Propaq LT Vital Signs Monitor Directions for Use Sw Ver 1.60.XX

ii

Welch Allyn Propaq LT Vital Signs Monitor

© 2014 Welch Allyn. All rights are reserved. To support the intended use of the product described in this publication, the purchaser of the product is permitted to copy this publication, for internal distribution only, from the media provided by Welch Allyn. No other use, reproduction, or distribution of this publication, or any part of it, is permitted without written 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, visit http://www.welchallyn.com/about/company/locations.htm.

DIR 80018709 Ver A

Welch Allyn, Inc. 4341 State Street Road Skaneateles Falls, NY 13153 USA

www.welchallyn.com

Welch Allyn Limited 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... 8 Features and functions... 10 Models... 10 Accessories... 11 USB option... 11 HIPAA considerations... 12

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... 31 Menus... 33 About monitor information screens... 38 Using demo mode... 40 Power saving... 44 Turning off the monitor... 44 Communicating with an Acuity Central Station... 44 About error detection... 44 Transporting the monitor with the patient... 45

3 - Standalone monitoring... 47 Overview... 47 Preparing for a new patient... 47 Continuing to monitor a patient on power-up... 51 Monitoring ECG and Resp... 52 Monitoring SpO2... 60 Monitoring blood pressure (NIBP)... 65 Changing the default settings... 69 To discontinue monitoring... 71

4 - Monitoring in communication with Acuity... 73 About wireless monitoring... 73 Establishing communication with Acuity... 74 Monitoring a patient outside of network range... 75 About Acuity message menus... 76

5 - Alarms and alerts... 81 Overview... 81 Silencing an alarm or alert tone... 81 Suspending the alarm tone... 82 Changing alarm limits... 84

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Welch Allyn Propaq LT Vital Signs Monitor

About ParamSet... 85 Responding to an alarm... 85 Responding to an alert... 85 About battery charge status... 86 Alert messages and status messages... 87

6 - Storing and reviewing patient data... 91 Overview... 91 Capturing a data snapshot... 91 Reviewing data at the monitor... 92 Reviewing data at a PC... 95 Reviewing data at Acuity... 95

7 - Printing patient data... 97 Overview... 97 Printing... 98 AutoPrint options... 100

8 - Monitor configuration... 103 Overview... 103 About factory configuration... 103 About default configuration... 104 About temporary configuration... 104 About Acuity-defined configuration... 104 Parameter configuration matrix... 105

9 - PC utility... 113 Introduction... 113 Installation... 114 Using the Configuration Utility to configure the monitor... 116 Configuration settings... 118 About AutoPrint... 121

Configuration worksheet... 123 Identification... 124 Default Settings... 126 Display Settings... 128 Mode Settings... 131 ParamSet Settings... 133 Feature Enable... 135 Authorization... 138

10 - Maintenance... 139 Recharging the battery... 139 Inspecting and cleaning the monitor and accessories... 140 Recycling monitor components... 141

A - Specifications... 143 B - Compliance... 159 Limited warranty... 187 Index... 189

1

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 31.)

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).

N344

Professional use only

FCC ID: PGUWA11A07 IC:4168a-WA11A07

This device complies with the 47 CFR Part 15 radiated and conducted emissions requirements. 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.

Reorder number

Product identifier

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 162.)

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Introduction

Welch Allyn Propaq LT Vital Signs Monitor

Table 4. Labels High voltage. Do not touch during defibrillation.

Direct current.

Recycle the battery separately from other disposables. Li ++

Battery replacement specification.

Lithium-ion battery.

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.

Rechargeable battery 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.

Directions for Use

Introduction

5

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. 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 63 on page 57.) 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.

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Introduction

Welch Allyn Propaq LT Vital Signs Monitor

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 145 for disclosure of the pacemaker pulse rejection capability of this instrument. WARNING Use only accessories approved by Welch Allyn. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty. Refer to the accessory list or www.welchallyn.com. WARNING Always use accessories according to the standards of your facility and according to the manufacturer's directions. ®

®

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.

Directions for Use

Introduction

7

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. WARNING Do not use the pulse oximeter as a replacement or substitute for ECG-based arrhythmia analysis. WARNING The bedside patient monitor is the primary alarming source for the patient and a central station is a backup alarm source. The central station is only as reliable as its network and should be relied on only as a backup alarming device. WARNING The leading cause of patient death or serious injury reported with the use of patient monitoring equipment is failure to respond to alarms notifying the user of an adverse change in patient condition. If you are relying on visual alarm notifications, maintain a clear line of sight and remain within 4 meters of the monitor or the central station. If you are relying on audio alarm notifications, make sure that you can hear audio alarms from where you are. Set the volume as needed considering the environment and ambient noise levels. Verify that the alarm is audible to a clinician working at the maximum distance from the monitor or central station. WARNING Auto-reboots occur and wireless connection is occasionally disrupted. During this period, the bedside monitors continue to provide their primary alarming functions. Auto-reboots occur infrequently, due to poor environmental conditions. Failure to perform preventative maintenance can increase the frequency of occurrence. WARNING False alarms may occur in some situations. You must understand and address the cause of the false alarms whenever possible to eliminate the possibility of repeated false alarms and alarm fatigue, which might result in a failure to respond to an actual alarm situation.

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.

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Introduction

Welch Allyn Propaq LT Vital Signs Monitor

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 12 97 80 140 97% NIBP mmHg (102) Resp/min SpO2

HR/min

@2:47P Manual

Action

Act based on what is highlighted. (See “Using the action button” on page 31.)

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 12 97 80 140 97% NIBP mmHg (102) Resp/min SpO2

HR/min

@2:47P Manual

Propaq LT

Directions for Use

Introduction

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

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Introduction

Welch Allyn Propaq LT Vital Signs Monitor

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 Model Model Model 802LTAN 802LT0N 802LTRN 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

Directions for Use

Introduction

11

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 approved by Welch Allyn. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty. Refer to the accessory list or www.welchallyn.com. WARNING Always use accessories according to your facility’s standards and the manufacturer’s recommendations.

For ordering information, contact Welch Allyn (see page ii).

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.)

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Welch Allyn Propaq LT Vital Signs Monitor

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.

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 47. To practice using the monitor, see “Using demo mode” on page 40.

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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 116).

•

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 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 103.)

•

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 97.)

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.

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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 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 139.) 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 12 97 80 140 97% NIBP mmHg (102) Resp/min SpO2

HR/min

@2:47P Manual

Monitor release button