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1500 Patient Monitor Software version 1.4.X, User Manual

1. 1x per second Measurement range 15 C to 45 C 59 F to 113 F Resolution Accuracy 0 1 C 0 1 F 0 1 C 0 1 F Directions for use NIBP IBP Technical data 133 Measurement Quick action start stop button Automatic or manual Measuring intervals 3 to 60 minutes Measuring method Oscillometric Measurement range 15 to 270mmHg Deflation rate 3to 9 mmHg second Cuff Adult Pediatric and Neonate Pulse rate measurement range Protection 25 to 300 bpm Overpressure protection Channels Two channels or four channels Measurement range 30 to 300 mmHg Accuracy Sampling Freguency 1 mmHg or 1 whichever is greater 500 Hz Amplifier Fully isolated defibrillation protected gt 5kV Calibration Manual or automatic Pulse rate measurement range 25 to 250 bpm 134 Technical data Sp0 Nellcor Module Welch Allyn 1500 Patient Monitor Sensors Nellcor OxiMaxe sensors Amplifier Fully isolated defibrillation protected gt 5kV Sampling Frequency 62 5 Hz Display update interval 1 second Measurement range Sp0 1 to 100 PR 20 to 250 min Accuracy Probe 70 to 100 28 C to 42 C Sp0 PR no motion Adult pediatric 2 digits Neonate 3 digits 20 to 250 min 3 digits Calibration range PR Calculation 70 to 100 calibration is fixed n
2. ECG display 46 ECG menu settings 48 Electrodes identification and color code IEC AHA 43 etCO2 settings 60 F Function buttons 12 H Hemodynamic calculations 87 IBP settings 74 76 IBP zero set 76 Inspecting and cleaning the monitor and accessories 102 Integrated Pulmonary Index 9 61 118 Intended use 1 Invasive blood pressure monitoring 73 M Maintenance 99 Menu overview 13 Monitoring 39 Networks and internet 4 NIBP 64 O Options 9 P Pacemaker monitoring 44 Patient information 117 Patient mode 117 Physiological Alarms 38 Power supply 22 140 Index R Recharging the battery 101 Replacing the fuses 106 Respiration 55 Respiration rate alarms 56 Restoring user defaults 118 S Safety standards 130 Saving the user defined settings as default 21 Settings 111 Setting via a parameter field 31 Setup menu 111 Silencing an alarm 34 Sp02 monitoring 68 ST Alarms 54 Standard features 9 Standby and Discharge modes 24 Startup and initial preparation 17 ST settings 53 Suspend all alarms 34 System data 127 T Taking a single NIBP measurement 65 Technical data 127 Temperature monitoring 77 Terms of warranty 7 Trend Data 29 Troubleshooting 107 U User responsibility 1 Vv Visual inspection 100 Welch Allyn 1500 Patient Monitor
3. Two or four IBP measurements or this area is left blank when no IBP measurement are selected FRED ABERTINI 13 40 58 Cardiac Output measurement when enabled T1 T1 and T2 or T1 and AT e When etCO is enabled the CO parameter replaces the RR parameter below the heart rate e When the ST parameter is enabled the ST parameter replaces the RR value and the RR value is moved below the ST parameter e When both etCO and ST parameters are enabled both values are displayed below the heart rate RR is not displayed e When IPI is enabled the value is displayed below the CO3 e When four IBP connectors are available the number of IBP measurements displayed can be set that is no IBP measurements displayed two measurements displayed or four IBP measurements displayed see previous page e When two temperature connectors are available one T1 two T1 and T2 or T1 plus the temperature difference can be displayed T1 plus AT Directions for use Defining display waveforms 1 Press the Setup button BY 2 Select Waveform Area Setup Waveform Area 2 3 4 5 6 7 Sweep Speed OK Size Size Size Size Size Size Size Overlap Pressure Waveforms mV cm mV cm mV cm to 200 mmHg to 200 mmHg to 200 mmHg 0 to 200 mmHg Operation 27 Size 0 to 200 mmHg 3 The waveforms are configured through the pull down menus 4 Set the amplitude for each waveform accor
4. 6 Alarm Level High Medium Low Off Print on alarm Yes No Alarm Level High Medium Low Off Print on alarm Yes No Couplet PVC min Alarm Level High Medium Low Off Print on alarm Yes No PVC min 1to 30 30 Alarm Level High Medium Low Off Print on alarm Yes No Bigeminy Alarm Level High Medium Low Off Print on alarm Yes No Directions for use Monitoring and Measurements 51 Main menu Setup Arrhythmia continued Options Parameter Trigeminy Description Alarm Level High Medium Low Off Print on alarm Yes No Tachycardia Tachycardia 150 to 250 180 Alarm Level High Medium Low Off Print on alarm Yes No Bradycardia Bradycardia 20 to 100 45 Alarm Level High Medium Low Off Print on alarm Yes No Pause Alarm Level High Medium Low Off Print on alarm Yes No Irregular irregular rhythm Alarm Level High Medium Low Off Print on alarm Yes No This is an irregularity in the R to R interval over a series of at least 16 non ventricular beats The number of beats analyzed is given in options Non capture pacemaker non capture Irregular Limit Alarm Level High Medium Low Off Print on alarm Yes No This is for pacemaker patients with the analyze pacers option enabled see options below a beat does not directly follow a pacer Yes No set limit between 45 and 120 45 Single ECG Yes No sel
5. European Call 35 3 46 906 7790 France 33 1 60 09 33 66 Center Germany 49 7477 92 71 86 Japan 81 3 3219 0071 Latin America 1 305 669 9003 Netherlands 31 15 750 5000 Singapore 65 6419 8100 South Africa 4 27 11777 7555 United Kingdom 44 20 7365 6780 Sweden 46 8 58 53 65 51 REF 105645 CD Manual 2 510865 Ver e 2013 12 ul EC TRE Manufacturer Regulatory Affairs Representative SCHILLER AG SCHILLER AG Altgasse 68 Altgasse 68 CH 6341 Baar Switzerland CH 6341 Baar Switzerland www welchallyn com O sio an CE 0123 WelchAltyn Directions for use Contents iii Contents User responsibility oue ee he ae A ae ee RY 8 1 Intendeduses een won hel a aaa ey bleh ep Y Da FD ele FA 1 Organizational Measures 61 eee eae 2 Safety E A ace ee ees RTE RM aoe ae ees be ons eats 2 SaletySQuiPIMEN Ease i ut cala a A est Di Oh ote tT al AN ote cn YM he 3 PAIS 2 2x i RAGA ok torte wl aie wd do dU DN NG gad Bete DF DF 3 Operation with other devices 0 eens 4 Networks andinternet i a tae eto a hab Rt al oe ed 4 Maintenance hos acne ts eee ieee aie Ga a nea a Pea bee ake ae Seda 5 SVIMIDOIS rda 01 ee fetes eld ede dy ae nd En see asta tatu alg aoe 5 Additional tennis eter gd A Cy Y a Me ae aae a Cy fy BO dyn 7 2 ntroducuHob SY a ee RR RW Be Oe D Standard featureSu 2 5 fed abot nt wh bed YR aed ed 9 OPINAS oe dr A YR HN beta Ge Ta A 2 9 The Welch Allyn 1500 Patient Monitor YL Y Y a 10 FU
6. HR PR Tone ECG Filter Single ECG Pacer Display Analyze Pacers Upper Limit Lower Limit Cancel 3 The settings can be saved as default see Saving the userdefined settings as default on page 21 32 Operation Welch Allyn 1500 Patient Monitor 33 Alarms Display of alarms During initial powerup No alarms are displayed if no patient is being monitored During monitoring There are three alarm priorities Alarm type Priority LED visual alarm Audible signal Display indicator Technical Low Blue Single deep tone Text display in the alarm status field at the every 2seconds bottom Parameter Medium Yellow flashes with Twotone high low Text display in the alarm status field at the parameter field every second bottom Yellow flashing parameter field Parameter High Red flashes with Three high tones Text display in the alarm status field at the bottom parameter field every second Red flashing parameter field Lethal High Red flashes with Three high tones Text display in the alarm status field at the bottom parameter field every second Red flashing parameter field Parameter Field Visual alarm indicator 37 0 MM DAVID NEATH Text Display 09 31 24 34 Alarms Welch Allyn 1500 Patient Monitor Silencing an alarm Acknowledging an alarm Alarm Limit Press the Alarm button W to silence the alarm The audible alarm is silenced for 1 1 5 or
7. 103633 Mains cable TYPE E F 103634 Mains cable TYPE 103635 Mains cable TYPE J 103636 Mains cable TYPE A 103638 Mains cable TYPE B Nellcor SpO Part number Description 103490 Nellcor Sp0 cable DOC 10 008 0054 01 DS 100A DURASENSOR reusable sensor Masimo SpO ECG Part number Description 713657 Masimo SpO cable LNC 10 706831 Masimo LNCS DC1 reusable sensor Part number Description 103801 12 Lead ECG shielded cable AHA 103802 12 Lead ECG shielded cable IEC 008 0316 00 3 Lead ECG cable AHA 008 0323 00 3 Lead ECG wire set AHA 008 0313 00 5 Lead 10 ft ECG cable with lead wires AHA 008 0316 01 3 Lead ECG cable IEC 008 0323 01 3 Lead ECG wire set IEC 008 0313 01 5 Lead 10 ft ECG cable with lead wires IEC Directions for use IBP Accessories 125 Part number Description 008 0226 01 IBP cable F MX900 amp MX860 008 0233 00 IBP transducer DISP MX950 5 008 0224 00 IBP domes MX848 Temperature NIBP Part number Description 008 0230 00 Temperature sensor Part number Description 008 0238 00 Adult Ped NIBP hose for bladderless cuff REUSE 11 1MO REUSE 12L 1MO CUFF Reusable 11 1MO ADULT 1 TUBE MO CUFF Reusable LG AD LONG 1 TUBE MO REUSE 08 1MO CUFF Reusable SM CHILD 1 TUBE MO REUSE 09 1MO CUFF Reusable CHILD 1 TUBE MO REUSE 10 1MO CUFF Reu
8. 2 seconds e _ n accordance with the relevant standards the temporary alarm silence period can be set to a maximum of 2 minutes The peak wavelength and maximum optical power of the light emitted by the pulse oximeter probes can be especially useful to clinicians e g performing photodynamic therapy They are as follows e Range of peak wavelengths 600 nm to 900 nm e Maximum light power output lt 15 mW Directions for use Safety gt b Pb PE P DD gt Monitoring and Measurements 69 WARNING Only use sensors recommended from Welch Allyn for SpO measurement with the monitor Only use Masimo sensors when the monitor has a Masimo module Only use Nellcor sensors when the monitor has a Nellcor module Other sensors can impact the performance and give incorrect measurement readings WARNING The information in this manual does not overrule any instructions given in the SpO gt sensor directions for use Before using the sensor carefully read the sensor directions for use WARNING Do not use the pulse oximeters or sensors during magnetic resonance image scanning Induced current could potentially cause burns and the pulse oximetry may affect the image and the accuracy of the measurements WARNING Do not use the pulse oximeter or sensors in or near the presence of MRI equipment or in an MRI suite WARNING Tissue damage can be caused by incorrect application or use of a sensor Inspect the sensor site as described in the
9. 3 4 5 55 62 627 si Review Curves Save Average 5 1 H When confirmed the averaged measurement is entered in the CO field at the bottom of the screen B6 JOHN WHITE gt 07 00 38 The time when the measurement was made appears in the top right corner and the measurement parameter CO or Cl appears in the left corner The measurement remains until overwritten or a new patient is confirmed Note A graphical trend view of the CO can be displayed This is selected in waveforms see Displaying trend data in the measurements screen on page 30 Monitoring and Measurements CO messages Welch Allyn 1500 Patient Monitor The following self clearing alert messages may be displayed during the CO measurement process Message Message trigger and when displayed Suggested action BT out of range too high or BT out of range too low Blood temperature out of range High or Low displayed when detected during a CO measurement session e CO start has been selected for manual mode Verify correct catheter position IT out of range too high or IT out of range too low Injectate temperature out of range high or low displayed when detected during a CO measurement session e detected after CO start has been selected for manual mode Verify that injectate volume and temperature corresponds for the catheter used and that the computation constant has been entered correctl
10. Acuity and cannot be changed at the monitor The patient information menu option is not available when an Acuity enabled monitor is not connected to Acuity Patient mode Define the patient select adult pediatric or neonatal as follows e Neonatal Birth through 28 days e Pediatric Between 29 days and 12 years e Adult 13 years and older When a patient mode change is reguested a prompt screen is displayed giving the following confirmation options Confirm Patient Mode Change nge current setting values r IPI trend data Save patient data and continue This will confirm the patient mode set and keep the same patient data 118 Settings Welch Allyn 1500 Patient Monitor e Purge patient data and continue This will confirm the patient mode but delete all patient data e Cancel do not change patient mode This will not change the patient mode and will Keep the current patient data Note Integrated Pulmonary Index IPI is age specific and if enabled all IPI trend data is deleted when the patient mode is changed A message appears on the confirmation screen above to state this Restore user defaults The saved user settings are enabled The user defined settings are saved in the Setup System menu see Saving the user defined settings as default on page 21 Administrator The administrator and service screens provide system information and option settings The Administrator screens are entered
11. Directions for use Monitoring and Measurements 11 Temperature monitoring e Depending on the sensor type the sensor can be applied to the ear the skin or the rectum e To achieve a reliable measured value independent of the measuring site the measurement duration must be at least 2 minutes Temperature settings The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 31 The default settings are in bold Parameter Description TEMP Display Mode T1 and T2 T1 only or T1 and AT Temp Units C or F T1 and T2 lower upper limit Range 15 C to 45 C 59 F and 113 F Lower limit default 35 C 95 F Upper limit default 37 8 C 00 F AT lower upper limit Range 15 C to 45 C 59 F and 113 F Lower limit default 0 0 C 0 0 F Upper limit default 0 1 C 0 2 F Note Alarms can only be set for the temperature parameters that are currently on display So for example if T1 and delta T were selected for display there would be no T2 alarm settings Temperature alarm and messages Message Possible cause Suggested action TEMP unplugged TEMP not connected to the Connect sensor monitor TEMP needs service The monitor has detected an Switch monitor Off On or replace monitor error TEMP out of range The temperature is outside the Check the patient or alarm limits measuring range of the monitor Sensor or monito
12. Measurement Cancel 3 Make the settings as shown on the following page 82 Monitoring and Measurements Welch Allyn 1500 Patient Monitor The default settings are in bold Parameter Description Mode Auto manual In auto mode the unit monitors the blood temperature and indicates that a measurement can be commenced only when the temperature is stable In manual mode the user monitors starts the measurement at any time Computation constant Between 000 and 999 starting figure 400 This is a constant based on the temperature coefficient of the catheter temperature and volume of the injectate and catheter dimensions The formula used is as follows 1 08 C 60 V CC 1000 Where 1 08 density times specific heat 5 dextrose blood C catheter thermal loss coefficient specified by the catheter manufacturer 60 seconds VI volume of the injectate 1000 conversion factor cubic centimeters to liter Note The C value specified by the manufacturer will differ according the temperature of the injectate solution and separate C values will be stated for different temperature ranges for example 0 to 5 19 to 22 and 23 to 25 Since all factors are constants except the injection volume and the injection temperature many manufactures will specify the computation constant CC for specific volumes and temperature range instead of the thermal loss coefficien
13. SWSSMADE E DMSA Ezy A Connect the mains cable to the rear of the monitor a 2 Ifthe monitor is to be networked with the Acuity Central Station connect the network cable to the ethernet connector on the rear of the monitor b 3 Connect the potential equalization ground cable to the central potential equalization lug c Caution Ensure that the patient or any person with simultaneous patient contact does not come in contact with conductive parts of any connectors including the RJ45 connector and the USB connector when the cover is opened 18 Operation Welch Allyn 1500 Patient Monitor Inserting recorder paper Note The monitor is delivered without printing paper installed Only use original Welch Allyn printing paper The thermal paper is sensitive to heat humidity and chemical vapors Store the paper in a cool dry and chemical free area an E 1 Pull the locking catch a to the front The paper tray is unlocked 2 Pullthe paper tray out 3 Insert paper and pull the beginning of the paper out Make sure that the paper mark b is facing to the top 4 Reinsert and close the tray Be sure that the paper lies exactly between the rails c Directions for use Operation 19 Switching the monitor on or off Switching the monitor on To turn the monitor on press the On Off button Switching the monitor off To turn the monitor off press the On Off button e for approximatel
14. blood pressure Medium Temp low high Temperature in degrees Fahrenheit or degrees Celsius Medium Note All technical alarms are low priority 39 Monitoring and Measurements General N Note Caution The guidelines in this section are given as an overview only They are not a substitute for nor do they overrule manufacturer documentation and instructions or departmental procedures Values are only displayed when the ECG cable or at least one sensor is connected If a sensor is disconnected a technical alarm is issued The measured value will no longer be displayed if the sensor is disconnected and the alarm is acknowledged e Connect the ECG electrodes the NIBP cuff the SpO sensor the CO sensor and the temperature sensor to the patient as reguired e _ As soon as the sensors are connected the corresponding indication appears on the display e Check or set the alarm limits see Alarms on page 33 Note This section gives a general overview of the parameters that can be measured with the monitor It is aimed at medical professionals and no specific medical direction is given or implied any instructions given here do not overrule local medical directives The individual parameter menu settings are selected with the trim knob described previously see Settings via a parameter field on page 31 40 Monitoring and Measurements Welch Allyn 1500 Patient Monitor ECG A WARNING In order to minim
15. calculated as follows e BSA Height cm x Weight kg 3600 y SV ml Stroke volume milliliters stroke e SV C0 1000 HR SVR dyne sec cm Systemic Vascular Resistance SVR Represents the load applied to the left ventricular muscle during ejection e SRV ARTm CVPm 80 CO PVR dyne sec cm Pulmonary vascular resistance PVR e PRV PAm PAWP 80 CO LCW kg m Left cardiac work e LCW CO ARTm PAWP 0 0136 LVSW gm m Left ventricular stroke work e LVSW SV ARTm PAWP 0 0136 RCW kg m Right Cardiac Work e LVSW SV ARTm PAWP 0 0136 RVSW gm m Right Ventricular Stroke Work RVSW SV PAm CVPm 0 0136 Cl I min m Cardiac Index e Cl CO BSA SVI ml m Stroke Volume Index e SVI SV BSA Directions for use Monitoring and Measurements 89 Parameter Units Description SVRI dyne sec cm m Systemic Vascular Resistance Index SVRI SRV BSA PVRI dyne sec cm m Pulmonary Vascular Resistance Index e PVRI PVR BSA LCWI kg m m Left Cardiac Work Index e LCWI LCW BSA LVSWI gm m m Left Ventricular Stroke Work Index e LVSWI LVSW BSA RCWI kg m m Right Cardiac Work Index RCWI RCW BSA RVSWI gm m m Right Ventricular Stroke Work Index e RCSWI RVSW BSA 90 Monitoring and Measurements Welch Allyn 1500 Patient Monitor 91 Acuity Central Station Safety Note Acuity connectivity is a licensable feature To order this feature contact your Welch Allyn sales represen
16. from the settings menu HE Setup Menu gt Administrator Administrator sub menus can only be accessed with a password The passwords are divided into clinical service and factory passwords and only clinical settings are available for the user The other menu options on this menu are for Welch Allyn service personnel Options are enabled in the service menu please contact Welch Allyn The passwords for the alarms and system sub menus are as follows e Setup gt Administrator gt Alarms 49 48 46 Clinical Password e Setup gt Administrator gt System 49 48 46 Clinical Password e No password is needed to view the Configuration Other sub menus are intended for service personnel only Directions for use The Administrator menu is as follows Settings 119 Sub menu Parameter Description Configuration Monitor data such as serial number software version etc This is provided for information only and no settings can be made Communications This provides the communication settings for service personnel only Alarms password protected see above Alarm Silence Time 1 1 5 or 2 minutes Time for which an audible alarm is silenced Alarm Suspend Time 1 1 5 or 2 minutes Time for which all alarms are suspended Can disable HR PR Alarms Enabled Disabled The menu item can prevent users from being able to turn off HR or PR alarms When the setting is Disabled a user cannot tu
17. given in the settings section see Settings on page 111 Directions for use Operation 21 Saving the user defined settings as default All monitor settings including alarms settings are stored until the monitor is switched off To save the user defined settings as default 1 Press the Setup button 2 Select Administrator gt System gt Save User Defaults Note The system menu is password protected The password is 49 48 46 3 Confirm with ok Save User Defaults User Default Setup Restoring the user settings 1 Press the Setup button 2 Select Restore User Defaults You are prompted to confirm Restore User Defaults User Default Setup 2 Operation Welch Allyn 1500 Patient Monitor Power supply Mains connected When the mains supply is connected the mains LED is illuminated a When the mains supply is connected and the battery is recharging both mains LED a and the battery LED b are illuminated For battery recharging see Recharging the battery on page 101 Mains interrupted Note f the mains supply is interrupted the monitor automatically switches over to battery operation The user settings are maintained Disconnect from the mains To isolate the monitor from the mains disconnect the mains cable Directions for use Operation 23 Battery operation Two batteries are available for the monitor e Lithium lon battery This type of battery will provide power
18. high Check the patient and alarm limits NIBPd lt lower limit Diastolic pressure too low Check the patient and alarm limits NIBPd gt upper limit Diastolic pressure too high Check the patient and alarm limits NIBPm lt lower limit Mean pressure too low Check the patient and alarm limits NIBPm gt upper limit Mean pressure too high Check the patient and alarm limits 1 If the initial pressure is too low the measurement is immediately restarted and the pressure is increased by 60 mmHg 68 Monitoring and Measurements Welch Allyn 1500 Patient Monitor Sp0 monitoring Two SpO2 modules are available with the monitor Masimo or Nellcor The two modules are distinguished by the connectors The display data and waveform are similar for both modules The Masimo module has extra clinical settings for signal processing see Masimo settings on page 71 02 ep NIBP Masimo Nellcor module s module connector connector IBPAT IBP3 is FN e Pulse oximetry enables the continuous non invasive monitoring of the functional oxygen saturation of the arterial hemoglobin and the peripheral pulse rate e The display shows the continuous progress of the numeric SpO plethysmographic waveform and signal quality values e The displayed plethysmographic waveform is proportional to the pulse volume e The update period of the measurement readings on the display is approximately
19. in the service handbook Close Exits the setup menu omnm Bomn The full arrhythmia option is only viewable when the full arrhythmia option is installed The recorder option is only viewable when the printer is installed The parameter options will vary according to the monitor configuration and licensed options The 12 lead resting ECG option is only viewable when the resting ECG option is installed The hemodynamics calculations option is only viewable when the cardiac output option is installed When the monitor is connected to an Acuity Central Station patient information can be changed at the monitor or by Acuity Any changes are synchronized The room number is defined by Acuity and cannot be changed by the monitor The patient information menu option is not available when an Acuity enabled monitor is not connected to Acuity Directions for use Introduction 15 Display overview Waveform fields Parameter fields DAVID NEATH 10 30 48 Time of last Alarm and system Information field blood pressure messages See Information measurement field following Blood pressure Temperature Note The waveform display is changed in setup menu see Defining display wavetorms on page 27 Note The parameter fields can be changed according to licensed options parameter selection see Defining parameter fields on page 25 and patient panel options 16 Introduction Welch Allyn 1500 Patient Monitor Infor
20. installed with continuous power supplies and redundant means of operator surveillance such as secondary central stations and hallway message panels Acuity System alarms alerts or other events can go unnoticed if clinical personnel are not present at the Acuity Central Station or if interruptions occur in power or system operations You are responsible to provide 100 percent reliable power to the central station The central station will only work with reliable AC power 92 Acuity Central Station A gt gt gt Welch Allyn 1500 Patient Monitor Caution Make sure the Acuity network cable is not damaged The Acuity network cable is the sole link between the monitor and the Acuity Central Station Caution When the monitor is not connected to the network there are no patient alarms or alerts at the Acuity Central Station Caution f you don t set alarm limits the Acuity system uses preset settings for arrhythmia test limits and the power up default settings for the monitor Caution 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 60601 1 1 Anyone connecting additional equipment to the signal input or output connectors is configuring a medical system and is therefore responsible that the system com
21. interference when the equipment is operated in a commercial environment This equipment generates uses and can radiate radio frequency energy and if not installed and used in accordance with this instruction user guide may cause harmful interference to radio communications Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at his own expense WHEN USED IN CANADA To prevent radio interference to the licensed service this device is intended to be operated indoors and away from windows to provide maximum shielding Equipment or its transmit antenna that is installed outdoors is subject to licensing 8 Safety Welch Allyn 1500 Patient Monitor Introduction The monitor is designed for adult pediatric and neonatal use It has a 15 inch screen for comprehensive vital data monitoring The monitor can be used with mains power 100 240 VAC or with an internal battery Standard features e Function buttons and trim knob for easy operation e 15 inch color screen e Vital parameters e ECG 3 5 or 12 lead e Heart rate e Respiration e Non invasive blood pressure e Invasive blood pressure x2 e SpO Masimo or Nellcor e Temperature x1 e _ Drug calculations Options e Printer e etCO and Integrated Pulmonary Index IPI e 12 lead resting ECG with measurements e 12 lead resting ECG with measurements and interpretati
22. ml 1ml hr id mg min a Calculation type Calculate b Titration Table Show Update Table Cc from 0 to in increments of OK Cancel The concentration and rate values are calculated from the entered values and shown a Titration table A titration table is calculated when the dose increment and number of doses is entered The table can be calculated as dose rate in the units defined for the calculation and is displayed when update table c is selected Titration Table Dose mg hr Rate ml hour Concentration 2 000 mg ml Drug Calculations Print If any values unit rate combinations are entered that are inconsistent and calculations cannot be made an error message is displayed check all entries ml hour Units not consistent for Dose and Amount units ml mg min Calculate Update Table Directions for use Settings 117 Patient information This screen allows the entry of the patient name and ID including gender date of birth ethnicity height weight and drug categories Patient Information ML OS Rom o Gender Ethnicity Date of Birth Year Ll Height in Month al Weight Ib Day E Medications Anti arrhythmic Beta blocker Digitalis Cancel Space Delete Backspace Cancel Note When the monitor is connected to an Acuity Central Station patient information can be changed at the monitor or at Acuity Any changes are synchronized The room number is defined at
23. obtained by learning the patient s normal morphology but it can be modified by the clinician at any time using the re learn option in the ST Analysis Setup Window see next page When re learn is selected reference beat is updated to the current morphology Note ST re learn is also initiated by arrhythmia re learn The ST measurement is made at a point 60 or 80 milliseconds ms after the J point see next page The J point is the point on the ST segment where the slope changes marking the end of the ORS and the beginning of the ST segment Directions for use Monitoring and Measurements 53 ST settings Note ST measurements can only be displayed when the full arrhythmia and ST option is licensed and when ST is enabled in setup parameters See Defining parameter fields on page 25 Note When the monitor is connected to the Acuity Central Station ST support is provided by Acuity and the ST option is not displayed on the monitor The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 31 Limit Limit The default settings are in bold Main menu Parameter Description Setup ST ST Relearn Reanalyzes the ORS complexes to determine base measurement levels ST Lead 1 Define the lead for measurement 1 default lead Il ST lead 2 Define the lead for measurement 2 default lead V ST Measurement point Auto 60 80 Define the measurement point
24. on page 29 Waveform 3 ECG RESP Trend CO or Sp02 Waveform 4 ECG Trend or SpO Waveform 4 to 7 5 to 8 P1 to P4 or P1 and P2 or no IBP waveform displayed P1 P2 P3 P4 will be displayed as selected for parameter measurement see Defining parameter fields on page 25 Directions for use Trend data Trend data Operation 29 The monitor records up to 24 hours of trend data at one minute intervals The trend values are displayed at the user defined interval see below and additionally after every manual NIBP measurement Trend data is deleted when a new patient is entered When the memory is full the oldest trend data is overwritten The display interval for the trend table can selected for intervals of one minute five minutes 15 minutes one hour or four hours display and settings Press the Trend button Trends Date Time Ti T2 06 28 12 00 37 0 37 0 12 15 E 37 0 37 0 12 30 37 0 37 0 Date Time 06 28 12 00 12 15 12 30 interval Previous measurements are displayed using the up and down icons Use the trim knob to select the trend display interval with the pull down menu in the Interval setting The Clear option deletes all stored trend data The Print option prints the trend data Note The data recorded will depend on licensed and enabled options and the number of IBP and temperature connectors installed on the monitor see Defining parameter fields on
25. page 25 30 Operation Welch Allyn 1500 Patient Monitor Displaying trend data in the measurements screen The HR trend can also be displayed in the waveforms Press the Setup button a and select Waveforms Scroll down for more options Setup Waveform Area 0 to 40 mmHg 0 to 200 mmHg Sweep Speed OK Cancel The trend data can be displayed in waveform 2 or 3 or 4 if ST is enabled Interval 15 min a v escale Print Trend data can be displayed for any of the following e Heart rate e RR see example above e etCO e fiCO e IPI when selected in parameter display e SpO P1 P2 P3P4 e NIBP e Tl e T2 when selected in parameter display e AT when selected in parameter display e CO or Cl when selected in parameter display Note When the trend waveform is displayed and it is highlighted and selected with the trim knob see next page options appear at the bottom of the waveform as shown on the example above to e Change the interval 15 mins to 24 hours e Change the waveform scale e Obtain a printout Directions for use Operation 31 Settings via a parameter field 1 Select the desired parameter measurement field using the trim knob A white frame appears around the selected field Press the trim knob to display the menu The following example is displayed when the heart rate settings screen is selected Other setting screens are similar Setup HR VF Size HR PR Source
26. see Administrator on page 118 Note It is also possible to stop the audible alarm indefinitely see Switching off all alarms on page 35 NIBP measurement interval Interval setup for non invasive blood pressure measurement or switch off of the interval measurement see Automatic blood pressure measurement on page 65 Saves patient information NIBP measurement Start or stop of the non invasive blood pressure measurement see Taking a single NIBP measurement on page 65 Standby In standby mode patient monitoring is interrupted and the screen is blank Monitoring is resumed when any button is pressed Note when the monitor is connected to Acuity Central Station different options are given Setup Display of the Setup menu The reguired menu item can be selected by turning the trim knob and pressing see next page Trend Displays trend data see Trend data on page 29 Home Pressing this button closes opened dialogues and returns to the monitoring screen Any settings that were changed in the opened dialogue screen are saved Pressing this button is the same as selecting OK on the opened dialogue screen ON OFF Press to switch the monitor on Press and hold for 4 seconds to switch the monitor off The LEDs below this button indicate e Left LED mains power is connected to the monitor e Right LED mains connected to the monitor and internal battery being charged e see Switching the
27. stereo connector Tip Normally closed Ring Normally open Maximum switch current 1A Maximum switch voltage 30 V AC DC Isolation 1 000 Vrms for 1 min USB 1 1 Demo Mode Simulated patient information including waveforms for training and education Directions for use Technical data 129 Trend Entries All recorded parameters are saved Up to 1728 trend records can be saved updated every minute NIBP trends entered after each reading Format The values displayed in tabular numeric format in intervals of 1 5 15 60 and 240 minutes Page up down trend view Alarms Alarm limits The upper and lower limits can be selected for all parameters Mode All parameters Adult Pediatric Neonate patient mode specific limits Factory default or programmable settings for all patient modes Alarm indicators Red yellow blue numeric Red yellow blue LED indicator Alarm s off indicator Alarm status message Audible alarm tone high med low Alarm suspend Suspend time user programmable 1 1 5 and 2 minutes Alarm switch off Audible alarm muted for an unlimited time during surgical and clinical interactions Alarm can be reinstated manually and is automatically reinstated when a new patient is defined or the monitor switched off 130 Technical data safety standards Welch Allyn 1500 Patient Monitor Safety standard IEC 60601 1 A2 1995 Delta consideration related t
28. 14 16 Averaging time in seconds It is recommended that the default of 8 seconds is suitable for most applications Sensitivity Normal Max APOD The normal mode provides the best combination of sensitivity and probe off detection performance This mode is recommended for the majority of patients The max mode can be used where obtaining a reading is most difficult and the signal may be very weak The adaptive probe off detection APOD mode is the least sensitive in picking up a reading on patients with low perfusion but has the best detection for off probe conditions This mode can be used for patients that are at particular risk of the sensor becoming detached pediatric combative etc Fast SAT Off on Fast SAT mode enables rapid tracking of arterial oxygen saturation changes by minimizing the averaging This mode is clinically applicable during procedures when detecting rapid changes in oxygen saturation is paramount such as induction intubation and sleep studies Fast SAT is always on when averaging time above is set to 2 or 4 1 _ When Display signal IQ waveform is set to on this data is transmitted to Acuity and the monitor indicates this configuration to Acuity at initialization It is necessary to reboot the device after changing this setting 2 When Display perfusion index is set to on this data is transmitted to Acuity and the monitor indicates this configuration to Acuity at initialization It is necessary to r
29. 2 minutes The visual parameter alarm continues to be displayed Press the Alarm button E again to resume the alarm After the defined silence time the audible alarm is reactivated The silence time is defined in Setup gt Setup Administrator gt Alarms gt Alarm Silence Time see Administrator on page 118 Technical Alarm A technical alarm can be acknowledged by pressing the Alarm Silence button This alarm is not reactivated Suspend all alarms The Alarm suspend is used to deactivate all alarms caused by for example disconnecting patient cables loose electrodes or relocation of the patient The alarm is suspended for a duration of 1 1 5 or 2 minutes During this time the message Alarms Suspended is displayed The alarm suspension time is defined in the menu Setup gt Administrator gt Alarms gt Alarm Suspend Time see Administrator on page 118 1 Press the Setup button BY 2 Select Alarm Suspend A message is given in the message bar indicating that the alarms have been suspended 37 0 _ MEMES DAVID NEATH 10 30 48 If you wish to reactivate the alarms before the set duration press the Setup button again a The menu entry is changed to Alarm Resume Select this option to reactivate the alarms Directions for use Alarms 35 Switching off all alarms This function allows all audible alarms to be muted for an unlimited time during surgical and clinical interactions while simultaneously
30. IBP measurements only use sensors that are protected against high frequency radiation gt bb PPP b gt Note The kit and operating procedure vary according to manufacturer Please consult the manufacturer s documentation for connection Note For warm up time ready for measurement and displacement for invasive transducers refer to the documentation of the transducer manufacturer Note P1 is the only connection that can determine the HR PR source 74 Monitoring and Measurements Welch Allyn 1500 Patient Monitor Preparing IBP measurement Refer to the manufacturer s directions for use for operating information for the IBP sensor IBP settings The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 31 Note When changing the IBP label in the setup window the upper and lower alarm limits will change to match the label see BP alarm defaults on page 75 The IBP default size scale will also change according to the label set Parameter Description Zero Set Zero set the selected IBP1 IBP2 IBP3 IBP4 Label P1 P2 P3 P4 ART PA RA LA CVP ICP UA UV Size 10 to 20 mmHg 10 to 60 mmHg 0 to 150 mmHg 0 to 200 mmHg 0 to 250 mmHg 0 to 300 mmHg Format Sys Dia or Mean This defines the main measurement to be displayed that is the larger measurement displayed in the IBP box The secondary measurement is d
31. ING To prevent extensive pressure on the extremity it is very important to e Choose the correct cuff size e Check the initial pressure in the NIBP menu The correct initial pressure for adults is 160 mmHg for pediatric patients 120 mmHg and for neonates 90 mmHg WARNING n case of long term monitoring or automatic operation the connected body areas of the patient and the extremity to which the cuff is attached must be checked regularly for signs of ischaemia purpuras or neuropathy WARNING The cuff must not be attached to a limb that is already used for interventions such as infusions or SpO5 measurement WARNING To prevent incorrect measurement results make sure that the NIBP tube is not compressed WARNING To achieve correct arterial pressure measurement the cuff must always be installed on the level of the right atrium Directions for use Monitoring and Measurements 65 Taking a single NIBP measurement 1 Press the NIBP start stop button Ko 2 The measurement can be stopped at any time by pressing the button again Automatic blood pressure measurement 1 Press the NIBP measurement interval button 2 Select the interval between 3 minutes and 60 minutes and confirm your selection with OK 3 The message NIBP interval xx minutes is displayed 4 The first measurement is started by pressing the NIBP start stop button e Note After exiting the standby mode ensure that the NIBP intervals are re armed by m
32. N 60601 1 1 Anyone who connects additional eguipment to the signal input part or signal output part configures a medical system and is therefore responsible that the system complies with the requirements of the valid version of the system standard IEC EN 60601 1 1 If in doubt consult the technical service department or your local representative Any other eguipment used with the patient must use the same common ground as the monitor Precautions must be observed when using high freguency devices Operating high freguency electro surgical eguipment in the vicinity of the monitor can produce interference in the monitor and cause incorrect measurements Only use patient cables recommended by Welch Allyn to avoid possible signal interference during ECG acquisition There is no danger when using the ECG monitor simultaneously with electrical stimulation equipment However 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 If the patient cable should become defective after defibrillation a lead off indication is displayed and an audible alarm is issued Portable communication equipment HF two way radios and devices marked with the Kp symbol can affect this monitor see EMC compliance on page 108 Networks and internet When the monitor is part of a network LAN HIS etc transmitting over a telephone n
33. N Green RL Red R White RA Yellow L Black LA Green F Red LL White C Brown V Directions for use Monitoring and Measurements 45 Activating the pacer display 1 Select the HR measurement field using the trim knob A white frame appears around the measurement field 2 Press the trim knob to display the menu 3 Scroll down to the pacer display option and select yes Setup HR Size HR PR Source HRI PR Tone ECG Filter Single ECG Yes m Pacer Display Analyze Pacers Upper Limit Lower Limit Cancel Pacemaker spikes are presented as vertical lines a on the ECG trace These vertical lines represent neither magnitude nor duration of the pacemaker pulse but are purely time relative Note The Analyze Pacer setting is not applicable 46 Monitoring and Measurements Welch Allyn 1500 Patient Monitor ECG display ECG traces can be displayed in waveforms 1 2 and 3 The waveform lead and size is defined in the waveform display menu see Settings via a parameter field on page 31 1 Press the Setup button BY 2 Select Waveforms Setup Waveform Area ImVem Overlap Pressure Waveforms Size 0 to 200 mmHg Directions for use Monitoring and Measurements 47 12 lead resting ECG option With this option it is possible to record a 12 lead resting ECG One resting ECG can be stored at a time The resting ECG cannot be viewed on the monitor but can be printed on the
34. NCTION BUTTONS 3 rs Mt ult Ait he tude ees eee ga dando ed pe eth NO NW 12 SETUP MENOS Was seco ANN O 13 Display OVEVIE We ze terai en Re es bee CR oe Se Lae ade ae 15 3 gt Operatuon ee Gan cere RR RR RR a weir ra sata aha a 17 Startup and initial preparation 2 eee 17 Inserting recorder paper 18 Switching the monitor on Or OFF cde cy ca he bok che ok eg Sos MP o De os 19 Initial Settin Si Ts al Ag uh a UAN Ao A ne ame ete Sn en Ab SR 20 Saving the user defined settings as default YY ud 21 FPOWeTI SUDDlyn a a Bene cease eens MCN NY AE MA E aa ee 22 Standby noder seen A On gu FD AE o Go stator dea 24 Defining parameter fieldS 2 0 FFF FFF yd 25 Defining display waveforms FL Fy 27 rend datade O dd O ale ae ND IND YNO O Pees 29 Settings via a parameter field nee 31 4 Alarms a Display or alatmSt Licor DA YAA a Sata eed DF DAU DE 33 Silencinganalarm L eee ud 34 Stispend all alat Tis ae 2 Ew ud gyd A DWF GW id ohn obs 34 SWitching Off alltalartas ce nd ye Ln MIA eL a ad ena amen 35 Switching off an individual parameter alarm VY a 36 Alan lun ea eu u u an nd A tas A CES 36 Alarnmlimit settin du A eat dct A A A eyes 37 Physiological alaru i eadw anv og AG AGA Sed FU a Seat eee 38 5 Monitoring and Measurements 39 Generals cu tt wel Meld as Sie i ae i Mca OA Ad dd SDO 39 ESA ck ad ae eile ate PA ae eee ede ie ag GA a eS a
35. R NIBP 25 250 50 2 PR IBP 25 250 50 20 PR Sp0 25 250 50 20 SpO SAT 50 100 90 00 RR ECG 2 150 5 30 RR CO 2 150 5 30 Apnea Delay s 6 30 N A 15 etC0 mmhg 0 99 25 60 etC0 kPa 0 13 2 3 0 8 0 inCO mmhg 2 25 N A 5 inCO kPa 0 2 5 0 N A 0 7 P1 Sys 30 300 75 220 P1 Dia 30 300 35 110 P1 Mean 30 300 50 120 P2 Sys 30 300 15 50 P2 Dia 30 300 5 20 P2 Mean 30 300 10 25 P3 Sys P3 Dia P3 Mean P4 Sys P4 Dia P4 Mean NIBP Sys 30 260 75 220 NIBP Dia 20 235 35 110 NIBP Mean 20 255 50 120 Temp1 F 59 113 95 0 100 0 Temp C 15 45 35 0 37 8 Temp2 F Temp2 C ATemp F ATemp C 96 Acuity Central Station Welch Allyn 1500 Patient Monitor Pediatric settings Parameter Acuity range limit Acuity lower limit Acuity upper limit default default HR 25 250 50 50 PR NIBP 25 250 50 5 PR IBP 25 250 50 50 PR Sp0 25 250 50 50 SpO0 SAT 50 100 90 00 RR ECG 2 150 10 45 RR CO 2 150 10 45 Apnea Delay s 6 30 N A 20 etC0 mmhg 0 99 25 60 etCO kPa 0 132 3 0 8 0 inCO mmhg 2 25 N A 5 inCO kPa 0 2 5 0 N A 0 7 P1 Sys 30 300 75 145 P1 Dia 30 300 35 100 P1 Mean 30 300 50 110 P2 Sys 30 300 15 50 P2 Dia 30 300 5 20 P2 Mean 30 300 10 25 P3 Sys P3 Dia P3 Mean P4 Sys P4 Dia P4 Mean NIBP Sys 30 260 75 220 NIBP Dia 20 235 35 110 NIBP Me
36. Welch Allyne 1500 Patient Monitor WelchAltyn Directions for use Software version 1 4 X WelchAllyn Advancing Frontline Care ii Welch Allyn 1500 Patient Monitor O 2013 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 precautions warnings or statement of intended use published in this manual Welch Allyn Acuity Smartcuf FlexNet and Flexible Monitoring are registered trademarks of Welch Allyn Masimo SET and Signal Extraction Technology are registered trademarks of Masimo Corporation NO IMPLIED LICENSE Possession or purchase of this device 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 trademarks of Nellcor Puritan Bennett NOTICE Purchase of this instrument confers no
37. an 20 255 50 120 Temp F 59 113 95 0 100 0 Temp C 15 45 35 0 37 8 Temp2 F Temp2 C ATemp F ATemp C Directions for use Acuity Central Station 97 Neonatal settings Parameter Acuity range limit Acuity lower limit Acuity upper limit default default HR 25 250 100 200 PR NIBP 25 250 100 200 PR IBP 25 250 100 200 PR Sp0 25 250 100 200 Sp0 SAT 50 100 85 95 RR ECG 3 150 10 75 RR CO 3 150 10 75 Apnea Delay s 6 20 N A 15 etC0 mmhg 0 99 25 60 etCO kPa 0 13 2 3 0 8 0 inCO mmhg 2 25 N A 5 inCO kPa 0 2 5 0 N A 0 7 P1 Sys 30 300 50 100 P1 Dia 30 300 30 70 P1 Mean 30 300 35 80 P2 Sys 30 300 15 50 P2 Dia 30 300 5 20 P2 Mean 30 300 10 25 P3 Sys P3 Dia P3 Mean P4 Sys P4 Dia P4 Mean NIBP Sys 25 120 50 100 NIBP Dia 15 105 30 70 NIBP Mean 15 110 35 80 Temp F 59 113 95 0 100 0 Temp C 15 45 35 0 37 8 Temp2 F Temp2 C ATemp F ATemp C 98 Acuity Central Station Welch Allyn 1500 Patient Monitor 99 Maintenance Maintenance interval This software controlled monitor has undergone a software risk analysis to minimize any hazards associated with software defects The regular system maintenance must include a functional test according to the manufacturer s instructions The test results should be recorded see Inspection and checklist repor
38. an al hed Ds shoe are lt Dy pr oh ck tl a dd ee nA A 107 EM scorpliance v 22 Ee Aion oa eee a Glwyd BA Ob oh eee ab doh 108 Mountingonawallorstand LYF FFF RF Y ua 109 Recycling monitor COMPONENTS cuz pra wae pede RY OIN GY 109 Setup MENU Overviews ti Seemed GDG he ve Sy 111 Parameter settintlS8 uses ei he y y Dy y Aig GOR DR OA D WWW AGY 121 9 Accessories A uu 123 Miscellaneous is ira Sak wyo YD AC Y OR SD WG AEG 123 Mounting s yest GN un on a ad adau Ud e at hiner Cat AN a a dAn AS 123 Battere Se t i sale Y II AN 123 CI ne ee Y eU I UON dn I 124 Nello PO asso ainda ian Boe eee HE at NR elk 124 Masino op9O5 ee ab ee eti A feed E and dag A 124 EC Git rae tek Nu go Yd a SM rd Y a a A id Id 124 BP CO O o IA YN A ee ue E AU an 125 Temperature rei te DY Y a Y Y La ee ee 125 NB Sch Reine Gn Sadi A edi ND dM wy Y Rae Bit doth O URL A Meta 125 Cardiac OUND bes ceo ee a WY O Lu MO nn E y 125 A Technical data vei wau NW a 127 Systemsdatai cu eu eiu A TA FN Y Fy YA eet 127 oaletynstandendSon dn a AIO da o yn Ll Md un ennu Myned dd 130 Measured values F FF I FL FFF eee 131 Safety User responsibility The numerical and graphical results and any interpretation given must be examined with respect to the overall clinical condition of the patient and the general recorded data guality The indications given by this eguipment are not a substitute for regular checking of vital functions T
39. anually starting an NIBP measurement Note These settings are reset when the monitor is switched off and automatic measurement must again be defined when the monitor is switched on Note The monitor sets the maximum pressure as follows e Adults 270 mmHg e Pediatric 180 mmHg e Neonate 150 mmHg The patient mode is defined in the setup menu Patient mode on page 117 66 Monitoring and Measurements NIBP settings Welch Allyn 1500 Patient Monitor The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 31 The default settings are in bold Parameter Description NIBP Interval Off 3 5 10 15 30 60 Format Sys Dia or Mean This defines the main measurement to be displayed that is the larger measurement displayed in the NIBP box The secondary measurement is displayed smaller by the side of the defined measurement Note that the mean measurement is shown in brackets Initial Inflation Pressure Adult 160 Pediatric 120 Neonate 90 NIBPs systolic blood pressure Range 30 300 upper lower limit Adult 220 75 Pediatric 145 75 Neonate 100 50 NIBPd diastolic blood pressure Range 20 235 upper lower limit Adult 110 35 Pediatric 100 35 Neonate 70 30 NIBPm mean pressure upper Range 20 255 lower limit Adult 120 50 Pediatric 110 50 Neonate 80 35 Directions for use NIBP alarms and messages Monitoring and Me
40. as been selected for manual mode Enter the computation constant Directions for use Hemodynamic calculations 1 Press the Setup button Monitoring and Measurements 87 2 Select Hemodynamic Calculations Entered Values gt Hemodynamic Calculations Height Weight OK Cancel cl svi 59 89 mi SVRI 1269 04 ps PVRI 133 58 Calculated LCWI a Values RCWI RVSWI Resample Transfer Data Enter the following parameters to calculate the hemodynamic calculations see next page As soon as the calculated values have sufficient data to for the entered parameters the calculated values are shown Parameter Description CO HR Cardiac Output Heart rate bpm ARTs Arterial pressure systolic ARTd Arterial pressure Diastolic ARTm Mean arterial pressure PAs Pulmonary artery pressure systolic PAd PAm Pulmonary artery pressure diastolic Mean pulmonary artery pressure CVP Central venous pressure PAWP Pulmonary artery wedge pressure the pressure measured by wedging the pulmonary catheter with the inflated balloon in the small pulmonary arterial branch Height Height in cm or inches Weight Weight in Kg or Ibs 88 Monitoring and Measurements Welch Allyn 1500 Patient Monitor Calculations Parameter Units Description Time Time when the calculations were made BSA m Body surface area in m
41. as liters minute m e Cardiac Index Cl Cardiac output BSA where BSA is Body Surface Area in square meters Directions for use Safety gt gt gt gt e gt l gt gt eee Monitoring and Measurements 79 WARNING Carefully read the manufacturer s catheter instructions before carrying out measurements WARNING When an invasive catheter is introduced into an arterial vessel the circulation in the terminal vessels must be checked at regular intervals WARNING When applying the kit to the patient make sure that no air penetrates the system WARNING PAC use is complicated by arrhythmias infection pulmonary artery rupture and right heart valve damage WARNING Single use accessories must not be reused WARNING It is important that the CO Computation Constant see Cardiac output settings on page 81 of the catheter is entered correctly to ensure accurate measurements for the specific Edwards compatible catheter used Caution Only use Edwards compatible catheters Caution Only use Baxter Edwards Abbott in line injectate sensors Caution t is important that the injectate temperature is in the range specified for the computation constant Caution t is important that the injectate volume is the same as that specified in the computation constant The kit and operating procedure vary according to manufacturer Please consult the manufacturer s documentation for connection For warm up time ready for measu
42. aste Caution Before use carefully read the Microstream etCO sampling lines Directions for Use Caution Only use Microstream etCO sampling lines to ensure the monitor functions properly Caution Dispose of Microstream etCO sampling lines according to standard operating procedures or local regulations for the disposal of contaminated medical waste Caution During nebulization or suction for Intubated patients in order to avoid moisture buildup and sampling line occlusion remove the sampling line luer connector from the monitor Caution Replace the sampling line according to hospital protocol or when a blockage is indicated by the monitor Excessive patient secretions or a build up of liguids in the airway tubing may occlude the sampling line reguiring more frequent replacement Directions for use Monitoring and Measurements 59 Preparing the Oridion sensor Basic principles for choosing microstream CO sampling lines When choosing Microstream CO sampling lines the following should be considered The condition of the patient ventilated or not ventilated If the patient is ventilated whether ventilation is humidified or non humidified Patient s size and weight The probability that the patient will switch between oral and nasal breathing Duration of use For best results for short term monitoring use Microstream CO sampling lines with orange connectors For long term monitoring use Microstream CO sampling line
43. asurements 67 Message Possible cause Suggested action NIBP needs service No NIBP module detected Switch off and restart Replace monitor NIBP artifact cannot measure Patient has moved Calm the patient Max reguired pressure is higher than the initial pressure of 160 mmHg Repeat measurement The monitor will automatically increase the initial pressure Cannot measure NIBP Patient has moved Check and calm patient Very unsteady pulse Apply cuff to another extremity with less movement and steady pulse Air tube plugged or leaking Check tube and cuff NIBP cuff leak NIBP signal low No cuff connected or cuff or insufficiently fitted or defective Blocked tube kink in the tube Check cuff position Check cuff for tightness Check if the cuff is connected to the monitor Check and replace the tube if required Cuff not applied correctly Reposition check the cuff Pulse too low for good measurement Apply the cuff to another extremity where the pulse measurement is easier NIBP time too long Inflation time exceeded max 135 sec due to interferences because the patient has moved Check the patient see also message cannot measure Repeat the measurement NIBPs lt lower limit Systolic pressure too low Check the patient and alarm limits NIBPs gt upper limit Systolic pressure too
44. atheter and endotracheal tube This is to ensure that the airway adapter does not interfere with the functioning of the suction catheter A WARNING Loose or damaged connections may compromise ventilation or cause an inaccurate measurement of respiratory gases Securely connect all components and check connections for leaks according to standard clinical procedures A WARNING Do not cut remove any part bend or crush the sampling line This could lead to erroneous readings 58 Monitoring and Measurements Welch Allyn 1500 Patient Monitor gt gt rPPPPP P gt WARNING f too much moisture enters the sampling line i e from ambient humidity or breathing of unusually humid air and the sampling line cannot be cleared the message Blockage appears in the message area Replace the sampling line once the sampling line blockage message appears Caution In high altitude environments etCO values may be lower than values observed at sea level When using the monitor in high altitude environments it is advisable to consider adjusting EtCOs alarm settings accordingly Caution Microstream etCO sampling lines are designed for single patient use and are not to be reprocessed Do not attempt to clean disinfect sterilize or flush any part of the sampling line as this can cause damage to the monitor Caution Dispose of sampling lines according to standard operating procedures or local regulations for the disposal of contaminated medical w
45. casing damaged or cracked excessively scratched etc e Damage to the LCD screen e Damage to sensor sheathing mains or potential equalization cables e Damage to connection panels or connectors e Legibility of the labels on the rear of the monitor Legibility of the annotation on the function button panel Button check Press all buttons and trim knob and check that they work properly Speaker check On switch on beeps must be audible LED check Connect mains to the monitor and ensure the Mains LED is illuminated 9 Disconnect the mains supply and leave the monitor on for 10 minutes Reconnect the mains supply and ensure both the mains LED and the battery charge LED are illuminated Alarm check The alarm check is performed with the SpO sensor Proceed as follows 1 Connect the SpO sensor to a volunteer and check that the measurement is within normal range 2 Set the SpOs alarm to on and set the limit to the lowest setting see SpO2 settings on page 70 so that the alarm activates 3 Check that the visual and audible alarms are activated Directions for use Maintenance 101 Battery maintenance The battery is maintenance free during its normal life e No maintenance is necessary during normal operation e _ f the monitor is not used check and recharge the batteries every three months The battery should not be allowed to fully discharge during storage e Replace the battery every 2 t
46. chycardia according to IEC specification 60601 2 27 6 8 2 bb Sensitivity According to ANSI AAMI EC13 1EC60601 2 27 132 Technical data Respiration Temperature Welch Allyn 1500 Patient Monitor ECG amplifier Sampling freguency 1000 Hz Pacemaker detection 2to 700mV 0 1to2ms Pacemaker rejection 2to 700 mV 0 1to2ms Note Pacemaker signals can differ from one pacemaker to the next Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias mainly with pacemakers generating high amplitudes gt 20 mV or those generating overshoot Pacemaker patients should be kept under close or constant observation Protection Fully isolated defibrillation protected gt 5 kV Line frequency filter 50 or 60 Hz sinusoidal interferences filtered by means of adaptive digital filtering Respiration rate range 0 to 200 breaths min pediatric 0 to 120 breaths per minute Connector Shared with ECG Signal 28 kHz square wave 2 5 V Patient current max 80 pA Dynamic impedance range 1 k to1 5 KQ variation of 0 1 to 3 O Sampling Rate 250 Hz Respiration rate accuracy 1 digit RR display update interval Max 2s Channels One or two channels Sensor YSI 401 rectal skin or ear Amplifier Fully isolated defibrillation protected gt 5kV Sampling Frequency 125 Hz Measurement interval
47. ding to preference and signal strength Set the sweep speed for all waveforms according to preference and patient Note The RESP and SpO sweep speed values are not configurable 5 Select OKto save Note The number of waveforms that can be displayed will depend on the configuration of the monitors and the options licensed and enabled Either 4 5 7 or 8 waveforms can be displayed e Waveforms P1 P2 P3 P4 CO and ST are only displayed when selected in the display parameter fields see Defining parameter fields on page 25 28 Operation Welch Allyn 1500 Patient Monitor Waveform display The waveforms that can be configured are as follows Waveform ECG RESP C02 Trend ST Sp02 P1 P2 P3 P4 position 1 e 2 3 4 5 6 7 8 RESP in waveform 2 can only be displayed when etCOs is not enabled When ST is enabled SpO is available for waveform 4 only When ST is not enabled SpO is available for waveform 3 only When resting ECG is enabled ECG waveform can also be set in waveform 4 Waveforms P1 P2 P3 P4 are displayed when selected in the parameter measurements fields and shown in waveform fields 4 5 6 and 7 or 5 6 7 and 8 only The size of the waveforms are automatically adjusted for the number of waveforms displayed Waveform 1 ECG I Il III V aVL aVR aVF Waveform 2 ECG RESP CO ST or Trend Trend data
48. e any liguids on the monitor If liguid is spilled over the monitor immediately disconnect the monitor from the mains and dry The monitor must be serviced before reusing Caution This manual and especially these safety notes must be read and observed Caution Electrical installation of the room or the building in which the monitor is to be used must comply with regulations specified by the country in which the eguipment is to be used Caution Ensure the monitor is always mounted on a Welch Allyn approved bracket or stand The monitor is unstable when the unit is not secured to an approved Welch Allyn mounting system Directions for use Safety 3 Safety eguipment Operating the monitor without the correctly rated fuse or with defective cables constitutes a danger to patient safety Therefore Alarms A gt gt gt gt b Caution Do not operate the monitor if the ground connection is suspect or if the mains lead is damaged or suspected of being damaged Caution Damaged cables and connections must immediately be replaced Caution Electrical safety devices such as fuses must not be modified Caution Fuses must only be replaced with the same type and rating as the original WARNING Do not silence the audible alarm if patient safety could be compromised WARNING Always respond immediately to an equipment alert because the patient may not be monitored during certain alarm conditions WARNING Before eac
49. e monitor 1 Press the Setup button 2 Select the menu item Alarms 3 Use the trim knob to scroll through the alarm settings and select the limits Setup Alarms Lower Limit Upper Limit Print On Alarm E Note Individual parameter alarm limits can be set in the parameter menu see Monitoring and Measurements on page 39 Note The Alarm settings for arrhythmia are detailed in the Arrhythmia menu option in the setup menu Note When the monitor is connected to an Acuity Central Station alarm limits can be changed at the monitor or at the Acuity Central Station When confirmed the alarm limits are synchronized for both the monitor and Acuity 38 Alarms Physiological alarms Welch Allyn 1500 Patient Monitor Alarm abbreviation Description Priority Sp0 low high Oxygen saturation of the blood Medium PP low high Peripheral pulse of Sp0 Medium RRECG low high Respiration rate impedance Medium Apnea limit Apnea time limit exceeded Medium CO low high Inspiratory CO Medium RRCO low high Capnographic respiration rate Medium etC0 low high End tidal expiratory CO Medium NIBPs low high Systolic blood pressure Medium NIBPm low high Mean average blood pressure Medium NIBPd low high Diastolic blood pressure Medium HR low high Heart rate Medium Pxs Art low high Invasive systolic blood pressure Medium Pxm Art low high Invasive mean blood pressure Medium Pxd low high Invasive diastolic
50. eboot the device after changing this setting 72 Monitoring and Measurements Sp0 messages Welch Allyn 1500 Patient Monitor Message Possible cause Suggested action Sp0 check sensor Defective SpO sensor Replace the sensor Incorrect settings in the monitor Check the monitor settings Sp0 check sensor placement Poor sensor contact or the sensor has fallen off Check the contact between the sensor and the patient Sensor is disturbed by ambient light Cover the sensor Sensor defective red light on the sensor is not lit Replace the sensor Sp0 Low Perfusion Weak Signal Sp0 unplugged Sensor not properly applied Check the sensor and reapply Fingernail varnish on the finger Remove fingernail varnish Thick skin Change finger Sensor failed see Sp0 Low Perfusion above Sp0 not connected to the monitor Change sensor see Sp0 Low Perfusion above Connect sensor SpO artifact Patient has moved Calm the patient Hemodynamic interference Apply sensor to another extremity Too thin skin Apply sensor to a larger finger Sp0 lt lower limit Sp0 too low Check the patient and alarm limits Sp0 gt upper limit SpO too high Check the patient and alarm limits Sp02 low signal 10 PR lt lower limit Poor quality signal Pulse rate too low Check the sensor and reapply Move sensor to obta
51. ect lead l Il Ill or V Select this option to analyze one ECG lead Pacer Display Yes No displays pacer pulses relative to time but not representative of either amplitude duration or polarity Analyze Pacers Yes No enables non capture see above Arrhythmia OFF Sets all alarms to off except VFib Asystole and VTach which remain set at the highest alarm level Presets Resets all arrhythmia settings to the default ST ARR Relearn Approximately 15 20 complexes are used to set the parameters duration amplitude etc for Arrhythmia analysis Select this option to redefine the template used 52 Monitoring and Measurements Welch Allyn 1500 Patient Monitor ST measurement option The ST segment represents the period from the end of ventricular depolarization to the beginning of ventricular repolarization The ST segment lies between the end of the ORS complex and the initial deflection of the T wave It is normally isoelectric ST Analysis is a useful diagnostic tool because it may provide an early indication of myocardial ischemia or infarction ST Analysis is an algorithm that analyzes the offset of the ST segment from the ECG signal of normal beats The offset of a reference beat is measured in millivolts mV or millimeters with respect to the isoelectric level of the ECG waveform the offset of subsequent beats is measured relative to the reference beat The reference beat is originally
52. ent information that has not been confirmed is lost when standby mode is entered 1 Press the Standby button The following screen is displayed Standby Mode Press any key to resume monitoring Note The standby message is continuously displayed while the unit is in standby mode 2 To exit standby mode press any button You are prompted to confirm the same patient or enter a new patient Note After exiting standby mode ensure that the NIBP intervals are re armed by manually starting an NIBP measurement Directions for use Operation 25 Defining parameter fields 1 Press the Setup button BY 2 Select Parameters Setup Parameters ETCO2 Enabled Masimo Settings Enabled CO Enabled IBP Channels TEMP Display Mode OK Cancel The screen will vary according to the licensed options e etCO ST and CO are only displayed when the options are licensed The Masimo settings enabled yes no gives extra settings for SpO2 measurement see SpO2 monitoring on page 68 and is only displayed when the Masimo module is installed e The Temperature options are only available when two temperature connectors are installed on the patient panel e The IBP options are only available when four IBP connectors are installed on the patient panel 26 Operation Welch Allyn 1500 Patient Monitor Parameter field display RR or when enabled etC0 measurement ST measurement or both ST and etC0 measurements
53. entification and color code IEC AHA on page 43 WARNING Patient harm The monitor is type CF w and protected only when approved Welch Allyn patient cables are used Caution Only use approved Welch Allyn patient cables Use of other cables can damage the monitor Directions for use Monitoring and Measurements 3 lead Yellow 5 lead Red Yellow White Y SW Black 0 0 Green 41 42 Monitoring and Measurements 12 lead Note The electrode placement shown here is based on diagnostic ECG In monitoring the extremity leads are often placed on the torso as shown C3 Green C5 Black C1 Red C2 Yellow S Ne y Uu Black Bight ain Red i Right Leg Black C6 Violet LetAm Yetow Left Leg Green Welch Allyn 1500 Patient Monitor Note This graphic shows the IEC color configuration The AHA U S color configuration is shown in Electrode identification and color code IEC AHA on page 43 Directions for use Electrode identification and color code IEC AHA Monitoring and Measurements 43 The electrode placements shown in this manual are labelled with the colors according to IEC requirements The equivalent AHA colors are given below IEC Europe AHA U S System Electrode Color Electrode Color identifier identifier Limb R Red RA r
54. et Sp0 limit to lowest setting Measurement out of range and visual and audible alarm activated Recurrent test Confirm the date of last factory inspections and test If the monitor is due for a yearly test have a qualified technician perform the test Date of Inspection Inspector Directions for use Maintenance 105 Every 2 to 5 years Inspection Result Checked Internal battery Replace battery if operation falls substantially under two hours Lithium ion battery or one hour lead acid battery Replace battery o o o o o Date of Inspection Inspector 106 Maintenance Welch Allyn 1500 Patient Monitor Replacing the fuses A WARNING Disconnect the monitor from the mains before changing the fuses WARNING Blown fuses must only be replaced with the fuse types indicated in the below table Fuse types Voltage range Number Fuse type WA Part No Manufacturer Part No 100 240 VAC 2 M 1 6A E 250V 4 210004 Schurter Inc FSM 0034 2518 M Medium time lag E Enhanced breaking capacity Changing the fuse 1 Disconnect the monitor from the mains 2 Release the fuse holder by gently squeezing the side retaining clips and remove the fuse holder lo JA o gt N 3 Replace both fuses Re insert the fuse holder until the two side clips snap in place Directions for use Maintenance 107 Troubleshootin
55. etwork or any other transmission reception medium or if exposed to the Internet or other networks that are not secure appropriate security measures must be provided to protect the patient information stored Patient security and security of the network is the sole responsibility of the user Directions for use Safety 5 Maintenance A WARNING Danger of electric shock Do not open the monitor case There are no user serviceable parts inside Servicing may only be performed by a qualified technician authorized by Welch Allyn WARNING Before cleaning and to isolate the mains power supply switch the monitor off and disconnect it from the mains by removing the plug Caution Do not use high temperature sterilization processes such as autoclaving Do not use E beam or gamma radiation sterilization Caution Do not use solvent or abrasive cleaners on either the monitor or cable assemblies Caution Do not immerse the monitor or cable assemblies in liquid gt Pe Symbols These symbols appear in this user guide WARNING Warning statements in this user guide identify conditions or A practices that could result in personal injury Caution Caution statements in this user guide identify conditions or practices A that could result in damage to the equipment or other property 6 Safety Welch Allyn 1500 Patient Monitor The following symbols appear on the monitor or accessories Symbol aS NU Defin
56. express or implied license under any Nellcor Puritan Bennett patent to use this instrument with any oximetry sensor that is not manufactured or licensed by Nellcor Puritan Bennett Microstream is a registered trademark of Oridion NO IMPLIED LICENSE Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized consumable CO sampling consumable products which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device and or CO sampling consumable products Software in this product is copyrighted by Welch Allyn or its vendors All rights are reserved The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide Under such laws the licensee is entitled to use the copy of the software incorporated with this instrument as intended in the operation of the product in which it is embedded The software may not be copied decompiled reverse engineered disassembled or otherwise reduced to human perceivable form This is not a sale of the software or any copy of the software all right title and ownership of the software remain with Welch Allyn or its vendors For information about any Welch Allyn product call the nearest Welch Allyn representative USA 1315 685 4560 Australia 61 2 9638 3000 800 535 6663 800 074 793 Canada 800 561 8797 China 86 216 327 9631
57. fine the cut off frequency for the Myogram Baseline and Mains filters The filter definitions and the corresponding filter cut offs are defined as follows Baseline Myogram Mains Diagnostic 0 05 Hz 150 Hz as set Monitor 0 50 35 Hz as set Single ECG Yes No select lead I II Ill or V Select this option to analyze one ECG lead Pacer Display Analyzer Pacer Yes No displays pacer pulses relative to time but not representative of either amplitude duration or polarity Yes No not applicable HR lower upper limit Cal Range 25 250 Lower limit default 50 Upper limit default 120 Generates a simulated 1 mV calibration impulse on the curve 1 This can also be set in the setup Sp0 menu 2 If Sp0 is selected the pitch of the beep corresponds to the SpO saturation A high pitched beep indicates a high saturation 3 The lower limit cannot be set to a higher value than the value set for the upper limit and vice versa Note A setting is available in the administrator menu that prevents the HR PR alarm upper lower limit from being switched off see Administrator on page 118 Directions for use ECG alarms and messages Monitoring and Measurements 49 Message Possible cause Suggested action HR asystole ASY No ORS detected for 4 seconds Check the patient ECG signal lower than 0 5 mV HR ventricular fibrillation VF No organized ventricular rhythm detec
58. for approximately two hours when fully charged Lead acid battery This type of battery will provide power for approximately one hour when fully charged When running on battery power the battery symbol is displayed next to the time The battery indicator gives an approximate guide to the capacity of the battery e Full between 875 and 100 capacity e 3 4 full between 62 5 and 875 capacity Half full between 375 and 62 5 capacity e 1 4 full between 12 5 and 375 capacity e Empty between 0 and 12 5 capacity JOMI When the battery capacity is close to depletion e the alarm message Battery low appears e the battery symbol flashes gt 13 05 42 e an audible alarm beep is heard e the visual alarm indicator flashes blue Visual Alarm Indicator a N A e After a few minutes if the monitor is not connected to the mains supply the message Battery nearly depleted is displayed and a continuous beep is heard the monitor switches off If mains is connected during this period the monitor remains on Connect the monitor to the mains supply For battery recharging see Recharging the battery on page 101 24 Operation Welch Allyn 1500 Patient Monitor Standby mode WARNING In standby mode vital signs data and alarms are no longer displayed or collected In standby mode patient monitoring is temporarily interrupted Confirmed patient information is saved Note Pati
59. g General Alarm Condition Possible cause Suggested action Recorder out of paper Paper tray empty Insert new paper Check paper Paper jammed Check paper Recorder needs Printer error paper not Check printer check paper wrong paper service transported correctly wrong paper not inserted correctly have printer paper replaced Battery low Battery capacity too low Connect to the mains and recharge battery No HR PR tone HR PR tone source setting Set tone source to on 108 Maintenance Welch Allyn 1500 Patient Monitor EMC compliance The monitor is designed for use in an electromagnetic environment in accordance with IEC EN 60601 1 2 tables 201 202 and 204 If the monitor is used in the vicinity of equipment labelled with the symbol Non ionic electromagnetic radiation check the recommended minimum distance according to IEC EN 60101 1 2 table 206 For further details please refer to the service manual The following table lists devices and their typical frequency ranges and transmitting power and the resulting minimum distances HF source Transmitter Power Distance frequency P d MHz W m Radio telephone micro cellular CT1 CT2 CT3 885 887 0 010 0 23 Cordless DECT telephone WLAN UMTS handy 1880 2500 0 25 1 17 Mobile phone handy USA 850 1900 0 6 1 8 Mobile phone handy e GSM900 900 2 3 3 e GSM850 NMT900 DCS 1800 850 900 1 800 1 2 3 Walkie talkie rescue service police fi
60. greyed and cannot be entered 62 Monitoring and Measurements Welch Allyn 1500 Patient Monitor Assessing the IPI value IPI can provide an early indication of a change in ventilatory status which may not be shown by the current value of any of the four parameters individually The IPI is designed to summarize information regarding patient status possibly before etCO RR SpO or PR values reach levels of clinical concern While the IPI highlights a change in ventilatory status the root parameters are still reguired to understand patient status It is important to note that different conditions can cause similar IPI values The IPI trend graph displays the patient ventilatory status trend in one graph and thus can alert you to changes in patient status The importance of the IPI therefore lies not only in its absolute numeric number but also in its relationship to previous values so that a graph can display an upward or downward trend in patient status and indicates that attention or intervention may be reguired The IPI is modeled on normal healthy patients ASA Physical Status value of 1 according to the ASA Physical Status Classification System as published in Relative Value Guide6 2008 of the American Society of Anesthesiologists Patients with ASA Physical Status values of 3 or higher are expected to have low IPI values by definition Therefore for patients with an ASA Physical Status value of 3 or higher the IPI may have no added
61. h use verify that the alarm limits are appropriate for the patient being monitored WARNING Check the audible alarm silence duration before temporarily silencing the audible alarms 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 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 central station 4 Safety Welch Allyn 1500 Patient Monitor Operation with other devices A Caution Do not use the monitor in or near an MRI suite Only use accessories and other parts recommended or supplied by Welch Allyn Use of other than recommended or supplied parts may result in injury inaccurate information or damage to the monitor Accessory equipment connected to the analogue and digital interfaces must be certified according to the respective IEC standards e g IEC EN 60950 for data processing eguipment and IEC EN 60601 1 for medical eguipment Furthermore all configurations shall comply with the current version of the system standard IEC E
62. he patient and the hemodynamic factors Details of the factors calculated and entry data is given in the monitoring section see Hemodynamic calculations on page 87 Directions for use Settings 115 Drug calculations The drug calculation menu calculates the dose rate of drug delivery for a specific patient from entered drug parameters Entries are given for dose rate amount and volume Entry of any three enables the fourth value to be calculated A titration table can also be calculated and displayed when the relevant parameters are entered When drug calculation is selected the following screen is appears Drug Calculations Dose Rate ml hour Amount Volume Weight Concentration mg ml 1 mi hr mg min Calculation type Calculate Titration Table Show Update Table from 0 to in increments of OK Cancel e Dose Enter the total dose in mcg kg min mg min mcg min mg hr units hr e Rate Enter the rate in ml hr e Amount Enter the amount in Oo mg e mcg e units e Volume Enter the volume ml e Weight Enter the patient s weight lbs or kg dependent on monitor configuration e Calculation type Select between Dose or Rate 116 Settings Welch Allyn 1500 Patient Monitor Calculation After the drug parameters have been entered select Calculate b to calculate the concentration and rate Drug Calculations Rate ml hour Amount Volume Weight Concentration mg
63. heart rate source The source is displayed in brackets next to the HR parameter HR PR tone OFF on Sp0 lower upper limit Range 50 100 Lower limit default 50 Upper limit default 100 1 This can also be set in the Setup HR menu 2 If SpO is the HR PR source the pitch of the beep corresponds to the SpO saturation A high pitched beep indicates a high saturation Directions for use Monitoring and Measurements 71 Masimo settings When the monitor has a Masimo module installed the following settings are additionally available Note The extra settings for masimo modules are only available when Masimo settings enabled in the parameter settings see Defining parameter fields on page 25 Parameter Description Display Signal IO SIO On Off This value shows the acguired signal guality and timing of Waveform the pulse relative to the plethysmograph A vertical line is displayed corresponding with the pulse beep a tall vertical line indicates a high quality signal a small line indicates a low quality signal SIO values Display Perfusion Index PI Z On Off The perfusion index indicates the percentage of pulsatile to non pulsatile signal The range of signal strength is 0 02 to 20 A value of 0 indicates that no measurement is available This setting allows clinicians to place sensors on optimal sites and can also be used as a troubleshooting tool Pl value Averaging Time 2 4 8 10 12
64. his monitor is only to be used by those trained in its operation or repair Ensure that the personnel have read and understood these operating instructions and in particular this Safety section Damaged or missing components must be replaced immediately It is the owner s responsibility that the valid regulations for safety and prevention of accidents are observed Intended use The Welch Allyn 1500 Patient Monitor patient monitoring unit is designed for the monitoring of vital parameters such as ECG SpO etCO non invasive blood pressure NIBP invasive blood pressure IBP temperature and respiration of a patient Cardiac output and hemodynamic calculations are also possible The device is intended to be used by qualified doctors or trained medical personnel The device is not suitable for transport There is no danger for patients with pacemaker The device is intended for the monitoring of adult pediatric and neonate patients The device is intended for the monitoring of one patient at a time The device is not designed for sterile use nor is it designed for outdoor use Do not use this monitor in areas where there is any danger of explosion or in the presence of flammable gases 14 The device is classified CF It is defibrillation protected when the original accessories are used However as a safety precaution when possible remove the electrodes before defibrillation This product is not designed f
65. ient s respiratory parameters IPI also provides an early indication of changes in a patient s respiratory status that may not be indicated by the values of the individual parameters IPI is only supported in adult and pediatric mode When patient mode is set for neonatal IPI cannot be enabled Patient mode is defined in the setup menu mode see Patient mode on page 117 When pediatric is set there are three pediatric sub modes based on age It is important to choose the patient age group to which the current patient belongs see below Since the IPI uses data from the monitoring of both CO and SpO it will only be available when both parameters are available and RR and PR are being calculated from these parameters co T2 a Microstream 4 Fe CO2 E NC SVC EKG ECG The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 31 The default settings are in bold Parameter Description IPI Enabled No yes When enabled the measurement appears below the etC0 measurement The lower limit is displayed after the measurement Age range 1 to 3 3 to 6 6 to 12 Lower limit 1 to 9 default 4 1 IPI can only be enabled when patient mode is set to either adult or pediatric 2 Age range is only applicable when the patient mode is set to pediatric When patient mode is set to adult this option is
66. iew electrode status and take a resting ECG After the resting ECG has been taken the option to obtain a printout is given Hemodynamic Screen for entry of hemodynamic measurement parameters with automatic Calculations hemodynamic calculations based on entered parameters Drug Calculations Screen for entry of drug parameters with dose and titration calculations based on entered parameters Patient Information Enter edit patient ID and patient information Patient Mode Neonatal Birth through 28 days Pediatric Between 29 days and 12 years Adult 13 years and older Restore User Defaults Reset all settings to user defaults see administrator gt system below 14 Introduction Welch Allyn 1500 Patient Monitor Parameter Settings Submenus Administrator Configuration Display of monitor ID network settings options etc This is for information only Alarms Alarm settings silence time suspend time etc This requires a password to enter see Settings on page 111 System Time and date settings and unit preference cm in kg lb This screen also gives the option to save the current settings as the user default settings and the option to display the event log screen This screen reguires a password to enter see Settings on page 111 Communications Service and Factory These menu options are for service and factory personnel and can only be accessed by password only Details are given
67. ight arm White L Yellow LA left arm Black F Green LL left leg Red Chest C1 White Red V1 Brown Red C2 White Yellow V2 Brown Yellow C3 White Green V3 Brown Green C4 White Brown V4 Brown Blue C5 White Black V5 Brown Orange C6 White Violet V6 Brown Violet Neutral N Black RL rightleg Green 44 Monitoring and Measurements Welch Allyn 1500 Patient Monitor Pacemaker monitoring A A A WARNING Patients with a pacemaker must be observed continuously because the heart rate from the pacemaker might still be registered in case of a cardiac arrest or some arrhythmias See specification Technical data on page 127 for disclosure of the pacemaker pulse rejection capability of this monitor WARNING Pacemaker monitoring is not possible with ECG cables that have un shielded lead wires Ensure that only shielded lead wire ECG cables are used when monitoring patients that have a pacemaker WARNING Welch Allyn recommends using an SpO sensor in addition to the ECG measurement and to set the alarm range for the peripheral pulse PP in the range of the heart rate HR or to set the HR source in the SpO5 menu to SpO5 see SpO2 settings on page 70 3 and 5 lead cables for pacemaker patients The following illustration shows the electrode placement with a 5 lead patient cable for optimum results for patients with an implanted pacemaker With a 3 lead patient cable only R L and F are connected IEC AHA Black
68. in a better quality signal Check the patient and alarm limits PR gt upper limit Pulse rate too high Check the patient and alarm limits 1 When the monitor has a Masimo module the message SpO2 low perfusion only occurs when the perfusion index feature is enabled 2 The Sp02 low signal IQ message is only given when the monitor has a Masimo module and only occurs if Signal IO waveform feature is enabled Directions for use Monitoring and Measurements 73 IBP monitoring Safety WARNING Carefully read the manufacturer s instructions before using the invasive blood pressure kit WARNING When applying the kit to the patient make sure that absolutely no air penetrates the system WARNING To achieve correct arterial pressure measurement the pressure sensor must be installed on the level of the right atrium WARNING f the pressure sensor s position is moved after calibration this may give inaccurate values WARNING f an invasive catheter for blood pressure measurement is introduced into an arterial vessel the circulation in the terminal vessels must be checked at regular intervals WARNING Single use accessories must not be reused WARNING For patient safety ensure that neither the sensors nor the patient or persons touching the patient come into contact with conducting objects even if these are grounded WARNING Precautions must be observed when using high frequency devices To prevent the incorrect
69. internal printer Note The 12 lead resting ECG is an option and only appears in the setup menu when enabled Taking a resting ECG 1 Press the Setup button 2 Select 12 lead ECG 12 Lead Resting ECG Electrode Status Start 12 Lead Resting ECG x RA LL RL vi sawan Spade i V3 va V5 V6 Cancel 3 Check electrode status Ensure the green On is displayed for all electrodes this indicates that the electrode resistance is within acceptable range to obtain a valid reading 4 Select Start 12 lead Resting ECG The message Rest ECG Analysis in Progress is displayed while the resting ECG is being taken This is followed by Rest ECG Complete 5 The resting ECG is saved in memory until a new patient is defined or the ECG is overwritten with a new recording Note When the monitor is connected to Acuity resting ECGs are exported to Acuity automatically 48 Monitoring and Measurements ECG menu settings Welch Allyn 1500 Patient Monitor Note The parameter settings are selected with the trim knob See Settings via a parameter field on page 31 The default settings are in bold Main menu Parameter Description Setup HR ECG Lead Lead selection I Il 111 V AVL AVR AVF Size 0 5 1 2 4 mV cm HR PR source ECG Sp0 P1 HR PR Tone Off on ECG Filter Select Diagnostic or Monitor Two predefined filter settings can be selected These defined filter options de
70. ironmental conditions for transport and storage Temperature Atmospheric pressure 10 C to 50 C 14 F to 122 F at relative humidity of 10 to 95 non condensing 572 to 1060 hPa Monitor display Resolution Dimensions Speed Color TFT LCD 1024 x 768 pixels 30 7 x 23 cm 12 x 9 ins 15 in diagonal 6 25 12 5 25 mm s Welch Allyn 1500 Patient Monitor Printer Resolution Paper Print speed Printout length Recording tracks High resolution thermal printer 8 dots mm amplitude axis 40 dots mm time axis at 25 mm s Thermoreactive Z folded Width 80 mm Length 20 m approx 25 mm s 10 second ECG recording on 4 pages 3 channel display with optimal width of 72 mm automatic baseline adjustment Printout Curves trend and saved values Battery Battery type Lead acid battery 12 V Capacity 2600 mAh Recharging time Battery life Battery type Capacity Recharging time Battery life or 8096 capacity 2 8 hours 10096 capacity 3 5 hours monitor switched off up to 1000 cycles Lithium lon battery 10 8V 7200 mAh 80 capacity 2 5 hours 100 capacity 6 5 hours monitor switched off min 500 cycles Connections ECG Sp0 NIBP etC0 CO Temperature x1 or x2 Invasive blood pressure x2 or x4 Interfaces Ethernet via RJ45 Nurse call Alarm delay at the signal output component lt 0 5 s Plug type 1 8 in 3 5 mm mini phone jack
71. isplayed smaller below the main measurement Note that the mean measurement is shown in brackets Directions for use IBP alarm defaults Monitoring and Measurements 75 Label Parameter Adult Adult Pediatric Pediatric Neonate Neonate Lower Limit Upper Limit Lower Limit Upper Limit Lower Limit Upper Limit P1 P2 P3 P4 SYS 6 14 2 10 2 10 P1 P2 P3 P4 DIA 4 6 4 2 4 2 P1 P2 P3 P4 Mean 0 10 0 4 0 4 ART SYS 75 220 75 145 50 100 ART DIA 35 110 35 100 30 70 ART Mean 50 120 50 110 35 80 CVP SYS 6 14 2 10 2 10 CVP DIA 4 6 4 2 4 2 CVP Mean 0 10 0 A 0 4 PA SYS 10 34 10 34 10 34 PA DIA 0 16 0 16 0 16 PA Mean 0 20 0 20 0 20 ICP SYS 6 14 2 10 2 10 ICP DIA 4 6 4 2 4 2 ICP Mean 10 0 4 0 4 RA SYS 6 14 2 10 2 10 RA DIA 4 6 4 2 4 2 RA Mean 0 10 0 4 0 4 LA SYS 6 14 2 10 2 10 LA DIA 4 6 4 2 4 2 LA Mean 0 10 0 4 0 4 UA SYS 50 100 UA DIA 30 70 UA Mean 35 80 UV sYS 2 10 UV DIA 4 2 UV Mean 0 4 76 Monitoring and Measurements Welch Allyn 1500 Patient Monitor IBP zero set e Zero Set must be carried out before every application e To prevent incorrect measurement readings due to the sensor s physical null drift calibrate the sensor every 24 hours Note Ensure the sensor is kept still during zero set If the pressure sensor s position is moved during zero set this can lead to incorrect values 1 Move to the desired IBP measurement field P1 P2 usi
72. ition Potential egualization earth ground Symbol Definition CF symbol This monitor is classified safe for internal and external use However it is only defibrillation protected when used with the original Welch Allyn patient cable gp The monitor can be recycled Recycle the monitor and battery separately from other waste Refer to www welchallyn com weee for collection point and additional information A Notified body of the CE certification TUV Note accompanying documents CE 0123 p S A wom Altitude limits s Humidity limits a os 15 I Keep away from sunlight Stacking limit Me Dx AN 5 T El Temperature limits Keep away from rain This way up U Fragile CO in CO out i Temperature NIBP Read and follow the instructions in the A accompanying documentation The following symbols appear on the screen Symbol Definition Symbol Definition Parameter alarm off Audible Alarm off A xi Acuity connected yN Acuity not connected Patient mode symbols neonate pediatric adult Directions for use Safety 7 Additional terms Implied authorization Possession or purchase of this monitor does not convey any express or implied license to use the monitor with replacement parts which would alone or in combination with this monitor fall within the scope of one or more patents relating to this monitor Terms of warra
73. ize interference and the danger of burns to the patient only use Welch Allyn ECG cables Keep the ECG cable as far away as possible from any electrosurgical cables Make sure that the electrosurgical return conductor neutral is properly attached to the patient and that good contact is made Patient preparation The auality of the ECG reading is dependent on the degree of contact resistance between the electrode and the skin To ensure the lowest resistance consider the following actions 1 Shave the areas where the electrodes are to be placed 2 Use alcohol to thoroughly clean the areas where the electrodes are to be placed 3 When applying the electrodes make sure that there is a layer of gel between the electrode and the skin Note To maintain the quality of signals during long term monitoring the electrodes should be replaced at least every 48 hours Over longer periods the electrode gel can dry out and the patient s skin can be irritated by the gel or adhesive When replacing electrodes do not position the new electrodes on exactly the same locations but a little to the side of the original positions Connecting the ECG patient cable Note gt e gt e When an electrode falls off or the resistance of an electrode is too high a lead off indication is displayed and an audible alarm is issued e Color code the colors shown here are according to IEC requirements The AHA color configuration is shown in Electrode id
74. mation field Top line The left box on the top line a displays the patient s room number entered in the patient information screen If the monitor is connected to the Acuity Central Station the room number is taken from Acuity l The middle box b displays the patient mode Neonatal DAVID NEATH Pediatric or Adult indicated by the highlighted icon 10 30 48 The right box c indicates the monitor s network connection Connected to Acuity Central Station lt Acuity enabled but no connection When the Acuity Central Station option is not enabled this box remains blank Middle line Displays the patient name If the monitor is connected to Acuity Central Station the patient name is synchronized with Acuity Bottom line Displays the current time When mains is not connected a battery symbol is also displayed to the left of the time see Power supply on page 22 Operation Startup and initial preparation A WARNING Danger of electrical shock Do not operate the monitor if the ground connection is suspect or if the mains lead is damaged or suspected of being damaged A WARNING Network the monitor to an Acuity Central Station only Connecting to other networks could damage the monitor or injure the patient If in doubt about the network jacks or devices consult your facility s Biomedical Engineering Department Connections a b c lt MW TP sn E SCHILLER AG Patent Montor CHEMI BAR
75. monitor on or off on page 19 Trim knob The trim knob is used for navigation value selection and value change Use as follows 1 Turn the trim knob to the left or right to select a field or value A white frame appears around the field 2 Press the trim knob to open the menu of the selected parameter field or value 3 Turning the trim knob to the left or right to select the desired value 4 Press the trim knob to apply the changed value Directions for use Introduction 13 Setup menu overview Press a to enter the setup menu and adjust the following settings and options Note The following is an overview of the setup menu options Further details are given in section 8 see Settings on page 111 Parameter Settings Submenus Alarm Suspend Silences all alarms for a set period The silence time is defined in the Administrator menu alarms Arrhythmia Arrhythmia limits and alarm levels Pacer Display and analysis on off Alarms Alarm overview All alarm limits and print on alarm settings Speaker Volume Speaker volume HR PR Tone Volume Heart beat volume Waveform area Defines the waveforms to be displayed and the size and sweep speed Recorder Defines the data on the printout Parameters Enable disable any combination of the following ST measurements etC0 Masimo Sp02 settings cardiac output invasive blood pressure display and temperature display options 12 lead Resting ECG V
76. monitoring the patient and recording the parameters and alarm status During this time the visual alarms continue to be displayed and the Audio Off symbol s displayed on the monitor To switch off all alarms proceed as follows 1 Press the Setup button 2 Enter the alarm menu Setup gt Administrator gt Alarms Note The alarm password is detailed in the Administrator chapter see Administrator on page 118 3 Select Audio Off and set to Yes The audible alarm off symbol is displayed in the message bar indicating that the audible alarms have been switched off DAVID NEATH 10 10 13 4 To switch the alarms back on again enter the alarm menu Setup gt Administrator gt Alarms select Audio Off and set to No Note The audio off status is also reset to the default value of No when a new patient is defined Standby mode on page 24 and when the monitor is switched off Speaker volume reverts to the preset value Audio off when the monitor is connected with Acuity Audible and visual alarms remain unchanged at an Acuity station when Audio off Yes is set at the monitor If a communication failure or interruption between Acuity and the patient monitor is detected the audio alarm off status at the monitor is reset the Audio Off is set to No and a technical alarm is displayed on monitor The user has the option to switch off all alarms again if required 36 Alarms Welch Allyn 1500 Patient Monitor Switchi
77. ms after the j point Note When Auto is defined the measurement point is set to either 60 or 80 ms This is dependent on the results of an algorithm that builds a hysteresis counter based on the patient s average heart rate a faster heart rate is set at 60 ms Lower limit upper limit Range 10 to 10 Lower limit default 1 Upper limit default 1 Alarm level Off Low Medium High Print on alarm Yes No Presets Select to return all ST settings to the defaults 54 Monitoring and Measurements ST alarm messages Alarm Possible cause Welch Allyn 1500 Patient Monitor Suggested action ST gt upper limit ST lt lower limit ST is higher or lower than the alarm limit Check the patient Directions for use Monitoring and Measurements 55 Respiration rate Note The RR measurement field is not displayed if the etCO field is enabled If the RR should be measured via the ECG instead of etCO the etCO measurement field must be deactivated as follows Setup Parameters ST Enabled ETCO2 Enabled Masimo Settings Enabled CO Enabled IBP Channels TEMP Display Mode OK Cancel Press the Setup button select Parameters and deactivate etCO No Note The RR signal is measured via the R RA and F LL electrodes of the ECG cable impedance measurement After the patient is connected about 30 seconds can elapse before a reliable value is displayed Respiration rate setti
78. n page 77 Cardiac output see Cardiac output option on page 78 122 Settings Welch Allyn 1500 Patient Monitor 123 Accessories A WARNING Use only accessories supplied or recommended by Welch Allyn Use accessories according to your facility s standards and manufacturer s recommendations Always refer to the manufacturer s directions for use To order accessories contact your local Welch Allyn representative see page ii Miscellaneous Part number Description 105074 Welch Allyn 1500 Patient Monitor multi language directions for use V 1 4 103610 10 pack thermal Z fold paper 103611 100 pack thermal Z fold paper Mounting Partnumber Description 103440 Welch Allyn 1500 Patient Monitor pivot arm wall mount 103441 Welch Allyn 1500 Patient Monitor flush to wall mount 103442 Welch Allyn 1500 Patient Monitor rollstand 103443 Welch Allyn 1500 Patient Monitor drop on Mfg plate included in all mounting kits 104019 Welch Allyn 1500 Patient Monitor table mount Batteries Partnumber Description 103461 Lead acid 104033 Lithium lon 104062 International Lithium lon 124 Accessories Cables Welch Allyn 1500 Patient Monitor Part number Description 103460 Ground cable 6 mm MC PLUG 715316 Ethernet cable 3 ft 715317 Ethernet cable 7 ft 715318 Ethernet cable 14 ft 104384 Ethernet cable 25 ft 103632 Mains cable TYPE G
79. ng off an individual parameter alarm WARNING The audible alarm is silenced permanently The settings are not reset Physiological alarms of the patient are silenced Use this function only if disconnecting a sensor from the patient for a long period of time 1 Individual alarms can be inhibited via the Alarms menu see below and in any parameter measurement field by using the trim knob to select a parameter a white frame appears around the selected field and pressing the trim knob to display the menu for that parameter 2 Switch off an individual limits by selecting the limit setting and rotating the trim knob to the maximum limit until off is selected 3 The alarm off symbol X is displayed in the respective measurement field Note A setting is available in the administrator menu that prevents the HR PR alarm from being switched off see Administrator on page 118 Alarm Volume The alarm volume is set in the setup menu 1 Press the Setup button 2 2 With the trim knob select the menu option 3 Press the trim knob to display the speaker volume Alarm Suspend Arrhythmia Alarms Sb EL AU LU R PR Tone Volume The speaker volume is set on a scale of 1 to 10 The volume is heard when scrolling through the values Directions for use Alarms 37 Alarm limit setting Note All alarm limits are reset to the default settings after confirming a new patient see Standby mode on page 24 or switching off th
80. ng the trim knob Press the trim knob to display the IBP menu Select Zero Set with the trim knob and press to carry out the zeroing B 2 N A straight line is displayed in the IPB waveform IBP alarms and messages Message Possible cause Suggested action IBP needs service No IBP module detected Switch off on Replace monitor IBP needs calibration Zero point sensor too high low Check tube system sensor and valves by more than 30 mmHg or unsteady pressure Re calibrate the sensor IBP artifact Loose sensor contact Inspect the sensor and cable connection A manipulation at the sensor After rinsing calibrate the sensor such as rinsing has caused variation peaks of 150 mmHg Incorrect IBP value Constant pressure 30 mmHg Check tube system sensor and valves Set displayed during the calibration in the three way valve to ambient pressure system Re calibrate the sensor IBPs lt lower limit Systolic pressure too low Check the patient and alarm limits IBPs gt upper limit Systolic pressure too high Check the patient and alarm limits IBPm lt lower limit Mean pressure too low Check the patient and alarm limits IBPm gt upper limit Mean pressure too high Check the patient and alarm limits IBPd lt lower limit Diastolic pressure too low Check the patient and alarm limits IBPd gt upper limit Diastolic pressure too high Check the patient and alarm limits
81. ngs The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 31 The default settings are in bold Main menu Parameter Description RESP Enabled Display RR measurement Yes No When the respiration is not enabled Disabled is displayed in the measurement screen RR ECG Disabled Apnea Apnea time 6 10 15 20 25 30 seconds Setup RR Lower limit upper limit Range 2 150 Lower limit default 5 Upper limit default 30 56 Monitoring and Measurements Respiration rate alarms and messages Message Possible cause Welch Allyn 1500 Patient Monitor Suggested action RR out of range too high The patient s RR is too high for accurate measurement Check the patient Electrical interferences from other devices Remove source of the interference Signal disturbed due to freguent artifacts caused by bad electrode contact Check and reapply replace electrodes if reguired RR lead off Electrode loose defective Check and reapply replace electrodes RR artifact RR gt upper limit RR lt lower limit Patient has moved Calm the patient Interferences by other devices Remove source of the interference Bad electrode RR is higher or lower than alarm limit Check replace electrodes Check the patient Directions for use Monitoring and Measurements 57 Capnograph
82. nty Your monitor is warranted against defects in material and manufacture for the duration of one year from date of purchase Excluded from this guarantee is damage caused by an accident or as a result of improper handling The warranty entitles free replacement including labor of the defective part Any liability for subsequent damage is excluded The warranty is void if unauthorized or unqualified persons attempt to make repairs In case of a defect send the apparatus to your dealer or an authorized Welch Allyn service center The manufacturer can only be held responsible for the safety reliability and performance of the apparatus if e assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by the manufacturer e the monitor and approved attached equipment is used in accordance with the manufacturer s instructions Note There are no express or implied warranties which extend beyond the warranties hereinabove set forth Welch Allyn makes no warranty of merchantability or fitness for a particular purpose with respect to the product or parts thereof Note This equipment has been tested and found to comply with the limits for a class A digital device pursuant to both Part 15 of the FCC Federal Communications Commission rules and the radio interference regulations of the Canadian Department of Communications These limits are designed to provide reasonable protection against harmful
83. o 5 years depending upon application When the running time falls substantially under two hours lithium ion battery or one hour lead acid battery replace the battery Recharging the battery Totally discharged batteries reguire the following times to charge e Lead acid battery 80 capacity 2 8 hours 100 capacity 3 5 hours e Li lon battery 80 capacity 2 5 hours 100 capacity 6 5 hours It is possible to use the monitor when the battery is being charged however the charging time of the battery will be extended 1 Connect the monitor to the mains but do not switch it on 2 The LEDs for both mains and battery are illuminated 3 The battery LED is extinguished when the battery is fully charged Battery disposal A WARNING Explosion warning The battery must not be burned or disposed of in domestic trash A WARNING Flammability and chemical danger Do not open the battery A WARNING Protect the contacts from shorting when disposing of the battery Apply non conducting tape to the contacts Batteries must be disposed of in municipally approved areas or sent back to Welch Allyn See Recycling monitor components on page 109 102 Maintenance Welch Allyn 1500 Patient Monitor Inspecting and cleaning the monitor and accessories A A A WARNING Do not autoclave the monitor or any accessories WARNING Do not immerse the monitor in liquid when cleaning Do not immerse accessories in liquid when cleaning
84. o IEC60601 1 2005 incl corrections 1 2006 and 2 2007 General reguirements for basic safety and essential performance Protection Class I Type CF IEC 60601 1 4 A1 1999 General reguirements for collateral standard programmable electrical medical systems IEC 62366 2007 Application of usability engineering to medical devices IEC 60601 2 27 2005 Particular reguirements for the safety of electrocardiographic monitoring eguipment IEC 60601 2 30 1999 Particular reguirements for the safety including essential performance of automatic cycling non invasive blood pressure monitoring eguipment IEC 60601 2 34 2000 Particular reguirements for the safety including essential performance of invasive blood pressure monitoring eguipment IEC 60601 2 49 2001 Particular reguirements for the safety of multifunction patient monitoring equipment ISO 9919 Particular requirements for the basic safety and essential performance of pulse oximeter equipment for medical use ISO 21647 Particular requirements for the basic safety and essential performance of respiratory gas monitors Protection class Protection against electric shocks Class according to IEC EN 60601 1 with internal power Protection This monitor is not designed for outdoor use IPX0 EMC IEC EN 60601 1 2 2007 class A Additional requirements Conformity EN 1060 1 and EN 1060 3 noninvasive blood pressure recorders
85. o calibration required Averaged over 4 8 16 beats Directions for use Masimo Module 135 Technical data Sensors Masimo SET LNCS Amplifier Fully isolated defibrillation protected gt 5kV Sampling freguency 62 5 Hz Display update interval 1 second Signal IQ waveform A waveform that indicates pulse detection confidence Values range from 0 to 127 where 0 is low confidence and 127 is high confidence Perfusion Index numeric PI A numeric provided that indicates perfusion Perfusion is measured in and ranges from 0 02 to 20 Fast SAT A mode that enables rapid tracking of arterial oxygen saturation changes by minimizing the averaging Display ranges Saturation SpO PR 0 to 100 25 to 240 beats per minute Averaging Time 2 4 8 10 12 14 16 18 Sensitivity Normal Max APOD Accuracy Sp0 no motion Sp0 motion Sp0 low perfusion PR no motion PR motion PR low perfusion 60 to 80 3 adults pediatrics 70 to 100 2 adults pediatrics 3 neonates 70 to 100 3 adults pediatrics neonates 70 to 100 2 adults pediatrics neonates 25 to 240 3 bpm adult s pediatrics neonates 25 to 240 5 bpm adults pediatrics neonates 25 to 240 5 bpm adults pediatrics neonates 136 Technical data Capnography Note Welch Allyn 1500 Patient Monitor Module Mini Medi CO Measuring method Non dispersi
86. on e _ Arrhythmia analysis e ST analysis e Cardiac output and hemodynamic calculations e Invasive blood pressure x4 e Temperature x2 10 Introduction The Welch Allyn 1500 Patient Monitor Front panel Back panel Welch Allyn 1500 Patient Monitor Visual alarm indicator Patient connection panel Function button panel O Trim knob Ethernet RJ45 connector Potential egualization ground Nurse call connector Mains connector 100 240 VAC and fuse panel Printer USB connector lift door The nurse call can be used to give an external indication of a parameter alarm Directions for use Introduction 11 Connection panel Temperature 1 Cardiac Output Temperature 2 etC0 sampling input SVC enson etC0 sampling exhaust ECG NIBP Sp0 IBP 4 BM IBP 3 IBP 2 Note The connection panel layout will vary according to the options installed 12 Introduction Function buttons DO Welch Allyn 1500 Patient Monitor Print Printout of three waveforms and all parameters The waveforms and print settings are defined in the printer menu see Recorder on page 113 Note that an auto printout can also be obtained when a limit is violated This is also defined in system setup Alarm silence Silence resume an audible alarm or confirmation of displayed messages The silence time is defined in the Setup Administrator menu
87. on page 39 Setup Alarms Upper Limit NIBPd NIBPm T TA The next page option gives further Next Page parameter limits for invasive BP Speaker volume Sets the speaker volume on a scale of 1 to 10 The volume is heard when scrolling through the values HR PR tone volume Sets the HR from ECG PR from SpO or P1 beep volume on a scale of 1 to 10 The volume is heard when scrolling through the values Waveform area The waveforms displayed on the monitor are set in this menu The waveform options will change according to the options licensed and enabled monitor configuration and parameters selected for display see Defining display waveforms on page 27 Directions for use Settings 113 Recorder Note This is only available when the recorder option is installed This defines the information to be printed The waveforms that can be printed will depend on the options enabled and the configuration of the monitor The default settings are in bold Main menu Parameter Description SetUp Recorder Waveform 1 ECG1 ECG2 ECG3 RESP CO SpO P1 P2 P3 P4 Waveform 2 ECG1 ECG2 ECG3 RESP CO2 SpO P1 P2 P3 P4 OFF Waveform 3 ECG1 ECG2 ECG3 RESP CO SpO gt P1 P2 OFF Recording time 5 10 16 Seconds Recording Delay 0 6 10 Seconds This defines the duration of data that is printed before the print key is pressed For example if a delay of six seconds wi
88. or direct cardiac application The arrhythmia module is not intended for use with neonatal patients The SFanalysis module is not intended for use with neonatal patients 2 Safety Welch Allyn 1500 Patient Monitor Organizational measures e Before using the monitor ensure that an introduction regarding the monitor functions and the safety precautions have been provided by a medical product representative Safety e Observe the operating instructions and maintenance instructions e These operating instructions do not override any statutory or local regulations or procedures for the prevention of accidents and environmental protection gt bP bb gt beb bb WARNING Mount the monitor securely so that there is no possibility of it falling on the patient or on the floor WARNING If uncertain about the accuracy of any measurement first check the patient s vital signs by alternate means and then make sure the monitor is functioning correctly WARNING Do not touch the monitor during defibrillation WARNING To ensure patient safety none of the ECG electrodes including the neutral electrode nor the patient or any person with simultaneous patient contact must come in contact with conductive parts even when these are grounded WARNING If you notice any changes that impair safety including operating behavior remove the monitor from service and report it to the person responsible for servicing the monitor WARNING Do not plac
89. part 1 EN12470 4 Performance of electrical thermometers for continuous measurement CE according to directive 93 42 EEC class IIb Directions for use Measured values ECG Technical data 131 Patient cable 3 lead 5 lead 12 lead cable Automatic 3 5 and 12 lead detection Lead fault detection AAMI 6 pin and 12 pin connectors Leads Simultaneous synchronous recording of up to nine active electrodes giving 12 leads Filters Mains 50 Hz 60 Hz off Bandwidth 0 05 Hz 0 5 Hz 35 Hz 150 Hz Input impedance gt 2 58 MO Heart rate range 15 to 300 beats min ORS tone On Off Protection ESU and defibrillator protected Lead display Selectable leads Selection of 1 to 5 simultaneous leads Display update interval 1 second Lead fail sense current lt 0 5 pA Tall T wave rejection max amplitude of the T wave according to IEC 60601 2 27 chapter 50 102 17 4 mV HR averaging method The average of the last 16 beats is used when RR interval corresponds to a HR of lt 48 bpm The average of the last 4 beats is used when RR interval corresponds to a HR of gt 48 bpm HR accuracy 5 or 5 bpm whichever is greater HR meter response time Change from 80 to 120 bpm 11s Change from 80 to 40 bpm 11s Response to Irregular A1 80 min rhythm A2 60 min A3 120 min A4 90 min according to IEC specification 60601 2 27 6 8 2 bb Time to Alarm for B1 and B2 3s ta
90. plies with the requirements of the system standard IEC 60601 1 1 If in doubt consult your Administrator Engineering Department Directions for use Acuity Central Station 93 Introduction The Acuity Central Station provides central patient monitoring for monitoring devices connected to the network The monitor communicates through a hardwired Acuity connection While connected to the network the monitor sends data to Acuity This data is continuously analyzed to provide appropriate alarm or alert messages at the Central Station and other network devices such as a hallway message panel or the monitor itself Acuity also stores the patient information for viewing or report printing If the monitor loses communication with Acuity it continues to monitor the patient and display patient information While not communicating with Acuity the monitor continues to generate local patient alarms or alert messages When connection is restored it automatically reconnects to Acuity and uploads trend information Connect to the Acuity Central Station The ethernet connector RJ45 is positioned on the back of the monitor Ethernet connector _ 9 MW Wh es Caution Ensure that only a Welch Allyn approved RJ45 cable assembly is used Use of any other cable assembly may damage the monitor 94 Acuity Central Station Welch Allyn 1500 Patient Monitor Working with Acuity Please consult the Acuity directions for use for full operating in
91. r problem Check the sensor and monitor Switch the monitor off on TEMP lt lower limit Temperature too low Check the patient and alarm limits TEMP gt upper limit Temperature too high Check the patient and alarm limits 78 Monitoring and Measurements Welch Allyn 1500 Patient Monitor Cardiac output option Introduction CO Units The WA 1500 patient monitor uses the thermodilution method of measuring cardiac output A pulmonary artery catheter PAC is inserted into the right side of the heart The PAC is balloon tipped and is inflated to help it through the right ventricle to occlude a smaller branch of the pulmonary artery system The balloon is deflated and the PAC injects a small amount 10ml of cold injectate at a Known temperature into the pulmonary artery The temperature is then measured at a known distance using the same catheter The cardiac output can be calculated from the measured temperature curve Low cardiac output will change the temperature slowly and high cardiac output will change the temperature rapidly The degree of change in temperature is directly proportional to the cardiac output Usually three to five repeated measures are averaged to improve accuracy Cardiac output is expressed as liters minute e Cardiac Output CO Stroke volume x Heart rate where Stroke volume End Diastolic Volume EDV End Systolic Volume ESV Heart rate beats per minute The cardiac index is expressed
92. ration The event log screen provides software versions module status and provides an event log Full details are provided in the service handbook This screen also provides a counter for CO calibration The event log screen is displayed as follows HE Setup Menu gt Administrator gt System gt Event log The following is a typical screen Show Event Log The CO Hours Until Cal Due is a counter that gives the operating time of the CO module until calibration is necessary If the counter is 0 when a CO probe is connected an alert message is displayed CO calibration due or CO service due Please contact a Welch Allyn service center Directions for use Settings 121 Parameter settings 1 Move to the desired parameter measurement field using the trim knob A white frame appears around the selected measurement field 2 The selected menu is displayed by pressing the trim knob The settings available and default settings are given in the Monitoring section see Monitoring and Measurements on page 39 ECG Heart rate Pacemaker see ECG on page 40 ST see ST measurement option on page 52 RR Respiration see Respiration rate on page 55 etCO Respiration see Capnography on page 57 NIBP see NIBP monitoring on page 64 SpO see SpO2 monitoring on page 68 IBP see IBP monitoring on page 73 Temperature see Temperature monitoring o
93. re 81 470 5 2 6 brigade service Mobile telephone system rescue service police 81 470 100 11 7 fire brigade For transmitters not included in the above table the recommended distance d in meters can be calculated using the following formulas Frequency range 0 15 80 MHz e d 35 3VxyP Frequency range 80 800 MHz e d 3 5 3V m xP Frequency range 800 MHz 2 5 GHz e d 7 3V mx P d recommended distance in meters P transmitting power in watts V volts m meters Directions for use Maintenance 109 Mounting on a wall or stand Follow the instructions given with the mount or stand The mounting accessories are detailed in the Accessories section see Mounting on page 123 WARNING _ Always use Welch Allyn replacement parts and disposables or products approved by Welch Allyn Failure to do so may cause patient injury and invalidate the warranty Recycling monitor components Oy Ee This monitor must be disposed of in a municipally approved collection point or recycling center when no longer used If no such collection point or recycling center is available you can return the monitor to your distributor or the manufacturer for proper disposal Refer to www welchallyn com weee for collection points and additional information 110 Maintenance Welch Allyn 1500 Patient Monitor 111 Settings Setup menu overview The setup menu contains the view and alarm settings along with patient informa
94. rement and displacement for invasive transducers refer to the documentation of the transducer manufacturer 80 Monitoring and Measurements Welch Allyn 1500 Patient Monitor Approved catheters and injectate sensor type Catheters The monitor will work with any blood temperature sensor that is Edwards compatible Injectate Sensor The injectate sensor must be a Baxter Edwards Abbott in line thermistor Note The monitor does not support bath probe or arrow flow through sensor Preparing for cardiac output measurement Note The CO is only displayed when the CO option is enabled If the CO measurement field is not displayed ensure that it is enabled in the parameter settings 1 Press the Setup button enter the menu Setup Parameters and activate CO enabled yes Setup Parameters ST Enabled ETCO2 Enabled Masimo Settings Enabled CO Enabled IBP Channels TEMP Display Mode OK Cancel O B am EKG ECG A 3 Setup the catheter according to the instructions given by the manufacturer Directions for use Monitoring and Measurements 81 Taking a CO measurement Cardiac output settings 1 Use the trim knob to select and highlight the CO measurement field Press the trim knob to display the settings B6 JOHN WHITE HERA Note Parameter selection with the trim knob is described previously see Settings via a parameter field on page 31 2 The settings screen appears Setup CO Begin CO
95. rn off the HR or PR alarms Alarm Delay On Off If the alarm validation is enabled alarm limits must be exceeded for at least 6 seconds for an alarm to be issued Second Speaker Time 0 to 3 minutes 2 minutes Time after which the secondary speaker is enabled For lethal and high level alarms the secondary speaker is activated in 30 seconds Audio Off Yes or No Disables the audible alarm indefinitely until reset manually or when a new patient is defined or the monitor switched off System password protected see previous page Height units Weight units Select Inches in or centimeters cm sets the monitor s measurement units Select pounds Ibs or kilograms kg sets the monitor s measurement units In neonate mode the units are automatically switched to grams Acuity Enabled Yes No Connects to Acuity Note that Acuity can only be enabled when Enable Acuity connection in the service setup is set Set Date and Time Entry of the year month day hour minute Save User Defaults Show Event Log With this function values changed by the user are saved Display of the monitor event log see Event log screen and CO2 calibration on page 120 Service Factory This provides settings options and service information for service personnel only This menu is for factory use only 120 Settings Welch Allyn 1500 Patient Monitor Event log screen and CO calib
96. rs dry the area with warm air and then check the equipment to confirm that it operates properly A A A Caution Use only a cleaning solution recommended by Welch Allyn for this equipment Use of any other cleaning solutions can cause damage to the equipment including cracking and deterioration of the plastic case Caution Always follow the mixing diluting instructions provided by the manufacturer of the cleaning solution Caution Never use any of the following solutions or similar products to clean the equipment ethyl alcohol ethanol acetone hexane abrasive or scouring powder or material Directions for use Cleaning instructions and cleaning solutions Maintenance 103 Eguipment Cleaning instructions Approved cleaning solutions Monitor Wipe with a nearly dry cloth moistened with cleaning solution Thoroughly wipe off any excess cleaning solution Do not let cleaning solution run into connector openings or crevices ECG cable extension Consult manufacturer s instructions cable SpO cable extension Consult manufacturer s instructions cable Other accessories Consult manufacturer s instructions 70 solution isopropyl alcohol neutral mild detergent solution all products designed for cleaning plastic Mild detergent solution also consult manufacturer s instructions Consult manufacturer s instructions Consult manufacturer s instructions 1 The equipment can be disinfected to compl
97. s etCO settings Welch Allyn 1500 Patient Monitor The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 31 The default settings are in bold Parameter Description Size O to 40 mmHg 0 to 60mmHg 0 to 80mmHg Units mmhHg kPa Apnea time 6 10 15 20 25 30 seconds EtCO lower upper limit Range 0 99 mmHg Lower limit default 25 mmHg 3 kPa Upper limit default 60 mmHg 8 kPa RR lower limit upper limit FiCO upper limit Range 2 150 Lower limit default 5 Upper limit default 30 2 25 mmHg 5 mmHg 0 7 kPa Directions for use Monitoring and Measurements 61 Integrated Pulmonary Index IPI settings and measurement IPI settings The capnography module provides the clinician with an integrated pulmonary index IPI The IPI is based on end tidal carbon dioxide respiration rate oxygen saturation and heart rate The IPI is a single index of an adult or pediatric patient s ventilatory status displayed ona scale of 1 10 where 10 indicates optimal pulmonary status IPI monitoring displays a single value that represents the patient s pulmonary parameters and alerts clinicians to changes in the patient s pulmonary status IPI provides an uncomplicated inclusive assessment of a patient s ventilatory and oxygenation status By following the trend of the IPI a clinician can quickly assess the interrelations of a pat
98. s with yellow connectors Products that include an H in the name are intended for long term use Select the appropriate sampling line and connect it to the monitor before putting on the patient Be sure to follow the directions for provided with the sampling line For further information please contact your local representative Connecting a sampling line The appropriate sampling line must be connected to the monitor and to the patient Connect as follows 1 Slide open the sampling line input connector shutter and a jr connect the appropriate sampling line Microstream ere Screw the sampling line connector into the monitor clockwise coz until it can no longer be turned oe EP Connect the sampling line to the patient as described in the Directions for Use supplied with the sampling line When the sampling line is connected the monitor will immediately begin to search for breaths but it will not indicate a No Breath condition before any valid breaths have occurred CO data displayed by the monitor The monitor Home screen displays real time CO data The displayed data includes Real time etCO values along with selected units and alarm settings Respiration rate RR in breaths per minute and alarm settings Real time FiCO gt values along with selected units and alarm settings CO Waveform if enabled see Waveform display on page 28 IPI value if enabled see following 60 Monitoring and Measurement
99. sable SM AD 1 TUBE MO REUSE 12 1MO CUFF Reusable LG AD 1 TUBE MO REUSE 13 1MO CUFF Reusable THIGH 1 TUBE MO SOFT 08 1MQ CUFF soft SM CHILD 2 TUBE MO SOFT 09 1MQ CUFF soft CHILD 2 TUBE MO SOFT 10 1MQ CUFF soft SM AD 2 TUBE MO SOFT 11 1MO CUFF soft ADULT 2 TUBE MO SOFT 12 1MQ CUFF soft LG AD 2 TUBE MO SOFT 13 1MQ CUFF soft THIGH 2 TUBE MO Cardiac output Part number Description 104443 Cardiac output sensor 126 Accessories Welch Allyn 1500 Patient Monitor System data 127 Technical data Manufacturer SCHILLER AG for Welch Allyn Monitor name Welch Allyn 1500 Patient Monitor Dimensions 396 x 284 x 81 mm 15 6 x 11 2 x 3 2 inches Weight 5 0 kg 11 Ibs with lead acid battery 4 5 kg 9 9 Ibs with Li lon battery Mode of operation Continuous Power supply Voltage Power consumption Typical battery operating time Fuses Internal Charger 100 240 V 50 60 Hz max 70 VA With the battery fully charged 25 C display on NIBP measurement every 15 minutes and with all parameters ECG RESP NIBP Temp SpO IBP x2 CO Lead Acid approximately 1 hour Li lon approximately 2 hours 2x M 1 6A E 250V Environmental conditions for operating Temperature Atmospheric pressure 10 C to 40 C 50 F to 104 F at relative humidity of 30 to 80 non condensing 700 to 1060 hPa Env
100. sensor directions for use to ensure skin integrity and correct positioning of the sensor WARNING Do not use damaged patient cables damaged sensors or a sensor with exposed optical components WARNING Substances causing disturbances Carboxyhemoglobin can lead to falsely high measurement readings Colors or substances containing colors that influence the natural blood pigments can also lead to incorrect measurement readings WARNING Exposure to excessive illumination such as surgical lamps especially those with xenon light source bilirubin lamps fluorescent lights infrared heating lamps or direct sunlight can affect the performance of an SpO5 sensor To prevent exposure to excessive illumination ensure that the sensor is correctly applied and that it is covered with an opaque material if required If these measures are neglected excessive illumination can lead to incorrect measurements WARNING Change the sensor s position at least every 4 hours 70 Monitoring and Measurements Welch Allyn 1500 Patient Monitor SpO settings The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 31 The default settings are in bold Parameter Description SpO alarm pause When the alarm is paused the message SpO gt Alarms Paused appears in the message line The alarm is paused until the sensor is reinstalled HR PR source ECG Sp0 P1 selection of the
101. structions Enabling the Acuity connection Note Acuity can only be enabled when the option is licensed If the Acuity option is not licensed this menu item is not available 1 Press the Setup button 2 Select Administrator gt System password required 49 48 46 and set Acuity Enabled yes Notes when the monitor is connected to Acuity When the monitor is connected to Acuity it acts as described in this manual apart from the following e _ Alarm limits can be changed at the monitor or at Acuity When confirmed the alarm limits are synchronized for both the monitor and Acuity e The patient information can be changed at the monitor or at Acuity When confirmed the patient information is synchronized for both the monitor and Acuity When Acuity is enabled but not connected the patient information menu option is not available e The room number is set at Acuity and cannot be changed at the monitor menu option greyed e The arrhythmia menu is not available e The etCO unit configuration in the etCO setup menu is not available e The monitor sends a 12 lead resting ECG automatically to Acuity when taken Directions for use Acuity alarm default settings Adult settings Acuity Central Station 95 Parameter Acuity range limit Acuity lower limit Acuity upper limit default default HR 25 250 50 20 P
102. t on page 104 Maintenance work not described in this section e g battery replacement may only be accomplished by a aualified technician The following table indicates the intervals and responsibilities of the maintenance work required Local regulations in your country may stipulate additional or different inspection intervals and tests Interval Maintenance Responsible Before use Visual inspection of the monitor User and cables Every 6 months Visual inspection of the monitor User and cables Button check Speaker check LED check Alarm check Every 12 months Yearly test and test after repair Qualified technician according to IEC EN 62353 CO Calibration 1 The need for calibration is based upon physical component changes that occur during use The module requires its first calibration after 1200 operating hours or one calendar year whichever comes sooner and then after each 4000 operating hours or once a year whichever comes sooner The message Calibration Due appears when the hourly limit is reached It is advisable to calibrate in the one year maintenance program especially if the monitor is used for intermittent short term use typical of patient monitors 100 Maintenance Welch Allyn 1500 Patient Monitor Visual inspection Defective monitors or damaged cables must be removed from service until repaired or replaced Visually inspect the monitor and cables for the following e Monitor
103. t C in their instruction leaflet This can be entered directly Display parameter CO CI Measurement shown as cardiac output liters per minute or cardiac index cardiac output body surface area m2 For CI the patient data must have been entered A Caution tis essential that the computation constant is entered correctly so that the monitor knows the volume and temperature range of the injectate and the thermal loss of the catheter Inaccurate results will be obtained if the computation constant is not correct Directions for use Monitoring and Measurements 83 Taking a CO measurement 1 Insert the catheter and prepare injectate solution in accordance with the instructions provided by the manufacturer 2 On the monitor make the settings and enter the computation constant see previous page Setup CO gt Begin CO Measurement 3 The blood temperature is monitored and when the temperature is stable Ready is indicated at the top of the screen Real time blood temperature Injectate temperature Measure CO BT 37 0 IT 265 1 2 4 5 ae a See Note below Review Curves Save Average Note In manual mode see the mode parameter in Cardiac output settings on page 81 a start button is positioned in the lower right of the screen The Ready indication is given when this is selected 84 Monitoring and Measurements Welch Allyn 1500 Patient Monitor 4 Inject the sol
104. tative see page ii The network settings are defined by the system administrator see the Welch Allyn 1500 patient monitor service manual WARNING Connect the monitor to an Acuity system only Connecting to other networks could damage the monitor or injure the patient If in doubt about the network jacks or devices consult your facility s Administrator Engineering Department WARNING _ The bedside patient monitor is the primary alarming source for the patient and the 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 Welch Allyn 1500 Patient Monitor provides primary alarming including life threatening alarms The central station provides a secondary alarm and is only as reliable as its network When connection to the central station is lost the Welch Allyn 1500 Patient Monitor acts as a standalone monitor and provides the primary alarm When connected to the central station the monitor provides the primary alarm based on a signal from the central station WARNING _ Do not use Arrhythmia Analysis or ST Analysis on networks with heavy Class 1 services such as voice over IP VOIP WARNING _ Central station alarms and other events can go unnoticed if clinical personnel are not present at the central station or if interruptions occur in power or system operations WARNING _ It is strongly recommended that Acuity Systems be
105. te each Se FT 40 AMAYA ni A Gre ees des Ca Y y 50 ST measurement OPTION ee aa Seed ak Oy BD a Sea dd Ry 52 RESPIFA ON ATCS ae sane ah Mice e ral a I ns epee shakers dd 55 Capnodraphy cs ou sister last a A E EN 57 NIBRIMONITOrINO tdt 04 2 ob Sa pa Cie tk HN dotan R IN o AO kk 64 SPOS MONITO o kk o Y DN ng GNP hie i Ata ydd tak Ate DYD 68 IBP MONTONN O estaa i Y Ore hie chaise a enthuse Sine Y a 73 Temperature monitorig eu ees Pea eS Sot gb ADD na aa on E 77 Cardiac output OPU OMe ee wg det ae dient Soot AYN aed balan DDUG 78 iv Contents Welch Allyn 1500 patient monitor 6 Acuity Central Station 00 cece OL SOY lt a ln ee VE A Ge ee A eee HOT ee we Sa 91 gaiga ne a alaia PET sl E O 93 Connect to the Acuity Central Station IL ee 93 WOT Ring Wt Uyn 0 enu aac dddo hn MRI A aoe Ah A A Bak MD 94 TA MANTECA dd ns OO Maintenance interval 7EY ER EF Y Y EE 99 Vis al inspectione a as I YND Stew OD ddd PY FEB 100 BUtton cheek ee au su neu du ge LY eens Beene YF thee ek 100 Speaker check rl yd Ed va ned A SBA BNE UU TEA 100 EID CHOGK ec dra tata dae read a a a a a cham ia Mold 100 A larmcheck za ee aod GAD ae NA ON E NA o y y 100 Battery Maintenances uu iu patata AU 101 Inspecting and cleaning the monitor and accessories 102 Inspection and checklistreport YF I RF YY uad 104 Replacing the Tuse S 2 ces a wine Dd Ee sole YA WE dyb WYDD OD 106 TOUDIESHOO UNO ee tod th
106. ted Check the patient ECG signal lower than 0 5 mV HR artifact Patient has moved Calm the patient Bad electrode Checking the electrode pads Interferences by other devices Remove source of the interference HR gt upper limit HR lt lower limit Heart rate higher lower than alarm limit Check the patient HR lead off Electrode lose defective Check and reapply replace electrodes Patient cable defective Replace the patient cable 50 Monitoring and Measurements Arrhythmia Arrhythmia settings Welch Allyn 1500 Patient Monitor Note The full arrhythmia menu is only displayed when the full arrhythmia option is licensed When the full arrhythmia option has not been enabled settings are made for VFib Asystol and Vtach only Note The arrhythmia menu is not available when the monitor is connected to Acuity 1 Press the Setup button 2 Select Arrhythmia Setup Arrhythmia ythmia Limit Pi nt i a le mmm dade an Sh Ih bb e e a T of o The default settings are in bold Main menu Parameter Description Setup Arrhythmia VFib Alarm Level Lethal cannot be changed Print on alarm Yes No Asystole VTach Alarm Level Lethal cannot be changed Print on alarm Yes No VTach Limit 100 to 200 125 Alarm Level Lethal cannot be changed Print on alarm Yes No PVC run VRyhthm PVC run 3 to 6
107. ted gt 5kV Measuring method Thermodilution Sampling freguency 250 Hz Measuring method Thermodilution Parameters Cardiac output Injectate temperature Catheter temperature Measuring range Cardiac output 0 to 20 l min Injectate temperature 0 to 40 C 32 to 104 F Catheter temperature 33 to 40 C 91 4 to 104 F Resolution Cardiac output 0 01 I min Injectate temperature 0 01 C 0 018 F Catheter temperature 0 002 C 0 018 F Accuracy Cardiac output 5 at 09C 32 F injectate temperature Measurement Start is detected by temperature difference gt 0 05 C at distal thermistor Drug calculator Calculations Setting of a dose rate amount and volume for which any 3 set will cause the 4th to be calculated Concentration mg ml Dose and rate Titration table dose and rate 138 Technical data Welch Allyn 1500 Patient Monitor Index 139 A Accessories 123 Activating the pacer display 45 Acuity Central Station 91 Alarm limit setting 37 Alarms 33 Arrhythmia 50 Backpanel 10 Battery disposal 101 Battery Operation 23 Button test 100 C Cardiac Output 78 Cardiac output approved catheters and injectate sensor type 80 Cardiac output messages 86 Cardiac output procedure 83 Cardiac output settings 81 Changing the recorder paper 18 Connection panel 11 D Display overview 15 ECG 40 ECG alarms 49
108. th a recording time of 10 seconds is defined default six seconds of data recorded before the print key is pressed is printed followed by the subsequent 4 seconds These parameters are available only when installed and enabled This option is not available when CO is enabled Parameters The parameters that can be enabled and displayed are set in this menu The parameter options will change according to the licensed options and monitor configuration and will be any combination of the following etCO e ST e Masimo settings extra settings for SpO e CO cardiac output e BP channel number of invasive BP channels none 2 or 4 e Temperature display mode T1 T1 and T2 or T1 and AT Details of the displayed parametrize are given in the operation section see Defining parameter fields on page 25 114 Settings Welch Allyn 1500 Patient Monitor 12 lead resting ECG Note This menu entry is only available when the resting ECG option is enabled This option allows you to take and print a resting ECG see 12 lead resting ECG option on page 47 When the monitor is connected to Acuity the resting ECG is uploaded automatically Hemodynamic calculations Note This menu entry is only available when the CO option is enabled This option allows you to enter parameters for hemodynamic calculations When the relevant data is entered along with patient weight and height the monitor can calculate the BSA of t
109. tion entry patient mode hemodynamic and drug calculations and other general settings for the monitor Many of these settings are also found in the individual parameter settings see Monitoring and Measurements on page 39 The Setup menu is displayed as follows 1 Press the Setup button BY 2 With the trim knob select the menu option 3 Press the trim knob to display the menu The setup menu options are as follows Alarm Suspend Arrhythmia Alarms Speaker Volume HR PR Tone Volume Waveform Area Recorder Parameters Hemodynamic Calculations Drug Calculations Patient Information Patient Mode Restore User Defaults Administrator Close Note The menu will vary for different monitor configurations and enabled options The following pages give an overview of the settings available 112 Settings Welch Allyn 1500 Patient Monitor Alarm suspend Suspend all alarms for the period specified under the Alarm settings in the Administrator menu see Administrator on page 118 Arrhythmia Sets the Arrhythmia alarm settings print on alarm and other options see Arrhythmia on page 50 Note A full arrhythmia option is available Alarms Sets the upper and lower alarm limits for all parameters If a recorder is installed a printout can be initiated when an alarm limit is violated Note The alarm limits can also be set in the individual parameter settings see Monitoring and Measurements
110. unless the accessory manufacturer s cleaning instructions explicitly instruct you to do so WARNING Fire and electrical shock hazard Always unplug the monitor from the electrical power outlet before inspecting or cleaning the monitor and accessories Exposing any of these to liquids such as cleaning solutions while they are connected to electrical power could result in electrical shock or fire Before cleaning the monitor or any accessories thoroughly inspect them Look for any signs of damage and any improper mechanical function of buttons or connectors Gently bend and flex cables inspecting them for damage or extreme wear exposed wires or bent connectors Confirm that all connectors engage securely Ensure that all transducers and accessories are within their expiration date Immediately report any sign of damage or malfunction to your service department and remove the monitor from service To clean the monitor or any accessories follow these steps 1 Wipe the equipment with a cloth slightly moistened not wet with one of the approved cleaning solutions listed in Cleaning instructions and cleaning solutions on page 103 2 Clean cable assemblies by gently wiping from the center of the cable Do not allow the sheathing to be displaced 3 Thoroughly wipe off any excess cleaning solution Do not let the cleaning solution run into or accumulate in connector openings latches or crevices If liquid gets into connecto
111. ution The temperature waveform is displayed and the CO value given in measurement 1 Note Follow you facility s guidelines for injecting the solution 5 Repeat to obtain 3 5 measurements Measure CO BT 37 2 IT 26 2 am Temperature waveform 3 4 6 CI 62 CH CO Measurements 1 to 5 Review Curves Save Average 5 1 Averaged value of all measurements View all temperature curves Editing the measurements e The average value is displayed in the bottom middle of the screen and is updated after every measurement or if a measurement is deleted e After five measurements when another measurement is taken the latest measurement takes the place of measurement 5 and all measurements are shifted left and measurement 1 is deleted e Any measurement can be deleted by selecting and pressing the trim knob If another measurement is taken the later measurements are shifted left as above and the measurement deleted is replaced by the one higher e Select Review curves to view the temperature waveforms of all measurements Review CO Curves ua CCC 2 52 es 47 a E 6 DIET Back Directions for use Monitoring and Measurements 85 Saving a measurement When three or more consistent measurements have been obtained Save Average can be selected to save the measurement You are prompted to confirm CO Confirm Save Average Measure CO BT 37 2 IT 252 Save Average 5 1 1 2
112. value The range of the IPI is 1 10 values should be understood as seen in the table below Index range Patient Status 10 Normal 8 9 Within normal range 7 Close to normal range requires attention 5 6 Requires attention and may require intervention 3 4 Requires intervention 1 2 Requires immediate intervention Note A graphical trend view of the IPI can be displayed This is selected in waveforms see Displaying trend data in the measurements screen on page 30 If patient mode is changed all IPI trend data is purged Directions for use etC0 alarms and messages Message Possible cause Monitoring and Measurements 63 Suggested action etC0 gt upper limit etC0 lt lower limit etCO is higher lower than alarm limit Check the patient RR gt upper limit RR lt lower limit RR is higher lower than alarm limit Check the patient FiCO gt upper limit FiCO has exceeded alarm limit Check the patient and ventilator CO needs calibration CO measurement reading too low due to e Incorrect calibration e Module requires calibration Carry out calibration IPI cannot measure CO measurement reading too low Sp0 measurement too low or absent Check the patient Check SpO measurement and sensor 64 Monitoring and Measurements Welch Allyn 1500 Patient Monitor NIBP monitoring Safety A gt gt WARN
113. ve Infrared Spectroscopy CO units mmHg or kPa CO etCO fiCO range 0 to 99 mmHg CO7 mmHg Environment pressure x 100 CO Curve Resolution 0 1 mmHg etCO inCO Resolution 1mmHg CO Accuracy Respiration Rate range 0 to 38 mmHg 2 mmHg 39 to 99 mmHg 5 of reading and 0 08 for every 1 mmHg above 38 mmHg 0 to 150 Resp min Respiration Rate 0 to 70 1 Resp min Accuracy 71 to 120 2 Resp min 121 to 150 3 Resp min Flow rate 50 ml min 42 5 lt flow lt 65 flow measured by volume Waveform sampling 20 samples s Initialization Time System Response Time 40 s typical 5 6 s typical combined response time Calibration Interval Initially calibrate after 1 200 operating hours then once a year or after 4 000 operating hours whichever comes first The initial calibration should not occur before 720 hours of use If the initial calibration is done before 720 hours of use the module will reset to reguire its next calibration after 1200 hours instead of after 4000 hours The capnography component of this product is covered by one or more of the following US patents 6 428 483 6 997 880 5 300 859 6 437 316 7 488 229 7 726 954 and their foreign equivalents Additional patent applications pending Directions for use Cardiac output Technicaldata 137 Module Schiller Amplifier Fully isolated defibrillation protec
114. y Check injectate temperature Check injectate probe and catheter probe connection CO measurement Time out No blood temperature change displayed when e CO start has been selected for manual mode and no reading is detected in the time out period Ensure the injectate is injected soon after CO start has been selected Reselect Start Verify correct catheter position BT unplugged Blood temperature transducer unplugged displayed when detected during a CO measurement session e detected after CO start has been selected for manual mode Check connections and catheter IT unplugged Injectate temperature transducer unplugged displayed when detected during a CO measurement session e detected after CO start has been selected for manual mode Check connections BT check sensor Blood temperature transducer fault displayed when detected during a CO measurement session e detected after CO start has been selected for manual mode Check connections Check catheter IT check sensor Injectate temperature transducer fault displayed when detected during a CO measurement session e detected after CO start has been selected for manual mode Check connections Check injectate sensor CO computation constant not yet entered Computation constant not yet entered displayed when detected during a CO measurement session e detected after CO start h
115. y The capnography module is intended to provide professionally trained health care providers with continuous non invasive measurement and monitoring of carbon dioxide concentration of the expired and inspired breath and respiration rate It is intended for use with neonatal pediatric and adult patients Note The etCO menu is only displayed when the etCO option is enabled If the etCO measurement field is not displayed ensure it is enabled in the parameter settings Note The etCO menu is not available when the monitor is connected to Acuity Press the Setup button fl enter the menu Setup Parameters and activate etCO Setup Parameters D i Enabled Masimo Settings Enabled ST Enabled Yes Y Y CO Enabled IBP Channels B_ TEMP Display Mode T1 and T2 OK Cancel Safety Only use Welch Allyn approved accessories for etCO monitoring A WARNING Carefully route the sampling line to reduce the possibility of patient entanglement or strangulation A WARNING The sampling line may ignite in the presence of oxygen when directly exposed to laser electro surgical devices or high heat When performing head and neck procedures involving laser electrosurgical devices or high heat use with caution to prevent flammability of the sampling line or surrounding surgical drapes A WARNING When using a sampling line for intubated patients with a closed suction system do not place the airway adapter between the suction c
116. y 4 seconds The following message is displayed when the monitor is shutting down Monitor is shutting down please wait Initial Power up 1 Press the On Off button e confirmed by a beep 2 Confirm the New Patient dialogue with Yes or No New Patient e Yes Previous patient information is deleted The patient information can be entered via the setup menu Setup gt Patient information see Patient information on page 117 e No Previous patient information if any is used 3 Check the settings 20 Operation Welch Allyn 1500 Patient Monitor Initial settings Caution Only authorized personnel trained in the operation of this monitor are gualified to do the setups in the following menu Alarm and general settings are given in the setup menu Initial monitor settings may include general alarm settings alarm silence time alarm delay time etc and general monitor settings height and weight units time and date etc Access the setup as follows 1 2 Press the Setup button Use the trim knob to select parameters and change values Press to confirm the selection and settings The alarm settings are given in the setup menu Administrator gt Alarm The system settings are given in the setup menu Administrator gt System Note The alarm and the system sub menu are password protected The password for both of these is 49 48 46 Note Details of the setup menu and the passwords are
117. y with OSHA requirements for cleaning and decontaminating spills of blood and other body fluids Federal OSHA blood borne pathogens standard 29 CFR 1910 1030 12 6 91 2 If liquid gets into the connectors dry the area with warm air and then verify all monitoring functions 104 Maintenance Inspection and checklist report In accordance with the maintenance interval detailed previously the following check list should be copied and followed Monitor Serial Number Every six months Welch Allyn 1500 Patient Monitor Inspection Result Checked General examination Visual inspection of the monitor Monitor casing not broken or cracked Visual inspection of the LCD LCD screen undamaged Visual inspection of all cable assemblies and sensors and accessories Electrode cable sheathing and connectors undamaged No kinks abrasion or wear in any cable assembly All transducers and accessories are within their expiratory date Plug and socket connectors Input output connectors undamaged Button check Buttons work Speaker check Switch the monitor on by pressing the On button LED check Switch on beeps sounded The standard screen is displayed Mains LED on when mains connected Battery LED on when battery charging Alarm Check Connect Sp0 sensor to volunteer Measurement within range S

1500 Patient Monitor Software version 1.4.X, User Manual

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