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Propaq LT Vital Signs Monitor, Software Version 1.60

1. Note If you disconnect from the network and then turn off the monitor before reconnecting and if you then select Continue Patient when you again turn on the monitor the monitor powers up in the disconnected state To reconnect a patient to the network 1 Highlight X and press 2 Highlight Reconnect and press e The monitor prompts you for information about the connection and the patient 3 Provide the information requested 80 Monitoring in communication with Acuity Welch Allyn Propaq LT Vital Signs Monitor 81 Alarms and alerts Overview An Alarm warns of a patient condition such as a vital sign reading that is outside of acceptable limits When an alarm occurs the red light on the monitor flashes and the numerics of the violating alarm limits on the display turn red If tones are not suspended the alarm tone sounds An Alert warns of an equipment condition such as a low battery or a detached lead When an alert occurs the yellow light on the monitor flashes and a message describing the error condition appears on the display If tones are not suspended the alert tone sounds Alarms have priority over alerts If an alarm and an alert are detected simultaneously the monitor notifies you of the alarm It then notifies you of the alert only if the alert condition still exists after the alarm condition is removed Silencing an alarm or alert tone A tone sounds whenever the monitor detects an alarm or alert
2. Buttons To prevent unauthorized use Back Light To extend the battery run life Display To prevent unauthorized viewing of patient information The monitor configuration defines which of these if any can be locked out For information on enabling or disabling lock outs for these elements see Monitor configuration on page 103 To lock out the configured elements Hold down aa w and simultaneously for 5 seconds To unlock the configured elements Hold down aa w and D simultaneously for 5 seconds Note Alarms and alerts immediately unlock any locked elements Large color display interface Using the Large Color Display Interface interface box optional accessory you can display patient vital signs from the monitor on a full size screen It receives video signals from the cradle via a VGA cable A WARNING All signal input and output I O connectors are intended for connection of only devices complying with IEC 60601 1 or other IEC standards for example IEC 60950 as applicable to the monitor Connecting additional devices to the monitor may increase chassis or patient leakage currents To maintain operator and patient safety consider the requirements of IEC 60601 1 1 Measure the leakage currents to confirm that no electric shock hazard exists Large color display configuration options e lfthe interface box is mounted on the large screen Figure 15 the screen must be within about 3 meters of the
3. Characteristic Specification Visual alarm indicator at the monitor Patient alarm Equipment alert Any alarm limit disabled Visual alarm indicator at Acuity when connected Flashing red 0 3 seconds on 0 3 seconds off Flashing yellow 1 0 seconds on 1 0 seconds off Continuous yellow See Acuity Directions For Use Alarm indicators Red lights Alert indicators Yellow lights Audible alarm location Monitor Acuity when connected Audio alarm alert frequency 1024 Hz at the monitor SpO tone frequency HR PR tone 165 5 Sat Hz When no valid saturation reading exists the HR PR tone is 1024 Hz Audio alarm alert volume d 1 meter Can be configured with distinct tone volume settings for standalone and networked operation High 67 dB typical A Medium 60 dB typical A Low 53 dB typical A Off Audio alarm indicator at the monitor 150 Specifications Patient alarm high priority limit violation Equipment alert medium priority Welch Allyn Propaq LT Vital Signs Monitor 100 ms on 80 ms off 100 ms on 80 ms off 100 ms on 260 ms off 100 ms on 80 ms off 100 ms on 1 sec off 100 ms on 80 ms off 100 ms on 80 ms off 100 ms on 260 ms off 100 ms on 80 ms off 100 ms on 4 sec off repeat 160 ms on 200 ms off 160 ms on 200 ms off 160 ms on 3 96 sec off repeat Limits Alarm control Alarm priority Alarm on tachycardias Alarm hold off perio
4. a s Ya To change between 4 waveform and 9 waveform views insert a wire into the small hole in the interface box near the USB connector or press the button If you change the display format at least 15 seconds before shutting off power to the interface box the newly selected display becomes the default display when the interface box is next powered on Figure 19 Switching between the 4 waveform and 9 waveform views Waveform view selector Waveform view selector Determining what appears on the large display when using a 3 lead ECG cable Figure 20 4 waveform view 3 lead cable Directions for Use Dverview of monitor operation 25 Leads I Il and lll are viewable The waveform for the lead selected at the monitor is displayed on the large color display Lead V cannot be displayed Note When using a 5 lead cable with all electrodes attached only leads II and V are available in the 4 waveform view Figure 21 9 waveform view 3 lead cable Leads I II and lll are viewable The waveform for the lead selected at the monitor is displayed on the large color display Leads V aVR aVL and aVF cannot be displayed Note When using a 5 lead cable with all electrodes attached leads Il 111 V aVR aVL and aVF are available in the 9 waveform view Installing the interface box The Large Color Display Interface receives DC power from the AC power adapter and vital signs data from the cradle It provides DC p
5. DE ttt ttt ida lata atada rd Exit trends Snapshots Setup When the cycle completes control returns to the previous direct access display To view the final NIBP readings on the manometer scale select Manometer from the Setup NIBP menu Figure 75 NIBP reading complete STEWART ANN 7762940 3 00 06P Adult Rm 263 ae pee ge Systolic diastolic and MAP numeric of NIBP mm SpO2 NIBP Systolic Diastolic Mean Systolic diastolic and MAP NIBP Mode Manual graphical e f you need to stop the reading and vent the cuff at any time during the measurement press 487 e f the monitor cannot get a valid NIBP reading it displays the message NIBP retry in progress in the upper left corner of the screen Then depending on settings and patient mode the monitor attempts one or two more measurements If the retries fail to produce a valid reading the monitor displays an NIBP error message Note For every inch the cuff is placed above the heart add 1 9 mmHg 0 253 kPa to the displayed NIBP reading For every inch below the heart subtract 1 9 mmHg 0 253 kPa 8 If motion artifact such as shivering or coughing interferes with NIBP readings do the following e Position the patient s limb away from the body so that the applied cuff is not in contact with the patient s body or any other object such as a bed rail Keep the cuff as close to heart level as possible e Verify that the Smar
6. Standalone monitoring 65 Normal For typical monitoring APOD For monitoring when the probe is likely to detach from the patient because of wet skin motion or other unusual circumstances Maximum For monitoring patients with extremely low perfusion Averaging Time The period in seconds over which multiple SpO2 measurements are taken and a result is derived Monitoring blood pressure NIBP A A WARNING Always use a properly fitting cuff placing it carefully on the patient according to the instructions presented below Failure to fit and locate the cuff correctly can lead to inaccurate pressure readings WARNING During monitoring periodically observe the patient s limb to make sure that the circulation is not impaired for a prolonged period Prolonged impairment of circulation or improper cuff placement can cause bruising WARNING Do not use the monitor to simultaneously measure NIBP on one patient and monitor ECG on another patient WARNING If an NIBP measurement is suspect repeat the measurement If you are still uncertain about the reading verify it using another method WARNING Do not take NIBP measurements during cardiopulmonary bypass WARNING When monitoring NIBP match the monitor patient mode to the NIBP cuff For neonates set the monitor to Neonatal Mode unless the circumference of the limb is too large for the cuff In that case use the Pediatric Mode Be aware however that the maximum cuff inflation
7. A Caution On the product means Consult the accompanying documentation 2 Introduction Table 2 DO a OGC Welch Allyn Propaq LT Vital Signs Monitor Control buttons Monitor Power Turn the monitor power on or off y Down Move the cursor down to the next display item Action Act based on what is highlighted A Silence Reset Silence the current alarm tone See Using the action button on page 31 for 90 seconds or reset a silenced alarm tone Display Cycle to the next configured display format or cancel the current control setup or pop up menu Snapshot Record a 21 second period of numeric and waveform data Left Move the cursor left to the next display item decrease the parameter value E Right Move the cursor right to the next display item increase the parameter value Up Move the cursor up to the next display Start Stop NIBP Start or stop an NIBP item measurement Cradle I gt Monitor Release Press and then hold while removing the monitor from the cradle Table 3 Status indicators st 0 VJ Monitor green Monitoring normally no active alarms or alerts Connection to Acuity is confirmed and patient identification is confirmed Wireless only Acuity enabled green flashing Monitoring normally no active alarms or alerts Standalone only Patient confirmed and monitor then intentionally disconnected Wireless only Acuity enabled yel
8. Display Prevent unauthorized viewing of confidential patient information Back Light Extend the battery charge life Buttons Block access to the monitor buttons Display Lockout Enable Yes No If display lockout is enabled a w p locks out the monitor display until the combination is repeated or until an alarm or alert condition arises 136 Welch Allyn Propaq LT Vital Signs Monitor WelchAllyn me y Advancing Frontline Care Back Light Lockout Enable Yes No If back light lockout is enabled the 3 button combination w locks out the monitor display back light until the combination is repeated or until an alarm or alert condition arises Buttons Lockout Enable Yes No If you enable buttons lockout the 3 button combination a w locks out normal button operation until the combination is repeated or until an alarm or alert condition arises Time Outs Display Time Out __ 2 minutes __ 5 minutes __ 10 minutes 15 minutes 30 minutes __ Always On display always on Display Time Out greatly increases monitor run time on battery power Display Time Out completely shuts off the display if the monitor detects no button press and no alarm for a number of minutes defined below When the display is off no monitor information is visible Any alarm condition alert condition or button press immediately restores the display If the buttons are locked out see Butto
9. Save the file Configuring a monitor See System requirements on page 114 To configure a monitor 1 8 So O e 0 UN Connect the PC to a cradle using the supplied USB cable Seat the monitor in the cradle If the monitor is off turn it on and select Start New Patient Start the utility Select the configuration file that you want to upload Click Monitor gt Send Wait a few seconds When the upload is complete a completion message appears and then the monitor shuts off Remove the monitor from the cradle It is now configured Note To receive the configuration file from the monitor click Monitor gt Receive 118 PC utility Welch Allyn Propaq LT Vital Signs Monitor Configuration settings Configuration pages Figure 108 Configuration file display Identification page S5Propaq LT Monitor Config uration Utility iy a 5 File Edit Monitor Identification Default Settings Display Settings Made Settings ParamSet Settings Feature Enable Identification Facility Facility Name Name Department or Unit Contact Telephone Country Settings Language Date Format Power Source Filter English X mmiddiyy h 60Hz Y Time Format Decimal Format Regulatory Set 24 hour y Dot US E Configuration Configuration Name Factory 1 30 00 Version 1 30 00 Click the page tabs Identification Default Settings
10. Silence the current alarm tone for 90 seconds or reset a silenced alarm tone Move the display cursor up down right or left to highlight an item change parameter values Act based on what is highlighted See Using the action button on page 31 Start or stop an NIBP measurement Record 21 seconds of numeric and waveform data Release the monitor from the cradle Green Connection to Acuity is confirmed and patient identification is confirmed Wireless only Acuity enabled Green Monitoring normally no active alarms or alerts flashing Standalone Patient was confirmed and the monitor was then intentionally disconnected Wireless only Acuity enabled Yellow At least one alarm limit is disabled Standalone Not monitoring Wireless only Acuity enabled Yellow Equipment alert Standalone flashing Acuity message windows Wireless only Acuity enabled Red Patient alarm flashing Directions for Use Figure 3 Indicators cradle ode Propaq LT Figure 4 Connectors monitor Q SpO ECG KG NIBP PSNI A 000 0 e o Figure 5 Connectors cradle U Fuse holder USB connector for data to and from the PC optional Power DC input connecto Introduction 9 Off Battery is full or monitor is not in the cradle Green Battery is charging Yellow Cradle fault or battery fault O Green Cradle i
11. 20 5 10 15 20 25 Lower Limit 20 5 10 15 20 25 Resp ParamSet Upper Limit 5 5 10 15 20 25 Lower Limit 5 5 10 15 20 25 SpO ParamSet Upper Limit 5 5 10 Lower Limit 5 5 10 NIBP ParamSet Systolic Upper Limit 15 5 10 15 20 25 Lower Limit 15 5 10 15 20 25 Diastolic Upper Limit 15 5 10 15 20 25 Lower Limit 15 5 10 15 20 25 Mean Upper Limit 10 5 10 15 Lower Limit 10 5 10 15 If ParamSet is enabled the clinician can quickly and easily change the current alarm limits for any vital sign If you choose to enable ParamSet you can then define the percentage by which the alarm limit for each vital sign is changed To adjust alarm limits quickly with ParamSet When the ParamSet message appears press 8 twice Example The ParamSet value for the Upper HR PR alarm limit is configured to be 15 Patient Jane s Upper HR PR alarm limit is set to 100 At the default alarm settings Jane triggers an Upper HR PR alarm with a heart rate of 103 Her clinician knowing that a heart rate of 103 is acceptable for Jane wants to quickly set a higher Upper HR PR alarm limit for this patient The monitor displays the message Press Select to ParamSet the upper HR PR limit to 118 The clinician presses to get to the HR PR control screen and immediately presses 8 again to accept the ParamSet adjustment Jane s alarm limit for Upp
12. Figure 48 on page 49 to enter the patient s name and or ID number if either is known If you select the name of an existing patient the monitor displays a list of rooms Select the patient s room Figure 80 Acuity room list STEWART ANN 7762940 Y 12 41 32 Adult Rm 263 4 SELECT ROOM Enter new room 1304D 1306A 1306B 1306C 1306D If communication is interrupted during monitoring If communicated monitoring has begun and communication is then interrupted the monitor displays an alert message Figure 81 Alert message Communications Fault STEWART ANN 7762940 Y 12 41 32 Adult Rm 263 EQUIPMENT ALERT Communications fault Check Bis connection Acknowledge 18 Monitoring in communication with Acuity Welch Allyn Propaq LT Vital Signs Monitor Press 8 to clear the message When the monitor re establishes communication with Acuity after an interruption of at least 30 seconds it prompts you to confirm that the patient being monitored is the same patient that was being monitored when communication was interrupted Figure 82 Same Patient query STEWART ANN 7762940 Y 12 41 32 Adult Rm 263 NIBP mi CONFIRM PATIENT IS THIS MONITOR STILL CONNECTED D 263 Note Ifthe communication interruption lasts less than 30 seconds or if you save cycle power and reestablish communication within 30 seconds this confirmation is not required Press 8 to confirm To access the Acuity menu after connecti
13. In place of a patient name ID is followed by a string that is generated by the monitor when you select Start New Patient This AutolD string unique to each new patient identifies the patient until you supply appropriate patient identification data Note To bypass patient ID entry press Ex Figure 47 Data display with AutoID ID 0101819R0170 Start up AutolD A w rv a 4 In the primary data display highlight ID upper left and press e The Patient Information Entry screen appears Directions for Use Standalone monitoring 49 Figure 48 Patient information entry Last Middle First i Entry fields MBCDEFGHIJKLMNOPQRSTUV WXYZ12345678 90 Backspace Character field Select to enter highlighted character Confirm Cancel 5 Enter the ID and name of the new patient a Press d or to highlight blue a character in the character field Figure 49 b Press 8 to copy it to the green highlighted location in the entry fields Figure 48 c Repeat from step a until all characters are entered into the field d Press until the insertion point in the entry field changes from green to blue e Press d or to move the insertion point to another entry field f Press w to return to the character field g Repeat from step a until all fields are complete Note To correct an error in an entry field Place the cursor step d and step e to the right of the error location highlight and enter Backspace in the c
14. NIBP Systolic Upper 140 147 154 161 168 175 Lower 75 NIBP Upper 113 Diastolic Lower 45 NIBP MAP Upper 134 Lower 55 Sp0 Upper 100 Lower 68 Resp Upper 25 Lower 9 Directions for Use Welch Allyn 135 Advancing Frontline Care Feature Enable System Features Enable Wireless Communications with Acuity Yes No For wireless monitors that must communicate with Acuity this must be set to WI Yes If this is set to L No the monitor cannot communicate with Acuity For standalone monitors that do not communicate with Acuity always set this to LJ No If this is set to 1 Yes the configuration file is not valid and cannot be uploaded to the monitor Note If Y Yes is selected NIBP Units Default see NIBP Units Default on page 127 must be set to mmHg NIBP Turbo Mode Enable Yes No When the monitor takes automatic NIBP measurements in Turbo Mode it takes as many measurements as possible within the 5 minute Turbo Mode measurement period SpO Spot Check Enable Yes O No If SpO Spot Check is enabled a clinician can perform a quick SpOz measurement when SpO monitoring is turned off For detailed information see Propaq LT Vital Signs Monitor Directions for Use Lockouts If lockouts are enabled simultaneously pressing a w the Left Arrow Right Arrow and Down Arrow buttons locks out one or more of the following
15. ROBERT E 3456187 3 00 06P Adult Rm 239 Service Resp Monitoring Off Pacer indicator Off ECG Bandwidth A Power source filter Pacer indicator P Exit Trends Snapshots Setup 3 Highlight Pacer indicator and press d or to highlight Off or On 4 To exit the Setup menu press 8 or KJ or highlight Exit and press e Note Ifthe pacemaker signal is strong enough the monitor displays it as a waveform spike This is true with Pacer indicator ON or OFF In accordance with the Pacer Pulse Rejection specification Pacer pulse rejection on page 145 pacemaker pulses are not counted as heartbeats whether Pacer Indicator is On or Off Noise on the ECG signal might be detected as pacer signals causing the pacer indicator to appear on the display If you do not need to indicate pacemaker signals turn off the pacemaker indicator for a better ECG waveform display 58 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor Improving the waveform display If the power source filter is off noise from the power source can cause an unclear or noisy waveform To change the power source filter to reduce noise 1 Access the Setup menu See To access the setup menus on page 37 2 Highlight ECG Verify that the setting for Power source filter is correct for the power source in your facility If you do not know what this setting should be consult a qualified service person 3 Highlight Power source filter and pre
16. The monitor periodically calibrates zeroes the NIBP Calibrating channel to make sure it can properly make NIBP Please wait measurements No NIBP monitoring can be done until the calibration is completed Other normal monitor operation continues during NIBP calibration NIBP Fault Motion is detected during a periodic NIBP calibration Calibrating Minimize patient motion or motion on the cuff or Minimize motion disconnect the cuff Motion generated noise on the pressure transducer can cause the calibration to continue indefinitely NIBP Fault The battery is too far discharged to operate the NIBP Low battery channel Insert the monitor into a powered cradle NIBP disabled NIBP Fault Have the monitor serviced Service required NIBP disabled NIBP Fault A hose is kinked or a neonate hose is detected in the adult inked or neonate hose patient mode Check the hose and the patient mode selection NIBP Fault The monitor has detected too much artifact to allow Artifact present accurate readings Take steps to reduce artifact Position Minimize motion Comms Fault Check Acuity network connection the patient s limb away from the body so the applied cuff is not in contact with the patient s body or any other object such as a bed rail The monitor detects a network communication problem Comms Fault Check USB connection Not on Network Patient info entry not allowed The monitor detects
17. Weight 10 6 oz 300 g AC input connector IEC 60320 C8 2 5 A rated input housing DC output connector Output cable length Hypertronics DO2 size latching 3 pin male 8 feet for IEC power cord Directions for Use Battery Cradle Characteristic Specifications 157 Specification Type 7 4V rechargeable lithium ion Field replaceable by service technician Capacity gt 1800 mA hr minimum Charger Contained in the cradle Batteries are charged in place in the monitor Fuse rating 5A 125V User cannot access the fuse Note Internal electronic overload circuitry is used as the primary method of protection This circuit resets itself when an overload is removed Recharge time Storage lt 3 hours at 25 C typical with monitor either on or off lt 30 days 4 F to 122 F 20 C to 50 C 30 days to 90 days 4 F to 104 F 20 C to 40 C gt 90 days 4 F to 86 F 20 C to 30 C NOTE For best charge retention during extended storage remove the battery from the monitor Characteristic Specification Functional Capacity One monitor with internal battery Mounting Tabletop or bed rail use Can be attached to walls IV poles etc with third party mounting brackets Protection Classifications Duty cycle Continuous Type of protection agai shock nst electric Type CF isolation exists between the monitor installed in the cradle and the cradle DC power input regardless of type of DC
18. battery operated No Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Since there is no connection to the mains there is no requirement for IEC 61000 4 4 1 kV for input output other cables requiring mains quality lines EFT Burst testing Surge 1 kV differential mode No connection to mains IEC 61000 4 5 2 kV common mode battery operated Voltage dips short lt 5 U No connection to mains interruptions and voltage gt 95 dip in U battery operated variations on or 0 5 cycle power supply input lines 40 U IEC 61000 4 11 60 dip in U or 5 cycles 70 U 30 dip in U or 25 cycles lt 5 U 295 dip in U or 5 sec Power frequency 50 60 3 A m 3 A m Power frequency magnetic fields Hz magnetic field IEC 61000 4 8 Note U is the AC mains voltage prior to application of the test level should be at levels characteristic of a typical location in a typical commercial or hospital environment Directions for Use Compliance 177 Guidance and manufacturer s declaration electromagnetic immunity The battery operated Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment IEC 60601 test Immunity test level Compliance Electromag
19. cycles the display quickly through the three views you specify below In the configuration you can choose any three of the five display choices shown below for quick display with Ex For example if you select Large Numerics Single Waveform and Dual Waveform a clinician can repeatedly press to see a patient s vital signs displayed first as large numerics second as a single waveform with small numerics and finally as a dual waveform with small numerics e You must include at least one display with a waveform e lf you select Single Waveform and do not select Dual Waveform Tabular Trends or Tabular Trends with Waveform users can still view dual waveforms tabular trends and tabular trends with a single waveform e Ifyou do not select Large Numerics clinicians cannot access the Large Numerics display After you select three displays see Display Format on page 129 you can select the default appearance for each HALL ROBERT E 3456187 Y 3 00 06P Adult Rm 239 fi Y HALL ROBERT E a 3 00 06P HALL ROBERT E Aa 3 00 06P m Adult Adult Rm2 NIBP mmHg 102 Large Numerics Single Waveform HALL ROBERT E 3456187 Y 12 41 32 Adult Rm 239 130 65 93 n a Tabular 1 SEARCH Mi 11268 me p min Sp02 p de 12 41 130 65 93 98 12 40 n a 22 E E a 12 39 112 87 87 lt 4 12 38 18 75 n a 16 a 152 78 115 n a 12 38 50 n a 12 37 25 152 78 115 12 36 n a 152 78 115 Tabular Trends with
20. deleted when the monitor is removed from the cradle Do not remove the monitor from the cradle Directions for Use Alarms and alerts 87 Alert messages and status messages Table 7 Alert messages Alert type ECG NIBP Message ECG Fault XX lead failed ECG Fault XX XX leads failed Possible cause and suggested response Lead XX LA LL RA C or RL has very poor contact or no contact with the patient Check for proper connection and replace the electrode if needed Leads XX and XX any two leads on a 5 lead cable have very poor contact or no contact with the patient Check for proper connection replace electrodes if needed ECG Fault Multiple lead fail ECG Fault Excessive offset At least three leads of a 5 lead cable or at least two leads of a 3 lead cable have very poor contact or no contact with the patient Check for proper connection replace electrodes if needed At least one channel has excessive offset At least one electrode is old contaminated or defective Replace the electrodes ECG Fault Cable disconnected NIBP Fault Air leak Check hose NIBP Fault Kinked hose Check hose NIBP Fault Overpressure condition The ECG cable is unplugged The monitor could not properly inflate the cuff Check the hose and cuff for leaks The monitor could not properly inflate the cuff Check for a hose kink between the monitor and the pat
21. on page 116 To save the current settings as the new default settings 1 Access the Configuration Setup menu Seip Alarms ECG NIBP Timings Service Select to save current settings Select to use factory settings Select to use file n a Exit Trends Snapshots 2 Highlight Select to save current settings and press 9 3 In the confirmation screen highlight Confirm and press 9 ID 12549M6I9ERF X 03 52 57 Adult Rm Note You are changing the y default settings to current settings If this is correct highlight Confirm and then press Select To restore the last downloaded configuration 1 Access the Configuration Setup menu highlight Select to use file configuration_file_name and press 9 2 Inthe confirmation screen highlight Confirm and press e ID 12549M6I9ERF 03 53 45 Adult Rm Note You are changing the y default settings to file post op4 15 Dec 06 A If this is correct highlight Confirm and then press Select To restore the factory configuration 1 Access the Configuration Setup menu highlight Select to use factory settings and press 2 Inthe confirmation screen highlight Confirm and press Directions for Use Standalone monitoring 71 ID 12549M6I9ERF 03 53 45 Adult Rm Note You are changing the y default settings to factory settings If this is correct highlight A Confirm and then pres
22. parts in contact with the patient WARNING Do not operate this product in the presence of flammable anaesthetics or other flammable substances in combination with air or oxygen enriched environments Failure to observe this warning can result in an explosion WARNING Do not use the monitor in a Magnetic Resonance Imaging MRI suite or a hyperbaric chamber Such use can cause fire or explosion resulting in patient injury and monitor damage WARNING Do not operate this monitor near equipment that emits strong electromagnetic or radio frequency signals Electronic equipment of this type can cause electrical interference with monitor operation which can distort the ECG signal and prevent accurate rhythm analysis 6 Introduction A Welch Allyn Propaq LT Vital Signs Monitor WARNING To comply with Federal Communications Commission FCC RF exposure requirements and to avoid exposure to radio frequency RF radiation always use the monitor in accordance with the operating conditions and instructions provided in this manual WARNING Pacemaker signals can differ from one pacemaker to the next The Association for Advancement of Medical Instrumentation AAMI cautions that in some devices rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias Do not rely entirely upon rate meter alarms All pacemaker patients should be kept under close or constant observation See Pacer pulse
23. to delete patient data and shut down Delete amp Shut Down Save 8 Shut Down Cancel Setup Highlight the desired action and press e Note f you press to power down before leaving the power on screen Figure 7 on page 13 the monitor shuts down without presenting the screen shown above Communicating with an Acuity Central Station See Monitoring in communication with Acuity on page 73 and see Acuity Directions for use About error detection The monitor can detect conditions that prevent it from operating properly If this occurs it displays an error message and an error number Follow the directions displayed on the screen Directions for Use Dverview of monitor operation 45 Transporting the monitor with the patient An ambulatory patient can wear or carry the monitor using the wearable strap or the patient carry strap optional accessories Medical personnel can use the transport stretcher carry strap to keep the monitor with a patient during stretcher transport WARNING When the patient is wearing or carrying the monitor carefully route any patient cabling to reduce the possibility of patient entanglement or strangulation Use the supplied garment clips to secure the cable properly WARNING When positioning straps on the patient make sure the straps do not entangle the patient s neck or cause choking WARNING Make sure the straps do not restrict the movement of the patient s limbs or create a hazard
24. 12 37 25 12 36 n a In a display screen see About display formats on page 19 pressing causes the monitor to replace the current screen with another screen related to the current context For example if SpO2 is highlighted in the Two waveforms display and you press 9 Figure 28 Using the action button e HALL ROBERT E 3456187 3 00 06P Adult Rm 239 Two waveforms display With Sp0 highlighted press 8 the monitor presents the SpO control menu Figure 29 About green highlights Green highlights identify the current values of parameters within a given context For example in the control menu shown in Figure 29 the current settings of the SpO parameters are highlighted in green Directions for Use Dverview of monitor operation 33 Menus Using control menus Figure 29 Sp0 control menu example HALL ROBERT E 3456187 Y 3 00 06P Control context Adult Rm 239 Parameters Current settings pper Alarm Upper Limit Lower Alarm Control menu Lower Limit A control menu includes a topic name for the current context for example SpO2 a column of parameters with one highlighted for example SpO2 Monitoring and a column of options with one item in each set of options highlighted for example On On 100 On 90 Low e The blue highlight indicates the parameter currently enabled for modification e The green highlights indicate the current settings for all parameters in the men
25. 8 9 cm diagonal Pixel pitch 0 2235 mm X 0 2235 mm Viewing angle 40 from normal horizontal and vertical Contrast ratio gt 2 Daylight viewable Daylight viewable with backlight off Back light Display back light can be turned on or off Brightness back light full on 160 cd m typical Contrast ratio 85 typical Back light on Display colors 256 Radio 5 GHz Models 802LTAN and 802LTAS Characteristic Specification FlexNet Network 5 GHz orthogonal frequency division multiplexing OFDM wireless local area network WLAN and 10 100 1000 base T Ethernet network Frequency 5 150 to 5 825 GHz subject to country specific regulations within this range Modulation OFDM Dutput power 40 mW maximum IEEE standards 802 11a 802 11e 802 11h 802 111 802 1X Monitors per access point 20 max Military radars are allocated as primary users in the bandwidths between 5 25 5 35 GHz and 5 47 to 5 725 GHz 152 Specifications A A A Welch Allyn Propaq LT Vital Signs Monitor WARNING In the event a radar signature is detected the access point moves to a new channel which can temporarily interrupt patient monitoring Caution f the device is operated near a military radar the radar could cause damage to the device Caution Some countries restrict the use of 5 GHz bandwidths The 802 11a radio in the Model 802LTA monitors uses only the channels indicated by the access point with which the radio associates
26. Alarm Tone Low Med High ECG Resp Monitoring Off On ECG Bandwidth Monitor Extended Power Source Filter 60 Hz 50 Hz Off Pacer Indicator Off On NIBP NIBP Format SD SD m sd M NIBP Units mmHg kPa Smartcuf Off On Sp0 Masimo only Sensitivity Normal Maximum APOD FastSAT Off On Averaging Time Timings Back Light Time Out Min Display Time Out Min Demo Mode 2 4 8 10 12 14 16 2 5 10 15 30 On Off 2 5 10 15 30 On Disabled Low High Directions for Use Dverview of monitor operation 31 Use the Setup gt Configuration menu to change the monitor configuration without using the Configuration Utility Option Note Configuration Select to save current settings Replace the power up defaults with the current parameter settings Select e to use factory settings Replace the power up defaults with the factory settings Select e to use file file name Replace the power up defaults with the last downloaded configuration settings To access the setup menus From any main display screen such as Large Numerics Dual Waveform 1 Highlight mum HR PR SpO2 NIBP Resp or D 2 Press 3 Highlight Setup at the bottom of the screen and press e Figure 31 Setup menus ID 01018VDO9PBH Y 3 00 06P Adult Rm 239 Setup Suspend Audible Alarms On 90 sec Alarm Tone Low Med Snapshots ETS Note Ifyou change parameter settings and then change the patien
27. Allyn Propaq LT Vital Signs Monitor Message The configuration file did not install on the monitor Verify all connections between monitor cradle and PC and try again If problems continue contact Welch Allyn customer service The configuration File file name that you are attempting to read is in the wrong format Please select another file The configuration file was modified outside of the Configuration Utility Receive operation failed The Configuration Utility version is older than the monitor software version Configuration Utility upgrade recommended Receive operation failed The monitor software version is older than the Configuration Utility version Monitor software upgrade recommended About the configuration worksheet A WARNING You must read and understand the warning statements in Use Smartcuf as Default for NIBP on page 131 before any configuration file is created based on a worksheet The first step in customizing a monitor configuration is to complete a configuration worksheet This defines the settings to be stored in the monitor Note A worksheet is not required The worksheet makes it possible for key clinical staff to preview and approve the configuration and it makes it easier to create the configuration file Print the worksheet page 123 to page 138 of this document and supply the values for any settings you want to change When the worksheet is complete give it to the person designated to cre
28. Display Settings Mode Settings ParamSet and Feature Enable to navigate to the settings of interest Identification Name the configuration define monitor ownership and support responsibility and define parameters related to your locale Each string is limited to 40 characters Default Settings Define the general properties of the monitor Display Settings Display 1 Define the appearance of Display 1 Display 2 Define the appearance of Display 2 Display 3 Define the appearance of Display 3 Mode Settings Neonatal mode Define default settings for neonatal patients Pediatric mode Define default settings for pediatric patients Adult mode Define default settings for adult patients ParamSet Define the alarm limit adjustment percentages ParamSet for systolic diastolic and mean pressures HR PR SpO and respiration rate Feature Enable Specify the monitor features available to clinicians Directions for Use PC utility 119 Configuration Utility command options File New The utility opens a new configuration file with all settings at the Open Save Save As Print Preview Print Exit factory values Change the settings as needed and save the file under a new name Open a configuration file You can modify it Save use it as the starting point for a new file Save As or close it Exit Save the changes to the open configuration file Save the open configuration file under
29. Electromagnetic environment guidance RF emissions Group 1 The Charging Communication Cradle with Propaq LT Series monitor CISPR 11 uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class B The Charging Communication Cradle with Propaq LT Series monitor CISPR 11 is suitable for use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions Class A IEC 61000 3 2 Voltage Complies fluctuations flicker emissions IEC 61000 3 3 180 Compliance Welch Allyn Propaq LT Vital Signs Monitor Guidance and manufacturer s declaration electromagnetic immunity The Charging Communication Cradle with Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge 6 kV contact V contact Floors should be wood concrete or ceramic ESD 8 KV air 8 KV air tile If floors are covered with synthetic IEC 61000 4 2 material the relative humidity should be at least 30 Electrical fast 2 kV for power
30. Monitor Configuration Utility Acuity Upper Alarm Limit 60 min 5 min 150 min Monitor Acuity Lower Alarm Limit 10 min 3 min 148 min Monitor Acuity 112 Monitor configuration Welch Allyn Propaq LT Vital Signs Monitor 113 PC utility Introduction Use the Propag LT Monitor PC utility to install either or both of the following utilities on aPC e Propaq LT Monitor Configuration utility e Propaq LT Monitor AutoPrint utility These utilities can then be used to control the behavior of any Propaq LT monitor Propag LT Monitor Configuration utility The monitor comes fully configured and ready for operation If the factory configuration does not match your specific needs you can use the Propag LT Monitor Configuration utility to customize the monitor to fit the requirements of your clinical situation To configure the monitor 1 Usethe configuration worksheet to specify the monitor settings See Configuration worksheet on page 123 2 Ona PC running the Propag LT Monitor Configuration utility enter the settings into a configuration file See Creating a configuration file on page 116 3 On a PC connected to a Propag LT Monitor charging communications cradle configured with the optional data link capability download the configuration file to any number of Propaq LT monitors See Configuring a monitor on page 117 Propaq LT Monitor AutoPrint Utility With a PC connected to a printer a
31. NIBP on page 65 2 Highlight NIBP and press 9 3 Highlight NIBP Mode and select Turbo Note If you cycle the monitor power NIBP returns to auto mode To end the Turbo mode Press 42 or select NIBP Mode Manual The monitor returns to Auto NIBP measurement mode NIBP measurements in power saving mode When a manual or turbo NIBP activity awakens the monitor from power saving mode Power saving on page 44 cuff inflation pressure is reset to default levels and cuff inflation is delayed for up to 8 seconds NIBP disabled when the battery is low If the battery is low and the monitor is operating on battery power NIBP functions are disabled and the monitor displays the message NIBP off Low battery If you attempt to start an NIBP measurement during a low battery condition the monitor displays an equipment alert with the message Low battery NIBP disabled Note Inserting a monitor into a powered cradle during a low battery condition immediately enables NIBP monitoring Changing the default settings You can change the default settings the monitor configuration using the following methods e Save the current settings as the new default settings e Restore the last downloaded configuration e Restore the factory settings 70 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor e Download another configuration from a PC See Using the Configuration Utility to configure the monitor
32. Off HP PR Tone Off Med High SpO has changed to SpO gt time Spot checks are now enabled Directions for Use Standalone monitoring 63 Figure 68 Sp0 monitoring turned off HALL ROBERT E pago 3 11 24P Adu Rm 239 Sp0 Monitoring is Off To take an SpO gt spot check reading 1 Enable spot checks See To prepare to take a spot check reading on page 62 2 Attach the sensor to the monitor and the patient 3 Highlight SpO2 XX XX and press 8 The SpO drop down menu appears Note The SpO drop down menu can be accessed only when SpOz is set to Off Figure 69 Sp0 drop down menu Enable continuous automatic SpQ function Disable automatic SpO function enable Spot Checks Take a Spot Check reading 4 Press w to highlight Spot Check e The drop down menu disappears SEARCH appears above SpO Spot Check with pulse rate if SpO is the source of pulse rate Figure 70 Sp0 spot check waiting for an SpO signal HALL ROBERT E 3456187 3 11 30P Adult Rm 239 SEARCH A pa SEARCH indicates that the monitor is waiting for pulse oximetry data ael a e After a few seconds the SpO heart beat indicator starts showing heart beats e After about 30 seconds SEARCH disappears and the pulse oximetry reading appears 64 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor Figure 71 Sp0 spot check pulse rate reading HALL ROBERT E 3456187 3 12 13P Adult Rm 239 Pul
33. PR RR BR and SpO trends one set of measurements per row with a 15 minute interval between rows e SpO spot checks and NIBP measurements interspersed among the rows of trends data In the Snapshots printout e Up to twenty snapshots 21 second intervals of full disclosure patient data including waveforms and numerics e The utility extracts the available ECG Leads from the patient data and prints a page of strips for each snapshot Depending on the number of ECG Leads avallable the strips may contain 21 seconds of data for one or three Leads of ECG data The utility supports US Letter and European A4 page sizes Printing To print the patient data stored in a monitor 1 Install the AutoPrint Utility on a PC a Insert the Propaq LT Monitor PC Utility Program in the CD ROM drive of the PC b Follow the on screen instructions to install the AutoPrint Utility Connect the PC to a cradle Propaq LT Monitor Charging Communications Cradle using the supplied USB cable Each time a monitor is inserted into this cradle while the cradle is connected via USB cable to the PC the patient data stored in the monitor is printed on the default printer Patients monitored continuously for 24 hours typically generate enough data for a 2 or 3 page trends table of two panels per page For example a 24 hour report with the following data 192 rows would cover three pages e 96 rows of vital signs data 4 intervals hr 4 rows per h
34. ROBERT E NTE Dual waveform Adult Rm 239 e 6 seconds of an ECG or SpO signal or 24 seconds of the Resp signal or e Any two of the following 3 seconds of an ECG or SpO signal and 12 seconds of the Resp signal Other vital signs displayed numerically below the waveforms HALL ROBERTE 3456187 Y 12 41 32 Tabular trends with single waveform Adult e 3seconds of an ECG or SpO signal or 3 e 12 seconds of the Resp signal Tabular 2 nia ABCh Ai Ti f 5 i 1241 125 130 65 93 ma 98 Other vital signs displayed numerically below the 12 40 122 n a 2 12 39 100 112 87 87 waveforms 4 12 12 38 way T 1 n a n A 1237 Historical vital signs displayed in a table below the iz us waveform 20 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor The monitor can be configured to cycle quickly through three of the five available display formats when you press E3 For example if the configuration specifies three formats Large Numerics Single Waveform and Tabular Trends you can press repeatedly to cycle through those formats Figure 14 Cycling through the configured display formats HALL ROBERT E 3456187 Y 3 00 06P ult Rm 239 Ad INIBP mmHg 102 Single waveform HALL ROBERT E 3456187 Y 3 00 06P Adult Rm 239 KIN Ad 130 65 93 El 2 112 87 87 n a lt __ E E WE 152 78 115 n a 152 78 115 n a 152 78 115 anh a Large n
35. Separation distance according to frequency of transmitter Rated maximum output m power of transmitter w 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 3 5 JP d 1 2 JP d 1 2 JP 0 01 0 35 0 12 0 23 0 1 1 1 0 38 0 73 1 3 5 1 2 2 3 10 11 3 8 7 3 100 35 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where Pis the maximum output power rating of the transmitter in watts w according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people 187 Limited warranty This product is sold by Welch Allyn under the warranties set forth in the following paragraphs These warranties are extended only to the end user with respect to the original purchase of this product directly from Welch Allyn or from Welch Allyn s authorized distributors For two years one year for remanufactured monitors from the date of the original delivery to the buyer the Propaq LT monitor the Large Color Display Interface and the Propaq LT monitor charging communications cradle are warranted to be free from functional defects in materials and workmanship and to con
36. appropriately press 8 to accept the changes and return to the vital signs display Note If you change the time or date settings and then decide not to accept the changes press to cancel the changes and return to the vital signs display Continuing to monitor a patient on power up If patient data was saved when the monitor was last turned off see To turn off the monitor on page 44 you can resume monitoring that patient when the monitor is turned on again When patient data is saved the monitor settings are also saved To resume monitoring the same patient 1 Turn on the monitor The patient data stored screen appears Figure 54 Start up with saved data Portland Westside Hospital Emergency Department Note There is patient data stored for Hall Robert E ID 3456187 Select to delete data and start a new patient Start New Patient Continue Patient Info Demo 2 Verify that the displayed name and ID match that of the current patient 3 Highlight Continue Patient and press 2 52 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor Figure 55 Start up with saved data Portland Westside Hospital Emergency Department Note There is patient data stored for Hall Robert E ID 3456187 Select to continue monitoring this patient Start New Patient Continue Patient Info Demo Monitoring ECG and Resp Overview Note In this manual lead refers to an
37. characteristic of a typical location in field a typical commercial or hospital IEC 61000 4 8 environment Note Uis the AC mains voltage prior to application of the test level Directions for Use Compliance 173 Guidance and manufacturer s declaration electromagnetic immunity The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface is intended for use in the electromagnetic environment specified below The customer or the user of the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface should assure that it is used in such an environment Immunity test IEC 60601 test level level Compliance Electromagnetic environment guidance Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 3 Vims 150 kHz to 80 MHz 2Hz AM 3 V m 80 MHz to 2 5 GHz 2Hz AM 3 Vims 3V m Portable and mobile RF communications equipment should be used no closer to any part of the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 1 2 JP d 1 2 JP 80 MHz to 800 MHz d 23 P 800 MHz to 2 5 GHz where P s the maximum output power rating of the transmitter in watts according to the transmitter manufacturer and d is the recommen
38. condition To silence the currently sounding tone for 90 seconds 1 Press Note Silencing the tone does not affect the other alarm or alert indicators e The red light alarm or the yellow light alert flashes e After 90 seconds if the condition is not corrected the tone starts again e f the condition is corrected within 90 seconds of silencing the tone the monitor resets the tones for the next alarm or alert If anew alarm or alert condition occurs while an earlier alarm or alert is silenced the tone sounds again 82 Alarms and alerts Figure 86 Sample alarm screen HALL ROBERT E 3456187 3 00 06P Adult Rm 239 Figure 87 Sample alert screen HALL ROBERT E 3456187 Y 12 41 32 Aud lult Rm 239 L EQUIPMENT ALERT ECG Fault ACKNOWLEDGE 2 Check the patient and provide appropriate care Welch Allyn Propaq LT Vital Signs Monitor 3 Press to silence the audible tone for 90 seconds at the monitor and at Acuity e Silencing the audible tone does not remove visual alarm or alert indications e Silencing the audible tone causes an alarm or alert suspend at Acuity e When the alarm or alert condition is corrected all alarm or alert indicators cease and all alarms are immediately rearmed 4 After caring for the patient verify that alarm limits are enabled and correctly set WARNING If you turn off or modify any alarm limits while responding to an alarm restore those alarm limits before you re
39. contact the software vendor for software that has passed Windows Logo testing Continue Anyway Usually the installation completes quickly However if the utility also has to install NET Framework on your computer this can add several minutes 3 Click through the Welcome screen and the license agreement You must accept the terms of the license agreement to proceed with the installation Directions for Use Figure 104 Accepting the terms of the software license tropa eC Uli marea eg License Agreement Please read the Following license agreement carefully SOFTWARE LICENSE so The software provided with the Propaq LT PC Utility consists of software written by Welch Allyn as well as software written by third parties the Third Party Software The Propaq LT PC Utility Software is governed by this license and the Third Party Software is governed by licenses that can be found in the license files in the directories for the respective Third Party Software contained on the CD Rom Disc that is furnished with the Propaq LT monitor If any updates are periodically provided for the Propaq LT PC Utility Software or any Third Party Software such software updates will be governed brn shiny enlarmnt nanna fay that arm lao n diffarant inanam gurami ml 1 T accept the terms in the license agreement I donot accept the terms in the license agreement lt Back Next gt Cancel
40. cradle e lfthe interface box is mounted on the cradle Figure 16 the distance between the box and the screen is limited by the length of the VGA cable e lfthe interface box the cradle and the large screen are mounted together Figure 17 the distance from them to the patient s bed is limited by the length of the SpO sensor cable the ECG cable and the NIBP air hose whichever is shortest A Note Caution f you require medical grade protection against leakage current install an approved power conditioner between the large color display power cable and the mains power The various configurations are not interchangeable Each requires a unique combination of screws USB and power cables and VGA cable 22 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor Note _ If the interface box is attached to the cradle the bed rail hook cannot be used Figure 15 Interface box mounted on the large screen Interface box mounted on the large screen Power conditioner nted on the cradle Figure 16 Interface box mou mounted on the large screen Figure 17 Interface box and cradle 24 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor Large display viewing options The large display shows vital signs numerics and either four or nine waveforms Figure 18 Large color display viewing options STEWART ANN 7762940 STEWART ANN Om 0 az SpO2
41. for the patient when the patient is walking or moving WARNING Never use a strap to carry or pick up both the monitor and the cradle The straps are not intended to support and cannot support the combined weight of the monitor and the cradle To attach the wearable strap A WARNING Do not put the wearable strap on the patient while the patient is in bed The intended use of the wearable strap is to keep the monitor without the cradle with the patient when the patient is ambulatory Figure 42 Wearable strap 1 Place the wearable strap on the sitting or standing patient and adjust all components for a comfortable secure fit Figure 42 left 2 Connectthe wearable strap securely to the monitor strap mounts Figure 42 right 3 Carefully arrange the strap and the monitor on the patient to avoid bruising or other skin injuries 46 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor To use the patient carry strap A WARNING Do not use the patient carry strap to lift or carry both the monitor and 2 3 4 the cradle The patient carry strap is not intended to support and cannot support the weight of both the monitor and the cradle Attempting to carry both the monitor and the cradle with a patient carry strap could lead to patient injury and to damage to the monitor and the cradle Remove the monitor from the cradle Detach the monitor cables from any accessories Verify that all cables are disenta
42. lead ECG X X X X X X Respiration rate Resp X X X X X X Masimo Sp0 X x X Nellcor Sp0 x x x Noninvasive blood pressure NIBP X X X X X X 802 11a 5 GHz radio for FlexNet wireless X X communication with Acuity 802 11 FHSS 2 4 GHZ radio for FlexNet X X wireless communication with Acuity Cradle to recharge the monitor battery x X Xx X Xx x USB Option Option Option Option Option Option Upload patient data from the monitor to a PC Option Option Option Option Option Option and download custom monitor configurations from a PC to the monitor Directions for Use Accessories Introduction 11 The following accessories are available for use with the monitor and the cradle gt Large Color Display Interface and cables Propag LT Monitor PC Utility software CD Propaq LT Monitor Service Manual CD Propaq LT Monitor Directions for Use CD Patient carry strap Patient wearable strap Transport stretcher strap Connector panel plugs SpO cables and sensors 3 lead and 5 lead ECG cables and cable extensions ECG electrodes NIBP hoses and cuffs Battery pack AC power adapter WARNING Use only accessories approved by Welch Allyn The use of any other accessories can result in inaccurate patient data can damage the equipment and can void your product warranty Refer to the accessory list or www welchallyn com WARNING Always use accessories according to your facility s standards and the manufacturer s recommen
43. limits are based on the patient mode not the cuff the maximum cuff inflation limits for Pediatric Mode are greater than for Neonate Mode See NIBP on page 148 for values Caution Pulse rate measurements generated through the blood pressure cuff or through SpO are subject to artifact and might not be as accurate as heart rate measurements generated through ECG or through manual palpation When the monitor is powered on the default cuff inflation pressure is based on the patient mode See Default inflation pressure on page 148 After an NIBP measurement occurs the monitor adjusts the inflation pressure to optimize subsequent NIBP measurements Note Always cycle the monitor power before you begin to monitor another patient Normal physiological pressure variations affect NIBP measurements from reading to reading If the monitor is in Adult mode and a neonate cuff is connected to the monitor the monitor generates an equipment alert If the battery charge is low and the monitor is not in the cradle the battery icon indicates low battery and NIBP monitoring is disabled 66 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor To monitor blood pressure 1 2 3 Select cuff size based on limb circumference Use only hoses and cuffs listed in the accessory list or at www welchallyn com Squeeze all the air from the cuff before placing the cuff on the patient Place the cuff on the limb as near hea
44. monitor do not appear on Acuity e Alarms and alerts generated by Acuity do not appear on the monitor e Acuity does not update the monitor time and date settings About the Model 802LTAN 802LTAS 802LTRN and 802LTRS wireless monitors See Monitoring in communication with Acuity on page 73 Preparing for a new patient To begin monitoring a new patient 1 If the monitor is on press 0 to turn it off If prompted to save or delete existing data highlight Delete and press The monitor deletes any saved data and temporary settings and then shuts down 2 Press to turn on the monitor e lfthe monitor holds stored data from the previously monitored patient it displays the data saved start up screen 48 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor Figure 45 Start up with saved data Portland Westside Hospital Emergency Department Note There is patient data stored for Hall Robert E ID 3456187 Select to delete data and start a new patient Start New Patient Continue Patient Info Demo e lfthe data from the previously monitored patient was deleted on shut down the no data saved start up screen appears Figure 46 Start up with no saved data Portland Westside Hospital Emergency Department No data saved Select to Start a New Patient Start New Patient 3 Highlight Start New Patient and press The first configured data display appears
45. power input The line operated power adapter accessory is a type CF medical grade power supply Type CF isolation exists between the monitor installed in the cradle and the cradle USB connector Degree of protection against harmful IPX1 ingress of water Method of cleaning Flammable anesthetics Not suitable for autoclaving See Inspecting and cleaning the monitor and accessories on page 140 Not suitable for use with flammable anesthetics Environmental Operating temperature 0 to 40 C Operating altitude Shipping and storage a Shipping and storage temperature 20 to 60 C 500 to 15 000 feet 152 to 4 572 m Ititude 2 000 to 40 000 feet 610 to 12 192 m Operating relative humidity 5 to 95 noncondensing Shipping storage relati ve humidity 5 to 95 noncondensing Shock 50 g Vibration random Welch Allyn Propaq LT Vital Signs Monitor 0 029 Hz from 10 to 500 Hz ramping down to 0 002g2 Hz at 2000 Hz Superimposed sine frequencies of 30 Hz at 2 5 g and 60 90 and 120 Hz at 1 5 g Operating 1 hour per axis 3 hours per test Electromagnetic compatibility EMC with USB option EN60601 1 2 2001 Class A without USB option EN60601 1 2 2001 Class B Physical Depth 6 0 in 15 24 cm Width 7 6 in 19 3 cm Height 5 7 in 14 48 cm including feet Weight 24 oz 0 68 kg Electrical Rated input 12V to 28V DC 22 W max current is inversely
46. range 150 kHz to 80 MHz field strengths should be less than 3 V m 174 Compliance Welch Allyn Propaq LT Vital Signs Monitor Recommended separation distances between portable and mobile RF communications equipment and the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Rated maximum output m power of transmitter w 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2 JP d 1 2 JP d 1 2 JP 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 7 3 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequenc
47. rejection on page 145 for disclosure of the pacemaker pulse rejection capability of this instrument WARNING Use only accessories approved by Welch Allyn The use of any other accessories can result in inaccurate patient data can damage the equipment and can void your product warranty Refer to the accessory list or www welchallyn com WARNING Always use accessories according to the standards of your facility and according to the manufacturer s directions WARNING Use of Masimo LNOP sensors cables will not provide protection in accordance with IEC defibrillation standards when used with this device WARNING Use only ECG cables supplied or specified by Welch Allyn Use of any other ECG cables can negate defibrillator protection and can create a risk of patient injury due to shock WARNING Frequently inspect electrically and visually all cables sensors and electrode wires Replace any damaged cables sensors or wires Failure to properly inspect and keep in excellent working order all cables sensors and electrode wires can result in hazards to patients and to equipment failure and damage WARNING Always properly connect the electrosurgery return circuit Improper circuit connection can cause current to return through monitor electrodes and probes creating a burn hazard for patients WARNING Always keep patient motion to a minimum Motion artifact can cause inaccurate measurement of patient vital signs WARNING Carefully
48. settings Make sure the monitor has settings that are appropriate before monitoring the patient WARNING Make sure Acuity patients and especially those prone to arrhythmias are kept under close surveillance While monitoring patients with Acuity the clinician must review all clinical data before implementing therapy As with all computerized arrhythmia analysis systems Acuity cannot replace skilled care and proper surveillance by a clinician WARNING It is possible for Acuity alarms alerts or other events to go unnoticed if clinical personnel are not present at Acuity or if interruptions occur in power or system operations To help reduce this possible occurrence Acuity must be installed with redundant power supplies and redundant means of operator surveillance such as secondary Acuity Central Stations and hallway message panels WARNING The monitor might not meet its performance specifications if stored or used outside the specified temperature and humidity ranges WARNING Use of respiration monitoring by impedance pneumography can affect the operation of some pacemakers If pacemaker operation is affected turn off respiration pneumography See Figure 63 on page 57 WARNING Do not connect more than one patient to a monitor WARNING Do not connect more than one monitor to a patient WARNING During defibrillation keep discharge paddles away from the monitor ECG lead wires electrodes any other monitor sensors and other conductive
49. supply 2 kV for power Mains power quality should be that of a transient burst lines supply lines typical commercial or hospital environment IEC 61000 4 4 1 kV for input output 1 kV for input output lines lines Surge 1 kV differential mode 1 kV differential Mains power quality should be that of a IED 61000 4 5 2 kV common mode mode typical commercial or hospital environment 2 kV common mode Voltage dips short lt 5 U lt 5 U Mains power quality should be that of a interruptions and gt 95 dip in U 295 dip in U typical commercial or hospital environment voltage variations on for 0 5 cycle for 0 5 cycle If the user of the Charging Communication power supply input 40 U 40 U Cradle with Propaq LT Series monitor lines 60 dip in U 60 dip in Ur requires continued operation during a power IEC 61000 4 11 for 5 cycles for 5 cycles mains interruption it is recommended that 70 U 70 U the Charging Communication Cradle with 30 dip in U 30 dip in Ur Propaq LT Series monitor be powered from for 25 cycles for 25 cycles an uninterruptible power supply or battery lt 5 U lt 5 U gt 95 dip in U gt 95 dip in U for 5 sec for 5 sec Power frequency 3 A m 3 A m Power frequency magnetic fields should be 50 60 Hz magnetic at levels characteristic of a typical location in field a typical commercial or hospital IEC 61000 4 8 environment Note Uis the AC mains voltage prior to application of the test level D
50. the frequency of the transmitter Recommended separation distance d 1 2 JP d 1 2 JP 80 MHz to 800 MHz d 23 P 800 MHz to 2 5 GHz where P s the maximum output power rating of the transmitter in watts according to the transmitter manufacturer and d s the recommended separation distance in meters Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Ko At 80 MHz and 800 MHz the higher frequency range applies These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the battery operated Propaq LT Series monitor is used exceeds the applicable RF compliance level above the battery operated Propaq LT Series monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessa
51. w to select options from a pop up menu e Use and to change the values of numeric parameters Using the action button Use 9 to do the following e Display the control menu for a blue highlighted item e Return from a control menu to the primary display e Access the Setup menu when Setup is highlighted e Display tabular and graphical trends when Trends is highlighted e Display snapshots when Snapshot is highlighted e Turn on the display or the back light if either has been turned off by a time out e Display a pop up menu Using the display button Use KJ to do the following e Cycle through the configured display formats e Return from a control menu to the primary display e Close a pop up menu Using the highlights Every screen contains a single element the current context highlighted by a blue field Some screens also contain elements parameter values highlighted by a green field About blue highlights A blue highlight identifies the current context For example Figure 27 illustrates a highlighted row in a trends display and a highlighted setting in the Waveform Size menu 32 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor Figure 27 Examples of highlighted elements HALL ROBERT E 3456187 Y 12 41 32 Adult Rm 239 Drop down menu Sesa Tabular Time tesp min Highlights 125 130 65 93 n a WE 100 112 87 87 4 12 38 13 75 n a as 12 38 50 n a Vital signs display
52. 0 71 88 Measurement anomalies in the trends display Figure 99 Trends display with measurement anomalies STEWART ANN EMEN Time 4 42P 4 41P 60 58 4 40P 18 59 4 40P 59 4 39P 18 60 4 39P 4 39P 4 37P 4 36P 0 60 4 35P 18 60 4 35P 4 34P 19 red text 60 59 7762940 Y 04 45 10P t Rm 263 _ 98 a Adul 119 72 88 Measurement above monitor limits for the parameter Measurement below monitor limits for the parameter Measurement undetermined Patient alarm condition Reviewing data at a PC See Printing patient data on page 97 Reviewing data at Acuity See the Acuity Directions For use 96 Storing and reviewing patient data Welch Allyn Propaq LT Vital Signs Monitor 97 Printing patient data Overview You can print patient data in two ways If the monitor is in communication with an Acuity Central Station press to print vital signs at the Acuity system printer If a PC with the Autoprint Utility is connected to a cradle with the USB option you can print directly to a printer connected to the PC simply by inserting the monitor in the cradle This chapter tells you how to print with the Autoprint Utility The AutoPrint utility uploads from the monitor to the PC either manually or automatically trend data and snapshots stored by the monitor for the current or most recent patient The PC then prints the data on the co
53. 0 Hz 0 15 mm 2 1 octave minute 4 in each axis EN 60601 1 2 2001 Emission Class A for monitor with Large Color Display Interface Emission Class B for monitor without Large Color Display Interface Characteristic Specification Protection classifications all configurations Type of protection against electric Battery operation or connection to isolated cradle Battery must be shock monitor connected to internal battery charged in the monitor while the monitor is in the cradle power source or to cradle Directions for Use Specifications 155 Degree of protection against electric shock for See monitor labels Type CF defibrillator protected parts applied to patients Method of cleaning Not suitable for autoclaving See Inspecting and cleaning the monitor and accessories on page 140 Flammable anesthetics Not suitable for use with flammable anesthetics Physical dimensions Monitor height 5 4 in 13 71 cm Monitor width 7 5 in 19 05 cm Monitor depth 2 1 in 5 33 cm Monitor weight including battery and radio card approximately 32 oz 0 9 kg 156 Specifications Power Welch Allyn Propaq LT Vital Signs Monitor Characteristic Specifications Operating times on a new fully charged battery for ambient temperature gt 20 C Standalone Continuous monitoring with minimal display use ECG and Resp only gt 24 hrs ECG Resp SpO NIBP every 15 min gt 8
54. 5 U Mains power quality should be that of a interruptions and gt 95 dip in U 295 dip in U typical commercial or hospital environment voltage variations on for 0 5 cycle for 0 5 cycle If the user of the Charging Communication power supply input 40 U 40 U Cradle with Propaq LT Series monitor lines 60 dip in U 60 dip in Ur requires continued operation during a power IEC 61000 4 11 for 5 cycles for 5 cycles mains interruption it is recommended that 70 U 70 U the Charging Communication Cradle with 30 dip in U 30 dip in Ur Propaq LT Series monitor be powered from for 25 cycles for 25 cycles an uninterruptible power supply or battery lt 5 U lt 5 U gt 95 dip in U gt 95 dip in U for 5 sec for 5 sec Power frequency 3 A m 3 A m Power frequency magnetic fields should be 50 60 Hz magnetic at levels characteristic of a typical location in field a typical commercial or hospital IEC 61000 4 8 environment Note Uis the AC mains voltage prior to application of the test level Directions for Use Compliance 169 Guidance and manufacturer s declaration electromagnetic immunity The Charging Communication Cradle with Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment Immunity test IEC 60601 test level Conducted RF 3 Vims IEC 61000 4 6 150 kHz to 80 MHz 2Hz
55. 6x Monitor ParamSet Enable Yes Yes No Configuration Utility NIBP Turbo Mode Enable Yes Yes No Configuration Utility Tab Trend Display Interval 5 min 1 min 5 min 10 min 15 min 30 min Monitor Configuration 60 min Utility Current screen Display 1 Display 1 Display 2 Display 3 Monitor Sensitivity Masimo Enabled Enabled Disabled Configuration Utility Sensitivity Masimo Normal Normal Maximum APOD Monitor Configuration Utility FastSAT Masimo Enabled Enabled Disabled Configuration Utility FastSAT Masimo Off Off On Monitor Configuration Utility Averaging Time Masimo Enabled Enabled Disabled Configuration Utility Averaging Time Masimo 8 2 4 8 10 12 14 16 seconds Monitor Configuration Display 1 Format Top Waveform if any Show Top Waveform 6 Seconds Show Bottom Waveform 6 Seconds Bottom Waveform if any Tabular Trends Display Interval Large numerics Lead II No No Lead V 5 min Large Numerics Single Waveform Dual Waveform Tabular Trends Tabular Trends with Waveform Lead I Lead II Lead Ill Lead V aVR aVL aVF SpO Resp Yes No Yes No Lead I Lead II Lead Ill Lead V aVR aVL aVF SpO Resp 1 min 5 min 10 min 15 min 30 min 60 min Utility Monitor Configuration Utility Monitor Configuration Utility Monitor Configuration Utility Monitor Monitor Configuration Utility Monitor Configuration Utility Monitor conf
56. 8 101 NIBP measurement with Sp0 11 45 feo Jorr JOFF OFF Final trend row NIBP measurements without Sp0 a 100 Printing patient data Figure 101 Printout snapshots page Monday June 20 2005 11 44 55 Snapshot 25 mm sec Adult Extended 114455 HR 58 RR OFF SpO2 OFF I 1 00mV NIBP OFF MI 1 00mV V 1 00mV 11 45 02 HR 60 RR 16 SpO2 OFF 0 fl 1 00mV NIBP OFF V 1 00mV 1 45 09 HR 60 RR 15 SpO2 OFF NIBP OFF GS3LVLLINI LOHSdVNS WelchAllyn HALL ROBERT E gasetez_ 2393 tot fj Name PatientiD Location Page Welch Allyn Propaq LT Vital Signs Monitor AutoPrint options Enable disable AutoPrint To enable or disable the AutoPrint function 1 Start gt All Programs gt Welch Allyn gt Propaq LT Monitor gt AutoPrint On Off Figure 102 AutoPrint On Off P Welch Allyn Propag LT Monitor Ele Help Exit AutoPrint On Off Directions for Use Printing patient data 101 2 Click On or Off You can use the AutoPrint Utility to print automatically the default function or manually Printing manually To print manually 1 Start gt All Programs gt Welch Allyn gt Propaq LT Monitor gt AutoPrint On Off 2 Click Off 3 Start gt All Programs gt Welch Allyn gt Propaq LT Monitor gt Print Snapshots and Trends Canceling a print request When the utility receives a print request it imme
57. 8 beats min high 27 to 300 beats min 0 300mmHg 3 mmHg or 2 of reading whichever is greater Can be checked in the field but no adjustments are provided or needed Manometer baselining zeroing Automatic Atmospheric pressure compensation Automatic Minimum inflation pressure Adult 100 mmHg Pediatric 80 mmHg Neonate 50 mmHg Maximum inflation pressure Adult 270 mmHg Pediatric 170 mmHg Neonate 132 mmHg Default inflation pressure Adult 160 mmHg Pediatric 120 mmHg Neonate 90 mmHg Directions for Use Specifications 149 Normal overpressure limit Adult 280 mmHg Pediatric 200 mmHg Neonate 141 mmHg Single fault overpressure limit Adult 308 mmHg Pediatric 220 mmHg Neonate 154 mmHg Leak rate manufacturing spec Rapid exhaust dump time After a 1 minute settling period not more than 1 mmHg per second at 200 mmHg when connected to a volume of at least 15 cc 3 seconds typical to drop pressure in a 500 cc volume from 300 mmHg to lt 10 mmHg Cuff inflation time Maximum determination time without retries Minimum time between automatic measurements 7 8 seconds typical to 270 mmHg into a 500 cc volume in adult mode at sea level Adult 3 minutes Pediatric 2 minutes Neonate 1 5 minutes 30 seconds Auto Mode 2 seconds Turbo Mode Allowable retries Two in each patient mode Electrosurgery interference suppression Alarms and alerts General Included
58. 800 MHz 800 MHz to 2 5 GHz d 3 5 JP d 1 2 JP d 2 3 JP 0 01 0 35 0 12 0 23 0 1 0 38 0 73 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where Pis the maximum output power rating of the transmitter in watts w according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Directions for Use Compliance 179 Charging communication cradle with monitor with cable 008 0799 00 01 Guidance and manufacturer s declaration electromagnetic emissions The Charging Communication Cradle with Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the Charging Communication Cradle with Propaq LT Series monitor should assure that it is used in such an environment Note The EMC specifications on pages 167 170 apply to the following e Charging Communication Cradle alone e Propaq LT Series monitor with Charging Communication Cradle e Propaq LT Series monitor with Charging Communication Cradle in communication via USB cable with personal computer Emissions test Compliance
59. 9 5 EB Direktyvos nuostatas Spanish Por medio de la presente Welch Allyn declara que el RLAN device cumple con los requisitos esenciales y cualesquiera otras disposiciones aplicables o exigibles de la Directiva 1999 5 CE Swedish H rmed intygar Welch Allyn att denna RLAN device star 6verensstammelse med de v sentliga egenskapskrav och vriga relevanta bestammelser som framg r av direktiv 1999 5 EG 162 Compliance Welch Allyn Propaq LT Vital Signs Monitor EMC Special precautions concerning electromagnetic compatibility EMC must be taken for all medical electrical equipment e All medical electrical equipment must be installed and put into service in accordance with the EMC information provided in this document e Portable and mobile RF communications equipment can affect the behavior of medical electrical equipment Propag LT Series monitors and accessories comply with all applicable and required standards for electromagnetic interference e They do not normally affect nearby equipment and devices e They are not normally affected by nearby equipment and devices e It is safe to operate them in the presence of high frequency surgical equipment however it is good practice to avoid using the monitors near other equipment Directions for Use Monitor battery operated Compliance 163 The EMC specifications listed on pages 163 to 174 apply to Propaq LT monitors using any ECG cable listed in the accessory list or at ww
60. AM Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz 2Hz AM Note 1 Note 2 Compliance Electromagnetic environment guidance level Portable and mobile RF communications equipment should be used no closer to any part of the Charging Communication Cradle with Propaq LT Series monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 1 2 JP d 1 2 JP 80 MHz to 800 MHz d 23 P 800 MHz to 2 5 GHz where P s the maximum output power rating of the transmitter in watts according to the transmitter manufacturer and d is the recommended separation distance in meters Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol cD At 80 MHz and 800 MHz the higher frequency range applies These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment
61. AN 802LTAS 802LTRN and 802LTRS wireless monitors can operate either in standalone mode or in communication with a Welch Allyn Acuity Central Station See Standalone monitoring on page 47 While the wireless monitor is connected to the FlexNet network patient data gathered by the monitor is continuously stored at Acuity At the Acuity station you can access this patient information and perform administrative functions including the following e Admit transfer and discharge a patient in the Acuity unit e Edit the patient description name physician and so on e Review and print patient data such as trends and waveforms For more information about Acuity and the FlexNet wireless network refer to Acuity directions For use For Model 802LTAN and 802LTAS monitors the radio by default authenticates against the WA RADIUS server running on an Acuity Central Station If the hospital IT department requires a different authentication encryption solution then the monitor using the factory default radio configuration cannot connect to the network A WARNING When monitoring a patient who has a pacemaker position the monitor to maintain a minimum distance of 6 inches 16 cm between the monitor and the pacemaker If you have any reason to suspect that the monitor is interfering with the pacemaker immediately turn the monitor off and provide appropriate patient care The Health Industry Manufacturers Association recommends this minimu
62. ARNING If you acknowledge this alert message before determining which alerts are triggered you cannot identify individual alerts Table 8 Status messages Message Notes Audio alarms suspended Some alarms off At least one alarm is turned off Press Select for controls NIBP off Low battery Snapshot in progress The battery is too low NIBP monitoring is disabled NIBP in progress 90 Alarms and alerts Table 8 Status messages Message Welch Allyn Propaq LT Vital Signs Monitor Notes NIBP calibrating The monitor will resume operation when the calibration is complete Button pad locked Check Sp02 sensor Buttons including the on off button remain locked until you unlock them or until an alarm or an alert sounds The sensor cable is faulty incorrectly inserted or incompatible This message persists until a valid cable is connected or until monitor power is cycled Retry in progress An NIBP automatic retry is in progress Low perfusion index Masimo only Sp02 interference Masimo only Sp02 sensor off Masimo only Sp02 ambient light Masimo only Low Signal IQ Masimo only 91 6 Storing and reviewing patient data Overview The monitor stores up to 24 hours at one minute intervals of trends information for the patient being monitored When data storage is at capacity the data from each new reading replaces the data from th
63. Acuity Configuration Utility Systolic Upper Alarm Limit 145 mmHg 32 160 mmHg Monitor Acuity 19 3 kPa 4 3 21 3 kPa Systolic Lower Alarm Limit 75 mmHg 30 158 mmHg Monitor Acuity 10 0 kPa 4 0 21 1 kPa Diastolic Upper Alarm Limit 100 mmHg 17 130 mmHg Monitor Acuity 13 3 kPa 2 3 17 3 kPa Diastolic Lower Alarm Limit 35 mmHg 15 128 mmHg Monitor Acuity 4 7 kPa 2 0 17 1 kPa Mean Upper Alarm Limit 110 mmHg 17 140 mmHg Monitor Acuity 14 7 kPa 2 3 18 7 kPa Mean Lower Alarm Limit 50 mmHg 15 138 mmHg Monitor Acuity 6 7 kPa 2 0 18 4 kPa NIBP neonatal Auto Mode Interval minutes 15 1 2 3 5 10 15 30 60 Monitor Configuration Utility Mode Manual Manual Auto Monitor Acuity Smartcuf Off On Off Monitor Acuity Configuration Utility Systolic Upper Alarm Limit 100 mmHg 27 120 mmHg Monitor Acuity 13 3 kPa 3 6 16 0 kPa Systolic Lower Alarm Limit 50 mmHg 25 118 mmHg Monitor Acuity 6 7 kPa 3 33 15 7 kPa Diastolic Upper Alarm Limit 70mmHg 12 105 mmHg Monitor Acuity 9 3 kPa 1 6 14 0 kPa Diastolic Lower Alarm Limit 30 mmHg 10 103 mmHg Monitor Acuity 4 0 kPa 1 3 13 7 kPa Mean Upper Alarm Limit 80 mmHg 12 110 mmHg Monitor Acuity 10 7 kPa 1 6 14 7 kPa Mean Lower Alarm Limit 35 mmHg 10 108 mmHg Monitor Acuity 4 7 kPa 1 3 14 4 kPa Sp0 general Enable Spot Checks Yes Yes No Configuration Utility ParamSet for Upper SpO 5 5 10 Configuration Utility ParamSet for Lower Sp0 5 5 10 Configuration Util
64. Always use accessories according to the standards of your facility and according to the manufacturer s directions WARNING Never use ECG cables with loose or faulty detachable lead wires These can cause erratic behavior of the ECG and respiration waveforms due to intermittent ECG lead wire connections WARNING Resp is derived from the same leads as the ECG channel so the monitor determines which signals are cardiovascular artifact and which signals are a result of respiratory effort If the breath rate is within five per cent of the heart rate or is a multiple or submultiple of the heart rate the monitor might ignore breaths and trigger a respiration alarm Caution Never use an ECG cable longer than 10 feet 8 meters including extensions If you use an ECG extension cable with an ECG cable longer than 4 feet the monitor acts as though no ECG cable is connected Caution To protect the monitor from damage during defibrillation or electrosurgery for accurate ECG information and for protection against noise and other interference use only ECG electrodes and cables specified or supplied by Welch Allyn these cables have the required current limiting resistors Follow recommended application procedures The monitor contains type CF fully isolated patient connected circuitry but it is not intended for direct application on a patient s heart Severe artifact and interference such as defibrillation interference can cause the waveform to mov
65. C for monitor and cradle temperature See Battery on page 157 for details about long term storage of the internal monitor battery Operating altitude 2 000 to 15 000 ft 610 to 4 572 m Shipping and storage altitude 2 000 to 40 000 ft 610 to 12 192 m Operating relative humidity Shipping and storage relative humidity 5 to 95 noncondensing per MIL STD 810E Procedure 1 natural 5 to 95 noncondensing per MIL STD 810E Procedure 1 natural Water resistance IPX1 Drop 2 meters onto oak on concrete exceeding the 1 meter requirement of EN60601 1 Cosmetic damage is not considered a failure Shock 75g 11 ms half sine waveform three shocks on each surface three perpendicular axes for a total of 18 shocks six shocks per axis three positive and three negative 102g 6 ms half sine waveform three shocks on each surface three perpendicular axes for a total of 18 shocks Six shocks per axis three positive and three negative Vibration random 10Hz to 100Hz 5 0 m s2 2 Hz 05g2Hz 100HZ to 200Hz at 4 dB per octave 200Hz to 500Hz 2 0 m s Hz 02g Hz ramp to 2000Hz 1 0 m s 2 Hz 01g Hz Superimposed sine frequencies of 30 Hz at 2 5g and 60 90 and 120Hz at 1 5g Operating one hour per axis three hours per test Vibration sweep sine Frequency range Amplitude acceleration Sweep rate Number of sweep cycles Electromagnetic compatibility EMC 10 to 15
66. CG monitoring If the patient being monitored has a pacemaker the monitor detects and can indicate the occurrence of pacemaker signals If the Pacer Indicator setting is ON the monitor displays and prints vertical dashed lines to indicate detected pacemaker signals If Pacer Indicator is OFF the monitor continues to detect the pacemaker signals but does not display or print the pacer markers A WARNING Signals differ between pacemakers The Association for Advancement of Medical Instrumentation AAMI cautions that in some devices rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias Do not rely entirely upon rate meter alarms All pacemaker patients should be kept under close or constant observation WARNING Use of respiration monitoring by impedance pneumography can affect the operation of some pacemakers If pacemaker operation is affected turn off respiration pneumography See Figure 63 on page 57 WARNING Always use fresh ECG electrodes and make sure the ECG cable lead wires make good connections The presence of pacer like noise can cause the displayed heart rate to be erratic even though the ECG trace might look undistorted with the pacer indicator off To enable or disable the display of pacer indicators 1 Access the Setup menu See To access the setup menus on page 37 2 Highlight ECG Figure 63 Turning the pacer indicator off in the ECG setup menu HALL
67. ECG electrode or lead wire and Lead refers to a waveform source You can monitor heart signs ECG and respiration rate Resp using either a 3 lead or a 5 lead ECG cable Using a 3 lead cable you can display one signal waveform for Lead l Il or Ill Using a 5 lead cable you can display either one or two signal waveforms I II Ill V and if enabled in the configuration aVp aV or aVe You can also display the SpO or Resp waveform in place of an ECG waveform A WARNING Always monitor and set alarms for SpO5 when using impedance pneumography to monitor respiratory function WARNING When monitoring respiration via impedance pneumography always select the ECG Lead with the most prominent QRS complex The monitor rejects cardiovascular artifact but this function depends upon accurate ECG R wave detection WARNING Do not place the monitor near another respiration monitor Resp measurement frequencies can cause mutual interference WARNING Do not perform impedance pneumography on paced patients Pacemaker pulses can sometimes be falsely counted as breaths WARNING Always keep patient motion to a minimum Motion artifact can cause incorrect readings of breath rate or heart rate WARNING If a disconnected lead is too close to other electrical devices it can cause a false heart rate a false respiration rate or a failure to display a Lead Fail message WARNING The monitor displays for HR numerics between 301 350 beat
68. Facility Name blank 0 40 characters Configuration Utility Contact Name blank 0 40 characters Configuration Utility Unit Department ID blank 0 40 characters Configuration Utility Contact Telephone blank 0 40 characters Configuration Utility 106 Monitor configuration Welch Allyn Propaq LT Vital Signs Monitor Table 10 Parameter configuration matrix continued Parameter Factory setting Possible values Where set Time Format 24 Hr 12 Hr 24 Hr Monitor Configuration Utility Configured Language English Dutch English French German Italian Monitor Acuity Polish Portuguese Spanish Swedish Configuration Utility Decimal Format Dot Comma Dot Configuration Utility Date Format MM DD YY MM DD YY DD MM YY YY MM DD Monitor Configuration Utility Alarm Alert Tone Level Medium Low Medium High Monitor Configuration Utility Acuity HR Pulse Tone Level Medium Off Low Medium High Monitor Configuration Utility NIBP Units mmHg mmHg kPa Monitor Configuration Utility Audible Alarm Suspension 2 min Disable 90 sec 2 min 3 min 4 min Monitor Configuration Time 5 min 10 min 15 min 30 min 60 min Utility Always On Pacer Indicator On No Yes No Monitor Configuration Utility Buttons Lock Out Enabled Yes Yes No Configuration Utility Acuity Display Lock Out Enabled Yes Yes No Configuration Utility Back
69. Hz Pixel Clock Video signal Analog RGB 0 7 V p p 75 ohms Input connections 15 pin D sub To meet AAMI standard EC13 while using a larger or smaller display select a display with the appropriate ratio characteristics For example the tables below shows ECG waveform aspect ratios and sensitivities for a representative selection of displays Note Welch Allyn has tested only the information for the 17 5 4 display 17 inch display Display size Aspect ratio mm s mm mV inches BIO O isi 150 3 49 0 40 22 5 8 9 170 5 4 0 42 25 0 11 190 5 4 0 42 27 8 12 21 3 3 4 0 40 32 04 13 24 8 5 0 33 38 3 13 a Out of specification Note Welch Allyn has tested only the information for the 22 16 9 display Display size Aspect ratio mm s mm mV inches 18 5 0 16 9 0 40 21 6 8 78 20 16 9 0 40 23 4 9 4 21 5 16 9 0 40 25 1 10 1 22 16 9 0 40 25 1 10 1 23 16 9 0 40 26 8 10 8 240 16 9 0 40 28 0 11 3 a Out of specification 154 Specifications Environmental Physical Welch Allyn Propaq LT Vital Signs Monitor A Caution The monitor might not meet performance specifications if it is not used or stored within these environmental specifications Note The specifications apply when the battery is installed and the battery cover is in place Characteristic Specification Operating temperature 0 to 40 C Shipping and storage 20 to 60
70. Light Lock Out Enabled Yes Yes No Configuration Utility Back Light Time Out 2 min Always Off 2 min 5 min 10 min Monitor Configuration 15 min 30 min Always On Utility Display Time Out Always On 2 min 5 min 10 min 15 min 30 min Monitor Configuration Always On Utility Adult NIBP Mean Numerics Small Small Large Off Monitor Configuration Utility Pediatric NIBP Mean Small Small Large Off Monitor Configuration Numerics Utility Neonatal NIBP Mean Large Small Large Off Monitor Configuration Numerics Utility Display All ECG Vectors Yes Yes No Configuration Utility ECG Wave Size 1 mV cm 8 mV cm 4 mV cm 2 mV cm 1 mV cm Monitor 0 5 mV cm 0 2 mV cm ECG Il Wave Size 1 mV cm 8 mV cm 4 mV cm 2 mV cm 1 mV cm Monitor 0 5 mV cm 0 2 mV cm ECG III Wave Size 1 mV cm 8 mV cm 4 mV cm 2 mV cm 1 mV cm Monitor 0 5 mV cm 0 2 mV cm ECG V Wave Size 1 mV cm 8 mV cm 4 mV cm 2 mV cm 1 mV cm Monitor 0 5 mV cm 0 2 mV cm ECG aVR Wave Size 1 mV cm 8 mV cm 4 mV cm 2 mV cm 1 mV cm Monitor 0 5 mV cm 0 2 mV cm ECG aVL Wave Size 1 mV cm 8 mV cm 4 mV cm 2 mV cm 1 mV cm Monitor 0 5 mV cm 0 2 mV cm Directions for Use Monitor configuration 107 Table 10 Parameter configuration matrix continued Parameter Factory setting Possible values Where set ECG aVF Wave Size 1 mV cm 8 mV cm 4 mV cm 2 mV cm 1 mV cm Monitor 0 5 mV cm 0 2 mV cm Sp0 Wave Size 2x 1x 2x 4x 8x Monitor Resp Wave Size 2x 0 5x 1x 2x 4x 8x 1
71. Name Up to 40 characters For each configuration enter a unique name that identifies the following e the hospital and the care unit or department that owns the monitor e the date on which this configuration is created The name can include any standard keyboard characters other than the comma For example StEGH 9 West Dec_29 2003 If multiple configuration files are created on the same day include additional identifying information to the configuration name For example StEGH 9 West Dec_29 2003 Pediatric StEGH 9 West Dec_29 2003 Neonate 126 Welch Allyn Propaq LT Vital Signs Monitor WelchAllyn me y Advancing Frontline Care Default Settings Default Selections Patient Mode Default __ Adult __ Pediatric __ Neonatal Alarm Tone Level Default _ Low _ Medium High ECG Bandwidth Default __ Monitor __ Extended ECG Bandwidth refers to the frequency range used to display and print patient data e Monitor bandwidth is less susceptible to artifact such as patient motion e Extended bandwidth although more susceptible to artifact can provide for more detailed data analysis Monitor Mode Bandwidth Adult 0 5 Hz to 40 Hz Pediatric Neonate 0 5 Hz to 80 Hz Extended Mode Bandwidth Adult 0 05 Hz to 40 Hz Pediatric Neonate 0 05 Hz to 80 Hz HR PR Tone Level Default __ Off __ Low __ Medium High Directions for Use Welch Allyn 127 Advancing Frontline Care Audible Alarms Suspension T
72. Propag LT Vital Signs Monitor Directions for Use 901061 Patient monitor Software version 1 60 XX WelchAllyn Advancing Frontline Care ii Welch Allyn Propaq LT Vital Signs Monitor 2014 Welch Allyn All rights are reserved To support the intended use of the product described in this publication the purchaser of the product is permitted to copy this publication for internal distribution only from the media provided by Welch Allyn No other use reproduction or distribution of this publication or any part of it is permitted without written permission from Welch Allyn Welch Allyn assumes no responsibility for any injury to anyone or for any illegal or improper use of the product that may result from failure to use this product in accordance with the instructions cautions warnings or statement of intended use published in this manual Welch Allyn Propaq Acuity Smartcuf and FlexNet are registered trademarks of Welch Allyn ParamSet is a trademark of Welch Allyn Masimo SET LNOP and LNCS are registered trademarks and FastSAT and APOD are trademarks of Masimo Corporation Possession or purchase of a Masimo SpO equipped monitor does not convey any express or implied license to use the device with unauthorized sensors or cables which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device Nellcor and Oximax are registered trademarks of Nellco
73. ROBERT E 3456187 Y 3 00 06P Adult Rm 239 Resp min SpO2 Setup ECG NIBP Timings Configuration Service uspend Audible Alarms On 90 sec Alarm Tone Low High Right gt to suspend audible alarms _Exit_ Trends Snapshots Setup _ The configured suspension period 90 seconds in this example is displayed to the right of the line 3 Highlight On Note f audible alarms are suspended pressing cancels the suspension Figure 89 Suspend Audible Alarms On ID 01018VDO9PBH 8765432 Y 3 00 06P Audio alarms suspended Rm 239 o Tone suspended indicator 57 nee SpO2 Configured suspension period Setup ECG NIBP Timings a P Service Suspension time remaining uspend Audible Alarms Off 90 sec S 0 01 30 remaining Alarm Tone Low Med e The alarm tone is suspended immediately If an alarm condition occurs during the suspension period the alarm tone does not sound 84 Alarms and alerts Welch Allyn Propaq LT Vital Signs Monitor e Acountdown timer appears below the line to indicate the time remaining in the suspension period e Audio alarms suspended appears in yellow in the upper left corner of the screen e When the suspension period elapses the alarm tone is again enabled Changing alarm limits Atthe monitor At Acuity Typically each institution determines the appropriate alarm limits for adult pediatric and neonatal patients and then configures the monitor with those al
74. SB OPONE aie Peele a Mehdi dete ns 11 HIPAA considerations as a bee A he da ee he hts tt ae 12 2 Overview of monitor operation 0 00 cece ee eee 13 Turning onthe MONITOR 4 See da PAA a PA hte glia og Oe be 13 Selecting a language cora eek See Pe CES Pes 14 About the charging communications cradle nnna ee 14 Displaying datas s Turca iii troia BE nee Gee a be on wad ee ees 17 ADOULINAVIGATION las ale Relate e ta led ai ads 31 MET O ane ney na Gaeta ds 33 About monitor information SCreens 0 eee 38 USING GeMmMormode sire ae Pho ete BAA aot ta op Sth te 40 POWGEESAVING a e Sled ear i eh ee Rees al gc ee Sn 44 Tumming Off The MONITOR sale eg A Ola Le ioe aa es 44 Communicating with an Acuity Central Station 0 0 0 0 0 00 eee eee 44 About error detection e ns secede bee ds wep hee ede Ree snags Aedes gp Ae oe be 44 Transporting the monitor with the patient ooooooooooooo oo 45 3 Standalone monitoring arca yea wad 47 OVET E Wa ie cose rife sy Aloe aces dos Dl IN of hat o iin A 47 Preparing f r anew patient sad 4 03 iaa a is oR ens wk eee des 47 Continuing to monitor a patient ON POWEr UP 6 es 51 Monitoring EGG and RESP cria ee Pe iad nese ie Beas 52 Monitoring PO arte rai inet a Gases eee mentee 60 Monitoring blood pressure NIBP 0 anaana anaua 65 Changing the default settings 0 0 0 0 eee 69 TO GISCOALINUE MMONITONING is Sete he ee el Wen oes ee eee ee 71 4 Monitori
75. Series monitor with Charging Communication Cradle CISPR 11 and Large Color Display Interface uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class A The Propaq LT Series monitor with Charging Communication Cradle CISPR 11 and Large Color Display Interface is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions Class A IEC 61000 3 2 Voltage Complies fluctuations flicker emissions IEC 61000 3 3 172 Compliance Welch Allyn Propaq LT Vital Signs Monitor Guidance and manufacturer s declaration electromagnetic immunity The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface is intended for use in the electromagnetic environment specified below The customer or the user of the The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge 6 kV contact V contact Floors should be wood concrete or ceramic ESD 8 KV air 8 KV air tile If floors are covered with syn
76. T Series monitor with Charging Communication Cradle and Large Color Display Interface is intended for use in the electromagnetic environment specified below The customer or the user of the The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions Group 1 The Propaq LT Series monitor with Charging Communication Cradle CISPR 11 and Large Color Display Interface uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class A The Propaq LT Series monitor with Charging Communication Cradle CISPR 11 and Large Color Display Interface is suitable for use in all establishments other than domestic and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions Class A IEC 61000 3 2 Voltage Complies fluctuations flicker emissions IEC 61000 3 3 184 Compliance Welch Allyn Propaq LT Vital Signs Monitor Guidance and manufacturer s declaration electromagnetic immunity The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface is intended for use in the electromagnetic environment specified below The cu
77. The hospital IT department must therefore configure all associated access points to operate within approved domains Channel restrictions in the 5 GHz band by country are as follows Restrictions for use in the 5 GHz bands Allowed frequency bands Allowed channel numbers Countries 5 15 to 5 25 GHz 36 40 44 48 Austria 5 15 to 5 35 GHz 36 40 44 48 52 56 60 64 Cyprus Czech Republic France Hungary Slovakia 5 15 to 5 35 GHz 36 40 44 48 52 56 60 64 100 Belgium Bulgaria Denmark Estonia and 5 470 to 5 725 GHz 104 108 112 116 120 124 128 Finland Germany Greece Iceland 132 136 140 Ireland Italy Latvia Liechtenstein Lithuania Luxembourg Malta Netherlands Norway Poland Portugal Slovenia Spain Sweden Switzerland U K This device must not be operated outdoors when using the bands 5150 to 5350 MHz Channels 36 40 44 48 52 56 50 64 This device must be used with Access Points that have employed and activated a radar detection feature required for European Community operation in the 5 GHz bands This device operates under the control of the Access Point to avoid operating on a channel occupied by any radar system in the area The presence of nearby radar operation may result in temporary interruption in communications of this device The Access Point s radar detection feature automatically restarts operation on a channel free of radar You may consult with the local technical suppo
78. To change the waveform selection 1 Highlight the current waveform source selection Lead Il for example and press e 56 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor Figure 60 Waveform source Il STEWART ANN 7762940 15 14 28 Adult Rm 263 Lead p Lead 6 sec Lead Ill aVR aVL ae aVF T HIV Resp if a 0 SpO2 0 Add 2nd Wave i j SpO2 2 Highlight your waveform source choice and press amp or Figure 61 Waveform source Resp STEWART ANN 7762940 _1 05P Adult Rm 263 i la Ay Lead Lead Il Lead Ill aVR aVL aVF V Resp 24 sec SpO2 Add 2nd Wave Note If you scroll to the bottom selection of the Waveform Source menu either Add 2nd Wave or Remove 2nd wave the selection takes effect immediately and the monitor returns to the primary data display Note In the Waveform Source menu either the source Lead or the waveform period can be highlighted If the waveform period is highlighted a second trace of the same source will be cascaded to double the period obtained from a single trace To change the waveform size 1 Highlight the current waveform scale ImV em for example and press e Figure 62 Waveform size popup menu STEWART ANN 7762940 12 41 32 l Adult Rm26 2 Highlight the desired scaling factor and press 8 Waveform size does not affect ORS detector sensitivity Directions for Use Standalone monitoring 57 About pacemakers and E
79. V cm 5 of 5 Directions for Use Storing and reviewing patient data 93 To change the source of the displayed waveform see To change the waveform selection on page 55 To change the size of the waveform see To change the waveform size on page 56 From this display you can switch to another type of display or you can exit and return to the primary display To do this highlight Snapshots and press 9 The Trends menu appears from which you can exit or switch to another display Tabular Tabular and Waveform or Graphical To switch to the split display for example highlight Tab Wave and press e Figure 94 Snapshots display switching to another display STEWART ANN 7762940 y 15 14 28 97 spo2 97 Adult Rm 263 12 4 5 Sec after gt 14 34 58 Reviewing trends To review trends From any main display screen such as Large Numerics Dual Waveform 1 2 3 Highlight lt 2 HR PR SpO2 NIBP Resp or A Press e Highlight Trends and press 8 The Trends display appears Use and w to scroll through the list of trends e Red indicates an alarm e D indicates that a snapshot exists for this trend Highlight Mi and press to view the snapshot e B indicates that the snapshot for this trend was overwritten with a more recent snapshot and is not available for viewing e indicates a value below the monitor s measurement range e indicates a value above the monitor
80. VL aVF SpO2 Resp Display 3 Lead Lead Il Lead Ill Lead V aVR aVL aVF SpO2 Resp If Tabular Trends display is enabled this is the default data interval 1 minute 5 minutes 10 minutes 15 minutes 30 minutes 60 minutes 1 minute 5 minutes 10 minutes 15 minutes 30 minutes 60 minutes 1 minute 5 minutes 10 minutes 15 minutes 30 minutes 60 minutes Directions for Use Welch Allyn 131 Advancing Frontline Care Mode Settings Default Resp Lead Adult Pediatric Neonatal __ Lead 1 RA LA __ Lead 1 RA LA __ Lead 1 RA LA __ Lead 2 RA LL __ Lead 2 RA LL Lead 2 RA LL NIBP Mean Numerics Adult Pediatric Neonatal Small Small Small Large Large Large Off Off Off Note Selecting Large reduces the size of the systolic and diastolic displays NIBP Mode Adult Pediatric Neonatal Auto Manual Auto Manual Auto Manual NIBP Auto Mode Interval Adult minutes Pediatric minutes Neonatal minutes 1 2 3 5 10 15 30 60 1 2 3 5 10 15 30 60 1 2 3 5 10 15 30 60 Use Smartcuf as Default for NIBP Adult Pediatric Neonatal Yes Y Yes Y Yes O No O No O No An NIBP measurement can be adversely affected by many factors including body motion such as convulsions or shivering ambient vibration vehicle motion weak pulse a sudden change in blood pressure or sudden cuff movement When t
81. Waveform Tabular Trends Directions for Use Display Format Display 1 Large Numerics __ Single Waveform Dual Waveform Tabular Trends Tabular Trends with Waveform Display 1 Enable the display of 6 seconds of the top waveform Lead Lead Il Lead Ill Lead V aVR aVL aVF SpO Resp Display 1 J Yes O No If you select Display 2 Large Numerics Single Waveform Dual Waveform Tabular Trends Tabular Trends with Waveform None Display 2 Lead Lead Il Lead III Lead V aVR aVL aVF SpO2 Resp Display 2 i Yes O No If you select Yes the monitor displays two consecutive 3 second periods of the top waveform WelchAltyn Y Advancing Frontline Care Display 3 Large Numerics Single Waveform Dual Waveform Tabular Trends Tabular Trends with Waveform None Display 3 Lead Lead Il Lead III Lead V aVR aVL aVF SpO2 Resp Display 3 Waveform is selected 3 seconds of the bottom waveform I Yes O No No the monitor displays 3 seconds of the top waveform and if Dual id Welch Allyn Advancing Frontline Care Display Format continued Welch Allyn Propaq LT Vital Signs Monitor If Dual Waveform display is enabled display this signal as the default lower waveform Display 1 Lead Lead II Lead III Lead V aVR aVL aVF SpO2 Resp Display 2 Lead Lead l Lead Ill __ Lead V aVR a
82. a ia 187 Introduction Intended use Symbols The Propaq LT Series 802LTAN 802LTAS 802LTON 802LTRN 802LTOS and 802LTRS monitors are portable devices intended to be used by clinicians and medically qualified personnel for single or multiparameter vital signs monitoring of ambulatory and nonambulatory patients including neonate pediatric and adult patients These devices are indicated for ECG noninvasive blood pressure NIBP respiration and SpO The most likely locations for patients to be monitored by these devices are hospital general medical surgical telemetry and intermediate care floors hospital emergency departments transport emergency medical services and other healthcare applications The monitors can be used as standalone devices or as devices networked to an Acuity Central Station referred to in this manual as Acuity through wireless communication over a Welch Allyn FlexNet network Federal USA law restricts this device to sale distribution or use by or on the order of a licensed healthcare professional Even though this manual describes some monitoring techniques the monitor is intended for use only by trained and experienced clinicians who know how to measure and interpret vital signs Table 1 Directions for use A WARNING Indicates conditions that could lead to illness injury or death A Caution In this manual indicates conditions that could damage equipment or other property
83. a new name Access options for previewing and printing report pages Print a report of configuration settings Close the configuration file Edit Cancel Edits Cancel all changes made since the last Save Monitor Recelve Upload the configuration file from the monitor to the PC Send Note The configuration file on the monitor does not necessarily reflect the current monitor configuration Note If the monitor is older than version 1 30 00 the Configuration Utility cannot receive the file Note If the monitor configuration file was created using a Configuration Utility older than version 1 30 00 some parameters are not defined The Receive function sets these parameters to the factory defaults Configure the monitor by downloading the displayed configuration file Help Version Display information about downloading configuration files when Compatibility About the monitor and the Configuration Utility versions do not match Display the version of the Configuration Utility Error messages These messages are displayed at the PC if communication or version problems arise between the Configuration Utility and the monitor Message Communication with the monitor failed Verify that the monitor is powered on and properly seated in the cradle Verify that the cable is connected Could not read patient data from the monitor Please contact Welch Allyn customer service 120 PC utility Welch
84. a problem in communication with the cradle Detach and reattach the USB cable You attempted to select the Name ID or Rm field on an Acuity enabled monitor that is not connected to the network Battery Low Battery Charge battery soon Very Low Battery Charge battery now Battery Too Low Shutting down The monitor battery charge is low and the monitor will shut down in 30 minutes or less Insert the monitor into the cradle If no cradle is available find an alternative method of monitoring the patient before the monitor shuts down The monitor battery charge is very low the monitor will shut down in 5 minutes or less Insert the monitor into a cradle or find another way to monitor the patient before the monitor shuts down The monitor battery charge is too low to support monitor function Monitor operation can continue only after the battery is recharged or replaced or until the monitor is inserted in a powered cradle Directions for Use Table 7 Alert messages Alarms and alerts 89 Alert type Message Possible cause and suggested response Charger Charger Fault Service required Service charger Charger Disabled The battery is too cold or too hot to charge Normalize the Battery temperature too high or low battery temperature before attempting to charge it Battery Fault The battery is missing the battery is discharged too far to Replace battery be charged the charger has timed
85. act CVA rejection Resp channel noise Presence of CVA is detected automatically Breaths are picked in the presence of CVA unless the breath rate is within 5 of the heart rate or a submultiple of the heart rate lt 50 milliohms peak to peak typical Breath detection threshold 0 175 ohms or 2x CVA whichever is greater set automatically Resp rate RR range RR alarm limits Resp rate resolution 2 to 150 breaths min adult pediatric mode 3 to 150 breaths min neonate mode 2 to 148 breaths min lower adult pediatric 4 to 150 breaths min upper adult pediatric 3 to 148 breaths min lower neonate 5 to 150 breaths min upper neonate breath min Resp rate alarm resolution 1 breath min Breath rate accuracy 2 breaths min or 2 whichever is greater Motion artifact rejection Obstructive apnea RR display update interval at monitor Not rejected Not detected 1 second Excitation signal characteristics 65 16 kHz pseudosine wave 65 pA RMS 5 Display sweep speed 6 25 mm sec Directions for Use Sp0 Specifications 147 All sensors have a measurement range of 70 100 SpO complies with EN ISO 9919 2005 Characteristic Specification Saturation SpO Range 1 to 100 but limited by sensors and by sensor manufacturers technology Resolution 1 Alarm limits 50 to 98 lower 52 to 100 upper Probe accuracy adult pedia
86. acturer Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Directions for Use Compliance 167 Charging communication cradle with monitor Guidance and manufacturer s declaration electromagnetic emissions The Charging Communication Cradle with Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the Charging Communication Cradle with Propaq LT Series monitor should assure that it is used in such an environment Note The EMC specifications on pages 167 170 apply to the following e Charging Communication Cradle alone e Propaq LT Series monitor with Charging Communication Cradle e Propaq LT Series monitor with Charging Communication Cradle in communication via USB cable with personal computer Emissions test Compliance Electromagnetic environment guidance RF emissions Group 1 The Charging Communication Cradle with Propaq LT Series monitor CISPR 11 uses RF energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class B The Charging Communication Cradle with Propaq LT Series monitor CISPR 11 is suitable for use in all establishments including
87. adle and Large Color Display Interface is used exceeds the applicable RF compliance level above the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 186 Compliance Welch Allyn Propaq LT Vital Signs Monitor Recommended separation distances between portable and mobile RF communications equipment and the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface as recommended below according to the maximum output power of the communications equipment
88. anual supplied with any Acuity Central Monitoring Station Directions for Use Alarms and alerts 85 About ParamSet Using ParamSet you can quickly widen the alarm limits by a configured percentage relative to the patient s alarming reading for any vital sign For information about ParamSet see ParamSet Settings on page 133 Responding to an alarm An alarm condition is indicated on the monitor in the following ways e The RED indicator rightmost of three above the display screen flashes e The numerics for the vital sign in alarm are displayed in RED e Ifalarm tones are not suspended the alarm tone sequence sounds repeatedly 3 short tones a short pause 2 short tones and a long pause Responding to an alert An alert condition Overview on page 81 is indicated on the monitor in the following ways e A flashing yellow light above the monitor display e A yellow alert message on the monitor display for example NO ECG CABLE DETECTED e Repeated sounding of the alert tone sequence if tones are not suspended 3 long tones and a pause Figure 91 Example alert screen HALL ROBERT E 3456187 Y 12 41 32 Adult Rm 239 The yellow light flashes during an alert and while the alert is silenced EQUIPMENT ALERT ECG Fault ACKNOWLEDGE Text on a yellow field identifies the alert condition To respond at the monitor to an alert 1 Press 7 to silence the tone for 90 seconds press 8 to
89. aq LT Series monitor with Charging Communication Cradle and Large Color Display Interface including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 3 5 JP d 1 2 JP 80 MHz to 800 MHz d 23 P 800 MHz to 2 5 GHz where P s the maximum output power rating of the transmitter in watts according to the transmitter manufacturer and d is the recommended separation distance in meters Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Ka Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Propaq LT Series monitor with Charging Communication Cr
90. arm limits before putting the monitor into service These become the default alarm limits for the monitor the alarm limits used each time the monitor is powered on The configured alarm limits remain in effect until the monitor configuration is changed However you can temporarily change the current patient s alarm limits To temporarily change alarm limits for the current patient 1 Highlight the vital sign for which you want to set custom limits 2 Press 3 Highlight the limit you want to change 4 Seta new alarm limit Figure 90 Changing alarm limits for the current patient STEWART ANN 7762940 Y 3 00 06P STEWART ANN 7762940 Y 3 00 06P Adult Rm 263 Adult Rm 263 88 140 NIBP mmHg 1 IBP mmHg 10 SpO2 NIBP Manometer Diastolic NIBP Manometer Diastolic Mean Upper Sys Alarm Off Upper Sys Alarm Upper Sys Limit Lower Sys Alarm Off Lower Sys Alarm Off Lower Sys Limit conse D NIBP Mode Auto Turbo NIBP Mode Auto Turbo Auto Interval min 123510 30 60 Auto Interval min 123510 30 60 Snapshots Setup 5 Repeat from step 3 for other alarm limits you want to change for the same vital sign 6 Press When the monitor is turned off you will have a choice of saving the current settings and stored patient data or deleting the current settings and patient data Neither choice affects the default settings for the monitor For a wireless monitor patient alarm limits can also be customized from Acuity See the user m
91. ate the new configuration file About defaults The settings defined for the monitor when it first arrives from the factory are called factory defaults Factory defaults include settings for most parameters and also define whether certain monitor features are enabled or disabled An example of a default setting The default volume of the alarm tone is Medium To change the default volume level to Low select Low in the configuration file Like many other monitor settings the volume of the alarm tone can also be changed by the clinician while the monitor is in use The configuration simply defines what the setting will be when the monitor power is turned on An example of enabled and disabled features The monitor behavior Pacer Indicator On Default has a default value of No so the monitor does not by default include pacemaker indicators in an ECG waveform display To change the default behavior so that the monitor does show pacemaker indicators in an ECG waveform display change the value to Yes in the custom configuration Directions for Use PC utility 121 The feature Back Light Lockout Enable has a factory default value of Yes enabled so itis by default available to clinicians To make this feature unavailable to clinicians change the value to No in the custom configuration Factory defaults remain in effect until you reconfigure the monitor by downloading a custom configuration file to it from the PC or until you
92. ault settings on page 69 To exit the monitoring information screen do one of the following e To return to the primary display press or highlight Exit and press 9 e To see a tabular display of vital signs highlight Trends and press e e To view saved snapshots of vital signs highlight Snapshots and press 9 e To view the Setup menu highlight Setup and press e e To turn off the monitor press 40 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor Using demo mode In Demo mode the monitor displays simulated patient data for all vital signs You can use Demo mode to familiarize yourself with the following e Viewing vital signs displays e Modifying alarm limits and other settings e Cycling through display formats e Responding to alarm conditions To start Demo mode all of the following must be true e The power on screen is displayed e The monitor is not in NIBP Auto mode e Patient data was deleted when the monitor was last shut down that is the monitor contains no stored patient data e The SpO and ECG cables are not connected to the monitor To enter demo mode low 1 Verify that the SpO and ECG cables are not connected to the monitor 2 Cycle the monitor off deleting any saved data and then on again 3 When the main screen appears highlight Demo and press e Note f you enter Demo mode with an SpO or ECG cable connected the monitor enters Demo mode for only a
93. ce caused by such unauthorized modification substitution or attachment will be the responsibility of the user Industry Canada IC emissions This device complies with RSS 210 of Industry Canada Operation is subject to the following two conditions 1 this device may not cause interference and 2 this device must accept any interference including interference that may cause undesired operation of this device L utilisation de ce dispositif est autoris e seulement aux conditions suivantes 1 il ne doit pas produire de brouillage et 2 utilisateur du dispositif doit tre pr t a accepter tout brouillage radio lectrique recu m me si ce brouillage est susceptible de compromettre le fonctionnement du dispositif High power radars are allocated as primary users of the 5 25 to 5 35 GHz and 5 65 to 5 85 GHz bands These radar stations can cause interference with and or damage this device This Class B digital apparatus complies with Canadian ICES 003 Cet appareil num rique de la classe B est conform a la norme NMB 003 du Canada European Union Czech Welch Allyn t mto prohla uje ze tento RLAN device je ve shod se z kladn mi po_adavky a dal mi p slu n mi ustanoven mi sm rnice 1999 5 ES Danish Undertegnede Welch Allyn erkl rer herved at f lgende udstyr RLAN device overholder de v sentlige krav og vrige relevante krav i direktiv 1999 5 EF Dutch Hierbij verklaart Welch Allyn dat het toestel RLAN devic
94. clear the alert 2 Troubleshoot and correct the problem See Alert messages and status messages on page 87 86 Alarms and alerts To respond at Acuity to an alert Welch Allyn Propaq LT Vital Signs Monitor For a monitor in communication with Acuity elther the monitor or Acuity can detect alarms and alerts The alarms are displayed in both places See Acuity Directions For use About battery charge status Table 6 Battery status indicators Display Status alert Battery Monitor Recommended text action A Fully charged Okay None Green TI Partially full Okay None Green Partially full charging Okay None reen Ey EQUIPMENT ALERT Low Can function for up to Prepare to discontinue A Yellow Low Battery 30 minutes but NIBP monitoring If possible A L J Yellow Charge battery soon Low charging is disabled Normal function insert the monitor into a cradle Do not remove the monitor from the cradle Red i Red EQUIPMENT ALERT Battery Too Low Shutting down Almost completely discharged Almost completely discharged charging Shutting down soon Can function for up to 5 minutes but NIBP is disabled Normal function Prepare to discontinue monitoring If possible insert the monitor into a cradle If this indicator appears when the monitor is ina powered cradle then the battery is damaged and must be replaced In this case all stored patient data will be
95. ct highlight Confirm then press Select aae a d To confirm the change highlight Confirm and press 9 Note When you change the patient mode and confirm the change e All vital signs data for the patient is lost e All monitor settings revert to the defaults for the new patient mode 8 Verify that the displayed time and date are correct e The monitor displays time in the 12 hour AM PM or 24 hour format and displays the date in the mm dd yy dd mm yy or yy mm dd format e The date does not appear on the primary display screens It appears on the snapshot list and on the snapshot display a Highlight the time display in the upper right corner of the screen and press e The Time Date screen appears Figure 52 Time date screen 24 hour format HALL ROBERT E 3456187 14 49 37 Adult Rm 23 du Time Format 12 Hour gt Hour Minute Month Day Year Date Format 24 hour format b If the displayed time or date is not correct press or w to move the highlight from one parameter to another and press d or to change the value of the highlighted parameter For example to change the time display format from 24 hour to 12 hour highlight Time Format and press either d or once Directions for Use Standalone monitoring 51 Figure 53 Time date screen 12 hour format HALL ROBERT E 3456187 14 49 54 Adult Rm 239 12 hour format c When the time and date are correct and formatted
96. ctly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions No connection to mains IEC 61000 3 2 battery operated Voltage fluctuations flicker No connection to mains emissions battery operated IEC 61000 3 3 a The battery operated Propaq LT Series monitor contains either a 5 GHz orthogonal frequency division multiplexing transmitter or a 2 4 GHz frequency hopping spread spectrum transmitter for the purpose of wireless communication The radio is operated according to the requirements of various agencies including FCC 47 CFR 15 247 and R amp TTE Directive 1995 5 EC The radio is excluded from the EMC requirements of 60601 1 2 2001 but should be considered when addressing possible interference issues between this and other devices Welch Allyn Propaq LT Vital Signs Monitor Guidance and manufacturer s declaration electromagnetic immunity The battery operated Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure th Immunity test IEC 60601 test level at it is used in such an envi Compliance level onment Electromagnetic environment guidance Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transient burst 6 kV contact 8 KV air 2 kV for power supply lines 6 kV contact 8 KV air No connection to mains
97. d Audio alarm hold off with Acuity Settable on all parameters Separate adult pediatric neonate mode settable limits Automatic preset or manual settings High Patient alarms Life threatening Medium Equipment alerts Low Alarm off Most tachycardias alarm in less than 8 seconds These include AAMI 3 1 2 1 part f waveforms Certain multifocal tachycardias can initially alarm as low rate HR PR 3 seconds SpO 10 seconds RR 5 seconds To keep false alarms to a minimum the monitor briefly delays or holds off triggering audible and visual alarms for limit violations for these vital signs After the hold off period begins if the monitor detects that the vital sign has returned to acceptable limits the monitor cancels the alarm The next time a limit is violated the monitor starts a new hold off When a monitor is connected to Acuity the audio alarms at the monitor can be delayed up to 4 minutes and 15 seconds The delay time is selected in Acuity software at the time of Acuity installation Visual alarm indications are not delayed Acuity has a default audio alarm hold off of 11 seconds Alarms suspend Patient out of range transmitter failure Battery failure When alarms suspend is enabled the monitor alarm tones for all parameters can be suspended on the floor for a configurable period 90 seconds 2 minutes 3 minutes 4 minutes default 5 minutes 10 minutes 15 minutes or 60 minutes When a m
98. d telephone number e Current patient mode Adult Pediatric Neonate e Number of data snapshots saved 0 20 e Network communications status Enabled Disabled To exit the start up information screen do one of the following e Highlight Continue Patient or Start New Patient to start monitoring e Highlight Demo to enter Demo mode e Press to turn off the monitor Directions for Use Dverview of monitor operation 39 To view the monitoring information screen Highlight 29 in the upper right corner of the vital signs display and press e Figure 33 Monitoring information HALL ROBERT E 3456187 Y 12 41 32 Adult Rm 239 Portland Westside Emergency Department PtldWstsdED10Jun05 mnt Ann Jones MD 503 530 0101 x9999 EX Trends Snapshots Setup The monitoring information screen provides the following information e Continuous numeric and waveform display of patient vital signs e Medical facility name and unit e Configuration file name e Contact person s name and telephone number Note Ifa monitor configuration is saved after a configuration file is downloaded the file name shown in the information screen is followed by an asterisk This is true even if the saved configuration is identical to the downloaded configuration Portland Westside Emergency Department PtldWstsdED10Jun05 m Ann Jones MD 503 530 0101 x9999 For more information about changing the monitor configuration see Changing the def
99. date has not passed and that the gel is intact and not dried out If you are not using gelled electrodes apply a mound of gel 1 4 inch to 1 2 inch or 0 6 cm to 1 3 cm to each electrode contact area 7 Attach lead wires to the electrodes before applying them to the patient 8 Apply the electrodes to the patient in the proper locations Figure 56 Note At least three appropriate electrode connections are required for ECG Resp monitoring Directions for Use Standalone monitoring 55 Figure 57 ECG leads placement displays 5 lead and 3 lead The locations of the circles displayed on the monitor Figure 57 for each lead are fixed and do not indicate the exact placement of the electrodes on the patient If the monitor detects that some lead wires are not connected it displays an ECG Fault equipment alert and a chest diagram indicating the location of the disconnected lead or leads If the disconnected lead s invalidate the Lead used for HR determination then the monitor reassigns if possible the Lead used for HR If the reassignment succeeds the monitor then displays another equipment alert with the message ECG Lead changed Figure 58 ECG leads disconnected leads Disconnected leads 9 When all leads are properly connected confirm that the monitor displays the ECG waveform heart rate and other patient data Figure 59 All vital signs displayed HALL ROBERT E 3456187 3 00 0D Adult Rm 239
100. dations For ordering information contact Welch Allyn see page ii USB option The monitor can be purchased with the optional USB data transfer capability which enables communication between the monitor and a PC See About the USB data transfer option on page 15 12 Introduction Welch Allyn Propaq LT Vital Signs Monitor HIPAA considerations Monitor Each medical facility is responsible for creating and enforcing policies and procedures to guarantee compliance with the regulations defined in 45 CFR 160 164 of the Health Insurance Portability and Accountability Act HIPAA of 1996 The Propaq LT Monitor the Large Color Display Interface the Propaq LT Monitor Configuration Utility and the Propaq LT Monitor AutoPrint Utility incorporate security features that support your implementation of the HIPAA requirements for ensuring that patient information is kept private and confidential Clinicians can lock the monitor display to prevent the display of patient vital signs For patient protection when the monitor display is locked the display is restored instantly in the event of a button press unless button pad lock out is enabled an alarm or an alert Clinicians can lock the monitor buttons to prevent any unauthorized access to the monitor controls To protect the patient when the buttons are locked access to the buttons is restored instantly in the event of an alarm or an alert No physiological data transmitted by ra
101. ded separation distance in meters Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Ka Note 1 At 80 MHz and 800 MHz the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface is used exceeds the applicable RF compliance level above the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface b Over the frequency
102. diately uploads patient data from the monitor to the PC and presents a print dialog You have 10 seconds to cancel the print request which automatically exits the AutoPrint Utility If you do not cancel the utility prints the patient data When uploading is complete When the data has been uploaded and sent to the printer the utility presents the options to reprint the current data print the data from another monitor or exit the utility If you select to reprint the data is printed again If you select to print data from another monitor the utility prompts you to replace the monitor in the cradle with another monitor Note All patient data is deleted from the PC when it is sent to the printer If you insert another monitor and upload the data from it the data from the previous upload is lost If you select to exit the utility exits If you do nothing for one minute after the data is uploaded to the PC the utility exits Creating a PDF of patient data This procedure requires a PC connected to a monitor and cradle via a USB cable The Welch Allyn AutoPrint Utility must be installed on the PC but not running The cradle must include the USB data transfer option To create a PDF of patient data 1 On the PC install a PDF writer tool Many PDF writer tools are available For example you can find PDF writer tools at the following web locations e www pdf995 com e www cutepdf com 102 Printing patient data Welch Allyn P
103. dio from the monitor is in clear text All data sent is encoded using Welch Allyn s proprietary PSI Communications Protocol and can only be decrypted by a Welch Allyn Acuity Central Station residing on the local Welch Allyn FlexNet network By default data transmitted using the 802 11a standard is also encrypted using AES Advanced Encryption Standard Configuration utility The Configuration Utility never contains patient data AutoPrint utility All patient data is stored in a Welch Allyn proprietary data format which is readable only by machine All patient data is deleted from the PC when it is sent to the printer 13 2 Overview of monitor operation Turning on the monitor The monitor runs through an operational self test each time it is powered on Always verify that it follows the power on sequence shown below When Step 3 completes as described the monitor has verified that the visual and audible alarm indicators are working properly If Step 4 does not complete as described remove the monitor from service and have it examined by a qualified service person To turn on the monitor 1 Press and hold until a tone sounds 2 A tone sounds as the green yellow and red lights turn on and off This occurs twice 3 The splash screen appears identifying the product and displaying the message Diagnostics in progress The green light turns on and off quickly while the low tone sounds the yellow light turns on and of
104. dip in U4 or 25 cycles lt 5 U gt 95 dip in U or 5 sec No connection to mains battery operated Floors should be wood concrete or ceramic tile If floors are covered with synthetic material the relative humidity should be at least 30 Since there is no connection to the mains there is no requirement for mains quality Power frequency 50 60 Hz magnetic field IEC 61000 4 8 3 A m 3 A m Note Wis the AC mains voltage prior to application of the test level Power frequency magnetic fields should be at levels characteristic of a typical location in a typical commercial or hospital environment Directions for Use Compliance 165 Guidance and manufacturer s declaration electromagnetic immunity The battery operated Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment IEC 60601 test Immunity test level Compliance Electromagnetic environment guidance Conducted RF 3V IEC 61000 4 6 150 kHz to 80 MHz 2Hz AM Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz 2Hz AM Note 1 Note 2 Portable and mobile RF communications equipment should be used no closer to any part of the battery operated Propaq LT Series monitor including cables than the recommended separation distance calculated from the equation applicable to
105. domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions Class A IEC 61000 3 2 Voltage Complies fluctuations flicker emissions IEC 61000 3 3 168 Compliance Welch Allyn Propaq LT Vital Signs Monitor Guidance and manufacturer s declaration electromagnetic immunity The Charging Communication Cradle with Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge 6 kV contact V contact Floors should be wood concrete or ceramic ESD 8 KV air 8 KV air tile If floors are covered with synthetic IEC 61000 4 2 material the relative humidity should be at least 30 Electrical fast 2 kV for power supply 2 kV for power Mains power quality should be that of a transient burst lines supply lines typical commercial or hospital environment IEC 61000 4 4 1 kV for input output 1 kV for input output lines lines Surge 1 kV differential mode 1 kV differential Mains power quality should be that of a IED 61000 4 5 2 kV common mode mode typical commercial or hospital environment 2 kV common mode Voltage dips short lt 5 U lt
106. due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Charging Communication Cradle with Propaq LT Series monitor is used exceeds the applicable RF compliance level above the Charging Communication Cradle with Propaq LT Series monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Charging Communication Cradle with Propaq LT Series monitor b Over the frequency range 50 kHz to 80 MHz field strengths should be less than 3 V m 170 Compliance Welch Allyn Propaq LT Vital Signs Monitor Recommended separation distances between portable and mobile RF communications equipment and the Charging Communication Cradle with Propaq LT Series monitor The Charging Communication Cradle with Propaq LT Series monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the Charging Communication Cradle with Propaq LT Series monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Charging Communication Cradle with Propaq LT Series monitor as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency
107. e 56 Note Waveform size does not affect breath detector sensitivity Figure 66 Resp waveform enlarged for detail 8x HALL ROBERT E 3456187 3 08 16 Adult Rm 239 12 97 SpO2 60 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor Monitoring SpD The monitor can be purchased with the Nellcor or the Masimo SpO option Most of this chapter pertains to either configuration Monitors with the Masimo technology however can provide additional SpO data About the Masimo SpO display on page 64 A WARNING Accurate measurements of oxygen saturation when derived from pulse oximetry depend to a great extent on patient condition and proper sensor placement Patient conditions such as shivering and smoke inhalation can result in erroneous readings If you believe a measurement might be inaccurate verify it using another clinically accepted measurement method such as arterial blood gas measurements using a co oximeter WARNING Use only SpO accessories listed in the accessory list or at www welchallyn com Inspect sensors and cables and discard any that are damaged Do not use a sensor with exposed optical components WARNING Use of Masimo LNOP sensors cables will not provide protection in accordance with IEC defibrillation standards when used with this device WARNING f you need to increase the length of the sensor cable use only one extension Use of multiple extensions can adversely affect pe
108. e Temperature limits 4 Altitude limits 610 12 192m anemia 2 000 40 000 ft 4 F T Stacking limit ja il Rain protection required Contents are fragile Recycle the packaging material y s The monitor is safe for patients and clinicians when used in accordance with the instructions and with the warning and caution statements presented in this manual All personnel must read and understand all warning and caution statements presented in this manual before using the monitor e Failure to understand and observe any warning statement in this manual could lead to patient injury illness or death e Failure to understand and observe any caution statement in this manual could lead to equipment damage or loss of patient data Directions for Use Introduction 5 General warnings These statements apply to all aspects of patient monitoring Statements which apply specifically to one aspect of monitoring such as NIBP or SpO monitoring are presented in the corresponding sections of the manual A WARNING Many environmental variables including patient physiology and clinical application can affect the accuracy and performance of the monitor The clinician must verify all vital signs information prior to patient intervention WARNING Always check the patient mode adult pediatric or neonate when monitoring a new patient The patient mode determines default alarm limits and internal algorithm
109. e customer or the user of the Charging Communication Cradle with Propaq LT Series monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the Charging Communication Cradle with Propaq LT Series monitor as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Rated maximum output m power of transmitter w 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz Eo d 1 2 JP d 1 2 JP 0 01 0 35 0 12 0 23 0 1 1 1 0 38 0 73 1 3 5 1 2 2 3 10 11 3 8 73 100 35 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance din meters m can be estimated using the equation applicable to the frequency of the transmitter where Pis the maximum output power rating of the transmitter in watts w according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Directions for Use 008 0799 00 01 Compliance 183 Monitor and cradle with large color display interface with cable Guidance and manufacturer s declaration electromagnetic emissions The Propaq L
110. e in overeenstemming is met de essenti le eisen en de andere relevante bepalingen van richtlijn 1999 5 EG Bij deze verklaart Welch Allyn dat deze RLAN device voldoet aan de essenti le eisen en aan de overige relevante bepalingen van Richtlijn 1999 5 EC English Hereby Welch Allyn declares that this RLAN device is in compliance with the essential requirements and other relevant provisions of Directive 1999 5 EC Estonian K esolevaga kinnitab Welch Allyn seadme RLAN device vastavust direktiivi 1999 5 EU p hin uetele ja nimetatud direktiivist tulenevatele teistele asjakohastele s tetele Finnish Welch Allyn vakuuttaa t ten ett RLAN device tyyppinen laite on direktiivin 1999 5 EY oleellisten vaatimusten ja sit koskevien direktiivin muiden ehtojen mukainen French Par la pr sente Welch Allyn d clare que l appareil RLAN device est conforme aux exigences essentielles et aux autres dispositions pertinentes de la directive 1999 5 CE Par la pr sente Welch Allyn d clare que ce RLAN device est conforme aux exigences essentielles et aux autres dispositions de la directive 1999 5 CE qui lui sont applicables German Hiermit erkl rt Welch Allyn dass sich dieser diese dieses Managed Accces Point in bereinstimmung mit den grundlegenden Anforderungen und den anderen relevanten Vorschriften der Richtlinie 1999 5 EG befindet BMWi Hiermit erkl rt Welch Allyn die bereinstimmung des Ger tes RLAN device mit den grundlegenden Anforderungen und den a
111. e monitor will shut down soon 10 Color coded waveforms ECG Lead identifiers and vital signs numerics Green ECG and HR PR Cyan NIBP Purple Resp Yellow Sp0 11 SpO pulse amplitude 12 SpOz numeric data 13 Respiration rate numeric data 14 NIBP numeric data 15 HR heart rate is displayed if ECG is active PR pulse rate is displayed if ECG is not active and SpO or NIBP is active The monitor indicates an HR PR measurement outside the measurable range as follows out of range low out of range high 222 gt undetermined Directions for Use Dverview of monitor operation 19 About display formats The monitor can be configured to display any of these formats Table 5 Display formats HALL ROBERT E NAT Large numerics Adult Rm 239 Blood pressure heart rate respiration rate and Y SpO measurements displayed in large numerics Bell icons indicating Left half Lower alarm limit Right half Upper alarm limit White Alarms enabled Black Alarms disabled HALL ROBERT E 3456187 Y 3 00 06 Single waveform Adult Rm 239 e 3seconds of one ECG or SpO signal or e 12 seconds of the Resp signal Vital signs displayed in medium sized numerics 12 97 Al p min SpO2 HALL ROBERTE 3456187 Y 12 41 32 Tabular trends even Current vital signs displayed above the table in small n a i Ti Z numerics n a na Historical vital signs displayed in a table li 152 78 115 E 152 78 115 n a 152 78 115 HALL
112. e off of the display for a few seconds before it is restored Impedance pneumography Resp is not recommended for use with high frequency ventilation The monitor counts as breaths any respiratory efforts larger than twice the background cardiovascular artifact Use only silver silver chloride electrodes Other electrodes such as stainless steel electrodes squeeze bulb electrodes or electrodes with dissimilar metals are subject to large offset potentials due to polarization Other electrodes can also have slower recovery time after the application of defibrillator pulses 54 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor Monitoring ECG 1 Inspect the ECG cable Replace it if it shows any signs of wear breakage or fraying 2 Plug the cable into the monitor 3 Select electrode sites on the patient choosing flat areas and avoiding fatty or bony areas and major muscles Figure 56 ECG leads actual placement V6 Six possible V lead electrode placement sites for the C lead 3 lead adult and pediatri ide ci 3 lead neonatal 4 Shave or clip the hair from the electrode sites 5 Thoroughly clean the skin using soap and water isopropyl alcohol or skin preparation pads and lightly rub it dry Caution To protect the patient from allergic reactions to electrodes refer to the electrode manufacturer s directions for use 6 If you are using gelled electrodes verify that the electrode expiration
113. e oldest Table 9 Store and review patient data All monitors Wireless monitor Type of data TRENDS Up to 96 hours depends on Acuity e Tabular or graphical system of full disclosure data e Include maximum of 24 hours of trend data taken at includes 1 minute intervals e numerics and waveforms NIBP and SpO Spot Checks e status Snapshots SNAPSHOTS e 21 seconds of numeric and waveform data 14 seconds before and 7 seconds after the snapshot request e Press TS to take snapshots Maximum 5 snapshots per minute e Maximum of 20 snapshots stored At capacity each new snapshot overwrites the oldest Where stored Monitor Acuity via wireless communication Where reviewed Monitor Acuity Printer with AutoPrint Capturing a data snapshot gt Welch Allyn 00 0 HALL ROBERT E 3AS6187 3 00 06P Adu A 239 soz A A Press to take a Snapshot Press fd to capture a 21 second period of numeric and waveform patient data The monitor captures the 14 seconds preceding and the 7 seconds following the button press The monitor can store 20 snapshots After 20 snapshots have been taken each new snapshot replaces the oldest snapshot in memory 92 Storing and reviewing patient data Welch Allyn Propaq LT Vital Signs Monitor Reviewing data atthe monitor Snapshots and trend data can be reviewed at the monitor Reviewing snapshots To review snapshots From any main display sc
114. e the Parameter configuration matrix on page 105 About temporary configuration While monitoring a patient you can use the monitor buttons to temporarily adjust many of the monitor settings to accommodate the needs of a specific patient These custom settings persist through a power cycle if you select to save patient data on shut down They persist until they are changed manually or by Acuity or until the monitor is powered down and then powered up to monitor another patient Note f you change alarm limits while monitoring a patient you can make these changes either temporary or permanent For complete information see Changing alarm limits on page 84 To learn which parameters can be temporarily defined using the user interface see the Parameter configuration matrix on page 105 About Acuity defined configuration When the monitor comes into communication with the Acuity Central Station Acuity downloads some parameter values to the monitor The Acuity defined configuration persists until the monitor is powered off To learn which parameters are defined by Acuity see Parameter configuration matrix on page 105 Directions for Use Monitor configuration 105 Parameter configuration matrix This table lists the factory settings and the possible values for all parameters and indicates which parameters and settings can be defined by Acuity through the Configuration Utility or by the clinician through the m
115. er HR PR is immediately changed to 118 and the main vital signs screen is again displayed 103 15 of 103 approximately 118 Welch Allyn Propaq LT Vital Signs Monitor i WelchAllyn Advancing Frontline Care Note The ParamSet default values can be changed only by downloading another monitor configuration When monitor power is cycled the factory default alarm limits and ParamSet default values are again in effect ParamSet can be used multiple times for any alarm limit Each time you press ParamSet for a given vital sign the alarm limit expands by the configured percentage However the alarm limits can never be expanded beyond the limit boundaries built into the monitor See the specifications for vital signs in Appendix A starting with ECG on page 143 This table shows the effect of ParamSet for various vital signs based on a patient s normal levels for each vital sign These values are based on the assumption that e the patient mode is Adult e the monitor is initially using factory default alarm levels For each parameter listed below the factory value is shown in bold The factory value is used until another value is uploaded to the monitor Parameter Alarming Alarm Limit Alarm Limit Alarm Limit Alarm Limit Alarm Limit Level ParamSet Paramset ParamSet Paramset Paramset 5 10 15 20 25 HR PR Upper 90 94 99 104 108 113 Lower 60 57 54 51 48 45
116. erfering substances Carooxyhemoglobin can erroneously increase readings the level of increase is approximately equal to the amount of carboxyhemoglobin present Methemoglobin and other dysfunctional hemoglobins can also cause erroneous readings Further assessment beyond pulse oximetry is recommended Intravascular dyes or any substances containing dyes that change usual arterial pigmentation can cause erroneous readings Darkly pigmented skin can adversely affect SpO gt readings WARNING Fora premature infant high oxygen levels might predispose the infant to develop retinopathy Therefore the upper alarm limit for oxygen saturation must be carefully selected in accord with accepted clinical standards and considering the accuracy range of the monitor A Caution f liquid gets into the SpO connector cavity discontinue SpO monitoring until the liquid is removed and the cavity is dry Inspect the SpO cable Replace it if it shows any signs of wear breakage or fraying Plug the cable into the sensor and the monitor Each SpO gt sensor is intended for application to a specific site and site size on the patient To obtain optimal performance use the right sensor and apply it as instructed by the sensor manufacturer Clean the application site Remove anything such as nail polish that could interfere with the operation of the sensor Attach the SpO sensor to the patient according to the manufacturer s directions for use observi
117. f quickly while the medium tone sounds and the red light turns on and off quickly while the loud tone sounds Figure 6 Splash screen Propage LT Application Version 1 00 00 Bootcore Version 1 00 00 Welch Allyn 2005 4 The splash screen is replaced by one of the power on screens shown here Figure 7 Power up screens Portland Westside Hospital Emergency Department Portland Westside Hospital Emergency Department Note There is patient data stored for Hall Robert E ID 34 No data saved Select to delete data and start a new patient Start New Patient Continue Patient Info Demo Select to Start a New Patient O Start New Patient To start monitoring from this point see Standalone monitoring on page 47 To practice using the monitor see Using demo mode on page 40 14 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor Selecting a language To change the language of the monitor interface 1 If the monitor power is on press to turn it off 2 Press to turn the monitor power on 3 Immediately after pressing 0 and before any screen appears simultaneously press 4 and w Keep the buttons pressed until the language selection screen appears Figure 8 Language selection screen English Polski Deutsch Nederl Francais Svenska Espa ol Portugu s LEEU Japanese 4 Press w and to highlight the language you wish to use 5 Pre
118. form in all material respects to the description of the product contained in the directions for use and other labeling of the product This warranty is valid only under the following conditions e The product is properly operated under conditions of normal use in accordance with applicable safety and regulatory requirements e The product is configured modified adjusted and repaired only by Welch Allyn or by persons expressly authorized by Welch Allyn in accordance with Welch Allyn s service procedures and e The product has not been damaged by misuse negligence or accident For a period of 90 days unless otherwise specified this same warranty is made for any accessories provided by Welch Allyn Under the above warranties Welch Allyn s sole and exclusive obligation and buyer s sole and exclusive remedy is limited to the repair or replacement at the discretion of Welch Allyn free of charge of products found to be defective during the warranty period Warranty claims must be made not more than seven days after expiration of the warranty period by calling the customer service number shown below to obtain a returned material authorization number RMA and returning the product with the RMA documentation transportation charges prepaid to the address specified by Welch Allyn customer service Welch Allyn Inc 4341 State Street Road Skaneateles Falls NY 13153 USA Telephone 800 535 6663 Fax 315 685 4091 Welch Allyn sha
119. ful interference in a residential installation This equipment generates uses and can radiate radio frequency energy If not installed and used in accordance with the instructions it may cause harmful interference to radio communications However there is no guarantee that interference will not occur in a particular installation If this equipment does cause harmful interference to radio or television reception which can be determined by tuning the equipment off and on the user is encouraged to try and correct the interference by one or more of the following measures e Reorient or relocate the receiving antenna e Increase the distance between the equipment and the receiver e Connect the equipment to outlet on a circuit different from that to which the receiver is connected e Consult the dealer or an experienced radio TV technician for help The user may find the following booklet prepared by the Federal Communications Commission helpful The Interference Handbook This booklet is available from the U S Government Printing Office Washington D C 20402 Stock No 004 000 0034504 Welch Allyn is not responsible for any radio or television interference caused by unauthorized modification of the devices included with this Welch Allyn product or the substitution or attachment of connecting cables and equipment other than specified by Welch Allyn 160 Compliance Welch Allyn Propaq LT Vital Signs Monitor The correction of interferen
120. g red patient alarm ARE HR limit violation red ID 01018VDO9PBH _2 05 G0P Sp0 limit violation red Select for controls AS Resp limit violation red mm A l With the monitor simulating an alarm you can practice responding to alarms See Responding to an alarm on page 85 To exit demo mode Press The Demo Mode Power Off screen appears Figure 40 Demo mode power off ID 01018VDO9PBH Y 15 01 24 SIMULATION Adult Rm 239 You have pressed the Power Off button Select to delete patient data and shut down e To shut down the monitor press 8 No data can be saved from Demo mode e To resume Demo mode highlight Cancel and press e e Toaccess the Setup menu highlight Setup and press e 44 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor Power saving To maximize battery life the monitor display shuts off when the following conditions are all true e No button press for a period of n seconds n is configurable See Timing out the display and the back light on page 20 e No active alarms or alerts e No Acuity Message window e No Patient ID entry window Turning off the monitor To turn off the monitor Press The Power off screen appears Figure 41 Power off screen HALL ROBERT E 3456187 Y 15 01 24 I Rm 239 Adult You have pressed the Power Off button There is patient data stored for Hall Robert E ID 3456187 Select
121. gnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the battery operated Propaq LT Series monitor is used exceeds the applicable RF compliance level above the battery operated Propaq LT Series monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the battery operated Propaq LT Series monitor b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 178 Compliance Welch Allyn Propaq LT Vital Signs Monitor Recommended separation distances between portable and mobile RF communications equipment and the battery operated Propaq LT Series monitor The battery operated Propaq LT Series monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the battery operated Propaq LT Series monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the battery operated Propaq LT Series monitor as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Rated maximum output m power of transmitter w 150 kHz to 80 MHz 80 MHz to
122. h the other hand and lift the monitor out Figure 11 Monitor release button HALL ROBERT E 3456187 Y 3 00 06P Adult Rm239 UES ISS I N 2a LA Monitor release button Propaq LT Directions for Use Displaying data Dverview of monitor operation Patient vital signs appear on the 3 5 inch diagonal measurement monitor display and optionally on the Large Color Display screen Figure 12 Components of the vital signs display A Patient name if available The monitor is communicating via USB cable with a PC Wireless monitor only Acuity ith the network and with Acuity unicating with the network but not with Acuity 2 Waveform source 3 Waveform display scale 4 Patient ID if available 5 Connection status icon blank Connectivity not enabled enabled The monitor is communicating w Y Wireless monitor only Acuity enabled Flashing the monitor is comm X Wireless monitor only Acuity enabled Steady the monitor is not communicating with the network X Wireless monitor only Acuity enabled 6 Time of day 7 Patient room number 8 Patient mode 18 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor Figure 13 Components of the vital signs display B HALL ROBERT E 3456187 Y 3 00 06P Adult Rm 239 9 Battery status See Table 3 Status indicators on page 2 green partially to fully charged yellow nearly discharged red discharged th
123. haracter field to delete the erroneous character and then enter the correct character Figure 49 Patient information entry continued Last Middle First y Next letter highlighted HALL E RO Sta z GHIJKLMNOPQRSTUV WXYZ12345678 9 0 Backspace Select to enter highlighted character Cc Confirm 6 Highlight Confirm and press Note Name alone is not sufficient to confirm a patient ID thus you can confirm the patient name only after you have entered the patient ID 7 Verify that the patient mode adult pediatric or neonate is set correctly for this patient Neonatal Term birth through 28 days or up to 44 gestational weeks Pediatric Between 29 days and 12 years Adult 13 years and older If the current patient mode setting is not correct a Highlight the current patient mode Adult Pediatric or Neonate and press 9 b From the Patient Mode selection menu highlight the appropriate patient mode and press e 50 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor Figure 50 Changing patient mode Patient Mode Patient Mode Adult Adult Pediatric Pediatric NEPELO INTEL c A confirmation screen appears Figure 51 Confirming a change of patient mode HALL ROBERT E 3456187 3 00 06P Adult Rm 239 Note You are changing the y patient mode from Adult to Pediatric This will change settings to default Pediatric values and delete previous patient data If this is corre
124. hese factors are present Welch Allyn s patented Smartcuf technology can greatly increase the accuracy of NIBP measurements Note Smartcuf functions only during ECG monitoring 132 Welch Allyn Propaq LT Vital Signs Monitor WelchAllyn mee a Advancing Frontline Care Resp On Default Adult Pediatric Neonatal Z Yes Yes Yes O No No O No Alarm Limits HR PR Adult Pediatric Neonatal Upper On Off 120 __ Upper On Off 150 _ Upper On Off 200 _ Lower On Off 50 _ Lower On Off 50 __ Lower On Off 100 _ Resp Adult Pediatric Neonatal Upper OnOff 30 __ Upper On Offl 45 __ Upper OnOff 60 __ Lower On Off 5 Lower On Off 10 __ Lower On Off 10 _ SpO Adult Pediatric Neonatal Upper OnOff 100 __ Upper On Off 100 __ Upper On Off 95 __ Lower On Off 90 __ Lower On Off 90 __ Lower On Off 85 __ NIBP Adult Pediatric Neonatal Systolic Upper On Off 220 On Off 100 __ Lower On Off 75 OnOff 50 __ Diastolic Upper On Off 110 On Off 70 __ Lower On Off 35 On Off 30 __ Mean Upper On Off 120 __ Upper On Off 110 _ Upper OnOff 80 __ Lower On Off 50 _ Lower OnOff 50 _ Lower On Offi 35 _ Directions for Use Welch Allyn 133 Advancing Frontline Care ParamSet Settings ParamSet Enable Yes No Note If you select Ll No disregard the rest of the ParamSet settings HR PR ParamSet Upper Limit
125. hours defined as 5 minutes display use per hour Acuity connected Models 802LTAN 802LTAS 802LTRN and 802LTRS In communication with continuous monitoring and minimal display use 5 min display use hour Power adapter Characteristic ECG and Resp only gt 24 hrs ECG Resp Sp0 NIBP every 15 min gt 8 hours Specification Input 100 240 volts AC 50 60 Hz 700 mA max Output 15 volts DC 5 no load to 2A load Output ripple 200 mV p p maximum 90 VAC RMS 50 Hz 24 watt load Power 24 watts minimum Holdup time 1 2 sine wave cycle full load 115 V 60 Hz 230 VAC 50 Hz per IEC EN 61000 4 11 Overvoltage protection Built in Overcurrent protection Built in Efficiency 80 minimum at full load 115 VAC input Dielectric withstanding voltage Patient leakage current 4 8 KV for 1 sec or 4 0 KV for 60 sec mains input to DC output 10 A maximum normal condition type CF per IEC EN 60601 1 50 uA maximum single fault condition type CF per IEC EN 60601 1 Enclosure leakage current Protection against harmful ingress of water 100 uA maximum per IEC EN 60601 1 IPX1 when the LED faces up IPXO otherwise Humidity 95 per MILT 28800 Par 4 5 5 1 Strain Relief Strength 30 N per UL IEC EN 60950 1 and UL IEC EN 60601 Weight lt 0 8 lb Insulation class transformer UL Rated 105 C Width 2 68 in 68 mm Height 1 54 in 39 mm Length 4 13 in 105 mm
126. icular tachycardia 197 to 198 beats min 206 beats min expected 2 mV ventricular tachycardia 193 to 197 beats min 195 beats min expected 146 Specifications Resp Welch Allyn Propaq LT Vital Signs Monitor Characteristic Specification Connector shared with ECG Input protection Hypertronics 9 pin female D01 latching connector Electrosurgery and defibrillator protected and Resp fully functional when used with any of the ECG cables specified in the accessory list or at www welchallyn com Electrosurgery interference suppression Selectable Leads Yes but not quantifiable Ld 1 RA LA or Ld 2 RA LL from either 3 lead cable or 5 lead cable when using an ECG cable specified for this monitor in the accessory list or at www welchallyn com Base impedance range in addition to 1K resistors in ECG cable Approximately 200 ohms to 1200 ohms is normal monitoring range Approximately 1200 1500 ohms range produces equipment alert Resp Fault Noisy signal Check electrodes Above approximately 1500 ohms produces equipment alert Resp Fault Lead Fail Thresholds depend on ECG cable type and length Impedance dynamic range 20 ohms Baseline recovery trace restore Automatic Resp size sensitivity selections 0 5X 1X 2X 4X 8X 16X Signal bandwidth after detection 0 05 to 4 0 Hz at 3dB point Monitor display and at Acuity Sample rate 22 73 Hz Cardiovascular artif
127. iefly when the monitor is being inserted in the cradle or removed from the cradle This is normal behavior and does not indicate a problem 4 When the battery is fully charged the green battery charging light is off e Keep the monitor in the cradle whenever the patient is in bed This keeps the monitor battery at full charge so that it is ready for use if it must be removed from the cradle e You can leave the monitor in the cradle when the battery is fully charged 140 Maintenance A A Welch Allyn Propaq LT Vital Signs Monitor WARNING Do not incinerate submerge crush disassemble or autoclave the lithium ion battery Caution Do not remove or replace the battery unless you are a Welch Allyn qualified service technician Caution Do not use the monitor while the battery is being replaced Inspecting and cleaning the monitor and accessories A WARNING Do not autoclave the monitor the cradle the AC power adapter or any accessories WARNING Do not immerse the monitor the cradle or the AC power adapter in liquid when cleaning Do not immerse accessories in liquid when cleaning unless the accessory manufacturer s cleaning instructions explicitly instruct you to do so WARNING Fire and electrical shock hazard Always unplug the AC power adapter from the electrical power outlet before inspecting or cleaning the cradle the AC power adapter or the monitor Exposing any of these to liquids such as cleaning solution
128. ient The pressure in the cuff exceeded the acceptable limits for the current patient mode Check the hose and retry the measurement NIBP Fault Not enough pulses to determine the systolic or diastolic Weak Pulses pressures but a mean pressure is available Squeeze all air Can t find Sys Dia from the cuff and reapply it NIBP Fault The systolic or diastolic pressures are unreliable due to Artifact artifact but a mean pressure is available Usually caused by Can t find Sys Dia patient motion NIBP Fault The cuff might not be properly applied to the patient or the No pulses detected NIBP Fault Connect ECG to reduce NIBP artifact patient might not have detectable pulses due to shock or arrhythmias WARNING The monitor cannot determine whether this alert has a physiologic cause or a cuff application cause Always evaluate the patient for presence of life threatening conditions when this message occurs NIBP artifact prevents a valid reading Connect ECG electrodes to improve NIBP measurements See Improving NIBP accuracy with Smartcuf on page 68 88 Alarms and alerts Table 7 Alert messages Alert type Network Communication Welch Allyn Propaq LT Vital Signs Monitor Message Possible cause and suggested response NIBP Fault The patient mode setting is incorrect or the wrong hose or No valid blood pressure found cuff is being used for the current patient mode NIBP Fault
129. ighlight Timings Figure 36 Setup timings ID 01018VDO9PBH Y 3 00 06P Adult Rm 239 Timings Default demo mode Low Suspend Audible Alarms Alarm Tone 42 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor The Timings menu specifies the Demo mode Demo mode low which simulates normal vital signs and Demo mode high which simulates a higher heart rate HR higher respiration rate Resp and lower oxygen saturation SpO 3 Press w to highlight Demo mode and press d or to highlight High Figure 37 Setup timings demo mode high ID 01018 DO9PBH Y 3 00 06P SIMULATION Adult Rm 239 97 esp m SpO2 Setup Alarms ECG NIBP Configuration ee Service Demo Mode High Backlight Timeout min 5 10 15 30 on Of Display Timeout min 2410 15 30 Demo Mode Low Exit Trends _ Snapshots Setup 4 Press 8 or E to return to the main display Figure 38 Demo mode high initial display ID 01018VDO9PBH Y 3 00 06P SIMULATION AE 97 HR min Sp02 YY a The monitor generates an alarm within seconds of reading this new set of simulated vital signs The red alarm indicator Figure 39 illuminates and flashes the numerics for all violating vital signs HR SpO and Resp turn red and flash and the highlight moves to the most recent alarming numeric Directions for Use Dverview of monitor operation 43 Figure 39 Demo mode high simulated alarm condition Welch Flashin
130. ight interference 61 and motion interference 62 and vasoconstriction 62 monitoring 60 while monitoring NIBP 61 spot check 62 status indicators 8 battery 86 cradle 16 158 network connection 74 strap Index 191 patient carry 46 transport stretcher 46 wearable 45 symbols 1 T tabular trends display 19 tabular trends with single waveform display 19 teaching mode see Demo mode time out 20 transporting monitor and patient 45 U Unrecognized SpO Sensor 86 87 89 V vasoconstriction and SpOz 62 ventilation high frequency and Resp 53 W warnings ECG monitoring 52 general 4 monitoring paced patients 57 NIBP monitoring 65 SpO monitoring 60 wireless monitoring 73 waveform display and monitor configuration 20 wireless operation warnings about limitations of 4 192 Index Welch Allyn Propaq LT Vital Signs Monitor Printed manual material number 721483
131. iguration Welch Allyn Propaq LT Vital Signs Monitor Table 10 Parameter configuration matrix continued Parameter Factory setting Possible values Where set Display 2 Format Single waveform Large Numerics Single Waveform Monitor Configuration Top Waveform if any Show Top Waveform 6 Seconds Show Bottom Waveform 6 Seconds Bottom Waveform if any Tabular Trends Display Interval Display 3 Format Lead II No No Lead V 5 min Tabular trends with Dual Waveform Tabular Trends Tabular Trends with Waveform Lead I Lead II Lead Ill Lead V aVR aVL aVF SpO Resp Yes No Yes No Lead I Lead II Lead Ill Lead V aVR aVL aVF SpO Resp 1 min 5 min 10 min 15 min 30 min 60 min Large Numerics Single Waveform Utili Utili Utili Utili Utili y Monitor Configuration y Monitor Configuration y Monitor Monitor Configuration y Monitor Configuration y Monitor Configuration waveform Dual Waveform Tabular Trends Utility Tabular Trends with Waveform Top Waveform if any Lead Lead Lead Il Lead Ill Lead V aVR aVL Monitor Configuration aVF SpO Resp Utility Show Top Waveform 6 No Yes No Monitor Configuration Seconds Utility Show Bottom Waveform 6 No Yes No Monitor Seconds Bottom Waveform if any Sp0 Lead Lead Il Lead Ill Lead V aVR aVL Monitor Configuration aVF SpO Resp Utility Tabular Trend
132. ime Default __ Disable alarm tones cannot be suspended __ 90 seconds __ 2 minutes 3 minutes __ 4 minutes 5 minutes __ 10 minutes __ 15 minutes 30 minutes __ 60 minutes __ Always On alarm tones always suspended While monitoring a patient the clinician can use the settings menu to suspend all alarm tones for all parameters for a configurable period Note This parameter does not affect the behavior of Silence Reset Regardless of how this parameter is configured pressing silences a sounding alarm tone for 90 seconds Suspend can be turned on or off by the clinician but the suspend period cannot be changed by the clinician NIBP Units Default __ mmHg kPa Note Ifthe monitor is connected to an Acuity Central Station this is forced to mmHg Default Conditions Pacer Indicator On Default Yes O No If a patient being monitored has a pacemaker the monitor detects the occurrence of pacemaker signals and optionally indicates them with vertical dashed lines in the waveform 28 A 80 Pacemaker signal indicators If the pacemaker signal is strong enough the monitor displays it as a spike This spike is displayed whether the pacemaker indicator is on or off Display All ECG Vectors Yes No 128 Welch Allyn Propaq LT Vital Signs Monitor WelchAllyn me y Advancing Frontline Care Display Settings The monitor interface includes a Display button J Pressing amp
133. ing up the cradle 1 Place the cradle on a table or shelf or hang it on a bed rail A WARNING Place the cradle so that it cannot fall on the patient Caution Locate the cradle near the patient but not so close that it interferes with patient care 16 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor 2 Connectthe AC adapter to an AC power outlet and to the cradle The indicator green on the front of the cradle indicates that the AC power adapter is connected Figure 10 Cradle status indicators HALL ROBERT E 3456187 Y 3 00 06P Aduk Rm239 E 8702 USAS Green Monitor battery charging Yellow Battery or charger failed Indicates either that the temperature of the battery pack is out of range or that service is required Propaq LT Green AC power connected 3 Insert the monitor into the cradle When the monitor is properly seated it clicks into place green on the cradle indicates that the monitor battery is charging See Recharging the battery on page 139 Note The monitor can be inserted into the cradle when power is on or off If monitor power is on inserting the monitor in the cradle or removing the monitor from the cradle does not interrupt patient monitoring Removing the monitor from the cradle To remove the monitor depress the release button on the front of the cradle With the button depressed hold the cradle securely with one hand grasp the monitor firmly wit
134. interference and SpD 62 N navigation 31 neonatal term defined 49 network see Acuity NIBP cuff and hose selection 66 cuff placement 66 monitoring 65 warnings 65 while monitoring SpD 61 noninvasive blood pressure see NIBP No Sp0 Sensor Detected 86 87 89 O operator maintenance 139 P pacemaker and ECG monitoring 57 rate meters warning 4 patient mode 17 changing 37 50 warning 5 52 pediatric term defined 49 Perfusion Index 64 Pl 64 power AC supplied by cradle 14 interruption warning 5 on off button 8 source filtering to reduce interference 58 power up sequence 13 Directions for Use pulse amplitude 18 and NIBP measurement accuracy 68 pulse rate effect on SpO readings 60 pulse rate PR vs heart rate HR 18 pulse rejection pacemaker warning 6 pulse tone adjusting volume of 64 R reconnecting a patient 79 release button 16 Resp high frequency ventilation 53 review patient data ata PC 95 at the Acuity Central Station 95 creating a PDF 101 routine maintenance 139 S safety and wireless monitoring 73 general warnings and cautions 4 sensitivity 64 settings controlled by Acuity 104 overridden by Acuity 103 shock and SpO 62 Signal IQ 64 single waveform display 19 SIQ 64 Smartcuf improved NIBP accuracy 68 Sp0 and anemia 62 and arterial occlusion 62 and cardiac arrest or shock 62 and hypotension 62 and hypothermia 62 and l
135. ion options E Propaq TPC Utilities InstatiShietd Wizard E Custom Setup Select the program features you want installed Click on an icon in the list below to change how a feature is installed 98 J PrintStation Pages DESTA Configurati This feature will be installed on local hard drive 36 This Feature and all subfeatures will be installed on local hard drive i 9 This feature will be installed when required p X This feature will not be available E Install to change iv IDE 5 The installation prompts you occasionally for information At each prompt provide the requested information and then click Next The installation continues until it is finished Using the Configuration Utility to configure the monitor Creating a configuration file 1 Startthe Configuration utility Double click the Configuration icon The Welcome screen appears 2 Do one of the following e Select a file from the displayed list click Select and then File gt Save As e File gt New File gt Save As e If the PC contains no configuration files the Identification page of the default configuration soon appears Save this configuration as a new file File gt Save As Directions for Use PC utility 117 Modifying a configuration file To modify a configuration file 1 2 3 Open the file Modify the settings
136. irections for Use Compliance 181 Guidance and manufacturer s declaration electromagnetic immunity The Charging Communication Cradle with Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment Immunity test IEC 60601 test level Conducted RF 3 Vims IEC 61000 4 6 150 kHz to 80 MHz 2Hz AM Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz 2Hz AM Note 1 Note 2 Compliance Electromagnetic environment guidance level Portable and mobile RF communications equipment should be used no closer to any part of the Charging Communication Cradle with Propaq LT Series monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 3 5 JP d 1 2 JP 80 MHz to 800 MHz d 23 P 800 MHz to 2 5 GHz where P s the maximum output power rating of the transmitter in watts according to the transmitter manufacturer and d is the recommended separation distance in meters Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol cD At 80 MHz and 800 MHz the higher frequency range app
137. ity Sp0 adult Upper Alarm Limit 100 52 100 Monitor Acuity Lower Alarm Limit 90 50 98 Monitor Acuity Directions for Use Monitor configuration 111 Table 10 Parameter configuration matrix continued Parameter Factory setting Possible values Where set Sp0 pediatric Upper Alarm Limit 100 52 100 Monitor Acuity Lower Alarm Limit 90 50 98 Monitor Acuity Sp0 neonatal Upper Alarm Limit 95 52 100 Monitor Acuity Lower Alarm Limit 85 50 98 Monitor Acuity Sp0 Masimo Perfusion Index Enabled Enabled Not enabled Configuration Utility Signal 10 Enabled Enabled Not enabled Configuration Utility Resp general ParamSet for Upper Resp 5 5 25 Configuration Utility ParamSet for Lower Resp 5 5 25 Configuration Utility Resp adult Resp On Off No Yes No Monitor Configuration Utility Vector Ld1 Ld1 RA LA Ld2 RA LL Monitor Configuration Utility Acuity Upper Alarm Limit 30 min 4 min 150 min Monitor Acuity Lower Alarm Limit 5 min 2 min 148 min Monitor Acuity Resp pediatric Resp On Off Yes Yes No Monitor Configuration Utility Vector Ld1 Ld1 RA LA Ld2 RA LL Monitor Configuration Utility Acuity Upper Alarm Limit 45 min 4 min 150 min Monitor Acuity Lower Alarm Limit 10 min 2 min 148 min Monitor Acuity Resp neonatal Resp On Off Yes Yes No Monitor Configuration Utility Vector Ld1 Ld1 RA LA Ld2 RA LL
138. ity 75 Monitoring a patient outside of network range Monitors are typically deployed in an active wireless network environment where devices continually communicate with a central station These monitors occasionally leave the wireless coverage area during transport to a procedure room for example a trip to X ray When a monitor goes outside of the network range monitoring continues locally A Caution Be aware that moving the monitor out of the Acuity network range breaks the radio link immediately stopping communication of patient vital signs data The monitor provides local Resp NIBP HR PR and SpO alarms or equipment alerts The following also happens e An alert occurs at Acuity with the message DROPOUT e An alert occurs at the monitor with the message Check Acuity network connection e The monitor emits audible alert tones e The appropriate caregiver presses 8 to acknowledge the alert When the monitored patient is again within range of the Acuity network the monitor reconnects to the network and wireless monitoring resumes A Caution Be aware that it can take as long as three minutes to restore communication with the Acuity network and resume the communication of patient vital signs data Note When communication with the Acuity network is re established the monitor uploads trends data but not snapshot data to Acuity Patient monitor behavior during operation outside of wireless network coverage areas When the
139. juvenatable battery in monitor Monitor connected and battery charging Status light off Monitor not connected or monitor connected and battery fully charged Power light green DC input power is being applied to the cradle Both lights off Cradle to attached PC communications Cradle not powered cradle fuse is blown or cradle has shut itself down Communications Functions Per USB 1 1 not fully compliant USB device type Vendor defined class Full Speed Communications 12 MBPS USB ID USB connector Vendor 0x0770 Device 0x0802 USB type B female device General 159 Compliance This 802 11a Wireless PC Card must be installed and used in strict accordance with the manufacturer s instructions as described in the user documentation that comes with the product This product contains encryption It is unlawful to export out of the U S without obtaining a U S Export License Federal Communications Commission FCC This device complies with part 15 of the FCC Rules Operation is subject to the following two conditions 1 This device may not cause harmful interference and 2 this device must accept any interference received including interference that may cause undesired operation This equipment has been tested and found to comply with the limits for a Class B digital device pursuant to Part 15 of FCC Rules These limits are designed to provide reasonable protection against harm
140. lies These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the Charging Communication Cradle with Propaq LT Series monitor is used exceeds the applicable RF compliance level above the Charging Communication Cradle with Propaq LT Series monitor should be observed to verify normal operation If abnormal performance is observed additional measures may be necessary such as reorienting or relocating the Charging Communication Cradle with Propaq LT Series monitor b Over the frequency range 50 kHz to 80 MHz field strengths should be less than 3 V m 182 Compliance Welch Allyn Propaq LT Vital Signs Monitor Recommended separation distances between portable and mobile RF communications equipment and the Charging Communication Cradle with Propaq LT Series monitor The Charging Communication Cradle with Propaq LT Series monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled Th
141. lies with the 47 CFR Part 15 radiated and conducted emissions requirements This device complies with FCC and Industry Canada requirements for international Non ionizing electromagnetic radiation This device contains an approved RLAN module of 5150 5825 MHz frequency 5150 5825 MHz Reorder number Product identifier BH El E Recycle the monitor cradle and battery separately from other waste Refer to www welchallyn com weee for collection point and additional information Ka Non ionizing electromagnetic radiation This device contains an approved RLAN module of frequency 2402 2480 MHz Wireless only Acuity enabled see EMC on page 162 4 Introduction Safety Welch Allyn Propaq LT Vital Signs Monitor Table 4 Labels 4 A wy Recycle the battery separately from other TAV Battery replacement specification e disposables Li ion 00 AWR Li Lithium ion battery This monitor 2 4 GHz is approved for use High voltage Do not touch during Direct current mt defibrillation during all phases of flight aboard U S Army aircraft AWR MIL STD 461E Army CE101 CS101 T CS115 S116 RE102 RE103 Rechargeable battery Cradle DAN Power in DC Fuse replacement specification 4 i T3A 250V e USB cable connector For indoor use only m Input power DC pin pattern Product packaging Store this way up Humidity limit f 1 65 20 as AKA ac
142. liquid gets into the connectors dry the area with warm air and then verify all monitoring functions c Wex cide Wexford Labs Inc Kirkwood MO and T B O Calgon Vestal Lab Calgon Corp St Louis MO are disinfectants that meet OSHA requirements are EPA approved and will not harm the outside of the monitor battery or battery charger Wipe away disinfectants with a water dampened cloth after the manufacturer s recommended period Recycling monitor components Within the EU Do not dispose of this product as unsorted municipal waste Prepare it for reuse or separate collection as specified by Directive 2002 96 EC of the European Parliament and the Council of the European Union on Waste Electronic and mmm Electrical Equipment WEEE Note Ifthe monitor the cradle or the battery is contaminated this directive does not apply For more specific disposal information see www welchallyn com weee or contact Welch Allyn Customer Service Outside the EU When the monitor the cradle or the battery reaches end of life recycle it locally according to national state and local regulations or return it to Welch Allyn 142 Maintenance Welch Allyn Propaq LT Vital Signs Monitor 143 A Specifications ECG E tar a Aces cb kee As sare ta eee ed a eae do eer 143 PAS Se A e ane EE atop dado ea ae ae ee 146 pease eke aie oe eat asain ieee ach E tele anata nica atten ee eee ate ae 147 AA A oe coe scuia whet E a te Gc S
143. ll not be otherwise liable for any damages including but not limited to incidental consequential or special damages No express or implied warranties extend beyond the warranties defined in this document Welch Allyn makes no warranty of merchantability or fitness for a particular purpose 188 Limited warranty Welch Allyn Propaq LT Vital Signs Monitor Index 189 A accessories 11 action 31 Acuity communication 44 73 disconnecting 79 indicators on the monitor display 17 marking snapshot events at 150 monitor data stored at 91 overriding monitor settings 103 patients arrhythmia prone warning 5 reconnecting a patient 79 responding to alarms at 86 silencing alarms at 82 values imposed on monitor settings 104 adult term defined 49 alarm defined 81 responding 86 alarm limits changing quickly with ParamSet 85 customizing 84 disabled 149 range 144 146 147 148 alert defined 81 messages 86 responding to 85 anemia and SpO0 62 anesthetics warning 4 arterial occlusion and SpQz 62 averaging time 65 B back light lock out 21 time out 20 battery alert message responding to 88 charging cradle 10 14 conserving charge 20 failure 150 fault indicator 158 recharging 139 recycling 141 status indicators 2 9 86 blood pressure see NIBP button monitor release 16 snapshot 91 using 31 Button Stuck 86 87 89 C cardiac arrest and Sp0 62 configuration adjusted fo
144. low At least one alarm is disabled Monitor disconnected connecting or connected patient not confirmed Wireless only Acuity enabled yellow flashing Equipment alert Acuity message windows Wireless only Acuity enabled red flashing Patient alarm Mier Upper and lower alarm limits for this parameter are on The upper alarm limit for this parameter is on and the lower is off The upper alarm limit for this parameter is off and the lower is on Upper and lower alarm limits for this parameter are off A snapshot exists for this period The snapshot for this period has been replaced with a more recent snapshot green The battery is fully charged The battery is partially full The battery is partially full and is charging yellow The battery is low The battery is low and is charging Directions for Use Table 3 Status indicators continued 7 N MN l Y IS 4 red Introduction The battery is near failure the monitor will shut down soon If this indicator appears while the monitor is in the cradle the battery cannot be charged and must be replaced The battery is near failure and is charging The monitor will shut down if removed from the cradle The monitor is communicating wirelessly with the network and with Acuity Wireless only Acuity enabled The monitor is not communicating with the wireless network Wireless only Acuity enabled Flashing The monitor is c
145. ly used temporary patient specific settings or to reset the monitor to its default configuration Clinicians can use the monitor buttons to customize settings to meet the needs of individual patients These custom settings can be e discarded when the monitor is turned off and then restarted e retained when the monitor is turned off and then restarted e saved as the new default configuration for the monitor Note f you change alarm limits while monitoring a patient you can make these changes either temporary or permanent See Changing alarm limits on page 84 When a wireless monitor is in communication with an Acuity Central Station Acuity imposes several monitor settings to assure conformance and consistency among all monitors on a network These settings override the factory configuration the default configuration and any temporary patient specific settings If the monitor power is cycled while the monitor is no longer in communication with Acuity the monitor powers up with the default configuration or with the custom settings for the previously monitored patient About factory configuration When the monitor arrives from the factory it is fully configured and ready for operation The factory configuration defines every setting and behavior for the monitor Each setting and behavior defined in the factory configuration remains in effect until it is changed by a custom configuration or by a temporary adjustment Unless the factor
146. m distance 6 inches or 16 cm between a hand held wireless radio and a pacemaker which is consistent with the independent research by and recommendations of Wireless Technology Research WARNING When considering a treatment protocol that involves wireless communication of patient data be aware of this limitation When the monitor is not connected to the network by wireless connection Acuity does not receive patient alarms or alerts from the monitor Acuity does not perform arrhythmia and ST analysis on patient data and therefore does not generate related alarms WARNING If you establish a USB link to any active host while the monitor is in network communication with Acuity the wireless connection is lost 14 Monitoring in communication with Acuity Welch Allyn Propaq LT Vital Signs Monitor Note When the monitor is used in Canada To provide maximum shielding to prevent radio interference to the licensed service the monitor is intended to be operated indoors and away from windows Radio equipment or its transmit antenna that is installed outdoors is subject to licensing Afin de fournir un cran de blindage maximal pour emp cher que cet appareil cause du brouillage au service faisant l objet d une licence l appareil doit tre utilis a l int rieur et devrait tre plac loin des fen tres Si le mat riel ou son antenne d mission est install a l ext rieur il doit faire l objet d une licence Establishing commu
147. menus When the monitor first establishes communication with Acuity and the clinician selects to start a new patient the monitor presents a series of screens to determine the location unit and room number and the name and ID number of the monitored patient If the patient is already known to Acuity you can select the identifying information from a series of lists If the patient is new to Acuity you provide the information If the clinician is continuing to monitor the same patient these Acuity message menus are not presented Note Some of these menus can contain lists that are too long to fit on the screen To view or highlight list items that are not on the screen press or w repeatedly as needed scroll the list First the monitor displays a list of units Highlight the unit for this patient and press 9 Figure 78 Acuity unit list STEWART ANN 7762940 A 12 41 32 Adult Rm26 SELECT UNIT Emergency Department Pediatric The monitor then displays a list of patients Directions for Use Monitoring in communication with Acuity 77 Figure 79 Acuity patient list STEWART ANN 7762940 Y 12 41 32 Adult Rm263 SELECT PATIENT Enter new patient 4727937 BENET CLAUDE 9542683 MERKER HANS 7762940 STEWART ANN 3398290 TAYLOR MIKE e If the patient s name is already on the list highlight the name and press e If itis not highlight Enter new patient press 8 and use the information entry screen
148. min lower 27 to 300 beats min upper HR resolution 1 beat min HR alarm resolution 5 beats min R meter response time Responds to change in heart rate within 13 seconds depending on physiological waveform As measured per AAMI standard EC13 2002 clause 5 1 2 1 f including 4 1 2 1 parts f and g waveforms Includes 1 second readout update interval HR accuracy 3 beats min or 3 whichever is greater HR display update interval at onitor 3 gt AMI HR response to ineffectively paced ORS pattern HR averaging method Drift tolerance AAMI spec EC13 2002 4 2 6 3 1 second Indicates rate of 30 to 46 during AAMI EC13 2002 part 5 1 4 part f g and h tests NOTE AAMI Test 5 1 4 part f g and h Accuracy is affected when ORS and pacer spikes are nearly simultaneous as occasionally is the case during this test HR 60 latest average interval in seconds For higher HR latest avg interval 7 8 previous avg interval 1 8 latest interval For lower HR latest avg interval 3 4 previous avg interval 1 4 latest interval Transition rates for choice of formula include hysteresis and are 70 and 80 beats min 80 beats min indicated for 80 beats min ECG plus drift waveform Pacer pulse display indication Pacer pulse detection i e for which the monitor displays a dashed vertical marker in trace Pacer indicator dashed vertical marker shown on screen if pacer i
149. monitor leaves a wireless coverage area it can exhibit the following characteristics e The monitor aggressively searches to locate the wireless Acuity network e The monitor consumes battery life at a faster rate which reduces the battery operating time e f the monitor remains out of range of the Acuity network for several minutes the radio enters a low power state e f disconnected for longer than four hours the monitor might generate a system fault error that would necessitate a reset power cycle of the monitor 16 Monitoring in communication with Acuity Welch Allyn Propaq LT Vital Signs Monitor AN Caution Donotleave a wireless monitor that is turned on outside of its wireless communication area for more than four hours If your facility has unusual clinical workflows that require wireless devices to be off of the network for extended periods do one or more of the following e Extend the wireless coverage area to include areas where devices stay for longer periods of time For example include wireless coverage in the Post Cardiac Cath X Ray and MRI areas e When a monitor moves to a stand alone environment configure the device in the stand alone mode This disables the radio card for use in the stand alone work environment e Before removing monitors from a wireless coverage area disconnect them from the wireless infrastructure Propaq LT monitors include this software feature for clinicians About Acuity message
150. nd with a cradle configured with the optional data link capability you can configure the PC to print manually or automatically all patient data stored in the monitor each time the monitor is placed in the cradle See Printing patient data on page 97 114 PC utility Installation Welch Allyn Propaq LT Vital Signs Monitor System requirements PC on which you have administrator privileges CPU 800 MHz or faster Hard drive 20 GB or more CD ROM drive Available RAM 256 MB or more Available Port USB 1 1 OS Windows 2000 or Windows XP Printer installed and configured Resolution 300 dpi minimum 600 dpi or higher recommended Propag LT Monitor PC Utility software CD Procedure Launching the installation 1 Ze Insert the software distribution CD in a CD ROM drive of your PC When the installation program starts follow the instructions presented on your computer monitor If you are installing on a PC running Windows XP you might see the message shown below Click Continue Anyway to continue the installation Figure 103 Windows logo message Software Installation i A The software you are installing has not passed Windows Logo testing to verity its compatibility with Windows XP Tell me why Continuing your installation of this software may impair or destabilize the correct operation of your system either immediately or in the future Microsoft strongly recommends that you stop this installation now
151. nderen relevanten Festlegungen der Richtlinie 1999 5 EG Wien Greek ME THN MAPOYZA Welch Allyn AHAQNEI OTI RLAN device EY MMOPQONETAI POE TIZ OYEIQAEIZ AMNAITHEELE KAI TIE AQMIEY EXETIKEE AJATAZEIZ THE OAHTIAY 1999 5 EK Hungarian Alul rott Welch Allyn nyilatkozom hogy a RLAN device megfelel a vonatkoz alapvet k vetelm nyeknek s az 1999 5 EC ir nyelv egy b eldirdsainak Italian Con la presente Welch Allyn dichiara che questo RLAN device conforme ai requisiti essenziali ed alle altre disposizioni pertinenti stabilite dalla direttiva 1999 5 CE Latvian Ar o Welch Allyn deklar ka RLAN device atbilst Direkt vas 1999 5 EK b tiskaj m pras b m un citiem ar to saistitajiem noteikumiem Lithuanian Siuo Welch Allyn deklaruoja kad Sis RLAN device atitinka esminius reikalavimus ir kitas 1999 5 EB Direktyvos nuostatas Malti Hawnhekk Welch Allyn jiddikjara li dan RLAN device jikkonforma mal htigijiet essenzjali u ma provvedimenti ohrajn relevanti li hemm fid Dirrettiva 1999 5 EC Directions for Use Compliance 161 Portuguese Welch Allyn declara que este RLAN device est conforme com os requisitos essenciais e outras disposi es da Directiva 1999 5 CE Slovak Welch Allyn t mto vyhlasuje ze RLAN device spl a z kladn po_iadavky a v etky pr slu n ustanovenia Smernice 1999 5 ES Slovene Siuo Welch Allyn deklaruoja kad Sis RLAN device atitinka esminius reikalavimus ir kitas 199
152. ndicator is ON pacer signal always shown if of sufficient amplitude Pulses 3 2 mV to 700 mV 0 1 ms and 2 mV to 700 mV 0 2 to 2 ms all with or without overshoot in electrically quiet environment Thresholds automatically adjust to reject repetitive ambient noise Pacer detector influences ORS picking even while pacer display indication is disabled Directions for Use Specifications 145 Pacer pulse rejection Does not count as heartbeats approximately 95 of pacemaker pulses within pacer pulse detection range with or without AAMI EC 13 2002 tails of 4 8 15 25 50 75 or 100 ms decay time constant whose tail amplitudes meet either EC 13 s method A or method B criteria for single pacer pulses or A V sequential pulses 150 ms and 250 ms separation all per AAMI tests 4 1 4 1 and 4 1 4 2 Rejects method B overshoots for pulse width X pulse amplitude lt 3 X 10 V sec Pacer pulse detector minimum 2 5 V sec RTI per EC13 2002 4 1 4 3 slew rate detection threshold ECG trace duration 3 seconds in single or double trace display 6 seconds in cascade Response to Irregular Rhythm AAMI specification EC13 2002 4 1 2 1 Part e Ventricular bigeminy VB 78 to 82 beats min 80 beats min expected Slow alternating VB 57 to 65 beats min 60 beats min expected Rapid alternating VB 118 to 123 beats min 120 beats min expected Bidirectional systole 88 to 93 beats min 90 beats min expected 1 mV ventr
153. netic environment guidance Conducted RF 3V IEC 61000 4 6 150 kHz to 80 MHz 2Hz AM Radiated RF 3 V m IEC 61000 4 3 80 MHz to 2 5 GHz 2Hz AM Note 1 Note 2 Portable and mobile RF communications equipment should be used no closer to any part of the battery operated Propaq LT Series monitor including cables than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter Recommended separation distance d 3 5 JP d 1 2 JP 80 MHz to 800 MHz d 23 P 800 MHz to 2 5 GHz where P s the maximum output power rating of the transmitter in watts according to the transmitter manufacturer and d s the recommended separation distance in meters Field strengths from fixed RF transmitters as determined by an electromagnetic site survey should be less than the compliance level in each frequency range Interference may occur in the vicinity of equipment marked with the following symbol Ko At 80 MHz and 800 MHz the higher frequency range applies These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people a Field strengths from fixed transmitters such as base stations for radio cellular cordless telephones and land mobile radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electroma
154. network and Acuity is interrupted if you download a configuration to the monitor or upload patient data from the monitor e Changing the monitor configuration shuts down the monitor and deletes all patient data from the monitor Figure 9 Monitor and cradle Monitor Cradle The cradle is intended to hold the monitor when the patient is in bed or is otherwise stationary The cradle can sit on a flat surface near the patient or attach to the bed rail using the bed rail hook If the monitor is in the cradle and the AC power adapter is connected to the cradle the monitor runs on AC power rather than battery power This keeps the monitor battery at full charge so that the monitor can then run on battery power when it is removed from the cradle to accompany the patient away from the bed The cradle can be connected to AC power at all times whether the monitor is present or not About the USB data transfer option A cradle configured with the optional USB communication port and connected to a PC with the Propaq LT Configuration Utility and the Propaq LT AutoPrint Utility can be used for the following e Creating custom monitor configurations on the PC and downloading them to any number of monitors See Monitor configuration on page 103 e Uploading the configuration file from the monitor to the PC e Uploading patient data from the monitor to the PC for printing See Printing patient data on page 97 Sett
155. nfigured laser printer Note Note Note Note Note Note Use only a laser printer The monitor can store a large amount of data If you use any other type of printer it can take a long time to print all of the data If you attempt to print patient data during the first minute of monitoring before the monitor has recorded a snapshot or generated a trend the monitor might display the message File transfer failure If this occurs cancel the AutoPrint Operation and continue monitoring The following message might appear when AutoPrint starts To help protect your computer Windows Firewall has blocked some features of this program Do you want to keep blocking this program To prevent this message from appearing again select Unblock AutoPrint works only when the monitor is powered on This feature helps you be certain that only the data for the current patient is being printed or if no patient is being monitored that only the data for the last patient monitored is being printed If the monitor is off when it is placed in the cradle AutoPrint is disabled To enable AutoPrint turn the monitor on and select Continue Patient If you turn the monitor on and select Start New Patient all stored patient data is deleted from the monitor and cannot be printed 98 Printing patient data Welch Allyn Propaq LT Vital Signs Monitor The printed data includes the following In the Trends printout e Upto 24 hours of HR
156. ng all warnings and cautions Confirm that the monitor displays SpO data within a few seconds of being connected to the patient Note In some newer monitors the pitch of the heart tone rises and falls as oxygen saturation increases and decreases In other monitors the pitch of the heart tone does not change e lf ambient light is too bright shield the sensor site with opaque material Failure to do so can result in inaccurate measurements Light sources that can affect performance include the following surgical lights especially those with a xenon light source bilirubin lamps fluorescent lights infrared heating lamps direct sunlight e To help reduce unnecessary SpO alarms when NIBP and SpO are monitored simultaneously place the NIBP cuff and the SpO sensor on different limbs e Do not attach the SpO sensor on the same limb as an arterial catheter or intravascular line e The pulse signal can disappear if any of the following conditions exists the sensor is too tight ambient light is too bright an NIBP cuff is inflated on the same limb as the sensor arterial occlusion occurs near the sensor 62 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor the patient is in cardiac arrest or shock the patient has hypotension severe vasoconstriction severe anemia or hypothermia e f poor perfusion affects performance for an adult consider using the adult nasal sensor e fa sens
157. ng in communication with Acuity 73 About wireless monitoring 000 0000 eee 73 Establishing communication with Acuity 0002000 e eee eee 74 Monitoring a patient outside of network range 0 0 00 0c eee 75 About Acuity message Menus 76 52 Alarins and alerts ua a MOR Kaeo 81 OVENI W vs rt og hth alban te Be tay hed Cote Aes BE oe olen Bor 81 Silencing an alarm or alert tone 81 Suspending thevalarrn tone esse gen cee bine A he ee iD 82 Changingiala IES een ok Se ee i EO eh ee 84 iv Contents Welch Allyn Propaq LT Vital Signs Monitor AbOUt Rams A id ee oa 85 Responding toan ala A bee Pk eens 85 Responding to an alert 1 2 2 ee ha cece 85 About battery charge statuS m s nren arad seakan eens 86 Alert messages and status messages 0 0002 c ee ee 87 6 Storing and reviewing patient data ooooooooooo 91 OVENS WA oes eo Bast co Rint he ea eat eh tee ade ds eines oe a a 91 Capturing a data snapshot nos meara tinaas a eae 91 Reviewing data at the monitor 000 00 cece ee 92 Reviewing data ata Plis ihc cents oun Pee due bowtie Meagan ed bes eee t 95 Reviewing data at Acuity anaana ee 95 7 Printing patient data Veis ivov te coceeaSe Ai We 97 OVEIVISW id pt AL dd lodge th JA Dole ohh Adee dee 97 A A A A IT E se Neat ent ae 98 AUTOPHINE OPINAS ir tn is a e tt Patas 100 8 Monitor configurati0N 0ocococoooonooo ee ee 103 OVEINIOWS art
158. ngled from the bed and any bedside tables Connect the ends of the carry strap to the strap mounts on the monitor Note Be sure that each end of the carry strap snaps into place Figure 43 Patient carry strap To use the transport stretcher carry strap 1 2 3 With the monitor facing away from the stretcher and the patient attach one end of the strap to a monitor strap mount Run the monitor strap under the stretcher restraint straps near the patient s waist Attach the other end of the strap to the other strap mount Figure 44 Monitor secured to the patient during stretcher transport Before transporting the patient verify that all monitor cables are clear 41 Standalone monitoring Overview The monitor is available in standalone models 802LTON and 802LTOS and in wireless models 802LTAN 802LTAS 802LTRN and 802LTRS This chapter describes the operation of the standalone monitor and of the wireless monitor when it is not in communication with the Welch Allyn Flexnet network and an Acuity Central Station About the Model 802LTON and 802LTOS standalone monitors The model 802LTON and 802LTOS monitors operate in standalone mode They measure and display vital signs store patient data and locally indicate alarms and alert conditions e The configuration of the monitor is not affected by Acuity e The vital signs stored by the monitor are not sent to Acuity e Alarms and alerts generated by the
159. nication with Acuity If the monitor is enabled for communication with Acuity communication is established automatically whenever the monitor is within range of the network The monitor always indicates the status of the connection Figure 77 Connection status indicator blank The monitor is not enabled for communication with Acuity The monitor is communicating via USB cable with a PC The monitor is associated with the network and is communicating with Acuity Flashing The monitor is associated with the network but is not communicating with Acuity Continuous The monitor is not associated with the network and is not communicating with Acuity lt HALL ROBERT E 3456187 Y 3 00 06P Adult Rm 239 Verify that the monitor within a minute or two displays Y to indicate that the connection to Acuity has been established Upon connecting to the network the monitor uploads the following data to Acuity e Patient information and trends stored at the monitor before the network connection was established e Monitor settings At the same time Acuity downloads some configuration settings to the monitor See About Acuity defined configuration on page 104 For information on monitoring vital signs see the following ECG Resp Monitoring ECG and Resp on page 52 SpO Monitoring SpO gt on page 60 NIBP Monitoring blood pressure NIBP on page 65 Directions for Use Monitoring in communication with Acu
160. ns Lockout Enable on page 136 pressing A w and then any other button immediately restores the display Back Light Time Out __ Always Off __ 2 minutes __ 5 minutes __ 10 minutes __ 15 minutes 30 minutes __ Always On back light always on Back Light Time Out increases monitor run time on battery power Back Light Time Out turns off the back light if the monitor detects no button press and no alarm for the number of minutes defined below When the back light is off the display continues to be visible although slightly dimmer in ambient light Any alarm condition alert condition or button press immediately restores the back light If the buttons are locked out see Buttons Lockout Enable on page 136 pressing A w and then any other button immediately restores the back light Directions for Use Masimo Sp0 Perfusion Index Enable Disable Signal IQ Enable Disable Sensitivity Enable Disable If enabled Normal Maximum APOD FastSAT Enable Disable Default On Yes O No Averaging Time Enable Disable If enabled 2 4 8 10 12 14 16 seconds Welch Allyn a Advancing Frontline Care 138 Welch Allyn Propaq LT Vital Signs Monitor WelchAllyn me y Advancing Frontline Care Authorization The information on this page relates only to this worksheet and is not entered into the moni
161. ns provided by the manufacturer of the cleaning solution Directions for Use Maintenance 141 A Caution Never use any of the following solutions or similar products to clean the equipment butyl alcohol denatured ethanol Freon mild chlorine bleach solution isopropyl alcohol except for the SpO cable trichloroethane trichloroethylene acetone Vesphene II Enviroquat Staphene Misty Glutaraldehyde Formula 409 or Fantastik Table 11 Cleaning Instructions and Cleaning Solutions Equipment Cleaning instructions Approved cleaning solutions Monitor Wipe with a nearly dry cloth moistened with cleaning Warm water liquid soap Coverage Charging solution Windex Ovation hydrogen Communication Cradle Thoroughly wipe off any excess cleaning solution Do peroxide solution Wex cide ECG cable extension cable Sp0 cable extension cable Other accessories not let cleaning solution run into connector openings or crevices Consult manu Consult manu Consult manu acturer s instructions acturer s instructions acturer s instructions T B 0 Consult manufacturer s instructions Consult manufacturer s instructions Consult manufacturer s instructions a The equipment can be disinfected to comply with OSHA requirements for cleaning and decontaminating spills of blood and other body fluids Federal OSHA Standard on bloodborne pathogens 29 CFR 1910 1030 12 6 91 b If
162. nu the values displayed at the time you exit are the values in effect for the monitor If you change a parameter setting and then decide before exiting the control menu to keep the previous setting values you must return the parameters to the original values before you exit the control menu About the HR PR control menu Parameter Options Parameter Options Upper Alarm Off On Lower Alarm Off On Upper Limits Lower Limits Adult 27 300 beats minute Adult 25 298 beats minute Pediatric 27 300 beats minute Pediatric 25 298 beats minute Neonate 27 300 beats minute Neonate 25 298 beats minute HR PR Tone Off Low Med High Selected Source ECG Sp0 About the SpO control menu Parameter Options Parameter Options Sp0 Monitoring Off On Standby HR PR Tone Off Low Med High Upper Alarm Off On Lower Alarm Off On Upper Limit Lower Limit Adult 52 100 Adult 50 98 Pediatric 52 100 Pediatric 50 98 Neonate 52 100 Neonate 50 98 Directions for Use Dverview of monitor operation 35 About the NIBP control menu The NIBP control has submenus Manometer Systolic Diastolic and Mean Press d or to select one Figure 30 NIBP control menu STEWART ANN 7762940 Y 3 00 06P Adult Rm 263 NIBP Manometer Diastolic___Mean Manual Auto Turbo Upper Sys Alarm Off Upper Sys Limit Lower Sys Alarm off Lower Sys Limit NIBP Mode Auto Turbo Auto Interval min 1236 10 30 60 Parameter Opti
163. of transmitter Rated maximum output m power of transmitter w 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2 JP d 1 2 JP d 1 2 JP 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 1 1 2 1 2 2 3 10 3 8 3 8 73 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where Pis the maximum output power rating of the transmitter in watts w according to the transmitter manufacturer Note 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies Note 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Directions for Use Compliance 171 Monitor and cradle with large color display interface Guidance and manufacturer s declaration electromagnetic emissions The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface is intended for use in the electromagnetic environment specified below The customer or the user of the The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions Group 1 The Propaq LT
164. ommunicating with the network but is not communicating with Acuity Wireless only Acuity enabled The monitor is communicating by USB cable with a PC Cradle 3 of Sf green Cradle is powered green Monitor battery is charging NOTE When the battery is fully charged this indicator is not lit yellow Cradle fault or battery fault Table 4 Labels A C 0297 Monitor Proceed with caution If in doubt refer to the IPX1 accompanying documentation The monitor or accessory meets all essential G A c us requirements of the European Medical Device Directive 93 42 EEC for a Class Il b product Enclosure protection Drip proof Class IPX1 per EN60529 1991 The monitor is certified by the Canadian Standards Association International to comply with applicable US and Canadian medical safety standards CE N344 Rx ONLY FCC ID PGUWA11A07 1C 4168a WA11A07 The monitor or accessory meets all essential requirements of the European Medical Device Directive 93 42 EEC for a Class product 1 9 Australian registered importer ith AGE FG Professional use only radiators 802 11 wireless 802 11a O See the accompanying manual Type CF patient connections isolated for direct cardiac application and protected against defibrillation Hazard Class 9 IATA ICAO International Air Transport Association International Civil Aviation Organization This device comp
165. on has been established 1 Highlight Y and press 8 The Wireless mode popup menu appears Figure 84 Note Depending on the level of network traffic some interactions between the monitor and Acuity can take a few seconds to complete 2 Highlight Acuity menu and press e Figure 83 Acuity menu STEWART ANN 7762940 Y 12 41 32 j l Adult Rm 263 l PATIENT INFO You can use the Acuity menu Figure 83 to end the telemetry session END TELE assign the patient to a new room NEW ROOM transfer the patient to another unit TRANSFER enter the name and ID of a new patient NEW PATIENT or update the information for the current patient PATIENT INFO To close the Acuity menu highlight EXIT and press e Directions for Use Monitoring in communication with Acuity 19 To disconnect from the network Note Disconnecting the monitor from the network while the monitor is outside of network range greatly extends battery life However connection with the network must first have been established before this is possible 1 Highlight Y and press 2 Highlight Disconnect press 8 and confirm Figure 84 Wireless Mode Disconnect STEWART ANN 7762940 20 Adul Wireless Mode Exit Wireless Drop Down menu Y changes to Xand the message DISCONNECTED appears alternating with the patient ID number Figure 85 Patient disconnected from the network STEWART ANN DISCONNECTED Y 15 20 28 Adult Rm 263 97 SpO2
166. onitor buttons Note This table shows only those parameters that can be changed Note Except for Radio ESSID NetName and Can Disable HR PR Alarm Limits this table does not show parameters intended for use only by qualified service personnel Table 10 Parameter configuration matrix Parameter Factory setting Possible values Where set General Patient Name blank lt 16 characters displayed actual Monitor Acuity Last First MI number of characters depends on character width Patient ID blank 12 or 16 characters Acuity Room blank 5 characters Monitor Acuity Regulatory Setting US US European EC Japan Metrology Configuration Utility Acuity Patient Mode Adult Adult Pediatric Neonate Monitor Configuration Utility Acuity LCD Bias 13 1 64 Monitor Network Radio Card ON and Acuity YES if the radio Yes No Configuration Utility Enabled card is installed NO if the radio card is not installed Radio ESSID NetName com protocol com protocol demo protocol Monitor com1 protocol com2 protocol com3 protocol com4 protocol com5 protocol com6 protocol com 7 protocol com8 protocol com9 protocol com10 protocol com11 protocol com12 protocol com13 protocol com14 protocol com15 protocol com16 protocol com17 protocol com18 protocol Radio disconnect Not disconnected Disconnected not disconnected Monitor User interface Configuration Name Factory 1 30 0 40 characters Configuration Utility
167. onitor is used with Acuity an equipment alert is generated whenever the monitor fails to communicate with Acuity after a connection has been successfully established In addition the No Acuity icon is displayed on the monitor An equipment alert is generated before the monitor battery becomes exhausted Snapshot event mark When 3 is pressed the monitor records a Snapshot If the monitor is connected to Acuity the monitor also sends a message to Acuity so Acuity can mark and print it Default limits Characteristic Specification Upper HR PR Adult Pediatric Neonate Resp Adult Pediatric Neonate Lower 120 beats min Adult 50 beats min 150 beats min Pediatric 50 beats min 200 beats min Neonate 100 beats min 30 breaths min Adult 5 breaths min 45 breaths min Pediatric 10 breaths min 60 breaths min Neonate 10 breaths min Directions for Use Specifications 151 Sp0 Adu 00 Adul 90 Pediatric 00 Pediatric 90 eonate 95 eonate 85 NIBP Systolic Adu 220 Adul 75 Pediatric 45 Pediatri 75 Neonate 00 eonate 50 NIBP Diastolic Adu 10 Adul 35 Pediatric 00 Pediatric 35 eonate 70 Neonate 30 NIBP MAP Adu 20 Adul 50 Pediatric 10 Pediatri 50 Neonate 80 Neonate 35 Display Characteristic Specification Type Color transflective LCD module Resolution 320 x 240 pixels Quarter VGA Active viewing area gt 3 5
168. ons Parameter Options Systolic Systolic Upper Sys Alarm Off On Lower Sys Alarm Off On Upper Sys Limit Lower Sys Limit Adult 32 260 mmHg Adult 30 258 mmHg Pediatric 32 160 mmHg Pediatric 30 158 mmHg Neonate 27 120 mmHg Neonate 25 118 mmHg NIBP Mode Auto Manual Turbo Auto Interval min 1235 10 15 30 60 Diastolic Diastolic Upper Dia Alarm Off On Lower Dia Alarm Off On Upper Dia Limit Lower Dia Limit Adult 22 235 mmHg Adult 20 233 mmHg Pediatric 17 130 mmHg Pediatric 15 128 mmHg Neonate 12 105 mmHg Neonate 10 103 mmHg NIBP Mode Auto Manual Turbo Auto Interval min 123510 15 30 60 MAP MAP Upper MAP Alarm Off On Lower MAP Alarm Off On Upper MAP Limit Lower MAP Limit Adult 22 255 mmHg Adult 20 253 mmHg Pediatric 17 140 mmHg Pediatric 15 138 mmHg Neonate 12 110 mmHg Neonate 10 108 mmHg NIBP Mode Auto Interval min 1235 10 15 30 60 36 Overview of monitor operation About the Resp control menu Parameter Options Resp Monitoring Off On Upper Alarm Off On Upper Limit Adult 4 150 Pediatric 4 150 Neonate 5 150 Using setup menus Welch Allyn Propaq LT Vital Signs Monitor Parameter Options Lower Alarm Off On Lower Limit Adult 2 148 Pediatric 2 148 Neonate 3 148 Resp Lead Ld1 RA LA Ld2 RA LL Use the Setup menus Alarms ECG NIBP SpO2 and Timings to define settings for monitor behavior Setting Options Alarms Suspend Audible Alarms Off On with a time value
169. or Assembling the large color display Refer to Figure 24 Figure 25 on page 29 or Figure 26 on page 30 Figure 24 Mounting the interface box with face plate on the large display mounting bracket 60 mm screws 620 0431 00 SS 40 mm screws y 620 0432 00 NS Q Powar conditioner Long cables between box and cradle 008 0946 00 USB 008 0948 00 Power Directions for Use Dverview of monitor operation 29 Figure 25 Mounting the interface box on the cradle 40 mm screws 620 0432 00 AS E 18 mm screws pe 7 E 620 0433 00 amp Short cables between box and cradle 008 0947 00 USB 008 0949 00 AC Power Power conditioner 30 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor Figure 26 Mounting the interface box and the cradle on the large display mounting bracket 60 mm screws 620 0431 00 Ds 40 mm screws 620 0432 00 gt E Ss Short cables between box and cradle 008 0947 00 USB 008 0949 00 AC Power Power conditioner Directions for Use Dverview of monitor operation 31 About navigation You navigate the monitor screens using w and P arrow buttons 9 action button and x3 display button Using the arrow buttons Use a w and P to do the following e Highlight an item on the display See Using the highlights on page 31 e Select options from a control menu e Use a and
170. or is connected and the sensor light does not come on within 3 seconds Verify that SpO is turned on Figure 67 on page 62 Replace the sensor e f excessive or prolonged patient movement interferes with measurements consider the following possible solutions be sure the sensor is secure and properly applied use anew sensor with fresh adhesive backing select a different type of sensor move the sensor to a less active site 6 Periodically verify that the sensor remains properly positioned on the patient About Sp0 spot check Note The Spot Check feature is available only if it is enabled in the monitor configuration Refer to Using the Configuration Utility to configure the monitor on page 116 When SpO is turned on the monitor generates an alarm condition whenever SpO readings are interrupted such as when the sensor is disconnected from the patient after the monitor begins taking SpO readings Using the SpO Spot Check feature however you can take any number of spot SpO readings at random intervals attaching and detaching the sensor repeatedly without generating alarms To prepare to take a spot check reading 1 Highlight SpO2 and press e 2 Highlight SpO2 Monitoring press d to highlight Off and press 8 to return to the main screen Figure 67 Turning off Sp0 monitoring SpO2 Monitoring Off Upper Alarm Off Upper Limit Press to move the Lower Alarm Off ee Lower Limit highlight to
171. ory value is shown in bold To specify a different value circle underscore or enter another value Note All required parameters are set at the factory The monitor works even if you do not change any settings 124 Welch Allyn Propaq LT Vital Signs Monitor WelchAllyn me y Advancing Frontline Care Identification Facility Facility Name Up to 40 characters Contact Name Up to 40 characters Department or Unit Up to 40 characters Contact Telephone Up to 40 characters Country Settings Language __ English __ Dutch __ French __ German Italian __ Polish __ Portuguese __ Spanish __ Swedish __ Japanese Date Format __ mm dd yy __ dd mm yy __ yy mm dd Power Source Filter 60 Hz 50 Hz Off Set the power source interference filter to the appropriate frequency for your location 60 Hz North America Taiwan and Japan 50 Hz All other locations Off If the filter is not set the ECG waveform displays might contain high frequency noise caused by the interference generated from the facility ac power supply Directions for Use Welch Allyn 125 Advancing Frontline Care Time Format __ 12 hour AM PM _ 24 hour Decimal Format _ Dot __ Comma You can configure the monitor to use a dot for example 195 18 or a comma 195 18 to display the decimal point Regulatory Set __US __ European EC __ Japan Metrology Configuration Configuration Name Configuration
172. os lo a A BMA Bs eh Beas at ese 103 About factory configuration 2 2 0 nee 103 Aboutidefault configuration ari ld Bay Re eee eA oa Ss 104 About temporary configuration 0 eee 104 About Acuity defined configuration 0 0 0 0 eee 104 Parameter configuration matrix 0 0 eee 105 PEU a ee eee naa SN A ea te Sew oes 113 A NN OE Petes 113 Mstala tn rics Se ett cet Oa an tee ee Ds IE at tl te De iret tals BIEN are AE 1 4 114 Using the Configuration Utility to configure the monitor 116 Configuration Settings e eiee ea eea eee tenes 118 ADOUEAUTOPIME Ada taa a a da ra atada 121 Configuration worksheet 0 00 cece eee eee eee 123 IGE TITICATON ssi 2 deed Hoe earl eee Oo aed ae a pe ee Bae ered 2 hanes 124 Heaut oem i hac ha tal Palak i Dale Wi Oa ign ad 126 Display SCtHINGS c oan ta tada Palak tender Sha OE ena ey 128 Mode SHIN hs seit a Oot ree A Pe eee ea 131 Paramser Settings fa oe dha ed Oe e bod Phebe ae ba Ghee dened es 133 RENAE AI NE At ase dk A ea cal Ride tat Anda ce tae ALR ahd 135 A thorization se Sos ee be leas Dean as ia leek a Aine ele ees 138 10 Mamntenance ascender Fars 139 Recharging the battery nananana 0002 ee 139 Inspecting and cleaning the monitor and accessories 000 000 140 Recycling monitor components ooo 141 Ar Specifications a ee ene Cae eee ew nese eRe eee 143 Bb COMpNAaNnee ns ened ardid 159 Limited WAP INES ie saci tutos lr ate a Petawaw
173. other situations where a good ECG signal cannot be obtained consider disabling Smartcuf as follows To disable Smartcuf 1 Access the Setup menu 2 Highlight NIBP highlight Smartcuf and disable the Smartcuf filter Taking automatic NIBP readings In the Auto NIBP mode for intervals shorter than 5 minutes the monitor immediately begins taking NIBP readings at the specified interval For intervals of 5 minutes or longer the readings begin when the time of day is a multiple of the interval If the interval is 15 minutes for example then the readings begin at 00 15 30 or 45 minutes after the hour To start automatic NIBP readings 1 Select and apply the appropriate NIBP cuff and hose Monitoring blood pressure NIBP on page 65 2 Highlight NIBP and press 9 3 Highlight NIBP Mode and select Auto 4 Highlight Auto Interval min and select an interval Note After you invoke an automatic NIBP expect a delay before the monitor starts the first measurement The delay can be as long as the interval selected Directions for Use Standalone monitoring 69 To stop automatic NIBP readings 1 Highlight NIBP and press e 2 Highlight NIBP Mode and select Manual Taking NIBP readings using Turbo mode In Turbo mode the monitor starts an NIBP reading and then takes as many more readings as possible within five minutes To use the Turbo mode 1 Select and apply the NIBP cuff and hose Monitoring blood pressure
174. our for 24 hours e 48 NIBP readings 2 hr e 48 SpO gt spot check readings 2 hr Figure 100 shows a typical printout e Text in italic font indicates one of the trends measurements taken at 15 minute intervals e Text in bold font indicates an NIBP measurement or an SpO spot check e White text in a black box indicates an alarm condition a measurement that is outside of alarm limits indicates a measurement value below the monitor s measurement range indicates a measurement value above the monitor s measurement range indicates an undetermined measurement value Directions for Use Printing patient data Note For monitors equipped with Masimo SpO2 technology the printout includes Perfusion Index readings Figure 100 Printout trends page 99 Monday June 20 2005 09 23 28 Welch Allyn HALL ROBERT E saseie 239 oft Patient ID Tabular Trend Adult 11 51 Time HRIPR JAR ER poz WEP hnmmlepm erm fe mmg Trend rows at 15 minute intervals OFF OFF 11 31 79 JOFF OFF 131 88 99 hoz i JorF OFF n7 80 8 oz i OFF OFF 124786 97 11 33 67 OFF OFF 126 82 95 11 34 71 OFF oFF 125 84 95 11 34 75 OFF OFF 117 80 90 11 35 _66 OFF OFF 118 82 93 11 36 67 OFF oFF 119 82 92 11 37 _63 OFF oFF 125 83 94 11 41 67 Jorr EA JoFF SpO spotcheck alarm condition 11 43 69 OFF 96 OFF Sp spot check normal 11 44 72 foFF es 132 8
175. out a cell in the battery pack is overcharged due to cell imbalance the fuse is blown Service required Sp0 Sp0 Fault An Sp0 sensor has been disconnected from the monitor No sensor detected after being connected for more than a few seconds Sp02 Fault Replace the sensor Defective Sp02 sensor Sp02 Fault Replace the sensor Defective Sp02 sensor No sensor detected Masimo Ambient light Too much light on the sensor site Verify that the sensor only shield is covering the site and if necessary reduce the ambient light shade the sensor site or replace the sensor Sensor off The sensor is not properly attached to the patient reconnect it to the monitor and reattach it to the patient If the sensor is properly attached it is defective replace it Interference An outside signal or outside energy is preventing the reading Remove the interference Resp Resp Fault One or more electrodes have very poor or no contact Check Lead fail for proper connection replace electrodes if needed Resp Fault Electrodes have poor contact and might be dried out Noisy signal Replace electrodes Check electrodes Resp Fault The ECG cable does not contain 1 KQ current limiting Inappropriate ECG cable resistors which are required for Resp operation and to protect the monitor from damage during defibrillation Replace the cable with one of the proper type General Multiple Faults Multiple equipment alerts have been triggered simultaneously A W
176. ow as reasonably possible ALARP 148 Specifications NIBP Welch Allyn Propaq LT Vital Signs Monitor Characteristic Specification Method Regulatory standards Oscillometric Meets AAMI SP10 2002 IEC 60601 1 1990 IEC 60601 2 30 1999 E EN 1060 1 1996 EN 1060 3 1997 Control Automatic at selected intervals turbo and manual Auto intervals 1 2 3 5 10 15 30 and 60 minutes Smartcuf Reported pressures Pressure resolution Systolic range Alarm limits Available when ECG is used Systolic diastolic and mean plus real time manometer pressure 1 mmHg Adult 30 to 260 mmHg Pediatric 30to 160 mmHg Neonate 25 to 120 mmHg Adult low 30 to 258 mmHg high 32 to 260 mmHg Pediatric low 30 to 158 mmHg high 32 to 160 mmHg Neonate low 25to 118 mmHg high 27 to 120 mmHg Diastolic range Adult 20 to 235 mmHg Pediatric 15 to 130 mmHg Neonate 10 to 105 mmHg Alarm limits Adult low 20 to 233 mmHg high 22 to 235 mmHg Pediatric low 15 to 128 mmHg high 17 to 130 mmHg Neonate low 10 to 103 mmHg high 12 to 105 mmHg Mean range Adult 20 to 255 mmHg Pediatric 15 to 140 mmHg Neonate 10 to 110 mmHg Alarm limits Adult low 20 to 253 mmHg high 22 to 255 mmHg Pediatric low 15 to 138 mmHg high 17 to 140 mmHg Neonate low 10 to 108 mmHg high 12 to 110 mmHg Pulse rate range Alarm limits Static manometer accuracy 30 to 220 beats min in adult pediatric and neonate modes Low 25 to 29
177. ower to the cradle and the video signal to the large display Figure 22 Interface box connections VGA out to da e large color display p Ol USB in DC power in from cradle from AC power TE When the interface box is attached to the cradle the default power and USB cables connect the interface box and the cradle See Figure 17 on page 23 If the interface box and the cradle are not attached longer cables are used The AC power adapter is shipped with the cradle Note The AC power adapter used with the Propaq CS monitor or the Propaq Encore monitor will not power the interface box 26 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor When the interface box is not used the AC power adapter is attached to the cradle When the interface box is used the AC power adapter is connected to it and not to the cradle Directions for Use Dverview of monitor operation 21 Detaching the bed rail hook from the cradle If you are attaching the interface box to the cradle and if the cradle and the bed rail hook are attached you must first detach the bed rail hook from the cradle 1 Remove the screws from the back of the bed rail hook 2 Lift the bed rail hook off of the shoulder screws on the back of the cradle 3 Remove the shoulder screws from the back of the cradle Figure 23 Detaching the bed rail hook from the cradle 28 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monit
178. ple PropaqLT_1_40_00 mnt A Caution Do not attempt to modify a configuration file without using the Propaq LT Configuration utility About AutoPrint For information about using the AutoPrint Utility see Printing patient data on page 97 122 PC utility Welch Allyn Propaq LT Vital Signs Monitor Directions for Use WelchAllyn 123 Advancing Frontline Care Configuration worksheet Identification ee eae 124 Define monitor ownership and support responsibility define parameters related to your locale and name the configuration Default Settings 0 0 0 0 000 eee eee 126 Define the power up settings for monitor behavior Display Settings 0 0 eens 128 Select and define the content of Display 1 Display 2 and Display 3 Mode Settings s 300 2544056 Rin dra VG REESE REIU ee PE Oe 88564 131 Specify the default settings for Adult Pediatric and Neonatal patients ParamSet Settings 0 0 eens 133 Define the alarm limit adjustment percentages ParamSet for systolic diastolic and mean pressures HR PR SpO and Resp Feature Enable eee eee eae 135 Define the general properties of the monitor Authorization 6 0 f56 8 ace ee a DERE Ae OES 138 The final page of the worksheet identifies the person responsible for defining the custom configuration The information on this page is not part of the monitor configuration Note For each parameter the fact
179. proportional to input voltage Rated fuse externally accessible 3A 250V 2AG size type T3A Rated output to cradle connector Charge scheme Charge termination triggers Monitor power 2 Adc max 8 2V 8 6V depending on the battery charge level See Charge Scheme below Constant current 900 mA Constant current for preconditioning 180 mA for pack voltage of 4 3V 6 2V Constant voltage 8 4V 0 06V total at the battery cells Charge current 90 mA Total charge timeout 4 hours Precondition charge timeout 1 hour Charge time with monitor on or off Charge time required on a dead battery before NIBP can be used lt 3 hours typical for battery fully discharged but not exhausted The cradle can precondition most exhausted batteries which adds to the total charge time Charging terminates when the battery is fully charged or when a fault is detected NIBP can be used as soon as monitor is powered by the cradle Output overcurrent Cradle to monitor connector Electronic overload protection If overload occurs monitor must be removed and reinserted to reset the charger Hypertronics L Series Module D 17 pin male Power input connector Hypertronics Panel Mount DOZ size latching 3 pin female Status Indicators Status light yellow Status light green Battery or cradle fault time out temperature out of range a cell is overcharged overload no battery or nonre
180. quirements of various agencies including FCC 47 CFR 15 247 and R amp TTE Directive 1995 5 EC The radio is excluded from the EMC requirements of 60601 1 2 2001 but should be considered when addressing possible interference issues between this and other devices Compliance Welch Allyn Propaq LT Vital Signs Monitor Guidance and manufacturer s declaration electromagnetic immunity The battery operated Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance EN 1509919 20 V m 1 KHz AM 20 V m Intended for use during patient modulation transport outside the healthcare facility Electrostatic discharge ESD IEC 61000 4 2 Electrical fast transient burst IEC 61000 4 4 Surge IEC 61000 4 5 6 kV contact 8 kV air 2 kV for power supply lines 1 kV for input output lines 1 kV differential mode 2 kV common mode 6 kV contact 8 KV air No connection to mains battery operated No other cables requiring EFT Burst testing No connection to mains battery operated Voltage dips short interruptions and voltage variations on power supply input lines IEC 61000 4 11 lt 5 U gt 95 dip in U or 0 5 cycle 40 Uy 60 dip in Ur or 5 cycles 70 Uy 30
181. r Puritan Bennett Software in this product is copyright by Welch Allyn or its vendors All rights are reserved The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide Under such laws the licensee is entitled to use the copy of the software incorporated with this instrument as intended in the operation of the product in which it is embedded The software may not be copied decompiled reverse engineered disassembled or otherwise reduced to human perceivable form This is not a sale of the software or any copy of the software all right title and ownership of the software remain with Welch Allyn or its vendors For information about any Welch Allyn product visit http www welchallyn com about company locations htm DIR 80018709 Ver A EC REP Welch Allyn Limited Welch Allyn Inc avan Business Park 4341 State Street Road Dublin Road Skaneateles Falls NY 13153 USA Navan County Meath Republic of Ireland www welchallyn com Alsi El CE WelchAllyn Contents els do PA A A ata ob Meal aha 1 tended USO ls iaa re ie Rac et AR BE bet ed a a eas 1 SVIMDONSH ocho were Ss Mined bedi tanas Samak oes oa Milo beds 1 A A ahaa a aeei kA 4 Controls indicators and connectors 0 eee 8 Features and TunCtons sm co othe es fy arn Pee ek Ae 10 Model Si tia he SSR Bo Det Gea ebm hats Bote Aang eae 10 ACCESSES E E hla T E A oe hay thee naa E 11 U
182. r individual patients 104 default settings 103 download using the cradle 15 imposed by Acuity 103 must include a waveform display 20 temporary 103 configuration author 138 connectors 9 control lock out 21 cradle 14 cuff equipment alerts 87 placement 61 66 target inflation pressure 65 customizing the monitor 103 D Defective SpO Sensor 86 87 89 defibrillation warning 4 Demo mode 40 display alert messages 86 lock out 21 time out 20 190 Index dual waveform display 19 E ECG changing waveform scale 56 lead placement 55 electrosurgery warning 4 equipment alert messages 86 error detection 44 F FastSAT 64 FlexNet network 1 H hazards general warnings 4 heart rate HR vs pulse rate PR 18 high frequency ventilation and Resp 53 highlight 31 HIPAA considerations 12 hypotension and Sp0 62 hypothermia and SpO 62 icons 1 indicator Lead fault 143 pacemaker 57 indicators see status indicators intended use 1 interface box 21 changing waveform view 24 installing 25 L language selecting 14 large color display interface 21 large numerics display 19 learning mode see Demo mode lock out 21 Welch Allyn Propaq LT Vital Signs Monitor M maintenance operator 139 messages for alerts 86 monitor transporting with the patient 45 monitoring blood pressure 65 new patient 47 NIBP 65 paced patients 57 SpO 60 motion artifact 68 motion
183. reboots occur infrequently due to poor environmental conditions Failure to perform preventative maintenance can increase the frequency of occurrence WARNING False alarms may occur in some situations You must understand and address the cause of the false alarms whenever possible to eliminate the possibility of repeated false alarms and alarm fatigue which might result in a failure to respond to an actual alarm situation General cautions A Caution Do not autoclave the monitor Caution Autoclave accessories only if the manufacturer s instructions clearly direct you to do so Many accessories can be damaged by autoclaving Caution Changes or modifications not expressly approved by Welch Allyn could void the purchaser s authority to operate the equipment Caution This product contains no user serviceable components Any unauthorized changes to the product invalidate Welch Allyn s warranty and also invalidate all applicable regulatory certifications and approvals 8 Introduction Welch Allyn Propaq LT Vital Signs Monitor Controls indicators and connectors Figure 1 Controls HALL ROBERTE MSG Y 300067 oe hs era Figure 2 Indicators Monitor Display Power Silence Reset Arrows Action NIBP Start Stop Snapshot Monitor release Cycle to the next configured display format or cancel the current control setup or pop up menu Turn the monitor power on or off
184. reen such as Large numerics Dual waveform 1 Highlight mmm HR PR SpO2 NIBP Resp or EJ 2 Press 0 3 Highlight Snapshots and press 8 The Snapshots display appears Figure 92 Snapshots display STEWART ANN 7762940 y 15 14 28 3 j Adult Rm 26 4 Snapshots 97 al NIE He SpO2 80 na 12 97 II 1mV cm 22105 sd 1 Secafter gt 14 24 58 4 The monitor first displays Select With Select highlighted press 8 to view the list of up to 20 snapshots To view another snapshot highlight the snapshot menu 5 of 5 in the example above press 8 and highlight any of the available snapshots The blue markers at the bottom of the waveform display represent one second intervals The numeric data above the waveform represents the patient s vital signs measured at a specific time relative to that indicated in the lower right corner For example In Figure 92 the data was measured at 1 Sec after 14 34 58 5 Toview the waveform and the numeric data for a specific time within the 21 seconds of data highlight 1 Sec after and then use D or 4 scroll the display to the desired time For example to see the vital signs taken five seconds after the trigger point of the snapshot highlight 1 Sec after and press and hold as needed to increment the display to 5 Sec after Figure 93 Snapshots display 5 seconds after the button press STEWART ANN 7762940 Y 15 14 28 Adult Rm 263 Snapshots 97 i BPmmHg Sp02 80 na 12 97 Al 1m
185. replace them with the current settings After you reconfigure the monitor the settings defined in the new configuration become the system defaults and the factory defaults are no longer in effect The new system defaults remain in effect until one of the following occurs e another configuration is downloaded to the monitor e you replace them with the current settings e you restore the factory defaults The monitor is reset to the current defaults every time the monitor power is cycled off and on with one exception If a clinician has changed some monitor settings at the bedside for a patient and then shuts off the monitor the monitor offers the options to Delete and Shut Down and to Save and Shut Down If the clinician selects Save and Shut Down shuts off the monitor and then turns on the monitor again the monitor prompts with the choice Start New Patient or Continue Patient If the clinician selects Continue Patient the monitor uses the settings that were saved for that patient before the power was turned off If the clinician selects Start New Patient the system default settings are restored e In the configuration worksheet the factory default values are indicated by bold text e Inthe Configuration Utility the factory default values appear in the data fields when you open the default configuration file using the Configuration Utility File name PropagLT_SW_Version mnt for exam
186. rformance Do not attach any cable that is intended for computer use to the SpO connector at the monitor WARNING Tissue damage and erroneous measurements can be caused by incorrect application or use of a sensor Examples of bad practices wrapping the sensor too tightly applying supplemental tape failing to periodically inspect the sensor site leaving a sensor on too long in one place Refer to the manufacturer s directions for specific instructions on application and use and for description warnings cautions and specifications WARNING Do not modify the sensor WARNING Do not wet the sensor or immerse it in fluid Do not attempt to sterilize a sensor WARNING Sensors exposed to ambient light while not applied to a patient can exhibit seminormal saturation readings Be sure the sensor is securely placed on the patient and check its application often to ensure accurate readings WARNING Inaccurate measurements might be caused by venous pulsations WARNING The pulse oximeter can be used during defibrillation but the readings might be inaccurate for a short time WARNING Do not use the pulse oximeter as an apnea monitor WARNING During SpO monitoring a very sudden and substantial change in pulse rate can result in erroneous pulse rate readings Always validate the patient data and patient condition before effecting an intervention or a change in patient care Directions for Use Standalone monitoring 61 A WARNING Int
187. ring a power 70 U 70 U mains interruption it is recommended that 30 dip in Ur 30 dip in Ur the The Propaq LT Series monitor with for 25 cycles for 25 cycles Charging Communication Cradle and Large lt 5 U lt 5 U Color Display Interface be powered from an gt 95 dip in U gt 95 dip in U uninterruptible power supply or battery for 5 sec for 5 sec Power frequency 3 A m 3 A m Power frequency magnetic fields should be 50 60 Hz magnetic at levels characteristic of a typical location in field a typical commercial or hospital IEC 61000 4 8 environment Note Uis the AC mains voltage prior to application of the test level Directions for Use Compliance 185 Guidance and manufacturer s declaration electromagnetic immunity The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface is intended for use in the electromagnetic environment specified below The customer or the user of the Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface should assure that it is used in such an environment Immunity test IEC 60601 test level level Compliance Electromagnetic environment guidance Conducted RF IEC 61000 4 6 Radiated RF IEC 61000 4 3 3 Vims 150 kHz to 80 MHz 2Hz AM 3 V m 80 MHz to 2 5 GHz 2Hz AM 1 Vims 3 V m Portable and mobile RF communications equipment should be used no closer to any part of the Prop
188. ropaq LT Vital Signs Monitor e www adobe com Welch Allyn does not recommend one PDF writer tool over another 2 On the PC change the default printer to the newly installed PDF writer as follows a Open the Control Panel b Double click Printers and Faxes a Oa Q Pu Eras Tee Printer Tasks i E Adda porter Send stan 9 i E 2 gt Q 192 163 1 101 3 0 c Inthe Printer and Faxes dialog right click on the newly installed PDF writer and check Set as Default 3 On the PC start the AutoPrint Utility Start gt Programs gt Welch Allyn gt Propaq LT AutoPrint Utility The AutoPrint Utility immediately begins transferring data files from the monitor to the PC 4 Save the data as a single PDF file containing all of the snapshots and trends Fore Sere O teat Sommer CI _ tant A A eunenna ES At ae Ue This saved PDF file can now be printed emailed or viewed on screen 103 Monitor configuration Overview The monitor can be configured in various ways Each facility can define as many default configurations as required to both meet the needs of individual departments and units and to conform to the facility s general methods and standards e Each time the patient mode is changed the monitor settings return to the default configuration settings for that patient mode e Each time the monitor is turned on the clinician chooses either to retain the most recent
189. route and secure patient cabling using the supplied garment clips Improperly routed and secured cabling can cause the patient to become entangled in the cables creating a strangulation hazard WARNING When the patient is wearing the monitor or being transported by stretcher with the monitor connected always take care to position the monitor carrying straps on the patient Be certain that the straps do not and cannot cross the neck or throat and cause choking and the straps do not restrict movement of the patient s arms or legs WARNING Never use a monitor that is not working properly If the monitor is not working properly patient waveforms might be inaccurate or might not be displayed WARNING f the monitor is damaged or if you see any indication that the monitor is not operating properly disconnect it from the patient Do not return it to service until it has been inspected and if necessary repaired by qualified service personnel Directions for Use A Introduction 1 WARNING This wireless medical device was tested and when used with a metal free accessory between the monitor and the patient complies with FCC RF Exposure SAR guidelines The use of accessories containing metal may not ensure compliance with FCC RF exposure guidelines Specific Absorption Rate SAR is a measurement of radio frequency energy The FCC permits a maximum SAR value of 1 6 mW g The highest SAR value for this patient monitor when worn by a patien
190. rt level as possible Figure 72 Cuff placement Cuff applied evenly and snugly The center of the cuff is at heart level and the bottom edge is one inch 2 5 cm above the antecubital fossa Possible cuff placements for neonates e The cuff must fit snugly without being uncomfortably tight e The hose must be free of kinks and not pinched 4 Align the point where the tubing connects to the cuff over the brachial or other appropriate artery Note f you are simultaneously monitoring blood pressure and SpO you can reduce or eliminate unnecessary SpO alarms by placing the cuff and the SpO sensor on different limbs 5 Screw the hose connector onto the NIBP air connector on the top of the monitor see Figure 4 on page 9 Press 47 to start a reading Within a few seconds the pump starts the cuff begins to inflate and the manometer screen appears Figure 73 NIBP initial view STEWART ANN 7762940 3 00 06P Adult Rm 263 N NIBP mmHg SpO2 NIBP Systolic Diastolic___Mean NIBP Mode Manual 100 150 200 250 300 Ext Trends Snapshots When the cuff is fully inflated the manometer bar dynamically displays the pressure reading Directions for Use Standalone monitoring 67 Figure 74 NIBP reading in progress STEWART ANN 7762940 3 00 06P NIBP in progress Adult Rm 263 SpO2 l Dr I NIBP Systolic __ Diastolic Mean ds Manometer pressure indicator bar NIBP Mode Manual 145 ET 100 150
191. rt staff responsible for the wireless network to ensure that the Access Point device s is properly configured for European Community operation To remain in conformance with European laws of spectrum usage for Wireless LAN operation the 5 GHz channel limitations listed above apply The user must check the current channel of operation If operation occurs outside the allowable frequencies listed above the user must cease operating the device at that location and consult the local technical support staff responsible for the wireless network In Italy the end user must apply for a license from the national spectrum authority to operate this device outdoors 2 4 GHz Models 802LTRN and 802LTRS Characteristic Specification FlexNet Network 2 4 GHz frequency hopping spread spectrum FHSS wireless local area network WLAN _ and 10 100 base T Ethernet network Frequency 2 402 to 2 480 GHz subject to country specific variations within this range Modulation GPSK Output power 100 mW IEEE 802 11 compliant Yes Monitors per access point 15 max Directions for Use Specifications 153 Flat panel display for the Large Color Display Interface These specifications are based on a 17 inch diagonal measure display with a 5 4 aspect ratio or a 22 inch diagonal measure display with a 16 9 aspect ratio Size 17 or 22 diagonal Resolution Must be compatible to 1024 dots x 768 lines 49 72KHz Horizontal 62 46Hz vertical and 66 818 M
192. ry such as reorienting or relocating the battery operated Propaq LT Series monitor b Over the frequency range 150 kHz to 80 MHz field strengths should be less than 3 V m 166 Compliance Welch Allyn Propaq LT Vital Signs Monitor Recommended separation distances between portable and mobile RF communications equipment and the battery operated Propaq LT Series monitor The battery operated Propaq LT Series monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled The customer or the user of the battery operated Propaq LT Series monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment transmitters and the battery operated Propaq LT Series monitor as recommended below according to the maximum output power of the communications equipment Separation distance according to frequency of transmitter Rated maximum output m power of transmitter w 150 kHz to 80 MHz 80 MHz to 800 MHz 800 MHz to 2 5 GHz d 1 2 JP d 1 2 JP d 2 3 JP 0 01 0 12 0 12 0 23 0 1 0 38 0 38 0 73 For transmitters rated at a maximum output power not listed above the recommended separation distance d in meters m can be estimated using the equation applicable to the frequency of the transmitter where Pis the maximum output power rating of the transmitter in watts w according to the transmitter manuf
193. s Select To discontinue monitoring 1 Press The Power Off screen appears Figure 76 Power off HALL ROBERT E 3456187 15 01 24 Adult Rm 239 You have pressed the Power Off button There is patient data stored for Hall Robert E ID 3456187 Select to delete patient data and shut down Delete amp Shut Down Save amp Shut Down Cancel Setup e If you intend to continue monitoring the same patient when the monitor is turned on again and if you want to save the stored vital signs data and monitor settings to print them at a PC highlight Save amp Shut Down and then press 9 The monitor saves the patient data and the monitor settings and then turns off e f you do not intend to continue monitoring the same patient when the monitor is turned on again highlight Delete amp Shut Down and then press 8 The monitor turns off without saving the data and the settings 2 Disconnect the leads and sensors from the patient If you press and then decide that instead of turning off the monitor you want to resume monitoring the same patient do one of the following e Highlight Cancel and press e e Wait for 30 seconds e Press amp 3 Note When you power down from Demo mode you cannot save settings and patient data 72 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor 73 4 Monitoring in communication with Acuity About wireless monitoring The model 802LT
194. s per minute For heart rates above 350 beats per minute it might display incorrectly low heart readings due to intermittent picking of R waves WARNING The monitor does not provide internal arrhythmia analysis therefore arrhythmias can cause the monitor to display inaccurate heart rates WARNING Make sure the patient mode is correct Incorrect patient mode can result in inaccurate heart rate readings and Inappropriate alarm settings Directions for Use A Note Note Standalone monitoring 53 WARNING 1 During a surgical procedure do not use small ECG electrodes 2 Select ECG electrode attachment points remote from the surgical site and remote from the electrosurgical return electrode 3 Use electrosurgical return electrodes with the largest practical contact area 4 Assure proper application of the electrosurgical return electrode to the patient High intensity radio frequency RF energy from external sources such as an improperly connected electrosurgical unit can induce heat into electrodes and cables which can cause burns on the patient and can lead to measurement errors WARNING Always use the provided garment clips to route ECG cables away from the patient s head WARNING Use only accessories approved by Welch Allyn The use of any other accessories can result in inaccurate patient data can damage the equipment and can void your product warranty Refer to the accessory list or www welchallyn com WARNING
195. s while they are connected to electrical power could result in electrical shock or fire Before cleaning the monitor cradle AC power adapter 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 Immediately report any sign of damage or malfunction to your service department At least once per year thoroughly inspect the cradle and the AC adapter power cord for damage or extreme wear To clean the monitor the cradle 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 Table 11 on page 141 2 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 connectors dry the area with warm air and then check the equipment to confirm that it operates properly A Caution Use only a cleaning solution recommended by Welch Allyn for this equipment Use of any other cleaning solutions which have a high acid content or are otherwise inappropriate can cause damage to the equipment including cracking and deterioration of the plastic case Caution Always follow the mixing diluting instructio
196. s Display 5 min 1 min 5 min 10 min 15 min 30 min Monitor Configuration Interval 60 min Utility ECG ECG Bandwidth Monitor Monitor Extended Monitor Configuration Utility Acuity HR PR general If the monitor language is French please see the note under Selecting a language on page 14 HR PR Selected Source ECG ECG Sp0 Monitor Acuity Can Disable HR PR Alarm Yes Yes No Monitor Limits No if lang French Power Source Filter ParamSet for Upper HR PR Limit ParamSet for Lower HR PR Limit 60 Hz 20 20 50 Hz 60 Hz Off 5 25 5 25 Monitor Configuration Utili Con Con ty Acuity iguration Utility iguration Utility Directions for Use Monitor configuration 109 Table 10 Parameter configuration matrix continued Parameter Factory setting Possible values Where set HR PR adult Upper Alarm Limit 120 beats min 27 300 beats min Monitor Lower Alarm Limit 50 beats min 25 298 beats min Monitor HR PR pediatric Upper Alarm Limit 150 beats min 27 300 beats min Monitor Lower Alarm Limit 50 beats min 25 298 beats min Monitor HR PR neonate Upper Alarm Limit 200 beats min 27 300 beats min Monitor Lower Alarm Limit 100 beats min 25 298 beats min Monitor NIBP general ParamSet for Upper NIBP 15 5 25 Configuration Utility Systolic ParamSet for Lower NIBP 15 5 25 Configura
197. s connected to power a Off Cradle is not connected to power or cradle fault SpO sensor connector ECG Resp cable connector NIBP hose connector Strap connectors Power and data connector from the cradle Monitor power and data connector 10 Introduction Welch Allyn Propaq LT Vital Signs Monitor Features and functions Models Monitoring of neonate pediatric and adult patients Display of ECG SpO and Resp waveform traces Accurate reading of NIBP in the presence of motion artifact using Welch Allyn s patented Smartcuf motion tolerant technology SpO monitoring with advanced technology for accuracy under conditions of low perfusion Configurable adjustments to alarm limits with ParamSet technology Standalone operation with local patient alarms and equipment alerts Optional two way wireless communication within a Welch Allyn FlexNet network providing monitoring and remote control at an Acuity Central Station Color LCD for display of numerics and waveform data Configurable display formats and monitoring capabilities Internal antenna Rechargeable lithium ion battery Weight of approximately 2 pounds 0 9 kg Durability Tolerance of brief exposure to water HIPAA support Error detection The monitor is available in two standalone models and two wireless models Feature Model Model Model Model Model Model 802LTAN 802LTON 802LTRN 802LTAS 802LTOS 802LTRS 3 lead and 5
198. s measurement range e indicates an undetermined value 94 Storing and reviewing patient data Welch Allyn Propaq LT Vital Signs Monitor Figure 95 Trends display 1 minute interval STEWART ANN 7762940 Y 04 45 10P Adult Rm 263 LEMEN 14 98 Time H 4 42P 60 4 41P 58 4 40P 18 59 4 40P 59 4 39P 13 60 4 39P 0 118 71 87 4 38P 59 n a 4 37P 50 n a 4 36P 50 n a 4 35P 13 60 4 35P 0 n a 4 34P 59 119 72 88 4 Highlight and view any available reading in tabular or graphical format Changing the trends display interval To change the trend display interval 1 Highlight Time and press Figure 96 View interval menu 1 minute interval selected STEWART ANN 7762940 Y 04 45 12P Adult Rm 263 98 SpO2 14 99 13 14 14 13 14 14 13 14 13 119 72 88 2 Highlight the interval you want Figure 97 View interval menu 10 minute interval highlighted STEWART ANN 7762940 Y 04 45 15P Adult Rm 263 14 98 Y n a 119 72 88 3 and press e Directions for Use Storing and reviewing patient data 95 Figure 98 Trends display 10 minute interval STEWART ANN BETS Time 4 40P 78 59 4 40P 59 4 39P 3 60 4 35P 8 59 4 30P 4 20P 4 10P 4 00P 58 60 59 60 3 59P 08 59 3 50P 3 40P 3 30P 59 60 60 Te i 04 45 17P 98 Y Adult Rm 2 n a 120 72 88 n a 120 72 88 119 71 87 120 72 88 120 71 88 n a 119 71 87 119 72 88 118 71 87 12
199. se rate e The spot check ends and SpO monitoring is again turned off e The SpO text on the display screen now includes the time of the most recent SpO measurement For example SpO2 E 3 05P Note Spot check readings are included in trend displays 5 Detach the sensor from the patient 6 To take another spot check later repeat from step 2 above To return to continuous SpO measurements 1 Highlight SpO2 XX XX and press 2 Press to turn automatic SpO gt On The pop up menu disappears To adjust the SpO and ECG pulse tone volume 1 Highlight SpO2 and press 2 Highlight HR PR Tone 3 Highlight the desired volume level Off Low Med or High and press e About the Masimo SpO display The Masimo SpO option provides the following additional features and indicators Note The monitor models 802LTAS 802LTRS and 802LTOS must be configured specifically to display the Masimo parameters Signal IQ SIO Signal Identification and Quality indicator A horizontal line below the SpO waveform with vertical spikes indicating the relative reliability of the oxygen saturation readings Higher spikes indicate greater reliability Perfusion Index PI An assessment expressed as a percentage between 0 02 and 20 of the relative pulse strength at the monitoring site FastSAT The tracking of rapid changes in arterial oxygen saturation Sensitivity Normal APOD and Maximum Directions for Use
200. second or two before shutting down and powering up in monitor mode If you are in Demo mode and you connect an SpO or ECG cable or select NIBP auto mode the monitor shuts down and powers up to the start up screen Figure 34 Power on screen Demo highlighted No data saved Select to enter Demo Mode unplug patient cables Start New Patient Demo mode is indicated by the message SIMULATION in the upper left corner of the screen If the monitor is connected to Acuity SIMULATION also appears on the Acuity display Directions for Use Dverview of monitor operation 41 Figure 35 Demo mode initial display ID 01018VDO9PBH Y 3 00 06P SIMULATION Adult Rm 239 97 HR min Sp02 Y Y WI a When you enter Demo mode the monitor is in Demo mode low In this mode the simulated vital signs of the patient are steady and do not cause any alarms at the default alarm limit settings You can explore the monitor displays and menus and you can change the same settings and values in Demo mode that you can change in normal mode In Demo mode low if you adjust the alarm limits to put the simulated patient s vital signs out of limits the monitor simulates an alarm condition Another way to simulate an alarm condition is to switch the monitor to Demo mode high which uses higher numeric values To switch to demo mode high 1 Access the Setup menu To access the setup menus on page 37 2 Press to h
201. ss Power on continues in the selected language Note f you select French HR PR alarm limits cannot be turned off unless you go through the service menus to change this setting If you do change this setting the change stays in effect through power cycles For information about using the service menus refer to the Propaq LT Monitor Service Manual 810 1811 XX The monitor always powers on in this language until the setting is changed again The setting can be changed again only if one of the following occurs e This procedure is repeated e Anew configuration is downloaded from a PC See Using the Configuration Utility to configure the monitor on page 116 e Anew configuration is downloaded from Acuity About the charging communications cradle When the charging communication cradle the cradle is attached to AC power or to vehicle DC power and the monitor is seated in the cradle the cradle does the following e Recharges the monitor battery whether patient monitoring is occurring or not e Powers the monitor conserving the charge on the monitor battery e If the cradle has the USB data transfer option enables data transfer between a PC and a monitor See About the USB data transfer option on page 15 Directions for Use Dverview of monitor operation 15 WARNING Never download a configuration file to the monitor while you are monitoring a patient with the monitor in the cradle e Communication with the
202. ss d or as needed to select 60 Hz 50 Hz or Off Figure 64 Turning on the 60 Hz power source filter in the ECG setup menu HALL ROBERT E 3456187 3 00 06P Adult Rm 239 Setup Alarms f Service mee Power source filter 60 Hz Resp Monitoring al ECG Bandwidth Power source filter Pacer indicator Exit Trends Snapshots Setup 4 Exit the Setup menu by pressing 8 or E3 Monitoring respiration Resp is based on impedance pneumography where respirations are sensed from the ECG electrodes Note All ECG cables listed for the Propaq LT monitor in the accessory list or at www welchallyn com permit respiration monitoring and electrosurgical interference suppression Note To measure Resp with Lead Il selected the LL lead must be attached to the patient Resp is part of ECG monitoring The Resp numeric is displayed in purple in the lower right corner To view the Resp waveform Change the waveform source to Resp See To change the waveform selection on page 55 WARNING Use of respiration monitoring by impedance pneumography can affect the operation of some pacemakers If pacemaker operation is affected turn off respiration pneumography See Figure 63 on page 57 Directions for Use Standalone monitoring 59 Figure 65 Resp waveform default size 2x HALL ROBERT E 3456187 3 08 16 Adult Rm 239 SpO2 For more detail change the waveform size to 8x See To change the waveform size on pag
203. stomer or the user of the The Propaq LT Series monitor with Charging Communication Cradle and Large Color Display Interface should assure that it is used in such an environment Immunity test IEC 60601 test level Compliance level Electromagnetic environment guidance Electrostatic discharge 6 kV contact V contact Floors should be wood concrete or ceramic ESD 8 KV air 8 KV air tile If floors are covered with synthetic IEC 61000 4 2 material the relative humidity should be at least 30 Electrical fast 2 kV for power supply 2 kV for power Mains power quality should be that of a transient burst lines supply lines typical commercial or hospital environment IEC 61000 4 4 1 kV for input output 1 kV for input output lines lines Surge 1 kV differential mode 1 kV differential Mains power quality should be that of a IED 61000 4 5 2 kV common mode mode typical commercial or hospital environment 2 kV common mode Voltage dips short lt 5 U lt 5 U Mains power quality should be that of a interruptions and gt 95 dip in U 295 dip in U typical commercial or hospital environment voltage variations on for 0 5 cycle for 0 5 cycle If the user of the The Propaq LT Series power supply input 40 U 40 U monitor with Charging Communication lines 60 dip in Ur 60 dip in Ur Cradle and Large Color Display Interface IEC 61000 4 11 for 5 cycles for 5 cycles requires continued operation du
204. sume monitoring Suspending the alarm tone If this feature is enabled in the monitor configuration See Monitor configuration on page 103 you can suspend all alarm tones for all parameters preventing the alarm tone from sounding if an alarm condition occurs while monitoring a patient If an alarm condition occurs while the alarm tones are suspended the monitor presents visual alarm indicators but does not sound the tone In the monitor configuration the alarm tone suspension period can be set to Disabled to Always On or to a period 90 sec or 2 3 4 5 10 15 30 or 60 minutes Note The factory default suspension period is 4 minutes e fitis configured to Disabled you cannot suspend the alarm tone at the monitor Directions for Use Alarms and alerts 83 e If it is configured to Always On and you set Suspend Audible Alarms to On then the alarm tone remains suspended until e you set Suspend Audible Alarms to Off or e monitor power is turned off and then turned on again or e the monitor is reconfigured Note Suspend Audible Alarms does not affect the behavior of the alarm silence reset feature Pressing always either silences a sounding alarm tone for 90 seconds or resets the audible alarm if it was already silenced To suspend the alarm tone 1 Access the Setup menu See To access the setup menus on page 37 2 Highlight Suspend Audible Alarms Figure 88 Suspend Audible Alarms Off HALL
205. t in accordance with the directions for use is 0 560 mVV g WARNING High power radars are allocated as primary users of the bandwidth between 5 25 GHz and 5 35 GHz and between 5 65 GHz and 5 85 GHz These radars can cause interference with this device and can damage this device WARNING Do not use the pulse oximeter as a replacement or substitute for ECG based arrhythmia analysis WARNING The bedside patient monitor is the primary alarming source for the patient and a central station is a backup alarm source The central station is only as reliable as its network and should be relied on only as a backup alarming device WARNING The leading cause of patient death or serious injury reported with the use of patient monitoring equipment is failure to respond to alarms notifying the user of an adverse change in patient condition If you are relying on visual alarm notifications maintain a clear line of sight and remain within 4 meters of the monitor or the central station If you are relying on audio alarm notifications make sure that you can hear audio alarms from where you are Set the volume as needed considering the environment and ambient noise levels Verify that the alarm is audible to a clinician working at the maximum distance from the monitor or central station WARNING Auto reboots occur and wireless connection is occasionally disrupted During this period the bedside monitors continue to provide their primary alarming functions Auto
206. t mode from adult to pediatric for example e All parameters are reset to the configuration default values for the new patient mode e All stored patient data is lost A WARNING The Setup menus are also used to access the Service menu Do not enter the Service menu unless you are a qualified service person 38 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor About monitor information screens Both the start up information screen and the monitoring information screen provide information about the monitor To view the start up information screen From the power on screen Figure 7 on page 13 highlight Info Figure 32 Start Up Information Welch Allyn Propaq 802LTON Welch Allyn Propaq 802LTRN Serial AB72383 1 V1 00 00 Serial F82CODD5 1 00 00 Portland Westside Emergency Department PtidWstsdED10Jun05 mnt Ann Jones MD 503 530 0101 x9999 Portland Westside Emergency Department PtidWstsdED10Jun05 mnt Ann Jones MD 503 530 0101 x9999 Patient Mode Adult Snapshots 14 of 20 saved Patient Mode Adult Snapshots none saved Wireless Communications Disabled Wireless Communications Enabled Start New a Start New Patient Continue Patient Infol Demo The start up information screen provides the following e Monitor type LTRN wireless LTON standalone serial tt and software version V X XX XX e Medical facility name and department e Configuration file name e Contact person s name an
207. tcuf filter is ON See Improving NIBP accuracy with Smartcuf on page 68 e Verify that the ECG leads are properly connected to the patient and monitor ECG during NIBP ECG monitoring is required for Smartcuf 68 Standalone monitoring Welch Allyn Propaq LT Vital Signs Monitor Note The message in an NIBP TREND display or printout indicates that the monitor could not complete an NIBP measurement during that period Note On demand NIBP readings manual or turbo are delayed by 8 seconds if they are started while the monitor is in a power saving mode such as display time out Improving NIBP accuracy with Smartcuf Many factors can adversely affect an NIBP measurement cardiac arrhythmias sudden changes in blood pressure patient motion such as convulsions or shivering sudden cuff movement vibration vehicle motion or a weak pulse The Smartcuf feature increases NIBP measurement accuracy in the presence of moderate motion artifact or diminished pulses Note Smartcuf can function only when ECG is being monitored To enable Smartcuf 1 Simultaneously monitor ECG and NIBP 2 Access the Setup menu See To access the setup menus on page 37 3 Highlight NIBP highlight Smartcuf and enable the Smartcuf filter If Smartcuf is enabled and motion artifact is so severe that it still affects measurement accuracy the measurement is marked with the symbol W on the display During certain types of arrhythmias and
208. thetic IEC 61000 4 2 material the relative humidity should be at least 30 Electrical fast 2 kV for power supply 2 kV for power Mains power quality should be that of a transient burst lines supply lines typical commercial or hospital environment IEC 61000 4 4 1 kV for input output 1 kV for input output lines lines Surge 1 kV differential mode 1 kV differential Mains power quality should be that of a IED 61000 4 5 2 kV common mode mode typical commercial or hospital environment 2 kV common mode Voltage dips short lt 5 U lt 5 U Mains power quality should be that of a interruptions and gt 95 dip in U 295 dip in U typical commercial or hospital environment voltage variations on for 0 5 cycle for 0 5 cycle If the user of the The Propaq LT Series power supply input 40 U 40 U monitor with Charging Communication lines 60 dip in Ur 60 dip in Ur Cradle and Large Color Display Interface IEC 61000 4 11 for 5 cycles for 5 cycles requires continued operation during a power 70 U 70 U mains interruption it is recommended that 30 dip in Ur 30 dip in Ur the The Propaq LT Series monitor with for 25 cycles for 25 cycles Charging Communication Cradle and Large lt 5 U lt 5 U Color Display Interface be powered from an gt 95 dip in U gt 95 dip in U uninterruptible power supply or battery for 5 sec for 5 sec Power frequency 3 A m 3 A m Power frequency magnetic fields should be 50 60 Hz magnetic at levels
209. tion Utility Systolic ParamSet for Upper NIBP 15 5 25 Configuration Utility Diastolic ParamSet for Lower NIBP 15 5 25 Configuration Utility Diastolic ParamSet for Upper NIBP 10 5 15 Configuration Utility Mean ParamSet for Lower NIBP 10 5 15 Configuration Utility Mean NIBP adult Auto Interval minutes 15 1 2 3 5 10 15 30 60 Monitor Configuration Utility Mode Manual Manual Auto Monitor Acuity Smartcuf Off On Off Monitor Acuity Configuration Utility Systolic Upper Alarm Limit 220 mmHg 32 260 mmHg Monitor Acuity 29 3 kPa 4 3 34 7 kPa Systolic Lower Alarm Limit 75 mmHg 30 258 mmHg Monitor Acuity 10 0 kPa 4 0 34 4 kPa Diastolic Upper Alarm Limit 110 mmHg 22 235 mmHg Monitor Acuity 14 7 kPa 2 9 31 3 kPa Diastolic Lower Alarm Limit 35 mmHg 20 233 mmHg Monitor Acuity 4 7 kPa 2 7 31 1 kPa Mean Upper Alarm Limit 120 mmHg 22 255 mmHg Monitor Acuity 16 0 kPa 2 9 34 0 kPa Mean Lower Alarm Limit 50 mmHg 20 253 mmHg Monitor Acuity 6 7 kPa 2 7 33 7 kPa Monitor configuration Table 10 Parameter configuration matrix continued Parameter Factory setting Possible values Welch Allyn Propaq LT Vital Signs Monitor Where set NIBP pediatric Auto Interval minutes 15 1 2 3 5 10 15 30 60 Monitor Configuration Utility Mode Manual Manual Auto Monitor Acuity Smartcuf Off On Off Monitor
210. tor configuration Users are encouraged to provide their own procedures for defining categorizing storing and approving configuration files Date Hospital Department Name Title Phone Signature 139 Maintenance Recharging the battery The monitor battery is recharged whenever the monitor is placed into a cradle that is connected to a suitable power source Recharging occurs whether the monitor is on or off While in a cradle that is connected to AC power the monitor also receives operating power from the cradle thus preserving battery power for use when the monitor is removed To recharge the battery 1 Confirm that the green power light the right of two on the cradle is on If itis off plug the power adapter into the cradle 2 Insert the monitor into the cradle until it clicks into place 3 Confirm that the green battery charging light on the cradle the left of two on the cradle is on Green Monitor is running on cradle power Green Battery is charging Yellow Battery or cradle fault or battery pack temperature is out of range e lf the green battery charging light is off the monitor battery is fully charged Release button e Asteady yellow light indicates a problem with the battery or the cradle contact a qualified service technician or that the temperature of the battery pack is out of range Note The yellow light might flash br
211. tric Accuracy for saturation levels below 70 is unspecified neonate Pulse rate alarm limits 25 to 298 beats min lower 27 to 300 beats min upper Pulse rate accuracy 3 beats min typical varies with sensor model Display update interval at the monitor 1 second Alarm hold off period 10 seconds resets if the sensor reports levels within limits before 10 seconds elapses Circuitry Microprocessor controlled Automatic self test of oximeter when powered on Automatic setting of default parameters Automatic alarm messages Electrosurgery interference suppression Yes Sensor compatibility For a complete list of compatible sensors refer to the accessory list or www welchallyn com Nellcor For probe sensor compliance to EN ISO 9919 2005 see the Nellcor directions for use Masimo For probe sensor compliance to EN ISO 9919 2005 see the Masimo directions for use Sensor lights Nellcor Red wavelength 660 nm nominal 31 3 mW max Infrared wavelength 920 nm nominal 28 8 mW max Sensor lights Masimo lt 15 mW at 50 mA pulsed Red wavelength 660 nm Red wavelength toe clip 663 nm Infrared wavelength 905 nm Infrared wavelength toe clip 880 nm Risk mitigation Software in this device is developed under the FDA guidance of Part 802 3 design controls and the international standard EN 14971 risk management These mitigate and minimize any risk associated with potential software errors to a level as l
212. u At the bottom of the screen for all control menus are links to Exit Trends Snapshots and Setup Exit Return to the vital signs display Trends View a tabular history Snapshots View a series of 21 second waveform snapshots of the current patient s vital signs Setup Access the setup menu See To access the setup menus on page 37 Example Using a control menu Using the example Figure 29 you would do the following to raise the SpO gt lower alarm limit to 95 Step 1 and shut off the HR PR tone Step 2 1 With SpO2 Monitoring highlighted scroll using w to highlight Lower Limit and press as many times as needed to raise this alarm limit to 95 Note If you decrease an upper alarm limit to a value almost as low as the lower limit the lower limit decreases so that it is always lower than the upper limit If you increase a lower alarm limit to a value almost as high as the upper limit the upper limit increases so that it is always higher than the lower limit 34 Dverview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor 2 Scroll using w to HR PR Tone and press either d or as many times as needed to highlight Off Note When you change a setting for example by turning off an alarm limit or by increasing or decreasing an alarm limit the change takes effect immediately 3 Press or to exit the control screen and return to the vital signs display Note When you exit a control me
213. ue E a a eh 148 AlammS dnd alerts sir as 44d each bad ae Fag baa a head Pe eee haw ek eas 149 RAI ster ala ik hk att Bik Be haha Mad by iS Hk wo Meee Oecd ley i dd hone 151 Flat panel display for the Large Color Display Interface o o o o o ooooooo 153 ENVITONIMENTAl 6 4 2 04 aden on Sane dc de dd be et da S ee cita 154 A A lake Facade 2 ain sl a aerate 154 POMADA aa a eae 156 A E 157 Characteristic Specification Regulatory standards Connector Selectable leads 3 lead cable 5 lead cable Meets ANSI AAMI EC13 2002 and EN 60601 1 1990 A1 A2 Hypertronics 9 pin female DO1 latching connector Displayable IL or Il Internally provides 1 Il or Ill Displayable I Il Ill aVp aV aVe V Internally provides I II Ill and V Cable type detection Automatic detection and differentiation of 3 or 5 lead cable Lead fault indicator ECG Size sensitivity Displayed chest icon with flashing indicator for each electrode 0 2 0 5 1 2 4 and 8 mV cm Display sweep speed 25 mm sec Bandwidth monitor display 0 5 to 80 Hz Monitor Mode 0 05 to 80 Hz Extended Mode Bandwidth to Acuity 0 05 to 80 Hz Monitor or Extended Mode Notch filters Sample rate Input protection 50 and 100 Hz 60 and 120 Hz or OFF selectable at Acuity or at the monitor 363 64 Hz 181 82 Hz to Acuity Protected against electrosurgery and defibrillator when used with ECG cables specified in the accessory list or at w
214. umerics Tabular trends Certain properties of each display type can also be configured See Display Format on page 129 To view a tabular display if no tabular trends format is specified 1 Access the Setup menu See To access the setup menus on page 37 2 Highlight Trends and press e Note All valid display configurations include at least one waveform format Timing out the display and the back light To conserve battery run life the monitor display and the back light can be configured to turn off if no operator activity that is a button press is detected for a specified number of minutes e When the display is off no patient data is visible e When the back light is off patient data is visible only under direct light Note _ If the display and the back light are turned off due to a time out they turn on again immediately when an alarm or alert occurs or if the buttons lock out is not enabled when you press any monitor button The monitor configuration determines whether the time out feature is enabled or disabled and defines the default time out period if it is enabled If the feature is enabled in the configuration you can temporarily change the time out period or disable the time out through the Setup gt Timings menu Directions for Use Dverview of monitor operation 21 Locking outthe display back light and buttons If lock outs are enabled you can lock out one or more of the following elements
215. utility only or both utilities Figure 105 Complete or Custom installation PPropaq LT PC Utilities Installshield Wizard E Setup Type Choose the setup type that best suits your needs Please select a setup type Complete All program features will be installed Requires the most disk space O Custom Choose which program features you want installed and where they will be installed Recommended for advanced users lt Back Next gt Cancel e To install both utilities click Complete PC utility 4 Determine whether you want to install the Configuration utility only the AutoPrint 115 e To install only one of the utilities click Custom and in the next screen select the utility you want to install Figure 106 Selecting to install either the AutoPrint utility or the Configuration utility rr 5 T Hl Propaq LT PC Utilities InstallShield Wizard 5 Custom Setup Select the program features you want installed Click on an icon in the list below to change how a feature is installed X z PrintStation SRE This feature requires OKB on your hard drive Install to hi f pa lt Back Next gt Cancel If you click the drop down menu next to your choice you can also select one of the installation options available for that choice 116 PC utility Welch Allyn Propaq LT Vital Signs Monitor Figure 107 Menu of installat
216. w welchallyn com For other EMC specifications see Monitor battery operated with cable 008 0799 00 01 on page 175 Guidance and manufacturer s declaration electromagnetic emissions The battery operated Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions Group 1 The battery operated Propaq LT Series monitor uses RF CISPR 11 energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class B The battery operated Propaq LT Series monitor is suitable for CISPR 11 use in all establishments including domestic establishments and those directly connected to the public low voltage power supply network that supplies buildings used for domestic purposes Harmonic emissions No connection to mains IEC 61000 3 2 battery operated Voltage fluctuations flicker No connection to mains emissions battery operated IEC 61000 3 3 a The battery operated Propaq LT Series monitor contains either a 5 GHz orthogonal frequency division multiplexing transmitter or a 2 4 GHz frequency hopping spread spectrum transmitter for the purpose of wireless communication The radio is operated according to the re
217. ww welchallyn com Electrosurgery interference suppression Included on all vectors when Welch Allyn approved cables are used 144 Specifications Lead fail sense current Welch Allyn Propaq LT Vital Signs Monitor 70 nA DC typical for active leads 140 280 nA DC typical for reference electrode depending on number attached Tall T wave rejection on mode rejection LTER function OFF G Comm FILTER function ON Meets AAMI USA EC13 2002 section 4 1 2 1 c up through 1 2 mV using AAMI test waveform lt 1 mV p p RTI for 10V rms 50 60 Hz into unbalanced input lt 30 uV p p RTI for 10V rms 50 60 Hz into unbalanced input Input impedance gt 2 5 MO single ended 60 Hz Input range AC 10 mV peak to peak local display 10 mV peak to peak Acuity Input range DC Up to 500 mV Accuracy of input signal reproduction Impulse response Requires ECG bandwidth to be set to extended mode ANSI AAMI EC 13 2002 Sec 4 2 8 9 c System noise lt 30 uV peak to peak RTI notch filter on Baseline recovery trace restore ORS detector HR range in all patient modes Automatic Adult or pediatric amplitude range 0 22 to 5 0 mV RTI Neonate amplitude range 0 1 to 5 0 mV Adult width range duration 70 to 120 msec Pediatric or neonate width range duration 40 to 120 msec 25 to 350 beats min measurement 25 to 300 beats min display Alarm limits 25 to 298 beats
218. y configuration is replaced by a custom configuration the factory settings and behaviors are restored to the monitor each time the monitor is powered up and Start New Patient is selected 104 Monitor configuration Welch Allyn Propaq LT Vital Signs Monitor When a custom configuration is downloaded to the monitor the settings and behaviors defined in the custom configuration become the power up defaults for the monitor and the factory configuration is no longer in effect However the factory configuration information can always be restored by qualified service personnel and can also be restored by downloading the configuration file PropaqL TFactoryConfig mnt from a PC to the monitor The factory settings are shown in the Parameter configuration matrix on page 105 About default configuration Most facilities before putting a new monitor into service reconfigure it to conform to local protocol and to adapt it to the clinical environment in which it is to be used This reconfiguration results in a set of default settings and monitor behaviors Creating a custom default configuration requires the following e A Propag LT Monitor Configuration Utility running on a PC and e A cradle with the USB data transfer option For information about the monitor Configuration Utility refer to Using the Configuration Utility to configure the monitor on page 116 To learn which parameters can be defined using the Configuration Utility se
219. y of the transmitter where Pis the maximum output power rating of the transmitter in watts w according to the transmitter manufacturer NOTE 1 At 80 MHz and 800 MHz the separation distance for the higher frequency range applies NOTE 2 These guidelines may not apply in all situations Electromagnetic propagation is affected by absorption and reflection from structures objects and people Directions for Use Compliance 175 Monitor battery operated with cable 008 0799 00 01 The EMC specifications listed on pages 175 to 186 apply only to Propaq LT monitors using ECG cables 008 0799 00 and 008 0799 01 For general EMC specifications see Monitor battery operated on page 163 Guidance and manufacturer s declaration electromagnetic emissions The battery operated Propaq LT Series monitor is intended for use in the electromagnetic environment specified below The customer or the user of the monitor should assure that it is used in such an environment Emissions test Compliance Electromagnetic environment guidance RF emissions Group 1 The battery operated Propaq LT Series monitor uses RF CISPR 11 energy only for its internal function Therefore its RF emissions are very low and are not likely to cause any interference in nearby electronic equipment RF emissions Class B The battery operated Propaq LT Series monitor is suitable for CISPR 11 use in all establishments including domestic establishments and those dire

Propaq LT Vital Signs Monitor, Software Version 1.60

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