Page 1 Vital Signs Monitor Reference Guide Models 202EL, 204EL, 206EL Software Version 2.0X IMPORTANT Check for Reference Guide Updates in the back cover pocket of this manual. 0123...
Page 2 Propaq Encore. • Protocol Systems, Inc. assumes no responsibility for usage not in accordance with this manual that results in illegal or improper use of the Propaq Encore. For information concerning this document or any Protocol Systems product, contact: Protocol Systems, Inc.
Page 3: Table Of Contents
Introducing the Propaq Encore ......15 Using the Propaq Encore ......19 Monitor Setup .
Page 4 Printing ......... 121 Printing Patient Data .
Page 5 Index ......... . . 207 Propaq Encore Reference Guide...
Page 6 Protocol Systems, Inc.
Page 7: General Information
Symbols ......... 11 Propaq Encore Documentation....12 The Documentation Set .
Page 8 Protocol Systems, Inc.
Page 9: 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 10: Definitions
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 (P/N 810-0696-XX) is available from Protocol Systems to assist the biomedical engineer during post-warranty period service.
Page 11: Symbols
Symbols The following symbols may appear on the Propaq Encore monitor or accessories or documentation. These internationally recognized symbols are deﬁned by the International Electrotechnical Commission, IEC 878 and IEC 417A. Off (Standby) Patient connections are Transformer meets Type CF, isolated for...
Page 12: Propaq Encore Documentation
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 13: Getting Started
Propaq Encore Buttons ......28 Propaq Encore Menus ....... 29 Monitor Setup .
Page 14 Learning the Propaq Encore ..... 40 Using In-Service Mode ......40 What You Can Do With In-Service Mode .
Page 15: Introducing The Propaq Encore
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 16: Expansion Module
Expansion Module The Propaq Encore Expansion Module attaches to the monitor and houses additional capabilities. The Expansion Module can be ﬁtted with the SpO , CO , and Printer options. ALARM(S) OFF Light ALARM Light 14:51 :18 Option SU SP EN D/...
Page 17: Propaq Encore Pulse Oximetry Option (Spo 2 )
Monitoring System by means of an ethernet network system installed in your facility. The Acuity System operator can view the patient data and control most of the bedside Propaq functions. The Propaq Encore connects to the Acuity System through an Acuity network cable that plugs into the Propaq right side panel.
Page 18: Modem-Propaq Option
Modem-Propaq Option This option allows telecommunication between a Propaq Encore and the Acuity System by means of external modems. This option is conﬁgured with the Propaq-to-Acuity option. For more information refer to the Modem-Propaq Reference Guide. HP-compatible Side Panel Option...
Page 19: Using The Propaq Encore
Power Input or Modem-Propaq Connector 12-28V, 3A Safe interconnection between the Propaq Encore and other devices must comply with applicable medical systems safety standards such as IEC 601-1-1. WARNING On/Off Switch This switch turns the monitor on and off. The switch is recessed to prevent accidentally turning off the monitor, which would result in losing patient data.
Page 20 Input Fuse The input fuse, which protects the Propaq Encore against power surges, is a 3 Ampere fuse, externally replaceable by qualiﬁed service personnel. See page 144 for fuse replacement instructions. Power Input Connector This receptacle accepts Protocol Systems’ ac power adapter, which must be used for ac mains operation and battery charging.
Page 21: Alarm Lights
A few seconds later, the top PEDIATRIC MODE two lines of the screen are replaced with text indicating the current patient mode (adult, pediatric, or neonatal). DIAGNOSTICS IN PROGRESS BATTERY: 8.3 VOLTS SOFTWARE VERSION 2.00.00 (c) PROTOCOL SYSTEMS INC. 1988-1998 Propaq Encore Reference Guide...
Page 22 This clears the prior patient’s trend values, alarm limit settings, and NIBP cuff inflation target. WARNING If the Propaq Encore has been used for a previous patient, switch the monitor off, then on again. The monitor will turn on in the powerup patient mode with the associated settings.
Page 23 The monitor is ready for use. If you want to store some customized patient mode program settings, refer to page 36. If you follow these steps and the equipment alert reappears at powerup, the monitor may need to be serviced and the battery replaced. Contact a qualiﬁed service person. 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
(below the range) or + + + (above the range) instead of the vital sign value. The Propaq Encore will show + + + for HR numerics between 301-350 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 screenspace 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 S p O2 TIME HR/PR ETCO2 INCO2 35/ 18 while numeric values are mmH g mmH g HH:MM Br/M continuously updated. 35 12 10:00 9:58 SRCH mmH g 9:56 S p O 9:54 PRINT NXT TRND OXYCRG Propaq Encore Reference Guide...
Page 28: Propaq Encore Buttons
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
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...
Page 30 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 PREV MENU NEXT ON/OFF NO INSRV PATIENT MODE MENU NEONATAL ADULT SETUP PREV MENU (Patient Mode menu is MODE SETUP MENU accessed when CHANGE is pressed for PATIENT NEXT POWERUP* USE NOW SAVE PREV MENU MODE.) Propaq Encore Reference Guide...
Page 32: Monitor Setup
Monitor Setup Setup Menu 1 is accessed by pressing the button on the Main Menu. SETUP STATSCALE ALARMS WAVE SEL TRENDS MORE - 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 Check the CO alarm limits. If you press in the previous Patient Mode window, the Mode SETUP Setup window appears. This allows you to set custom patient modes and powerup defaults as described on page 36. Propaq Encore Reference Guide...
Page 34: Selecting Waveforms For Display
Selecting Waveforms for Display To select waveforms for display, press . Use the buttons SETUP WAVE SEL NEXT ON/OFF to turn on the desired waveforms in the wave select window SETUP WAVE SELECT ( 85) 35/ 18 ECG : ON RESP : OFF S p O2 : ON ART :...
Page 35: Changing The Date Format, Filter, And Units
Any time you change the Date, Filter, Temp F/C, Decimal, HR/PR Alarm Limits (CAN or note... CANNOT TURN OFF) or CO Units setting, the new setting also becomes the powerup default setting. Propaq Encore Reference Guide...
Page 36: Setting The Current, Custom, And Powerup Modes
The alarm for apnea cannot be turned off at any time. note... You can program the Propaq Encore to powerup in any of the Factory patient modes or the Custom patient modes. You can also change the current patient mode during operation.
Page 37 USE NOW, YES Exit the Mode Setup window, then use other menus and buttons to set the monitor settings and alarm limits as desired. Re-enter the Mode Setup window, highlight the desired Custom mode, and press SAVE, YES Propaq Encore Reference Guide...
Page 38: Printer Functions
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 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...
Page 40: Learning The Propaq Encore
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 TURBOCUF measurements for ﬁve minutes. Printer Message Simulated data can be printed on the Propaq Encore Printer. All printouts include the message “SIMULATED DATA” every four inches to prevent simulated data from being mistaken for actual patient data. What You Cannot Do With In-Service Mode •...
Page 42 Protocol Systems, Inc.
Page 43: Patient Monitoring
How ECG/RESP is Displayed ......51 Using the Propaq Encore With Pacemaker Patients ..54 Using the Filter to Better Display a Waveform .
Page 44 Temperature ....... . . 72 Intended Use ........72 Temperature Connectors and Probes .
Page 45: Ecg/Resp
Impedance pneumography is not recommended for use with high frequency ventilation. note... Since RESP is derived from the same leads as the ECG channel, the Propaq Encore note... determines which signals are cardiovascular artifact and which signals are a result of respiratory effort.
Page 46: Intended Use-Ecg
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: Ecg Connector And Applicable Accessories
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: Preparation
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 (G)=LA (-)=RA (+)=LL If using MCL1, select LEAD II on the Propaq, and use all three electrodes. One of six “v lead” electrode placement sites for the ﬁfth (c) lead. 5-lead Conﬁguration Neonate 3-lead Conﬁguration 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: How Ecg/Resp Is Displayed
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 ECG LEAD aVF, or V. The Propaq's factory default lead setting is Lead II. Impedance Pneumography Selections If your Propaq Encore includes the Impedance Pneumography Option, the following selection is also available. - Selects the RESP waveform size. RESP SZE When you press in the ﬁrst ECG/RESP Menu, a status window appears showing...
Page 53 The Propaq Encore counts as “breaths” respiratory efforts that are larger than two times note... background Cardiovascular Artifact (CVA). Since RESP is derived from the same leads as the ECG channel, the Propaq Encore note... determines which signals are cardiovascular artifact and which signals are a result of respiratory effort.
Page 54: Using The Propaq Encore With Pacemaker Patients
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
ECG electrodes and an ECG cable whose lead wires make good connections. WARNING Using the Filter to Better Display a Waveform The Propaq Encore includes a ﬁlter that reduces noise from the ac power signal and produces a much clearer ECG waveform. To set the ﬁlter, press SETUP, MORE, MORE,...
Page 56: Resp Messages
RESP Messages LEAD FAIL. One or more electrodes are making very poor or no contact. Check for proper connection; replace electrodes if needed. INAPPROPRIATE ECG CABLE. ECG cable appears not to contain 1K current limiting resistors. These resistors are required for RESP operation and to protect the Propaq Encore from damage during deﬁbrillation.
Page 57: Invasive Pressure
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. 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 58: Preparation
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 59 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 60: Rezeroing A Transducer
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 61 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 62: Invasive Pressure Messages
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 Systems Products and Accessories booklet to ensure you are using a compatible transducer.
Page 63: Nibp
Intended Use The Propaq Encore noninvasive blood pressure channel (NIBP) indirectly measures arterial pressures using an inﬂatable cuff. If ECG is also monitored, the Propaq Encore synchronizes the NIBP measurement process to the occurrences of the R-wave, increasing accuracy in cases of extreme artifact, diminished pulses, or some dysrhythmias.
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 Place and Connect 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 Cuff applied 1.9 mmHg to the NIBP measurement for every inch evenly and...
Page 67 122/ the manometer as 18:45 Alarm Limits Bell ( 85) small triangles. - 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. This...
Page 68 NIBP Displayed in Waveform Window 102.3 ° 18:45:28 NIBP By turning on NIBP in the NIBP wave select window, the NIBP numerics can be displayed in a waveform window. (103) 135/ 81 mmH g The numerics are shown in (103) S p O large characters for 16 minutes for each new measurement...
Page 69: Important Information About Automatic Measurements
NIBP trend printout or display, it indicates that the corresponding NIBP equipment alert occurred. AIR LEAK, CHECK HOSE (ERR# 1). The Propaq Encore could not properly inﬂate cuff. Check the hose and cuff for obvious leaks, such as O-rings in the hose connections.
Page 70 Connect ECG electrodes to improve NIBP measurements. NO VALID BLOOD PRESSURE FOUND (ERR# 9). 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 71 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. NIBP ADULT CALIBRATING MODE : MANUAL...
Page 72: Temperature
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 73: How Temperature Is Displayed
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, ∆T), one at a time. 102.3 °...
Page 74: Pulse Oximetry (Spo 2 )
® 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 75: Spo 2 Connector And Sensors
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 Products and Accessories booklet. Each sensor is designed for application to a speciﬁc site on a patient within a certain size range.
Page 76: Preparation
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 SpO is to be monitored while using NIBP, place the cuff on a different limb than the SpO note...
Page 77: Spo Standby Mode
When you reapply the SpO sensor to a patient, the Propaq exits the Standby Mode and resumes SpO monitoring. The message STBY on the SpO trend display and trend printouts indicates the monitor was note... in the SpO Standby Mode. Propaq Encore Reference Guide...
Page 78: How Spo
- Displays the next SpO menu. MORE RESPONSE C-LOCK PREV MENU - 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 Protocol Systems, Inc.
Page 79 Synchronization takes a few seconds to establish the ﬁrst time. If C-LOCK is on and the HR source is SpO , the heart rate source is automatically changed to ECG. An ECG signal must be present or C-LOCK does not activate. Propaq Encore Reference Guide...
Page 80: Spo 2 Messages
Messages messages can appear in the equipment alert window or in the SpO numeric window. NO SENSOR DETECTED appears in the equipment alert window and indicates a probe has been disconnected from the monitor after being plugged in for more than a few seconds.
Page 81: Capnography (Co 2 )
The operating temperature range for the CO option is different than the range of 0° to 40° C for other Propaq Encore functions: Mainstream CO operating temperature: 10° to 40° C Sidestream CO operating temperature: 5°...
Page 82: Co Measurements And Display
Mainstream CO Option The Mainstream CO option measures the 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. Patients using Mainstream CO must either be intubated or breathing through a well- ﬁtting face mask connected to a breathing system such as an anesthesia circle system.
Page 83 , and an upper alarm limit for INCO Breath Rate Measurements Breath Rate (BR) is determined from the CO sensor. The Propaq displays a numeric BR value next to the CO values. You can set upper and lower alarm limits for BR. Propaq Encore Reference Guide...
Page 84 Apnea Events In the Adult and Pediatric Mode, you can set the apnea delay to 6, 10, 15, 20, 25, or 30 seconds. In the Neonatal Mode, you can set the apnea delay to 6, 10, 15, or 20 seconds. The Propaq initiates an alarm in response to each apnea event longer than the apnea delay setting.
Page 85: Co 2 Display Menus And Status Window
RESP display sweep speed (set by the button). SWEEP SPEED mm/s - The ambient barometric pressure. BAROMETER To change CO units, use the Settings Menu under the Service Menus. Changing these note... units will clear CO trends. Propaq Encore Reference Guide...
Page 86 Sidestream CO Menu and Status Window When Sidestream CO is active, press from the ﬁrst CO menu to access the SCO MORE menu and the SCO status window: ( 85) GAS COMPENSATION: OFF 35/ 18 RESPONSE : NORMAL 35 12 CO2 SOURCE : SIDESTREAM SWEEP SPEED...
Page 87: Mainstream Co
Do not clean and/or reuse a single-patient-use airway adapter. When a single-patient-use airway adapter becomes occluded, replace it. WARNING Connect the adapter, ventilator circuit, and CO sensor according to the manufacturer’s instructions. Low dead space airway adapter Adult airway adapter Window Window Propaq Encore Reference Guide...
Page 88 Prior to 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 89 If it is too hot for patient comfort, do not allow it to come into contact with the patient. WARNING When disconnecting the airway adapter from the ventilator circuit, always detach the CO note... sensor from the airway adapter before removing the airway adapter from the ventilator circuit. Propaq Encore Reference Guide...
Page 90: How To Set Up The Co 2 Channel And Alarm Limits
How to Set Up the CO Channel and Alarm Limits After you connect the Mainstream CO sensor or Sidestream CO watertrap, follow these steps to set up the CO channel and alarm limits. After you connect a Mainstream CO sensor or Sidestream CO watertrap, the Propaq note...
Page 91 The default setting is NORMAL. Response Settings Response Time Setting Sampling Time Period Typical Indications for Use FAST 15 seconds During neuroanesthesia NORMAL 30 seconds During routine use SLOW 45 seconds To decrease ETCO false alarms Propaq Encore Reference Guide...
Page 92 Set alarm limits for ETCO , INCO , and Breath Rate. For patient safety, it is recommended that the Breath Rate alarm limits always be turned on and set appropriately. WARNING Motion artifact or other factors can cause false RR/BR alarms. To help minimize false alarms, the Propaq delays or “holds off”...
Page 93: Sidestream Co Monitoring
The 175 ml/min flow rate is recommended for intubated adult patients. note... When monitoring a small child with a rapid respiratory rate, Mainstream CO can provide a note... more accurate representation of the expired CO waveform. Propaq Encore Reference Guide...
Page 94 Connect the Watertrap Sidestream CO Firmly insert the Sidestream CO watertrap Connector into the Sidestream CO connector on the Propaq left side panel. Watertrap The watertrap is disposable and should only be used for a single patient. Do not reuse the watertrap for another patient.
Page 95 Sample line sample line. Avoid connecting additional tubing to the standard sample line. Exhaust Port. WARNING - Do not connect sample line or patient input to exhaust port. Propaq Encore Reference Guide...
Page 96 Connect to an Intubated Patient Connect the gas sampling elbow and elbow connector into the patient’s Watertrap breathing circuit according to the manufacturer’s instructions. Sample Line The exhaust port for Sidestream CO is an output for the expired gases from the patient and any connected breathing apparatus.
Page 97: Co 2 Messages
To continue operation, plug the ac power adapter into the Propaq. NO MAINSTREAM SENSOR DETECTED (SRCH appears in the numerics area). The Mainstream CO sensor has been disconnected from the Propaq after providing CO values. Disconnect and reconnect the sensor to the Propaq if necessary. Propaq Encore Reference Guide...
Page 98 NON-PROTOCOL SENSOR (UNCAL appears in the numerics area). A CO sensor has been connected that does not match Protocol’s speciﬁcations. The CO waveform is displayed without range values. Replace the sensor with a Protocol Systems CO sensor. SENSOR FAILURE, CALIBRATION ERROR. A sensor is defective or out of calibration.
Page 99 DEGRADED WAVEFORM, SERVICE REQUIRED. Send the Propaq to a Biomedical Engineer for service. LACK OF WAVEFORM, SERVICE REQUIRED. Send the Propaq to a Biomedical Engineer for service. MOTOR FAILURE, SERVICE REQUIRED. The sensor hardware has failed. Send the Propaq to a Biomedical Engineer for service. Propaq Encore Reference Guide...
Page 100 NO WATERTRAP DETECTED. There is no Sidestream CO watertrap installed. Install a watertrap. OCCLUSION - CHECK EXHAUST PORT/TUBING. Blockage has been detected on the pneumatic exhaust port. Check the exhaust port and related tubing for occlusions. Make sure that the sampling line and any inputs to the patient breathing apparatus are not connected to the exhaust port.
Page 101: Alarms And Limits
Changing Individual Limits ......112 Customizing Propaq Encore Alarm Limits ....112 Equipment Alerts.
Page 102 Protocol Systems, Inc.
Page 103: Alarms Window And Menu
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 patient channel.
Page 104: Adjusting The Alarm Tone Volume
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 105: Types Of Propaq Alarms
After 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 106: Life-Threatening Alarms
The alarm tones are summarized in the table: Propaq Encore Audible Alarm Indications Alarm Condition Tone Patient alarm Continuous ON Apnea alarm ON for 1 second, OFF for 1 second Equipment alert ON for 1 second, OFF for 4 seconds...
Page 107: Temporary Alarms
ALARM LIMITS ( 85) indicates a Window UPPER LOWER 35/ 18 temporary alarm limit 35 12 violation 95 * 62 mmH g mmH g (M) : Alarm Limits S p O Menu NEXT NEXT PAGE DOWN ON/OFF Propaq Encore Reference Guide...
Page 108: Responding To Patient Alarms
Suspending an alarm suspends all alarm tones for 90 seconds or until the button RESUME is pressed. WARNING If the button is available, you can make Propaq Encore alarm limit adjustments by LIMITS pressing LIMITS ® ALARM ALARM(S) Illuminated...
Page 109: Responding To Life-Threatening Alarms
During a life-threatening alarm, you can suspend the alarm tone and adjust the Alarm Limits. Alarm Prints If you have the Printer option, you can set the Propaq Encore to print when a patient alarm occurs. See page 127 for more information about printing. Propaq Encore Reference Guide...
Page 110: Alarm Holdoffs
Propaq Audio Alarm Holdoff with Acuity When a Propaq Encore in Adult or Pediatric Mode is connected to an Acuity System, the audio alarms at the bedside Propaq can be delayed up to 4 minutes and 15 seconds. The delay time is selected in Acuity software at the time of Acuity installation.
Page 111: Setting Alarm Limits
Setting Alarm Limits Adjust Limits with STAT SET When you want to quickly set all alarm limits, the Propaq Encore can calculate new alarm limits using the patient’s current values. Press the button in the Alarms Menu STAT SET ). The Propaq Encore activates all alarms and calculates the limits...
Page 112: Turning On And Off All Limits
Repeat steps 4 through 6 to adjust the desired limits. Continue the process until you've set all the limits you want. Customizing Propaq Encore Alarm Limits Although adjusting the Propaq's alarm limits can be automatic with , you can also STAT SET customize the limits you want to take effect every time you turn on the monitor.
Page 113: Equipment Alerts
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 114: Responding To Equipment Alerts
, 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 115: Trends
Trends Trends ........117 The Trend Status Window and Menu.
Page 116 Protocol Systems, Inc.
Page 117: Trends
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 118 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 119 P2 TREND NIBP TREND RESP TREND TEMP TREND TIME TIME TIME TIME TIME HR/PR HR/PR HR/PR HR/PR HR/PR SYS/DIA-MEAN SYS/DIA-MEAN SYS/DIA-MEAN RR or BR RR or BR RR or BR RR or BR ETCO ∆T INCO Propaq Encore Reference Guide...
Page 120 Protocol Systems, Inc.
Page 121: Printing
Printing Printing Patient Data ......123 Printing Waveforms ....... 123 Printing NIBP Measurements .
Page 122 Protocol Systems, Inc.
Page 123: Printing Patient Data
(single dots) every 1 mm. The ECG waveform is always printed if ECG is monitored. The Invasive Pressure Waveforms Pressure waveforms are printed on a grid with major divisions (vertical dotted lines) every 5 mm, and the pressure scale grids are printed horizontally. Propaq Encore Reference Guide...
Page 124 The SpO Plethysmograph The plethysmograph is printed without a horizontal grid. The size is printed on the printout. Although no vertical scale is displayed for the SpO waveform, a size indicator is displayed to show the relative gain of the waveform. 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.
Page 125: Printing Nibp Measurements
NIBP TICKET. NEXT CHANGE This symbol indicates that the NIBP reading was taken in the presence of high motion artifact while monitoring ECG. Artifact can affect accuracy. To help reduce artifact, see page 66. Propaq Encore Reference Guide...
Page 126: Printing The Apnea Ticket
Printing the Apnea Ticket The Apnea Ticket documents the length of each apnea episode. The Apnea Ticket is . . . and/or 60 seconds after the printed after the patient last breath was detected if the patient has not resumed resumes breathing .
Page 127: Printing When A Patient Alarm Occurs
: OFF mmH g APNEA TICKET : OFF S p O OXYCRG ON ALARM: OFF NEXT CHANGE PR TREND MORE PREV MENU A 3-second mark Printout continues Alarm occurred here Alarming vital sign numerics are highlighted Propaq Encore Reference Guide...
Page 128: Oxycrg
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 129: Printing Trends
Now, each time you want to print the selected trends, press PRINT TRENDS This symbol indicates that the NIBP reading was taken in the presence of high motion artifact while monitoring ECG. Artifact can affect accuracy. To help reduce artifact, see page 66. Propaq Encore Reference Guide...
Page 130: Automatic Trend Prints
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 131: Acuity Central Monitoring System
Acuity Central Monitoring System Acuity Central Monitoring System ..133 Intended Use ........133 Connecting to the Acuity System .
Page 132 Protocol Systems, Inc.
Page 133: Acuity Central Monitoring System
WARNING Connect the Propaq Encore to an Acuity system only. Connecting to other networks could damage the monitor or injure the patient. If in doubt about the network jacks or devices, consult your facility’s Biomedical Engineering Department.
Page 134: Connecting To The Acuity System
Encore transmits up to ﬁve hours of trend information when you connect it to the Acuity network.) If the Propaq Encore has not been connected to the patient, clear any prior patient’s trends and alarm limit settings by turning off the Propaq Encore and after a few seconds, turning it on again.
Page 135: Key Press Route To Acuity Menu
Conﬁrm the patient identiﬁcation at the bedside or enter the patient information at the Acuity Central Monitor using the Patient ID Setup Window. If alarm limits have not been set, do so at the Propaq Encore or at the Acuity Central Monitor using the Alarms Setup Window.
Page 136: Disconnecting From Acuity
ACUITY NET OFF cable from either the Propaq Encore side panel or the bedside jack. If the patient will not be monitored with the Propaq Encore, turn off the monitor to erase trend information. If you wish to temporarily disconnect the Propaq Encore from the Acuity network and reconnect the same patient to the Acuity network later, see the Acuity System Reference Guide.
Page 137: Power Sources
Power Sources Power Sources ......139 Power Adapter Intended Use ......139 Verifying Proper Power Adapter Configuration .
Page 138 Protocol Systems, Inc.
Page 139: Power Sources
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 dc source (isolated from ac mains) capable of supplying 12-28 Vdc and continuously supplying 25W.
Page 140: Verifying Proper Power Adapter Configuration
Verifying Proper 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 141: Replacing The Power Adapter Fuses
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 142 Power Switch Fuse Fuse Module Voltage Selector and Indicator Spare Fuse Make sure the voltage selector indicates the proper ac input voltage. If you change the SUSPEND/ RESUME adapter voltage setting, you must replace all fuses to match the appropriate type specified START / STOP CAUTION...
Page 143: Battery Care
, and printer can be operated. Operating Times Using Battery Power The amount of time you can operate 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 144: Monitor Functions Based On Battery Voltage
Settings window. Replacing the Fuse The Propaq Encore is protected against power surges by a 3 Ampere fuse, which can easily be replaced in the right side panel. Fuse replacement should only be performed by a qualiﬁed service person.
Page 145: Care And Maintenance
Care and Maintenance Cleaning........147 Cleaning Recommendations .
Page 146 Protocol Systems, Inc.
Page 147: Cleaning
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 148 Do not use any of the following cleaning agents on the Propaq Encore. SUSPEND/ RESUME START / STOP CAUTION CAUTION Never Use These as Cleaning Agents Butyl Alcohol Acetone ® Denatured Ethanol Vesphene ® Freon™ Enviroquat ® Mild Chlorine Bleach Solution Staphene ®...
Page 149 Check all external cables and hoses for fraying or cracking. Report all damage to the biomedical department or biomedical repair service person. The side panel connectors of the Propaq Encore have been specially designed to prevent note... water or other liquids from entering the monitor. However, liquids can get into the connectors.
Page 150: Maintenance
Maintenance Service Interval Recommendations At the intervals recommended below, verify the Propaq Encore for proper operation of all channels and internal circuitry. Such checks and veriﬁcations should only be carried out by a qualiﬁed biomedical service person. Other Propaq Encore service information, including calibration procedures, is described in the Propaq Encore Service Manual (P/N 810-0696-XX).
Page 151: Monitor Care
Printer Paper Removal If a Propaq Encore has a battery installed or ac power connected and is stored for an extended period of time without use, the printer paper can cause damage to the printhead.
Page 152: Printer Maintenance
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 can cause unclear printing of patient data, damage to printing head, and CAUTION CAUTION eventual printer failure.
Page 153 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 154: Customer Services
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 is designed to protect the monitor from possible damage during shipment.
Page 155: Defibrillator Synchronization
Defibrillator Synchronization Defibrillator Synchronization ....157 Defib Sync Connector and Cables ..... 157 Installing the Defib Sync Interface to the LIFEPAK 5.
Page 156 Protocol Systems, Inc.
Page 157: Defibrillator Synchronization
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. Deﬁbrillator Synchronization Cables/Interface Deﬁbrillator Application Protocol Part Number LIFEPAK 6s 008-0154-00 LIFEPAK 5 008-0136-XX Propaq Encore Reference Guide...
Page 158: 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 159: 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 160: Synchronized Cardioversion Using The Lifepak 5
Verify the integrity of the ECG patient electrodes and the ﬁdelity of the ECG waveform on the 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—...
Page 161 WARNING A fault in the cable between the Propaq Encore and the defibrillator, or unplugging the cable, note... will prevent showing markers on the Propaq and can prevent setting the defibrillator to synchronized mode.
Page 162: Synchronized Cardioversion Using The Lifepak 6S
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—...
Page 163 WARNING A fault in the cable between the Propaq Encore and the defibrillator, or unplugging the cable, note... will prevent showing markers on the Propaq and can prevent setting the defibrillator to synchronized mode.
Page 164: Defib Sync Message
Defib Sync Message The Deﬁb Sync message can appear in an equipment alert window. DEFIB FAULT/CHECK INTERFACE CABLE indicates a probable shorted cable. Protocol Systems, Inc.
Page 165: 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 166 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 167 Difference Temperature The difference between T1 and T2. Also called delta T (∆T). 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 168 An acronym for end-tidal CO . 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. Freeze The action taken by the button to stop the display.
Page 169 This technique avoids signal delays and ﬂuid problems associated with other techniques. Menu A group of labels above the bottom front row of buttons on a Propaq Encore. NIBP Status Window The window that appears when the button is pressed. This window displays NIBP NIBP information.
Page 170 OxyCRG An oxygen cardiorespirogram, a graph showing heart rate, SpO , and a condensed respiratory waveform. A generic label for invasive pressure channel one. A generic label for invasive pressure channel two. Pulmonary artery (label for an invasive blood pressure channel). Parameter See Vital Sign Parameter.
Page 171 ﬁnger, toe, or the bridge of the nose. Startup Window The information window that appears while the monitor performs its powerup 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 172 SYNC Synchronization. Two uses apply: 1. A digital output pulse from the right side panel that starts within 35 msec of the peak of a QRS complex and is used for cardioversion. 2. A message in the SpO display indicating successful C-Lock. Temporary Patient Alarm An alarm limit violation that occurred and was corrected without operator intervention.
Page 173 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. Propaq Encore Reference Guide...
Page 174 Protocol Systems, Inc.
Page 175: Specifications
Specifications ECG ........177 Real-Time ECG Analog/Defib Sync.
Page 176 Power Adapters ......200 Factory Default Settings ..... . . 202 In-Service Simulated Values .
Page 177: Ecg
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 178 ECG Speciﬁcations Characteristic Speciﬁcation Common Mode Rejection < mV p-p RTI for 10V rms, 50/60 Hz input, 200 pF source impedance, input unbalanced, FILTER function OFF < mV p-p RTI for 10V rms, 50/60 Hz input, 200 pF source impedance, input unbalanced, FILTER function ON Ω...
Page 179 1mV Ventricular Tachycardia 197 to 198 bpm (206 bpm expected) 2mV Ventricular Tachycardia 193 to 197 bpm (206 bpm expected) SHIELD SHIELD HP 12-pin ECG connector AAMI 6-pin ECG connector side panel view side panel view Propaq Encore Reference Guide...
Page 180: Real-Time Ecg Analog/Defib Sync
Real-Time ECG Analog/Defib Sync Special cables are required to interface the deﬁb sync connector to the Physio-Control LIFEPAK 5 or LIFEPAK 6s deﬁbrillator. Real-Time ECG Analog / Deﬁb Sync Signals Signal Speciﬁcation Sync Output 0 to 5V pulse, 100 ±5ms wide, starts within 35 ms after peak of R-wave.
Page 181: Impedance Pneumography (Resp)
Presence of CVA is detected automatically. Breaths will be (CVA) picked in the presence of CVA unless the Breath Rate is within 5% of the Heart Rate or a sub-multiple of the heart rate. Motion artifact rejection not rejected Obstructive apnea not detected Propaq Encore Reference Guide...
Page 182: Invasive Pressure
Invasive Pressure Applies only to models 204 and 206. 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 183: Nibp
Ped: 200 mmHg Neonate: 141 mmHg Single Fault Overpressure Limit Adult: 308 mmHg Ped: 220 mmHg Neonate: 154 mmHg After a 1 minute settling period, leak rate is ≤4mm/Hg over Leak Rate a 3-minute period at 270 mm/Hg. Propaq Encore Reference Guide...
Page 184 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, EN 1060-3, and ANSI-AAMI SP10-1992 NIBP Safety Per IEC 601-2-30...
Page 185: Temperature
°C and °F selectable Channel Accuracy Temperature Range Tolerance 0° to +10°C ±0.2°C >10° to +50°C ±0.1°C +32° to +50°F ±0.4°F >50° to +122°F ±0.2°F Resolution 0.1°C or °F Electrosurgery interference Included in all models: 202EL, 204EL, 206EL suppression Propaq Encore Reference Guide...
Page 186: Pulse Oximetry (Spo 2 )
Sensor Compatibility Compatible only with NELLCOR sensors listed in the Protocol Systems Products and Accessories booklet. Electrosurgery interference Included in all models: 202EL, 204EL, 206EL suppression Alarm Hold-Off Time Period 10 seconds; reset if the sensor reports levels within limits before 10 seconds elapses.
Page 187: Capnography (Co 2 )
41-99 mmHg, ± 10% of value Altitude Error ±0.4%/1,000 ft (304.8 m) Breath Rate Display Screen Display Numeric Breath rate (BR) source When CO is active, CO is the BR source. Otherwise, RESP from ECG is the RR source. Units Breaths/Minute Propaq Encore Reference Guide...
Page 188 General CO Speciﬁcations (Mainstream CO and Sidestream CO Characteristic Speciﬁcation Range Adult/Ped: 0 (apnea), 2 to 150 breaths/min Neonate: 0 (apnea), 3 to 150 breaths/min Resolution ±1 breaths/min Accuracy ±1 breaths/min or ±5%, whichever is greater Alarm Limits Range Adult/Ped: 2 to 150 breaths/min Neonate: 3 to 150 breaths/min Apnea Alarms and Tickets Apnea Ticket...
Page 189 Operating Altitude -2,000 to 15,000 ft (-610 to 4,572 m), 817 to 429 mmHg Storage Altitude -2,000 to 40,000 ft (-610 to 12,192 m), 817 to 141 mmHg Operating and Storage Humidity 0% to 95%, noncondensing Propaq Encore Reference Guide...
Page 190 Characteristic Speciﬁcation Shock 100 g for 4 msec Vibration 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 Sidestream CO Speciﬁcations Characteristic...
Page 191: Alarms
= 10 seconds RR/BR = 5 seconds Audio Alarm Holdoff with When a Propaq Encore in Adult or Pediatric Mode is Acuity connected to an Acuity System, the audio alarms at the bedside Propaq can be delayed up to 4 minutes and 15 seconds.
Page 192: Trends
Trends Trends Speciﬁcations Characteristic Speciﬁcation ∆ Model 202 Parameters NIBP, T1, T2, T, HR (heart rate/pulse rate), SpO End-tidal Inspired CO , Breath Rate ∆ Model 204 Parameters NIBP, P1, T1, T2, T, HR (heart rate/pulse rate), SpO End-tidal CO , Inspired CO , Breath Rate ∆...
Page 193: Display
>45 (“On” pixel luminance/“Off” pixel luminance) Display Color Amber Display Background Color Black “On” Pixel Luminance >9.0 fL (area of amber pixel; includes protective window) “Off” Pixel Luminance <0.2 fL (black pixel) Refresh Rate 109 Hz Propaq Encore Reference Guide...
Page 194: Monitor (Environmental)
Monitor (Environmental) Monitor Environmental Speciﬁcations Characteristic Speciﬁcation Operating Temperature 0° to 40° C Shipping and Storage -20° to 60° C Temperature Operating Altitude -2,000 to 15,000 ft (-610 to 4,572 m) Shipping and Storage Altitude -2,000 to 40,000 ft (-610 to 12,192 m) Operating Relative Humidity 15% to 95%, noncondensing per MIL STD 810E, Procedure 1- natural...
Page 195: Monitor (Physical)
6.65 in (16.9 cm) Width 8.25 in (20.9 cm) Depth 7.50 in (19.10 cm) Weight 9.12 lb (4.10 kg) Monitor with Expansion Module (Printer / SpO / CO Height 9.65 in (24.5 cm) Width 8.25 in (20.9 cm) Propaq Encore Reference Guide...
Page 196 Monitor Physical Speciﬁcations Characteristic Speciﬁcation Depth 7.56 in (19.2 cm) Weight with Printer, SpO , and 13.5 lb (6.1 kg) a. Per EN 60601-1 unless otherwise stated. b. See Chapter 7 for cleaning instructions. Protocol Systems, Inc.
Page 197: Printer
Horizontal Dot Pitch 0.165 mm, 6 dots/mm Vertical Dot Pitch 0.165 mm Paper Feed Method Friction Feed Paper Feed Precision ±2% @ 25° C and 60% Relative Humidity Paper Width 60 mm Reliability 30 million pulses/dot Propaq Encore Reference Guide...
Page 198 Printer Speciﬁcations Characteristic Speciﬁcation Environmental Monitor/Expansion Module Operating Temperature +5° to 40° C Shipping and Storage -20° to 60° C Temperature Operating Relative Humidity 35% to 85% noncondensing Shipping, Storage Relative 15% to 90% noncondensing Humidity Operating Altitude -2,000 to 15,000 ft (-610 to 4,572 m) Shipping and Storage Altitude -2,000 to 40,000 ft (-610 to 12,192 m) Shock...
Page 199: Power
Input Fuse Rating 3A/250V, Type 2AG (0.57x 0.177 in) Operating Times on Battery Typically 2 hours for Propaq Encore without Expansion Module, 3 hours for Propaq Encore with Expansion Module with printer, SpO and CO Options, and about 5 hours for Propaq Encore without Expansion Module but with the option.
Page 200: Power Adapters
Power Adapters Power Adapter General Speciﬁcations Characteristic Speciﬁcation Protection Classiﬁcations, all Adapters Type of Protection Against Class I, (Protectively Earthed) Electric Shock Degree of Protection Against For ordinary, indoor locations only. Harmful Ingress of Water Method of Disinfection Not suitable for autoclaving Flammable Anesthetics Not suitable for use with ﬂammable anesthetics Environmental Speciﬁcations, All Adapters...
Page 201 3.1 lb (1.4 kg) Rated Input 200V-240V ac, 250 mA, 50/60 Hz Rated Fuses T400 mA/250V, Time-Delay, 5 x 20mm Rated Output (Continuous) 16-24V dc, 25 VA Additional Features Detachable power cord, pilot light Power Adapter connector 12-28V, 3A Propaq Encore Reference Guide...
Page 202: Factory Default Settings
Factory Default Settings Factory Default Settings Setting Factory Default Date MO/DA/YR, DA.MO.YR, or YR/MO/DA Decimal . (Period) HR/PR Sweep 25 mm/sec RR/BR Sweep 6.25 mm/sec Alarm Tone MEDIUM HR/PR TONE HR/PR SOURCE RR/BR Source if ON or ECG (if CO OFF) Patient Mode Adult...
Page 203 Neonate: 30, 70 mmHg NIBP Limits - Mean Adult: 50, 120 mmHg Ped: 50, 110 mmHg Neonate: 35, 80 mmHg P1, P2 Limits - Systolic Adult: 75, 220 mmHg Ped: 75, 145 mmHg Neonate: 50, 100 mmHg Propaq Encore Reference Guide...
Page 204 Factory Default Settings Setting Factory Default P1, P2 Limits - Diastolic Adult: 35, 110 mmHg Ped: 35, 100 mmHg Neonate: 30, 70 mmHg P1, P2 Limits - Mean Adult: 50, 120 mmHg Ped: 50, 110 mmHg Neonate: 35, 80 mmHg Limits Adult: 85%, 100% Ped: 85%, 100%...
Page 205: In-Service Simulated Values
Normal, 2x Same as Initial Value Rate 80 pulses per min 125 pulses per min Numeric Waveform Normal Hyperventilating ETCO Numeric 38 mmHg 60 mmHg INCO Numeric 0 mmHg 8 mmHg Breath Rate 12 breaths/minute 31 breaths/minute Propaq Encore Reference Guide...
Page 206 Protocol Systems, Inc.
Page 207: Index
112 Bells setting all 112 alarm limit status 103 setting quickly (STAT SET) 111 Breath rate measurements 83 specifications 191 Buttons status window 103 menu 29 temporary 107 monitor 28 tone volume 104 tones 105 Propaq Encore Reference Guide...
Page 208 FLOWRATE button 86 Cable circuitry GAS COMP button 85 defibrillator synchronization 157 RESPONSE button 85 CANCEL button 61 SOURCE button 85 Caution messages 113 CO2 UNITS setting 35 CAUTION statements, defined 10 Connectors CHANGE button 32 ac adapter 20 Changing printer paper 152 defibrillator synchronization 157 Cleaning ECG 47...
Page 209 113 messages 55 Printer Fault 39 pacemaker patients 54 PROGRAM FAULT 22 pre-gelled electrodes 48 tone 113 printing waveforms 123 ESIS 46 specifications 177 Expansion Module Status Window 52 CO2 16 waveform priorities 34 Printer 16 Propaq Encore Reference Guide...
Page 210 SpO2 16 INTERVAL button 67 Extended Mode 46 Introduction 15 Extended storage 151 Intubated patients 82 INV PRS button 59 INV PRS Menu 1 Factory defaults CANCEL button 61 specifications 202 RANGE button 61 Factory patient modes 36 RESCALE button 61 FILTER setting 35 ZERO (P1/P2) buttons 61 Flashing numerics 108...
Page 211 SpO2 Menu 2 29 SpO2 button 76 Trends 30 SpO2/CO2 button 29 Wave Select 31 MAIN MENU button 28 Messages Mainstream Capnography (see CO2) caution 113 Mainstream CO2 defibrillator synchronization 164 monitoring 87 ECG 55 Maintenance INV PRS 62 Propaq Encore Reference Guide...
Page 212 Mainstream CO2 97 MORE button 32 – NIBP 69 Motion artifact and NIBP 63 Printer Fault 39 RESP 56 Sidestream CO2 99 Neonatal Mode 63 SIMULATING 40 Network Fault message 136 SpO2 80 NEXT button 32 TEMP 73 NIBP mm/sec button 85 accessories 65 Models, Propaq 15 adult mode 64...
Page 213 PRINT TRENDS button 39 PACER DISPLAY setting 53 Printer 17 Paper, printer 152 loading paper 152 Patient alarms, definitions and indications maintenance 152 print speed (continuous measurements) Patient artifact 51 Patient connectors 24 PRINT TRENDS button 39 Propaq Encore Reference Guide...
Page 214 setup 38 PRINT button (see also Trends Menu) SIMULATED DATA 41 SNAPSHOT button 39 Printer Setup window 126 specifications 197 RESP waveforms 124 START/STOP button 39 Setup Menu 2 125 test strip 39 speed 123 PRINTER button 32 SpO2 waveforms 124 Printer Fault equipment alert 39 sweep speeds with SNAPSHOT 124 Printer Menu...
Page 215 78 PRINTER button 32 displaying 78 WAVE SEL button 32 intended use 74 Side panels Menu 1 29 left, patient connectors 24 Menu 2 29 right, system controls 19 messages 80 Sidestream CO2 93 plethysmograph 124 Propaq Encore Reference Guide...
Page 216 preparing for monitoring 76 Sweep speed (CO2, RESP) 90 printing waveforms 124 Symbol relative gain 124 In NIBP displays and prints 67 response settings 79 saturation and heart tone 74 Symbols sensor application 75 defined 11 sensors and patient movement 75 SYNC (see SpO2, synchronizing with ECG) size indicator 124 specifications 186...
Page 217 Universal Power Adapter messages 59 voltage selection 140 transducers 59 UV, label for umbilical vein 61 Verifying Patient Mode 21 Verifying powerup tone 22 Voltage battery 22 checking battery 144 Volume alarm tone 104 heart tone 52 Propaq Encore Reference Guide...
Page 218 Protocol Systems, Inc.

This manual is also suitable for:

204el 206el

Propaq Encore 202EL Reference Manual

Table of Contents

Getting Started

Introducing the Propaq Encore

Using the Propaq Encore

Monitor Setup

Printer Functions

Patient Monitoring

Ecg/Resp

Invasive Pressure

Nibp

Temperature

Pulse Oximetry (Spo 2 )

Capnography (CO 2 )

Alarms and Limits

Alarms Window and Menu

Types of Propaq Alarms

Alarm Holdoffs

Setting Alarm Limits

Equipment Alerts

Trends

Printing

Printing Patient Data

Printing Trends

Acuity Central Monitoring System

Power Sources

Power Sources

Battery Care

Care and Maintenance

Cleaning

Maintenance

Monitor Care

Printer Maintenance

Customer Services

Defibrillator Synchronization

Specifications

Quick Links

Chapters

Need help?

Questions and answers

Subscribe to Our Youtube Channel

Related Manuals for Propaq Encore 202EL

Summary of Contents for Propaq Encore 202EL