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® Propaq M Operator’s Guide March 2011 9650-0803-01 Rev. B...
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ZOLL is a registered trademark, and SurePower is a trademark of ZOLL Medical Corporation. Propaq and Smartcuf are registered trademarks, and SureBP is a trademark of Welch Allyn Inc. Nellcor and OxiMax are trademarks of Covidien. Oridion, Microstream, FilterLine, and CapnoLine are registered trademarks of Oridion Systems, Ltd.
Table of Contents Chapter 1 General Information Product Description ......................1-1 Propaq M Optional Features ..................1-2 How to Use This Manual..................... 1-2 Operator’s Guide Updates ....................1-2 Unpacking ........................... 1-2 Symbols Used on the Equipment ..................1-3 Conventions ........................1-5 Propaq M Indications for Use....................
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Navigation Keys ....................... 2-11 Display Brightness ....................2-11 Common Tasks ......................... 2-11 Changing the Display Brightness ................2-11 Replacing a Battery Pack on the Propaq M .............. 2-12 Using Treatment Buttons ..................2-13 Chapter 3 Monitoring Overview Propaq M Monitoring Functions ..................3-1 ECG ..........................
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Preparing the Patient for Electrode Application ............6-2 Applying Electrodes to the Patient ................6-3 Connecting the ECG Cable To the Propaq M Unit ............. 6-5 Selecting ECG Waveforms for Display ............... 6-6 Selecting the Waveform Trace Size ................6-8 ECG Monitoring and Pacemakers ..................
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Chapter 14 Patient Data Storing Data ........................14-1 Capturing a Data Snapshot....................14-2 Reviewing snapshots ....................14-2 Treatment Summary Report ..................... 14-2 Transferring Data to a USB Device................... 14-3 Clearing the Log ....................... 14-4 9650-0803-01 Rev. B Propaq M Operator’s Guide...
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ONTENTS Chapter 15 Cleaning and Maintenance Inspection and Cleaning instructions ................15-1 Cleaning the Propaq M unit ..................15-2 Cleaning the NIBP Blood Pressure Cuff ..............15-2 Cleaning SpO2 Sensors ................... 15-2 Cleaning Cables and Accessories ................15-3 Recommended Minimum Preventive Maintenance Schedule .......... 15-3 Guidelines for Maintaining Peak Battery Performance .............
The Propaq M has a patient data review and collection system that allows you to view, store, and transfer patient data. The Propaq M unit contains a USB port, which you can use to transfer data to a PC.
How to Use This Manual The Propaq M Operator's Guide provides information operators need for the safe and effective use and care of the Propaq M product. It is important that all persons using this device read and understand all the information contained within.
This end up. Temperature limitation. Conformité Européenne Complies with medical device directive 93/42/EEC. Defibrillator-proof type CF patient connection. Fusible link. Alternating current (ac). Direct current (dc). Auxiliary power adapter operation. Earth (ground). Negative input terminal. 9650-0803-01 Rev. B Propaq M Operator’s Guide...
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Do not discard in trash. Recycle or dispose of properly. Return to a collection site intended for waste electrical and electronic equipment (WEEE). Do not dispose of in unsorted trash. Date of manufacture. Use by. Latex-free. Do not reuse. Do not fold. www.zoll.com 9650-0803-01 Rev. B...
Warning statements alert you to conditions or actions that can result in personal injury or death. Caution Caution statements alert you to conditions or actions that can result in damage to the unit. 9650-0803-01 Rev. B Propaq M Operator’s Guide...
The Propaq M will be used whenever it is required to monitor any of those functions that are included (as options) in the device. The Propaq M unit can be used on pediatric patients (as described in the following table) and on adult patients (21 years of age or older) with and without heart dysfunction.
Propaq M Product Functions Respiration Monitoring The Propaq M is intended for use to continuously monitor respiration rate and to alarm if the rate falls outside of the range set by the operator. Because the measurement method actually measures respiratory effort, apnea episodes with continued respiratory effort (such as obstructive apnea) may not be detected.
You can charge the battery by either of the following methods: Internal charging — plug the Propaq M into an auxiliary power adapter to automatically • begin charging the installed battery pack. The front panel battery indicator operates as...
Propaq M Product Functions Ready For Use (RFU) Indicator The Propaq M has an RFU indicator on the front panel that indicates if the device is ready for use. The RFU indicator has three states which are described in the following table.
Do not use the monitor until it has been inspected by appropriate personnel. The Propaq M unit might not perform to specifications when stored at the upper or lower extreme limits of storage temperature and then immediately put into use. The Propaq unit should not be stored or used outside of the environmental limits provided in Appendix A of this manual.
Do not place electrodes directly over an implanted pacemaker. The Propaq M unit detects ECG electrical signals only. It does not detect a pulse (effective circulatory perfusion). Always verify pulse and heart rate by physical assessment of the patient.
Blood pressure measurement results may be affected by the position of the patient, his or her physiological condition and other factors. Substitution of a component different from that supplied by ZOLL (e.g., cuff, hoses, etc.) may result in measurement error. Use only ZOLL-approved cuffs and hoses. To avoid the risk of intravenous line misconnection and possible introduction of air into a patient’s blood, do not...
Respiration Do not operate the Propaq M with any other monitor with respiration measurements on the same patient. The two devices could affect the respiration accuracy. The device should not be used as an apnea monitor.
If the Low Battery indication occurs at any time during operation, immediately replace the battery pack. If the LOW BATTERY icon appears, plug the Propaq M unit into a power source or install a fully charged battery pack. When the warning low battery shutdown prompt appears, immediately replace the battery pack with a fully charged pack or plug the Propaq M unit into a power source, as unit shut down due to a low battery condition is imminent.
ECG cables specified or supplied by ZOLL. For continued safety and EMI performance, use only the line cord supplied by ZOLL. Electrical installation of the room or the building in which the monitor is to be used must comply with regulations specified by the country in which the equipment is to be used.
If the Propaq M unit is powered off for less than 2 minutes, all patient monitoring parameter settings will be retained. If the unit has been powered off for at least two minutes, it will be considered a New Patient and all of the patient-specific parameters (alarm limits, etc.) will be...
Appropriately trained and qualified personnel should, however, perform periodic tests of the monitor functionality to verify proper operation. If a unit requires service, contact the ZOLL Technical Service Department. For customers In the U.S.A. For customers outside the U.S.A.
“A” for January, “B” for February, “C” for March, and so on through “L” for December. The product serial number is a unique set of alphanumeric characters that ZOLL assigns to each individual unit.
For connecting the device to a docking station. The Front Panel The front panel of the Propaq M device includes the display screen, quick access keys, battery and auxiliary power indicators, and Ready For Use (RFU) indicator. See Figure 2-1. Refer to Table 2-2 on page 2-2 for information about the controls and indicators.
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A red circle with a line through it indicates that the unit’s readiness has been compromised and that it may not be ready for therapeutic use. Power button Located on the top of the unit, this button turns the unit on and off. 9650-0803-01 Rev. B Propaq M Operator’s Guide 2–3...
The auxiliary power indicator indicates that the unit is being powered by the auxiliary power adapter. Upon powering up the Propaq M unit, the battery capacity will be displayed within approximately 15 seconds under normal conditions. Icon...
, Temperature, and IBP functions are optional. If your unit does not include these options, it does not have the applicable connectors. NIBP Exhaust Figure 2-3. Patient Cable Connectors on Left Side of Unit Temp Figure 2-4. Patient Cable Connectors on Right Side of Unit 2–6 www.zoll.com 9650-0803-01 Rev. B...
For connecting IBP cable(s). Auxiliary Power Adapter The auxiliary power adapter is used as backup power to operate the Propaq M. When it is connected to the Propaq, it powers the unit and charges the battery that is installed in the Propaq.
Quick access key Description Lead Selects the ECG input source for the first waveform trace. I, II, III... 12 lead Displays the 12-lead monitoring screen. Turns CO on and off. Displays IBP setup and zero buttons. 2–8 www.zoll.com 9650-0803-01 Rev. B...
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Deletes the current data in the log. Acquire Collects 10 seconds of 12-lead data. Stop Acquisition Stops acquisition of 12-lead data. Patient Information Allows you to enter information to accompany 12-lead data: patient name, age, gender, and ID. 9650-0803-01 Rev. B Propaq M Operator’s Guide 2–9...
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Displays the current alarm settings. Limits IBP Setup Brings up the IBP Control Panel for the corresponding channel (P1, P2, or P3). IBP Zero Zeroes the IBP transducer for the corresponding channel (P1, P2, or P3). 2–10 www.zoll.com 9650-0803-01 Rev. B...
Common Tasks The section contains procedures for the following tasks: “Changing the Display Brightness” on page 2-11. • “Replacing a Battery Pack on the Propaq M” on page 2-12. • “Using Treatment Buttons” on page 2-13. • Changing the Display Brightness The following procedure shows how to select the different brightness options.
VERVIEW Replacing a Battery Pack on the Propaq M This section describes how to replace a battery pack on the Propaq M. Replacing a Battery Pack on the Propaq M To remove a battery pack, use your fingers to grasp and raise the latch and pull the battery pack out of the compartment.
You can also customize up to 9 treatment buttons by pressing the Setup quick access key ( and then selecting Supervisor>Log>Treatment Options. Highlight Define Custom Labels, and then can customize up to 9 buttons. 9650-0803-01 Rev. B Propaq M Operator’s Guide 2–13...
If the Propaq M unit is powered off for less than 2 minutes, all patient monitoring parameter settings are retained. If the Propaq M unit is powered off for 2 minutes or longer, the unit operates as if there is a New Patient and all patient-specific parameters (alarm limits, etc.) are reset to their default values.
, or , and so on, in this area. You can configure the Propaq M unit to display up to four ECG waveform traces. In addition to being able to specify the ECG source for each waveform trace, you can adjust the display scale of those traces to make them easier to view.
) numeric display. You can also specify that the Propaq M unit display an SpO plethysmograph in the waveform trace display area. Monitoring Display Options The Propaq M unit gives you great flexibility in how you display a patient’s vital signs information. By pressing the Display/Home button ( ),on the front panel, you can successively display the patient’s vital signs information in these three windows:...
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Press the Display/Home button when viewing the Waveform Display window, and the unit displays the Trends Status window. The Trends Status window reports the patient’s vital sign measurements, which the Propaq M logs automatically at a configurable interval (see the following chapter, Trends, for more detailed information about the Trends Status window).
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I, II, 1 cm/mV III... NIBP mmHg NIBP Trends (96) SpO2 NIBP Time HR/PR mmHg br/min EtCO2 mmHg 12:30:21 122/60 (85) 12:25:21 122/60 (85) 12:20:21 122/60 (85) SpO2 12:15:21 124/63 (86) ºF 98.6 9650-0803-01 Rev. B Propaq M Operator’s Guide...
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03/23/2009 12:34:56 Adult 00:17:43 I, II, SpO2 III... NIBP mmHg EtCO2 mmHg (96) 23:45 ºF 121 79 25 9 12.4 mmHg mmHg mmHg 98.6 (96) (15) Press the Display/Home button to redisplay the Primary Display window. www.zoll.com 9650-0803-01 Rev. B...
SpO2 or IBP channels , or The Propaq M unit can also cascade a trace onto the adjoining trace area to double the duration of the trace display. On the Waveform Display window, to insert a new trace ( Insert...
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ECG lead aVR, and fourth trace for EtCO2 (a capnogram). Notice that when the third trace is inserted, the numeric displays move to the right side of the window to allow more room for the waveform traces. www.zoll.com 9650-0803-01 Rev. B...
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I, II, Source 1 cm/mV III... Insert Cascade mmHg mmHg SpO2 NIBP (96) ºF 98.6 03/23/2009 12:34:56 Adult 00:17:43 I, II, 1 cm/mV III... NIBP mmHg (96) EtCO2 mmHg 1 cm/mV SpO2 ºF 98.6 9650-0803-01 Rev. B Propaq M Operator’s Guide...
Trend on Alarm option is on • The Propaq M unit can store at least 24 hours of trend information when logged at a 1 minute trend interval. You can view or save to external memory all logged trend information.
5-minute intervals. Displaying Trend Information To navigate in Trends status window, highlight the bar, Navigate Here to Scroll through Trends then press Select. Press the Up/Down buttons ( ) to scroll through the trend information. www.zoll.com 9650-0803-01 Rev. B...
Visual Alarm Indicators In addition to status messages that appear on the display, the Propaq M unit lights the red or yellow LED on the front panel to indicate the priority level of the highest-priority active alarm.
Alarm Indicator Self-test The Propaq M unit performs a self-test of the audio and visual alarm indicators upon power-up. To ensure that the alarms and alerts are functioning properly, verify that two alarm tones are heard and the green, yellow, and red LEDs are illuminated upon power up.
When a patient’s vital signs measurements trigger an alarm, in addition to sounding the patient alarm, the Propaq M unit displays an alarm message, and changes the display characteristics of the monitoring function’s numeric display (the alarming parameter appears in red against a white background).
HAPTER LARMS Equipment Alert Display When a problem with the Propaq M unit or an attached sensor triggers an alert, in addition to sounding an equipment alert, the Propaq M unit displays an alert message (yellow background, black text). Warning! Always respond immediately to a system alarm since the patient may not be monitored during certain alert conditions.
No alarms will sound while alarms are suspended; however, if an alarm occurs during the suspension period, the Propaq M unit will display visual alarm indicators -- alarm messages in the message area (white text on a red background) and red/white numeric displays).
Alarm Options Alarm Options The Propaq M unit provides alarm options that you can specify through the Supervisor parameter control panels (access to Supervisor is passcode-controlled). Press the More quick access key ( ), press the Setup quick access key (...
Do not set alarm limits to such extreme values that render the alarm system useless. Setting Alarm Limits Relative to the Patient -- Stat Set Option The Propaq M unit also allows you to set all alarm limits relative to the patient’s current vital signs measurements by performing the following actions: 1.
Chapter 6 Monitoring ECG This chapter describes how to use the Propaq M unit to monitor ECG. You can use a 3-lead, 5-lead, or 12-lead wire configuration for ECG monitoring (see Chapter 13, Monitoring 12-Lead ECG, for information on 12-lead monitoring).
• Check the operation and integrity of the Propaq M unit and ECG cable regularly by performing the Daily Operational Verification Test. • Implanted pacemakers may cause the heart rate meter to count the pacemaker rate during incidents of cardiac arrest or other arrhythmias.
LA/Black Electrode L/Yellow Electrode Place near patient’s left mid-clavicular line, directly below clavicle. LL/Red Electrode F/Green Electrode Place between 6th and 7th intercostal space on patient’s left mid-clavicular line. Figure 6-1 3-Lead Electrode Placement 9650-0803-01 Rev. B Propaq M Operator’s Guide...
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V3 -- Midway between V2 and V4 leads. V4 -- 5th intercostal space at mid-clavicular line. V5 -- Same transverse level as V4 at left anterior-axillary line. V6 -- Same transverse level as V4 at left mid-axillary line. www.zoll.com 9650-0803-01 Rev. B...
Connecting the ECG Cable To the Propaq M Unit The Propaq M unit accepts Welch Allyn Propaq ECG cables as well as ZOLL Propaq M ECG cables. Connect the ECG cable to the ECG connector on the left side of the Propaq M unit as follows: 9650-0803-01 Rev.
ONITORING Selecting ECG Waveforms for Display You can fit up to four waveforms on the Propaq M display. The first waveform at the top of the display is always an ECG waveform. In the following example, Lead (RA-LL), is the source of the ECG waveform trace: The are two ways to specify which ECG lead is the source of the primary waveform trace.
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LEAD FAULT. For more information on how to configure the display of waveforms on the Propaq M unit, see Chapter 3, Monitoring Overview. 9650-0803-01 Rev. B...
ONITORING Selecting the Waveform Trace Size The Propaq M unit allows you to select the waveform trace size to adjust the size of displayed the ECG waveform. To select the waveform size, use the navigation keys to highlight and select the trace size that...
, implantable pacemaker signals may cause inaccurate QRS detection and it may be desirable to turn the Pacer Indicator on. ECG System Messages When monitoring ECG, the Propaq M unit may display the following messages: System Message Cause LEAD FAULT The current ECG source lead is defective (check lead and replace, if necessary).
The Propaq M unit displays Respiration ( ) and Heart Rate ( ) meters. The Respiration Resp and Heart Rate meters display values that the Propaq M unit derives from measurements taken by other Propaq M monitoring functions. 03/23/2009 12:34:56...
Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR) Respiration/Breath Rate Meter If enabled, the Propaq M unit displays the patient’s respiration in the Respiration/Breath Rate Meter. The respiration meter displays the respiration rate that it derives, by default, from the unit’s monitoring function.
ECG monitoring source for the Respiration rate. Enabling/Disabling RR/BR Alarms and Setting Alarm Limits When enabled, the Propaq M unit sounds alarms whenever the patient’s respiration rate is above or below the specified respiration rate alarm limits.
-- selects the Resp lead, Ld I (RA-LA) or Ld II (RA-LL), from which the Propaq • Resp Lead M unit calculates the respiration rate. Resp Lead selection is independent of ECG Lead selection. sets the respiratory sweep speed on the display. • CO2/Resp Sweep Speed -- www.zoll.com 9650-0803-01 Rev. B...
Configuring Heart Rate (HR) Meter Alarms The Propaq M unit allows you to enable and disable the Heart Rate (HR) alarm, to set alarm limits, and to select a Heart Rate tone. 9650-0803-01 Rev. B...
Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR) Enabling/Disabling HR Alarms and Setting Alarm Limits When enabled, the Propaq M unit sounds alarms whenever the patient’s heart rate is above or below the specified heart rate alarm limits. To enable (or disable) HR alarms and set Upper and Lower alarm limits, you can either do so through the Alarms quick access key ( ), or the HR/PR Parameter Control Panel.
0 to 150 mmHg HR/PR Source ECG Sweep Speed 25 mm/s Selecting the prompt displays the HR/PR Alarm Settings Menu, on which you HR/PR Alarm can enable/disable Heart Rate alarms and set alarm limits. 9650-0803-01 Rev. B Propaq M Operator’s Guide...
The Propaq M uses the enhanced NIBP features of Welch Allyn’s SureBP and patented Smartcuf motion-tolerant technology. The SureBP monitoring software allows the Propaq M unit to take an NIBP measurement as the cuff is inflating, which saves time -- the measurement takes about 15 seconds -- and improves patient comfort.
How does NIBP Work? The blood pressure cuff and hose connect to the Propaq M unit through the NIBP connector on the side panel of the unit. The NIBP button on the front panel of the unit allows you to initiate and terminate blood pressure measurements, which are displayed in the NIBP area of the monitor.
The NIBP Numeric Display The NIBP Numeric Display When NIBP monitoring has been set up and the Propaq M unit has begun taking NIBP measurements, the systolic, diastolic, and mean blood pressure measurements appear on the NIBP numeric display as follows:...
Using a cuff that is too large results in measurements lower than the patient’s actual blood pressure. The Propaq M uses the same definitions of Neonates, Pediatrics, and Adults as defined in the AAMI SP10:2002 standard:...
Connecting the NIBP Cuff Connecting the NIBP Cuff Connecting the NIBP cuff requires you to attach the inflation hose to the Propaq M unit and the NIBP cuff. To use the SureBP feature, which enables the Propaq M unit to measure blood pressure on cuff inflation, you must use the FlexiPort cuff and dual lumen (two-tube) adaptor and hose.
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(NIBP) HAPTER ONITORING NVASIVE LOOD RESSURE Attach a single lumen hose as follows: Figure 8-2 Attaching a Single Lumen Hose to the Propaq M Unit www.zoll.com 9650-0803-01 Rev. B...
If they do not line up, use a different size cuff. Wrap the deflated cuff snugly around the limb without impeding blood flow. Ensure that the hose is routed to avoid kinking or compression. 9650-0803-01 Rev. B Propaq M Operator’s Guide...
The maximum cuff inflation pressure for neonates is 153 mmHg. Warning! Before using the Propaq M to monitor a new patient, power down the Propaq M unit for at least 2 minutes to reset all patient parameters and eliminate all adjustments made for the previous patient.
Parameter Control Panel: NIBP Lower Upper NIBP Systolic Alarm NIBP Diastolic Alarm NIBP MAP Alarm NIBP Mode Manual NIBP Auto Mode Interval 5 min SmartCuf On/Off Start TurboCuf Figure 8-4 NIBP Parameter Control Menu 9650-0803-01 Rev. B Propaq M Operator’s Guide 8-11...
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). To repeat the NIBP measurement, you must press the NIBP key again (select Manual In Automatic Mode, the Propaq M unit takes the first of a series of NIBP measurements when timer expires, and then repeats the NIBP measurement at this specified Auto Interval interval.
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Configuring NIBP Alarms and Settings Note: The Propaq M unit must perform ECG monitoring when using Smartcuf. If artifact is severe, a special symbol appears on the display: Figure 8-5 High Artifact Symbol By default, Smartcuf is Enabled. There are situations where you may choose to disable Smartcuf. These may include Very extreme motion artifact •...
(NIBP) HAPTER ONITORING NVASIVE LOOD RESSURE NIBP System Messages When monitoring NIBP, the Propaq M unit may display the following messages: System Message Cause/Action READING IN PROGRESS The unit is taking an NIBP measurement and functioning normally. READING STOPPED The unit has stopped an NIBP measurement, because the operator has pressed the NIBP button and cancelled the measurement.
Monitoring Pulse Oximetry (SpO The Propaq M SpO input is Type CF defibrillator proof. This chapter describes how to use the Propaq M unit to monitor Pulse Oximetry (SpO The Propaq M pulse oximeter continuously and noninvasively measures the oxygen saturation (SpO ) of arterial blood at a peripheral site, such as the foot, toe, or finger.
Dyes or any substance containing dyes that alter arterial pigmentation might cause erroneous readings. Do not use the Propaq M pulse oximeter or oximeter sensors during magnetic • resonance imaging (MRI). Induced current could cause burns. The pulse oximeter might affect the MRI image and the MRI unit might interfere with the accuracy of oximetry measurements.
For more information, refer to the Accessories section of this chapter, which provides a list of ZOLL-approved reusable and single-use SpO sensors for adult, pediatric, and neonate patients.
To ensure accurate data, you must have complete coverage of the detector window (see previous figure). Note: With smaller digits, the digit may not need to be pushed all the way to the stop to completely cover the detector window. www.zoll.com 9650-0803-01 Rev. B...
(for example, as a result of externally applied coloring such as nail polish, dye, or pigmented cream) to permit appropriate light transmission. If any of these situations occurs, reposition the sensor or choose an alternate sensor for use on a different site. 9650-0803-01 Rev. B Propaq M Operator’s Guide...
1. When using a sensor extension cable, inspect the cable before use. Replace the cable if it shows any signs of wear, breakage, or fraying. Plug the sensor extension cable into the SpO socket on the side of the Propaq M unit: Figure 9-1 Connecting the SpO...
If the message, SENSOR FAILURE, appears, the sensor is either incompatible with the Propaq M unit, or it is not working, and you will need to replace the sensor. A blip bar appears on the right side of the SpO numeric display window.
SpO2 Lower Upper CO2 Scale SpO2 Alarm 0 to 30 mmHg Response 0 to 60 mmHg Normal 0 to 100 mmHg HR/PR Tone 0 to 150 mmHg Figure 9-4 SPO Parameter Control Menu www.zoll.com 9650-0803-01 Rev. B...
The unit allows you enable or disable the tone that the monitor uses to indicate detection of the patient’s pulse: (no tone sounds). The default tone is System Messages The Propaq M unit may display the following system messages when monitoring SpO System Message Cause INITIALIZING The SpO pulse oximeter is initializing.
For a properly functioning monitor, this difference will be reproducible over time and from monitor to monitor within the performance specifications of the test device. 9-10 www.zoll.com 9650-0803-01 Rev. B...
Chapter 10 Monitoring CO This chapter describes how to use the Propaq M unit to monitor End Tidal Carbon Dioxide (EtCO ), breath rate, and Fractional Inspired Carbon Dioxide (FiCO ). These options use the same connector on the Propaq M unit and may be used interchangeably.
Apply the Filterline airway adaptor or Smart CapnoLine Nasal or Oral/Nasal cannula to the patient. Check that the Propaq M unit is set up for the correct patient type -- Adult, Pediatric, or Neonate. Configure alarms (if the current alarm settings are not appropriate) and other CO features.
• You can use the following Oridion Microstream accessories for CO monitoring with the Propaq M unit: Table 7-1. Oridion Microstream CO Sampling Lines for use with Propaq M units Accessory Type Part Number FilterLine Set (Adult/Pediatric), box of 25...
ONITORING Connecting the CO Sampling Lines To connect the FilterLine or Smart CapnoLine: 1. Slide open the Propaq M unit’s CO inlet port cover. Put the fitting at the end of the tubing over the CO inlet port connector. Turn the fitting clockwise to tighten.
To prevent moisture from draining into the sample tubing, ensure that the sampling tube exits from the top of the airway adapter, not its bottom or sides. See the following figure. 9650-0803-01 Rev. B Propaq M Operator’s Guide 10-5...
Placing the Cannula onto the Patient Place the oral/nasal cannula onto the patient as follows: Caution Dispose of Microstream EtCO consumables according to standard operating procedures or local regulations for the disposal of contaminated medical waste. 10-6 www.zoll.com 9650-0803-01 Rev. B...
Check that connections have been made correctly by verifying the display a proper capnogram (the waveform is inserted automatically on the waveform display window). 03/23/2009 12:34:56 Adult 00:17:43 I, II, 1 cm/mV III... 0 to 60 mmHg mmHg mmHg SpO2 NIBP (96) ºF 98.6 9650-0803-01 Rev. B Propaq M Operator’s Guide 10-7...
10 M HAPTER ONITORING Setting CO and Respiration Rate Alarms The Propaq M unit sounds alarms whenever measurements are outside set limits for the following: High and Low EtCO • High and Low Respiration Rate (in Breaths/Minute) • High FiCO •...
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In high-altitude environments, EtCO values may be lower than values observed at sea level, as described by Dalton’s law of partial pressures. When using the Propaq M unit in high-altitude environments, it is advisable to adjust EtCO alarm settings accordingly.
On the CO2 Parameter Control Panel, you can select a CO alarm (EtCO2, Breath Rate, or FiCO2). On the selected alarm settings menu, you can enable/disable alarms and set alarm limits (as described previously). You can also set the CO sweep speed. 10-10 www.zoll.com 9650-0803-01 Rev. B...
3.13, 6.25, and 12.5 mm/second. The default sweep speed is 6.25 mm/second. System Messages When monitoring CO , the Propaq M unit may display the following messages: System Message Cause INITIALIZING The unit is initializing the CO...
If the problem persists, the unit may require servicing. Patents The capnography component of the Propaq M unit is covered by one or more of the following US patents: 6,428,483; 6,997,880;5,3000,859; 6,437,316; 7,488,229; and their foreign equivalents. Additional patent applications pending.
This chapter describes how to use the Propaq M unit to monitor invasive pressures (IBP). The Propaq M unit has three invasive pressure channels: P1, P2, and P3. You can use these channels to measure arterial, venous, or intracranial pressures using invasive transducers with 5uV/V/mmHg sensitivity.
• Before you use the Propaq M unit on a new patient, always turn it off for at least 2 minutes. This clears the previous patient’s trend values, alarm limit settings, and NIBP cuff inflation pressure.
IBP channel. Zeroing the Transducer To ensure that the Propaq M unit measures pressure accurately, you must zero the transducer before each use. If you change or disconnect a transducer, you must zero the new transducer before use.
Check that the unit is open to atmospheric air and that it is properly connected to the unit, then try zeroing the transducer again. The Propaq M unit will not zero the transducer if it detects pulsation in the pressure channel, if there is too much noise in the signal, or if transducer’s offset is too great.
MEAN values in the IBP channel’s numeric display and, optionally (if enabled through the unit’s Waveform Select menu) the waveform for that IBP channel: The Propaq M unit allows you to specify a label that identifies the channel’s IBP measurement, and to select a display format for the numeric display.
HAPTER ONITORING NVASIVE RESSURES Enabling/Disabling IBP Alarms and Setting Alarm Limits When enabled, the Propaq M unit sounds alarms whenever IBP measurements are outside set limits for the following: High and Low Systolic Pressure • High and Low Diastolic Pressure •...
Central Venous Pressure Femoral Artery Pressure Intracranial Pressure Labial Artery Pressure Pulmonary Artery Pressure Radial Artery Pressure Umbilical Artery Pressure Umbilical Venous Pressure In the following example, source labels are specified for all three IBP channels: 11-8 www.zoll.com 9650-0803-01 Rev. B...
IBP System Messages IBP System Messages The Propaq M unit may display the following messages when monitoring IBP: System Message Cause TRANSDUCER FAILURE The IBP probe is damaged and needs to be replaced. INCOMPATIBLE TRANSDUCER The IBP probe is not compatible. See Appendix B, Accessories, for a list of ZOLL-approved IBP probes.
Selecting and Applying Temperature Probes You should use only temperature probes that are approved for use with the Propaq M unit. See Appendix B, Accessories, for a list of ZOLL-approved temperature probes. The use of other probes that do not match the performance specifications of the ZOLL-approved probes may produce incorrect temperature readings.
Figure 12-1 Connecting the Temperature Probe to the Propaq M Unit Displaying Temperature When you connect the probe, the unit displays the temperature after a brief pause. The Propaq M unit displays temperature as a numeric value in the Temperature window. You can ...
Enabling/Disabling Temperature Alarms and Setting Alarm Limits Enabling/Disabling Temperature Alarms and Setting Alarm Limits When enabled, the Propaq M unit sounds alarms whenever temperature measurements are outside set limits. You can enable (or disable) temperature alarms and set the upper and lower alarm limits through the Alarms quick access key ( ) or the Temp Parameter Control Panel.
Parameter Control Panel, you can configure alarms (as described previously) and select descriptive Temperature channel labels that will appear on the numeric display and on the trend report: Temp Lower Upper T1 Alarm T2 Alarm 7 $ODUP T1 Source Label T2 Source Label 12-4 www.zoll.com 9650-0803-01 Rev. B...
If you don’t select a label, the Temperature channels appear with the default labels of T1 and Temperature System Messages The Propaq M unit may display the following messages when monitoring Temperature. Note: The temperature function performs a self test when initially powered on and also performs system tests automatically, every 10 seconds, while this function is active.
Monitoring 12-Lead ECG The Propaq M 12-Lead input is Type CF defibrillator proof. This chapter describes how to use the Propaq M unit to perform 12-Lead ECG Monitoring. The Propaq M with the 12-lead ECG Monitoring option provides simultaneous acquisition and storage of 12-lead information.
To assure protection against the effects of defibrillator discharge, use only 12-lead cables supplied by ZOLL Medical Corporation. • Check the operation and integrity of the Propaq M unit and 12-lead cable regularly by performing the Daily Operational Verification Test. •...
• Clear Saves the characters entered for that parameter and returns you to the • SAVE Patient Info panel. Returns you to the Patient Info panel without saving the characters • Cancel entered. 9650-0803-01 Rev. B Propaq M Operator’s Guide 13-3...
Apply the electrodes to the patient. Connect each lead of the ECG cable to the appropriate electrode. Connect the 12-Lead cable to the Propaq M unit. Observe the patient’s electrocardiogram on the display, and adjust size of the 12-Lead ECG waveform traces, as necessary.
American Heart Association International Electrotechnical Commission Patients should be in a resting, supine position when performing 12-Lead ECG monitoring. ZOLL Medical Corporation recommends placing the limb electrodes anywhere along the ankles and wrists. 9650-0803-01 Rev. B Propaq M Operator’s Guide...
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V4/C4 Fifth intercostal space, on the patient’s midclavicular line. V5/C5 Patient’s left anterior axillary line, at the horizontal level of V4. V6/C6 Patient’s left midaxillary line, at the same horizontal level as V4 and V5. 13-6 www.zoll.com 9650-0803-01 Rev. B...
Connecting the 12-Lead Cable Connect the 12-Lead ECG cable to the ECG input connector on the left side of the unit as follows: Figure 13-2 Connecting the 12-Lead ECG Cable 9650-0803-01 Rev. B Propaq M Operator’s Guide 13-7...
(96) EtCO2 mmHg SpO2 Exit SpMet 20.0 ºF 98.6 When you are done viewing the 12-Lead waveform traces, press the Exit 12 quick access key Exit ) to restore the display of other monitoring functions. 13-8 www.zoll.com 9650-0803-01 Rev. B...
12-Lead Display Options 12-Lead Display Options The Propaq M unit provides additional 12-Lead display options that you can specify through the Supervisor parameter control panels (access to Supervisor is passcode-controlled). Press the Setup quick access key ( ), then select Supervisor...
Propaq M unit can store additional patient data. Data will not be lost if the Propaq M unit is turned off, or if the battery or auxiliary power adapter is removed.
The green LED on the top of the device turns on while data is transferred to the USB device. Note: Wait for the log transfer to complete and for the green light on the top of the Propaq M to turn off before removing the USB drive.
3. Use the navigation keys to select Yes. Warning! To avoid a possible shock hazard, do NOT make any electrical connections to the USB port except to connect a USB flash drive while in the vicinity of the patient. 14–4 www.zoll.com 9650-0803-01 Rev. B...
Cleaning and Maintenance Monitoring equipment must be maintained to be ready for immediate use. To ensure the readiness and optimum working condition of the Propaq M unit, you should perform the cleaning and maintenance instructions recommended in this chapter. Inspection and Cleaning instructions...
AINTENANCE Cleaning the Propaq M unit To clean the Propaq M unit, use a nearly dry cloth containing one of the mild cleaning agents listed below. DO NOT allow cleaning agent or water to run into the crevices or connector openings at any time.
Recommended Minimum Preventive Maintenance Schedule Operational Tests should be performed at regular intervals. The Operational Tests augment the automated self-tests that the Propaq M unit performs to help ensure readiness. The following Operational Tests may be performed by the user: Keypad Test •...
Caution DO NOT leave Propaq Battery Packs in a depleted state. Damage to the battery packs can occur if they are left in a depleted state for more than 30 days. 15-4 www.zoll.com 9650-0803-01 Rev. B...
Appendix A Specifications This chapter provides specification information for the Propaq M Monitor. “Monitor/Display” on page A-2 • “Impedance Pneumography” on page A-3 • “Alarms” on page A-3 • “Battery ” on page A-4 • “General” on page A-4 •...
Fast ECG signals: Approximately 50% of ECG input pulses with a slew rate of 3 V/s RTI • may trigger the pacemaker pulse detector. Electrosurgery Protection: The Propaq M is suitable for use in the presence of electrosurgery. Burn hazard protection via a 1K current limiting resistor contained in each ECG leadwire. Impedance Pneumography...
Recharge Rate: 100% in 4 hours, when initiated at Low Battery indication. General Weight: Without Battery: 7.2 lbs. With Battery: 8.5 lbs. Dimensions: Without Handle: 8.9” x 8.7” x 6.5” With Handle: 8.9” x 10.4” x 7.0” www.zoll.com 9650-0803-01 Rev. B...
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Safety Classification: Class 1 and internal power per IEC/EN 60601-1 Enclosure Protection: Solid Foreign Object: IEC 60529, IP5X Water: IEC 60529, IPX5 Auxiliary Operating Power: Propaq M Auxiliary Power Adapter 8300-0004 Input: 100-240V 50-60 Hz, 2A 100-115V 400 Hz, 2A Output: 14.5V...
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Respiration Range: 0 to 150 breaths per minute Respiration Rate Accuracy: 0 to 70 bpm: ±1 bpm 71 to 120 bpm: ±2 bpm 121 to 150 bpm: ±3 bpm Flow rate: 50 ml/min -7.5 + 15 ml/min, flow measured by volume. www.zoll.com 9650-0803-01 Rev. B...
American National Standards Institute (ANSI-AAMI SP10). To receive a copy of the report containing the AAMI SP10 results, contact the ZOLL Technical Service Department. Invasive Pressures...
Display: T1, T2, Minimum Measurement Time: See the probe’s Instructions for Use to obtain minimum measurement times for accurate readings. The Propaq M does not add any clinically significant time to obtain accurate readings. 9650-0803-01 Rev. B Propaq M Operator’s Guide...
General Use Environments (IEC 60601-1-2): The Propaq M unit is intended for use in the electromagnetic environment specified below. The customer or the user of the Propaq M should assure that it is used in such an environment. Emissions Test Compliance Electromagnetic Environment –...
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(IEC 60601-1-2 Table 202) The Propaq M unit is intended for use in the electromagnetic environment specified below. The customer or the user of the Propaq M should assure that it is used in such an environment. Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment –...
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60601-1-2 Table 203) The Propaq M unit is intended for use in the electromagnetic environment specified below. The customer or the user of the Propaq M should assure that it is used in such an environment. Immunity Test IEC 60601 Test Level Compliance Electromagnetic Environment –...
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If the measured field strength in the location in which the ZOLL Propaq M unit is used exceeds the applicable RF compliance level above, the Propaq M unit should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the Propaq M unit.
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Appendix B Accessories The following accessories are compatible for use with the Propaq M. To order any of these items, contact your local ZOLL representative. ECG Accessories ECG, 3-Lead Cable, AAMI ECG, 3-Lead Cable, IEC ECG, 5-Lead Cable, AAMI ECG, 5-Lead Cable, IEC ECG, 12-Lead "Breakaway"...
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