Page 1 Vital Signs Monitor Reference Guide Models 202EL, 204EL, 206EL Software Version 1 IMPORTANT Check for Reference Guide Updates in the back cover pocket of this manual.
Page 2 ® ® ® Protocol , Protocol Cordless , Propaq , and Acuity are registered trademarks and Propaq Encore™ is a trademark of Protocol Systems, Inc. Protocol Systems, Inc. is protected under various patents and patents pending. ® ®, ® ®...
Page 3: Table Of Contents
The expanded table of contents for each chapter appears on the front page of each chapter. Tables v General Information vii Safety Summary—ix Propaq Encore Documentation—xii Getting Started 1-1 Introducing the Propaq Encore—1-3 Using the Propaq Encore—1-6 Monitor Setup—1-18 Printer Functions—1-23 Learning the Propaq Encore—1-26 Patient Monitoring 2-1 ECG/RESP—2-3...
Page 4 Printing 5-1 Printing Patient Data—5-3 Printing Trends—5-9 Power Sources 6-1 Power Adapters—6-3 Battery Care—6-7 Care and Maintenance 7-1 Cleaning—7-3 Maintenance—7-6 Monitor Care—7-7 Printer Maintenance—7-8 Customer Services—7-10 Defibrillator Synchronization 8-1 Defibrillator Synchronization—8-3 Glossary A-1 Specifications B-1 ECG—B-3 Real-Time ECG Analog/Defib Sync—B-6 Impedance—B-7 Pneumography (RESP)—B-7 Invasive Pressure—B-8...
Page 5 Trends—B-17 Display—B-18 Monitor (Environmental)—B-19 Monitor (Physical)—B-20 Printer—B-22 Power—B-24 Power Adapters—B-25 Factory Default Settings—B-27 In-service Simulated Values—B-30 Index 1 Propaq Encore Reference Guide...
Page 6 Protocol Systems, Inc.
Page 7: Tables
Tables Table 1-1: Propaq Encore Models and Options—1-3 Table 2-1: Cuffs and Hoses Sizes—2-23 Table 2-2: SpO Response Settings—2-36 Table 2-3: CO Range Values—2-43 Table 2-4: Gas Compensation Values—2-44 Table 2-5: CO Response Settings—2-44 Table 3-1: Patient Alarm Indications—3-5 Table 3-2: Stat Set Limit Calculations—3-9 Table 4-1: Column Labels for Each Trend—4-5...
Page 8 Table B-13: Monitor Physical Specifications—B-20 Table B-14: Printer Specifications—B-22 Table B-15: Monitor Power Specifications—B-24 Table B-16: Power Adapter General Specifications—B-25 Table B-17: Power Adapter Physical Specifications—B-26 Table B-18: Factory Default Settings—B-27 Table B-19: In-service Values—B-30 Protocol Systems, Inc.
Page 9 SUSPEN D/ RESUME START / STOP General Information Safety Summary—ix Important Safety Considerations—ix Definitions—x Symbols—xi Propaq Encore Documentation—xii The Documentation Set—xii About This Reference Guide—xii Statement of Expectations of the Reader—xii Disclaimers—xii...
Page 10 viii Protocol Systems, Inc.
Page 11: Safety Summary
• Do not connect more than one patient to a monitor. Do not connect more than one monitor to a patient. • Do not use the Propaq Encore in an MRI suite or a hyperbaric chamber. • Do not autoclave the Propaq. Autoclave accessories only if the manufacturer's instructions clearly approve it.
Page 12 Report such errors to Protocol Systems. The Propaq Encore should be serviced only by a Protocol Systems service technician while under warranty. The Propaq Encore Service Manual is available from Protocol Systems to assist the biomedical engineer during post-warranty period service.
Page 13 Symbols The following symbols appear in Propaq Encore documentation and on Propaq Encore labels. These internationally recognized symbols are deﬁned by the International Electrotechnical Commission, IEC 878 and IEC 417A. Left Side, Back of Monitor, Right Side of Monitor Power Adapter...
Page 14: Propaq Encore Documentation-Xii
Protocol Systems expects that you are a trained clinician who knows how to take and interpret a patient’s vital signs. The Propaq Encore has been designed as a quality monitor, however, inherent limitations require that good clinical judgment always prevails.
Page 15: Getting Started
START / STOP Getting Started Introducing the Propaq Encore—1-3 Intended Use—1-3 Propaq Encore Models—1-3 Expansion Module—1-4 Propaq Encore Pulse Oximetry Option (SpO )—1-5 Mainstream Capnography (CO ) Option—1-5 Impedance Pneumography (RESP) Option—1-5 Printer Option—1-5 HP-compatible Side Panel Option—1-5 Using the Propaq Encore—1-6 System Controls (Right Side Panel)—1-6...
Page 16: Learning The Propaq Encore-1-26
Learning the Propaq Encore—1-26 Using In-service Mode—1-26 What You Can Do With In-service Mode—1-27 What You Cannot Do With In-service Mode—1-27 Protocol Systems, Inc.
Page 17: Intended Use-1-3
Introducing the Propaq Encore Before using the Propaq Encore on a patient, be sure you understand the Safety Summary at the front of this book. It provides important information about safely using the Propaq Encore. Intended Use The Propaq Encore monitor is intended to be used by skilled clinicians for multiparameter vital signs monitoring of neonatal, pediatric, and adult patients in health care facility bedside applications;...
Page 18: Expansion Module-1-4
Expansion Module The Propaq Encore Expansion Module attaches to the monitor and houses additional capabilities. The Expansion Module can be ﬁtted with SpO , CO , and Printer options. ALARM(S) OFF ALARM Light Light 14:51 :18 SU SP EN D/...
Page 19: Impedance Pneumography (Resp) Option-1-5
HP-compatible Side Panel Option The HP connector-compatible option makes the Propaq Encore compatible with many Hewlett-Packard sensors and accessories used with the Hewlett Packard Component Monitoring System. This option replaces the standard Propaq Encore left side panel. Propaq Encore Reference Guide...
Page 20: System Controls (Right Side Panel)-1-6
This receptacle accepts Protocol Systems’ ac power adapter, which must be used for ac mains operation and battery charging. The Propaq Encore is also designed to operate with other 12-28 volt, dc-only power sources, such as a vehicle battery system.
Page 21: Alarm Lights-1-7
Input Fuse The input fuse, which protects the Propaq Encore against power surges, is a 3 Ampere fuse, externally replaceable by your qualiﬁed service personnel. See Chapter 6 for detailed instructions for replacing the fuse.
Page 22: Startup Screen-1-8
(adult, pediatric, or neonatal). The factory default is Adult Mode. If the Propaq Encore has been used for a previous patient, switch off the power to the monitor for a few seconds and then switch the monitor back on before setting up for a new patient.
Page 23 See the Equipment Alerts section in Chapter 3. Verify that the power-up tone is produced. If the monitor has SpO2, two tones are produced. note... Propaq Encore Reference Guide...
Page 24: Patient Connections
Patient Connections The left side panels differ depending on the Propaq Encore model. All models have ECG, NIBP, and two temperature connectors. The Propaq Encore 204 left side panel includes one invasive pressure connector, and the Propaq Encore 206 includes two invasive pressure connectors.
Page 25: Propaq Encore Display-1-11
(below the range) or + + + (above the range) instead of the vital sign value. In accordance with AAMI EC13-1992, the Propaq Encore will show + + + for HR numerics between 251-350 beats per minute. Above 350 beats per minute, it may display incorrectly low heart rates, due to intermittent picking of R-waves.
Page 26 The screen space is reallocated when vital signs are added or removed. By changing the size of the numeric windows below the heart rate, the Propaq Encore provides the best possible view of all numerics for vitals signs being monitored.
Page 27 Patient waveform and trend information can be simultaneously displayed, while numeric values are continuously updated. Propaq Encore Reference Guide 1-13...
Page 28: Propaq Encore Buttons-1-14
Propaq Encore Buttons The four buttons at the sides of the screen are reserved for the most commonly used functions. - Suspends or resumes alarm tone. SUSPEND/RESUME - Starts and stops NIBP measurements. The function will START/STOP STOP automatically vent the cuff.
Page 29: Propaq Encore Menus-1-15
LABEL P1 FORMAT 1 LABEL P2 FORMAT 2 PREV MENU ECG/RESP MENU 1 ECG SIZE ECG LEAD RESP SZE MORE ECG/RESP MENU 2 NEXT CHANGE PREV MENU NIBP MENU START AUTO/MAN INTERVAL TURBOCUF PREV MENU STOP Propaq Encore Reference Guide 1-15...
Page 30: Nibp—2
Key Press Route to Setup Menu 1 NIBP ECG/RESP INV PRS SpO2/CO2 SETUP SETUP MENU 1 (MORE button takes you to next Setup Menu) STATSCALE ALARMS WAVE SEL TRENDS MORE TRENDS MENU PRINT NXT TRND OXYCRG ALARMS MENU STAT SET SUSPEND ALL ALRM LIMITS PREV MENU...
Page 31 (Service menu is for use by authorized service personnel only, and is available only NEXT CHANGE TIME/DAY PROGRAM SERVICE when in the Adult mode.) PROGRAM MENU DEFAULT CURRENT PREV MENU TIME/DAY MENU DOWN NEXT ENTER PREV MENU Propaq Encore Reference Guide 1-17...
Page 32: Monitor Setup
Monitor Setup Setup Menu 1 is accessed by pressing the button on the Main Menu. SETUP - Automatically readjusts all waveform scales. STATSCALE - Allows access to the Alarms menu. ALARMS - Allows you to turn on and off desired waveforms or NIBP numerics WAVE SEL for display.
Page 33 - Sets the Heart Tone volume to HIGH, MEDIUM, LOW, or OFF. HR/PR TONE - Pressing in this selection displays the patient mode window. PATIENT MODE CHANGE When you select the patient mode, a conﬁrmation window appears requiring you to conﬁrm your selection. Propaq Encore Reference Guide 1-19...
Page 34: Temperature—2
ENTER PROGRAM DEFAULT CURRENT save the time and date and monitor settings. - Allows you to program (save) the Propaq Encore settings most PROGRAM appropriate for your application. After selecting settings for the application, press > to save the time and date and...
Page 35: Selecting Waveforms For Display-1-21
Setting the Time and Date When you have set the time and date using the , and buttons, press > NEXT DOWN ENTER > > > to save the time and date. PREV MENU PROGRAM CURRENT Propaq Encore Reference Guide 1-21...
Page 36: Customizing The Propaq's Settings-1-22
PROGRAM Setup Menu. You can reprogram the Propaq Encore to the factory settings by pressing the DEFAULT button of the Program Menu. The default settings are listed in Appendix B of this manual. Alarm Limits may also be customized to your application. These customized settings can then be saved by selecting >...
Page 37 30 minutes, 1 hour, 2 hours, or 4 hours. This is the latest patient information (real time). The print speed is automatically set to 25 mm/sec. - Automatically prints upon an alarm. The Propaq Encore prints 20 ALARM PRINT seconds of patient information. The ﬁrst 12 seconds contain information prior to the alarm.
Page 38 - Automatically prints an NIBP Ticket when the measurement is taken. NIBP TICKET - When turned on, an Apnea Ticket is printed at the conclusion of an APNEA TICKET apnea alarm and at the one-minute clock interval if the apnea alarm does not cease.
Page 39 Prints all trends that are enabled in the Printer Trend Select Window. If you press prior to pressing , the printer prints the 8 seconds of patient FREEZE SNAPSHOT information obtained prior to when you pressed FREEZE Propaq Encore Reference Guide 1-25...
Page 40 To begin practicing with your Propaq, disconnect all patient cables connected to the monitor. Leave the cuff connected so you can take NIBP measurements. If you have been monitoring a patient, turn off the Propaq Encore and turn it back on. From the Main Menu, press >...
Page 41 What You Can Do With In-service Mode While using the in-service mode, you can press any of the Propaq Encore buttons, except for the button in the NIBP Menu, to change a function setting. You can also AUTO/MAN • change from °F to °C •...
Page 42 1-28 Protocol Systems, Inc.
Page 43: Patient Monitoring
ECG/RESP—2-3 Intended Use–Impedance Pneumography (RESP)—2-3 Intended Use–ECG—2-4 ECG Connector and Applicable Accessories—2-5 Preparation—2-6 How ECG/RESP is Displayed—2-8 Using the Propaq Encore With Pacemaker Patients—2-11 Using the Filter to Better Display a Waveform—2-13 ECG Messages—2-13 RESP Messages—2-13 Invasive Pressure—2-14 Intended Use—2-14 Invasive Pressure Connectors and Transducers—2-14...
Page 44: Temperature-2-29
Temperature—2-29 Intended Use—2-29 Temperature Connectors and Probes—2-29 Preparation—2-29 How Temperature is Displayed—2-30 Temperature Messages—2-30 Pulse Oximetry (SpO )—2-31 Intended Use—2-31 Oxygen Saturation and Heart Tone—2-31 Connector and Sensors—2-32 Preparation—2-34 How SpO is Displayed—2-35 Messages—2-37 Capnography (CO )—2-38 Intended Use—2-38 Measurements—2-38 Breath Rate Measurements—2-39 Apnea Events—2-39 Preparation—2-39...
Page 45 QRS complex when monitoring respiration via impedance WARNING pneumography. Don’t place the Propaq Encore monitor with RESP in close proximity with another respiration monitor because the RESP measurement frequencies may interfere with one another. WARNING Because pacemaker pulses in some instances may be falsely counted as breaths, impedance pneumography is not recommended for use on paced patients.
Page 46 ECG set for extended bandwidth, ST segments may be accurately displayed and printed. The Propaq Encore ECG’s bandwidth is 0.5-40 Hz in Monitor Mode and 0.05-40 Hz in Extended Mode. Monitor Mode is useful to minimize baseline wander due to respiration or other artifact.
Page 47 Even though the Propaq Encore contains fully isolated patient-connected circuitry, it has not been specially designed for direct cardiac application. The Propaq Encore can be used on patients with pacemakers. See Using the Propaq Encore With Pacemaker Patients later in this chapter.
Page 48 To prevent damage during defibrillation, don’t use ECG cables without 1K series resistors. Preparing for ECG monitoring with the Propaq Encore requires you to prepare the monitor, prepare the patient, set up the ECG channel, and then set the ECG alarms.
Page 49 RA and LA electrodes on the respective mid-axillary lines just above the level of the nipples. Propaq Encore Reference Guide ECG/ RESP...
Page 50 By now there should be some kind of ECG waveform displayed on the monitor. A heart rate should be displayed to the right of the waveform. Depending on how the Propaq Encore is programmed, a beep tone may occur with each detected QRS event.
Page 51 Severe artifact and interference (such as interference from deﬁbrillation) may cause the waveform to move off the display. The Propaq Encore will always automatically reposition the waveform in just a few seconds so you can see it again.
Page 52 Selected ECG lead Sensitivity factor Bandwidth Selection Available with the Impedance Pneumography Option - Sets the heart tone loudness to LOW, MEDIUM, HIGH, or OFF. HR/PR TONE If SpO is monitored, the pitch of the tone varies with the SpO value.
Page 53 ECG lead selection. Experiment with placement for best signals. - Turns impedance pneumography (RESP channel) on or off. RESP The Propaq Encore counts as “breaths” respiratory efforts that are larger than two times note... background CVA. Using the Propaq Encore With Pacemaker Patients Pacemaker signals can differ from one pacemaker to the next.
Page 54 Pacemaker Signals If the patient being monitored has a pacemaker, the Propaq Encore detects and can indicate the occurrence of pacemaker signals. With the Propaq, pacemaker signals are not counted as heart beats as long as the pacemaker signal meets the pulse amplitude, pulse width, and overshoot/undershoot speciﬁcations listed in Appendix B.
Page 55 Using the Filter to Better Display a Waveform The Propaq Encore includes a ﬁlter that reduces noise from the ac mains signal and produces a much clearer ECG waveform. To set the ﬁlter, press , then , and SETUP MORE then again to display this status window.
Page 56 Invasive Pressure This section applies only to Propaq Encore Models 204EL and 206EL. If you don't have one of these models, you can skip this section of Chapter 2. Intended Use The Propaq Encore invasive pressure channel is intended for measuring arterial, venous, and intracranial pressures using invasive transducers with 5 μV/V/mmHg sensitivity.
Page 57 Preparation Preparing for invasive pressure monitoring with the Propaq Encore requires you to prepare the transducer, zero the transducer, set up the pressure channel, and set the invasive pressure alarm limits. Preparing the Transducer Inspect the transducer cable for wear, breakage, or fraying. Replace it if the cable shows signs of any of these.
Page 58 Check that the transducer is open to atmospheric air and that it is properly connected to the Propaq Encore, then try zeroing again. The Propaq Encore will not allow zeroing to occur if the pressure waveform is pulsatile, if there is too much noise in the signal or if the transducer’s offset is too great.
Page 59 If the transducer has already produced pressure readings, rezeroing provides a new zero reference for the Propaq. If the zero value is not accepted, the Propaq Encore continues to use the previous zero reference and displays the pressure values and waveforms based on that value. If the new zero value is accepted, the new pressure values based on the new zero value are displayed, and the waveform is adjusted according to the new scale.
Page 60 ART—arterial, PA—pulmonary artery, CVP—central venous pressure, ICP—intracranial pressure, UA—umbilical artery, and UV—umbilical vein. You can still use the generic Propaq Encore pressure label, P1 or P2. - The Propaq Encore displays the invasive pressure values in two FORMAT different numeric formats in the pressure numerics window. You can select which pressure value(s) are most prominently displayed.
Page 61 ZERO REJECTED (or NO ZERO). Unable to establish a zero reference value. The message remains until the button is pressed. CANCEL CANCELED. This message appears after is pressed and remains for eight CANCEL seconds. Propaq Encore Reference Guide 2-19...
Page 62 These equipment messages can appear in an equipment alert window. TRANSDUCER NOT DETECTED. The transducer connection is broken. TRANSDUCER SHORT CIRCUIT. This message appears when the Propaq Encore senses a short in the transducer. The transducer should be replaced. INCOMPATIBLE TRANSDUCER. Check the compatible transducers listed in the Protocol Products and Accessories booklet to ensure you are using a compatible transducer.
Page 63 The patient's limb should be periodically observed to ensure that the circulation is not impaired for a prolonged period of time. WARNING The Propaq Encore should never be used to monitor NIBP on one patient while simultaneously monitoring ECG on another patient. WARNING If a noninvasive blood pressure measurement is suspect, repeat the measurement.
Page 64 If selected cuff size is too small, high readings may occur. Applying a cuff too loosely has the same result. If the Propaq Encore does not recognize a valid NIBP reading, it automatically attempts another measurement while displaying a retry message on the screen. The monitor attempts up to two retries (depending on mode and settings), and then reports either a valid reading or an equipment alert.
Page 65 NIBP Connector and Cuffs Use Propaqs with approved hoses and cuffs listed in the Protocol Products and Accessories booklet. The Propaq Encore uses a single-hose cuff. Cuffs that conform to AAMI or AHA guidelines should be used. Select the proper size of cuff based on the limb circumference.
Page 66 Placing the Cuff Squeeze as much air from the cuff as you can before placing it on the patient. Place the cuff on the limb. When you place the cuff, it should ideally be placed at the same level as the heart. If above the heart, add 1.9 mmHg to the NIBP measurement for every inch the cuff is above the heart.
Page 67 Manometer Bar. Systolic, diastolic, and mean values are indicated Alarm Limits above the manometer as small triangles. Bell - Starts and stops NIBP measurements. Any time the Propaq Encore is START/STOP taking a noninvasive pressure measurement, the button START changes to so you can stop the measurement in progress.
Page 68 NIBP Displayed in Waveform Window By turning on NIBP in the wave select window, the NIBP numerics can be displayed in a waveform window. The numerics are shown in large characters for 16 minutes for each new measurement taken ..
Page 69 May be caused by patient motion. NO VALID BLOOD PRESSURE FOUND. This message can occur due to motion artifact, the Propaq Encore being set in the wrong patient mode, or the wrong hose or cuff being used in relation to the patient mode.
Page 70 DISABLED, LOW BATT. See above. LOW BATTERY, NIBP DISABLED NIBP DISABLED, SERVICE REQUIRED. See SERVICE REQUIRED, NIBP DISABLED above RETRY. Since the Propaq Encore did not receive a valid NIBP reading, it will automatically attempt to take another reading. 2-28 Protocol Systems, Inc.
Page 71 WARNING Place the probe on the patient, and plug it into one of the connectors on the Propaq's side panel. Within a few seconds, the Propaq Encore will display the temperature. To select the temperature units (°C or °F), press...
Page 72 How Temperature is Displayed Temperature is displayed as a numeric only, in a window at the top of the Propaq Encore screen, in °C or °F. This area displays all temperature measurements (T1, T2, ΔT), one at a time. Temperature Messages The following messages can appear in an equipment alert window.
Page 73 ® The Propaq Encore Pulse Oximetry option is intended for use only with NELLCOR oxygen transducers (sensors). When monitoring RESP, it is highly recommended that you use SpO as a backup method.
Page 74 The SpO connector is located on the left side of the Propaq. Only NELLCOR accessories and sensors can be used with the Propaq Encore Pulse Oximetry option. Refer to the Protocol Systems, Inc. Products and Accessories Booklet. Each sensor is designed for application to a speciﬁc site on a patient within a certain size range.
Page 75 • use a new sensor with fresh adhesive backing • move the sensor to a less active site • use a type of sensor that tolerates some patient motion, such as the OXISENSOR II line • set the RESPONSE mode to SLOW Propaq Encore Reference Guide 2-33 SpO2...
Page 76 Preparation Setting up the SpO channel requires placing the sensor on the patient, setting up the monitor for SpO measurements, and setting the SpO alarm limits. If SpO2 is to be monitored while using NIBP, place the cuff on a different limb than the SpO2 note...
Page 77 Waveform sizes are 1X, 2X, 4X, and SIZE - Displays the next SpO menu. MORE - Sets the time the Propaq Encore Pulse Oximeter takes to acquire the RESPONSE oxygen saturation value. - Turns on and off the C-LOCK™ function. C-LOCK...
Page 78 RESPONSE and C-LOCK settings. With C-LOCK turned on, the saturation measurements are synchronized to each detected R-wave. The Propaq Encore Pulse Oximetry option recognizes systole as the highest pulse signal from the oxygen sensor. Artifact-induced pulses caused by patient movement and other conditions could be recognized as systole.
Page 79 During this search time, the SpO2 channel tries to detect blood pulsing through the measurement site. Once the measurement has been established, the oxygen saturation value is displayed in the numeric window. Propaq Encore Reference Guide 2-37 SpO2...
Page 80: Capnography
GAS COMP Measurements The Propaq Encore Mainstream CO option determines carbon dioxide content of a patient’s inhaled and exhaled breath. A mainstream sensor is attached to an airway adapter in series with a ventilator’s patient breathing circuit. A CO...
Page 81 In the Adult and Pediatric Mode, the apnea delay can be set to 6, 10, 15, 20, 25, or 30 seconds. The Propaq Encore initiates an alarm in response to each apnea event longer than this setting. In the Neonatal Mode, the apnea delay can be set to 6, 10, 15, or 20 seconds.
Page 82 Preparing the Sensor When disconnecting the CO sensor from the tracheal or endotracheal tube, verify by touch the sensor’s temperature to ensure patient comfort should it come in contact with the patient. WARNING When preparing the sensor, do not plug the sensor into the Propaq’s connector—or set monitoring to OFF—until the following six steps are completed.
Page 83 Always double check to ensure that there are no leaks in the breathing circuit at any point of connection. WARNING Do not use the CO sensor/airway adapter as a wrench to twist the adapter into the breathing circuit, as this may cause damage to the sensor or to the window. WARNING Propaq Encore Reference Guide 2-41...
Page 84 To change CO units, use Setup Menu 3. Changing these units will clear CO trends. note... This status window also displays barometric pressure which is not user selectable. The Propaq Encore automatically compensates for changes in barometric pressure. 2-42 Protocol Systems, Inc.
Page 85 ﬁrst CO Menu. / CO Press until you see the desired waveform scale range on the Propaq Encore RANGE screen. The range choices are shown below. Table 2-3: CO Range Values Units...
Page 86 If either O or N O is being administered to a patient, press to set the GAS COMP proper gas compensation as listed below. If no other gas is being administered, set GAS COMPENSATION to OFF. (OFF is the default setting.) Table 2-4: Gas Compensation Values Gas Administration Level / ETCO...
Page 87 WARNING Set the alarm limit for Apnea Delay—this is the maximum time allowed between two successive breaths before the Propaq Encore alarms. The default setting is 20 seconds. Once the ﬁrst breath has been detected, the Apnea alarm limit setting will be automatically turned on for as long as the CO or the RESP channel is active.
Page 88 How CO is Displayed levels are normally shown on the Propaq Encore screen in two forms: a CO waveform and an end-tidal CO (ETCO ) numeric value. When inspired CO (INCO ) numeric values are at alarm levels of greater than 7.5 mmHg (1 kPa or 1%), they are shown numerically along with the ETCO value.
Page 89 If a sensor is damaged, contact Protocol Systems’ Technical Services Department for information on sensor service options. ALTIMETER FAILURE - RANGE. This message appears when the Propaq Encore is operated at an altitude out of the CO option’s operating range. The option’s operating altitude is -2,000 to 15,000 feet.
Page 90 Propaq’s CO circuitry has failed. Try replacing the sensor. If the message reappears, have the Propaq Encore serviced. SENSOR FAILURE - MOTOR DRIVE. This message appears when the sensor’s motor drive (in the sensor head) has failed. Replace the sensor.
Page 91: Alarms And Limits
Alarm Prints—3-8 Setting Alarm Limits—3-9 STAT SET–A Quick Way to Adjust the Limits—3-9 Turning On and Off All Limits—3-10 Changing Individual Limits—3-10 Programming Propaq Encore Alarm Limits—3-10 Equipment Alerts—3-11 Definitions and Indications—3-11 Responding to Equipment Alerts—3-12 PROGRAM FAULT Equipment Alert—3-12...
Page 92 Protocol Systems, Inc.
Page 93 Alarms Window and Menu You can set the alarms in normal operating mode or in-service mode. You can also have the Propaq Encore automatically print the patient's vital sign information when an alarm occurs. Alarm Status Window This status window shows, with a bell symbol, the alarm status of each vital sign parameter.
Page 94 Adjusting the Alarm Tone Volume You can adjust the alarm tone to one of three volumes. Except for temporarily suspending the alarm tone using the button, you cannot turn off the tone completely. SUSPEND To adjust the alarm tone volume, press , then .
Page 95 Once you set alarm limits, any vital sign that violates any of its limits results in both audible and visual alarm indications. The Propaq Encore also shows you when any alarm limit is turned off by illuminating the amber light.
Page 96 Life-Threatening Alarms Life-threatening alarms are automatically turned on when the channel is activated, and cannot be turned off by the user. A life-threatening alarm is the highest priority patient alarm. You are notiﬁed of any life-threatening alarm as soon as it is detected. An apnea alarm is a life-threatening alarm.
Page 97 When you suspend the alarm, the Patient Alarm Menu is removed, and the red ALARM light begins to slowly ﬂash. Whatever was displayed prior to the alarm is again displayed. You can make Propaq Encore alarm adjustments if necessary. ALARM ALARM(S)
Page 98 STAT SET ALL ALRM Alarm Prints If you have the Printer option, you can set the Propaq Encore to print when a patient alarm occurs. See Chapter 5 for more information on Printing. Protocol Systems, Inc.
Page 99 When it is necessary to set alarm limits quickly, simply press the button in the STAT SET Alarms Menu ( > > ). The Propaq Encore turns on all alarm limits SETUP ALARMS STAT SET and calculates the alarm limits for all vital signs that are being monitored, except apnea delay.
Page 100 Repeat steps 4 through 6 to adjust the desired limits. Continue the process until you've set all the limits you want. Programming Propaq Encore Alarm Limits Although adjusting the Propaq's alarm limits can be automatic with STAT SET, you can also program the limits you want to appear every time you turn on the monitor.
Page 101 Equipment Alerts Definitions and Indications The Propaq Encore can alert you to changing equipment conditions, such as disconnected or faulty sensors, low battery voltage, lost programmed settings, and other conditions that can affect patient monitoring. If an equipment alert condition is detected, a high-pitched alarm tone sounds for one second at ﬁve-second intervals.
Page 102 , then take the required action. SUSPEND The Propaq Encore returns the channel to its settings prior to the equipment alert. If a patient alarm occurred and you turned off any alarm limits, you will need to turn them back on. You can see which alarm limits are turned on by pressing >...
Page 103: Trends
SUSPEN D/ RESUME START / STOP Trends Trends—4-3 The Trend Status Window and Menu—4-3 How Trends are Accumulated—4-4 NIBP Trends—4-4 Displaying Trends—4-5...
Page 104 Protocol Systems, Inc.
Page 105 Trends Every two minutes, the Propaq Encore collects the monitored vital sign numerics and stores them in its trend memory, which can save the last ﬁve hours of trend information (see NIBP Trends on next page for exceptions). All this information can be printed and viewed as a trend print.
Page 106 How Trends are Accumulated For each of the four continuous trends, numerics are sampled every two minutes to a maximum of 150 samples (up to ﬁve hours). When the maximum is reached, the trending continues but the older data is no longer stored. The readings are displayed in descending order, most recent ﬁrst.
Page 107 NIBP TREND RESP TREND TEMP TREND TIME TIME TIME TIME TIME HR/PR HR/PR HR/PR HR/PR HR/PR S, D, (M) S, D, (M) S, D, (M) ETCO ΔT INCO a. ART, PA, CVP, ICP, UA, or UV Propaq Encore Reference Guide...
Page 108 Protocol Systems, Inc.
Page 109: Printing
SUSPEN D/ RESUME START / STOP Printing Printing Patient Data—5-3 Printing Waveforms—5-3 Printing NIBP Measurements—5-5 Printing the Apnea Ticket—5-6 Printing When a Patient Alarm Occurs—5-7 OxyCRG—5-8 Printing Trends—5-9 Printing a Single Trend—5-9 Printing Several Trends—5-9 Automatic Trend Prints—5-10...
Page 110 Protocol Systems, Inc.
Page 111: Printing Waveforms-5-3
The plethysmograph is printed without a horizontal grid, and the size is printed at the beginning of the printout and every eight seconds afterwards. Although no vertical scale is displayed for the SpO waveform, a size indicator is displayed to show the relative gain of the waveform. Propaq Encore Reference Guide...
Page 112 and RESP Waveforms waveforms are printed on a grid with major divisions (vertical dotted lines) every 5 mm, and the pressure scale grids are printed horizontally. The RESP waveform is printed without a horizontal grid. On the SNAPSHOT command only, the CO and RESP waveforms will be printed with different sweep speeds than the other waveforms.
Page 113: Printing Nibp Measurements-5-5
NIBP Ticket. The NIBP Ticket must be turned on in the Printer Setup window. To turn on NIBP TICKET, press , then , and then . The printer SETUP MORE PRINTER setup window appears. Use the buttons to select and turn on the NIBP TICKET. NEXT CHANGE Propaq Encore Reference Guide...
Page 114: Printing The Apnea Ticket-5-6
Printing the Apnea Ticket The Apnea Ticket documents the length of each apnea episode..and/or 60 seconds after the The Apnea Ticket is printed after the patient last breath was detected if the resumes breathing . . . patient has not resumed breathing To set the Propaq to print an Apnea Ticket after an apnea event, follow these steps.
Page 115: Printing When A Patient Alarm Occurs-5-7
ALARM PRINT in the printer setup window. NEXT Press the button until ALARM PRINT is set to ON. CHANGE A 3-second mark Printout continues Alarm occurred here Alarming vital sign numerics are highlighted Propaq Encore Reference Guide...
Page 116 OxyCRG The OxyCRG is a graphical printout of two minutes of continuous HR/PR and SpO numerics, and a condensed respiratory waveform. If any of the parameters have been completely inactive for the two minutes prior to the initiation of the print, the associated band will be empty.
Page 117: Printing A Single Trend-5-9
Using the buttons, select each of the trends you want printed and NEXT CHANGE turn them on. Turn off all other trends. Now, each time you want to print the selected trends, press PRINT TRENDS Propaq Encore Reference Guide...
Page 118: Automatic Trend Prints-5-10
Automatic Trend Prints To automatically print trends at 4-hour intervals, activate AUTO TREND and select the print times. Use the button to set the trend print times according to the start time (clock hour) CHANGE of each shift or to OFF. Once the Propaq is set up, it will print all the selected trends at each 4-hour interval.
Page 119: Power Sources
SUSPEN D/ RESUME START / STOP Power Sources Power Adapters—6-3 Intended Use—6-3 Verifying Proper “Universal Power Adapter” Configuration—6-4 Power Adapter Configurations—6-4 Replacing the “Universal Power Adapter” Fuses—6-5 Battery Care—6-7 Checking Battery Voltage—6-8 Replacing the Fuse—6-9...
Page 120 Protocol Systems, Inc.
Page 121: Intended Use-6-3
Use only a Protocol Systems ac power adapter to ensure protection against risk (leakage) current hazards. The Propaq Encore can also be powered and recharged from a 12-28V dc source capable of continuously supplying 25W. When a transport vehicle’s battery system is used to provide input power to the Propaq...
Page 122: Verifying Proper "Universal Power Adapter" Configuration-6-4
Verifying Proper “Universal Power Adapter” Configuration Prior to using the power adapter, check it for proper voltage selection by looking in the small indicator window on the front end (by the power switch). If the number in the window does not match your ac mains source voltage (100-120V or 200-240V), the adapter should be reconﬁgured.
Page 123: Replacing The "Universal Power Adapter" Fuses-6-5
If the voltage setting is incorrect, simply slide the PCB out of the fuse module, rotate it 180° and slide it back into place. Propaq Encore Reference Guide...
Page 124 Power Switch Spare Fuse Fuse Module Voltage Selector and Indicator Fuses in the Spare Fuse Fuse Carrier Make sure voltage selector is indicating the proper ac mains voltage. SUSPEND/ RESUME START / STOP CAUTION CAUTION Protocol Systems, Inc.
Page 125 , and printer can be operated. Battery Duration The amount of time you can run the Propaq Encore on each battery charge depends upon many variables including active options, frequency of NIBP measurements, frequency and length of print strips, ambient temperature, battery age and condition, and what information is displayed.
Page 126: Checking Battery Voltage-6-8
Table 6-2: Battery Voltage Effects on Operation (based on full EL conﬁguration) Approximate Battery Monitor Functioning and Messages Operating Time Voltage at 25° C ≥ 7.8V Monitor which is fully functional and displaying no error 4.5 hrs messages < 7.8V Flashing LOW BATT message.
Page 127: Replacing The Fuse-6-9
Disconnect the Propaq Encore from the patient. Turn off the Propaq Encore by pressing the OFF /ON switch on the right side panel. Disconnect the ac power adapter from the Propaq Encore’s power input connector.
Page 128 6-10 Protocol Systems, Inc.
Page 129: Care And Maintenance
SUSPEN D/ RESUME START / STOP Care and Maintenance Cleaning—7-3 Cleaning Recommendations—7-3 Maintenance—7-6 Service Interval Recommendations—7-6 Product Recycling—7-6 Monitor Care—7-7 Environmental Operating and Storage Limits—7-7 Extended Storage Precautions—7-7 Printer Maintenance—7-8 Loading Paper—7-8 Customer Services—7-10 Ordering and Customer Service—7-10 Technical Service—7-10 Repacking—7-10...
Page 130 Protocol Systems, Inc.
Page 131: Cleaning Recommendations-7-3
Cleaning Cleaning Recommendations The Propaq Encore should be wiped with a nearly-dry cloth containing one of the mild cleaning solutions recommended below. Thoroughly wipe off any excess residual cleaning solution from the Propaq. Do not allow the cleaning solution or water to run into crevices or connector openings.
Page 132 SUSPEND/ RESUME START / STOP CAUTION CAUTION Table 7-2: Never Use These as Cleaning Agents Butyl Alcohol Acetone Denatured Ethanol Vesphene II Freon Enviroquat Mild Chlorine Bleach Solution Staphene Isopropyl Alcohol Misty Trichloroethane, Trichloroethylene Glutaraldehyde Cuff The cuff may be cleaned using common hospital disinfectants, including Cidex, Clorox (1:10 solution), isopropyl alcohol, Lysol solution, Phisohex, Quatricide, Virex and Vesphene.
Page 133 All external cables and hoses should be checked for fraying or cracking. All damage should be reported to the biomedical department or biomedical repair service person. The side panel connectors of the Propaq Encore have been specially designed to prevent note...
Page 134: Service Interval Recommendations-7-6
Product Recycling You can return a Propaq Encore to Protocol Systems, Inc. for recycling when the monitor reaches the end of its life (7 to 10 years). You can also return an Encore’s internal battery to Protocol Systems for recycling when it reaches the end of its life (3-4 years).
Page 135: Environmental Operating And Storage Limits-7-7
Even when the Propaq Encore is turned off, a very small amount of current is drawn from the battery. For long-term storage, remove the battery from the Propaq. See the Propaq Encore Service Manual for procedures on removing the battery.
Page 136: Loading Paper
Printer Maintenance Loading Paper Paper is loaded through the bottom of the printer. Use only low-debris printer paper purchased from or recommended by Protocol Systems. SUSPEND/ RESUME START / STOP Use of other paper will cause unclear printing of patient data, damage to printing head, and CAUTION CAUTION eventual printer failure.
Page 137 Slide the end of the paper into the slot of the printing mechanism until it extends out of the paper exit slot. Close the paper door. Place the monitor on its feet. Simultaneously press the button and the button to START/STOP PRINT TRENDS produce a test print. Propaq Encore Reference Guide...
Page 138: Ordering And Customer Service-7-10
Repacking Before returning the monitor for service, call Protocol for return authorization and instructions on shipping. Repack the Propaq Encore in its original shipping container, if possible. The container was designed to protect the monitor from possible damage during shipment.
Page 139: Defibrillator Synchronization
SUSPEN D/ RESUME START / STOP Defibrillator Synchronization Defibrillator Synchronization—8-3 Defib Sync Connector and Cables—8-3 Installing the Defib Sync Interface to the LIFEPAK 5—8-4 Removing the Defib Sync Interface from the LIFEPAK 5—8-5 Synchronized Cardioversion Using the LIFEPAK 5—8-6 Synchronized Cardioversion Using the LIFEPAK 6s—8-8 Defib Sync Message—8-10...
Page 140 Protocol Systems, Inc.
Page 141: Defib Sync Connector And Cables-8-3
The use of any other cable will result in incorrect operation. The Protocol Systems, Inc. Products and Accessories Booklet lists correct cables for use with WARNING Protocol products. Table 8-1: Deﬁbrillator Synchronization Cables/Interface Deﬁbrillator Application Protocol Part Number LIFEPAK 6s 008-0154-00 LIFEPAK 5 008-0136-00 Propaq Encore Reference Guide...
Page 142: Installing The Defib Sync Interface To The Lifepak 5
Installing the Defib Sync Interface to the LIFEPAK 5 The Propaq Encore Deﬁb Sync interface provides signal transmission between the Propaq Encore and the LIFEPAK 5. The interface connects to the LIFEPAK 5 along the left side of the deﬁbrillator. Use the following instructions to install and remove the interface.
Page 143: Removing The Defib Sync Interface From The Lifepak 5
Removing the Defib Sync Interface from the LIFEPAK 5 To remove the interface, disconnect the cable end from the Propaq Encore. Press the lever on the side of the LIFEPAK 5 and slide the interface forward until it is free from the deﬁbrillator.
Page 144: Synchronized Cardioversion Using The Lifepak 5
Propaq Encore for tall, distinct R-waves and minimal artifact. The R-wave amplitude must be at least 0.5 mV (5 mm tall when the Propaq Encore ECG sensitivity—SIZE button—is set to 1.0 mV/cm) to guarantee that the defibrillator sync pulse will occur no later than 35 milliseconds after the peak of an R-wave.
Page 145 WARNING A fault in the cable between the Propaq Encore and the defibrillator, or unplugging the cable, note... will prevent setting the defibrillator to synchronized mode and will prevent showing markers on the Propaq.
Page 146: Synchronized Cardioversion Using The Lifepak 6S-8-8
Verify the integrity of the ECG patient electrodes and the ﬁdelity of the ECG waveform for tall, distinct R-waves and minimal artifact. The R-wave amplitude must be at least 0.5 mV (5 mm tall when the Propaq Encore ECG sensitivity—SIZE button—is set to 1.0 mV/cm) to guarantee that the defibrillator sync pulse will occur no later than 35 milliseconds after the peak of an R-wave.
Page 147 WARNING A fault in the cable between the Propaq Encore and the defibrillator, or unplugging the cable, note... will prevent setting the defibrillator to synchronized mode and will prevent showing markers on the Propaq.
Page 148: Defib Sync Message-8-10
Defib Sync Message The Deﬁb Sync message can appear in an equipment alert window. DEFIB FAULT/CHECK INTERFACE CABLE appears in the equipment alert window and indicates a shorted cable or an incompatible deﬁbrillator. 8-10 Protocol Systems, Inc.
Page 149: Glossary
AAMI Association for the Advancement of Medical Instrumentation (United States of America). AC Power Adapter The device that plugs into the 12-28V dc receptacle on the Propaq Encore's side panel to allow operation and battery charging from ac mains. Acuity Protocol’s trade name for its central station patient monitoring system.
Page 150 Breath rate, expressed in units per minute or 1/min. BR is derived from CO . See also RR. Buttons The ﬁve buttons along the bottom-front of the Propaq Encore. A menu appears above each button identifying what each button will do when pressed. Capnogram Hard copy of the ETCO waveform over time.
Page 151 Difference Temperature The difference between T1 and T2. Also called delta T (ΔT). Digital Filter A computer program in the Propaq Encore that removes unwanted noise that can be induced into the ECG signal from ac mains. EL (Electroluminescent) Display The display screen used in the Propaq Encore.
Page 152 . Amount of CO breathed out at the end of an exhalation. Factory Default Settings The current values for all Propaq Encore settable functions when the monitor was shipped from the factory. These settings can be changed using the button and reset using CURRENT button.
Page 153 In-service Mode A user training aid built into all Propaq Encore s that provides simulated signals for all patient parameters so that function of the display, alarms, and printer can be explored easily. The in-service mode is activated by the button.
Page 154 The unique number assigned to the monitor. It is located on the rear panel label. Software Version Number The unique number assigned to the version of the Propaq Encore's internal programming. This number appears in the Startup window. Protocol Systems, Inc.
Page 155 Startup Window The information window that appears while the monitor performs its power-up test just after you turn on the Propaq Encore. This information includes the Propaq Encore model number and software version number. Status Window A window that appears and contains information about the Propaq Encore.
Page 156 An acronym for Yellow Springs Instrument Company. Zeroing The process by which an invasive pressure zero reference is obtained so that pressures can be related to atmospheric pressure. This process also nulls out any residual pressure indicated by a transducer with zero pressure applied. Protocol Systems, Inc.
Page 157: Specifications
SUSPEN D/ RESUME START / STOP Specifications ECG—B-3 Real-Time ECG Analog/Defib Sync—B-6 Impedance—B-7 Pneumography (RESP)—B-7 Invasive Pressure—B-8 NIBP—B-9 Temperature—B-11 Pulse Oximetry (SpO )—B-12 Capnography (CO )—B-13 Alarms—B-16 Trends—B-17 Display—B-18 Monitor (Environmental)—B-19 Monitor (Physical)—B-20 Printer—B-22...
Page 158 Power—B-24 Power Adapters—B-25 Factory Default Settings—B-27 In-service Simulated Values—B-30 Protocol Systems, Inc.
Page 159 12.5, 25, and 50 mm/sec QRS Tone Volume High, Low, Medium, Off QRS Tone Frequency 900 Hz. for Propaq Encore without Expansion Module, 665 Hertz when equipped with SpO2 but SpO2 not being monitored; variable pitch with SpO option and SpO...
Page 160 Table B-1: ECG Speciﬁcations Characteristic Speciﬁcation Ω Input Impedance >2.5 M differential @ 60 Hz Input Range (ac) 10 mV peak to peak Up to ±300 mV Input Range (dc) ≤30 μV peak-to-peak, R.T.I., with all inputs = 47K in parallel System Noise with .047 μF.
Page 161 63 to 81 beats per minute (expected) Rapid Alternating VB 115 to 123 beats per minute (expected) Bidirectional Systole 87 to 93 beats per minute (expected) SHIELD SHIELD HP 12-pin ECG connector AAMI 6-pin ECG connector side panel view side panel view Propaq Encore Reference Guide...
Page 162 Real-Time ECG Analog/ Defib Sync Special cables are required for the real-time ECG analog or deﬁb sync connectors. Table B-2: Real-Time ECG Analog / Deﬁb Sync Signals Signal Speciﬁcation 0 to 5V pulse, 100 ±5ms wide, starts within 35 ms after peak Sync Output of R-wave.
Page 163 Presence of CVA will not affect the detection of an apnea. (CVA) Breaths will be picked in the presence of CVA unless the Breath Rate is within 5% of the Heart Rate. Motion artifact rejection not rejected Obstructive apnea not detected Propaq Encore Reference Guide...
Page 164 Invasive Pressure Applies only to models 204 and 206. Table B-4: Invasive Pressure Speciﬁcations Characteristic Speciﬁcation Transducer Type Strain-gauge resistive bridge, or HP quartz (with HP Option). 200 to 2000 Ω Transducer Excitation Impedance Range μ Transducer sensitivity V/V/mmHg Excitation Voltage 4.85V Pulsed dc @ 181 Hz Connector ITT-Cannon plug MS3106F-14S-6P Std.
Page 165 Ped: 200 mmHg Neonate: 141 mmHg Single Fault Overpressure Limit Adult: 308 mmHg Ped: 220 mmHg Neonate: 154 mmHg Leak Rate After a 1 minute settling period, leak rate is 4mm/Hg over a 3-minute period at 270 mm/Hg. Propaq Encore Reference Guide...
Page 166 70 seconds Artifact Minimum Time between 30 seconds (Auto Mode) automatic measurements 2 seconds (Turbo Mode) Electrosurgery interference Included in all models: 202EL, 204EL, 206EL suppression NIBP Performance Per EN 1060-1 and EN 1060-3 NIBP Safety Per IEC 601-2-30 B-10...
Page 167 For temp range from >50 to +122°F, the tolerance is ±.0.2 °F. For temp range from 32 to +50°F, the tolerance is ±0.4°F. 0.1°C or °F Resolution Electrosurgery interference Included in all models: 202EL, 204EL, 206EL suppression Propaq Encore Reference Guide B-11...
Page 168 25 to 249 beats per minute (display) ±3 beats per minute or 3%, whichever is greater Pulse Rate Accuracy Sensor Compatibility Compatible only with NELLCOR sensors listed in Chapter 2. Electrosurgery interference Included in all models: 202EL, 204EL, 206EL suppression B-12 Protocol Systems, Inc.
Page 169 Measurement Ranges ETCO : 0-99 mmHg, 0-13.2 kPa, 0-13.2% INCO : 0-25 mmHg, 0-5 kPa, 0-5% Display Ranges ETCO : 0-99 mmHg, 0-13.2 kPa, 0-13.2% INCO -25 mmHg, 1.1 -5 kPa, 1.1 Units mmHg, kPa,%; user-selectable Propaq Encore Reference Guide B-13...
Page 170 Table B-8: CO Speciﬁcations Characteristic Speciﬁcation Sweep Speed 3.13, 6.25, 12.5 mm/sec; user-selectable Response Modes Fast: 15 sec sampling time period Normal: 30 sec sampling time period Slow: 45 sec sampling time period Gas Compensation OFF: CO value = calculated CO value;...
Page 171 5-35 Hz, 0.015 in peak-to-peak, 35-100 Hz, 1 g acceleration Drop 36 inches free fall to ﬂoor (tile over concrete, one drop each face, one drop each edge/corner) a. not including cable b. lower if in alarm Propaq Encore Reference Guide B-15...
Page 172 Alarms Table B-9: Alarms Speciﬁcations Characteristic Speciﬁcation Indicators ALARM light, ALARM(S) OFF light, Audible Tone, Light bars continually ﬂash 0.5 seconds on and 0.5 seconds off if an alarm is suspended. Flashing Numerics. Numeric in violation alternates between normal and reverse video with 1 second duration each. Tone Frequency 900 Hertz Tone is steady for a patient alarm and sounds for 1 second...
Page 173: Trends
All channels except NIBP sample data at 2-minute intervals For NIBP trends, a new entry is placed in the table each time an NIBP determination is made. a. Assumes SpO and CO functions are present. Propaq Encore Reference Guide B-17...
Page 174: Display
Display Table B-11: Display Speciﬁcations Characteristic Speciﬁcation Matrix 552 x 256 pixels EL display Active Viewing Area 145.75 mm x 67.56 mm Pixel Size 0.203 mm x 0.203 mm Pixel Pitch 0.264 mm x 0.264 mm Character Height Large: 11.03 mm (0.434 in) Medium: 7.34 mm (0.289 in) Small: 3.64 mm (0.143 in) Viewing Angle...
Page 175: Monitor (Environmental
2000 Hz. Operating 1 hour per axis, 3 hours per test. Designed to meet RTCA DO-160C, Category N. Electromagnetic Compatibility Per IEC 601-1-2, which is a collateral standard of IEC 601-1, (EMC) for electromagnetic compatibility. Designed to meet RTCA DO-160C, Section 21, Category B. Propaq Encore Reference Guide B-19...
Page 176: Monitor (Physical
Monitor (Physical) Table B-13: Monitor Physical Speciﬁcations Characteristic Speciﬁcation Protection Classiﬁcations, all Conﬁgurations Type of Protection against Power adapter class 1 Electric Shock:—Power Adapter Type of Protection against Protective earth not available in monitor. Monitor designed Electric Shock—Monitor (when and tested to meet Double Insulation Requirement. connected to power adapter or powered by internal battery) Degree of Protection Against...
Page 177 9.65 in (24.5 cm) Width 8.25 in (20.9 cm) Depth 7.56 in (19.2 cm) Weight with Printer, SpO , and 12.68 lb (5.8 kg) a. Per EN 60601-1 unless otherwise stated. b. See Chapter 7 for cleaning instructions. Propaq Encore Reference Guide B-21...
Page 178: Printer
Printer Table B-14: Printer Speciﬁcations Characteristic Speciﬁcation Operation Operating Modes Continuous, Snapshot, Freeze Print, Auto Interval Print, Auto Interval, Tabular Trend, Alarm Print, NIBP Ticket, Apnea Ticket, OxyCRG, OxyCRG on Alarm Auto Print Intervals 15 min, 30 min, 1 hour, 2 hours, 4 hours Auto Trend Shifts Once every 4 hours Number of Waveforms...
Page 179 Per IEC 601-1-2, which is a collateral standard of IEC 601-1, (EMC) for electromagnetic compatibility. Paper Short-term Storage Environment -20 to 40°C; 5% to 80% noncondensing (up to 7 days) Long-term Storage Environment 25°C (optimal), 65% noncondensing (up to 5 years) Propaq Encore Reference Guide B-23...
Page 180 Input Fuse Rating 3A/250V, Type 2AG (0.57x 0.177 in) Operating Times on Battery Typically 2.5 to 3.5 hours for Propaq Encore without Expansion Module, 3.5 to 4.5 hours for Propaq Encore with Expansion Module with printer, SpO and CO Options, and more than 4.5 hours for Propaq Encore without Expansion...
Page 181 0.002g /Hz at 500 Hz. Operating 1 hour per axis, 3 hours per test. Water Resistance For ordinary, indoor locations only. a. Per EN 60601-1 unless otherwise stated. b. See Chapter 7 for cleaning instructions. Propaq Encore Reference Guide B-25...
Page 182 Table B-17: Power Adapter Physical Speciﬁcations Characteristic Speciﬁcation Universal Power Adapter, Part No. 503-0054-00 Length 5.0 in (12.7 cm) Width 3.6 in (9.1 cm) Height 3.1 in (7.9 cm) Weight 3.1 lb (1.4 kg) Rated Input 100V-120V ac, 500 mA, 50/60 Hz Rated Fuses T800 mA/250V, Time-Delay, 5x20mm Rated Output (Continuous)
Page 183 60 Hz. This setting is automatically updated whenever it is changed during use. ECG Pacer RESP size RESP lead RESP sweep 6.25 mm/sec RESP ON/OFF RESP window IBP Range 0 to 180 mmHg IBP Rescale 0 to 140 mmHg IBP Mode RESCALE Propaq Encore Reference Guide B-27...
Page 184 Table B-18: Factory Default Settings Setting Factory Default Invasive Pressure Formats Label dependent NIBP Mode MANUAL NIBP Auto Time 15 min SIZE C-LOCK Response NORMAL TEMP F/C Celsius Range 0 to 60 mmHg Sweep 6.25 mm/sec Response NORMAL Units mmHg. This setting is automatically updated whenever it is changed during use.
Page 185 Adult/Ped: 20 seconds Neonate: 15 seconds PRINTER SETTINGS Printer Alarm Print Printer Auto Print Printer NIBP Ticket Printer Apnea Ticket Printer Print Speed 25 mm/sec Printer Auto Trend Printer Trend Selections All ON Printer OxyCRG on Alarm Propaq Encore Reference Guide B-29...
Page 186 In-service Simulated Values Table B-19: In-service Values Channel Display Initial Value Alternate Value Waveform Normal sinus rhythm, Normal sinus rhythm 1mV, Lead II with ST segment depression Heart Rate 80 beats per minute 125 beats per minute RESP Respiration Rate 12 breaths/minute 31 breaths/minute Waveform...
Page 187: Specifications B
3-6 charging light 1-7 lights 3-5 removal, effect on programmable limits for CO2 2-38 settings 7-7 Menu 1-16 replacement 7-6 programming limits 3-10 storage 7-7 setting all 3-10 voltage 1-9 setting quickly (STAT SET) 3-9 Propaq Encore Reference Guide Index-1...
Page 188 Bells preparing to monitor 2-39 alarm limit status 3-3 printing waveforms 5-4 Below the range (---) 1-11 sensor 2-39 Breath rate measurements 2-39 specifications B-13 Buttons sweep speed 2-43 menu 1-15 CO2 button 2-43 monitor 1-14 CO2 Menu 1 mm/sec button 2-42 2-43 RANGE button 2-42 2-43...
Page 189: Ecg—B
INV PRS 2-17 ECG/RESP Menu 2 NIBP 2-25 ECG LEAD button 2-9 SpO2 2-35 RESP SZE button 2-9 Documents, related xii Electrodes DOWN button 1-21 3-10 placement 2-7 pre-gelled 2-6 Electrosurgical machines use with ECG 2-4 Propaq Encore Reference Guide Index-3...
Page 190 EMP (see Expansion Module with Printer) HP connector-compatible option 1-5 ENTER button 1-21 HR/PR TONE setting 1-19 2-10 Environmental (monitor) specifications B- ICP, label for intracranial pressure 2-18 Environmental limits Impedance Pneumography (see RESP) operating 7-7 INSERV button 1-17 1-26 storage 7-7 In-service mode 1-26 Equipment Alerts...
Page 191: Nibp—B
CO2 Menu 2 1-15 programming 3-10 CO2 Menu2 2-42 setting individual 3-10 ECG Menu 1 1-15 LIMITS button 3-10 ECG Menu 2 1-15 Loading printer paper 7-8 ECG/RESP 2-9 Loudness INV PRS Menu 1 1-15 2-18 Propaq Encore Reference Guide Index-5...
Page 192 INV PRS Menu 2 1-15 2-18 Monitor settings Main 1-15 ALARM TONE 1-19 NIBP 1-15 2-25 automatically-saved 1-20 – overview 1-15 1-17 CO2 UNITS 1-20 Printer Setup 1-17 CURRENT SOURCE 1-18 Program 1-17 DATE 1-20 Service 1-17 DECIMAL 1-20 Setup Menu 1 1-16 ECG BANDWIDTH 2-10 Setup Menu 2 1-17 FILTER 1-20...
Page 193 HP-compatible side panel 1-5 Pediatric 2-21 Printer 1-5 PATIENT MODE setting 1-19 RESP 1-5 Physical (monitor) specifications B-20 SpO2 1-5 Power Ordering 7-10 input connector 1-6 Oscillometric method (NIBP) 2-22 specifications B-24 OXYCRG button 4-3 Power adapters 6-3 Propaq Encore Reference Guide Index-7...
Page 194: Trends—B
specifications B-25 Printer Setup Menus 1-17 Power-up tones Printing 5-5 expansion module/SpO2 module 1-9 alarm prints 5-7 monitor 1-9 Apnea Ticket 5-6 PR TREND button 1-23 automatic trends 5-10 PREV MENU button 1-23 automatically 5-3 5-10 PRINT button 4-3 CO2 waveforms 5-4 PRINT TRENDS button 1-25 ECG waveforms 5-3 Printer 1-5...
Page 195 1-10 system controls 1-6 right, system controls 1-6 R-wave amplitude 8-6 SIMULATED DATA, on print strip 1-27 Simulated patient values (see also In-service mode) B-30 Safety summary ix SIMULATING, on monitor display 1-26 Propaq Encore Reference Guide Index-9...
Page 196: Display—B
SIZE button 2-35 saturation and heart tone 2-31 Size, waveforms 2-10 sensor application 2-32 SNAPSHOT button 1-25 sensors and patient movement 2-33 Specifications size indicator 5-3 alarms B-16 specifications B-12 CO2 B-13 synchronizing with ECG 2-36 defibrillator synchronization B-6 waveform 2-35 display B-18 SpO2 button 2-34 ECG B-3...
Page 197 3-10 Tone UV, label for umbilical vein 2-18 alarm volume 3-4 HR/PR (volume) 2-10 Verifying Patient Mode 1-8 power-up 1-9 Verifying power-up tone 1-9 Trend Select Page 5-10 Voltage Trends battery 1-9 clearing data 4-4 Propaq Encore Reference Guide Index-11...
Page 198 battery operating time 6-8 checking battery 6-8 Volume alarm tone 3-4 heart tone 2-10 WARNING statements, defined x WAVE SEL button 1-18 Wave Select Menu 1-17 window 1-21 Wave Select Menu INSERV button 1-17 1-26 NEXT button 1-21 NO INSRV button 1-17 ON/OFF button 1-21 Waveforms display priorities 1-21...

This manual is also suitable for:

204el 206el

Propaq Encore 202EL Reference Manual

Table of Contents

Getting Started

Patient Monitoring

Alarms and Limits

Trends

Printing

Power Sources

Care and Maintenance

Defibrillator Synchronization

Specifications

Quick Links

Chapters

Need help?

Questions and answers

Related Manuals for Propaq Encore 202EL

Summary of Contents for Propaq Encore 202EL

This manual is also suitable for:

Table of Contents