Welch Allyn 246 - Manuals

Directions for Use General information 3 General warnings and cautions Familiarize yourself with all warnings and cautions before using the Propaq CS monitor. In addition to the following, other warnings and cautions appear throughout this manual. The CE Mark and Notified Body Registration Number si...

Directions for Use General information 7 Controls and connectors Touch-screen controls The front panel touch-screen provides five softkeys along the bottom and three icon-labeled keys along the right side. An Acuity ® NET OFF key is displayed in the upper left corner if the monitor is connected to a...

Directions for Use General information 9 Option connectors ! CO 2 ! CO 2 Mainstream CO 2 Connector Sidestream CO 2 Connector Nurse Call Connector Nellcor SpO 2 Connector Masimo SpO 2 Connector (motion-tolerant) Masimo SpO 2 Connector (motion-tolerant) Cable: see Welch Allyn Products and Accessories ...

10 General information Welch Allyn Propaq CS Vital Signs Monitor Display You can select up to four waveforms to be shown on the Propaq CS monitor. When only one waveform is selected, a trend window automatically appears beneath the waveform. While changing monitor settings, a status window may appea...

Directions for Use General information 11 Menus Menus for some patient vital signs are displayed only if the option is included in your Propaq CS monitor. Main Menu START AUTO/ MANUAL TURBOCUF STOP INTERVAL ECG1 SIZE ECG2 SIZE RESP SIZE MORE SIZE MORE PREVIOUS MENU mm/s MORE GAS COMP RESPONSE CO 2 M...

12 General information Welch Allyn Propaq CS Vital Signs Monitor Setup Menus 3 Service menu tests are only for use by authorized service personnel and are only available in the Adult patient mode.RADIO key is only displayed for Wireless Propaq CS. 2 ON/OFF key is not displayed for HR/PR alarm limits...

Directions for Use General information 13 Learn Propaq CS operation with Inservice Mode You can practice using the Propaq CS monitor with the in-service mode of operation. The in-service mode cannot be activated while you are monitoring a patient. In in-ser vice mode, the monitor display and all pri...

2 15 Setup Prepare the Propaq CS monitor for a new patient 1. Press the gray recessed MONITOR button on the right side of the monitor to turn the monitor off (if it is on). Press it again to turn the monitor on. The monitor displays the powerup screen for about 10 seconds, then displays the Main Men...

Directions for Use Setup 17 Set patient alarms and alarm limits 1. From the Main Menu, press SETUP , ALARMS to access the Alarms Status Menu: 2. Press LIMITS to display the Alarms Limits window: SWEEP (mm/s) Selectable sweep speeds for HR/PR: 12.5, 25, 50 mm/sec. Selectable sweep speeds for RR/BR: 3...

18 Setup Welch Allyn Propaq CS Vital Signs Monitor 3. Press NEXT PARAMETER to highlight the parameter you want to change, then press NEXT SETTING to highlight the limit you want to change. 4. Press UP , DOWN , or ON / OFF to change the limits. The apnea alarm cannot be turned off at any time. 5. Aft...

Directions for Use Setup 19 Change Powerup Patient Mode or store customized settings The Propaq CS monitor has standard, preset, default powerup settings and alarm limits for each patient mode: Adult, Pediatric, and Neonatal. These are “Factor y Patient Mode” settings (listed on “Factory default set...

20 Setup Welch Allyn Propaq CS Vital Signs Monitor Customize Patient Mode settings 1. From the Main Menu, press SETUP , MORE , CHANGE , SETUP to access the Mode Setup window. 2. The patient mode you want to reprogram (ADULT, PED, or NEO) must be currently selected. To make sure it is currently selec...

3 21 Monitoring Perform ECG/RESP monitoring WARNING Impedance pneumography detects respiratory effort via changes in chest volume; therefore, impedance pneumography can be used to detect central apnea. However, apnea episodes with continued respiratory effort, such as obstructive apnea and mixed apn...

Directions for Use Monitoring 23 • Severe artifact and interference (such as defibrillation interference) can cause the waveform to move off the display for a few seconds before it is restored. Prepare for ECG/RESP monitoring 1. Inspect the ECG cable and replace it if it shows signs of wear, breakag...

26 Monitoring Welch Allyn Propaq CS Vital Signs Monitor 15. Set alarms according to your facility’s standards. Use the ECG filter to display a better waveform If the ECG waveform appears unclear or distorted, make sure the monitor ECG filter is properly set to reduce interference from your facility’...

Directions for Use Monitoring 27 Using the Propaq CS monitor with pacemaker patients If the patient being monitored has a pacemaker, the Propaq CS monitor detects and can indicate the occurrence of pacemaker signals. 1. To access the monitor pacer indicator, from the Main Menu press ECG/RESP , MORE ...

28 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Perform Invasive Blood Pressure (IBP) monitoring 1. Inspect the transducer cable and transducer dome for wear, breakage, or fraying. Replace any worn or broken accessory. 2. Set up the transducer according to your hospital's procedures. Always ...

32 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Take a Noninvasive Blood-Pressure (NIBP) reading At powerup, the Propaq CS monitor has an NIBP default inflation pressure (cuff inflation target) based on the patient mode (see “NIBP specifications” on page 99 for the values). After each NIBP m...

Directions for Use Monitoring 33 To enable the Smartcuf filter: • Connect the ECG leads to the patient and perform ECG monitoring during NIBP. • From the Main Menu, press NIBP to display the NIBP Menu (shown on page 34) and set Smartcuf to ON. If artifact is so severe while Smartcuf is enabled that ...

36 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Perform temperature monitoring 1. Place the temperature probe on the patient. 2. Plug the probe cable into one of the temperature connectors on the monitor side panel. Within a few seconds, the monitor displays the temperature: If you connect a...

Directions for Use Monitoring 37 Perform SpO 2 monitoring Each SpO 2 sensor is designed for application to a specific site on the patient within a certain size range. To obtain optimal performance, use an appropriate sensor and apply it as described in the sensor’s directions for use. If excessive a...

4 49 Alarms & Alerts Description of alarm and alert tone patterns • Patient alarm tone pattern: one second on, two seconds off • Apnea alarm tone pattern: one second on, one second off (fastest) • Equipment alert tone pattern: one second on, four seconds off (slowest) Silence an active alarm or ...

50 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Re-enable an alarm or alert tone before the 90-second silence period has elapsed 1. Press Silence/Reset. Indications during a 90-second silence period At the Propaq CS monitor At the Acuity Central Station During the silence period, th...

Directions for Use Alarms & Alerts 51 Inhibit alarm and alert tones for four minutes: 4 MIN SUSPND As you perform patient care, there might be occasions when you want to suspend potential or current alarm and alert tones for a period of four minutes. Initiate a four minute suspend period 1. Pres...

52 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Inhibit alarm and alert tones indefinitely: ALL ALARMS You can suspend potential or current alarm and alert tones for an indefinite period of time. The tones are disabled until someone re-enables them. Indefinitely suspend all alarm an...

Directions for Use Alarms & Alerts 55 Alarm holdoffs To help minimize false alarms, the monitor briefly delays or “holds off” triggering alarms for limit violations for HR/PR, SpO 2 , and RR/BR. After the alarm holdoff period begins, if the monitor detects that the patient’s vital sign has retur...

56 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Troubleshooting equipment alert messages Simultaneous equipment alerts MULTIPLE. If multiple equipment alerts occur simultaneously, the Propaq monitor displays this message. In this situation, the source of the alert may not be display...

Directions for Use Alarms & Alerts 57 IBP messages TRANSDUCER NOT DETECTED. The transducer connection is broken. TRANSDUCER SHORT CIRCUIT. This message appears when the Propaq CS monitor senses a short in the transducer. The transducer should be replaced. INCOMPATIBLE TRANSDUCER. Check the compa...

Directions for Use Alarms & Alerts 59 Temperature messages PROBE NOT DETECTED. This message occurs when the Propaq CS monitor has successfully measured temperature and a probe is then disconnected. Reconnect the probe or acknowledge the equipment alert by pressing any menu key. PROBE SHORT. Veri...

60 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor waveform is displayed without range values. Replace the adapter or replace the sensor. LACK OF WAVE - CHECK ADAPTER, SENSOR. Either the air way adapter is obstructed or the CO 2 sensor has failed. Replace the air way adapter if it is o...

62 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Network alert messages with Acuity CHECK ACUITY/SERIAL CONNECTION. The Propaq CS detects a problem in the hardwired (serial) communication with Acuity. Check the Acuity network cable to be sure it is plugged into the side panel and the...

Directions for Use Alarms & Alerts 63 Printer alert messages CHECK DOOR. The door on the bottom of the printer is open. Close the door to remove this message. LOW BATTERY, PRINTER DISABLED. The monitor’s batter y voltage is too low to support printing. Connect the ac power adapter to recharge th...

5 65 Printing & trends Print patient data Print the displayed waveforms Press SNAPSHOT or START/STOP . The Propaq CS monitor prints up to three of the displayed waveforms. When four waveforms are displayed, the monitor prints the top three displayed waveforms (except for the ECG2 waveform which ...

66 Printing & trends Welch Allyn Propaq CS Vital Signs Monitor Display or print trends Display or print a single trend 1. To display a patient data trend, press SETUP , TRENDS from the Main Menu. The monitor displays the Trend Menu: Trends are also displayed on the Main Menu if all waveforms exc...

68 Printing & trends Welch Allyn Propaq CS Vital Signs Monitor Set printer options and automatic printing 1. Press SETUP , MORE , PRINTER from the Main Menu to display the Printer Setup Page: 2. Press NEXT and CHANGE as desired to set printer options. CONTINUOUS Set the speed for continuous prin...

Directions for Use Printing & trends 69 Print OxyCRG The OxyCRG is a printout of two minutes of continuous HR/PR and SpO 2 numerics, and a compressed respiratory waveform. 1. To print OxyCRG, from the Main Menu press SETUP , TRENDS , PRINT OXYCRG . If any of the parameters have been completely i...

6 71 Acuity Understanding the Propaq CS, Acuity, and FlexNet network This section describes the operation of the Propaq CS monitor (software version 3.5X) with the Acuity FlexNet network. It describes both the Acuity hardwired and wireless communication options for the Propaq CS monitor. WARNING Whe...

74 Acuity Welch Allyn Propaq CS Vital Signs Monitor The Acuity Menu The Acuity Menu on the Propaq CS allows you to control some of the interaction with the Acuity network. The Acuity Menu is only accessible while the monitor is connected to the Acuity network. The Acuity Menu for the Wireless Propaq...

Directions for Use Acuity 75 Hardwired (Serial) connection to Acuity Connect the monitor to the Acuity System 1. If the Propaq CS monitor has already been connected to the patient, save the patient’s Trends and Alarm Limit settings by keeping the monitor turned on. The monitor transmits up to five h...

76 Acuity Welch Allyn Propaq CS Vital Signs Monitor Disconnect the hardwired monitor from the Acuity System 1. To disconnect the Propaq CS monitor from the Acuity network, press the NET OFF key on the upper left corner of the monitor display. (From the Main Menu you can also press SETUP , ACUITY , N...

Directions for Use Acuity 77 Wireless connection to Acuity Connect a new patient 1. Make sure the Acuity network cable is not plugged into the Acuity connector and an Acuity bedside network jack. Turn on power to the Wireless Propaq CS. The monitor displays the powerup screen for about 10 seconds, t...

78 Acuity Welch Allyn Propaq CS Vital Signs Monitor Monitor a patient out of range of Acuity While out of range of Acuity, the Wireless Propaq CS continues to monitor the patient and provide local alarms or alerts at the Propaq CS as needed. When the patient with the Wireless Propaq CS goes out of r...

Directions for Use Acuity 79 Reassign a monitored patient to a new room in the same unit If a patient is being monitored and you want to assign them to a new room in the same unit, follow these steps. 1. From the Main Menu, press SETUP , ACUITY , PATIENT , NEW ROOM . Within a few seconds the Wireles...

80 Acuity Welch Allyn Propaq CS Vital Signs Monitor Reassign the Wireless Propaq CS to a new patient If you want to discontinue monitoring a patient and connect the Wireless Propaq CS to a new patient, follow these steps. 1. From the Main Menu, press SETUP , ACUITY , END TELE . 2. Turn off the monit...

7 81 Maintenance Avoid electrostatic discharge When humidity in the working environment decreases, the human body and other insulators can become charged with static electricity due to friction. To prevent unwanted electrostatic discharge (ESD), follow these standard guidelines: • Maintain the recom...

Directions for Use Maintenance 83 Replace power adapter fuses If the green battery charging light is off and the ac power adapter does not provide power to the monitor even when all connections are intact, the adapter fuses may need to be replaced. This procedure must be performed by a qualified ser...

84 Maintenance Welch Allyn Propaq CS Vital Signs Monitor Replace monitor input power fuse If the green battery charging light is off and the ac power adapter does not provide power to the monitor even when all connections are intact, the monitor’s input power fuse may need to be replaced. This proce...

Directions for Use Maintenance 85 Install printer paper 1. Lay the monitor on its back to gain access to the bottom of the printer. 2. Squeeze the locks on the paper door and pull out to open it. 3. Lift the paper roll from the holder and pull out any paper remaining in the printer. 4. Place the new...

86 Maintenance Welch Allyn Propaq CS Vital Signs Monitor Inspect and clean the monitor and accessories Before cleaning, thoroughly inspect the monitor and all accessories for any signs of damage, cracks, or improper mechanical function of keypads, switches, connectors, and printer paper door. While ...

Directions for Use Maintenance 87 Service interval recommendations At the intervals recommended below, qualified biomedical service personnel should service the Propaq CS monitor. Service information is described in Propaq CS Service Manual (810-2708-XX). Recycling monitor components Within the Euro...

88 Maintenance Welch Allyn Propaq CS Vital Signs Monitor Extended storage precautions Removing the battery will erase all stored Custom patient mode settings. See “Customize Patient Mode settings” on page 20 to reprogram Custom patient mode settings. Change the Wireless Propaq CS network name This p...

8 91 Reference Set the time and date 1. From the Main Menu press SETUP , MORE , MORE to display the Time/Day window: 2. Press NEXT , UP , and DOWN as needed to set the time and date. Then press ENTER to store the new time and date. Time/Day settings and trends When you change the hour/minute/second ...

92 Reference Welch Allyn Propaq CS Vital Signs Monitor Change the date format, ECG filter, and units 1. Make sure you are in the Adult patient mode (from the Main Menu press SETUP , MORE , CHANGE , ADULT , YES ). 2. From the Main Menu press SETUP , MORE , MORE , SERVICE , YES (to access the Service ...

Directions for Use Reference 93 Factory default settings The monitor is shipped from the factory with these preset default settings. For information about how to customize your monitor settings, see “Change Powerup Patient Mode or store customized settings” on page 19. Setting Factory default Date a...

Directions for Use Reference 95 Specifications ECG specifications The ECG channel meets all the requirements for Cardiac Monitors Heart Rate Meters and Alarms specified ANSI/AAMI EC13-1992, except for Standardizing Voltage (section 3.2.9.9). The channel also meets the American National Standard, Saf...

98 Reference Welch Allyn Propaq CS Vital Signs Monitor Invasive pressure specifications Characteristic Specification Transducer Type Strain-gauge resistive bridge, or HP quartz (with HP Option). a a. Transducers with 40 µV/V/mmHg sensitivity are not compatible. Transducer Excitation Impedance Range ...

Directions for Use Reference 99 NIBP specifications Characteristic Specification Method Oscillometric Control Automatic and manual measurement control Auto Intervals 1, 2, 3, 5, 10, 15, 30, and 60 minutes Turbocuf Maximum measurements allowable in a 5-minute period Displayed Pressures Systolic, Dias...

100 Reference Welch Allyn Propaq CS Vital Signs Monitor Temperature specifications Characteristic Specification Range 0° to +50°C; 32° to +122°F Displays T1, T2, and Δ T Probes Compatible with YSI Series 400 and 700 probes. HP side panel only compatible with YSI 400 and has HP connector. Units °C an...

108 Reference Welch Allyn Propaq CS Vital Signs Monitor Wireless Propaq CS Radio specifications (5 GHz) Channel restrictions in the 5-GHz band, by country, are as follows: Characteristic Specification FlexNet™ Network 5 GHz orthogonal frequency division multiplexing (OFDM) wireless local area networ...

Directions for Use Reference 111 Printer specifications Characteristic Specification Operation Operating Modes Continuous, Snapshot, Auto Print, Auto Trend, Tabular Trend, Alarm Print, NIBP Ticket, Apnea Ticket, OxyCRG, OxyCRG on Alarm Auto Print Intervals 15 min, 30 min, 1 hour, 2 hours, 4 hours Au...

112 Reference Welch Allyn Propaq CS Vital Signs Monitor Power Specifications Characteristic Specification Mode of Operation Continuous Battery Pack Type Sealed, gel-type lead acid Battery Pack Capacity Monitor only: 8 V, 2.7 Ampere-Hours; Monitor with Expansion Modules: 8 V, 5.4 Ampere-Hours Battery...

Directions for Use Reference 113 Power Adapter Specifications Characteristic Specification Protection classifications, all adapters a b a. Per EN 60601-1 unless otherwise stated. b. See Welch Allyn Products and Accessories for model numbers. Type of Protection Against Electric Shock Class I, (Protec...

9 115 Compliance General The 802.11a Wireless PC Card must be installed and used in strict accordance with the manufacturer’s instructions as described in the user documentation that comes with the product. This product contains encryption. It is unlawful to export out of the U.S. without obtaining ...

116 Chapter 9 Compliance Welch Allyn Micropaq Monitor substitution or attachment of connecting cables and equipment other than specified by Welch Allyn. The correction of interference caused by such unauthorized modification, substitution or attachment will be the responsibility of the user. Industr...

Directions for Use Chapter 9 Compliance 117 Electromagnetic compatibility Special precautions concerning electromagnetic compatibility (EMC) must be taken for all medical electrical equipment. The Propaq CS monitor complies with IEC EN 60601-1-2:2001. • All medical electrical equipment must be insta...

121 Index A Access points , 72 AC Power Adapter Change fuses , 83 Change voltage selection , 83 Connect to monitor , 81 AC power adapter, specifications , 113 AC power filter for ECG , 26 Acuity , 72 Connector , 7 Connect the monitor to Acuity , 75 Disconnect the monitor , 76 Warnings , 75 Acuity ne...