Welch Allyn 206EL User Manual

Propaq® Encore Vital Signs Monitor

Reference Guide

Models 202EL, 204EL, 206EL Software version 2.5X

ii Welch Allyn Propaq Encore Vital Signs Monitor

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.

Welch Allyn, Propaq, Acuity, and Smartcuf are registered trademarks of Welch Allyn.

SET and Masimo are registered trademarks of Masimo Corporation. Possession or purchase of a Masimo SpO does not convey any express or implied license to use the device with unauthorized sensors or cables which would, alone or in combination with this device, fall within the scope of one or more of the patents relating to this device.

Nellcor and Oximax are registered trademarks of Nellcor Puritan Bennett.

Software in this product is copyright by Welch Allyn or its vendors. All rights are reserved. The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide. Under such laws, the licensee is entitled to use the copy of the software incorporated with this instrument as intended in the operation of the product in which it is embedded. The software may not be copied, decompiled, reverse-engineered, disassembled or otherwise reduced to human-perceivable form. This is not a sale of the software or any copy of the software; all right, title and ownership of the software remain with Welch Allyn or its vendors.

For information about any Welch Allyn product, call the nearest Welch Allyn representative:

-equipped monitor

USA + 1 315 685 4560

800 535 6663

Australia + 61 2 9638 3000

800 074 793

Canada 800 561 8797 China + 86 216 327 9631

European Call Center + 35 3 46 906 7790 France + 33 1 60 09 33 66

Germany + 49 7477 92 71 86 Japan + 81 3 3219 0071

Latin America + 1 305 669 9003 Netherlands + 31 15 750 5000

Singapore + 65 6419 8100 South Africa + 27 11 777 7555

United Kingdom + 44 20 7365 6780 Sweden + 46 8 58 53 65 51

REF 810-1719-XX (CD) REF 810-2106-XX (Printed, English only)

Manual Part Number 810-0640-05 Ver A 2008-06

Welch Allyn Ltd Welch Allyn, Inc. 8500 SW Creekside Place Beaverton, OR 97008-7107 USA

Navan Business Park

Dublin Road, Navan

County Meath, Republic of Ireland

www.welchallyn.com

Contents

1 - General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 - Getting started. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

iii

Safety summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Propaq Encore documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Introducing the Propaq Encore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Using the Propaq Encore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Monitor setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Printer functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Learning the Propaq Encore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

3 - Patient monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

ECG/RESP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

Invasive pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Pulse oximetry (SpO2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Capnography (CO2). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

4 - Alarms and limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Description of alarm and alert tone patterns. . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Silence an active patient alarm or equipment alert tone for 90 seconds . . . . . . 69

Inhibit alarm and alert tones for four minutes: 4 SUSPND . . . . . . . . . . . . . . . . . 70

Inhibit alarm and alert tones indefinitely: ALL ALARMS. . . . . . . . . . . . . . . . . . . 71

Summary of alarm and alert keys and Acuity Central Station messages . . . . . . 72

Alarm holdoffs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Setting alarm limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Power-up equipment alert: program fault, settings lost . . . . . . . . . . . . . . . . . . . 75

Troubleshooting system error messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

5 - Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

The trend status window and menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

How trends are accumulated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77

NIBP trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Displaying trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

6 - Printing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

Printing patient data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 79

Printing trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

7 - Acuity Central Monitoring system . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

iv Contents Welch Allyn Propaq Encore Vital Signs Monitor

Connecting to the Acuity system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Press NET OFF to disconnect from Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Printing at Acuity. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Network alert message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

8 - Power sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Power adapter intended use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89

Battery care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

9 - Care and maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Avoid electrostatic discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Inspect and clean the monitor and accessories . . . . . . . . . . . . . . . . . . . . . . . . . 93

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Recycling monitor components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Monitor care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

Printer maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Customer services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

10 - Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Real-time ECG analog/defib sync . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Impedance pneumography (RESP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 102

Invasive pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Pulse oximetry (SpO

Capnography (CO

Alarms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111

Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111

Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112

Monitor (environmental) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Monitor (physical) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116

Power adapters. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Factory default settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118

In-service simulated values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

EMC compliance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 121

) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

General information

Safety summary

This Safety Summary should be read by all Propaq Encore users. Specific warnings and cautions will be found throughout the Propaq Encore documentation where they apply.

WARNING This monitor is to be operated by qualified personnel only. The operator of this monitor should read this entire manual, the monitor reference guide or directions for use, and all accessory directions for use before operating the monitor.

WARNING Place the Propaq monitor and accessories in locations where they cannot harm the patient if they fall from their shelf or mount. Lift the monitor only by its handle; do not lift it by any attached cables.

WARNING Do not connect more than one patient to a monitor. Do not connect more than one monitor to a patient.

WARNING Do not use the Propaq Encore in an MRI suite or a hyperbaric chamber.

WARNING Do not autoclave the Propaq. Autoclave accessories only if the manufacturer's instructions clearly approve it. Many accessories can be severely damaged by autoclaving.

WARNING Inspect the power adapter cord periodically for fraying or other damage, and replace the adapter as needed. Do not operate the apparatus from mains power with a damaged power adapter cord or plug.

WARNING When using a power adapter with this monitor, be sure to connect the power adapter to a three-wire, grounded, hospital-grade receptacle. Do not under any circumstances attempt to remove the grounding conductor from the power plug of the power adapter. Do not plug the power adapter into an extension cord. If there is any doubt about the integrity of the protective earth ground of the receptacle for the power adapter, do not plug in the power adapter; operate the monitor only on battery power. Contact your biomedical engineering department for assistance in identifying the proper power receptacle and making appropriate power connections.

WARNING Make frequent electrical and visual checks on cables and electrode wires.

WARNING Avoid electrosurgery burns at monitoring sites by ensuring proper connection of the electrosurgery return circuit so that the return paths cannot be made through monitoring electrodes and probes.

2 General information Welch Allyn Propaq Encore Vital Signs Monitor

WARNING During defibrillation, keep the discharge paddles away from ECG and other electrodes, as well as other conductive parts in contact with the patient. Avoid contact with any accessories connected to the Propaq’s left side panel.

WARNING To ensure patient safety, the conductive parts of the ECG electrodes (including associated connectors) and other patient-applied parts should not contact other conductive parts, including earth ground, at any time.

WARNING Do not operate this product in the presence of flammable anesthetics or other flammable substance in combination with air, oxygenenriched environments, or nitrous oxide; explosion can result.

WARNING Within certain governmental jurisdictions, all interconnected accessory equipment must be labeled by an approved testing laboratory. After interconnection with accessory equipment, risk (leakage) current and grounding requirements must be maintained.

WARNING To ensure conformance to risk (leakage) current requirements when operating from an ac mains power source, use only a Welch Allyn

503-0054

series power adapter.

WARNING This monitor should only be repaired by qualified service personnel. The operator should not attempt to open the monitor case or perform any maintenance on the monitor except for procedures explicitly described in this manual that can be performed by operators such as inspection and cleaning.

WARNING To ensure patient safety, use only accessories recommended or supplied by Welch Allyn. For a list of those accessories, see Products and Accessories (810-0409-XX), which accompanies this manual. Accessories must be used according to your hospital’s standards and the manufacturer’s recommendations. Always refer to the manufacturer’s directions for use. Use of accessories not recommended by Welch Allyn may result in increased electromagnetic emissions or decreased electromagnetic immunity of the equipment.

WARNING Safe interconnection between the Propaq monitor and other devices must comply with applicable medical systems safety standards such as IEC 60601-1-1. Within certain governmental jurisdictions, all interconnected accessory equipment must be labeled by an approved testing laboratory. After interconnection with accessory equipment, risk (leakage) current and grounding requirements must be maintained.

WARNING As with all medical equipment, carefully route the patient cabling to reduce the possibility of patient entanglement or strangulation.

WARNING A product that has been dropped or severely abused should be checked by qualified service personnel to verify proper operation and acceptable risk (leakage) current values.

WARNING The pulse oximetry channel should NOT be used as an apnea monitor.

WARNING Do not use the pulse oximeter as a replacement or substitute for ECG-based arrhythmia analysis.

Reference Guide General information 3

WARNING If the monitor detects an unrecoverable problem, an error message window appears containing an error number and a short message. Report such errors to Welch Allyn.

WARNING When taking NIBP measurements, 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 blood pressure cuff is properly placed according to Propaq Encore Directions for Use or Propaq Encore Reference Guide. Be especially careful when using the short-term automatic mode (TURBOCUF). Prolonged impairment of circulation or improper cuff placement can cause contusions.

WARNING The range of values measured by the monitoring parameters is provided in the Specifications section of Propaq Encore Directions for Use or Propaq Encore Reference Guide. Operation of the monitor outside the range of specified values is not recommended and may cause inaccurate results.

WARNING Electronic equipment that emits very strong electromagnetic or radio frequency signals can cause electrical interference with monitor operation, including causing the monitor to turn off power. Avoid operating this monitor near such equipment. For guidance about electromagnetic emissions and the recommended separation distance between the monitor and such equipment, refer to the specifications section of this manual.

Symbols

Caution Changes or modifications not expressly approved by Welch Allyn could void the purchaser’s authority to operate the equipment.

Caution Federal (U.S.A.) law restricts this device to sale, distribution, or use by or on the order of a licensed medical practitioner.

The Propaq Encore should be serviced only by a Welch Allyn service technician while under warranty. Propaq Encore Service Manual (810-0696-XX) is available from Welch Allyn to assist the biomedical engineer during post-warranty period service.

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.

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.”

Off (Standby) Patient connections are

Type CF, isolated for direct cardiac application, and protected against defibrillation.

On Alternating current

Transformer meets requirements of a short-circuit-proof safety-isolating power transformer.

4 General information Welch Allyn Propaq Encore Vital Signs Monitor

For continued fire protection, use only the specified fuse.

Patient connections are Type BF, and protected against defibrillation.

Direct current Patient connections are

Typ e B.

Battery charging when green indicator illuminated

The CE Mark and Notified Body Registration Number signify the device has met all essential requirements of European Medical Device Directive 93/42/EEC.

IPX1

NRTL/C

Evaluated to CSA 601-1 and UL2601-1

Enclosure Protection Drip proof: Classification IPX1 per IEC Publication 529

The Canadian StandardsAssociation has evaluated this device according to CSA 601-1 and Underwriters Laboratory Standard UL 2601-1. (This symbol is on the Universal Power Adapter.)

Input port Temperature sensor

Two way

Output port Single-use only (not

communication port

NIBP cuff sizes: Thigh Large adult Adult Small adult Child Infant

For indoor use only (on power adapter only)

Caution: On the product, means “Consult accompanying documentation.”

The CE Mark signifies the device has met all essential requirements of European Medical Device Directive 93/42/EEC for a Class 1 product. (This symbol is on the Universal Power Adapter.)

input

reusable).

Apply the NIBP cuff as shown.

Non-ionizing

Fuse electromagnetic radiation

Separate lead acid battery from other disposables for recycling

Temperature limits Stacking limit (by number) Altitude limit

Humidity limit Keep away from rain Fragile

Recycle the monitor and battery separately from other

disposables.

www.welchallyn.com/weee

This device has been tested and certified by the Canadian Standards Association International to comply with applicable U.S. and Canadian medical safety standards.

Reference Guide General information 5

Propaq Encore documentation

The documentation set

The Propaq Encore documentation set consists of documents for the clinician, the biomedical technician, and the department head or purchaser of accessories for the Propaq Encore monitors.

This Propaq Encore Reference Guide contains important safety and operating information for the clinician.

Propaq Encore Service Manual (810-0696-XX) contains information on how to properly maintain the Propaq Encore through routine calibration, inspection, and maintenance.

Welch Allyn Products & Accessories (810-0409-XX) provides a comprehensive list of accessories recommended for Propaq Encore monitors and options.

About this reference guide

This Reference Guide provides descriptions and operating information for the Propaq Encore models 202EL, 204EL, and 206EL, including all available options at the time of this manual's printing.

Statement of expectations of the reader

This Reference Guide was written for the clinician. 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. The Propaq Encore has been designed as a quality monitor; however, inherent limitations require that good clinical judgment always prevails.

6 General information Welch Allyn Propaq Encore Vital Signs Monitor

Getting started

Introducing the Propaq Encore

Intended use

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. 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; as well as for intra- and interfacility transport.

Propaq Encore monitors that do not include CO light rain exposure over short periods of time (uniform distribution of approximately 1 mm of water/ minute for 10 minutes or less).

Propaq Encore models and options

Three models of Propaq Encore monitors are available.

Features common to all models ECG, 3-lead or 5-lead configurations, 0.05-40/0.5-40 Hz

NIBP, with neonatal, pediatric and adult modes Temperature, 2 channels: YSI 400 and 700 series-compatible connectors Defibrillator Synchronization Real-time Analog output of ECG Electrocautery noise suppression on all channels except Impedance Pneumography

or printer options are able to withstand

206EL Two Invasive Pressure Channels

204EL One Invasive Pressure Channel

202EL No Invasive Pressure

Options available for each model Pulse Oximetry (SpO

Capnography (CO Mainstream Capnography (MCO Sidestream Capnography (SCO Dualstream Capnography (Both MCO Impedance Pneumography (RESP) (available only with SpO Printer HP-compatible side panel

)

) (available only with SpO2):

)

and SCO2)

)

8 Getting started Welch Allyn Propaq Encore Vital Signs Monitor

Expansion module

The Propaq Encore Expansion Module attaches to the monitor and houses additional capabilities. The Expansion Module can be fitted with the SpO

ALARM(S)

OFF Light

ALARM Light

Option

SpO

, CO2, and Printer options.

Mainstream

Option

Printer Option

Sidestream

Option

Propaq Encore pulse oximetry option (SpO2)

The Propaq Encore Pulse Oximetry option (SpO2) is installed in the Expansion Module or in a smaller unit that attaches to the rear of the monitor:

Masimo Nellcor

Pulse Oximetry option

Capnography (CO2) options

The Propaq Encore CO option and sidestream CO a ventilator. The sidestream CO patients through a cannula. The CO Dualstream CO (SpO

) option.

in the Expansion Module. These options require the Pulse Oximetry

options allow carbon-dioxide monitoring. The mainstream CO

option allow CO2 monitoring directly in the breathing circuit of

option also allows CO2 monitoring of non-intubated

options can be installed separately, or together as

Expansion Module

Impedance pneumography (RESP) option

The RESP option detects the rate or absence of respiratory effort, and is configured with the Pulse Oximetry option.

Printer option

The Expansion Module with Printer (EMP) provides a lightweight 3-channel recorder.

Reference Guide Getting started 9

Propaq-to-Acuity® option

This option allows communication between the Propaq Encore and the Acuity Central 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.

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 Modem-Propaq Reference Guide.

HP-compatible side panel option

The HP connector-compatible option makes the Propaq Encore compatible with many Hewlett-Packard sensors and accessories used with the Hewlett Packard Component Monitoring System. This option replaces the standard Propaq Encore left side panel.

Using the Propaq Encore

System controls (right side panel)

On/Off Switch

Input Fuse

2AG

Power Input

Connector

WARNING Safe interconnection between the Propaq Encore and other devices must comply with applicable medical systems safety standards such as IEC 60101 -1.

12-28V, 3A

DEFIB SYNCHROMONITOR

EKG x 1000

Defib Sync Connector Contact Welch Allyn technical support for information (for specifications, see page 101)

Real-time ECG Output Connector

Speaker

Battery Charging Light

Connector for Acuity or Modem-Propaq

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.

10 Getting started Welch Allyn Propaq Encore Vital Signs Monitor

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 “Replacing the fuse” on page 92 for fuse replacement instructions.

Power input connector

This receptacle accepts the Welch Allyn ac power adapter, which must be used for ac mains operation and battery charging. The Propaq Encore is also designed to operate with other 12-28 volt, dc-only power sources, such as a vehicle battery system.

Defib sync connector

This connector allows connection with a LIFEPAK 5 or LIFEPAK 6s defibrillator for synchronized cardioversion. See “Real-time ECG analog/defib sync” on page 101.

Real-time ECG output connector

This connector provides a real-time analog ECG signal output.

Battery charging light

This green light turns on when a power source (ac power adapter or external dc source) is connected and the battery is charging. Although the monitor may be turned off, battery charging continues when an external power source is connected.

Connector for Acuity or Modem-Propaq

This connector allows either direct connection to an Acuity System, or connection to an external modem for telecommunication to an Acuity System. For more information about the Acuity System, see “Acuity Central Monitoring system” on page 85. For more information about the Modem-Propaq, refer to Modem-Propaq Reference Guide.

Alarm lights

Alarms and limits are described in detail beginning on “Alarms and limits” on page 69.

ALARM light

When an alarm limit is violated, the red ALARM light turns on.

ALARM(S) OFF light

When any alarm limit is turned off, the yellow ALARM(S) OFF light turns on.

Reference Guide Getting started 11

Power-up screen

WELCH ALLYN

MODEL PROPAQ 204

DIAGNOSTICS IN PROGRESS

BATTERY: 8.3 VOLTS

A few seconds later, the top two lines of the screen are replaced with text indicating the current patient mode (adult, pediatric, or neonatal).

SOFTWARE VERSION 2.50.00

When you first turn on the monitor, the power-up screen displays information about the Propaq Encore and the monitor runs diagnostic tests to ensure proper functioning.

PEDIATRIC MODE

DIAGNOSTICS IN PROGRESS

BATTERY: 8.3 VOLTS

SOFTWARE VERSION 2.50.00

WARNING Before you use a Propaq on a new patient, always turn off the Propaq for a few seconds, then turn it on again. This clears the prior patient’s trend values, alarm limit settings, and NIBP cuff inflation target.

1. 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.

Note

Verify that the powerup tone is produced. If the monitor has SpO tones are produced to make sure that both speakers are working.

2. Verify the monitor is in the correct patient mode according to the patient’s age. If the patient mode is not correct, change it. (See “Monitor setup” on page 20 to change the patient mode.)

WARNING Always check the patient mode when monitoring a new patient. The patient mode determines default alarm limits, maximum cuff inflation pressure, and internal algorithm settings.

3. Verify the battery voltage is sufficient for monitoring. If it is less than 7.4 V, connect to a power adapter (see “Power adapter intended use” on page 89 for information about the power adapter).

Power-up equipment alert: program fault, settings lost

If a PROGRAM FAULT: SETTINGS LOST, TIME/DAY RESET equipment alert appears when you turn on the monitor, the monitor cannot recall the programmed custom settings and current time and date. This can occur if the battery is drained or after new software has been installed.

If this occurs, the monitor provides a special sequence of display windows to help you regain use of your monitor as quickly as possible. Do the following:

, verify two

1. Connect an ac power adapter to recharge the battery (if the battery is drained).

12 Getting started Welch Allyn Propaq Encore Vital Signs Monitor

2. Press any button below the equipment alert screen to acknowledge the alert. The monitor will display the Mode Setup window (shown on page 23).

3. Press these buttons to select one of the Factory patient modes for use:

Factory Adult mode POWERUP*, YES.

Factory Pediatric mode NEXT, POWERUP*, YES.

Factory Neonatal mode NEXT, NEXT, POWERUP*, YES.

After you press YES, the monitor will display the Time/Day window.

4. Press NEXT, UP, and DOWN as needed to set the time and date. Then press ENTER to store the new time and date.

Note

These display screens are only displayed in this order if the PROGRAM FAULT equipment alert occurs.

5. Turn off the monitor, then turn it on again so the settings will take effect.

The monitor is ready for use. If you want to store some customized patient mode program settings, refer to page 23.

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.

Reference Guide Getting started 13

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 invasivepressure connectors.

ECG / EKG RESPINV. BP

NIBP PSNI

ECG / EKG RESP

NIBP

PSNI

NIBP PSNI

ECG / EKG RESPINV. BP

COMPATIBLE

202 HP

ECG / EKG RESP

P S N I

NIBP

ECG / EKG RESP

P S N

NIBP

INV. BP

Propaq Encore 206 EL

INV. BP

COMPATIBLE

INV. BP

206 HP

Propaq Encore 204 ELPropaq Encore 202 EL

INV. BP

COMPATIBLE

204 HP

ECG / EKG RESP

P S N

NIBP

On Propaqs with the Hewlett-Packard connector option, all models have only one temperature connector, the YSI 400 connector.

14 Getting started Welch Allyn Propaq Encore Vital Signs Monitor

Option connectors

Mainstream CO2

Connector

Sidestream CO2

Connector

Cable: see Products and

Accessories (810-0409-XX)

Masimo SpO2 Connector

(motion tolerant)

Nellcor SpO2 Connector

Reference Guide Getting started 15

Propaq Encore display

The display shows waveforms, vital sign numeric values, Propaq Encore status, and alarm information in different windows. Different vital sign numeric values (such as heart rate and blood pressures) have upper and lower range limits. If the Propaq Encore detects a vital sign value outside of the Propaq's measurable range, the monitor displays – – – (below the range) or + + + (above the range) instead of the vital sign value.

WARNING The Propaq Encore will show + + + for HR numerics between 301350 beats per minute. Above 350 beats per minute, it may display incorrectly low heart rates, due to intermittent picking of R-waves.

Note

Due to differences in software versions and standards required by different countries, the displays shown in this reference guide may be slightly different than the display on your Propaq Encore.

Time of day, caution and status

messages.

Waveform window

Status window

ETCO2 concentration

Breath Rate from CO

Oxygen saturation is a

percentage value.

Temperature values are displayed

here.

Noninvasive blood

pressure values can

appear here.

18:45:28

III

MON

CO GAS COMPENSATION: OFF

RESPONSE : NORMAL

SOURCE : MAINSTREAM

CO SWEEP SPEED : 6.25 mm/s BAROMETER : 762.2 mmHg

GAS COMP PREV MENUSOURCERESPONSE

NIBP

122

Systolic, diastolic, and (if space permits)

Heart Rate Source:

HR indicates ECG;

PR indicates blood pressure

102.3

mean pressures are displayed.

or SpO

Bells indicate alarm limit status

Heart Rate in beats per

minute.

HRT

ART

122 58

( 85)

35/ 18

mmH

SpO

MCO2

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.

16 Getting started Welch Allyn Propaq Encore Vital Signs Monitor

You can select up to three waveforms to be shown on the Propaq. When only one waveform is selected, a trend window automatically appears below the waveform. While changing Propaq Encore settings, a status window may appear below the waveform.

12:45:28

III

MON

TIME INCO2ETCO2HR/PR

10:00 9:58 9:56 9:54

PRINT OXYCRGNXT TRND

BPMHH:MM

101 88 93 91

NIBP

RESP TREND

SpO2 %

98 SRCH OFF 100

Propaq Encore buttons

The four buttons at the sides of the screen are reserved for the most commonly used functions.

ALARMS Silences or resumes alarm tone.

START/STOP Starts and stops NIBP measurements. The STOP function will

NET OFF Disconnects the monitor from the Acuity network (if

FREEZE/UNFREEZE Freezes or “unfreezes” the waveforms. If only one or two

102.3

122

HRT

ART

122 58

( 85)

Br/M

11 11 5 10

mmHgmmH

30 31 30 30

3 3 10 2

MCO

mmH

SpO

35/ 18

12 92

automatically vent the cuff.

connected).

waveforms are displayed and you press FREEZE, the frozen waveform(s) are shown along with an active waveform so you can continue to monitor the patient’s condition.

Patient waveform and trend information

can be simultaneously displayed, while

numeric values are continuously updated.

MAIN MENU Pressing MAIN MENU always returns the monitor to the top

level menu.

NET OFF

ALARMS

START/STOP

(NIBP)

FREEZE/

UNFREEZE

MAIN MENU

The five labels

above the

associated

buttons

The five buttons below the screen, and their associated labels located on the screen, provide access to the menus.

Later in this manual, the notation A , B , C is used as a shorter way to say “Press Button A, then B, then C.”

Reference Guide Getting started 17

Propaq Encore menus

Menus for some patient vital signs are displayed only if that option is included in your Propaq.

MAIN MENU

SETUPNIBP ECG/RESP INV PRS SpO2/CO2

SpO2 MENU 1

SpO2 MENU 2

INV PRS MENU 1

RANGE

INV PRS MENU 2

LABEL P1 FORMAT 1 LABEL P2 FORMAT 2

ECG/RESP MENU 1

ECG SIZE

ECG/RESP MENU 2

NEXT CHANGE

NIBP MENU

START AUTO/MA N TURBOCUF

STOP

INTERVAL

SpO2 CO2

CO2 MENU 1

CO2 MENU 2A (NO CO2 SENSORS)

GAS COMP RESPONSE

CO2 MENU 2B (MAINSTREAM CO2 ACTIVE)

GAS COMP RESPONSE SOURCE

CO2 MENU 2C (SIDESTREAM CO2 ACTIVE)

GAS COMP RESPONSE SOURCE

SIZE MORE

RESPONSE C-LOCK

RESCALE

ECG LEAD RESP SZE

ZERO P1

CANCEL

PREV MENU

ZERO P2

CANCEL

PREV MENU

FLOWRATE

PREV MENU

PREV MENURANGE mm/s MORE

PREV MENU

18 Getting started Welch Allyn Propaq Encore Vital Signs Monitor

Key-press route to setup menu 1

SETUPNIBP ECG/RESP INV PRS SpO2/CO2

SETUP MENU 1

STATSCALE

ALARMS

ALARMS MENU

STAT SET

TRENDSWAVE SEL

4 SUSPND

RESUME

(MORE button takes you to

next Setup Menu)

TRENDS MENU

PRINT NXT TRND

LIMITS

ALARM LIMITS MENU*

PREV MENU

UP DOWN ON/OFF

(*ON/OFF button is not displayed for HR/PR alarm limits

if the HR/PR ALARM LIMITS setting is set to CANNOT

OXYCRG

TURN OFF.)

Reference Guide Getting started 19

Key-press route to setup menu 2

SETUPNIBP ECG/RESP INV PRS SpO2/CO2

SCATSCALE ALARMS TRENDSWAVE SEL

SETUP MENU 2

PATIENT MODE MENU

(Patient Mode menu is

accessed when CHANGE

MODE SETUP MENU

is pressed for PATIENT

MODE.)

NEXT UP DOWN ENTER

SERVICE MENU 1*

SERVICE MENU 2*

TEMP TEST

SERVICE MENU 3*

PRINTER SETUP MENUS

(Printer Trend Select status window)

NEXT CHANGE PR TREND MORE

WAVE SELECT MENU

MORENEXT CHANGE WAVE SEL PRINTER

ON/OFFNEXT

*(Service menu tests are for use by authorized

service personnel only, and are available only

when in the Adult patient mode.)

TIME/DAY MENU

PREV MENU

PIXL TST

NET TEST

SETTINGS MENU

(Printer Setup status

PREV MENUNEXT CHANGE PR TRE ND MORE

PREV MENU

INSERV

NO INSRV

PREV MENUNEONATAL PED ADULT SETUP

PREV MENUNEXT POWERUP* USE NOW SAVE

PREV MENU

SERVICE

MORENIBP TEST IBP TEST SpO2 TST CO2 TEST

MORESETTINGS KEY TEST SYSTEM

PREV MENUNEXT CHANGE ALL ALRM

20 Getting started Welch Allyn Propaq Encore Vital Signs Monitor

Monitor setup

Setup Menu 1 is accessed by pressing the SETUP button on the Main Menu.

STATSCALE MOREWAVE SEL TRENDSALARMS

STATSCALE Automatically readjusts all waveform scales.

ALARMS Allows access to the Alarms menu.

WAVE SEL Allows you to turn on and off desired waveforms or NIBP numerics

for display.

TRENDS Allows access to the Trend settings and display.

MORE Displays the next setup menu and the following status window:

SETUP HR/PRHR/PR RR/BR CURRENT SOURCE : ECG MCO2

SELECTED SOURCE : ART --SWEEP (mm/s) : 12.5 3.13 ALARM TONE : HIGH HR/PR TONE : LOW PATIENT MODE : ADULT

NEXT MOREWAVE SEL PRINTERCHANGE

NEXT Selects the next setting in the status window.

CHANGE Changes the currently selected display setting. (Pressing CHANGE

at PATIENT MODE allows you to choose between Adult, Pediatric, and Neonatal in a Patient Mode window.)

PRINTER Allows access to the Printer Menu.

MORE Allows access to the Time/Day window.

CURRENT SOURCE

SELECTED SOURCE

SWEEP (mm/s) The selectable sweep speeds for HR/PR are 12.5, 25, and 50 mm/

ALARM TONE Sets the Alarm Tone volume to HIGH, MEDIUM, or LOW.

When the selected HR/PR source is no longer available, the current source is the active source with highest priority. The RR/BR source cannot be manually selected. It will always be CO Otherwise, it will be ECG/RESP.

The user-selected HR/PR source is displayed along with the HR/PR source currently being used by the monitor.

sec. The sweep speeds for RR/BR are 3.13, 6.25, and 12.5 mm/sec.

( 85)

MCO

2 BR

mmH

SpO

35/ 18

if CO2 is active.

Reference Guide Getting started 21

HR/PR TONE Sets the Heart Tone volume to HIGH, MEDIUM, LOW, or OFF.

PATIENT MODE Pressing CHANGE in this selection displays the following Patient

Mode window:

Note

PATIENT MODE SELECT PATIENT MODE BASED ON AGE:

NEO : < 44 WEEKS GEST. AGE PED : > 44 WEEKS GEST. AGE, < 9 YEARS ADULT: > 9 YEARS

NEONATAL PREV MENUADULTPED

BATTERY: 9.2 VOLTS

SETUP

( 85)

2 BR

MCO

mmH

SpO

35/ 18

12 92

If you press NEONATAL, PED, or ADULT, a confirmation window appears, requiring you to confirm your selection:

PATIENT MODE

CHANGING SETTINGS AND MODE

TO:

CUSTOM: ADULT

ADULT ALARM LIMITS WILL BE SET

ARE YOU SURE?

YES NO

( 85)

PA MCO

2 BR

mmH

SpO

35/ 18

12 92

Whenever you change the patient mode, the alarm limit settings are automatically changed to the defaults for that mode. If Custom settings have been set for that mode, the defaults are the Custom mode settings. If no Custom settings have been set, the defaults are the Factory Mode settings. See page 23 for more information about patient modes.

If you change the patient mode, the CO mode might vary slightly from the originally-programmed CO for the new mode. Check the CO

alarm limits in the new

alarm limits.

limits

If you press SETUP in the previous Patient Mode window, the Mode Setup window appears. This allows you to set custom patient modes and powerup defaults as described on page 23.

22 Getting started Welch Allyn Propaq Encore Vital Signs Monitor

Selecting waveforms for display

To select waveforms for display, press SETUP, WAVE SEL . Use the NEXT and ON/OFF buttons to turn on the desired waveforms in the wave select window:

SETUP

ECG : ON RESP : OFF ART : ON SpO2 : ON PA : OFF NIBP : ON CO

2 : OFF

NEXT PREV MENUINSERVON/OFF

Display priorities

You can turn on more than three waveforms, but only the first three waveforms listed in the wave select window that are monitored are displayed. The patient parameters being monitored are listed in the order they will be displayed if all are turned on.

Because of the critical nature of the ECG waveform, you cannot turn off ECG. However, if ECG is not monitored, another waveform will occupy its place.

The displayed waveforms are also the ones printed if a printer is attached.

Setting the time and date

To set the time and date, from the Main Menu press SETUP, MORE, MORE. The monitor displays the Time/Day window:

TIME/DAY

TIME DAY

H:MIN:S MO/DA/YR 07:45:32 06/12/97

NEXT PREV MENUDOWN ENTERUP

WAVE SELECT

BATTERY: 9.2 VOLTS

( 85)

2 BR

MCO

mmH

SpO

( 85)

PA MCO

mmH

SpO

35/ 18

12 92

Press NEXT, UP, and DOWN as needed to set the time and date. Then press ENTER to store the new time and date.

Time/day settings and trends

WARNING Changing the hour/minute/second setting for the monitor in the Time/Day window can cause the monitor to erase previously stored patient trend data.

When you change the hour/minute/second setting for the monitor in the Time/Day window, the monitor deletes any patient trend data that is older than five hours for nonNIBP trends or older than eight hours for NIBP trends according to the new clock setting.

However, if the monitor has not yet stored the full capacity of trends and you change the hour/minute/second setting to a time that is within the stored trend period, previously stored trends are not erased.

Changing the day, month, or year setting does not affect the stored patient trends.

Reference Guide Getting started 23

Changing the date format, filter, and units

To change the date format, ECG filter, or some measurement units, first make sure you are in the Adult patient mode. Then press SETUP, MORE, MORE, SERVICE, YES (to access the Service Menu), MORE, MORE, SETTINGS. The monitor displays the Settings window:

SETTINGS DATE : MO/DA/YR

FILTER : 60 Hz TEMP F/C : DECIMAL : . HR/PR ALARM LIMITS: CAN TURN OFF

2 UNITS: mmH

NEXT PREV MENUCHANGE

BATTERY: 9.2 VOLTS

( 85)

2 BR

MCO

mmH

SpO

35/ 18

NEXT Selects the next setting in the status window.

CHANGE Changes the currently selected display setting.

DATE Sets the date format: Month/Day/Year, Day.Month.Year, or Year/Month/

Day.

FILTER Sets the ECG filter frequency. Make sure it is set to your ac mains

frequency.

TEMP F/C Sets the temperature display units: either degrees Fahrenheit or

Celsius. If you change the units, the TEMP trends will not be cleared.

DECIMAL Sets the decimal character as either a period (.) or a comma (,).

HR/PR ALARM LIMITS

UNITS Sets the CO2 display units as mmHg, kPa, or percent (%). If you change

Allows or prohibits turning off the HR/PR alarm limits. If CANNOT TURN OFF is selected, the ON/OFF button is not displayed on the HR/PR Alarm Limits Menu.

the units, the CO2 trends will be cleared and CO2 alarm limit settings change to the factory default settings for the currently-used patient mode.

Note

Any time you change the Date, Filter, Temp F/C, Decimal, HR/PR Alarm Limits (CAN or CANNOT TURN OFF) or CO

Units setting, the new setting also

becomes the powerup default setting.

Setting the current, custom, and power-up modes

The Propaq Encore has two sets of patient mode settings:

• Factory patient modes. The powerup settings and alarm limits for these patient

modes are preset and cannot be changed. They are listed in “Factory default

settings” on page 118.

• Custom patient modes. You can customize the power-up settings and alarm limits

for these patient modes. (See SAVE on page 24.)

WARNING If any alarms are set to OFF and you select SAVE to store the settings for that CUSTOM patient mode, those alarms will be OFF whenever the Propaq powers up in that CUSTOM patient mode or when that CUSTOM patient mode is selected. Consider carefully before setting CUSTOM patient mode powerup alarms to OFF.

24 Getting started Welch Allyn Propaq Encore Vital Signs Monitor

Note

The alarm for apnea cannot be turned off at any time.

You can program the Propaq Encore to power up in any of the Factory patient modes or the Custom patient modes. You can also change the current patient mode during operation.

Note

Whenever you change the patient mode, the alarm limit settings automatically change to the settings for that mode.

From the Main Menu, press SETUP, MORE, CHANGE, SETUP. The Mode Setup window appears:

MODE SETUP

FACTORY: CUSTOM

* = PATIENT MODE ON POWERUP

NEXT PREV MENU

POWERUP*

BATTERY: 9.3 VOLTS

*ADULT PED

ADULT PED

USE NOW

NEO NEO

SAVE

MCO

mmH

Sp02

ZEROED

NO ZERO

2 BR

The asterisk (*) indicates which patient mode is currently selected for powerup.

NEXT Selects the next setting in the status window.

POWERUP* Selects the highlighted patient mode (and its associated settings) as

the powerup mode. The selected powerup mode is marked by an asterisk (*). (This does not change the current patient mode.)

USE NOW Selects the highlighted patient mode (and its associated settings) as

the current patient mode. (This does not affect the powerup mode.)

SAVE Use this button to reprogram the settings of Custom patient mode:

1. Make sure the patient mode you want to reprogram (ADULT, PED or NEO) is currently used. (To change patient modes, highlight the desired mode and press USE NOW, YES.)

2. Exit the Mode Setup window, then use other menus and buttons to set the monitor settings and alarm limits as desired.

3. Re-enter the Mode Setup window, highlight the desired Custom mode, and press SAVE, YES.

Reference Guide Getting started 25

Printer functions

Press SETUP, MORE, PRINTER to display the printer menu and setup window.

18:45:28

III

MON

PRINTER SETUP PAGE CONTINUOUS : 25.0 mm/s

AUTO PRINT : 15 minutes ALARM PRINT : OFF NIBP TICKET APNEA TICKET : OFF OXYCRG ON ALARM: OFF

NEXT MORE PREV MENUPR TRENDCHANGE

NIBP

: OFF

122

102.3

HRT

ART

122 58

( 85)

35/ 18

mmH

SpO

MCO

NEXT Selects the next setting in the status window.

CHANGE Changes the currently selected display setting.

PR TREND Prints all trends turned on in the Printer Trend Select Window.

MORE Pressing the MORE button displays another menu and status

window.

PREV MENU Returns you to the previous menu.

CONTINUOUS Sets the print speed for real time (continuous) measurements to

6.25, 12.5, or 25 mm/sec. This sets the print speed for a printout obtained by pressing the START/STOP button on the printer.

AUTO PRINT Automatically prints 8 seconds of patient information every 15

minutes, 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.

ALARM PRINT Automatically prints upon an alarm. The Propaq Encore prints 20

seconds of patient information. The first 12 seconds contain information prior to the alarm. The print speed is automatically set to 25 mm/sec.

NIBP TICKET Automatically prints an NIBP Ticket when the measurement is

taken.

APNEA TICKET When turned on, an Apnea Ticket is printed at the conclusion of

an apnea alarm and at the one-minute clock interval if the apnea alarm does not cease.

OXYCRG ON ALARM

When turned on, an oxycardiorespirogram will print if an HR/PR, SpO

, or RR/BR alarm occurs. For more information on OxyCRG,

see “OxyCRG” on page 82.

26 Getting started Welch Allyn Propaq Encore Vital Signs Monitor

PRINTER FAULT messages

These PRINTER FAULT messages can appear in an equipment alert window.

LOW BATTERY, PRINTER DISABLED

This message appears when the Propaq’s battery voltage is less than 7.6 volts. To continue operation, plug the ac power adapter into the Propaq.

CHECK DOOR The door on the bottom of the printer is open. Close door to

remove this message.

PAPER OUT To add printer paper, see “Printer maintenance” on page 96.

OVERHEATING The printer is overheating. Service may be required.

The front panel of the printer lets you control the basic printer functions.

Manually starts and stops a printout of patient information as it is monitored (continuous or real time).

Hold down top and bottom

keys simultaneously to

generate a test strip.

START STOP

SNAP SHOT

PRINT TRENDS

Hold down top two keys simultaneously to generate a paper feed.

Prints the last 8 seconds of data for nonrespiration waveforms and 32 seconds of compressed waveform history for respiration waveforms.

Prints all trends that are enabled in the Printer Trend Select Window.

If you press FREEZE prior to pressing SNAPSHOT, the printer prints the 8 seconds of patient information obtained prior to when you pressed FREEZE.

Learning the Propaq Encore

Using in-service mode

You can practice using the Propaq Encore without a patient simulator by using the Propaq's in-service mode of operation. The in-service mode cannot be activated while you are monitoring a patient. The message “SIMULATING” alternates with the time of day and patient mode on the display.

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 SETUP, WAVE S E L , INSERV.

The Propaq Encore has two sets of simulated patient information—an initial set and an alternate set. To change between them, press the INSERV button again.

If you connect a patient cable or set the NIBP channel to automatically take pressure measurements, the Propaq Encore stops simulating, goes through its powerup tests, and erases any simulated trend data it might have stored.

+ 112 hidden pages