normally, the various windows briefly display start-up values (‘8’ and ‘- -’) and a short tone sounds twice. mmHg 888 . . /min /min kPa SYS SYS SpO2 % . . . **************** **************** 8.8.8. SpO2 % 1.8.8.8. DIA **************** • .
18 Chapter 2 Setup Welch Allyn Vital Signs Monitor 300 Series Configuring Operating Parameters You can change several monitor operating parameters. When changed, these settings become the default power-up settings. How to Use the Menu System The monitor menu system contains three sets of menus—settings, configuration, and service. Settings Menu Access the settings menu by pressing the menu button Then press repeatedly to reach the setting of interest. while in normal operation.
Directions for Use Chapter 2 Setup 19 Use the settings menu to select and set the following parameters: Patient Type Target Pressure Temp Modes Pulse Tone Volume Neonate Term birth through 28 days, or up to 44 gestational weeks Pediatric 29 days through 12 years Adult 13 years and older The initial cuff inflation pressure (set individually for each patient type) ºF ºF M ºC ºC M Fahrenheit Predictive Fahrenheit Monitored Celsius Predictive Celsius Monitored From 0 (silent) to 5 (loudest) To cha
20 Chapter 2 Setup Welch Allyn Vital Signs Monitor 300 Series Configuration Menu The configuration menu is accessed by pressing and keeping it depressed for three seconds. You then press repeatedly until you reach the setting of interest. Configuration Menu 128 71 54 98 Set Time and Date 37.
Directions for Use Chapter 2 Setup 21 Use the configuration menu to select and set the following parameters: Time and Date hour minute year month day MAP Measurement Enabled Disabled Blood Pressure Measurement Units mmHg (millimeters of mercury) kPa (kilopascals) Print Mode Batch Stream To change a configuration parameter: 1. Select the parameter as indicated above. 2. Change the value by pressing or . 3.
22 Chapter 2 Setup Welch Allyn Vital Signs Monitor 300 Series Changing the Time and Date Follow these steps to change the time and date settings of the monitor internal clock. 1. Press and hold for 3 seconds. SET HOUR XX appears in the message window. /min mmHg SYS SpO2 % ºF DIA SET HOUR 00 2. Press or 3. Press once to set the hours and change the display to SET MINUTE XX. 4. Press or 5. Press once set the minutes and to change the display to SET YEAR XX. 6. Press or 7.
Directions for Use Chapter 2 Setup 23 11. To save the displayed time and date settings, either do nothing for 10 seconds or press any button other than or . If you press a function button (such as ), the monitor returns to normal operation with that function ( ) activated. /min 0 mmHg SYS SpO2 % 0 ºF DIA 0 09:24:17 You cannot change the date and time while memory contains stored vital-signs data.
24 Chapter 2 Setup Welch Allyn Vital Signs Monitor 300 Series Changing the Patient Type The age range for each patient type is defined as follows: Neonatal Term birth through 28 days, or up to 44 gestational weeks Pediatric 29 days through 12 years Adult 13 years and older Default setting: ADULT. Follow these steps to change the patient type setting. 1. Press . The current patient type ( , , or ) appears below the DIA window, and NEONATE, PEDIATRIC, or ADULT appears in the message window. 2.
Directions for Use Chapter 2 Setup 25 MAP Measurement Enable and Disable Default setting: MAP ENABLED for neonate; MAP DISABLED for adult and pediatric. 1. Depress for 3 seconds. SET HOUR XX appears in the message window. 2. Press repeatedly until MAP ENABLED or MAP DISABLED appears in the display window. /min mmHg SYS SpO2 % ºF DIA MAP DISABLED 3. Press Note or to enable or disable MAP measurement.
26 Chapter 2 Setup Welch Allyn Vital Signs Monitor 300 Series Changing the NIBP Measurement Units Default setting: mmHg. To change the NIBP measurement units: 1. Depress for 3 seconds. SET HOUR XX appears in the message window. 2. Press repeatedly until BP Units: mmHg or BP Units: kPa appears in the display window. /min mmHg SYS SpO2 % ºF DIA BP Units: mmHg 3. Press or as needed to display the desired NIBP measurement units. 4.
Directions for Use Chapter 2 Setup 27 Changing Temperature Type and Measurement Units Default setting: F (Fahrenheit predictive). To change the temperature type and the temperature measurement units: 1. With the monitor on, press repeatedly until TEMP MODE appears in the display window. One or two green LEDs to the right of the temperature window illuminate to indicate the selected temperature type. /min mmHg SYS SpO2 % ºC DIA M TEMP MODE 2.
28 Chapter 2 Setup Welch Allyn Vital Signs Monitor 300 Series Changing the Volume of the Pulse Tone Default setting: 03. The pulse tone can be set from level 00 (volume off) to level 05 (volume on full). To adjust the volume of the SpO2 pulse tone, do the following: 1. Press repeatedly until VOLUME XX appears in the display window and the pulse tone sounds continuously. /min kPa SYS SpO2 % ºC DIA M VOLUME 03 2. Press or to raise or lower the volume level.
Directions for Use Chapter 2 Setup 29 Selecting Stream or Batch Printing Default setting: BATCH. For monitors configured with the optional thermal printer: 1. Press and hold for three seconds. 2. Press until the message window reads PRINT: BATCH or PRINT: STREAM. /min kPa SYS SpO2 % ºC DIA M PRINT: STREAM 3. Press or to alternate between PRINT: BATCH and PRINT: STREAM display. 4.
30 Chapter 2 Setup Welch Allyn Vital Signs Monitor 300 Series
31 3 Patient Monitoring Monitoring Blood Pressure Warnings — NIBP WARNING To ensure safe and accurate NIBP measurements, use only cuffs and hoses approved by or supplied by Welch Allyn. WARNING Never use an adult or pediatric monitor setting or cuff for an NIBP measurement on a neonatal patient. Adult and pediatric inflation limits can be excessive for neonatal patients, even if a neonatal cuff is used. WARNING NIBP readings may be inaccurate for patients experiencing moderate to severe arrhythmia.
32 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series NIBP Preparation Before you start any NIBP measurement, always follow the steps described in these procedures: • “Changing the Target Pressure” on page 32 • “Selecting a Cuff” on page 32 • “Positioning the Cuff” on page 33 Changing the Target Pressure Follow these steps to change the target pressure (default initial pressure for cuff inflation) for the current patient type: 1.
Directions for Use Chapter 3 Patient Monitoring 33 Positioning the Cuff For the most accurate measurement, do the following: 1. Position the cuff on the bare arm, midway between the shoulder and the elbow. Typical cuff positions are shown in this illustration: Neonatal Adult and Pediatric 2. Position the alignment mark on the cuff directly over the brachial artery. Note Be sure that the cuff is neither too tight nor too loose.
34 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series Manual NIBP Measurement Follow these steps to take a single NIBP measurement. 1. Attach the cuff to the patient’s arm. 2. Press . • The monitor inflates the cuff. • The SYS window dynamically displays the current cuff pressure.
Directions for Use Chapter 3 Patient Monitoring • Note 35 If MAP is enabled, MAP results are displayed in the message window. If the SpO2 sensor is attached and generating valid pulse rate data, then the displayed pulse rate is derived from the SpO2 sensor reading. The measurement display persists for two minutes or until another NIBP cycle is initiated. If an error is detected, an error tone sounds and an error code appears in the SYS window.
36 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series 4. To select the currently displayed interval, press any button other than , or . Ten seconds after you select an interval, and assuming that safe venous return pressure (SVRP) has been maintained for at least 30 seconds, the monitor starts the first automatic NIBP cycle and the following occurs: • The cuff inflates to the default pressure level. • The SYS window dynamically displays the current cuff pressure.
Directions for Use Chapter 3 Patient Monitoring 37 The automatic NIBP cycles continue until one of the following occurs: • The monitor reaches the 5-minute limit for a STAT measurement. (The current cycle continues to completion, even if it goes beyond the 5-minute limit.) • The monitor halts because • The monitor halts because of an alarm, alert, or error condition. • The interval code is changed to ‘- -’. is pressed.
38 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series How Changing the Patient Type Affects MAP Defaults When you cycle power to the monitor, the monitor stores all current settings before shutting down. It then uses these saved settings when it powers up again. (This does not affect the factory default settings.
Directions for Use Chapter 3 Patient Monitoring 39 Monitoring SpO2 Warnings and Cautions — SpO2 WARNING Always follow the manufacturer’s instructions for care and use of the SpO2 sensor.
40 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series WARNING Do not use the SpO2 sensor as an apnea monitor. WARNING During prolonged, continuous SpO2 monitoring, check the sensor site often, in compliance with the sensor manufacturer’s directions. Inspect the patient’s skin integrity and circulation, and relocate the sensor if necessary. Tissue damage can result from improper or prolonged sensor attachment. • Use only sensors and accessories recommended by Welch Allyn.
Directions for Use Chapter 3 Patient Monitoring 41 Within a few seconds, the pulse amplitude indicator reflects the rate and strength of the pulse. Within less than 20 seconds, the SpO2 window displays the SpO2 measurement and a numeric pulse rate value appears in . /min kPa SYS 17.1 SpO2 % 99 60 ºF DIA 9.5 Note 20:23:48 During an SpO2 measurement, the displayed pulse rate is derived from the SpO2 sensor. Otherwise, the pulse rate is derived from NIBP.
42 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series Monitoring Temperature Warnings and Cautions — Temperature WARNING To ensure patient safety and to obtain accurate and reliable temperature results, read this section thoroughly before using the temperature instrument. WARNING Always put a single-use probe tip cover on the probe tip before taking a temperature measurement.
Directions for Use Chapter 3 Patient Monitoring 43 Setting the Temperature Measurement Type The monitor, if configured with the temperature option, can provide both predictive and monitored temperature measurements. A predictive measurement is a one-time measurement that takes only a few seconds. It results in a single temperature reading which is displayed at the end of the brief measurement period. The monitor sounds three short tones to indicate the end of a predictive measurement.
44 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series Loading a Probe Cover 1. Holding the probe handle with your thumb and two fingers on the indentations of the probe handle, withdraw the probe from the probe well. 2. Insert the probe into a probe cover and press the probe handle down firmly. The probe handle moves slightly to engage the probe cover. Ejecting a Used Probe Cover Do not touch the used probe cover. 1. Position the probe over an appropriate disposal receptacle. 2.
Directions for Use Chapter 3 Patient Monitoring 45 Oral Predictive When used correctly, the monitor produces an accurate oral temperature measurement in less than 6 seconds. Note 1. For oral temperatures, use only the oral probe (blue ejection button) and the blue probe well. Remove the temperature probe from the probe well. The temperature probe runs a self-test, displaying 188.8 for a few seconds.
46 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series 5. Hold the probe in place to assure continuous contact with the oral tissue until the measurement is complete. Rotating segments appear in the temperature window, indicating that the measurement is in progress. Note The probe must remain in steady contact with the sublingual pocket throughout the measurement period; otherwise, the monitor fails to accurately predict the temperature.
Directions for Use Chapter 3 Patient Monitoring 47 Axillary Predictive When used correctly, the monitor produces an accurate axillary temperature measurement in less than 15 seconds for adults and in less than 13 seconds for pediatric patients. Note For axillary temperatures, use only the oral probe (blue ejection button) and the blue probe well. Use Axillary Pediatric (AP) measurements for patients up to 17 years old. Use Axillary Adult (AA) measurements for patients 18 years old and older. 1.
48 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series 5. Place the probe tip as high as possible in the axilla, and then bring the patient’s arm down to make maximum contact with the probe tip. Hold the patient’s arm in this position, keeping the patient as still as possible, for the duration of the measurement. Note Be sure that the probe tip is fully covered by the axilla and the arm, and that it is not touching any clothing.
Directions for Use Chapter 3 Patient Monitoring 49 Rectal Predictive When used correctly, the monitor produces an accurate rectal temperature measurement in less than 13 seconds. Note 1. For rectal temperatures, use only the rectal probe (red ejection button) and the red probe well. Remove the temperature probe from the probe holder. The temperature probe runs a self-test, displaying ‘188.8’ for a few seconds.
50 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series Monitored Temperature Measurement c Caution Do not monitor temperature continuously for more than 5 minutes. Note Verify that the temperature measurement type is set to monitored. (The letter M , to the right of the temperature display window and below ºF or ºC , is illuminated.
Directions for Use Chapter 3 Patient Monitoring 51 Thermometer and Probe Cleaning Procedure 1. Wipe the thermometer regularly with a cloth dampened with warm water and a mild detergent solution. 2. Occasionally clean the thermometer and probe as necessary with either a 70% isopropyl alcohol or a 10% solution of chlorine bleach. Caution Do not immerse or soak the thermometer or probe in any type of fluid. Caution Do not use steam, heat, or gas sterilization on the thermometer or probe.
52 Chapter 3 Patient Monitoring Welch Allyn Vital Signs Monitor 300 Series
53 4 Alarms and Alerts WARNING If you turn off any alarm limits while responding to an alarm, verify alarm limits before you resume patient monitoring. Responding to a Patient Alarm WARNING If a patient alarm and an equipment alert occur at the same time, take care of the patient alarm first. A patient alarm occurs when a vital-sign measurement falls outside of programmed limits.
54 Chapter 4 Alarms and Alerts Welch Allyn Vital Signs Monitor 300 Series Responding to an Equipment Alert WARNING If a patient alarm and an equipment alert occur at the same time, take care of the patient alarm first. Recoverable Temperature, NIBP, or SpO2 Alert—Not Escalated Most recoverable equipment alerts are not escalated to the level of patient alarms. When an unescalated alert occurs, take the necessary steps to correct the equipment problem and then resume patient monitoring.
Directions for Use Chapter 4 Alarms and Alerts Nonrecoverable Alerts When the monitor detects a nonrecoverable equipment problem, it does the following • Displays an error code in the SYS window, and shuts off the display to all other windows • Stops patient monitoring • Stops the pump and opens the air valve • Activates the Nurse Call relay (if connected) • Produces an audible tone • Shuts down as soon as is pressed or one minute has elapsed Response For both recoverable and nonrecoverable e
56 Chapter 4 Alarms and Alerts Welch Allyn Vital Signs Monitor 300 Series Alarm Indicators The monitor alarm indicators are as follows: Event Audible Indicator Visual Indicator Patient Alarm Three short tones in quick succession, followed by a short silence, and then two short tones in quick succession, followed by a long silence; repeated until action is taken. Flashing display of the violating value. For a MAP violation, the monitor repeatedly flashes the MAP numerics in the message display.
Directions for Use Chapter 4 Alarms and Alerts Note 57 For patient safety, all alarms are reset to the factory default levels whenever the patient type is changed. This means that you must either accept the default alarm limits or set new limits every time you change patient type ( , , or ). The ‘high’ alarm for any vital sign is always higher than the ‘low’ alarm for the same vital sign. For example, the alarm limit for systolic high is always higher than the alarm limit for systolic low.
58 Chapter 4 Alarms and Alerts Welch Allyn Vital Signs Monitor 300 Series 6. Change or accept the MAP high alarm limit as described above (from step 2). 7. Press to step to the MAP low alarm limit. 8. Change or accept the MAP low alarm limit. The range of high and low alarm limits for each vital sign is shown here: Alarm Limits for Vital Signs Vital Sign Low Limit (Default) High Limit (Default) Resolution Neonatal 30 - 110 (50) 35 - 115 (100) 5 mmHg (0.
Directions for Use Chapter 4 Alarms and Alerts 59 Nurse Call The monitor can be connected to a Nurse Call system through a customized cable that connects to the Nurse Call connector. When the cable is connected and operational, the monitor immediately notifies the Nurse Call system when a patient alarm occurs.
60 Chapter 4 Alarms and Alerts Welch Allyn Vital Signs Monitor 300 Series Error Codes Error Code Description Blood Pressure C01 NIBP cycle cancelled by operator. C02 Unable to calibrate. Either the cuff is being moved excessively during the calibration or the NIBP unit is not working. C03 Inflation too rapid. Check for hose constriction. Verify patient type setting. C04 Inflation too slow. Check for hose leak. Verify patient type setting. C05 Excessive noise or air leak.
61 5 Reviewing Patient Data You can review stored patient data either by viewing it on the monitor or by printing it. Displaying Stored Patient Data 1. Press to display the most recent stored set of patient vital-signs data. • The monitor interrupts the dynamic display of any current vital-sign measurement. • The message READING appears in the message window, with a data-set sequence number and the time of the displayed reading.
62 Chapter 5 Reviewing Patient Data Welch Allyn Vital Signs Monitor 300 Series To Start and Stop Printing • If the monitor is not printing, press • If the monitor is printing, press to stop printing. (If the monitor is set to Stream printing, the printer prints a footer before stopping.) Note to start printing. The print button is not enabled during an NIBP cycle or during a nonrecoverable equipment alert.
Directions for Use Chapter 5 Reviewing Patient Data 63 • is pressed again; the monitor prints an error log (if any errors occurred) and a footer, and then printing stops. • A nonrecoverable error condition is detected; printing stops immediately. • A battery failure condition is detected. Printing is suspended as long as the battery failure continues; if the AC power adapter is connected before the monitor shuts down, printing resumes.
64 Chapter 5 Reviewing Patient Data Welch Allyn Vital Signs Monitor 300 Series Table Heading The Table Heading contains some or all of the following column headings (depending on monitor configuration): | | | Time Sys Dia MAP PR SpO2 | ---- mmHg ---- BPM % | --------------------------------- | or | | | Time Sys Dia MAP PR SpO2 | ---- kPa ---- BPM % | --------------------------------- | or | | | Time Sys Dia MAP PR | ---- kPa ---- BPM % | --------------------------------- | or | | | Time Sys Di
Directions for Use Chapter 5 Reviewing Patient Data 65 Range and Alarm Flags Flag characters (↑ and ↓) indicate a data value that falls outside of a defined range or violates a programmed alarm threshold. In the illustration above, 69↓ indicates a diastolic pressure value below the programmed alarm limit, and 110.0F↑ indicates a temperature value above the monitor’s temperature measurement limit.
66 Chapter 5 Reviewing Patient Data Welch Allyn Vital Signs Monitor 300 Series NIBP NIBP notation can include error information: C01 NIBP cycle cancelled by operator. C02 Unable to calibrate. C03 Cuff inflation to rapid. C04 Excessive cuff inflation time. C05 Excessive noise or air leak. C06 Measurement out of range. C10 Cuff overpressure. Error Legend If any error indicators appear in the printed data, the monitor prints an error legend.
Directions for Use Chapter 5 Reviewing Patient Data 67 Erasing Patient Data All patient vital-sign data is erased when the monitor is powered off or when you change the time and date settings. You can also erase data at any time during normal monitor operation. Erasing Data Before Changing the Date and Time If you attempt to change the date and time, the monitor prompts you to confirm that you also want to erase all stored patient data.
68 Chapter 5 Reviewing Patient Data Welch Allyn Vital Signs Monitor 300 Series Replacing the Printer Paper Supply Note Use only the thermal paper (part number 7052-25) supplied by Welch Allyn. The use of any other paper can result in poor printer performance. To replace the printer paper supply, follow these steps. 1. Press to open the printer door. 2. Insert a new roll of paper. Note The paper roll must be installed as shown in the illustration below.
69 6 Operator Maintenance This chapter describes the operator maintenance procedures. Cleaning Wipe the monitor with a cloth slightly dampened with warm water and a mild detergent or appropriately diluted, nonstaining disinfectant solution. Caution Never wet the monitor or immerse it in fluid of any kind. Never allow water to enter any connector ports. Caution Never immerse any monitor components, such as the NIBP hose or cuff, the temperature probe, or the SpO2 sensor.
70 Chapter 6 Operator Maintenance Welch Allyn Vital Signs Monitor 300 Series Recycling Monitor Components Within the EU Do not dispose of this product as ‘unsorted municipal waste’. Prepare it for reuse or separate collection as specified by Directive 2002/96/EC of the European Parliament and the Council of the European Union on Waste Electronic and Electrical Equipment (WEEE). Note If the monitor or the battery is contaminated, this directive does not apply.
71 7 Reference Battery Operation Battery Low Warning When the battery charge is low, a warning tone sounds and the Low Battery indicator flashes continuously.
72 Chapter 7 Reference Welch Allyn Vital Signs Monitor 300 Series Battery failure causes the immediate suspension of all monitoring and print functions. If the wall charger is not plugged in, then the monitor shuts off 15 minutes after the battery discharge reaches failure level. If automatic NIBP is selected, and if the wall charger is plugged in before the monitor shuts down, then automatic measurement cycles resume as soon as the battery voltage rises above the failure threshold.
Directions for Use Chapter 7 Reference 73 Monitor Specifications The monitor is an FDA Class II non-critical device and, according to Council Directive 93/ 42/EEG, Annex IX, a Class IIB device.
74 Chapter 7 Reference Welch Allyn Vital Signs Monitor 300 Series Characteristic Specification Notes Temperature Temperature Measurement Range Temperature Calibration Accuracy Temperature Determination Time 80 °F to 110 °F 26.7 °C to 43.3 °C ± 0.2 °F (± 0.
Directions for Use Chapter 7 Reference Physical Characteristic Specification Dimensions height 6.6 inches 16.8 cm width 10.0 inches 25.4 cm depth 6.0 inches 15.2 cm Weight Approximately 5.4 lbs (2.
76 Chapter 7 Reference Welch Allyn Vital Signs Monitor 300 Series Electrical Power Requirements The medical-rated isolation AC power adapter connected to the AC supply must supply 8 volts DC and 0.74 amperes. Battery The monitor uses a (supplied) sealed lead-acid, 6V, 4 Ah battery with external recharge capability. The battery charges to at least 90% capacity in 12 hours.
Directions for Use Chapter 7 Reference 77 Environmental EMC Compliance The monitor complies with all applicable and required standards for electromagnetic interference. • It does not normally affect nearby equipment and devices. • It is not normally affected by nearby equipment and devices. • It is safe to operate the monitor in the presence of high-frequency surgical equipment. • However, it is good practice to avoid using the monitor in extremely close proximity to other equipment.
78 Chapter 7 Reference Welch Allyn Vital Signs Monitor 300 Series Guidance and manufacturer’s declaration—electromagnetic immunity The Vital Signs Monitor 300 Series 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.
Directions for Use Chapter 7 Reference 79 Guidance and manufacturer’s declaration—electromagnetic immunity The VSM 300 Series 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.
80 Chapter 7 Reference Welch Allyn Vital Signs Monitor 300 Series Recommended separation distances between portable and mobile RF communications equipment and the Vital Signs Monitor 300 Series monitor The Vital Signs Monitor 300 Series monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
Directions for Use Chapter 7 Reference Nurse Call Switch current 1A maximum Switch voltage 30V ac/dc maximum Isolation 1500 Vrms Alarm relay Energized during patient alarm Cable Welch Allyn part number 008-0634-XX, customized to connect to the local Nurse Call system. Cable properties: • 10 feet (3 meters) long. • Not shielded. • One end not terminated (to be customized on site). • One end terminated with a connector which mates to the Nurse Call connector (shown below) on the monitor.
82 Chapter 7 Reference Welch Allyn Vital Signs Monitor 300 Series Factory Default Settings Function Blood pressure measurement units Patient type Automatic NIBP Interval MAP (Adult and Pediatric) MAP (Neonate) NIBP Adult High Systolic Alarm NIBP Adult Low Systolic Alarm NIBP Adult High Diastolic Alarm NIBP Adult Low Diastolic Alarm NIBP Adult High MAP Alarm NIBP Adult Low MAP Alarm NIBP Pediatric High Systolic Alarm NIBP Pediatric Low Systolic Alarm NIBP Pediatric High Diastolic Alarm NIBP Pediatric Low
83 Limited Warranty This product is sold by Welch Allyn under the warranties set forth in the following paragraphs. These warranties are extended only to the end-user with respect to the original purchase of this product directly from Welch Allyn or from Welch Allyn’s authorized distributors.
84 Limited Warranty Welch Allyn Vital Signs Monitor 300 Series
85 Index A AC power connecting, 11 adult see also patient type defined, 24 icon, 4 alarm high and low, 57 MAP, 36, 58 patient, 53 range limits, 58 responding to, 53 setting, 56 tone, 53 alert responding to, 54 autoclave, 6 axillary temperature, 47 B batch printing, 29, 62 battery charge before using, 12 charging, 11 failure, 71 low charge warning, 71 low power indicator, 12 blood pressure automatic, 35 manual, 34 monitoring, 31 buttons description, 9 C CAL message, 34 cautions NIBP, 31 SpO2, 39 temperatu
86 Index intravenous infusion warning, 31 K kPa units, selecting, 26 M maintenance, 69 manual reorder number, ii MAP alarm, 36, 58 measurement data, reviewing, 61 units, setting, 26 mmHg units, selecting, 26 monitor configuration, 18 setup, 18 monitored temperature, 43, 50 monitoring blood pressure, 31 pulse rate, 38 SpO2, 39 temperature, 42 N neonatal see also patient type defined, 24 icon, 4 NIBP, 31 automatic, 35 cycle, ending, 37 manual, 34 preparation, 32 STAT, 38 nurse call connector location, 59
Directions for Use probe cable connection, 14 trademarks, ii V vital signs alarms, 53 blood pressure, 31 pulse rate, 38 SpO2, 39 temperature, 42 W warnings general, 5 NIBP, 31 SpO2, 39 temperature, 42 Index 87
88 Index Welch Allyn Vital Signs Monitor 300 Series
