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

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Document ID	611430
Application ID	9RmYdEp/GGY5QzqlKSQLYQ==
Document Description	Users Manual part 3 of 10
Short Term Confidential	No
Permanent Confidential	No
Supercede	No
Document Type	User Manual
Display Format	Adobe Acrobat PDF - pdf
Filesize	192.5kB (2406243 bits)
Date Submitted	2005-12-14 00:00:00
Date Available	2005-12-14 00:00:00
Creation Date	2005-10-31 09:25:36
Producing Software	Acrobat Distiller 7.0.5 (Windows)
Document Lastmod	2005-12-14 14:52:33
Document Title	Directions for Use, Welch Allyn Propaq LT Vital Signs Monitor (810-1702-00 Rev A)
Document Creator	FrameMaker 7.1
Document Author:	Welch Allyn

13
Overview of Monitor Operation
Turning On the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
Selecting a Language . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
About the Charging/Communications Cradle . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Displaying Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
About Navigation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32
Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .34
About Monitor Information Screens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39
Using Demo Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41
Power Saving . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Turning Off the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Communicating with an Acuity Central Station . . . . . . . . . . . . . . . . . . . . . . . . . .45
About Error Detection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45
Transporting the Monitor with the Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .46
Turning On the Monitor
To Turn On the Monitor
Press and hold
Note
1.
until a tone sounds.
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.
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
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 Monitor
Figure 6. Splash Screen
Propaq® LT
Diagnostics in progress
Application Version 1.00.00
Bootcore Version 1.00.00
c Welch Allyn 2005
3. The splash screen is replaced by a power-on screen (Figure 7):
Figure 7. Power-Up Screens
Portland Westside Hospital
Emergency Department
Portland Westside Hospital
Emergency Department
No data saved.
There is patient data stored for
Note!
Hall, Robert E. ID: 3456187
Select ( ) to delete data
and start a new patient.
Select ( ) to Start a New Patient.
Start New Patient
Info
Demo
Start New Patient Continue Patient
Info Demo
To start monitoring from this point, see “Standalone Monitoring” on page 49. To practice
using the monitor, see “Using Demo Mode” on page 41.
Directions for Use
Overview of Monitor Operation
15
Selecting a Language
To change the language of the monitor interface:
1.
If the monitor power is on, press
2. Press
to turn it off.
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 Screen
English
Deutsch
Franç.
Español
Ital.
Polski
Nederl
Svenska
Português
4. Use the arrow buttons (
5. Press
, , and ) to highlight the language you wish to use.
The monitor powers down and then powers up in the selected language.
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).
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.
16
Overview of Monitor Operation
Welch Allyn Propaq LT Vital Signs Monitor
About the Charging/Communications Cradle
When 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.
WARNING 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.
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 Cradle
Monitor
HALL, ROBERT E.
3456187
Adult,
3:00:06P
Rm 239
II 1mV/cm
SpO2
2x
40/78
78 12 97
80 140
97%
NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
Cradle
Directions for Use
Overview of Monitor Operation
17
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:
•
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 Cradle
1.
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.
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.
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 Indicators
HALL, ROBERT E.
3456187
Adult,
3:00:06P
Rm 239
II 1mV/cm
SpO2
2x
40/78
78 12 97
80 140
97%
NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
Green Monitor battery charging
Yellow Battery or charger failed (service required)
Monitor not properly seated in the cradle
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 159.)
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.
18
Overview of Monitor Operation
Welch Allyn Propaq LT Vital Signs Monitor
Removing the Monitor from the Cradle
To 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 Button
HALL, ROBERT E.
3456187
Adult,
3:00:06P
Rm 239
II 1mV/cm
SpO2
2x
40/78
78 12 97
80 140
97%
NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
Monitor release button
Directions for Use
Overview of Monitor Operation
Displaying Data
Patient 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)
HALL, ROBERT E.
3456187
Adult
II
3:00:06P
Rm 239
1mV/cm
SpO2
2x
12 97 %
80 140/78
NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
Patient name (if available)
Waveform source
Waveform display scale
Patient ID (if available)
Connection 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).
Time of day
Patient room number
Patient mode (Adult, Pediatric, Neonate)
19
20
Overview of Monitor Operation
Welch Allyn Propaq LT Vital Signs Monitor
Figure 13. Components of the Vital-Signs Display (B)
HALL, ROBERT E.
3456187
Adult
II
3:00:06P
Rm 239
1mV/cm
SpO2
10
2x
12 97 %
80 140/78
NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
15
10
14
11
13
12
Battery status (See Table 3, “Status Indicators” on page 3.)
green
partially to fully charged
yellow
nearly discharged
red
discharged; the monitor will shut down soon
Color-coded waveforms, ECG Lead identifiers, and vital-signs numerics
Green
Cyan
Purple
Yellow
ECG and HR/PR
NIBP
Resp
SpO2
11
SpO2 pulse amplitude
12
SpO2 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 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
? ? ? undetermined
Directions for Use
Overview of Monitor Operation
About Display Formats
The monitor can be configured to display any of these formats:
Table 6. Display Formats
HALL, ROBERT E.
3456187
Adult
3:00:06P
Rm 239
80 97
140/78
78 12
HR/min
SpO2
NIBP mmHg (102) Manual
2:47P
Blood pressure, heart rate, respiration rate, and
SpO2 measurements displayed in large numerics.
Bell icons indicating...
Left half
Right half
White
Black
Resp/min
HALL, ROBERT E.
3456187
Adult
II
Large Numerics
3:00:06P
Rm 239
1mV/cm
Lower alarm limit
Upper alarm limit
Alarms enabled
Alarms disabled
Single Waveform
•
3 seconds of one ECG or SpO2 signal or ...
•
12 seconds of the Resp signal.
Vital signs displayed in medium-sized numerics.
12 97 %
80 140/78
NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
HALL, ROBERT E.
3456187
Adult
80
HR/min
125
122
100
75
50
25
Tabular
Time
12:41
12:40
12:39
12:38
12:38
12:37
12:36
12:35
12:34
12:33
12:32
12:31
100
50
25
100
12:41:32
Rm 239
140/78
12 SEARCH %
NIBP mmHg Resp/min SpO2
130/65 (93)
98
Off
n/a
22
99
98
112/87 (87)
18
n/a
99
16
n/a
17
100
n/a
192/110 (130)
19
n/a
98
19
98
152/78 (115)
19
17
n/a
100
n/a
152/78 (115)
19
19
n/a
98
19
98
152/78 (115)
HALL, ROBERT E.
3456187
Adult
3:00:06P
2x
12 97 %
80 140/78
NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
HALL, ROBERT E.
3456187
Adult
II
12:41
12:40
12:39
12:38
12:38
12:37
12:36
80
140/78
HR/min NIBP mmHg
125
122
100
75
50
25
Historical vital signs displayed as a table.
Dual Waveform
12:41:32
•
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
Rm 239
1mV/cm
Tabular
Time
Current vital signs displayed in small numerics.
Rm 239
II 1mV/cm
SpO2
Tabular Trends
130/65 (93)
n/a
112/87 (87)
n/a
n/a
192/110 (130)
n/a
12 SEARCH %
Resp/min SpO2
n/a
22
18
16
17
19
19
98
99
98
99
100
n/a
98
•
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.
21
22
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
. 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).
Figure 14. Cycling Through the Configured Display Formats
HALL, ROBERT E.
3456187
Adult
II
3:00:06P
Rm 239
1mV/cm
12 97 %
80 140/78
NIBP mmHg (102) Resp/min SpO2
HR/min
@2:47P Manual
Single waveform
HALL, ROBERT E.
3456187
Adult
3:00:06P
HALL, ROBERT E.
Rm 239
80 97
140/78
78 12
HR/min
SpO2
NIBP mmHg (102) Manual
2:47P
3456187
Adult
Tabular
Time
12:41
12:40
12:39
12:38
12:38
12:37
12:36
12:35
12:34
12:33
12:32
12:31
Resp/min
80
HR/min
125
122
100
75
50
25
100
50
25
100
12:41:32
Rm 239
140/78
12 SEARCH %
NIBP mmHg Resp/min SpO2
130/65 (93)
98
Off
n/a
22
99
98
112/87 (87)
18
n/a
99
16
n/a
17
100
n/a
192/110 (130)
19
n/a
98
19
98
152/78 (115)
19
17
n/a
100
n/a
152/78 (115)
19
19
n/a
98
19
98
152/78 (115)
Tabular trends
Large numerics
Certain 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 Specified
1.
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.
Directions for Use
Overview of Monitor Operation
23
Timing Out the Display and the Back Light
To 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.
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 -> Timings menu.
Locking Out the Display, Back Light, and Buttons
If lock-outs are enabled, you can lock out one or more of the following elements:
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 111.
To Lock Out the Configured Elements
Hold down
, and
simultaneously for 5 seconds.
To Unlock the Configured Elements
Hold down
Note
, and
simultaneously for 5 seconds.
Alarms and alerts immediately unlock any locked elements.
24
Overview of Monitor Operation
Welch Allyn Propaq LT Vital Signs Monitor
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. 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).
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.
Figure 15. Interface Box Mounted on the Large Screen (A)
Interface box mounted on
the large screen
Directions for Use
Overview of Monitor Operation
Figure 16. Interface Box Mounted on the Cradle (B)
Interface box mounted
on the cradle
Figure 17. Interface Box and Cradle Mounted on the Large Screen (C)
Interface box and cradle
mounted on the large screen
25
26
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).
Figure 18. Large Color Display Viewing Options
STEWART, ANN
7762940
II
STEWART, ANN
HR/min
60
120
78
98 %
15
NIBP/PSNI-mmHg
120
50
II
Manual
SpO2
III
220
75
110
35
120
50
SpO2
aVR
aVL
aVF
100
90
Resp
Resp/min
SpO2
120
50
HR/min
60
120
78
98 %
15
NIBP/PSNI-mmHg
120
50
Manual
(89)
(89)
7762940
Resp
220
75
110
35
120
50
SpO2
100
90
Resp/min
120
50
To 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
Waveform view selector
Directions for Use
Overview of Monitor Operation
27
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 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.
Note
The AC power adapter used with the Propaq CS monitor or the Propaq Encore
monitor will not power the interface box.
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.
Table 7. Cables and AC Power Adapter
Ref
Part
Number
Item Description
008-0949-00 Power cord, 0.5-meter, box-to-cradle
008-0947-00 USB cable, 1-foot
008-0948-00 Power cord, 5-meter, box-to-cradle
008-0946-00 USB cable, 15-foot
503-0142-00 AC Power adapter
008-0908-00 AC Power cord, Japan
008-0910-00 AC Power cord, Australia
008-0911-00 AC Power cord, United Kingdom
008-0912-00 AC Power cord, Europe
008-0913-00 AC Power cord, North America
Figure 20. Interface Box Connections
DC power out
(to cradle)
VGA out
(to large color display)
USB in
(from cradle)
DC power in
(from AC power adapter)
Fuse
28
Overview of Monitor Operation
Welch Allyn Propaq LT Vital Signs Monitor
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 (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

---

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