Welch Allyn FN802FH Propaq 802 LTRN User Manual part 3 of 10

Welch Allyn, Inc. Propaq 802 LTRN Users Manual part 3 of 10

Users Manual part 3 of 10

213Overview of Monitor OperationTurning On the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13Selecting a Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15About the Charging/Communications Cradle . . . . . . . . . . . . . . . . . . . . . . . . . . .16Displaying Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19About Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34About Monitor Information Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39Using Demo Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41Power Saving . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45Turning Off the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45Communicating with an Acuity Central Station . . . . . . . . . . . . . . . . . . . . . . . . . .45About Error Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45Transporting the Monitor with the Patient. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46Turning On the MonitorTo Turn On the MonitorPress and hold until a tone sounds. 1. A tone sounds as the green, yellow, and red lights turn on and off. This occurs twice.2. The splash screen appears (Figure 6), identifying the product and displaying the message “Diagnostics in progress”. The green light turns on and off quickly while the low tone sounds, the yellow light turns on and off quickly while the medium tone sounds, and the red light turns on and off quickly while the loud tone sounds.Note The monitor runs through an operational self-test each time it is powered up. Always verify that it follows this power-up sequence. If it does not, remove it from service and have it examined by a qualified service person.Note When step 2 completes as described, the monitor has verified that the visual and audible alarm indicators are working properly.
14 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs MonitorFigure 6. Splash Screen3. The splash screen is replaced by a power-on screen (Figure 7):Figure 7. Power-Up ScreensTo start monitoring from this point, see “Standalone Monitoring” on page 49. To practice using the monitor, see “Using Demo Mode” on page 41.Application Version 1.00.00Application Version 1.00.00Bootcore Version 1.00.00Bootcore Version 1.00.00PropaqPropaq® LT LTDiagnostics in progressDiagnostics in progressWelch Allyn 2005Welch Allyn 2005cSelect ( ) to Start a New Patient.Select ( ) to Start a New Patient.No data saved.No data saved.Start New PatientStart New PatientInfoInfoDemoDemoPortland Westside HospitalPortland Westside HospitalEmergency DepartmentEmergency DepartmentSelect ( ) to delete dataSelect ( ) to delete dataand start a new patient.and start a new patient.Portland Westside HospitalPortland Westside HospitalEmergency DepartmentEmergency DepartmentNote!Note!There is patient data stored forThere is patient data stored forHall, Robert E. ID: 3456187Hall, Robert E. ID: 3456187Start New PatientStart New PatientContinue PatientContinue PatientInfoInfoDemoDemo
Directions for Use Overview of Monitor Operation 15Selecting a LanguageTo 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 , and before any screen appears, simultaneously press the up arrow and down arrow buttons ( and ). Keep the buttons pressed until the language selection screen appears (Figure 8).Figure 8. Language Selection Screen4. Use the arrow buttons ( , , , and ) to highlight the language you wish to use.5. Press .The monitor powers down and then powers up in the selected language. The monitor will always power up in this language until the setting is changed again. You can change the setting again only by one of the following:• Performing this procedure again.• Downloading a new configuration to the monitor. (See “Configuring the Monitor” on page 126).•Acuity.Note If you select French, HR/PR alarm limits cannot be turned off unless you go through the service menus to change this setting. If you do change this setting, the change stays in effect through power cycles.For information about using the service menus, refer to the Propaq LT Monitor Service Manual (810-1811-XX).EnglishEnglishDeutschDeutschFranç.Franç.EspañolEspañolItal.Ital.PolskiPolskiNederlNederlSvenskaSvenskaPortuguêsPortuguês
16 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs MonitorAbout the Charging/Communications CradleWhen the Charging/Communication Cradle (the cradle) is attached to AC (or to vehicle DC) power and the monitor is seated in the cradle (Figure 9), the cradle does the following: • Recharges the monitor battery, whether patient monitoring is occurring or not.• Powers the monitor, conserving the charge on the monitor battery.• (If the cradle has the USB data transfer option) enables data transfer between a PC and a monitor . See “About the USB Data Transfer Option” on page 17.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, attach to the bed rail (using the bed-rail hook), or hang from an IV pole (using the optional IV Pole Mount accessory).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 it can then run under 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.Figure 9. Monitor and CradleWARNING Never download a configuration file to the monitor while you are monitoring a patient with the monitor in the cradle. •Communication with the network (and Acuity) is interrupted if you download a configuration to the monitor or upload patient data from the monitor.•Changing the monitor configuration shuts down the monitor and deletes all patient data from the monitor.14040/7878808012129797%HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdult,Adult,Rm 239Rm 23 9HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2SpO22x2xII 1mV/cmII 1mV/cmCradleMonitor
Directions for Use Overview of Monitor Operation 17About the USB Data Transfer OptionA cradle configured with the optional USB communication port and connected to a PC with the Propaq LT Configuration Utility and the Propaq LT AutoPrint Utility can be used for the following:• Creating custom monitor configurations on the PC and downloading them to any number of monitors. (See “Monitor Configuration” on page 111.)• Uploading patient data from the monitor to the PC for printing. (See “Printing Patient Data” on page 103.)Setting Up the Cradle1. Place the cradle on a table or shelf, hang it on a bed rail, or attach it (with the optional Pole Mount accessory) to an IV pole. 2. Connect the AC adapter to an AC power outlet and to the cradle. The indicator (green) on the front of the cradle (Figure 10) indicates that the AC power adapter is connected.Figure 10. Cradle Status Indicators3. 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 159.)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. Note The monitor can be inserted into the cradle when 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.14040/7878808012129797%HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdult,Adult,Rm 239Rm 23 9HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2SpO22x2xII 1mV/cmII 1mV/cmGreen AC power connectedGreen Monitor battery chargingYellow Battery or charger failed (service required)Monitor not properly seated in the cradle
18 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs MonitorRemoving the Monitor from the CradleTo remove the monitor, depress the release button on the front of the cradle (Figure 11). With the button depressed, hold the cradle securely with one hand, grasp the monitor firmly with the other hand, and lift the monitor out. Figure 11. Monitor Release Button14040/7878808012129797%HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdult,Adult,Rm 239Rm 23 9HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2SpO22x2xII 1mV/cmII 1mV/cmMonitor release button
Directions for Use Overview of Monitor Operation 19Displaying DataPatient vital signs appear on the 3.5-inch (diagonal measurement) monitor display (Figure 12) and optionally on the Large Color Display screen. Figure 12. Components of the Vital-Signs Display (A)01Patient name (if available)2Waveform source3Waveform display scale4Patient ID (if available)5Connection status icon(blank) Connectivity not enabled.The monitor is communicating via USB cable with a PC. (Wireless monitor only, Acuity enabled.)The monitor is communicating with the network and with Acuity.(Wireless monitor only, Acuity enabled.)Flashing — the monitor is communicating with the network but not with Acuity.(Wireless monitor only, Acuity enabled.)Steady — the monitor is not communicating with the network.(Wireless monitor only, Acuity enabled).6Time of day7Patient room number8Patient mode (Adult, Pediatric, Neonate)140/78140/78808012129797 %HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2SpO22x2x II 1mV/cm II 1mV/cm123 4 5687
20 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs MonitorFigure 13. Components of the Vital-Signs Display (B)9Battery status (See Table 3, “Status Indicators” on page 3.)green partially to fully chargedyellow nearly dischargedred discharged; the monitor will shut down soon10 Color-coded waveforms, ECG Lead identifiers, and vital-signs numericsGreenCyanPurpleYellowECG and HR/PRNIBPRespSpO211 SpO2 pulse amplitude12 SpO2 numeric data13 Respiration rate numeric data14 NIBP numeric data15 HR (heart rate) is displayed if ECG is active. PR (pulse rate) is displayed if ECG is not active and SpO2 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? ? ? undetermined140/78140/78808012129797 %HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2SpO22x2x II 1mV/cm II 1mV/cm15 14 13 1211109
Directions for Use Overview of Monitor Operation 21About Display FormatsThe monitor can be configured to display any of these formats:Table 6. Display Formats Large NumericsBlood pressure, heart rate, respiration rate, and SpO2 measurements displayed in large numerics.Bell icons indicating...Left half Lower alarm limitRight half Upper alarm limitWhite Alarms enabledBlack Alarms disabledSingle Waveform• 3 seconds of one ECG or SpO2 signal or ...• 12 seconds of the Resp signal.Vital signs displayed in medium-sized numerics.Tabular TrendsCurrent vital signs displayed in small numerics.Historical vital signs displayed as a table.Dual Waveform• 6 seconds of an ECG or SpO2 signal or 24 seconds of the Resp signal or...• Any two of the following: 3 seconds of an ECG or SpO2 signal and 12 seconds of the Resp signal.Other vital signs displayed numerically.Tabular Trends with Single Waveform• 3 seconds of an ECG or SpO2 signal or...• 12 seconds of the Resp signal.Other vital signs displayed numerically.Historical vital signs displayed as a table.80809797140/78781212HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239NIBP mmHg (102) ManualNIBP mmHg (102) Manual2:47P2:47PResp/minResp/minHR/minHR/minSpO2SpO2%S D M%140/78140/78808012129797HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2 II 1mV/cm II 1mV/cm%12:4112:4112:4012:4012:3912:3912:3812:3812:3712:3712:3812:3812:3612:3612:3512:3512:3412:3412:3312:3312:3212:3212:3112:3112512512212210010075755050252510010050502525100100130/65 (93)130/65 (93)112/87 (87)112/87 (87)192/110 (130)192/110 (130)152/78 (115)152/78 (115)152/78 (115)152/78 (115)2222181816161717191919191919191919191919171798989898999999999898100100989898989898100100152/78 (115)152/78 (115)n/an/an/an/an/an/an/an/an/an/an/an/an/an/an/an/a1212SpO2SpO2SEARCHSEARCHHALL, ROBERT E.HALL, ROBERT E.3456187345618712:41:3212:41:32AdultAdultRm 239Rm 239TabularTabularTimeTime8080140/78140/78HR/minHR/minNIBP mmHgNIBP mmHgResp/minResp/minOffOff140/78140/78808012129797 %HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2SpO22x2xII 1mV/cmII 1mV/cmII 1mV/cmII 1mV/cm%12:4112:4112:4012:4012:3912:3912:3812:3812:3712:3712:3812:3812:3612:36125125122122100100757550502525130/65 (93)130/65 (93)112/87 (87)112/87 (87)192/110 (130)192/110 (130)n/an/an/an/an/an/an/an/a22221818161617171919191998989898999999999898100100n/an/a1212SpO2SpO2SEARCHSEARCHTabularTabularTimeTime8080140/78140/78HR/minHR/minNIBP mmHgNIBP mmHgResp/minResp/minn/an/aHALL, ROBERT E.HALL, ROBERT E.3456187345618712:41:3212:41:32AdultAdultRm 239Rm 239
22 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs MonitorThe monitor can be configured to cycle quickly through three of the five available display formats when you press . For example, if the configuration specifies three formats—Large Numerics, Single Waveform, and Ta b u l a r Tre n d s —you can press repeatedly to cycle through those formats (Figure 14).Figure 14. Cycling Through the Configured Display FormatsCertain properties of each display type can also be configured. See “Display Format” on page 142.To View a Tabular Display if No Tabular Trends Format is Specified1. Access the Setup menu. (See “To Access the Setup Menus” on page 38.)2. Highlight Trends and press .Note All valid display configurations include at least one waveform format. Large numerics Single waveformTabular trends80809797140/78781212HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239NIBP mmHg (102) ManualNIBP mmHg (102) Manual2:47P2:47PResp/minResp/minHR/minHR/minSpO2SpO2%S D M%140/78140/78808012129797HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2 II 1mV/cm II 1mV/cm%12:4112:4112:4012:4012:3912:3912:3812:3812:3712:3712:3812:3812:3612:3612:3512:3512:3412:3412:3312:3312:3212:3212:3112:3112512512212210010075755050252510010050502525100100130/65 (93)130/65 (93)112/87 (87)112/87 (87)192/110 (130)192/110 (130)152/78 (115)152/78 (115)152/78 (115)152/78 (115)2222181816161717191919191919191919191919171798989898999999999898100100989898989898100100152/78 (115)152/78 (115)n/an/an/an/an/an/an/an/an/an/an/an/an/an/an/an/a1212SpO2SpO2SEARCHSEARCHHALL, ROBERT E.HALL, ROBERT E.3456187345618712:41:3212:41:32AdultAdultRm 239Rm 239TabularTabularTimeTime8080140/78140/78HR/minHR/minNIBP mmHgNIBP mmHgResp/minResp/minOffOff
Directions for Use Overview of Monitor Operation 23Timing Out the Display and the Back LightTo conserve battery run life, the monitor can be configured to turn off the display and the back light if no operator activity (that is, a button press) is detected for a specified number of minutes.• When the display is off, no patient data is visible.• When the back light is off, patient data is visible only under direct light.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 -> Timings menu.Locking Out the Display, Back Light, and ButtonsIf lock-outs are enabled, you can lock out one or more of the following elements:Buttons To prevent unauthorized useBack Light To extend the battery run lifeDisplay To prevent unauthorized viewing of patient informationThe 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 111.To Lock Out the Configured ElementsHold down , , and simultaneously for 5 seconds.To Unlock the Configured ElementsHold down , , and simultaneously for 5 seconds.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. Note Alarms and alerts immediately unlock any locked elements.
24 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs MonitorLarge Color Display InterfaceUsing the Large Color Display Interface (‘interface box’) optional accessory, you can display patient vital signs from the monitor on a full-size screen. This screen is typically mounted on a wall within one or two meters of the patient’s bed. It receives video signals from the cradle via a VGA cable. Large Color Display Configuration Options• If the interface box is mounted on the large screen (Figure 17 A), the screen must be within about 3 meters of the cradle. • If the interface box is mounted on the cradle (Figure 17 B), the distance between the box and the screen is limited by the length of the VGA cable.• If the interface box, the cradle, and the large screen are mounted together (Figure 17 C), the distance from them to the patient’s bed is limited by the length of the SpO2 sensor cable, the ECG cable, and the NIBP air hose (whichever is shortest).Figure 15. Interface Box Mounted on the Large Screen (A)Note These configurations are not interchangeable. Each requires a unique combination of screws, USB and power cables, and VGA cable.Note If the interface box is attached to the cradle, the bed rail hook cannot be used.Interface box mounted on the large screen
Directions for Use Overview of Monitor Operation 25Figure 16. Interface Box Mounted on the Cradle (B)Figure 17. Interface Box and Cradle Mounted on the Large Screen (C)Interface box mounted on the cradleInterface box and cradle mounted on the large screen
26 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs MonitorLarge Display Viewing OptionsThe large display shows vital signs numerics and either four or nine waveforms (Figure 18).Figure 18. Large Color Display Viewing OptionsTo change between 4-waveform and 9-waveform views, insert a wire into the small hole in the interface box (Figure 19) near the USB connector.Figure 19. Switching Between the 4-Waveform and 9-Waveform Views 15 15 % % 60 60 78 78 98 98 120 120 S S D D M M 220 220 75 75 110 110 35 35 120 120 50 50 Manual Manual 120 120 50 50 100 100 90 90 120 120 50 50 (89) (89) STEWART, ANN STEWART, ANN HR/min HR/min NIBP/PSNI-mmHgNIBP/PSNI-mmHgResp/min Resp/min SpO2 SpO2 II II SpO2 SpO2 Resp Resp 7762940 7762940 V V I I Resp Resp V V II II III III aVR aVR aVL aVL aVF aVF SpO2 SpO2 15 15 % % 60 60 78 78 98 98 120 120 S S D D M M 220 220 75 75 110 110 35 35 120 120 50 50 Manual Manual 120 120 50 50 100 100 90 90 120 120 50 50 (89) (89) HR/min HR/min NIBP/PSNI-mmHgNIBP/PSNI-mmHgResp/min Resp/min SpO2 SpO2 STEWART, ANN STEWART, ANN 7762940 7762940 Waveform view selector
Directions for Use Overview of Monitor Operation 27Installing the Interface BoxThe Large Color Display Interface receives DC power from the AC power adapter and vital-signs data from the cradle. It provides DC power to the cradle and the video signal to the large display. (See Figure 20).When the interface box is attached to the cradle, the default power and USB cables (references A and B in Table 7, “Cables and AC Power Adapter”) connect the interface box and the cradle. (See Figure 17 on page 25.) If the interface box and the cradle are not attached, longer cables—references C and D in Table 7, “Cables and AC Power Adapter”—are used.The AC power adapter (reference E) is shipped with the cradle. 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.Figure 20. Interface Box ConnectionsNote The AC power adapter used with the Propaq CS monitor or the Propaq Encore monitor will not power the interface box.Table 7. Cables and AC Power AdapterRef Part NumberItem DescriptionA 008-0949-00 Power cord, 0.5-meter, box-to-cradleB 008-0947-00 USB cable, 1-foot C 008-0948-00 Power cord, 5-meter, box-to-cradleD 008-0946-00 USB cable, 15-footE 503-0142-00 AC Power adapter008-0908-00 AC Power cord, Japan008-0910-00 AC Power cord, Australia008-0911-00 AC Power cord, United Kingdom008-0912-00 AC Power cord, Europe008-0913-00 AC Power cord, North AmericaDC power out (to cradle)VGA out (to large color display)DC power in (from AC power adapter)FuseUSB in (from cradle)
28 Overview of Monitor Operation Welch Allyn Propaq LT Vital Signs MonitorDetaching the Bed Rail Hook from the CradleIf 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 (Figure 21).1. Remove the two 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 21. Detaching the Bed Rail Hook from the Cradle 1 3 2

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