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warnings, or statement of intended use published in this manual.
®
Welch Allyn
and Flexible Monitoring® are registered trademarks of Welch Allyn. FlexNet™ is a trademark
of Welch Allyn.
®
, LNOP®, and Masimo® are registered trademarks of Masimo Corporation. Possession or purchase of
SET
a Masimo SpO
-equipped monitor does not convey any express or implied license to use the device with
2
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.
Software in this product is Copyright 2005 Welch Allyn or its vendors. All rights are reserved. The software
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viContentsWelch Allyn Vital Signs Monitor 300 Series
1
1
General Information
About This Manual
This manual contains information about the Welch Allyn Vital Signs Monitor 300 Series
monitor. The series includes the following models:
Model FeaturesModel Features
53000 Standard (NIBP, Pulse Rate, and MAP)53S00 Standard + Masimo SpO
5300P Standard + Printer 53ST0 Standard + Masimo SpO
530T0 Standard + Temperature53S0P Standard + Masimo SpO
530TP Standard + Temperature + Printer53STP Standard + Masimo SpO
All operators must read and understand this manual before using the monitor.
All technicians and other service personnel must read and understand this manual before
attempting to set up, configure, troubleshoot, or service the monitor.
All information in this manual, including the illustrations, is based on a monitor configured
with the Temperature, SpO
of these options, then some information in this manual does not apply.
2
+ Temperature
2
+ Printer
2
+ Temperature + Printer
2
, and Printer options. If your monitor configuration lacks any
2
Intended Use
The VSM series of monitors are intended to be used by clinicians and medically qualified
personnel for monitoring of noninvasive blood pressure, pulse rate, body temperature,
noninvasive functional oxygen saturation of arteriolar hemoglobin (SpO
temperature in normal and axillary modes of neonatal, pediatric and adult patients.
The most likely locations for patients to be monitored are general med/surg. floors,
general hospital and alternate care environments. This device is available for sale only
upon the order of a physician or licensed health care professional.
), and body
2
2Chapter 1 General InformationWelch Allyn Vital Signs Monitor 300 Series
Symbols
The symbols illustrated on the following pages appear on the monitor or in this document.
Table 1. Symbols: Certification and Operation
This device has been tested and certified by
the Canadian Standards Association
International to comply with applicable U.S.
and Canadian medical safety standards.
The CE Mark and Notified Body Registration
0123
Number signify that the device meets all
essential requirements of the European
Medical Device Directive 93/42/EEC.
Recycle the monitor and battery separately from other disposables. (See “Recycling Monitor Components”
on page 70.)
Australian Registered ImporterSealed lead-acid battery, 6V 4 Ah
Patient connections (NIBP/Temp) are Type BF,
and protected against defibrillation.
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 accompanying documentation.”
Table 2. Symbols: Shipping, Storing, and Environment
Keep this end of the package or shipping
crate up.
Fragile contents—handle with care.Do not subject the monitor to altitudes outside
Urgent alarm notification (output to Nurse Call
system)
Recycle used batteries properly and in
accordance with local regulations.
Do not dispose of batteries in refuse containers.
Patient connections (SpO2) are Type BF.
Protect the monitor from exposure to rain.
these limits.
Do not expose the monitor to relative
humidity above this limit.
Do not expose the monitor to temperatures
outside these limits.
Limit stacking to this number of units.
Directions for UseChapter 1 General Information3
Table 3. Symbols: Connectors
Temperature Probe Cable ConnectorSpO2 SpO2 Sensor Cable Connector
RS232 Cable ConnectorAC Power Adapter Cable Connector
Nurse Call Cable ConnectorNIBP Hose Connector
Table 4. Symbols: Printer Door
Press to open the printer doorLoad paper this direction
The functions of the monitor front panel controls illustrated here are described in detail
elsewhere in this document.
Table 5. Front Panel Controls
Set alarm limitsPower on/off
Silence alarmsPrint patient data
Scroll up/down
Scroll forward/back
Increase/decrease value
(The scroll icon appears as these two arrows
in the documentation.)
Set an NIBP automatic measurement intervalStart/stop an NIBP cycle (AUTO button)
Cycle to the next menu selections
Review patient data
4Chapter 1 General InformationWelch Allyn Vital Signs Monitor 300 Series
The monitor can monitor systolic and diastolic noninvasive blood pressure (NIBP), pulse
rate, and MAP (mean arterial pressure). Units configured with the appropriate options can
also simultaneously monitor temperature and SpO
rate.
, and can continuously monitor pulse
2
All vital-sign measurements are displayed on the front panel of the monitor. These
measurements can also be printed, using the optional integrated thermal printer.
The monitor provides programmable audible and visual alarms and automatic NIBP
measurements at selectable intervals. It can also be configured to provide an alarmactivated Nurse Call function.
Accessory equipment connected to the analog and digital interfaces must be certified to
the respective IEC standards (IEC 60950 for data-processing equipment, IEC 60601-1 for
medical equipment). All such configurations must comply with system standard
IEC 60601-1-1.
Caution Anyone connecting additional equipment to the signal input part or
signal output part of this monitor configures a medical system and is
responsible for verifying that the system complies with the requirements of the
system standard IEC 60601-1-1.
Directions for UseChapter 1 General Information5
Warnings and Cautions
All operating and service personnel must be familiar with the information presented here,
and with other warnings and cautions which appear throughout this document.
Warning and caution labels can appear on the monitor, the packaging, the shipping
container, or in this document.
General Warnings
WARNING Many environmental variables, including patient physiology and
clinical application, can affect the accuracy and performance of the device. The
clinician must verify all vital signs information prior to patient intervention.
WARNING The monitor is for use only by medical clinicians. Although this
document might illustrate medical monitoring techniques, the monitor must be
used only by trained clinicians who know how to take and interpret a patient’s
vital signs.
WARNING Disconnect the SpO
patient.
WARNING During defibrillation, keep the defibrillation discharge paddles away
from any conductive parts that might already be in contact with the patient.
WARNING For the safety of patients, and to ensure the best product
performance and accuracy, use only accessories and supplies recommended or
supplied by Welch Allyn for the monitor, as listed
(810-0409-XX). Always use accessories with strict adherence to the
manufacturer’s directions for use.
WARNING Do not operate the monitor in the presence of magnetic resonance
imaging (MRI) or hyperbaric chambers.
WARNING Do not operate the monitor in the presence of a flammable
anesthetic mixture with air, oxygen, or nitrous oxide, or in oxygen-enriched
environments, or in any other potentially explosive environment.
WARNING It is the clinician’s responsibility to set or verify alarm limits
appropriate to each patient.
WARNING Never allow any liquid to enter any monitor connector. If a connector
does come in contact with liquid:
1.Remove the monitor from service.
cable from the monitor before defibrillating the
2
in Products and Accessories
2. Use warm, dry air to dry the connector.
3. Thoroughly test and verify operation before returning the monitor to service.
6Chapter 1 General InformationWelch Allyn Vital Signs Monitor 300 Series
WARNING Do not connect more than one patient to a monitor.
WARNING If the monitor is dropped or damaged, it must be thoroughly tested
by a qualified service person before it is returned to service.
WARNING Periodically check all cords and cables for damage, wear, or fraying;
replace as needed.
WARNING The monitor contains no operator-serviceable parts, other than the
replaceable paper roll.
WARNING If the battery shows any signs of damage, leakage, or cracking, it
must be replaced immediately, by a qualified service person, and only with a
battery approved by Welch Allyn.
WARNING Always recycle batteries according to local regulations. Never
dispose of batteries in refuse containers.
WARNING Do not use the monitor on patients who are linked to a heart
machine or a lung machine.
WARNING Do not use the monitor on patients who are experiencing
convulsions or tremors.
General Cautions
Caution If the accuracy of any measurement is in doubt, verify the patient’s vital
sign by another method. If the monitor is not measuring accurately, have it
inspected by a qualified service person.
Caution Be sure that the monitor is securely located on a flat surface or properly
suspended by means of appropriate mounting equipment.
Caution Do not autoclave the monitor.
Caution Do not place cups, glasses, or other fluid containers or vessels on the
monitor.
Directions for UseChapter 1 General Information7
Displays, Indicators, Controls, and Connections
This section describes the measurement displays, status indicators, function controls, and
connections of the monitor.
Numeric Measurement and Message Displays
SYS, DIA, and SpO2.
Displays systolic and diastolic
blood pressure and SpO
related alarm thresholds and
error codes. (See “Error Codes”
on page 60.)
2
, or
Displays pulse rate and
temperature, or related alarm
thresholds and error codes.
(Message window)
Displays the current date and time, MAP measurements, and alarm
thresholds. Displays configuration settings, error codes, software version
numbers, and printer status.
8Chapter 1 General InformationWelch Allyn Vital Signs Monitor 300 Series
ºF
M
ºC
Status Indicators
NIBP Measurement Units
kilopascals
millimeters of
mercury
Patient type
neonate
pediatric
adult
kPa
mmHg
Amplitude Indicator
power
is off
Pulse
power
is on
Temperature Units
degrees Fahrenheit
ºF
degrees Celsius
ºC
Temperature Type
monitored
M
alarms not silenced
alarms silenced
Battery Status
charged ———
charging - - - - -
discharged
Directions for UseChapter 1 General Information9
Function Controls
Print
Menu
Up/Down
Power On/Off
Power
is on
Power
is off
Review
Data
Set NIBP
Interval
Start/Stop NIBP
(AUTO button)
Set Alarm
Limits
Silence
Alarms
Alarms
Silenced
10Chapter 1 General InformationWelch Allyn Vital Signs Monitor 300 Series
Connections
ax.
Nurse Call Cable
30V , 1A M
Connector
SpO
SpO2 Sensor Cable
2
Connector
RS232 Cable
Connector
DC Power Cable
Connector
For information on the connections, refer to the following:
AC Power Adapter“Connecting AC Power” on page 11
Temperature Probe“Connecting the Temperature Probe Cable” on page 14
Sensor“Connecting and Disconnecting the SpO2 Sensor Cable” on page 15
SpO
2
NIBP Cuff Hose“Connecting the NIBP Cuff Hose” on page 13
Nurse Call Cable“Nurse Call” on page 81
Temperature Probe
Cable Connector
11
2
Setup
This chapter describes the set-up procedures for patient monitoring.
Connections
Use the procedures described below to connect components to the monitor.
Connecting AC Power
The monitor operates on DC power, supplied by either the internal battery or the AC
power adapter. (For information on the battery, refer to “Battery Operation” on page 71
and “Electrical” on page 76.)
When the AC power adapter is connected, it simultaneously powers the monitor and
charges the internal battery. When the AC power adapter is not connected, the monitor
operates on the internal battery.
Caution Use only the medical-grade AC power adapter approved by Welch Allyn.
(Refer to the Welch Allyn Parts and Accessories Guide (810-0409-XX) for ordering
information.) Using an unqualified power adapter can have the following results:
•violation of isolation requirements
•hazard to the patient
•damage to the monitor
•nullification of the product warranty
12Chapter 2 SetupWelch Allyn Vital Signs Monitor 300 Series
To use the AC power adapter:
1.Plug the power adapter into the AC power source.
2. Plug the power adapter connector into the monitor DC port.
AC Power
Adapter Port
Use the AC power adapter to fully charge the battery before using the monitor. (This can
take up to 12 hours.)
Caution Fully charge the battery before using the monitor for the first time.
Failure to do so will result in poor battery performance and reduced battery life.
•While the monitor is charging, the AC/charging indicator flashes.
•When the monitor is 90% charged, the AC/charging indicator is steady. To fully
charge the battery, leave the AC power adapter connected for a few more hours.
•After the monitor is fully charged for the first time, the monitor can be powered by the
AC power adapter or by the internal battery.
Directions for UseChapter 2 Setup13
Connecting the NIBP Cuff Hose
Attach the hose to the monitor and the cuff as follows, referring to the illustration below:
1.Screw the hose connector onto the NIBP connector on the monitor.
2. Connect the monitor hose connector to the mating connector on the cuff.
Threaded NIBP
Hose Connector
For information on NIBP measurements, see “Patient Monitoring” on page 31.
14Chapter 2 SetupWelch Allyn Vital Signs Monitor 300 Series
Connecting the Temperature Probe Cable
Follow these steps to connect the temperature probe cable to the monitor.
1.Locate the temperature probe connector port on the back of the monitor.
2. Holding the temperature probe cable connector with the spring tab on the right,
carefully insert it into the monitor temperature probe connector port. The spring tab
clicks out when the connector halves are fully and correctly mated.
3. To disconnect the temperature probe cable, depress the spring tab and withdraw the
cable connector.
Temperature Probe
Connector Port
Temperature Probe Cable
Connector
For information on temperature measurements, see “Patient Monitoring” on page 31.
Directions for UseChapter 2 Setup15
Connecting and Disconnecting the SpO2 Sensor Cable
To connect the SpO2 sensor cable:
1.Locate the SpO
2. Note the hole patterns of the connector halves, and align the cable connector
accordingly.
3. Carefully insert the SpO
If you are using a sensor extension cable, plug the sensor into the extension cable and
plug the extension cable into the monitor.
sensor cable connector (labeled SpO2) on the side of the monitor.
2
cable connector into the SpO2 monitor connector.
2
16Chapter 2 SetupWelch Allyn Vital Signs Monitor 300 Series
To disconnect the SpO2 cable, refer to the instructions shown in the illustration below.
Note
Thumb and forefinger squeeze the tabs
in the shoulder of the connector cable
to release the cable connector.
For information on SpO
Always grasp the cable by the connector shoulder. Do not pull on the cable itself.
measurements, see “Patient Monitoring” on page 31.
2
Directions for UseChapter 2 Setup17
ºF
ºF
ºC
M
Power On, Power-on Self-Test, and Power Off
When the battery is charged, press to turn on the monitor.
The monitor runs a diagnostic self-test each time it powers up.
•If all tested functions are working normally, the various windows briefly display
start-up values (‘8’ and ‘--’) and a short tone sounds twice.
mmHg
SYS
8.8.8.
DIA
kPa
SpO2 %
/min
SYS
SpO2 %
18.8.
DIA
/min
8.8.8.
****************
SYS
DIA
SpO2 %
/min
8.8.8.
1.8.8.8.
ºF
ºC
12
34
mmHg
****************
SYS
0
DIA
SpO2 %
/min
0
ºF
0
****************
•If the self-test fails, an error code appears in the SYS window.
When the self-test is complete, the software version appears briefly in the message
window, followed by the current time of day.
00:00:45
Caution Always observe the monitor during power-up. If any display fails to
illuminate properly, or if an error code appears in the systolic window, inform your
biomedical engineering department immediately, or call your nearest Welch Allyn
Customer Service or Technical Support facility. Do not use the monitor until the
problem is corrected.
To shut off the monitor, press .
Note
Shutting off the monitor erases all stored patient data but does not erase settings
or configuration parameters.
18Chapter 2 SetupWelch Allyn Vital Signs Monitor 300 Series
ºF
M
Configuring Operating Parameters
You can change several monitor operating parameters. When changed, these settings
become the default power-up settings.
How to Use the Menu System
The monitor menu system contains three sets of menus—settings, configuration, and
service.
Settings Menu
Access the settings menu by pressing the menu button while in normal operation.
Then press repeatedly to reach the setting of interest.
Settings Menu
128
71
98
54
37.0
MAP 90mmHg
Power Off - all values saved
except target inflation pressure
No action for 10 seconds
or
Press any button other than
Patient Type
Target Cuff Inflation Pressure
Temperature Units
Temperature Type
ºF
ºCºCM
Pulse Tone Volume
Directions for UseChapter 2 Setup19
ºF
M
ºC
M
Use the settings menu to select and set the following parameters:
Patient TypeNeonateTerm birth through 28 days, or up to 44 gestational weeks
Pediatric29 days through 12 years
Adult13 years and older
Target PressureThe initial cuff inflation pressure (set individually for each patient type)
Temp ModesFahrenheit Predictive
ºF
Fahrenheit Monitored
ºFºFM
Celsius Predictive
ºC
Celsius Monitored
ºCºCM
Pulse Tone VolumeFrom 0 (silent) to 5 (loudest)
To change a settings parameter:
1.Select the parameter as indicated above.
2. Change the value by pressing or .
3. Set the displayed new value either by doing nothing for 10 seconds or by pressing any
button other than or . If you press a function button (such as ), the monitor
returns to normal operation with that function () activated.
20Chapter 2 SetupWelch Allyn Vital Signs Monitor 300 Series
Confi
Configuration Menu
The configuration menu is accessed by pressing and keeping it depressed for three
seconds. You then press repeatedly until you reach the setting of interest.
guration Menu
128
71
98
MAP 90 kPa
54
37.0
Press and hold
Power Off - all values saved
Press and hold for 3
seconds
Set Time and Date
for 3 seconds
MAP
Enable
Disable
NIBP Units
mmHg
kPa
No action for 10 seconds
Press any button other than
Print
Stream
Batch
Directions for UseChapter 2 Setup21
Use the configuration menu to select and set the following parameters:
Time and Datehour
minute
year
month
day
MAP MeasurementEnabled
Blood Pressure
Measurement Units
Print ModeBatch
Disabled
mmHg (millimeters of mercury)
kPa (kilopascals)
Stream
To change a configuration parameter:
1.Select the parameter as indicated above.
2. Change the value by pressing or .
3. Set the displayed new value either by doing nothing for 10 seconds or by pressing any
button other than or . If you press a function button (such as ), the monitor
returns to normal operation with that function () activated.
22Chapter 2 SetupWelch Allyn Vital Signs Monitor 300 Series
ºF
Changing the Time and Date
Follow these steps to change the time and date settings of the monitor internal clock.
1.Press and hold for 3 seconds. SET HOUR XX appears in the message window.
mmHg
SYS
SpO2 %
DIA
SET HOUR 00
/min
ºF
2. Press or as needed to change XX to the current hour.
3. Press once to set the hours and change the display to SET MINUTE XX.
4. Press or as needed to change XX to the current minute.
5. Press once set the minutes and to change the display to SET YEAR XX.
6. Press or as needed to change XX to the current year.
7.Press once to set the year and change the display to SET MONTH XXX.
8. Press or as needed to change XXX to the current month.
9. Press once to set the month and change the display to SET DAY XX.
10. Press or as needed to change XX to the current day.
Directions for UseChapter 2 Setup23
ºF
11. To save the displayed time and date settings, either do nothing for 10 seconds or
press any button other than or . If you press a function button (such as ), the
monitor returns to normal operation with that function () activated.
mmHg
SYS
DIA
SpO2 %
0
/min
0
ºF
0
09:24:17
You cannot change the date and time while memory contains stored vital-signs data. If
you attempt to change the date and time setting while data is stored, the question
ERASE DATA? appears in the message window. If you confirm the data erasure, the
monitor erases the data from memory and returns you to the date-set function. If you
select NO, the stored data is retained in memory and the monitor returns to normal
operation.
SYS
DIA
SpO2 %
ERASE DATA?
/min
SYS
SpO2 %
DIA
= YES = NO
/min
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