Welch Allyn Propaq CS 242 Directions For Use Manual
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Welch Allyn Propaq CS 242 Directions For Use Manual

Vital signs monitor
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Propaq
®
CS
Vital Signs Monitor
Directions for Use
Models 242, 244, 246
Software version 3.7X

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Summary of Contents for Welch Allyn Propaq CS 242

  • Page 1 Propaq ® Vital Signs Monitor Directions for Use Models 242, 244, 246 Software version 3.7X...
  • Page 2 Allyn. Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the product, that may result from failure to use this product in accordance with the instructions, cautions, warnings, or statement of intended use published in this manual.

  • Page 3: Table Of Contents

    Contents 1 - General information ........1 Intended use.
  • Page 4 Contents Welch Allyn Propaq CS Vital Signs Monitor 7 - Maintenance ......... . . 83 Avoid electrostatic discharge .

  • Page 5: General Information

    This guide was written for clinicians. Although this guide may describe some monitoring ® techniques, Welch Allyn expects that you are a trained clinician who knows how to take and interpret a patient’s vital signs. This monitor has been designed as a quality monitor;...

  • Page 6: Symbols

    General information Welch Allyn Propaq CS Vital Signs Monitor Symbols WARNING Indicates conditions that could lead to illness, injury, or death. Caution In this manual, indicates conditions that could damage equipment or other property. Caution On the product, means “Consult the accompanying documentation.”...

  • Page 7: General Warnings And Cautions

    Directions for Use General information The CE Mark and Notified Body Registration The Canadian Standards Association has Number signify the device has met all evaluated this device according to CSA 601-1 NRTL/C Evaluated to CSA 601-1 essential requirements of European Medical and Underwriters Laboratory Standard UL and UL2601-1 Device Directive 93/42/EEC...
  • Page 8 WARNING Always use accessories according to the standards of your facility and according to the manufacturer's directions for use. WARNING Use of accessories not recommended by Welch Allyn may result in increased electromagnetic emissions or decreased electromagnetic immunity of the equipment.
  • Page 9 WARNING This product contains no user-serviceable components. Any unauthorized changes to the product invalidate Welch Allyn’s warranty and also invalidate all applicable regulatory certifications and approvals. WARNING Do not use the pulse oximeter as a replacement or substitute for...
  • Page 10 If this occurs, the monitor displays an error message and error number. Report such errors to Welch Allyn. The Propaq CS monitor should be serviced only by a Welch Allyn service technician while under warranty. Propaq CS Service Manual (810-2708-XX) is available from Welch Allyn to...

  • Page 11: Controls And Connectors

    Sharp objects can damage the touch-screen. Use your finger to press the touch-screen keys. System control and connectors (right side panel) Defib Sync Connector On/Off Switch Contact Welch Allyn technical support for MONITOR DEFIB SYNCHRO information (for specifications, see page 99)
  • Page 12 General information Welch Allyn Propaq CS Vital Signs Monitor Patient connectors (left side panel) Model 242 Model 246 Model 244 NIBP Invasive Pressure (two channels) Invasiv Pressure (one channel) Temperature (two channels)* NIBP NIBP Temperature (two channels)* Temperature (two channels)* ECG / EKG RESP INV.
  • Page 13 Directions for Use General information Option connectors Mainstream CO Connector Sidestream CO Connector Nurse Call Connector Interface Cable Interface Cable Masimo SpO Connector Masimo SpO Connector (motion-tolerant) (motion-tolerant) Nellcor SpO Connector...

  • Page 14: Display

    General information Welch Allyn Propaq CS Vital Signs Monitor Display You can select up to four waveforms to be shown on the Propaq CS monitor. When only one waveform is selected, a trend window automatically appears beneath the waveform. Heart Rate Source: HR NET OFF indicates ECG;...

  • Page 15: Menus

    Directions for Use General information Menus Menus for some patient vital signs are displayed only if the option is included in your Propaq CS monitor. Main Menu MAIN MENU ECG/ NIBP INVASIVE SETUP RESP PRESSURE PREVIOUS MENU MENU 1 RANGE mm/s MORE PREVIOUS...
  • Page 16 General information Welch Allyn Propaq CS Vital Signs Monitor Setup Menus NIBP ECG/ INVASIVE SETUP RESP PRESSURE SETUP MENU 1 WAVE STAT ALARMS TRENDS MORE SELECT SCALE SETUP MENU 2 ACUITY NEXT CHANGE WAVE PRINTER MORE SELECT TREND MENU PRINT...

  • Page 17: Learn Propaq Cs Operation With Inservice Mode

    Directions for Use General information Learn Propaq CS operation with Inservice Mode You can practice using the Propaq CS monitor with the in-service mode of operation. The in-service mode cannot be activated while you are monitoring a patient. In in-service mode, the monitor display and all printouts include the message SIMULATING or SIMULATED DATA.
  • Page 18 General information Welch Allyn Propaq CS Vital Signs Monitor Note The inservice mode is not available if the monitor detects that a sensor has been connected (except for an NIBP cuff) or the NIBP Automatic Mode has been selected. If the monitor is in inservice mode and you connect a sensor (except for an NIBP cuff) or press the NIBP AUTO/MANUAL key, the monitor will turn off power to exit the inservice mode, and then turn on in the normal operating mode.

  • Page 19: Setup

    Setup Prepare the Propaq CS monitor for a new patient WARNING Before you use a Propaq CS monitor on a new patient, always turn it off for a few seconds and then turn it on again. This clears the prior patient’s trend values, alarm limit settings, and NIBP cuff inflation target.
  • Page 20 Setup Welch Allyn Propaq CS Vital Signs Monitor Whenever you change the patient mode, the alarm limit settings, maximum NIBP cuff inflation pressures, and internal computations are automatically changed to the defaults for that patient mode. See page 19 for information about preset Factory patient modes or programmable Custom patient modes.

  • Page 21: Set Patient Alarms And Alarm Limits

    Directions for Use Setup SWEEP (mm/s) Selectable sweep speeds for HR/PR: 12.5, 25, 50 mm/sec. Selectable sweep speeds for RR/BR: 3.13, 6.25, 12.5 mm/sec. ALARM TONE Sets the Alarm Tone volume to HIGH, MEDIUM, or LOW. HR/PR TONE Sets the Heart Tone volume to HIGH, MEDIUM, LOW, or OFF. BRIGHTNESS Sets the display brightness to NORMAL or LOW.

  • Page 22: Change The Current Patient Mode

    Setup Welch Allyn Propaq CS Vital Signs Monitor 3. Press NEXT PARAMETER to highlight the parameter you want to change, then press NEXT SETTING to highlight the limit you want to change. 4. Press UP, DOWN, or ON/OFF to change the limits.

  • Page 23: Change Powerup Patient Mode Or Store Customized Settings

    Directions for Use Setup Change Powerup Patient Mode or store customized settings The Propaq CS monitor has standard, preset, default powerup settings and alarm limits for each patient mode: Adult, Pediatric, and Neonatal. These are “Factory Patient Mode” settings (listed on “Factory default settings”...
  • Page 24 Setup Welch Allyn Propaq CS Vital Signs Monitor Customize Patient Mode settings 1. From the Main Menu, press SETUP, MORE, CHANGE, SETUP to access the Mode Setup window. 2. The patient mode you want to reprogram (ADULT, PED, or NEO) must be currently selected.

  • Page 25: Monitoring

    Monitoring Perform ECG/RESP monitoring WARNING Impedance pneumography detects respiratory effort via changes in chest volume; therefore, impedance pneumography can be used to detect central apnea. However, apnea episodes with continued respiratory effort, such as obstructive apnea and mixed apnea, may go undetected. Also, artifact due to patient motion, apnea mattress shaking, or electrocautery use may cause apnea episodes to go undetected.
  • Page 26 Monitoring Welch Allyn Propaq CS Vital Signs Monitor WARNING High-intensity radio frequency (RF) energy from external sources, such as an improperly connected electrosurgical unit, can induce heat into electrodes and cables which can cause burns on the patient. Reading errors and damage to equipment may also result.
  • Page 27 Directions for Use Monitoring • Use only with accessories approved by Welch Allyn. Visit www.welchallyn.com. use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty. • Severe artifact and interference (such as defibrillation interference) can cause the waveform to move off the display for a few seconds before it is restored.
  • Page 28 Monitoring Welch Allyn Propaq CS Vital Signs Monitor One of six V lead electrode placement sites for the C lead. 5-lead Configuration Neonate 3-lead Configuration 7. Plug the ECG cable into the ECG connector on the monitor's left side panel.
  • Page 29 Directions for Use Monitoring ECG1 SIZE Selects the ECG1 waveform size: 4, 2, 1, 0.5, or 0.2 mV/cm. ECG1 LEAD Selects the ECG1 lead: I, II, III, aVR, aVL, aVF, or V. Selections aVR, aVL, aVF, and V are only available with a 5-lead ECG cable.
  • Page 30 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Always use Extended Mode when observing ST segment morphology on the display or printer. Although Monitor Mode is useful to minimize baseline wander due to artifact, ST segments can be distorted in Monitor Mode.

  • Page 31: Using The Propaq Cs Monitor With Pacemaker Patients

    Directions for Use Monitoring Using the Propaq CS monitor with pacemaker patients WARNING Pacemaker signals can differ from one pacemaker to the next. The Association for Advancement of Medical Instrumentation (AAMI) cautions that “in some devices, rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias.

  • Page 32: Perform Invasive Blood Pressure (Ibp) Monitoring

    Monitoring Welch Allyn Propaq CS Vital Signs Monitor Perform Invasive Blood Pressure (IBP) monitoring WARNING If electrocautery is used, always avoid using any transducer with a conductive (metal) case that is electrically connected to its cable shield. Using a conductive transducer case with such a shield connection risks high-frequency burns at the ECG electrodes if the transducer case becomes earth grounded.
  • Page 33 Directions for Use Monitoring Before zeroing, make sure the transducer cable is properly connected to the monitor and the transducer is open to atmospheric air and positioned at the same level as the patient’s heart. The monitor will not zero the transducer if the pressure waveform is pulsatile, there is too much signal noise, or the transducer’s offset is too great.
  • Page 34 Monitoring Welch Allyn Propaq CS Vital Signs Monitor ( 15) mmHg NIBP ( 85) mmHg TEMP 100.4 98.6 ΔT IBP labels are user- selectable. mmHg Br/m First IBP menu RANGE ZERO P1 MORE RESCALE ZERO P2 Second IBP LABEL FORMAT...
  • Page 35 Directions for Use Monitoring 12. To change the displayed waveform label, press MORE to access the second IBP menu, then press LABEL P1 (or LABEL P2). LABEL selects alternate labels. LABEL FORMAT LABEL Selectable labels (and display colors) are: default label yellow default label ART red...

  • Page 36: Take A Noninvasive Blood-Pressure (Nibp) Reading

    Monitoring Welch Allyn Propaq CS Vital Signs Monitor Take a Noninvasive Blood-Pressure (NIBP) reading WARNING Periodically observe the patient’s limb to make sure that the circulation is not impaired for a prolonged period of time. Also make sure the cuff is properly placed according to the following instructions.
  • Page 37 Take the NIBP reading 1. Select a cuff and hose appropriate for the patient. Select cuff size based on limb circumference. WARNING Use only accessories approved by Welch Allyn. Visit www.welchallyn.com. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty.
  • Page 38 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Note Be sure the patient mode selected is appropriate for the cuff you are using. For instructions about changing the patient mode, see “Change the current Patient Mode” on page 18. Be aware that changing patient modes will cancel an NIBP reading in progress.
  • Page 39 Directions for Use Monitoring The last measurement ADULT PRINT FAULT 17:05:10 ON NETWORK ALLEN KIM After 16 minutes, the NIBP display changes as shown Measurement mode ( 96) mmHg below for 44 minutes. NIBP ADULT Time remaining in ( 15) TIME OF mmHg MODE : TURBOCUF...
  • Page 40 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Position the patient’s limb away from the body so the applied cuff is not in contact with the patient’s body or any other object such as a bed rail. Try to keep the cuff at the same level as the heart.

  • Page 41: Perform Temperature Monitoring

    Do not touch conductive temperature sensors during defibrillation or cautery. WARNING Use only accessories approved by Welch Allyn. Visit www.welchallyn.com. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty.

  • Page 42: Perform Spo 2 Monitoring

    Monitoring Welch Allyn Propaq CS Vital Signs Monitor Perform SpO monitoring WARNING Oxygen saturation measurements using pulse oximetry are highly dependent on proper placement of the sensor and patient conditions. Patient conditions such as shivering and smoke inhalation may result in erroneous oxygen saturation readings.
  • Page 43 Masimo option 1. Attach the sensor to the patient according to the sensor manufacturer's instructions, observing all warnings and cautions. WARNING Use only accessories approved by Welch Allyn. Visit www.welchallyn.com. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty.
  • Page 44 Nellcor option 1. Attach the sensor to the patient according to the sensor manufacturer's instructions, observing all warnings and cautions. WARNING Use only accessories approved by Welch Allyn. Visit www.welchallyn.com. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty.
  • Page 45 Directions for Use Monitoring Response (Seconds) Indications for use NORMAL Use for relatively stable patients. FAST Use when patient movement is minimal. SLOW 10-15 Use when patients exhibiting movement are preventing accurate measurement at NORMAL setting. 9. If the C-LOCK function is desired, press C-LOCK to set it to ON. C-LOCK synchronizes the pulse oximeter's systole determination to the R-wave to reduce the effects artifact may have on SpO measurements.
  • Page 46 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Perform SpO “spot-check” monitoring The SpO Standby Mode allows you to remove the SpO sensor from a patient without having to disable all alarms or disconnect the SpO sensor cable from the Propaq CS monitor.

  • Page 47: Perform Mainstream Co 2 Monitoring

    WARNING For best product performance and measurement accuracy, use only accessories approved by Welch Allyn. Visit www.welchallyn.com. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty.
  • Page 48 Monitoring Welch Allyn Propaq CS Vital Signs Monitor WARNING Before using an airway adapter, always look through the window lumen and inspect the adapter for inadvertently lodged obstructions and for window integrity. WARNING If the sensor does not easily slide onto the adapter, do not attempt to force these components together.

  • Page 49: Perform Sidestream Co 2 Monitoring

    (which can require as long as 24 hours). WARNING For best product performance and measurement accuracy, use only accessories approved by Welch Allyn. Visit www.welchallyn.com. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty.
  • Page 50 Monitoring Welch Allyn Propaq CS Vital Signs Monitor Sidestream CO connector watertrap adapter WARNING - Do not connect sample line or patient input to exhaust port. Exhaust port 2. See page 47 and set up the CO display and alarm limits, and then continue this procedure with step 3.

  • Page 51: Set Up The Co Display And Alarm Limits

    Directions for Use Monitoring Note If you are using a watertrap and sample line instead of the one-piece CO sampling system, perform steps 1 to 3 above with the following changes: attach the watertrap to the monitor, then attach the sample line to the watertrap. WARNING The exhaust port for sidestream CO is an output for the expired gases from the patient and any connected breathing apparatus.
  • Page 52 Monitoring Welch Allyn Propaq CS Vital Signs Monitor 1. To adjust the display, from the Main Menu press SpO , CO to access the first menu: RANGE mm/s MORE PREVIOUS MENU 2. Press RANGE to select the CO waveform scale or range.
  • Page 53 Directions for Use Monitoring FAST is recommended where a sudden step change in ETCO is of concern, such as that induced by an air embolus in certain neurosurgical procedures. SLOW is recommended to help reduce ETCO false alarms when breath morphology varies considerably from one breath to the next.
  • Page 54 Monitoring Welch Allyn Propaq CS Vital Signs Monitor...

  • Page 55: Alarms & Alerts

    Alarms & Alerts Description of alarm and alert tone patterns • Patient alarm tone pattern: one second on, two seconds off • Apnea alarm tone pattern: one second on, one second off (fastest) • Equipment alert tone pattern: one second on, four seconds off (slowest) Propaq monitors connected to an Acuity Central Monitoring System can sound Note distinct tone patterns for certain alarms, such as life-threatening Arrhythmia and...
  • Page 56 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Re-enable an alarm or alert tone before the 90-second silence period has elapsed 1. Press Silence/Reset. Indications during a 90-second silence period At the Propaq CS monitor At the Acuity Central Station During the silence period, the usual visual alarm and alert indications are displayed.

  • Page 57: Inhibit Alarm And Alert Tones For Four Minutes: 4 Min Suspnd

    Directions for Use Alarms & Alerts Inhibit alarm and alert tones for four minutes: 4 MIN SUSPND As you perform patient care, there might be occasions when you want to suspend potential or current alarm and alert tones for a period of four minutes. Initiate a four minute suspend period 1.

  • Page 58: Inhibit Alarm And Alert Tones Indefinitely: All Alarms

    Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Inhibit alarm and alert tones indefinitely: ALL ALARMS This feature requires access to the Service Menu. The Service Menu features Note are not intended for use during ordinary, routine operation.

  • Page 59: Summary Of Alarm And Alert Keys And Acuity Central Station Messages

    Directions for Use Alarms & Alerts Summary of alarm and alert keys and Acuity Central Station messages The following table summarizes Silence and Suspend behaviors and Acuity Central Station messages for different combinations of current and previous Propaq monitor and Acuity software versions.

  • Page 60: Customize Alarm Limits Based On Patient's Current Vital Signs

    Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Customize alarm limits based on patient’s current vital signs To quickly set all alarm limits, from the Main Menu press SETUP, ALARMS, STAT SET. The monitor turns on all alarms and calculates new alarm limits based on the patient’s current vital sign values.

  • Page 61: Alarm Holdoffs

    Directions for Use Alarms & Alerts Alarm holdoffs To help minimize false alarms, the monitor briefly delays or “holds off” triggering alarms for limit violations for HR/PR, SpO , and RR/BR. After the alarm holdoff period begins, if the monitor detects that the patient’s vital sign has returned to acceptable limits, the monitor cancels the alarm holdoff.

  • Page 62: Troubleshooting Equipment Alert Messages

    Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Troubleshooting equipment alert messages Simultaneous equipment alerts MULTIPLE. If multiple equipment alerts occur simultaneously, the Propaq monitor displays this message. In this situation, the source of the alert may not be displayed (resulting in the message MULTIPLE).
  • Page 63 Directions for Use Alarms & Alerts IBP messages TRANSDUCER NOT DETECTED. The transducer connection is broken. TRANSDUCER SHORT CIRCUIT. This message appears when the Propaq CS monitor senses a short in the transducer. The transducer should be replaced. INCOMPATIBLE TRANSDUCER. Visit www.welchallyn.com to confirm you are using a compatible transducer.
  • Page 64 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor LOW BATTERY, NIBP DISABLED (ERR# 11). The battery lacks sufficient voltage to be able to operate the NIBP channel. Connect the Propaq CS monitor to the ac power adapter. SERVICE REQUIRED, NIBP DISABLED (ERR# 12). Have the monitor serviced.
  • Page 65 Messages for the mainstream CO option can appear in the equipment alert window and in numeric zones. If a sensor is damaged, contact Welch Allyn Technical Services Department for information on sensor service options. ALTIMETER FAILURE - RANGE. The Propaq CS monitor is operating at an altitude outside the mainstream CO option’s operating altitude range of -2,000 to 15,000...
  • Page 66 Welch Allyn’s specifications. The CO waveform is displayed without range values. Replace the sensor with a Welch Allyn CO sensor. SENSOR FAILURE - CALIBRATION ERROR. A sensor is defective or out of calibration and disabled.
  • Page 67 Directions for Use Alarms & Alerts ALTIMETER NOT CALIBRATED - EEPROM. The sidestream CO option has not been calibrated. Refer the Propaq CS monitor to a biomedical engineer for calibration. AMBIENT TEMPERATURE TOO HIGH. The sensor temperature is too high. The sidestream CO option is disabed until the ambient temperature is within the operating range specifications.
  • Page 68 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor Network alert messages with Acuity CHECK ACUITY/SERIAL CONNECTION. The Propaq CS detects a problem in the hardwired (serial) communication with Acuity. Check the Acuity network cable to be sure it is plugged into the side panel and the bedside Acuity jack. If the cable is damaged, replace the cable.
  • Page 69 REMOVE CUFF FROM PATIENT PLEASE NOTIFY YOUR LOCAL SERVICE REPRESENTATIVE OR WELCH ALLYN PROTOCOL, INC. This type of message indicates that the monitor detected an internal system problem which may require service for the monitor. If the monitor displays this message, disconnect the monitor from the patient.
  • Page 70 Alarms & Alerts Welch Allyn Propaq CS Vital Signs Monitor...

  • Page 71: Printing & Trends

    Printing & trends Print patient data Print the displayed waveforms Press SNAPSHOT or START/STOP. The Propaq CS monitor prints up to three of the displayed waveforms. When four waveforms are displayed, the monitor prints the top three displayed waveforms (except for the ECG2 waveform which is never printed). If you pressed START/STOP, the monitor continues to print until you press START/ STOP again.

  • Page 72: Display Or Print Trends

    Printing & trends Welch Allyn Propaq CS Vital Signs Monitor Display or print trends Display or print a single trend 1. To display a patient data trend, press SETUP, TRENDS from the Main Menu. The monitor displays the Trend Menu:...
  • Page 73 Directions for Use Printing & trends Print multiple trends manually or automatically 1. Press SETUP, MORE, PRINTER from the Main Menu to display the Printer Setup Page: PRINTER SETUP PAGE ( 15) mmHg CONTINUOUS : 25.0 mm/s NIBP AUTO PRINT : OFF ALARM PRINT : OFF...

  • Page 74: Set Printer Options And Automatic Printing

    Printing & trends Welch Allyn Propaq CS Vital Signs Monitor Set printer options and automatic printing 1. Press SETUP, MORE, PRINTER from the Main Menu to display the Printer Setup Page: PRINTER SETUP PAGE ( 15) mmHg CONTINUOUS : 25.0 mm/s...

  • Page 75: Print Oxycrg

    Directions for Use Printing & trends If an SpO or HR/PR alarm occurs, the OxyCRG prints 60 seconds later. If an Apnea or RR/BR alarm occurs, the OxyCRG prints 75 seconds later. Highlighted labels in the printout indicate which alarms occurred. AUTO Automatically print trends at the selected hours.
  • Page 76 Printing & trends Welch Allyn Propaq CS Vital Signs Monitor...

  • Page 77: Acuity

    Acuity Understanding the Propaq CS, Acuity, and FlexNet network This section describes the operation of the Propaq CS monitor (software version 3.5X) with the Acuity FlexNet network. It describes both the Acuity hardwired and wireless communication options for the Propaq CS monitor. WARNING When connecting the Acuity hardwire connection, connect the Propaq CS monitor to an Acuity system only.
  • Page 78 Acuity Welch Allyn Propaq CS Vital Signs Monitor WARNING Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards (e.g., EN 60950 for data processing equipment and EN 60601-1 for medical equipment). Furthermore, all configurations shall comply with the system standard IEC 601-1-1.
  • Page 79 Directions for Use Acuity If the Wireless Propaq CS is moved out of range or loses communication with the FlexNet network and Acuity, it continues to monitor the patient and display patient data. While not communicating with Acuity, the Propaq CS continues to generate local patient alarms or alert messages.
  • Page 80 Acuity Welch Allyn Propaq CS Vital Signs Monitor The Acuity Menu The Acuity Menu on the Propaq CS allows you to control some of the interaction with the Acuity network. The Acuity Menu is only accessible while the monitor is connected to the Acuity network.

  • Page 81: Hardwired (Serial) Connection To Acuity

    Directions for Use Acuity Hardwired (Serial) connection to Acuity Connect the monitor to the Acuity System 1. If the Propaq CS monitor has already been connected to the patient, save the patient’s Trends and Alarm Limit settings by keeping the monitor turned on. The monitor transmits up to five hours of trend information when you connect it to the Acuity network.
  • Page 82 Acuity Welch Allyn Propaq CS Vital Signs Monitor Disconnect the hardwired monitor from the Acuity System ADULT PRINT FAULT 17:05:10 ON NETWORK Press to disconnect from Acuity 1. To disconnect the Propaq CS monitor from the Acuity network, press the NET OFF key on the upper left corner of the monitor display.

  • Page 83: Wireless Connection To Acuity

    Directions for Use Acuity Wireless connection to Acuity Connect a new patient 1. Make sure the Acuity network cable is not plugged into the Acuity connector and an Acuity bedside network jack. Turn on power to the Wireless Propaq CS. The monitor displays the powerup screen for about 10 seconds, then displays the Main Menu.
  • Page 84 Acuity Welch Allyn Propaq CS Vital Signs Monitor Monitor a patient out of range of Acuity While out of range of Acuity, the Wireless Propaq CS continues to monitor the patient and provide local alarms or alerts at the Propaq CS as needed.
  • Page 85 Directions for Use Acuity Reassign a monitored patient to a new room in the same unit If a patient is being monitored and you want to assign them to a new room in the same unit, follow these steps. 1. From the Main Menu, press SETUP, ACUITY, PATIENT, NEW ROOM. Within a few seconds the Wireless Propaq CS displays a list of all available rooms, including the patient’s current room.
  • Page 86 Acuity Welch Allyn Propaq CS Vital Signs Monitor Reassign the Wireless Propaq CS to a new patient If you want to discontinue monitoring a patient and connect the Wireless Propaq CS to a new patient, follow these steps. 1. From the Main Menu, press SETUP, ACUITY, END TELE.

  • Page 87: Maintenance

    Dissipate electrostatic charge before performing routine operator maintenance. Connect the AC power adapter to recharge the battery WARNING Use only accessories approved by Welch Allyn. Visit www.welchallyn.com. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty.
  • Page 88 Maintenance Welch Allyn Propaq CS Vital Signs Monitor If it does not match, send it to your service department. 2. Plug the ac adapter power cord into the ac power adapter and the ac power source outlet. 3. Plug the ac adapter cord into the power input connector on the right side of the monitor.
  • Page 89 Directions for Use Maintenance Replace power adapter fuses If the green battery charging light is off and the ac power adapter does not provide power to the monitor even when all connections are intact, the adapter fuses may need to be replaced.

  • Page 90: Replace Monitor Input Power Fuse

    Maintenance Welch Allyn Propaq CS Vital Signs Monitor Replace monitor input power fuse If the green battery charging light is off and the ac power adapter does not provide power to the monitor even when all connections are intact, the monitor’s input power fuse may need to be replaced.

  • Page 91: Install Printer Paper

    The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty. Caution Use only low-debris printer paper approved by Welch Allyn. Use of other paper can cause unclear printing of patient data, printhead damage, and eventual printer failure.

  • Page 92: Inspect And Clean The Monitor And Accessories

    Maintenance Welch Allyn Propaq CS Vital Signs Monitor Inspect and clean the monitor and accessories Before cleaning, thoroughly inspect the monitor and all accessories for any signs of damage, cracks, or improper mechanical function of keypads, switches, connectors, and printer paper door. While gently bending and flexing cables and tubing, inspect for damage, cracks, cuts, abrasions, extreme wear, exposed wires or bent connectors.

  • Page 93: Service Interval Recommendations

    For more specific disposal information, see www.welchallyn.com/weee, or contact Welch Allyn Customer Service. Outside the European Union When the monitor or the battery reaches end of life, recycle it locally according to national, state, and local regulations, or return it to Welch Allyn.

  • Page 94: Extended Storage Precautions

    If the current Wireless Propaq CS network name is a custom (not pre-set) name, you cannot change the name from the Change Net Name screen (CHANGE NET NAME is not displayed). Contact Welch Allyn Technical Support for assistance. 2. Press NEXT as needed to scroll down and highlight the desired network name, then...
  • Page 95 Directions for Use Maintenance The monitor displays a confirmation screen asking you to confirm that you want to change the network name. • If you press YES, the monitor automatically turns itself off, then turns on and seeks to connect to a FlexNet network with the new network name. •...
  • Page 96 Maintenance Welch Allyn Propaq CS Vital Signs Monitor...

  • Page 97: Reference

    Reference Set the time and date 1. From the Main Menu press SETUP, MORE, MORE to display the Time/Day window: TIME ( 85) mmHg TEMP 100.4 98.6 H:MIN:S MO/DA/YR ΔT 15:55:10 10/21/99 mmHg Br/m NEXT DOWN ENTER SERVICE 2. Press NEXT, UP, and DOWN as needed to set the time and date. Then press ENTER to store the new time and date.

  • Page 98: Change The Date Format, Ecg Filter, And Units

    Reference Welch Allyn Propaq CS Vital Signs Monitor Change the date format, ECG filter, and units 1. Make sure you are in the Adult patient mode (from the Main Menu press SETUP, MORE, CHANGE, ADULT, YES). 2. From the Main Menu press SETUP, MORE, MORE, SERVICE, YES (to access the Service Menu), MORE, MORE, SETTINGS.

  • Page 99: Factory Default Settings

    Directions for Use Reference Factory default settings The monitor is shipped from the factory with these preset default settings. For information about how to customize your monitor settings, see “Change Powerup Patient Mode or store customized settings” on page 19. Setting Factory default Date...
  • Page 100 Reference Welch Allyn Propaq CS Vital Signs Monitor Setting Factory default HR Limits Adult: 50, 120 beats per minute Ped: 50, 150 beats per minute Neonate: 100, 200 beats per minute NIBP Limits - Systolic Adult: 75, 220 mmHg Ped: 75, 145 mmHg...

  • Page 101: Specifications

    Directions for Use Reference Specifications ECG specifications The ECG channel meets all the requirements for Cardiac Monitors Heart Rate Meters and Alarms specified ANSI/AAMI EC13-1992, except for Standardizing Voltage (section 3.2.9.9). The channel also meets the American National Standard, Safe Current Limits for Electromedical Apparatus (ANSI/AAMI ES1-1993).
  • Page 102 Reference Welch Allyn Propaq CS Vital Signs Monitor Characteristic Specification QRS Detector Adult or Pediatric Amplitude Range: 0.22 to 5.0 mV (RTI) Neonatal Amplitude Range: 0.1 to 5.0 mV (RTI) Neonatal and Pediatric Width Range (Duration): 40 to 120 ms...
  • Page 103 Directions for Use Reference Real-Time ECG analog/defib sync specifications Special cables are required to interface the defib sync connector to a Physio-Control LIFEPAK 5 or LIFEPAK 6s defibrillator. The sync and real-time ECG outputs do not operate during in-service mode. Signal Specification Sync Output...
  • Page 104 Reference Welch Allyn Propaq CS Vital Signs Monitor Invasive pressure specifications Characteristic Specification Transducer Type Strain-gauge resistive bridge, or HP quartz (with HP Option). 200 to 2000  Transducer Excitation Impedance Range Transducer sensitivity 5 µV/V/mmHg Excitation Voltage 4.85 V Pulsed dc @ 181 Hz Connector ITT-Cannon plug MS3106F-14S-6P Std.
  • Page 105 Directions for Use Reference NIBP specifications Characteristic Specification Method Oscillometric Control Automatic and manual measurement control Auto Intervals 1, 2, 3, 5, 10, 15, 30, and 60 minutes Turbocuf Maximum measurements allowable in a 5-minute period Displayed Pressures Systolic, Diastolic, and Mean plus on-screen manometer Systolic Range Adult: 30 to 260 mmHg Ped: 30 to 160 mmHg...
  • Page 106 Reference Welch Allyn Propaq CS Vital Signs Monitor Temperature specifications Characteristic Specification Range 0° to +50°C; 32° to +122°F  Displays T1, T2, and Probes Compatible with YSI Series 400 and 700 probes. HP side panel only compatible with YSI 400 and has HP connector.
  • Page 107 Directions for Use Reference Pulse oximetry (SpO ) specifications Pulse Oximetry (SpO ) Specifications for Masimo SpO Characteristic Specification Saturation (% SpO Range 1% to 100% Resolution Alarm Limits 52% to 100% (upper) 50% to 98% (lower) Probe Accuracy (25° to 41° C) Adults, Pediatrics: No motion 70% to 100% ±2 counts 0% to 69% unspecified...
  • Page 108 Reference Welch Allyn Propaq CS Vital Signs Monitor Pulse oximetry (SpO ) specifications for Nellcor SpO Characteristic Specification Saturation (% SpO Range 0% to 100% Resolution Alarm Limits 52% to 100% (upper) 50% to 98% (lower) Probe Accuracy (saturation levels between 70% and 100%, 28°...
  • Page 109 C; barometric pressure = 760 mmHg and flow = 60 ml/min. Based on the following additional airway conditions: Sample line = 7 ft, 0.055 in ID (2.13 m, 1.4 mm ID); Sample flow rate = 175 ml/  min; Welch Allyn watertrap (new/unused); Respiratory rate 50 bpm, stable to ±...
  • Page 110 Reference Welch Allyn Propaq CS Vital Signs Monitor Mainstream CO specifications Characteristic Specification Mainstream CO sensor Sensor Type Mainstream Principle of Operation Non-dispersive, infrared, single-beam, single path/wavelength, ratiometric Warm-up time (CO sensor and monitor) 45 s typical, 3 min maximum...
  • Page 111 Based on the following additional airway conditions: Sample line = 7 ft, 0.055 in ID (2.13 m, 1.4 mm ID); Sample flow rate = 175 ml/ min; Welch Allyn watertrap (new/unused). BTPS (Body Temperature and Pressure, Saturated), ATPS (Ambient Temperature and Pressure, Saturated), STPD (Standard...
  • Page 112 Reference Welch Allyn Propaq CS Vital Signs Monitor Alarms specifications Characteristic Specification Indicators Flashing red alarm bell light: patient alarm(s) Continuously on red alarm bell light: patient alarm silenced or suspended Flashing yellow crossed-alarm light: equipment alert Continuously on yellow crossed-alarm light: one or more patient alarm limit(s) off...
  • Page 113 Directions for Use Reference Trends specifications Characteristic Specification  Model 242 Parameters NIBP, T1, T2, T, HR (heart rate/pulse rate), SpO End-tidal CO Inspired CO , Breath Rate/ Resp Rate  Model 244 Parameters NIBP, P1, T1, T2, T, HR (heart rate/pulse rate), SpO End-tidal CO , Inspired CO , Breath Rate/Resp Rate...
  • Page 114 Reference Welch Allyn Propaq CS Vital Signs Monitor Wireless Propaq CS Radio specifications (5 GHz) Characteristic Specification FlexNet™ Network 5 GHz orthogonal frequency division multiplexing (OFDM) wireless local area network (WLAN) and 10/100/1000 base T Ethernet network Modulation OFDM Output power 40 mW maximum;...
  • Page 115 Directions for Use Reference Wireless Propaq CS Radio specifications (2.4 GHz) Characteristic Specification FlexNet Network 2.4 GHz Wireless Local Area Network (WLAN) and 10/100 Base-T Ethernet network Frequency 2.402 to 2.480 GHz Modulation GFSK, Frequency Hopping Spread Spectrum (FHSS) Output Power 112 mW (maximum) IEEE 802.11 compliant Wireless Propaq CS monitors...
  • Page 116 Reference Welch Allyn Propaq CS Vital Signs Monitor Monitor (physical) specifications Characteristic Specification Protection classifications, all configurations Type of Protection against Electric Power adapter class 1 Shock—Power Adapter Type of Protection against Electric Protective earth not available in monitor. Monitor designed and tested to meet Shock—Monitor (connected to power...
  • Page 117 Directions for Use Reference Printer specifications Characteristic Specification Operation Operating Modes Continuous, Snapshot, Auto Print, Auto Trend, 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 118 Reference Welch Allyn Propaq CS Vital Signs Monitor Power Specifications Characteristic Specification Mode of Operation Continuous Battery Pack Type Sealed, gel-type lead acid Battery Pack Capacity Monitor only: 8 V, 2.7 Ampere-Hours; Monitor with Expansion Modules: 8 V, 5.4 Ampere-Hours...
  • Page 119 Directions for Use Reference Power Adapter Specifications Characteristic Specification Protection classifications, all adapters Type of Protection Against Electric Shock Class I, (Protectively Earthed) Degree of Protection Against Harmful Ingress For ordinary, indoor locations only. of Water Method of Disinfection Not suitable for autoclaving Flammable Anesthetics Not suitable for use with flammable anesthetics Environmental specifications, all adapters...
  • Page 120 Reference Welch Allyn Propaq CS Vital Signs Monitor...

  • Page 121: Compliance

    This booklet is available from the U.S. Government Printing Office, Washington, D.C. 20402. Stock No. 004-000-0034504. Welch Allyn is not responsible for any radio or television interference caused by unauthorized modification of the devices included with this Welch Allyn product, or the...
  • Page 122 Undertegnede Welch Allyn erklærer herved, at følgende udstyr RLAN device overholder de væsentlige krav og øvrige relevante krav i direktiv 1999/5/EF Dutch Bij deze verklaart Welch Allyn dat deze RLAN device voldoet aan de essentiële eisen en aan de overige relevante bepalingen van Richtlijn 1999/5/EC. English Hereby, Welch Allyn, declares that this RLAN device is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC.
  • Page 123 Directions for Use Chapter 9 Compliance Electromagnetic compatibility Special precautions concerning electromagnetic compatibility (EMC) must be taken for all medical electrical equipment. The Propaq CS monitor complies with IEC EN 60601-1- 2:2001. • All medical electrical equipment must be installed and put into service in accordance with the EMC information provided in this document and in Propaq Directions for Use.
  • Page 124 Chapter 9 Compliance Welch Allyn Micropaq Monitor Propaq CS Monitor: Guidance and manufacturer’s declaration—Electromagnetic immunity The Propaq CS monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment.
  • Page 125 Directions for Use Chapter 9 Compliance Propaq CS Monitor: Guidance and manufacturer’s declaration—Electromagnetic immunity The Propaq CS monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment. Immunity test IEC 60601 test level Compliance...
  • Page 126 Chapter 9 Compliance Welch Allyn Micropaq Monitor Recommended separation distances between portable and mobile RF communications equipment and the Propaq CS Monitor The Propaq CS monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.

  • Page 127: Index

    Index Access points Battery AC Power Adapter Long-term storage precautions Change fuses Low battery message Change voltage selection Recharging Connect to monitor Beeper loudness AC power adapter, specifications AC power filter for ECG Acuity Connector Capnography (see Mainstream CO2 and Sidestream CO2) Connect the monitor to Acuity Centigrade temperature units Disconnect the monitor...
  • Page 128 Index Welch Allyn Propaq CS Vital Signs Monitor Date format setting Low battery messages Decimal character setting Mainstream CO2 Messages Default inflation pressure (NIBP) Messages Default settings NIBP Messages DEFIB FAULT message Printer Messages Defibrillator Synchronization PROGRAM FAULT Message Connector...
  • Page 129 Directions for Use Index Equipment alert messages Monitoring Main Menu Numeric format adjustment NIBP Range Mode Printer Setup Page Rescale Mode Setup Menus Specifications SpO2 Transducer Messages, equipment alerts Zero a transducer Micropaq Impedance Pneumography (see RESP) Automatic reconnection INCO2 (Inspired CO2) Communication with network Input power fuse replacement Out of range operation...
  • Page 130 Index Welch Allyn Propaq CS Vital Signs Monitor Symbol in display Displayed trend Symbol in printout Displayed waveforms TURBOCUF repeated measurements Multiple trends Warnings OxyCRG NIBP IN PROGRESS message Set printer options NIBP ticket (printout) Printer NIBP Trend Equipment alert messages...
  • Page 131 Directions for Use Index Set time and date SpO2 Settings, factory default Adjust waveform size Setup C-LOCK Alarm limits Display Alarms Equipment alert messages Custom patient modes Monitoring New patient NIBP and SpO2 Patient modes Reducing false alarms Powerup patient mode Response time selection Setup Menus Sensor selection...
  • Page 132 Index Welch Allyn Propaq CS Vital Signs Monitor Units of measure, CO2 Units of measure, temperature Ventilation, high frequency and RESP VERY LOW BATTERY message Vital sign waveform display Volume tone selection WARMUP message, Mainstream CO2 Warnings Acuity ECG/RESP Mainstream CO2...

This manual is also suitable for:

Propaq cs 244Propaq cs 246

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