Welch Allyn FN802FH Propaq 802 LTRN User Manual part 9 of 10
Welch Allyn, Inc. Propaq 802 LTRN Users Manual part 9 of 10
Contents
Users Manual part 9 of 10
111 Monitor Configuration Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 About Factory Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 About Default Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112 About Temporary Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 About Acuity-Defined Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113 Overview The monitor can be configured in various ways. Each facility can define as many default configurations as required to both meet the needs of individual departments and units and to conform to the facility’s general methods and standards. • Each time the patient mode is changed, the monitor settings return to this default configuration. • Each time the monitor is turned on, the clinician chooses whether to retain the most recently used temporary, patient-specific settings (see below) or to reset the monitor to its default configuration. Clinicians can use the monitor buttons to temporarily customize settings to meet the needs of individual patients. These custom settings can be retained through a monitor shut-down and restart, but they are lost if the patient mode is changed. When a wireless monitor is in communication with an Acuity Central Station, Acuity imposes several monitor settings to assure conformance and consistency among all monitors on a network. These settings override the factory configuration, the default configuration, and any temporary patient-specific settings. If the monitor power is cycled while the monitor is no longer in communication with Acuity, the monitor powers up with the default configuration or with the custom settings for the previously monitored patient. 112 Monitor Configuration Welch Allyn Propaq LT Vital Signs Monitor About Factory Configuration When the monitor arrives from the factory, it is fully configured and ready for operation. The factory configuration defines every setting and behavior for the monitor. Each setting and behavior defined in the factory configuration remains in effect until it is changed by a custom configuration or by a temporary adjustment. Unless the factory configuration is replaced by a custom configuration, the factory settings and behaviors are restored to the monitor each time the monitor is powered up and Start New Patient is selected. When a custom configuration is downloaded to the monitor, the settings and behaviors defined in the custom configuration become the power-up defaults for the monitor, and the factory configuration is no longer in effect. However, the factory configuration information can always be restored by qualified service personnel and can also be restored by downloading the configuration file PropaqLTFactoryConfig.mnt from a PC to the monitor. The factory settings are shown in the “Parameter Configuration Matrix” on page 113. About Default Configuration Most facilities, before putting a new monitor into service, reconfigure it to conform to local protocol and to adapt it to the clinical environment in which it is to be used. This reconfiguration results in a set of default settings and monitor behaviors. Creating a custom default configuration requires the following: • A Propaq LT Monitor Configuration Utility running on a PC, and • A cradle with the USB data transfer option For information about the monitor configuration utility, refer to “Configuring the Monitor” on page 126. To learn which parameters can be defined using the Configuration Utility, see the “Parameter Configuration Matrix” on page 113. Directions for Use Monitor Configuration 113 About Temporary Configuration While monitoring a patient, you can use the monitor buttons to temporarily adjust many of the monitor settings to accommodate the needs of a specific patient. These custom settings persist through a power cycle if you select to save patient data on shut-down. The persist until they are changed manually or by Acuity, or until the monitor is powered down and then powered up to monitor another patient. To learn which parameters can be temporarily defined using the User Interface, see the “Parameter Configuration Matrix” on page 113. About Acuity-Defined Configuration When the monitor comes into communication with the Acuity Central Station, Acuity downloads some parameter values to the monitor. The Acuity-defined configuration persists until the monitor is powered off. To learn which parameters are defined by Acuity, see “Parameter Configuration Matrix” on page 113. Parameter Configuration Matrix This table lists shows the factory settings and the possible values for all parameters, and indicates which parameters and settings can be defined by Acuity, through the Configuration Utility, or by the clinician through the monitor buttons. Note This table shows only those parameters that can be changed. Note Except for Radio ESSID (NetName) and Can Disable HR/PR Alarm Limits, this table does not show parameters intended for use only by qualified service personnel. 114 Monitor Configuration Welch Allyn Propaq LT Vital Signs Monitor Table 11. Parameter Configuration Matrix Parameter Factory Setting Possible Values Where Set Patient Name (Last, First, MI) [blank] (≤16 characters displayed; actual number of characters depends on character width) Monitor, Acuity Patient ID [blank] (12 characters) Monitor, Acuity Room [blank] (5 characters) Monitor, Acuity Regulatory Setting US US, European EC, Japan Metrology Configuration Utility, Acuity Patient Mode Adult Adult, Pediatric, Neonate Monitor, Configuration Utility, Acuity LCD Bias 32 1 - 64 Monitor General Network Radio Card ON and Acuity Enabled Yes, No YES if the radio card is installed. NO if the radio card is not installed. Configuration Utility Radio ESSID (NetName) com.protocol Monitor CAUTION Radio Disconnect com.protocol(1), demo.protocol(2) com1.protocol(3), com2.protocol(4) com1.protocol(5), com2.protocol(6) com1.protocol(7), com2.protocol(8) com1.protocol(9), com2.protocol(10) com1.protocol(11), com2.protocol(12) com1.protocol(13), com2.protocol(14) com1.protocol(15), com2.protocol(16) com1.protocol(17), com2.protocol(18) com1.protocol(19), com2.protocol(20) Do not attempt to change the network name unless you are a qualified biomedical service engineer or technician. Changing the network name causes the monitor to disconnect from the current FlexNet network, restart (deleting all stored patient data), and attempt to connect to the FlexNet network corresponding to the new network name. To change the network name: 1. Enter the Service menu. 2. Highlight Radio. 3. Highlight NetName and press . 4. Select another network name and press . 5. Press to return to the monitoring display. Not Disconnected Disconnected, Not Disconnected Monitor Directions for Use Monitor Configuration 115 Table 11. Parameter Configuration Matrix (continued) Parameter Factory Setting Possible Values Where Set Configuration Name Factory 1.00 0 - 40 characters Configuration Utility Facility Name [blank] 0 - 40 characters Configuration Utility Contact Name [blank] 0 - 40 characters Configuration Utility Unit/Department ID [blank] 0 - 40 characters Configuration Utility Contact Telephone [blank] 0 - 40 characters Configuration Utility Time Format 24-Hr 12-Hr, 24-Hr Monitor, Configuration Utility Configured Language English Dutch, English, French, German, Italian, Polish, Portuguese, Spanish, Swedish Monitor, Acuity, Configuration Utility Decimal Format Dot Comma, Dot Configuration Utility Date Format MM/DD/YY MM/DD/YY, DD.MM.YY, YY/MM/DD Monitor, Configuration Utility Alarm/Alert Tone Level Medium Low, Medium, High Monitor, Configuration Utility, Acuity HR/Pulse Tone Level Medium Off, Low, Medium, High Monitor, Configuration Utility NIBP Units mmHg mmHg, kPa Monitor, Configuration Utility Audible Alarm Suspension Time 4 min Disable, 90 sec, 2 min, 3 min, 4 min, 5 min, 10 min, 15 min, 30 min, 60 min, Always On Monitor, Configuration Utility Pacer Indicator On No Yes, No Monitor, Configuration Utility Buttons Lock-Out Enabled Yes Yes, No Configuration Utility, Acuity Display Lock-Out Enabled Yes Yes, No Configuration Utility Back Light Lock-Out Enabled Yes Yes, No Configuration Utility Back Light Time-Out 2 min Always Off, 2 min, 5 min, 10 min, 15 min, 30 min, Always On Monitor, Configuration Utility Display Time-Out Always On 2 min, 5 min, 10 min, 15 min, 30 min, Always On Monitor, Configuration Utility Adult NIBP Mean Numerics Small Small, Large, Off Monitor, Configuration Utility Pediatric NIBP Mean Numerics Small Small, Large, Off Monitor, Configuration Utility Neonatal NIBP Mean Numerics Large Small, Large, Off Monitor, Configuration Utility User Interface 116 Monitor Configuration Welch Allyn Propaq LT Vital Signs Monitor Table 11. Parameter Configuration Matrix (continued) Parameter Factory Setting Possible Values Where Set Display All ECG Vectors Yes Yes, No Configuration Utility ECG I Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, Monitor 0.5 mV/cm, 0.2 mV/cm ECG II Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, Monitor 0.5 mV/cm, 0.2 mV/cm ECG III Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, Monitor 0.5 mV/cm, 0.2 mV/cm ECG V Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, Monitor 0.5 mV/cm, 0.2 mV/cm ECG aVR Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, Monitor 0.5 mV/cm, 0.2 mV/cm ECG aVL Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, Monitor 0.5 mV/cm, 0.2 mV/cm ECG aVF Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, Monitor 0.5 mV/cm, 0.2 mV/cm SpO2 Wave Size 2x 1x, 2x, 4x, 8x Monitor Resp Wave Size 2x 0.5x, 1x, 2x, 4x, 8x, 16x Monitor ParamSet Enable Yes Yes, No Configuration Utility NIBP Turbo Mode Enable Yes Yes, No Configuration Utility Tab Trend Display Interval 5 min 1 min, 5 min, 10 min, 15 min, 30 min, 60 min Monitor, Configuration Utility Current Screen Display 1 Display 1, Display 2, Display 3 Monitor Format Large Numerics Large Numerics, Single Waveform, Dual Waveform, Tabular Trends, Tabular Trends with Waveform Monitor, Configuration Utility Top Waveform (if any) Lead II Lead I, Lead II, Lead III, Lead V, aVR, aVL, Monitor, Configuration aVF, SpO2, Resp Utility Show Top Waveform 6 Seconds No Yes, No Monitor, Configuration Utility Show Bottom Waveform 6 Seconds No Yes, No Monitor Bottom Waveform (if any) Lead V Lead I, Lead II, Lead III, Lead V, aVR, aVL, Monitor, Configuration aVF, SpO2, Resp Utility Tabular Trends Display Interval 5 min 1 min, 5 min, 10 min, 15 min, 30 min, 60 min Display 1 Monitor, Configuration Utility Directions for Use Monitor Configuration 117 Table 11. Parameter Configuration Matrix (continued) Parameter Factory Setting Possible Values Where Set Format Single Waveform Large Numerics, Single Waveform, Dual Waveform, Tabular Trends, Tabular Trends with Waveform Monitor, Configuration Utility Top Waveform (if any) Lead II Lead I, Lead II, Lead III, Lead V, aVR, aVL, Monitor, Configuration aVF, SpO2, Resp Utility Show Top Waveform 6 Seconds No Yes, No Monitor, Configuration Utility Show Bottom Waveform 6 Seconds No Yes, No Monitor Bottom Waveform (if any) Lead V Lead I, Lead II, Lead III, Lead V, aVR, aVL, Monitor, Configuration aVF, SpO2, Resp Utility Tabular Trends Display Interval 5 min 1 min, 5 min, 10 min, 15 min, 30 min, 60 min Display 2 Monitor, Configuration Utility Display 3 Format Tabular Trends with Large Numerics, Single Waveform, Waveform Dual Waveform, Tabular Trends, Tabular Trends with Waveform Monitor, Configuration Utility Top Waveform (if any) Lead II Lead I, Lead II, Lead III, Lead V, aVR, aVL, Monitor, Configuration Utility aVF, SpO2, Resp Show Top Waveform 6 Seconds No Yes, No Monitor, Configuration Utility Show Bottom Waveform 6 Seconds No Yes, No Monitor Bottom Waveform (if any) SpO2 Lead I, Lead II, Lead III, Lead V, aVR, aVL, Monitor, Configuration aVF, SpO2, Resp Utility Tabular Trends Display Interval 5 min 1 min, 5 min, 10 min, 15 min, 30 min, 60 min Monitor, Configuration Utility Monitor Monitor, Extended Monitor, Configuration Utility, Acuity HR/PR Selected Source ECG ECG, SpO2 Monitor, Acuity Can Disable HR/PR Alarm Limits Yes Yes, No (No if lang=French) Monitor Power Source Filter 60 Hz 50 Hz, 60 Hz, Off Monitor, Configuration Utility, Acuity ParamSet for Upper HR/PR Limit 20% 5% - 25% Configuration Utility ParamSet for Lower HR/PR Limit 20% 5% - 25% Configuration Utility ECG ECG Bandwidth HR/PR General 118 Monitor Configuration Welch Allyn Propaq LT Vital Signs Monitor Table 11. Parameter Configuration Matrix (continued) Parameter Factory Setting Possible Values Where Set Upper Alarm Limit 120 beats/min 27 - 300 beats/min Monitor Lower Alarm Limit 50 beats/min 25 - 298 beats/min Monitor Upper Alarm Limit 150 beats/min 27 - 300 beats/min Monitor Lower Alarm Limit 50 beats/min 25 - 298 beats/min Monitor Upper Alarm Limit 150 beats/min 27 - 300 beats/min Monitor Lower Alarm Limit 50 beats/min 25 - 298 beats/min Monitor NIBP Mode Manual Auto, Manual, Turbo Monitor, Acuity Auto Interval 15 min 1 min, 2 min, 3 min, 5 min, 10 min, 15 min, 30 min, 60 min Monitor, Configuration Utility ParamSet for Upper NIBP Systolic 15% 5% - 25% Configuration Utility ParamSet for Lower NIBP Systolic 15% 5% - 25% Configuration Utility ParamSet for Upper NIBP Diastolic 15% 5% - 25% Configuration Utility ParamSet for Lower NIBP Diastolic 15% 5% - 25% Configuration Utility ParamSet for Upper NIBP Mean 10% 5% - 15% Configuration Utility ParamSet for Lower NIBP Mean 10% 5% - 15% Configuration Utility Systolic Upper Alarm Limit 220 mmHg 29.3 kPa 32 - 260 mmHg 4.3 - 34.7 kPa Monitor, Acuity Systolic Lower Alarm Limit 75 mmHg 10.0 kPa 30 - 258 mmHg 4.0 - 34.4 kPa Monitor, Acuity Diastolic Upper Alarm Limit 110 mmHg 14.7 kPa 22 - 235 mmHg 2.9 - 31.3 kPa Monitor, Acuity Diastolic Lower Alarm Limit 35 mmHg 4.7 kPa 20 - 233 mmHg 2.7 - 31.1 kPa Monitor, Acuity Mean Upper Alarm Limit 120 mmHg 16.0 kPa 22 - 255 mmHg 2.9 - 34.0 kPa Monitor, Acuity Mean Lower Alarm Limit 50 mmHg 6.7 kPa 20 - 253 mmHg 2.7 - 33.7 kPa Monitor, Acuity HR/PR Adult HR/PR Pediatric HR/PR Neonate NIBP General NIBP Adult Directions for Use Monitor Configuration Table 11. Parameter Configuration Matrix (continued) Parameter Factory Setting Possible Values Where Set Systolic Upper Alarm Limit 145 mmHg 19.3 kPa 32 - 160 mmHg 4.3 - 21.3 kPa Monitor, Acuity Systolic Lower Alarm Limit 75 mmHg 10.0 kPa 30 - 158 mmHg 4.0 - 21.1 kPa Monitor, Acuity Diastolic Upper Alarm Limit 100 mmHg 13.3 kPa 17 - 130 mmHg 2.3 - 17.3 kPa Monitor, Acuity Diastolic Lower Alarm Limit 35 mmHg 4.7 kPa 15 - 128 mmHg 2.0 - 17.1 kPa Monitor, Acuity Mean Upper Alarm Limit 110 mmHg 14.7 kPa 17 - 140 mmHg 2.3 - 18.7 kPa Monitor, Acuity Mean Lower Alarm Limit 50 mmHg 6.7 kPa 15 - 138 mmHg 2.0 - 18.4 kPa Monitor, Acuity Systolic Upper Alarm Limit 100 mmHg 13.3 kPa 27 - 120 mmHg 3.6 - 16.0 kPa Monitor, Acuity Systolic Lower Alarm Limit 50 mmHg 6.7 kPa 25 - 118 mmHg 3.33 - 15.7 kPa Monitor, Acuity Diastolic Upper Alarm Limit 70 mmHg 9.3 kPa 12 - 105 mmHg 1.6 - 14.0 kPa Monitor, Acuity Diastolic Lower Alarm Limit 30 mmHg 4.0 kPa 10 - 103 mmHg 1.3 - 13.7 kPa Monitor, Acuity Mean Upper Alarm Limit 80 mmHg 10.7 kPa 12 - 110 mmHg 1.6 - 14.7 kPa Monitor, Acuity Mean Lower Alarm Limit 35 mmHg 4.7 kPa 10 - 108 mmHg 1.3 - 14.4 kPa Monitor, Acuity Enable Spot Checks Yes Yes, No Configuration Utility ParamSet for Upper SpO2 5% 5% - 10% Configuration Utility ParamSet for Lower SpO2 5% 5% - 10% Configuration Utility Upper Alarm Limit 100% 52% - 100% Monitor, Acuity Lower Alarm Limit 90% 50% - 98% Monitor, Acuity Upper Alarm Limit 100% 52% - 100% Monitor, Acuity Lower Alarm Limit 90% 50% - 98% Monitor, Acuity NIBP Pediatric NIBP Neonatal SpO2 General SpO2 Adult SpO2 Pediatric 119 120 Monitor Configuration Welch Allyn Propaq LT Vital Signs Monitor Table 11. Parameter Configuration Matrix (continued) Parameter Factory Setting Possible Values Where Set Upper Alarm Limit 98% 52% - 100% Monitor, Acuity Lower Alarm Limit 85% 50% - 98% Monitor, Acuity ParamSet for Upper Resp 5% 5% - 25% Configuration Utility ParamSet for Lower Resp 5% 5% - 25% Configuration Utility Resp On/Off Yes Yes, No Monitor, Configuration Utility Vector Ld1 Ld1 (RA-LA), Ld2 (RA-LL) Monitor, Configuration Utility, Acuity Upper Alarm Limit 30/min 4/min - 150/min Monitor, Acuity Lower Alarm Limit 5/min 2/min - 148/min Monitor, Acuity Vector Ld1 Ld1 (RA-LA), Ld2 (RA-LL) Monitor, Configuration Utility, Acuity Upper Alarm Limit 45/min 4/min - 150/min Monitor, Acuity Lower Alarm Limit 10/min 2/min - 148/min Monitor, Acuity Vector Ld1 Ld1 (RA-LA), Ld2 (RA-LL) Monitor, Configuration Utility, Acuity Upper Alarm Limit 60/min 5/min - 150/min Monitor, Acuity Lower Alarm Limit 10/min 3/min - 148/min Monitor, Acuity SpO2 Neonatal Resp General Resp Adult Resp Pediatric Resp Neonatal 121 PC Utility Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121 Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122 Configuring the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126 About AutoPrint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136 Configuration Worksheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137 Introduction Use the Propaq LT Monitor PC Utility to install either or both of the following utilities on a PC: • Propaq LT Monitor Configuration Utility • Propaq LT Monitor AutoPrint Utility These utilities can then be used to control the behavior of any Propaq LT monitor. Propaq LT Monitor Configuration Utility The monitor comes fully configured and ready for operation. If the factory configuration does not match your specific needs, you can use the Propaq LT Monitor Configuration Utility to customize the monitor to fit the requirements of your clinical situation. To configure the monitor, follow these steps: 1. Use the configuration worksheet to specify the monitor settings. (See “Configuration Worksheet” on page 137.) 2. On a PC running the Propaq LT Monitor Configuration Utility, enter the settings into a configuration file. (See “Making a Configuration File” on page 126.) 3. On a PC connected to a Propaq LT Monitor Charging/Communications Cradle configured with the optional data link capability, download the configuration file to any number of Propaq LT monitors. (See “Configuring a Monitor” on page 130.) 122 PC Utility Welch Allyn Propaq LT Vital Signs Monitor Propaq LT Monitor AutoPrint Utility With a PC connected to a printer and with a cradle configured with the optional data link capability, you can configure the PC to print, manually or automatically, all patient data stored in the monitor each time the monitor is placed in the cradle. (See “Printing Patient Data” on page 103.) Installation System Requirements PC on Which You Have Administrator Privileges • CPU: 800 MHz or faster • Hard drive: 20 GB or more • Available RAM: 256 MB or more • Available Port: USB 1.1 • OS: Windows 2000 or Windows XP • Installed and configured • Resolution: 300 minimum; 600 or higher recommended Printer Procedure Launching the Installation 1. Insert the software distribution CD in a CD-ROM drive of your PC. 2. When the installation program starts, follow the instructions presented on your computer monitor. If you are installing on a PC running Windows XP, you might see the message shown below. Click Continue Anyway to continue the installation. Directions for Use PC Utility 123 Figure 101. Windows Logo Message Usually, the installation completes quickly. However, if the utility also has to install .NET Framework on your computer, this can add several minutes. 3. Click through the Welcome screen and the license agreement. You must accept the terms of the license agreement to proceed with the installation. Figure 102. Accepting the Terms of the Software License 4. Determine whether you want to install the Configuration Utility only, the AutoPrint Utility only, or both utilities. 124 PC Utility Welch Allyn Propaq LT Vital Signs Monitor Figure 103. Complete or Custom Installation • To install both utilities, click Complete. • To install only one of the utilities, click Custom and, in the next screen (Figure 104), select the utility you want to install. Figure 104. Selecting to Install Either the AutoPrint Utility or the Configuration Utility If you click the next to your choice, you can also select one of the installation options available for that choice (Figure 105). Directions for Use PC Utility 125 Figure 105. Menu of Installation Options 5. The installation prompts you occasionally for information. At each prompt, provide the requested information and then click Next. The installation continues until it is finished. 126 PC Utility Welch Allyn Propaq LT Vital Signs Monitor Configuring the Monitor Making a Configuration File 1. On a PC, start the Propaq LT Monitor Configuration Utility (Figure 106): Start > Programs > Welch Allyn > Propaq LT Monitor > Configuration Figure 106. Starting the Configuration Utility - Start Menu You can also start the utility by double-clicking the Configuration icon on the computer desktop. The configuration utility Welcome screen (Figure 107) appears. Figure 107. Configuration Utility Welcome Screen 2. Click Select. A file-selection window appears (Figure 108), displaying all configuration files (*.mnt) in the Config folder. For a new installation of the utility, DefaultPropaqLTConfiguration.mnt is the only file in the folder. Directions for Use PC Utility 127 Figure 108. Selecting a Configuration File for Display 3. Select DefaultPropaqLTConfiguration.mnt and click Open. The file is opened for viewing in the configuration display (Figure 109). (See “About the Configuration Display” on page 130.) Figure 109. Configuration Display 4. The program does not permit you to modify DefaultPropaqLTConfiguration.mnt. To make a new configuration file, save DefaultPropaqLTConfiguration.mnt under a new name (Figure 110) and then edit the new file as needed. 128 PC Utility Welch Allyn Propaq LT Vital Signs Monitor Figure 110. Creating a New Configuration File (Save As) The utility displays the new file (Figure 111). 5. To open the new file for editing, click Edit. You can now enter text and select parameter options. Figure 111. File Opened for Editing Directions for Use PC Utility 129 6. Define the monitor settings for the new configuration. Examine each field in the configuration utility. Change any value that is not appropriate for your clinical situation. 7. When the form is complete and the value in each field is correct, click Save. Alternatively, to save the file and close it, click Save/Close. Printing a Configuration File To print this configuration file, click Print. To see what the printed report looks like before you print it, click Print Preview. The Print Preview screen (Figure 112) displays a report of the configuration file and gives you several options for printing, viewing, exporting, and searching the report. Figure 112. Print Preview - Options Go to the first page of the report. Go to the previous page of the report. Go to the next page of the report. Go to the last page of the report. Print the report. Go to the specified page of the report. Zoom the report display. Export the report. Search the report for a text string. 130 PC Utility Welch Allyn Propaq LT Vital Signs Monitor Modifying a Configuration File To change a configuration file that has already been completed, follow these steps: 1. Start the utility. 2. Select the configuration file that you want to modify. 3. Click Edit. 4. Using the section tabs, navigate to the setting you want to change. 5. Enter the new value. 6. Repeat steps 4 and 5 until you have updated all of the settings you want to change. 7. Click Save or Save/Close. Configuring a Monitor 1. Seat the monitor in the cradle. 2. If the monitor is off, turn it on and select Start New Patient. 3. Start the utility. 4. Select the configuration file that you want to upload. 5. Click Load. 6. Wait a few seconds. When the upload is complete, a completion message appears and then the monitor shuts off. 7. Remove the monitor from the cradle. It is now configured. About the Configuration Display Figure 113. Configuration Display Windows command menus Configuration commands Page tabs Configuration settings and parameters Directions for Use PC Utility The configuration display contains the following elements: • • • • Windows command bar Configuration command bar Page tabs Configuration settings and parameters. The Windows command bar includes File, Configuration, and Help. File Save, Close, Save and Close, Exit Configuration Select, Save As, Edit, Load, Print, Print Preview Help About Propaq LT Monitor Configuration Utility The configuration commands include the following: Select Open a file-selection dialog. This has the same function as the Select button on the Welcome screen (Figure 107 on page 126). Save As Save the configuration file as a new file with another name. Edit Enable the configuration file for editing. Load Upload the configuration file to the monitor currently in the cradle. Print Print the configuration file. Print Preview Open the Print Preview window. This presents options for navigating the configuration file, enlarging or reducing the size of the display, searching for occurrences of specified text in the file, printing the file, and exporting an electronic (PDF) version of the file. Close Close the configuration file. Exit Exit the configuration utility application. 131 132 PC Utility Welch Allyn Propaq LT Vital Signs Monitor The page tabs link you to the sections of the configuration file: Identification Name the configuration, define monitor ownership and support responsibility, and define parameters related to your locale. Display Select and define the displays. Neonatal Mode Define default settings for neonatal patients. Pediatric Mode Define default settings for pediatric patients. Adult Mode Define default settings for adult patients. Feature Enable Specify the monitor features available to clinicians. Monitor Behavior Define the general properties of the monitor. ParamSet Define the alarm-limit adjustment percentages (ParamSet) for systolic, diastolic, and mean pressures, HR/PR, SpO2, and respiration rate. The utility is divided into eight sections, each represented by a labeled tab across the top of the form. The first page of the worksheet (see Figure 111) describes the content of each section. Individual settings are described in the worksheet. The first five settings, under the Identification tab, are text fields. You can enter text (Figure 114) in each field. Note These text strings can be of any length; however, the monitor displays only the first 40 characters of the string for each field. Figure 114. Text Entered Into a Text Field In the remaining fields of the configuration utility, you either... • select one item from a drop-down menu of items or • use a check-box to choose between Yes and No To see a drop-down menu, click the triangle at the right of the field (Figure 115). Directions for Use PC Utility 133 Figure 115. Opening a Drop-down Menu Click a choice (Figure 116) to select it... Figure 116. Selecting From a Drop-Down Menu The new selection appears in the field (Figure 117). Figure 117. New Selection Displayed To set a value for a Yes-No item, click the box to insert a mark for Yes (Figure 118), or click the box to remove the mark for No (Figure 119). Figure 118. Selecting Yes (A Check Mark) 134 PC Utility Welch Allyn Propaq LT Vital Signs Monitor Figure 119. Selecting No (No Check Mark) To view the settings for a topic, click the tab for that topic. For example, to see the Default Resp Lead setting for adults, click Adult Mode (Figure 120). Figure 120. Settings Under Adult Mode Error Messages • Communication with the monitor failed. Verify that the monitor is powered on and properly seated in the cradle. Verify that the cable is connected. • Could not read patient data from the monitor. Please contact Welch Allyn customer service. • The configuration file did not install on the monitor. Verify all connections between monitor, cradle, and PC and try again. If problems continue, contact Welch Allyn customer service. • Configuration file format is invalid. Try editing the configuration and saving it again. • The selected file is read-only and cannot be edited. Please select another file or Save the File with another name. • The Configuration File: [file name] that you are attempting to read is in the wrong format. Please select another file. Directions for Use PC Utility 135 About the Configuration Worksheet WARNING You must read and understand the warning statements in “Enable Wireless Communications (with Acuity)” on page 147 before any configuration file is created based on a worksheet. The first step in customizing a monitor configuration is to complete a configuration worksheet. This defines the settings to be stored in the monitor. Note A worksheet is not required. The worksheet makes it possible for key clinical staff to preview and approve the configuration, and it makes it easier to create the configuration file. Print the worksheet (page 137 to page 156 of this document) and supply the values for any settings you want to change. When the worksheet is complete, give it to the person designated to create the new configuration file. About Defaults The settings defined for the monitor when it first arrives from the factory are called ‘factory defaults’. Factory defaults include settings for most parameters and also define whether certain monitor features are enabled or disabled. An example of a default setting: The default volume of the alarm tone is set to Medium. To change the default volume level to Low, select Low in the configuration file. (Like many other monitor settings, the volume of the alarm tone can also be changed by the clinician while the monitor is in use. The configuration simply defines what the setting will be when the monitor power is turned on.) An example of enabled and disabled features: The monitor behavior Pacer Indicator On Default has a default value of No, so the monitor does not, by default, include pacemaker indicators in an ECG waveform display. To change the default behavior so that the monitor does show pacemaker indicators in an ECG waveform display, change the value to Yes in the custom configuration. The feature Back Light Lockout Enable has a factory-default value of Yes (enabled), so it is, by default, available to clinicians. To make this feature unavailable to clinicians, change the value to No in the custom configuration. Factory defaults remain in effect until you reconfigure the monitor by downloading a custom configuration file to it from the PC. 136 PC Utility Welch Allyn Propaq LT Vital Signs Monitor After you reconfigure the monitor, the settings defined in the new configuration become the ‘system defaults’, and the factory defaults are no longer in effect. The new system defaults remain in effect until another configuration is downloaded to the monitor. If you reconfigure the monitor and then want to restore the factory defaults, download the configuration file “DefaultPropaqLTConfiguration.mnt.” The monitor is reset to the system defaults (not the factory defaults) every time the monitor power is cycled off and on, with one exception: If a clinician has changed some monitor settings at the bedside for a patient and then shuts off the monitor, the monitor offers the options to “Delete and Shut Down” and to “Save and Shut Down”. If the clinician selects “Save and Shut Down,” shuts off the monitor, and then turns on the monitor again, the monitor prompts with the choice, “Start New Patient” or “Continue Patient”. If the clinician selects “Continue Patient,” the monitor uses the settings that were saved for that patient before the power was turned off. If the clinician selects “Start New Patient,” the system default settings are restored. • In the printed version of the configuration worksheet, the factory default values are indicated by bold text. • In the electronic version of the configuration worksheet, the factory default values appear in the form fields when you first open the file, PropaqLTMonCfgWS.doc. • In the configuration utility, the factory default values appear in the data fields when you open the default configuration file, DefaultPropaqLTConfiguration.mnt, using the configuration utility. Caution Do not attempt to modify a configuration file without using the Propaq LT Configuration Utility. About AutoPrint For information about using the AutoPrint Utility, see “Printing Patient Data” on page 103. Configuration Worksheet 137 Configuration Worksheet Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138 Name the configuration, define monitor ownership and support responsibility, and define parameters related to your locale. Display Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141 Select and define the displays. Neonatal Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144 Define default settings for neonatal patients. Pediatric Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145 Define default settings for pediatric patients. Adult Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146 Define default settings for adult patients. Feature Enable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 Specify the monitor features available to clinicians. Monitor Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151 Define the general properties of the monitor. ParamSet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154 Define the alarm-limit adjustment percentages (ParamSet) for systolic, diastolic, and mean pressures, HR/PR, SpO2, and Resp. The final page of this worksheet is the worksheet authorization, which identifies the person responsible for defining the custom configuration. The information on the authorization page is not part of the monitor configuration. 138 Welch Allyn Propaq LT Vital Signs Monitor Note All configuration parameters are set at the factory. You do not have to change any settings for the monitor to work properly. 1 Identification 1.1 Configuration Identity For each configuration, enter a unique name that identifies the following: • the hospital and the care unit or department that owns the monitor • the date on which this configuration is created The name can include any standard keyboard characters other than the comma (,). For example: StEGH #9 West Dec_29 2003 If multiple configuration files are created on the same day, include additional identifying information to the configuration name. For example: StEGH #9 West Dec_29 2003 Pediatric StEGH #9 West Dec_29 2003 Neonate What name do you want to give this configuration? Configuration Name (Up to 40 characters.) Configuration Worksheet 139 1.2 Facility This information further clarifies ownership of the monitor, and it identifies a person who should be notified if the monitor needs attention. What facility, department, and individual is responsible for this monitor? Facility Name (Up to 40 characters.) Department or Unit (Up to 40 characters.) Contact Name (Up to 40 characters.) Contact Telephone (Up to 40 characters.) 1.3 Country Settings Note All configuration parameters are set at the factory. The monitor works even if you do not change any settings. This section determines the appearance of information on the monitor display, and specifies an electrical setting and a regulatory setting. For each parameter, the factory setting is shown in bold. The factory setting is used until another value is uploaded to the monitor. 1.3.1 Language In what language are monitor messages and text to be displayed? __ English __ Dutch __ French __ German __ Italian __ Polish __ Portuguese __ Spanish __ Swedish 1.3.2 Time Format How do you want the monitor to display time? __ 12-hour AM/PM __ 24-hour 140 Welch Allyn Propaq LT Vital Signs Monitor 1.3.3 Date Format How do you want the monitor to display the date? __ mm/dd/yy __ dd.mm.yy __ yy/mm/dd 1.3.4 Decimal Format You can configure the monitor to use a dot (for example, 195.18) or a comma (195,18) to display the decimal point. How do you want the monitor to display the decimal point? __ Dot __ Comma 1.3.5 Power Source Filter Set the power-source interference filter to the appropriate frequency for your location. 60 Hz 50 Hz Off North America, Taiwan, and Japan All other locations If the filter is not set, the ECG waveform displays might contain high-frequency noise caused by the interference generated from the facility ac power supply. Which filter, if any, should be used to reduce interference from the ac power supply? __ 60 Hz __ 50 Hz __ Off 1.3.6 Regulatory Set In which regulatory area is this facility located? __ US __ European EC __ Japan Metrology Configuration Worksheet 141 2 Display Configuration The monitor interface includes a Display button: . Pressing quickly through the three views you specify below. cycles the display In the configuration, you can choose any three of the five display choices shown below for quick display with . For example, if you select Large Numerics, Single Waveform, and Dual Waveform, a clinician can repeatedly press to see a patient’s vital signs displayed first as large numerics, second as a single waveform with small numerics, and finally as a dual waveform with small numerics. • You must include at least one display with a waveform. • If you select Single Waveform and do not select Dual Waveform, Tabular Trends, or Tabular Trends with Waveform, users can still view dual waveforms, tabular trends, and tabular trends with a single waveform. • If you do not select Large Numerics, clinicians cannot access the Large Numerics display. After you select three displays (see “Display Format” on page 142), you can select the default appearance for each. For each parameter, the factory default value is shown in bold. The default value is used by the monitor unless you specify another value in this worksheet. HALL, ROBERT E. 3456187 Adult HALL, ROBERT E. 3:00:06P Rm 239 80 97 140/78 78 12 HR/min 3456187 Adult II 3:00:06P HALL, ROBERT E. Rm 239 II SpO2 NIBP mmHg (102) Manual 2:47P 12 97 % 80 140/78 NIBP mmHg (102) Resp/min SpO2 Resp/min 3456187 Adult 12:41 12:40 12:39 12:38 12:38 12:37 12:36 12:41:32 Dual Waveform HALL, ROBERT E. 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 Tabular Trends with Waveform 3456187 Adult Rm 239 80 140/78 HR/min NIBP mmHg 125 122 100 75 50 25 @2:47P Manual Single Waveform 1mV/cm Tabular Time HR/min @2:47P Manual HALL, ROBERT E. II 2x 12 97 % 80 140/78 NIBP mmHg (102) Resp/min SpO2 HR/min Large Numerics 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 3:00:06P Rm 239 1mV/cm SpO2 3456187 Adult 1mV/cm 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 142 Welch Allyn Propaq LT Vital Signs Monitor Display Format Which display format do you want to use for ... Display 1 Display 2 Display 3 __ Large Numerics __ Large Numerics __ Large Numerics __ Single Waveform __ Single Waveform __ Single Waveform __ Dual Waveform __ Dual Waveform __ Dual Waveform __ Tabular Trends __ Tabular Trends __ Tabular Trends __ Tabular Trends with Waveform __ Tabular Trends with Waveform __ Tabular Trends with Waveform __ None __ None If the format includes a waveform, then from which Lead is the waveform to be displayed? Display 1 Display 2 Display 3 __ Lead I __ Lead I __ Lead I __ Lead II __ Lead II __ Lead II __ Lead III __ Lead III __ Lead III __ Lead V __ Lead V __ Lead V __ aVR __ aVR __ aVR __ aVL __ aVL __ aVL __ aVF __ aVF __ aVF __ SpO2 __ SpO2 __ SpO2 __ Resp __ Resp __ Resp Do you want to enable 6-second display of the top waveform? Display 1 Display 2 Display 3 (Yes) (Yes) (Yes) (No) (No) (No) If you select (Yes), the monitor displays two consecutive 3-second periods of the top waveform. If you select (No), the monitor displays 3 seconds of the top waveform and, if Dual Waveform is selected, 3 seconds of the bottom waveform. Configuration Worksheet 143 Display Format (continued) If Dual Waveform display is enabled, which signal is to be displayed as the default bottom waveform? Display 1 Display 2 Display 3 __ Lead I __ Lead I __ Lead I __ Lead II __ Lead II __ Lead II __ Lead III __ Lead III __ Lead III __ Lead V __ Lead V __ Lead V __ aVR __ aVR __ aVR __ aVL __ aVL __ aVL __ aVF __ aVF __ aVF __ SpO2 __ SpO2 __ SpO2 __ Resp __ Resp __ Resp If Tabular Trends display is enabled, what is the default data interval? __ 1 minute __ 1 minute __ 1 minute __ 5 minutes __ 5 minutes __ 5 minutes __ 10 minutes __ 10 minutes __ 10 minutes __ 15 minutes __ 15 minutes __ 15 minutes __ 30 minutes __ 30 minutes __ 30 minutes __ 60 minutes __ 60 minutes __ 60 minutes 144 Welch Allyn Propaq LT Vital Signs Monitor 3 Neonatal Mode For each parameter, the factory default value is shown in bold. The default value is used by the monitor unless you specify another value in this worksheet. 3.1 Use Smartcuf as Default for NIBP Note Smartcuf will be available in 2006. An NIBP measurement can be adversely affected by many factors, including body motion (such as convulsions or shivering), ambient vibration, vehicle motion, weak pulse, a sudden change in blood pressure, or sudden cuff movement. When these factors are present, Welch Allyn’s patented Smartcuf technology can greatly increase the accuracy of NIBP measurements. Note Smartcuf functions only during ECG monitoring. Do you want to use Smartcuf as the default for neonatal NIBP measurements? (Yes) (No) 3.2 Default Resp Lead The default Resp Lead for neonatal patients is: __ Lead 1 (RA-LA) __ Lead 2 (RA-LL) 3.3 NIBP Mean Numerics Note: Selecting Large reduces the size of the systolic and diastolic displays. What character size, if any, to you want to use as the default for displaying the NIBP Mean Numeric for neonatal patients? __ Small __ Large __ Off Configuration Worksheet 145 4 Pediatric Mode For each parameter, the factory default value is shown in bold. The default value is used by the monitor unless you specify another value in this worksheet. 4.1 Use Smartcuf as Default for NIBP Note Smartcuf will be available in 2006. An NIBP measurement can be adversely affected by many factors, including body motion (such as convulsions or shivering), ambient vibration, vehicle motion, weak pulse, a sudden change in blood pressure, or sudden cuff movement. When these factors are present, Welch Allyn’s patented Smartcuf technology can greatly increase the accuracy of NIBP measurements. Note Smartcuf functions only during ECG monitoring. Do you want to use Smartcuf as the default for pediatric NIBP measurements? (Yes) (No) 4.2 Default Resp Lead The default Resp Lead for pediatric patients is: __ Lead 1 (RA-LA) __ Lead 2 (RA-LL) 4.3 NIBP Mean Numerics Note: Selecting Large reduces the size of the systolic and diastolic displays. What character size, if any, to you want to use as the default for displaying the NIBP Mean Numeric for pediatric patients? __ Small __ Large __ Off 146 Welch Allyn Propaq LT Vital Signs Monitor 5 Adult Mode For each parameter, the factory default value is shown in bold. The default value is used by the monitor unless you specify another value in this worksheet. 5.1 Use Smartcuf as Default for NIBP Note Smartcuf will be available in 2006. An NIBP measurement can be adversely affected by many factors, including body motion (such as convulsions or shivering), ambient vibration, vehicle motion, weak pulse, a sudden change in blood pressure, or sudden cuff movement. When these factors are present, Welch Allyn’s patented Smartcuf technology can greatly increase the accuracy of NIBP measurements. Note Smartcuf functions only during ECG monitoring. Do you want to use Smartcuf as the default for adult NIBP measurements? (Yes) (No) 5.2 Default Resp Lead The default Resp Lead for adult patients is: __ Lead 1 (RA-LA) __ Lead 2 (RA-LL) 5.3 NIBP Mean Numerics Note: Selecting Large reduces the size of the systolic and diastolic displays. What character size, if any, to you want to use as the default for displaying the NIBP Mean Numeric for adult patients? __ Small __ Large __ Off Configuration Worksheet 147 6 Feature Enable These settings specify whether or not certain features are available to the clinician. If you enable a feature in the configuration, then it is available to the clinician. If you disable a feature in the configuration, then it is not available to the clinician. For each parameter, the factory value is shown in bold. Factory values are used until other values are uploaded to the monitor. 6.1 Enable Wireless Communications (with Acuity) For wireless monitors that must communicate with Acuity, this must be set to (Yes). If this is set to (No), the monitor cannot communicate with Acuity. For standalone monitors that do not communicate with Acuity, always set this to (No). If this is set to (Yes), the configuration file is not valid and cannot be uploaded to the monitor. Note If (Yes) is selected, NIBP Units Default (see “NIBP Units Default” on page 153) must be set to mmHg. Do you want to enable wireless communication with Acuity? (Yes) (No) 148 Welch Allyn Propaq LT Vital Signs Monitor 6.2 Enable Lockouts If lockouts are enabled, simultaneously pressing the Left Arrow, Right Arrow, and Down Arrow buttons locks out one or more of the following: Buttons Block access to the monitor buttons Back Light Extend the battery charge life Display Prevent unauthorized viewing of confidential patient information For the following questions, select which lockouts, if any, to enable for this monitor configuration. 6.2.1 Buttons Lockout Enable Buttons lockout prevents unauthorized personnel from operating the monitor. If you enable buttons lockout, the 3-button combination (Up Arrow, Down Arrow, and Right Arrow) locks out the monitor until the combination is repeated or until an alarm or alert condition arises. Do you want to enable buttons lockout on this monitor? (Yes) (No) 6.2.2 Display Lockout Enable Display lockout enable prevents unauthorized viewing of patient vital signs. If display lockout is enabled, the 3-button combination (Up Arrow, Down Arrow, and Right Arrow) locks out the monitor display until the combination is repeated or until an alarm or alert condition arises. Do you want to enable display lockout on this monitor? (Yes) (No) 6.2.3 Back Light Lockout Enable Back light lockout prevents unauthorized viewing of patient vital signs. If back light lockout is enabled, the 3-button combination (Up Arrow, Down Arrow, and Right Arrow) locks out the monitor display back light until the combination is repeated or until an alarm or alert condition arises. Do you want to enable back light lockout on this monitor? (Yes) (No) Configuration Worksheet 6.3 149 Display Time Out Display Time Out greatly increases monitor run time on battery power. Display Time Out completely shuts off the display if the monitor detects no button press and no alarm for a number of minutes defined below. When the display is off, no monitor information is visible. Any alarm condition, alert condition, or button press immediately restores the display. If the buttons are locked out (see “Buttons Lockout Enable” on page 148), pressing the 3-button combination (Up Arrow, Down Arrow, and Right Arrow) and then any other button immediately restores the display. How soon after the last button press or alarm should the monitor turn off the display? __ 2 minutes __ 5 minutes __ 10 minutes __ 15 minutes __ 30 minutes __ Always On (display always timed out) 6.4 Back Light Time Out Back Light Time Out increases monitor run time on battery power. Back Light Time Out turns off the back light if the monitor detects no button press and no alarm for the number of minutes defined below. When the back light is off, the display continues to be visible, although slightly dimmer, in ambient light. Any alarm condition, alert condition, or button press immediately restores the back light. If the buttons are locked out (see “Buttons Lockout Enable” on page 148), pressing the 3-button combination (Up Arrow, Down Arrow, and Right Arrow) and then any other button immediately restores the back light. How soon after the last button press or alarm should the monitor turn off the back light? __ Always Off __ 2 minutes __ 5 minutes __ 10 minutes __ 15 minutes __ 30 minutes __ Always On (back light always timed out) 150 Welch Allyn Propaq LT Vital Signs Monitor 6.5 SpO2 Spot Check Enable If SpO2 Spot Check is enabled, a clinician can perform a quick SpO2 measurement when SpO2 monitoring is turned off. For detailed information, see Propaq LT Vital Signs Monitor Directions for Use. Do you want to enable SpO2 Spot Check? (Yes) (No) 6.6 NIBP Turbo Mode Enable When the monitor takes automatic NIBP measurements in Turbo Mode, it takes as many measurements as possible within the 5-minute Turbo Mode measurement period. Do you want to enable NIBP turbo mode? (Yes) (No) Configuration Worksheet 151 7 Monitor Behavior For each parameter, the factory value is shown in bold. The factory value is used until another value is uploaded to the monitor. 7.1 Patient Mode Default In what default patient mode should the monitor be set for new patients? __ Adult __ Pediatric __ Neonatal 7.2 Display All ECG Vectors If a 5-lead ECG cable is connected to the monitor, should the monitor be able to display the optional aVR, aVL, and aVF waveforms? (Yes) (No) 7.3 ECG Bandwidth Default ECG Bandwidth refers to the frequency range used to display and print patient data. Monitor bandwidth is less susceptible to artifact such as patient motion. Extended bandwidth, although more susceptible to artifact, can provide for more detailed data analysis. Monitor-Mode Bandwidth Adult 0.5 Hz to 40 Hz Pediatric/Neonate 0.5 Hz to 80 Hz Extended-Mode Bandwidth Adult 0.05 Hz to 40 Hz Pediatric/Neonate 0.05 Hz to 80 Hz Which ECG bandwidth should be displayed by default? __ Monitor __ Extended 152 Welch Allyn Propaq LT Vital Signs Monitor 7.4 Pacer Indicator On Default If a patient being monitored has a pacemaker, the monitor detects the occurrence of pacemaker signals and optionally indicates them with vertical dashed lines in the waveform. Pacemaker signal indicators If the pacemaker signal is strong enough, the monitor displays it as a spike. This spike is displayed whether the pacemaker indicator is on or off. Should the pacemaker indicator be on by default? (Yes) (No) 7.5 Alarm Tone Level Default What should be the default volume level of the alarm tones? __ Low __ Medium __ High 7.6 HR/PR Tone Level Default What should be the default volume level of the HR/PR tone? __ Off __ Low __ Medium __ High Configuration Worksheet 153 7.7 Audible Alarms Suspension Time Default While monitoring a patient, the clinician can use the settings menu to suspend all alarm tones for all parameters for a configurable period. Note This parameter does not affect the behavior of of how this parameter is configured, pressing tone for 90 seconds. , (Silence/Reset). Regardless silences a sounding alarm Suspend can be turned on or off by the clinician, but the suspend period cannot be changed by the clinician. What is the period for which alarm tones are to be suspended? __ Disable (alarm tones cannot be suspended) __ 90 seconds __ 2 minutes __ 3 minutes __ 4 minutes __ 5 minutes __ 10 minutes __ 15 minutes __ 30 minutes __ 60 minutes __ Always On (alarm tones always suspended) 7.8 NIBP Units Default Select the NIBP display units. (Note: If the monitor is connected to an Acuity Central Station, this setting is forced to mmHg.) __ mmHg __ kPa 7.9 NIBP Auto Mode Interval (minutes) When the monitor is in Auto NIBP mode, what is the default interval, in minutes, between automatic NIBP measurements? __ 1 __ 2 __ 3 __ 5 __ 10 __ 15 __ 30 __ 60 7.10 Resp On Default During ECG monitoring, should the monitor also monitor impedance respiration rate (Resp) by default? (Yes) (No) 154 Welch Allyn Propaq LT Vital Signs Monitor 8 ParamSet If ParamSet is enabled, the clinician can quickly and easily change the current alarm limits for any vital sign. If you choose to enable ParamSet, you can then define the percentage by which the alarm limit for each vital sign is changed. To Adjust Alarm Limits Quickly with ParamSet: When the ParamSet message appears, press twice. Example: The ParamSet value for the Upper HR/PR alarm limit is configured to be 15%. Patient Jane’s Upper HR/PR alarm limit is set to 100. At the default alarm settings, Jane triggers an Upper HR/PR alarm with a heart rate of 103. Her clinician, knowing that a heart rate of 103 is acceptable for Jane, wants to quickly set a higher Upper HR/PR alarm limit for this patient. The monitor displays the message, “Press Select to ParamSet the upper HR/PR limit to 118.” The clinician presses to get to the HR/PR control screen and immediately presses again to accept the ParamSet adjustment. Jane’s alarm limit for Upper HR/PR is immediately changed to 118, and the main vital-signs screen is again displayed. (103 + 15% of 103 = approximately 118) Note The ParamSet default values can be changed only by downloading another monitor configuration. When monitor power is cycled, the factory default alarm limits and ParamSet default values are again in effect. ParamSet can be used multiple times for any alarm limit. Each time you press ParamSet for a given vital sign, the alarm limit expands by the configured percentage. However, the alarm limits can never be expanded beyond the limit boundaries built into the monitor. (See the specifications for vital signs in Appendix A, starting with “ECG” on page 163.) This table shows the effect of ParamSet for various vital signs, based on a patient’s normal levels for each vital sign. These values are based on the assumption that: • the patient mode is Adult • the monitor is initially using factory default alarm levels Configuration Worksheet 155 For each parameter listed below, the factory value is shown in bold. The factory value is used until another value is uploaded to the monitor. Parameter Alarming Level Alarm Limit (ParamSet = 5%) Alarm Limit (Paramset = 10%) Alarm Limit (ParamSet = 15%) Alarm Limit (Paramset = 20%) Alarm Limit (Paramset = 25%) Upper 90 94 99 104 108 113 Lower 60 57 54 51 48 45 NIBP Systolic Upper 140 147 154 161 168 175 Lower 100 95 90 85 80 75 NIBP Diastolic Upper 90 94 99 104 108 113 Lower 60 57 54 51 48 45 NIBP MAP Upper 107 112 118 123 128 134 Lower 73 69 66 62 58 55 Upper 100 100 100 100 100 100 Lower 90 86 81 77 72 68 Upper 20 21 22 23 24 25 Lower 12 11 11 10 10 HR/PR SpO2 Resp 156 Welch Allyn Propaq LT Vital Signs Monitor 8.1 ParamSet Enable Do you want to enable ParamSet? (Yes) (No) Note 8.2 If you select (No), disregard the rest of the ParamSet settings. ParamSet % for Upper HR/PR ParamSet increases the Upper HR/PR limit by ____%. (5, 10, 15, 20, 25) 8.3 ParamSet % for Lower HR/PR ParamSet decreases the Lower HR/PR limit by ____%. (5, 10, 15, 20, 25) 8.4 ParamSet % for Upper NIBP Systolic ParamSet increases the Upper NIBP Systolic limit by ____%. (5, 10, 15, 20, 25) 8.5 ParamSet % for Lower NIBP Systolic ParamSet decreases the Lower NIBP Systolic limit by ____%. (5, 10, 15, 20, 25) 8.6 ParamSet % for Lower NIBP Diastolic ParamSet increases the Upper NIBP Diastolic limit by ____%. (5, 10, 15, 20, 25) 8.7 ParamSet % for Lower NIBP Diastolic ParamSet decreases the Lower NIBP Diastolic limit by ____%. (5, 10, 15, 20, 25) 8.8 ParamSet % for Upper NIBP Mean ParamSet increases the Upper NIBP Mean limit by ____%. (5, 10, 15) 8.9 ParamSet % for Lower NIBP Mean ParamSet decreases the Lower NIBP Mean limit by ____%. (5, 10, 15) 8.10 ParamSet % for Upper SpO2 ParamSet increases the Upper SpO2 limit by ____%. (5, 10) 8.11 ParamSet % for Lower SpO2 ParamSet decreases the Lower SpO2 limit by ____%. (5, 10) 8.12 ParamSet % for Upper Resp ParamSet increases the Upper Resp limit by ____%. (5, 10, 15, 20, 25) 8.13 ParamSet % for Lower Resp ParamSet decreases the Lower Resp limit by ____%. (5, 10, 15, 20, 25) Configuration Worksheet 157 Configuration Worksheet Authorization The information on this page relates only to this worksheet, and is not entered into the monitor configuration. Users are encouraged to provide their own procedures for defining, categorizing, storing, and approving configuration files. Date _________________________________________________ Hospital _________________________________________________ Department _________________________________________________ Name _________________________________________________ Title _________________________________________________ Phone _________________________________________________ Signature _________________________________________________ 158 Welch Allyn Propaq LT Vital Signs Monitor
Source Exif Data:
File Type : PDF File Type Extension : pdf MIME Type : application/pdf PDF Version : 1.4 Linearized : No Modify Date : 2005:12:14 15:04:05-08:00 Create Date : 2005:10:31 09:25:36Z Copyright : Copyright 2005 Welch Allyn. All rights reserved. Page Count : 48 Page Mode : UseOutlines Has XFA : No Page Layout : SinglePage About : uuid:8e9a4f54-e772-4d98-a561-fbd8e7af5c82 Producer : Acrobat Distiller 7.0.5 (Windows) Creation Date : 2005:10:31 09:25:36Z Mod Date : 2005:12:14 15:04:05-08:00 Author : Welch Allyn Creator Tool : FrameMaker 7.1 Metadata Date : 2005:12:14 15:04:05-08:00 Document ID : uuid:b3aeb77f-6c4e-4687-a358-4fdabc2ac5bb Instance ID : uuid:b86cdc09-4bd3-4f4e-900c-9b3e34a1ea2a Format : application/pdf Title : Directions for Use, Welch Allyn Propaq LT Vital Signs Monitor (810-1702-00 Rev A) Creator : Welch AllynEXIF Metadata provided by EXIF.tools