Welch Allyn Atlas Operator's Manual
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Welch Allyn Atlas Operator's Manual

Welch Allyn Atlas Operator's Manual

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Summary of Contents for Welch Allyn Atlas

  • Page 1 Operator’s Manual...
  • Page 2 United States Federal law restricts this device to sale by or on the order of a licensed health care practitioner. Welch Allyn and Atlas™ are registered trademarks of Welch Allyn, Inc. Nellcor Puritan Bennett™ is a registered trademark of Nellcor Puritan Bennett, Inc.

  • Page 3: Table Of Contents

    Advanced Configuration Menu Settings ....................58 CLEANING AND MAINTAINING THE ATLAS MONITOR ..............60 UNPACKING AND INSTALLING THE ATLAS MONITOR..............62 APPENDIX A: TECHNICAL SPECIFICATIONS FOR THE ATLAS MONITOR ........64 APPENDIX B: ELECTROMAGNETIC COMPATIBILITY (EMC) ............72 APPENDIX C: CALIBRATION AND MAINTENANCE ................73 APPENDIX D: ACCESSORIES FOR THE WELCH ALLYN ATLAS MONITOR........74 APPENDIX E: TROUBLESHOOTING......................77...
  • Page 4 Safety Information The Welch Allyn Atlas Monitor is intended for use in a hospital or clinical environment. It should not be used at home or in emergency transport vehicles. Monitor users should be skilled at the level of a technician, nurse, doctor or medical specialist.
  • Page 5 Warnings, Cautions, and Notes All operating personnel should be familiarized with the general safety information in this summary. Specific warnings and cautions will also be found throughout the operator’s manual. Such specific warnings and cautions may not appear here in this summary. This device has been tested and certified by the Canadian Standards Association International to comply with applicable U.S.
  • Page 6 Blood pressure measurements may not be accurate for patients experiencing moderate to severe arrhythmias. • This Atlas Monitor should not be used on patients who are linked to heart / lung machines. • If the integrity of the external protective conductor in the installation or its arrangements is in doubt,...
  • Page 7 If you are using battery power, the AC indicator (AC~) on the front panel will NOT be lit. When the Atlas monitor is running on battery power, it will warn you when there is less than 10, less than 5, and less than 1 minute of life remaining in the battery.
  • Page 8 Product Warranty Information Welch Allyn warrants the Welch Allyn Atlas Monitor, when new, to be free of defects in material and workmanship and to perform in accordance with manufacturer’s specifications for a period of two years from the date of purchase from Welch Allyn or its authorized distributors or agents.
  • Page 9 Allyn or an authorized distributor, agent, or service representative. This warranty does not include breakage or failure due to tampering, misuse, neglect, accidents, modification or shipping. This warranty is also void if the instrument is not used in accordance with manufacturer’s recommendations or if repaired by other than Welch Allyn or an authorized agent.
  • Page 10 Europe (+353) 469-067-790 Canada 1-800-561-8797 Japan (+81) 3-5212-7391 UK 0-207-365-6780 South Africa (+27) 11-777-7509 China (+86) 21-6327-9631 CLINICAL SUPPORT For clinical questions about Atlas Monitor call the Welch Allyn Clinical Support line at 800-769-4014 Extension 3225 or 315-685-4100 Extension 3225.
  • Page 11 A service manual is available by request to qualified electronics personnel. The service manual is a comprehensive guide to troubleshooting, service and repair of the Welch Allyn Atlas Monitor. A complete spare parts price list is available upon request. Spare parts may be ordered from your local Welch Allyn Service Center.

  • Page 13: How This Manual Works

    ECG leads to patients, so the repeated in many places wherever they are section on how the Atlas Monitor is used for pertinent. We did this so you would not have to monitoring patients and what you need to know search through other pages to find what you to operate the monitor comes first.

  • Page 14: A Quick Tour Of The Welch Allyn Atlas Monitor

    1.1 A Quick Tour of the Welch Allyn Atlas Monitor When you turn on the power, the monitor starts with preset or default alarm levels. Waveforms are displayed on the screen. Readings are displayed on the screen and on LEDs. You can perform the most common operations —...
  • Page 15 Patient Alarm or Measurement Invalid Alarm occurs, Atlas will print the current measurements and the currently configured waveforms automatically. If your model of the Atlas Monitor does not have the optional printer, the button is labeled Print , and it freezes, or halts, the waveform...

  • Page 16: Monitoring The Patient

    Select Alarm or Measurement Invalid Alarm occurs, and start over again. Atlas will print the current measurements and the currently configured waveforms automatically. Press the button to go to the next Select measurement alarm.
  • Page 17 TEMP Alarm PULSE (bpm) Suspend HR ALARMS Buttons Systolic (mmHg) Diastolic / RESP (mmHg) ALARMS ALARMS BP ALARMS Silence Lead Select Print Trend Power TEMP PULSE (bpm) NIBP mmHg Systolic (mmHg) 3:50 122/89(--) 14/min 98.6 3:40 120/84(--) 12/min 95.4 3:30 119/88(--) 10/min 98.6...

  • Page 18: Monitoring Blood Pressure

    Initial pressure – The initial cuff pressure can any number, the next blood pressure cycle be set in the Advanced Configuration. The Atlas will start again after that number of minutes Monitor will pump up to the selected initial cuff has elapsed.
  • Page 19 Print Select Blood Pressure Connector Atlas Monitor showing NIBP displays, controls and tubing connector Setting alarm limits - To set the Systolic and next limit, or press it several times until Diastolic alarm limits, use the none of the measurements flash and no...

  • Page 20: Map (Mean Arterial Pressure)

    2.1.1 MAP (Mean Arterial Pressure) Mean Arterial Pressure is calculated from the systolic and diastolic measurements. MAP may be optionally displayed by selecting it on the Advanced Configuration menu. MAP is displayed in the upper left corner of the screen. MAP - (Mean Arterial Pressure) display can be suspended, it will not trigger a Print On Alarm.
  • Page 21 MAP 96 HR ALARMS / RESP ALARMS BP ALARMS Select Trend Lead Select Print Silence Select Blood Blood Pressure Pressure Connector Alarm Off Atlas Monitor waveform display showing location of MAP reading...

  • Page 22: Alternate Bp Field Settings (Only Available If Language Setting Configured To Chinese)

    2.1.2 Alternate BP Field Settings (only available if language setting configured to Chinese) Mean Arterial Pressure or blood pressure in kPa can be displayed by selecting it on the Advanced Configuration menu. MAP or kPa is displayed in the upper left corner of the screen and is included on the printout.
  • Page 23 kPa – If the blood pressure is displayed in kPa on the screen, the blood pressure readings will be in kPa in the trend data and in the current readings of the waveform printout. Note: To set the blood pressure limits in kPa, you will need to use the Select and Set buttons on the right side of the monitor.

  • Page 24: Pulse

    2.2 Monitoring SpO , Pulse Rate and the SpO Waveform The oximetry and pulse rate measurements are generally taken with the reusable fingerclip sensor (provided), however a wide variety of SpO sensors are available as accessory items. The oximetry pulse volume is displayed as a vertical bar graph, called the Plethysmograph, beside the SpO % display on the right side of the monitor.
  • Page 25 Oximetry Measurement Pulse Rate PULSE (bpm) Signal Strength ALARMS BP ALARMS Silence Select Trend Lead Select Print Select Pulse Tone Volume Alarms Off Connector Atlas Monitor showing SpO displays, controls, and sensor connector...
  • Page 26 • Press the button up or down to raise or initial settings every time the Atlas Monitor is lower the alarm limit. (When you come to the powered on. After making the alarm and pulse...

  • Page 27: Monitoring Heart Rate And The Ecg Waveform

    2.3 Monitoring Heart Rate and the ECG Waveform The trace displays one of the ECG leads. This lead is indicated above the right end of the trace, near the ♥ symbol and heart rate value. Choose the lead with the button.
  • Page 28 lower the alarm limit. (When you come to the end of the range, the numbers will stop changing). • Press the Select button again to go to the next limit, or press it several times until none of the measurements flash and no indicators are lit.
  • Page 29 Heart Rate Selected Lead HR ALARMS / RESP ALARMS Select Lead Select Print Trend Lead Select Connector Atlas Monitor showing ECG waveform display, controls, and ECG connector...
  • Page 30 1 mV. ECG lead set - The Atlas Monitor allows for both 3 wire and 5 wire ECG lead sets.

  • Page 31: Respiration

    When alarms are silenced, they do not trigger a Print On Alarm. Where is it? - In Atlas Monitor model 622xx, the lower trace normally shows cascading ECG. In To suspend the respiration rate alarms, press the...
  • Page 32 Atlas Monitor showing Impedance Respiration waveform display, controls, and ECG connector Setting alarm limits –To set the Respiration normal measurement mode). alarm limits, use the buttons on Select the left side of the monitor to follow these steps: • Press the left Select button to cycle through...

  • Page 33: Odels 622 Xx & 623 Xx )

    2.5 Monitoring Temperature (Models 622xx & 623xx) ° ° The Temperature, measured on the skin surface with a skin sensor, is displayed in F or C, as chosen in Advanced Configuration. There are no audible alarms for Temperature. An invalid temperature reading is indicated by dashes “---”...
  • Page 34 Temperature Units TEMP Temperature Connector Atlas Monitor showing Temperature display and connector...

  • Page 35: Monitoring Co 2 , Respiration Rate , And The Etco

    Respiration Rate appears on the left. You can set alarm limits for both of these measurements. What is displayed – In the Atlas Monitor model measured by detecting absorption in this band.
  • Page 36 Atlas Monitor model 623xx showing ETCO waveform display, controls, and watertrap connector Setting alarm limits –To set the CO next limit, or press it several times until Respiration Rate alarm limits, use the none of the measurements flash and no...

  • Page 37: Managing The Alarms

    3 minutes under the “Francais” language setting or indefinitely with other language setting configurations. Atlas can be configured to print automatically when an alarm occurs. You can also adjust the alarm volume.
  • Page 38 ALARMS Off button turns off, any measurement Silence still outside its limits will cause another audible When the Atlas Monitor is set to all other alarm. languages including Canadian French, alarms will remain suspended until they are turned back on or...
  • Page 39 Alarm Conditions Alarm type Normal operation Silenced Suspended Patient Alarm; a vital Numbers flash Numbers flash Numbers flash sign measurement is Audible alarm – No audible alarm No audible alarm outside limits medium pitched No Print On Alarm No Print On Alarm tone once per second Print On Alarm if...
  • Page 40 TEMP PULSE (bpm) HR ALARMS Systolic (mmHg) / RESP Diastolic (mmHg) ALARMS ALARMS BP ALARMS Select Select 1 3 5 10 15 30 60 BP Start/Cancel Auto Print Alarm Select and Set Atlas Monitor showing alarm setting displays and controls...

  • Page 41: Patient Alarms

    3.1 Patient Alarms Patient alarms sound when one of the patient’s vital measurements is registering outside the limits you have set. You can set high and low alarm limits for most of the measurements. Setting and checking the alarm limits can be easily done from the front panel. The alarm settings can be saved as defaults by accessing a menu.

  • Page 42: Factory Default Patient Alarm Settings

    /RESP ETCO and Respiration Remove suspension under other language ALARMS (RESP Rate settings – When the Atlas Monitor is set to all ALARMS) other languages including Canadian French, ALARMS Oximetry and Pulse Rate alarms will remain suspended until they are turned back on or the monitor is turned off.

  • Page 43: Measurement Invalid Alarms

    A Measurement Invalid alarm could also indicate that the patient’s ALARMS Off vital sign has exceeded the measurement capability of the Atlas Monitor. Measurement Invalid alarms trigger a Print On Alarm, if Print On Alarm is configured. The Measurement Invalid Alarm is indicated by...

  • Page 44: Instrument Problem Alarms

    Instrument Problem Alarms, although they rarely occur, are of three types: 1) the Atlas Monitor detected an internal fault during power-on self test; 2) the Atlas Monitor detected an internal fault during use; 3) the Atlas Monitor reports that it lost power while in use the last time it was operating. Instrument Problem Alarms do not trigger a Print On Alarm.

  • Page 45: Odels 622 Xx & 623 Xx )

    Battery Alarms indicate that there are 10 or fewer minutes of battery life remaining. When one minute of battery life remains, a final alarm tone indicates that the Atlas Monitor is about to shut down, and a Trend report is automatically printed. Battery Alarms do not trigger a Print On Alarm.
  • Page 46 Message Location Atlas Monitor showing location of system message...

  • Page 47: Capturing And Displaying Trend Data

    Print The Atlas Monitor can capture and hold up to 144 lines of trend data. This is 36 hours of data at 15 minute intervals. If the intervals are shorter, naturally the total time covered in the trend data is shorter.
  • Page 48 3:20 120/82(--) 96.2 3:10 128/86(--) 98.7 3:00 122/85(--) 95.6 2:50 120/86(--) 98.6 2:40 118/80(--) 98.6 2:30 120/78(--) 97.5 Select 2:20 120/80(--) 98.6 2:10 121/85(--) 97.6 Print Trend Trend Print Scroll using Set Atlas Monitor showing Trend display with associated controls...

  • Page 49: Using Print And Waveform Freeze

    (and current measurements) if the waveforms are Print displayed. If a screen of trend data is displayed, all the trend data is printed. Atlas Monitors without printers have a button that halts the waveform display for 10 seconds for examination.
  • Page 50 2 Waveform Trend Lead Select Print Print ECG Lead 3 Dec 1998 23:40:01 mmHg 120 80 92 75.1 F ECG Scale 5mm/mV .05 - 40Hz ECG Bandwidth 25mm/s Print Speed Respiration Scale Atlas Monitor showing waveform display and printed waveform record...

  • Page 51: The Printer - Loading Paper And Troubleshooting

    The printer - If your Atlas Monitor has this open. Check to see that the thermal coated side of...
  • Page 52 Atlas Monitor showing paper being loaded...

  • Page 53: Connecting To The Patient

    6 Connecting to the Patient The main patient connections are for NIBP, SpO , and ECG. Atlas Monitor models 622xx and 623xx additionally provide temperature measurement, and the model 623xx adds ETCO . If you do not use all the measurement capabilities of the monitor, you will not have alarms for the measurements you do not use.
  • Page 54 SpO2 ECG Temp Atlas Monitor showing hookup of patient sensors...

  • Page 55: Connecting The Nibp Cuff

    The Atlas Monitor comes with a Large • Squeeze any air from the cuff. Adult cuff. This is the correct cuff for most adults.
  • Page 56 Correct placement of NIBP pressure cuff...
  • Page 57 MAP or blood pressure in kPa on the screen (upper left). Note: MAP is calculated using the formula: one third of the Systolic reading plus two thirds of the Diastolic reading. Principles of Operation – The Atlas Monitor...

  • Page 58: Connecting The Spo

    • Plethysmograph readings, check that you • Arterial occlusion proximal to the sensor. have properly inserted the sensor into the Hypotension. • Atlas monitor. • Severe vasoconstriction. • Cardiac arrest or shock Note: Older style Nellcor™ sensors and extension cables...
  • Page 59 Correct placement of reusable Nellcor SpO fingerclip sensor...

  • Page 60: Connecting The Ecg Electrodes

    3 wire or 5 wire - Either 3 wire or 5 wire ECG is going to be used, place the ECG cable and leads can be used with the Atlas Monitor. You wires as far as possible from the site of the must select either the 3 wire or 5 wire setting in surgery and from the electrosurgical cables.
  • Page 61 LL LL One of six V Lead electrode placement sites for the fifth lead. Correct placement of 3 wire and 5 wire ECG electrodes...
  • Page 62 V-Lead Placement – The brown V-lead connector can be placed at one of six standard locations: • V1 –Right Sternal border, fourth intercostal space. • V2 – Left sternal border, fourth intercostal space. • V3 –Between V2 and V4, midpoint between the two, in a line that joins all three.
  • Page 63 LL LL Alternate ECG electrode placement for Impedance Respiration...

  • Page 64: Odels 622 Xx & 623 Xx )

    6.4 Connecting the Temperature Probe (Models 622xx & 623xx) The Temperature measurement comes from a skin probe. Atlas Monitor models 622xx and 623xx can measure skin temperature with the supplied surface probe. Follow the package instructions for probe placement. Fahrenheit or Celsius - Temperature is displayed in °F or °C.

  • Page 65: Onnecting The Nd Idal Co Ample Ube Odel Xx )

    6.5 Connecting the End Tidal CO Sample Tube (Model 623xx) ETCO is measured with a sample tube using a nasal cannula adapted for sidestream CO measurement. Attach the cannula to the patient’s nose. Connect the sample tube to the watertrap and plug the watertrap into the monitor.

  • Page 66: Using The Menus

    Two menus are provided for configuring the Atlas Monitor. The items on these menus are choices that you might make to configure the Atlas Monitor to your needs when you first place it into service. You may change the date/time setting for Daylight Savings/Standard time, or when traveling across time zones.
  • Page 67 Respiration sweep speed 12.5 mm/s mmHg units Select Adjust using the Select and Set buttons Press the Trend button to exit Lead Select Print Trend Atlas Monitor model 623xx showing the Advanced Configuration and the Set Date and Time menus...

  • Page 68: The Advanced Configuration Menu

    7.2 The Advanced Configuration Menu The Advanced Configuration menu provides options to configure monitoring settings for your specific needs. Access Advanced Configuration by pressing the button, then the button. Date/Time Trend What’s it for? - This menu allows the user to parameter you want to change.
  • Page 69 Advanced Configuration Menu Settings Advanced Configuration Item Possible settings Factory default Language English, French, Canadian French, English Spanish, German, Portuguese, Italian, Chinese, Japanese Silence duration 60, 90, or 120 seconds 90 seconds ECG gain automatic, or 10mm/mV automatic ECG lead set 3 wire or 5 wire 3 wire ECG speed...

  • Page 70: Advanced Configuration Menu Settings

    7.2.1 Advanced Configuration Menu Settings The Advanced Configuration menu offers settings to customize the Atlas Monitor to suit your needs. Not all options are available on all models. Language - Factory default will be set for the Initial pressure – Specifies the initial blood dominant language used in your country.
  • Page 71 units – The concentration of Carbon Dioxide can be expressed in millimeters of mercury (mmHg), percent (%), or kiloPascals (kPa). The values displayed for percentage and kiloPascals are calculated from the mmHg partial pressure based upon current barometric conditions. Print On Alarm - In models with printers, Print On Alarm can be configured.

  • Page 72: Cleaning And Maintaining The Atlas Monitor

    Servicing should be performed by a qualified technician at 6, 12, and 24-month intervals. Cleaning – The Welch Allyn Atlas Monitor may institution’s infection control policies for be wiped clean with a slightly damp cloth and a disposables.
  • Page 73 • Replace the battery door and secure the two screws Scrubber - The CO Scrubber has an • Plug the Atlas back into AC power for at indefinite lifespan when used at the normal rate least 24 hours to fully charge the battery of one CO reset every month and one CO •...

  • Page 74: Unpacking And Installing The Atlas Monitor

    623xx. The Scrubber must be attached to used on a table top, shelf or other platform. This the watertrap. Remove the tubing from surface should be level and stable. The Atlas the watertrap and attach the Scrubber to Monitor can optionally be mounted on a rigid the watertrap.
  • Page 75 • The system will report that it is Sampling. • The system will then report Reset Complete. • Remove the watertrap/Scrubber from the watertrap socket. • Detach the Scrubber from the watertrap and reattach the tubing. • Replace the watertrap in the watertrap socket.

  • Page 76: Appendix A: Technical Specifications For The Atlas Monitor

    10 Appendix A: Technical Specifications for the Atlas Monitor A.1 General Specifications: Size 33 x 24 x 23 cm (13 x 9.5 x 8.75 inches) Weight 4.3 kg (9.5 lb.) (model 621xx) 6 kg (13.2 lb.) (models 622xx & 623xx)
  • Page 77 Degree of Protection Against Electric Shock Type CF: Defib Protected Mode of Operation Continuous operation Degree of Protection Against Harmful Ingress of IPX2 (IEC 60529) Water Degree of Safety of Application in the Presence of Equipment not suitable for use in the presence of a a Flammable Anesthetic Flammable Anesthetic Mixture.
  • Page 78 A.3 NIBP Systolic Range 60 to 250 mmHg (8 to 33 kPa) Diastolic Range 30 to 160 mmHg (4 to 21 kPa) Mean Arterial Pressure (MAP) Range 40 to 190 mmHg Blood Pressure Accuracy Per AAMI SP10-1992 Clause 4.4.2 Efficacy study results using Auscultatory Method as Reference Standard are available upon request.
  • Page 79 Scale Reference Bar A fixed 1 mV reference bar is displayed with the top ECG waveform for scaling of the waveform. This is provided in place of a standardizing voltage. Lead Display Single, user selectable: I, II, III; or I, II, III, aVR, aVL, aVF, V Heart Rate Display Numeric...
  • Page 80 Pacemaker Rejection per EC13:1992 Clause 3.1.4.1 Rejects all specified pacemaker signals, including double paces, without over/undershoot. Exception: Ineffectively paced QRS pattern may cause a QRS to be rejected and not counted as a pulse when the pace occurs very close to the R wave.
  • Page 81 Range 5 to 100 breaths/minute Accuracy ±3 breaths/minute Alarms High and Low Respiration Rate Alarm Ranges Respiration Low limits: 5 to 99 breaths/minute Respiration High limits: 6 to 100 breaths/minute Waveform Display One line Respiration waveform Respiration Rate Display Numeric Display Sweep Speeds 3.125, 6.25, 12.5 mm/second A.7 Temperature (Models 622xx &...
  • Page 82 A.9 I/O Communications (Models 622xx & 623xx) Connector RJ45 socket on rear of case Nurse Call Signal Normally open relay contacts between pins #1 and #8 of RJ45 connector. Contacts closed when any alarm is audible. Normally closed relay contacts between pins #2 and #8 of RJ45 connector.
  • Page 83 Alarm Ranges Low CO Limits: 0 to 97 mmHg High CO Limits: 1 to 98 mmHg Low Respiration Limits: 5 to 99 breaths/minute High Respiration Limits: 6 to 100 breaths/minute Display Sweep Speed 3.125, 6.25, 12.5 mm/second Start-up Time <10 seconds to acquire waveform; <5 minutes to full operating specifications Display Waveform, Respiration Rate and CO...

  • Page 84: Appendix B: Electromagnetic Compatibility (Emc)

    11 Appendix B: Electromagnetic Compatibility (EMC) The Atlas monitor has been tested and found in compliance with the requirements of IEC 60601-1- 2:1993. This Welch Allyn Atlas Monitor is suitable for use in the specified electromagnetic environment. The buyer or user of this product should assure that it is used in an electromagnetic environment as...

  • Page 85: Appendix C: Calibration And Maintenance

    12 Appendix C: Calibration and Maintenance The Atlas Monitor must be serviced by authorized Welch Allyn personnel or agents at 6 month intervals. Maintenance requirements are specified for 6 month, 12 month and 24 month service intervals. The monthly CO Reset operation can be performed by the user.

  • Page 86: Appendix D: Accessories For The Welch Allyn Atlas Monitor

    13 Appendix D: Accessories for the Welch Allyn Atlas Monitor Part number Description Blood Pressure Accessories 5200-01 Adult Cuff Assembly (cuff, latex-free bladder and connectors) 5200-02 Large Adult Cuff Assembly (cuff, latex-free bladder and connectors) 5200-03 Small Cuff Assembly (cuff, latex-free bladder and connectors)
  • Page 87 Power Cord Accessories 5200-110 Line Cord (US / Canada / Japan version) 5200-111 Line Cord (European version) 5200-112 Line Cord (United Kingdom version) 5200-113 Line Cord (Australian version) 5200-114 Line Cord (Swiss version) 5200-115 Line Cord (South American version) Mounting Accessories 6200-30 Mobile Stand 6200-31...
  • Page 88 ETCO Accessories 6200-20 ETCO Water Trap (package of 5) 6200-21 ETCO Scrubber 6200-22 ETCO Adult Nasal Sample Line 6200-23 ETCO Adult Nasal Sample Line (package of 10) 6200-24 ETCO Sample Line 6200-25 ETCO Divided Cannula (ETCO sample line plus O2 delivery) 6200-120 ETCO Dryer Sampling Line with TEE for High Humidity Circuits (package of 25)

  • Page 89: Appendix E: Troubleshooting

    If the patient is sitting, the back and legs should be supported. The lower arm should be passively supported. i.e. sitting in patient’s lap. Unusual physiology, obesity, or poor circulation could be preventing Atlas Monitor from detecting the pulse. Cardiac arrhythmia could interfere with the measurement.
  • Page 90 Blood pressure automatic timing stops. RECOMMENDED ACTIONS: Safety mechanisms automatically stop the timed blood pressure measurements when the Atlas Monitor repeatedly fails to make a measurement within 3 minutes Determine the reason that the measurements are failing and restart the timed cycle. Press to manually start a measurement;...
  • Page 91 ECG waveform baseline is drifting on screen. RECOMMENDED ACTIONS: Change ECG Bandwidth from Extended to Monitor in Advanced Configuration menu. Check connections: ECG trunk cable at Atlas Monitor socket. ECG leads at trunk cable. ECG leads at electrodes. Check for proper placement of electrodes on patient.
  • Page 92 Evaluate interference sources: Models 622xx, 623xx – unplug AC and run on battery power to determine whether interference is from power line. Move RFI sources and radio transmitters away from Atlas. Turn off fluorescent lights. PROBLEM: ECG Leads Off fault not reported.
  • Page 93 PROBLEM: Pacemaker signals not visible on ECG trace. RECOMMENDED ACTIONS: Pacemaker signals are displayed as captured; the Atlas Monitor does not have an option to present symbolic indication of pacemaker signals; Change ECG Bandwidth to Extended in Advanced Configuration menu.
  • Page 94 AC~ indicator not lit. RECOMMENDED ACTIONS: Atlas Monitor is specified to operate on any voltage from 100 to 240, and on 50 or 60 Hz – verify that the service provided meets these requirements; Check proper connection of AC cord in Atlas Monitor appliance socket.
  • Page 95 Reduce the frequency of blood pressure measurements or printouts if practical. Charge Atlas for 24 hours and time battery life in use as specified above; if less than the specified battery life is provided, the battery must be replaced. E.1.7 Printer...
  • Page 96 Check that the sensor is properly installed in the Atlas monitor. Check connection of SpO sensor to extension cable. Check patient: see section Connecting the SpO2 Fingerclip Sensor E.1.10 Temperature PROBLEM: Temperature display is blank RECOMMENDED ACTIONS: No temperature probe has been detected: check connection at Atlas Monitor front panel.
  • Page 97 If you have AC power available, plug in the Atlas Monitor. The battery will recharge automatically, whether the Atlas Monitor is turned on or off. The battery will return to 80% charge within 5 hours, and full charge within 24 hours. You will see the symbol lit above the ECG cable connection.
  • Page 98 The Atlas Monitor has detected a problem in making a Blood Pressure measurement. No internal problem is detected. Either the Atlas Monitor could not detect a pulse, could not bring the cuff to the required pressure, or detected an overpressure condition. There may also be a problem that prevented the Atlas Monitor from completing a measurement within 3 minutes of the start of the measurement.
  • Page 99 This reset operation has failed. RECOMMENDED ACTIONS: Turn the Atlas Monitor off and back on, and retry the CO Reset operation. Repeat several times if necessary. If repeated attempts fail, then the unit must be repaired.
  • Page 100 Atlas Monitor has detected a problem with the ECG leads. A signal cannot be properly detected. Note that Atlas Monitor only reports lead faults on the lead that is currently selected by the Lead Select button (and indicated in the upper right corner of the screen).
  • Page 101 If you have AC power available, plug in the Atlas Monitor. The battery will recharge automatically, whether the Atlas Monitor is turned on or off. The battery will return to 80% charge within 5 hours, and full charge within 24 hours. You will see the symbol lit above the ECG cable connection.
  • Page 102 RECOMMENDED ACTIONS: If you are not above 40º C, or below 10º C, this indicates a failure or calibration error in the Atlas Monitor temperature sensing system. The unit must be repaired. MESSAGE: cable not detected MEANING: Atlas Monitor has lost communication with the SpO cable and sensor.
  • Page 103 RECOMMENDED ACTIONS: An electrical fault has been detected in the Temperature system. You can continue to use the Atlas Monitor until it is convenient to perform repairs, if it acceptable to operate without Temperature sensing. The unit must be repaired.

  • Page 104: Index

    15 Index , iv, vi, viii, 2, 8, 10, 15, 19, 2-20, 23, 2- 24, 26, 30, 31, 53, 6-53, 54, 57, 58, 59, 60, 62, 70, 78 10 mm/mV gain, 18, 58 cuff sizes, 6-43 cuffs, 1, 6-43, 46 3 wire, 15, 18, 6-48, 49, 57, 58, 62 Date and Time, 54, 7-55, 60, 62 Date/Time, 8, 10, 18, 19, 21, 6-48, 52, 54,...
  • Page 105 Instrument Problem Alarm, 25, 32, 33 Respiration Rate, 19, 23, 26, 30 Interference, 6-48 Respiration speed, 58 isolation, iv Safety, iv Language, 57, 58 Saving volume settings, 25 , 15, 6-48, 54 scrubber, 62 Lead Select Scrubber, 60, 61, 62, 63, 87 , 57, 58 Second trace selection , 4, 7, 8, 10, 11, 14, 15, 16, 18, 19, 2-...
  • Page 108 Copyright 2004 Welch Allyn, Inc Printed in U.S.A. Reorder number 6200-42E Manual part number 620412-2E Rev J...

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