Welch Allyn 8.1x - Manual

Directions for use Chapter 1 General information 3 General warnings and cautions Warnings Related to system components and configuration 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 voi...

Directions for use Chapter 1 General information 5 Related to monitoring interruption Cautions WARNING If you view an Acuity System display remotely and its primary Acuity System fails, you lose all access to the remote display. Monitoring a patient at an Auto-Open Secondary (AOS) or Patient List Re...

6 Chapter 1 General information Welch Allyn Acuity Central Monitoring System Acuity System compliance with safety standards The CE Mark and Notified Body Registration Number signify that the product meets all essential requirements of European Medical Device Directive 93/42/EEC. Table 1. Acuity Syst...

Directions for use Chapter 1 General information 7 Related documents Acuity and Mobile Acuity LT Central Monitoring Systems Directions for use Acuity and Mobile Acuity LT Central Monitoring Systems directions for use and in-ser vice guide CD-ROM (multilanguage) Acuity and Mobile Acuity LT Central Mo...

2 9 Acuity System overview System configurations The Acuity System consists of an Acuity Central Station that receives, displays and analyzes information from various wireless and hardwired monitoring devices. Mobile Acuity LT Central Stations are laptop computers. Some Acuity Systems can send patie...

10 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System Diagram of the System A. Hallway message panel Optional panels, located throughout a unit, visually indicate alarms and some alerts. B. Welch Allyn 1500 Patient Monitor Hardwired, full-featured monitors with 12-lead ECG...

Directions for use Chapter 2 Acuity System overview 11 Networked Acuity System features Networked Acuity Systems include various features. This section presents these network features: • Remote Patient List Review (PLR) station • Paired system CPUs (high-availability pairs) Remote Patient List Revie...

16 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System Central station screen Depending upon the selected screen view, the Acuity Central Station screen can include these areas: • Map area • Virtual Monitor • Utility space • Waveform Windows area Note Depending upon the def...

18 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System System screen views You can change the screen view of the Acuity Central Station display by clicking these buttons along the top left of the Acuity Central Station screen. Your system includes some or all of these choic...

Directions for use Chapter 2 Acuity System overview 19 System buttons The system buttons in the lower left corner of the Acuity Central Station screen provide quick access to frequently used system-wide functions. The Patient List button opens the Patient List window, which enables you to preadmit, ...

20 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System Central station map and status icons Your system includes a map that is similar to one of these examples. An Acuity Central Station map shows status icons for these things: • System components • Each patient monitor (an...

22 Chapter 2 Acuity System overview Welch Allyn Acuity Central Monitoring System Waveform Window A Waveform Window is an abbreviated Virtual Monitor. To open a patient’s Waveform Window • On the Acuity Central Station screen map, click the patient’s map icon. A. Alarm limits Alarm limit settings B. ...

Directions for use Chapter 2 Acuity System overview 23 Virtual Monitor An Acuity System Virtual Monitor represents a patient monitor and the information obtained from the monitor. The appearance and button sequences can differ from the actual patient monitor. Options or monitor functions that are no...

3 25 Admit and begin monitoring Preadmit a patient to Acuity System monitoring If you know a patient’s ID number before the patient is admitted, you can save time that would be spent later by preadmitting the patient at the Acuity Central Station. When a preadmitted patient arrives: • If the patient...

Directions for use Chapter 3 Admit and begin monitoring 27 Readmit a discharged patient You can readmit a patient to the Acuity System if the patient’s name still remains in the Patient List. If a patient has been discharged from the Acuity System, but the system still holds the patient’s data, the ...

28 Chapter 3 Admit and begin monitoring Welch Allyn Acuity Central Monitoring System Begin patient monitor communication with the system For information about patient monitors that are part of your Acuity System but are not shown in this chapter, consult the patient monitor manufacturer’s literature...

32 Chapter 3 Admit and begin monitoring Welch Allyn Acuity Central Monitoring System Start communication between a wireless monitor and the system For information about patient monitors that are part of your Acuity System but are not shown in this chapter, consult the patient monitor manufacturer’s ...

34 Chapter 3 Admit and begin monitoring Welch Allyn Acuity Central Monitoring System Propaq LT monitor To start Propaq LT monitor communication with the Acuity System and connect the patient to the monitor 1. Use a Propaq LT monitor that is designated for use within the Acuity System network in whic...

36 Chapter 3 Admit and begin monitoring Welch Allyn Acuity Central Monitoring System Wireless Propaq CS monitor To start wireless Propaq CS monitor communication with the system 1. Use a Propaq CS monitor that is designated for use within the Acuity System network in which the patient will be monito...

38 Chapter 3 Admit and begin monitoring Welch Allyn Acuity Central Monitoring System Important considerations: connecting a monitor to the Acuity System Related to specific patient populations Related to wireless monitoring Related to hardwired monitoring Related to trends and alarm limits WARNING A...

Directions for use Chapter 3 Admit and begin monitoring 39 Related to leads, cables and the ECG display WARNING Ensure that the Acuity System network cable is neither damaged nor broken. An Acuity System cable is the sole link between a hardwired monitor and an Acuity System. WARNING Always replace ...

4 43 Adjust monitoring settings and patient information Set up typical monitoring at the Virtual Monitor This table presents typical monitoring functions that you can set up at the Acuity Central Station using the Virtual Monitor. Table 2. Typical monitoring functions at the Virtual Monitor NIBP and...

46 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Adjust a patient’s alarm limits In the Alarms Setup window, you can adjust a patient’s alarm limits individually or as a group. To adjust a patient’s alarm limits 1. In the patient’s Virtual ...

Directions for use Chapter 4 Adjust monitoring settings and patient information 47 Important considerations: adjusting alarm limits WARNING Patients for whom alarming has been turned off must be kept under close physical surveillance. Turning off alarming disables both audio and visual alarm indicat...

48 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Adjust general printing settings This section presents information about these tasks: • Setting preferences for a patient’s Acuity Central Station vital-signs printouts. • Coordinating printe...

Directions for use Chapter 4 Adjust monitoring settings and patient information 49 Adjust preferences for a patient’s central station printouts This section presents the Printouts Setup window, in which you can specify details regarding automatic central station printouts. To adjust preferences for ...

50 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Coordinate system print jobs and central station printers This section presents the Acuity Central Station Printer window, from which you can coordinate printers and pending print jobs for th...

Directions for use Chapter 4 Adjust monitoring settings and patient information 51 Adjust a patient’s waveform displays You can select waveforms for display in a patient’s Virtual Monitor and Waveform Window. To adjust waveform displays for a patient’s Virtual Monitor You can select or deselect up t...

52 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Arrhythmia Analysis option The Acuity System Arrhythmia Analysis module analyzes patient ECG data to detect specific changes in cardiac rhythms. The system uses up to three ECG leads to detec...

54 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Arrhythmia event definitions The Acuity System Arrhythmia Analysis module is not an atrial arrhythmia analysis package. Depending upon which arrhythmia analysis option that your Acuity System...

Directions for use Chapter 4 Adjust monitoring settings and patient information 55 Lethal Arrhythmia Analysis option: events detected Table 4. Definitions of lethal arrhythmia events a a. Alarming for lethal arrhythmias cannot be turned off. Arrhythmia event and definition Waveform example VFib b (v...

56 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Full Arrhythmia Analysis option: additional events detected Table 5. Full Arrhythmia Analysis option: events detected in addition to lethal events Arrhythmia event and definition Waveform exa...

58 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Open an Arrhythmia Alarms Setup window In the Arrhythmia Alarms Setup window, you can adjust some or all these preferences for a patient, depending on your Arrhythmia Analysis option: • Turn ...

60 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Adjust a patient’s arrhythmia alarm limits To adjust a patient’s arrhythmia alarm limits 1. In the patient’s Virtual Monitor, click Setup , Arrhythmia Alarms . 2. Set alarm limits in one of t...

Directions for use Chapter 4 Adjust monitoring settings and patient information 61 Adjust preferences for a patient’s arrhythmia alarming To adjust preferences for a patient’s arrhythmia alarming 1. In the patient’s Virtual Monitor, click Setup , Arrhythmia Alarms . 2. Adjust preferences for alarmin...

Directions for use Chapter 4 Adjust monitoring settings and patient information 63 Initiate relearn of a patient’s ECG rhythm Description of the relearn function Relearn is an Arrhythmia Analysis function that causes the Acuity system to relearn a patient’s normal ECG rhythm. The Acuity System uses ...

66 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Important considerations: Arrhythmia Analysis Related to Arrhythmia Analysis options, patient populations and patient surveillance Related to patient monitor heart rate indications WARNING Th...

Directions for use Chapter 4 Adjust monitoring settings and patient information 67 Related to electrodes, leads and ECG display WARNING If your system includes arrhythmia analysis, and if you connect, change or move an electrode, ensure that a RELEARN alert occurs at the patient monitor and the virt...

68 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System ST Analysis option The Acuity System ST Analysis option analyzes the ST segment of current ECG beats relative to the ST segment of a reference beat. Specifically, the system reports mm or mV ...

Directions for use Chapter 4 Adjust monitoring settings and patient information 69 Examine the ST Analysis Setup window The ST Analysis Setup windows in this section are shown in alarm. To open an ST Analysis Setup window • In the patient’s Virtual Monitor, click Setup , ST Analysis . The ST Analysi...

Directions for use Chapter 4 Adjust monitoring settings and patient information 71 Turn on or off ST analysis To turn on or off ST analysis 1. In the patient’s Virtual Monitor, click Setup , ST Analysis . The ST Analysis Setup window appears. 2. Click On or Off in the ST Analysis area. WARNING If a ...

72 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System View current beats and ST-segment deviation values To view current beats and ST-segment deviation values 1. In the patient’s Virtual Monitor, click Setup , ST Analysis . The ST Analysis Setup...

Directions for use Chapter 4 Adjust monitoring settings and patient information 73 Set analysis preferences for a patient’s ST analysis To set analysis preferences for ST analysis 1. In the patient’s Virtual Monitor, click Setup , ST Analysis . The ST Analysis Setup window appears. 2. Leads: In the ...

74 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Set alarm preferences for ST Analysis To set ST analysis alarm preferences 1. In the patient’s Virtual Monitor, click Setup , ST Analysis . The ST Analysis Setup window appears. 2. Set alarm ...

Directions for use Chapter 4 Adjust monitoring settings and patient information 75 Initiate a relearn of a patient’s reference beats for ST analysis Description of the Relearn function Arrhythmia and ST relearn is an Arrhythmia Analysis function that causes the Acuity system to relearn a patient’s n...

Directions for use Chapter 4 Adjust monitoring settings and patient information 77 Important considerations: ST Analysis WARNING Before you set customized alarm limits for a patient, confirm the patient’s ID and room number. Other wise, customized limits might be lost. WARNING Do not use the Arrhyth...

Directions for use Chapter 4 Adjust monitoring settings and patient information 79 Edit patient information You can revise information within the Acuity System as follows: • Edit a patient name • Edit clinical information • Edit a patient ID (Add an amended patient ID) • Add a note to a patient’s Wa...

80 Chapter 4 Adjust monitoring settings and patient information Welch Allyn Acuity Central Monitoring System Edit a patient ID number: add an amended (revised) patient ID Once a patient ID number is confirmed, it cannot be changed. However, if your Acuity System includes the amended ID feature, you ...

Directions for use Chapter 4 Adjust monitoring settings and patient information 81 Add or remove a note in a patient’s Waveform Window If you would like to attach a note or reminder to a patient’s Waveform Window, such as when the patient temporarily moves to another location, you can enter the info...

5 83 Respond to alarms and alerts Overview of central station alarm and alert indications • Alarms indicate patient vital-sign violations by showing red window borders, icons and vital-sign highlights. All alarms are associated with audible tones. • Alerts indicate equipment problems or low-level pa...

84 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Suspend an audible alarm or alert tone for 90 seconds All patient alarms and some alerts are associated with tones (for details, see Table 6 on page 94). You can silence tones temporarily from these places: • Acui...

Directions for use Chapter 5 Respond to alarms and alerts 85 Important considerations: suspending an audible alarm or alert tone Related to indications Related to heart rate (HR) and arrhythmia alarms Related to NIBP alarms WARNING During an alarm or alert suspension period, be aware of new visual a...

86 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Remove a latched arrhythmia alarm If your Acuity System is configured to allow latched alarms, indications for certain arrhythmia alarms remain (or latch) in the Waveform Window, even after the alarm condition has...

Directions for use Chapter 5 Respond to alarms and alerts 87 Respond to specific alarms and alerts This section describes a few of the Acuity System alarms and alerts and how to respond to them. Respond to a DROPOUT alert When there is a loss of bi-directional communication between a wireless monito...

88 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Dismiss a CHECK PATIENT HR/PR alert A patient monitor uses a single lead to calculate heart rate, and an Acuity System with an Arrhythmia Analysis option uses more sophisticated arrhythmia analysis algorithms. Thu...

Directions for use Chapter 5 Respond to alarms and alerts 89 Dismiss an arrhythmia or ST alarm message When you suspend an arrhythmia or ST alarm, the audible alarm tone is suspended for 90 seconds as usual. However, the Acuity System Virtual Monitor displays a visual message to call attention to th...

90 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Respond to a RELEARN alert WARNING In Acuity Systems that include an Arrhythmia option, a relearn function causes the system to relearn a patient's normal ECG rhythm. If the system learns an abnormal rhythm or lea...

92 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Respond to a CHECK LEADS alert The visual CHECK LEADS alert appears when the number of PVCs exceeds the normal ranges of PVC activity. The alert remains for a brief period. To respond to a CHECK LEADS alert 1. Ver...

Directions for use Chapter 5 Respond to alarms and alerts 93 Respond to an arrhythmia NOISE alert The visual NOISE alert occurs when the Acuity System can’t analyze arrhythmia because of excessive electrical noise. The Acuity System invalidates individual noisy leads and then re-validates them when ...

94 Chapter 5 Respond to alarms and alerts Welch Allyn Acuity Central Monitoring System Summary of Acuity System alarm and alert levels Alarm and alert levels determine which alarms or alerts are indicated if multiple alarms or alerts occur for a patient. This table shows a summary of alarm and alert...

6 95 Review or print patient data Review patient data If your Acuity System includes the Full Disclosure option, waveforms and trend information for all patients are stored for a configurable period, up to 96 hours. Locate patient data This section describes how to locate data for a patient in any u...

Directions for use Chapter 6 Review or print patient data 97 Review graphical trends In the Graphical Trends Review window, you can review and print data in these ways: • Scroll graphical trend data for up to five vital signs at once. • Locate red alarm periods along the trend graphs. • View event m...

98 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Adjust the graphical trends display and locate events To adjust the time period shown in the graphs area of the window 1. Under Time Span, click a button. Time markers show along the top of the graphs area. 2. Cli...

Directions for use Chapter 6 Review or print patient data 99 Review tabular trends and events In the Tabular Trends and Events Review window, you can review and print trends in these ways: • View vital-sign values and alarm events in a tabular format, at various intervals. • Click events in the list...

100 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Adjust the content of the tabular list To adjust the time period covered in the tabular list 1. Click a number under the time line to adjust the line’s scope, in hours. 2. On the time line, click an area in which...

Directions for use Chapter 6 Review or print patient data 101 Adjust the waveform display To display waveform(s) that correspond to a trend or event in the tabular list 1. In the list, locate a trend or event in which you are interested. 2. Click the trend or event. The corresponding waveform(s) app...

102 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Review waveforms (Full Disclosure option) In the Waveforms Review window, you can review and print the waveforms in these ways: • Scroll up to five vital-sign waveforms at once. • (Arrhythmia option) View normal ...

Directions for use Chapter 6 Review or print patient data 103 Display waveforms and events To select and adjust waveforms 1. Check up to five boxes to display waveforms for corresponding vital-signs and ECG lead sources. If the patient monitor includes SpO 2 Signal IQ detection and you check SpO 2 ,...

Directions for use Chapter 6 Review or print patient data 105 Review arrhythmia events (Arrhythmia Analysis option) In the Arrhythmia Events Review window, you can review and print arrhythmia events in these ways: • List arrhythmia events and event counts, by type. • Review ECG waveforms associated ...

106 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Open an Arrhythmia Events Review window To open an Arrhythmia Events Review window 1. Open the window for one of these types of patients: • Current patient in local unit: In the patient’s Waveform Window, click ....

Directions for use Chapter 6 Review or print patient data 107 Adjust the content of both list sections To adjust the time period covered in both list sections 1. Click a number under the time line to adjust the line’s scope, in hours. 2. On the time line, click an area in which you are interested. E...

110 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Review ST analysis information This section explains how to review ST analysis review information. In the ST Analysis Setup window, you can do these things: • View current beats for specific leads • View current ...

Directions for use Chapter 6 Review or print patient data 111 Review OxyCRG information (Full Disclosure option) In the OxyCRG review window, you can review and print oxygen cardiorespirogram information in these ways: • Scroll respiration and CO 2 waveforms and graphical trend data for HR/PR and Sp...

112 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Adjust the OxyCRG display and locate alarms . To adjust the time period shown in the display area of the window 1. Under Time Span, click a button. Time markers show along the top of the graphs area. 2. Click on ...

Directions for use Chapter 6 Review or print patient data 113 Print and review printouts The Acuity System includes five types of printouts: • Snapshot printouts • Review printouts • Alarm printouts • Patient List printouts • 12-Lead printouts Snapshot printouts Snapshot printouts provide an instant...

114 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Print a Snapshot printout on demand To print a snapshot from a Waveform Window • Bring your pointer into the window and click PRINT , or click anywhere in the Waveform Area. A printout occurs at the Acuity System...

Directions for use Chapter 6 Review or print patient data 115 Review printouts Review printouts capture information shown in a current or non-monitored patient’s review window. Information in a review printout • The information displayed in a review window • Information formatted uniquely for each t...

116 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Read a review printout To read a review printout A. Type of printout The title of the review printout B. Number of deleted events Number of arrhythmia events that were deleted in the Arrhythmia Events Review wind...

Directions for use Chapter 6 Review or print patient data 117 Alarm printouts If Print on Alarm is set for a patient’s parameter and the parameter alarms, an alarm print occurs at the central station. Information in an alarm printout • Fourteen seconds before an alarm and seven seconds after an alar...

118 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System Review an alarm printout A. Patient name appears if patient is confirmed in the Acuity System. B. indicates that this patient is monitored by a wireless monitor. C. The type of printout D. A three-second interval...

Directions for use Chapter 6 Review or print patient data 119 Patient List printouts You can print lists of patients in your unit. If your system is part of an Acuity System network, you can print lists of patients in any units within the network. Types of Patient List printouts • Preadmitted patien...

120 Chapter 6 Review or print patient data Welch Allyn Acuity Central Monitoring System 12-lead printouts You can perform 12-lead ECG interpretation and create printouts through the Welch Allyn 1500 Patient Monitor. Types of 12-lead printouts • Average beats, 3x4 plus rhythm strip • Average beats, 6...

Directions for use Chapter 6 Review or print patient data 121 Review a 12-lead report A. Patient information appears if patient is confirmed in the Acuity System. This data includes extended demographics such as date of birth, height, weight, gender, ethnicity, and other measurements. B. Print infor...

7 123 Move a monitored patient You can move a monitored patient in these ways: • Move a patient and monitor to a new room within the unit or transfer to a new unit within the same Acuity System network. • Move a patient to a different monitor anywhere within the same Acuity System network. If the pa...

124 Chapter 7 Move a monitored patient Welch Allyn Acuity Central Monitoring System Arrange a patient move from the Acuity Central Station If you want to arrange a patient transfer to another unit, you must do so in the unit from which the patient is transferring. To arrange a patient move from the ...

Directions for use Chapter 7 Move a monitored patient 125 Move patients and their hardwired monitors To disconnect, move and reconnect a hardwired monitor to a new network connector Throughout this procedure and the move, leave the monitor turned on. 1. On a Propaq CS monitor: Press NET OFF in the t...

Directions for use Chapter 7 Move a monitored patient 127 Move patients and their wireless monitors Arrange a patient move from the patient monitor To arrange a patient move from a Micropaq monitor 1. Press to highlight ACUITY , and then press to select it. 2. Take one of these steps: • Select NEW R...

Directions for use Chapter 7 Move a monitored patient 129 Move the patient to a different monitor You can move patients who are connected to hardwired or wireless monitors to different monitors within the same Acuity System network. Move a patient from a hardwired monitor to a different monitor 1. O...

8 131 Discontinue Acuity System monitoring Stop monitoring a patient You can either temporarily interrupt or permanently stop patient monitoring. For information about patient monitors that are part of your Acuity System but are not shown in this chapter, consult the patient monitor manufacturer’s l...

Directions for use Chapter 8 Discontinue Acuity System monitoring 133 Permanently stop monitoring To permanently stop monitoring a patient 1. From the monitor’s Main Menu, take these steps. For Propaq CS and Encore monitors: a. In the top left or right corner of the monitor, press NET OFF . The moni...

134 Chapter 8 Discontinue Acuity System monitoring Welch Allyn Acuity Central Monitoring System Discharge a patient from Acuity System monitoring A patient’s waveform and trend information is available for review and printing for 24 to 96 hours after Acuity System monitoring has stopped for the pati...

9 135 Status icons Status icon colors The color of a status icon conveys the status of the patient, patient monitor or Central Station component that the icon represents. Table 7. Colors of Acuity System status icons Icon color Meaning of icon color Gray Acuity System is not receiving patient inform...

136 Chapter 9 Status icons Welch Allyn Acuity Central Monitoring System Patient/monitor status icons Patient/Monitor status icons show status and act as buttons to open patient Virtual Monitors and Waveform Windows. Locations of patient/monitor status icons Patient/monitor status icons appear on the...

Directions for use Chapter 9 Status icons 137 Patient/monitor status icons and recommended action This table illustrates these things about patient/monitor status icons: • Display priority • Location on the central station map • Messages at the top of the Acuity Central Station screen • Messages in ...

Directions for use Chapter 9 Status icons 143 System component status icons Acuity System component icons do these things: • Show component status • Open Central Station windows (some icons) Locations of system component icons These icons appear in two places on the Acuity System map: • At the Acuit...

144 Chapter 9 Status icons Welch Allyn Acuity Central Monitoring System System component status icons and recommended action This table illustrates these things about system component status icons: • Display priority • Location on the central station map • Messages at the top of the Acuity Central S...

10 147 Troubleshooting and maintenance Contact information If you are unable to find the answer to a question, or if you encounter a problem that cannot be corrected by ordinary operating procedures described in this manual, please contact Welch Allyn Technical Ser vices: Contents Troubleshooting Ce...

148 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Troubleshooting Central station displays Table 10. Troubleshooting the central station display Problem Explanation One or more of the Acuity Central Station screens are blank or frozen, or some Virtual Monito...

Directions for use Chapter 10 Troubleshooting and maintenance 149 Connection, patient room and patient ID A menu that I do not recognize appears on the Acuity Central Station screen. Acuity System Engineering menus are large, gray menus with only a password entry line enabled: they appear along the ...

150 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Equipment alerts Table 12. Troubleshooting equipment alerts Problem Explanation When I connect a monitor to the Acuity System, a Communication Alert message occurs. Only monitors with Acuity System network co...

Directions for use Chapter 10 Troubleshooting and maintenance 151 Alarm limits A Cuff Not Detected or a No Pulses Detected equipment alert is occurring at both the patient monitor and Virtual Monitor, but NIBP is not being monitored. This condition usually occurs for one of these reasons: • The moni...

152 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Patient alarm indications Table 14. Troubleshooting patient alarm indications Problem Explanation False arrhythmia alarms are occurring because of a patient’s abnormal beat morphology. The Acuity System analy...

Directions for use Chapter 10 Troubleshooting and maintenance 155 Heart rate and ECG displays Table 15. Troubleshooting heart rate and ECG displays Problem Explanation Heart rate values on the patient monitor differ from HR values at the Acuity Central Station. or --- appears instead of the HR/PR nu...

Directions for use Chapter 10 Troubleshooting and maintenance 157 Arrhythmia Analysis and ST Analysis Table 17. Troubleshooting arrhythmia and ST-segment analyses Problem Explanation Arrhythmia analysis or ST analysis does not seem to be optimal. WARNING Ensure these things to minimize false HR, Arr...

Directions for use Chapter 10 Troubleshooting and maintenance 159 Printing Table 18. Troubleshooting printing Problem Explanation There is a delay in the Virtual Monitor or Waveform Window data display when a printout takes place. Is any data lost? No data is lost. In snapshots or alarm prints, some...

160 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Maintenance Adjust Acuity System time If your facility had an internet server available at the time of Acuity System installation, Welch Allyn encouraged you to synchronize the Acuity System clock to a networ...

Directions for use Chapter 10 Troubleshooting and maintenance 161 Identify or change a monitor’s network name (ESSID) This section describes how to identify or change the extended service set identifier (ESSID) for each type of wireless patient monitor that can connect to an Acuity System wireless l...

162 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Identify or change a Micropaq monitor network name To identify a Micropaq monitor network name 1. Press to highlight SYSTEM INFORMATION , and then press . The System Information menu appears. 2. Press to high...

Directions for use Chapter 10 Troubleshooting and maintenance 163 Identify or change a Propaq LT monitor network name To identify a Propaq LT monitor network name and prepare to change it (if desired) 1. Highlight SpO2 , and then press . 2. Highlight Setup , and then press . The Setup menu appears. ...

164 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Identify or change a Wireless Propaq CS network name To identify a wireless Propaq CS monitor network name and prepare to change it (if desired) 1. Touch , SETUP , MORE , MORE , SERVICE , YES , MORE , MORE , ...

Directions for use Chapter 10 Troubleshooting and maintenance 165 Mobile Acuity LT Systems: Adjust localization parameters If your Acuity System is a mobile (laptop computer) system, you can adjust these system parameters. • Time zone • Acuity System language • Amended ID • Micropaq monitor language...

166 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Power outages An Acuity System can include an uninterruptible power supply (UPS). If the building power fails, the UPS provides power until backup generators can supply power. If your building does not have a...

Directions for use Chapter 10 Troubleshooting and maintenance 169 Periodically check equipment for safety The Acuity System network cable Regularly inspect network cables, and replace them once every 12 months. Discard all cables that have been in use for a year or longer. To inspect Acuity System n...

170 Chapter 10 Troubleshooting and maintenance Welch Allyn Acuity Central Monitoring System Equipment disposal Acuity Central Monitoring System Uninterruptible power supply (UPS) battery When the UPS battery has reached the end of its life, you can return it to the UPS manufacturer for service or re...

11 171 Specifications Monitor/Acuity System compatibility General system monitoring capabilities Table 19. Patient monitor/Acuity System compatibility Patient monitor Acuity System Micropaq monitor, 1.3 software or higher Propaq CS monitor, 3.0 software or higher Propaq LT monitor 1.00.01 software o...

Directions for use Chapter 11 Specifications 173 Acuity System heart rate Table 22. Acuity System heart rate calculation Acuity System configuration Method of HR calculation Acuity System with Arrhythmia Analysis module Acuity Central Station display is determined by Acuity System Arrhythmia Analysi...

174 Chapter 11 Specifications Welch Allyn Acuity Central Monitoring System Acuity System pacemaker detection Table 24. Pacemaker detection with the Acuity System Arrhythmia Analysis module Monitor Characteristic Specification Micropaq Acuity System Virtual Monitor Pacer indicator shown on screen if ...

Directions for use Chapter 11 Specifications 175 Acuity System alarm and alert indications Table 25. General Acuity System alarm and alert indications Feature Specification Numeric update time after Acuity System receives alarm indication from a patient’s monitor Within 1 s Acuity Central Station to...

180 Chapter 11 Specifications Welch Allyn Acuity Central Monitoring System Electromagnetic standards compliance The Acuity Central Monitoring System complies with all applicable and required standards for electromagnetic interference. • It does not normally affect nearby equipment and devices. • It ...

184 Chapter 11 Specifications Welch Allyn Acuity Central Monitoring System Acuity System customizable defaults and factory defaults Acuity System default settings appear in Acuity System windows upon patient monitor connection, when a patient’s window is first opened. There are two types of Acuity S...

Directions for use Chapter 11 Specifications 185 Virtual Monitor and Waveform Window Table 32. Virtual Monitor Features Customizable default Factory default Virtual Monitor auto open In map view and full screen review view: • Upon patient’s monitor connection to Acuity System if empty window • Upon ...

186 Chapter 11 Specifications Welch Allyn Acuity Central Monitoring System Setup windows Heart rate (HR) For patients being monitored for arrhythmias, the HR value is derived from the arrhythmia library instead of from the patient monitor. Table 33. Waveform Window Features Factory default Waveform ...

Directions for use Chapter 11 Specifications 191 Review windows Table 39. Review window — Graphical Trends Features Customizable default Factory default Frequency of trend data sampling and storage by Acuity System Sampled and stored once per second Frequency of patient monitor data storage and tran...

197 Warranty LIMITED WARRANTY: ACUITY CENTRAL MONITORING SYSTEM AND ACCESSORIES 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 purchase of this product directly from Welch Allyn or...

199 Index A Access point, ethernet 10Acuity System adjust time 160Central Station 10Central Station screen 16compatibility with monitors 171components 10components, don’t change 3components, inspect 169discontinue monitoring 131documents 7general information 1heart rate calculation 173if inoperable ...