Welch Allyn 901061 User Manual

®
8080
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HALL, ROBERT E.HALL, RO BERT E. 34561873456187 3:00:06P3:00:06P
AdultAdult Rm 239Rm 23 9
HR/minHR/min NIBP mmHg (102)NIBP mmHg (102)
@2:47P Manual@2:47P Manual
Resp/minResp/min SpO2SpO2
SpO2SpO2 2x2x
II 1mV/cm II 1mV/cm
Propaq
LT
Vital Signs Monitor

Directions for Use

901061 Patient monitor Software version 1.60.XX
ii Welch Allyn Propaq LT Vital Signs Monitor
© 2014 Welch Allyn. All rights are reserved. To support the intended use of the product described in this publication, the purchaser of the product is permitted to copy this publication, for internal distribution only, from the media provided by Welch Allyn. No other use, reproduction, or distribution of this publication, or any part of it, is permitted without written permission from Welch Allyn.
Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the product, that may result from failure to use this product in accordance with the instructions, cautions, warnings, or statement of intended use published in this manual.
Welch Allyn, Propaq, Acuity, Smartcuf, and FlexNet are registered trademarks of Welch Allyn. ParamSet is a trademark of Welch Allyn.
Masimo, SET, LNOP, and LNCS are registered trademarks, and FastSAT and APOD are trademarks, of Masimo Corporation. Possession or purchase of a Masimo SpO
-equipped monitor does not convey any express or implied license to use the
2
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, visit http://www.welchallyn.com/about/company/locations.htm.
DIR 80018709 Ver A
Welch Allyn, Inc. 4341 State Street Road Skaneateles Falls, NY 13153 USA
www.welchallyn.com
Welch Allyn Limited Navan Business Park Dublin Road Navan, County Meath Republic of Ireland
Contents
1 - Introduction .............................................1
iii
Intended use.....................................................1
Symbols ........................................................1
Safety..........................................................4
Controls, indicators, and connectors ..................................8
Features and functions ............................................10
Models ........................................................10
Accessories ....................................................11
USB option .....................................................11
HIPAA considerations .............................................12
2 - Overview of monitor operation ............................13
Turning on the monitor ............................................13
Selecting a language..............................................14
About the charging/communications cradle ............................14
Displaying data ..................................................17
About navigation .................................................31
Menus.........................................................33
About monitor information screens ..................................38
Using demo mode ...............................................40
Power saving ...................................................44
Turning off the monitor............................................44
Communicating with an Acuity Central Station .........................44
About error detection .............................................44
Transporting the monitor with the patient .............................45
3 - Standalone monitoring...................................47
Overview ......................................................47
Preparing for a new patient ........................................47
Continuing to monitor a patient on power-up...........................51
Monitoring ECG and Resp .........................................52
Monitoring SpO2.................................................60
Monitoring blood pressure (NIBP) ...................................65
Changing the default settings.......................................69
To discontinue monitoring .........................................71
4 - Monitoring in communication with Acuity ...................73
About wireless monitoring .........................................73
Establishing communication with Acuity ..............................74
Monitoring a patient outside of network range .........................75
About Acuity message menus ......................................76
5 - Alarms and alerts .......................................81
Overview ......................................................81
Silencing an alarm or alert tone .....................................81
Suspending the alarm tone.........................................82
Changing alarm limits .............................................84
iv Contents Welch Allyn Propaq LT Vital Signs Monitor
About ParamSet .................................................85
Responding to an alarm ...........................................85
Responding to an alert ............................................85
About battery charge status ........................................86
Alert messages and status messages ................................87
6 - Storing and reviewing patient data .........................91
Overview ......................................................91
Capturing a data snapshot .........................................91
Reviewing data at the monitor ......................................92
Reviewing data at a PC ............................................95
Reviewing data at Acuity ..........................................95
7 - Printing patient data .....................................97
Overview ......................................................97
Printing ........................................................98
AutoPrint options ...............................................100
8 - Monitor configuration...................................103
Overview .....................................................103
About factory configuration .......................................103
About default configuration .......................................104
About temporary configuration .....................................104
About Acuity-defined configuration .................................104
Parameter configuration matrix ....................................105
9 - PC utility ..............................................113
Introduction....................................................113
Installation.....................................................114
Using the Configuration Utility to configure the monitor .................116
Configuration settings............................................118
About AutoPrint ................................................121
Configuration worksheet ..................................123
Identification ...................................................124
Default Settings ................................................126
Display Settings ................................................128
Mode Settings .................................................131
ParamSet Settings ..............................................133
Feature Enable .................................................135
Authorization...................................................138
10 - Maintenance .........................................139
Recharging the battery ...........................................139
Inspecting and cleaning the monitor and accessories ...................140
Recycling monitor components ....................................141
A - Specifications .........................................143
B - Compliance ...........................................159
Limited warranty .........................................187
Index ...................................................189
1
1

Introduction

Intended use

The Propaq LT Series (802LTAN, 802LTAS, 802LT0N, 802LTRN, 802LT0S, and 802LTRS) monitors are portable devices intended to be used by clinicians and medically qualified personnel for single- or multiparameter vital-signs monitoring of ambulatory and nonambulatory patients, including neonate, pediatric and adult patients. These devices are indicated for ECG, noninvasive blood pressure (NIBP), respiration and SpO2. The most likely locations for patients to be monitored by these devices are hospital general medical-surgical, telemetry, and intermediate care floors, hospital emergency departments, transport, emergency medical services, and other healthcare applications.
The monitors can be used as standalone devices or as devices networked to an Acuity Central Station (referred to in this manual as ‘Acuity’) through wireless communication over a Welch Allyn®FlexNet®network.
Federal USA law restricts this device to sale, distribution, or use by or on the order of a licensed healthcare professional.
Even though this manual describes some monitoring techniques, the monitor is intended for use only by trained and experienced clinicians who know how to measure and interpret vital signs.
®

Symbols

Table 1. Directions for use
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.”
2 Introduction Welch Allyn Propaq LT Vital Signs Monitor
Table 2. Control buttons
Monitor
Power - Turn the monitor power on or off. Down - Move the cursor down to the next display
Action - Act based on what is highlighted. (See “Using the action button” on page 31.)
Left - Move the cursor left to the next display item; decrease the parameter value.
Right - Move the cursor right to the next display item; increase the parameter value.
Up - Move the cursor up to the next display item.
Cradle
Monitor Release - Press and then hold while removing the monitor from the cradle.
item.
Silence/Reset - Silence the current alarm tone for 90 seconds or reset a silenced alarm tone.
Display - Cycle to the next configured display format, or cancel the current control, setup, or pop-up menu.
Snapshot - Record a 21 and waveform data.
Start/Stop NIBP - Start or stop an NIBP measurement.
-second period of numeric
Table 3. Status indicators
Monitor
(green) Monitoring normally (no active alarms or alerts). Connection to Acuity is confirmed and patient identification is confirmed. (Wireless only, Acuity enabled.)
(green flashing) Monitoring normally (no active alarms or alerts). (Standalone only.) Patient confirmed, and monitor then intentionally disconnected. (Wireless only, Acuity enabled.)
(yellow) At least one alarm is disabled. Monitor disconnected, connecting or connected; patient not confirmed. (Wireless only, Acuity enabled.)
(yellow flashing) Equipment alert. Acuity message windows. (Wireless only, Acuity enabled.)
(red flashing) Patient alarm.
Upper and lower alarm limits for this parameter are on.
The upper alarm limit for this parameter is on and the lower is off.
The upper alarm limit for this parameter is off and the lower is on.
Upper and lower alarm limits for this parameter are off.
A snapshot exists for this period.
The snapshot for this period has been replaced with a more recent snapshot.
(green) The battery is fully charged.
The battery is partially full. The battery is partially full and is charging.
(yellow) The battery is low.
The battery is low and is charging.
Directions for Use Introduction 3
Table 3. Status indicators (continued)
(red) The battery is near failure; the monitor will shut down soon. If this indicator appears
while the monitor is in the cradle, the battery cannot be charged and must be replaced. The battery is near failure and is charging. The monitor will shut down if removed from the cradle.
The monitor is communicating wirelessly with the network and with Acuity. (Wireless only, Acuity enabled.)
The monitor is not communicating with the wireless network. (Wireless only, Acuity enabled.)
(Flashing) The monitor is communicating with the network but is not communicating with Acuity. (Wireless only, Acuity enabled.)
The monitor is communicating by USB cable with a PC.
Cradle
(green) Cradle is powered.
(green) Monitor battery is charging. NOTE: When the battery is fully charged, this indicator is not lit.
(yellow) Cradle fault or battery fault.
Table 4. Labels
Proceed with caution. If in doubt, refer to the accompanying documentation.
The monitor or accessory meets all essential requirements of the European Medical Device Directive 93/42/EEC for a Class II-b product.
The monitor or accessory meets all essential requirements of the European Medical Device Directive 93/42/EEC for a Class I product.
Australian registered importer. Hazard Class 9, IATA/ICAO (International Air
N344
Professional use only This device complies with the 47 CFR Part 15
FCC ID: PGUWA11A07 IC:4168a-WA11A07
See the accompanying manual. Non-ionizing electromagnetic radiation. This
Reorder number Product identifier
Monitor
Enclosure protection: Drip per EN60529:1991.
The monitor is certified by the Canadian Standards Association International to comply with applicable US and Canadian medical safety standards.
Type CF patient connections, isolated for direct cardiac application and protected against defibrillation.
Transport Association/International Civil Aviation Organization).
radiated and conducted emissions requirements.
This device complies with FCC and Industry Canada requirements for international radiators (802.11 wireless).
device contains an approved RLAN module of frequency 5150-5825 MHz.
-proof. Class IPX1
Recycle the monitor, cradle, and battery separately from other waste. (Refer to
www.welchallyn.com/weee for collection-
point and additional information.)
Non-ionizing electromagnetic radiation. This device contains an approved RLAN module of frequency 2402-2480 MHz. (Wireless only, Acuity enabled; see “EMC” on page 162.)
4 Introduction Welch Allyn Propaq LT Vital Signs Monitor
Table 4. Labels
Li ++
High voltage. Do not touch during defibrillation.
Recycle the battery separately from other disposables.
Lithium
-ion battery. This monitor (2.4 GHz) is approved for use
Rechargeable battery
Cradle
Power in (DC). Fuse replacement specification.
T3A/250V
USB cable connector. For indoor use only.
Input power (DC) pin pattern.
Product packaging
Store this way up. Humidity limit.
Temperature limits. Altitude limits.
Rain protection required. Contents are fragile.
Direct current.
Battery replacement specification.
during all phases of flight aboard U.S. Army aircraft. AWR: MIL STD: 461E. Army: CE101, CS101, T, CS115, S116, RE102, RE103.

Safety

Stacking limit. Recycle the packaging material.
The monitor is safe for patients and clinicians when used in accordance with the instructions and with the warning and caution statements presented in this manual.
All personnel must read and understand all warning and caution statements presented in this manual before using the monitor.
Failure to understand and observe any warning statement in this manual could lead to patient injury, illness, or death.
Failure to understand and observe any caution statement in this manual could lead to equipment damage or loss of patient data.
Directions for Use Introduction 5
General warnings
These statements apply to all aspects of patient monitoring. Statements which apply specifically to one aspect of monitoring, such as NIBP or SpO2monitoring, are presented in the corresponding sections of the manual.
WARNING Many environmental variables, including patient physiology and clinical application, can affect the accuracy and performance of the monitor. The clinician must verify all vital-signs information prior to patient intervention.
WARNING Always check the patient mode (adult, pediatric, or neonate) when monitoring a new patient. The patient mode determines default alarm limits and internal algorithm settings. Make sure the monitor has settings that are appropriate before monitoring the patient.
WARNING Make sure Acuity patients, and especially those prone to arrhythmias, are kept under close surveillance. While monitoring patients with Acuity, the clinician must review all clinical data before implementing therapy. As with all computerized arrhythmia analysis systems, Acuity cannot replace skilled care and proper surveillance by a clinician.
WARNING It is possible for Acuity alarms, alerts, or other events to go unnoticed if clinical personnel are not present at Acuity or if interruptions occur in power or system operations. To help reduce this possible occurrence, Acuity must be installed with redundant power supplies and redundant means of operator surveillance, such as secondary Acuity Central Stations and hallway message panels.
WARNING The monitor might not meet its performance specifications if stored or used outside the specified temperature and humidity ranges.
WARNING Use of respiration monitoring by impedance pneumography can affect the operation of some pacemakers. If pacemaker operation is affected, turn off respiration pneumography. (See Figure 63 on page 57.)
WARNING Do not connect more than one patient to a monitor.
WARNING Do not connect more than one monitor to a patient.
WARNING During defibrillation, keep discharge paddles away from the monitor
ECG lead wires, electrodes, any other monitor sensors, and other conductive parts in contact with the patient.
WARNING Do not operate this product in the presence of flammable anaesthetics or other flammable substances in combination with air or oxygen-enriched environments. Failure to observe this warning can result in an explosion.
WARNING Do not use the monitor in a Magnetic Resonance Imaging (MRI) suite or a hyperbaric chamber. Such use can cause fire or explosion resulting in patient injury and monitor damage.
WARNING Do not operate this monitor near equipment that emits strong electromagnetic or radio-frequency signals. Electronic equipment of this type can cause electrical interference with monitor operation, which can distort the ECG signal and prevent accurate rhythm analysis.
6 Introduction Welch Allyn Propaq LT Vital Signs Monitor
WARNING To comply with Federal Communications Commission (FCC) RF exposure requirements and to avoid exposure to radio-frequency (RF) radiation, always use the monitor in accordance with the operating conditions and instructions provided in this manual.
WARNING Pacemaker signals can differ from one pacemaker to the next. The Association for Advancement of Medical Instrumentation (AAMI) cautions that “in some devices, rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon rate meter alarms. All pacemaker patients should be kept under close or constant observation.” See “Pacer pulse rejection” on page 145 for disclosure of the pacemaker pulse rejection capability of this instrument.
WARNING Use only accessories approved by Welch Allyn. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty. Refer to the accessory list or
www.welchallyn.com.
WARNING Always use accessories according to the standards of your facility and according to the manufacturer's directions.
WARNING Use of Masimo
®
LNOP®sensors/cables will not provide protection in
accordance with IEC defibrillation standards when used with this device.
WARNING Use only ECG cables supplied or specified by Welch Allyn. Use of any other ECG cables can negate defibrillator protection and can create a risk of patient injury due to shock.
WARNING Frequently inspect—electrically and visually—all cables, sensors, and electrode wires. Replace any damaged cables, sensors or wires. Failure to properly inspect and keep in excellent working order all cables, sensors, and electrode wires can result in hazards to patients and to equipment failure and damage.
WARNING Always properly connect the electrosurgery return circuit. Improper circuit connection can cause current to return through monitor electrodes and probes, creating a burn hazard for patients.
WARNING Always keep patient motion to a minimum. Motion artifact can cause inaccurate measurement of patient vital signs.
WARNING Carefully route and secure patient cabling, using the supplied garment clips. Improperly routed and secured cabling can cause the patient to become entangled in the cables, creating a strangulation hazard.
WARNING When the patient is wearing the monitor or being transported by stretcher with the monitor connected, always take care to position the monitor carrying straps on the patient. Be certain that the straps do not and cannot cross the neck or throat and cause choking, and the straps do not restrict movement of the patient’s arms or legs.
WARNING Never use a monitor that is not working properly. If the monitor is not working properly, patient waveforms might be inaccurate or might not be displayed.
WARNING If the monitor is damaged, or if you see any indication that the monitor is not operating properly, disconnect it from the patient. Do not return it to service until it has been inspected and, if necessary, repaired by qualified service personnel.
Directions for Use Introduction 7
WARNING This wireless medical device was tested and, when used with a metal-free accessory between the monitor and the patient, complies with FCC RF Exposure (SAR) guidelines. The use of accessories containing metal may not ensure compliance with FCC RF exposure guidelines. Specific Absorption Rate (SAR) is a measurement of radio frequency energy. The FCC permits a maximum SAR value of 1.6 mW/g. The highest SAR value for this patient monitor, when worn by a patient in accordance with the directions for use, is 0.560 mW/g.
WARNING High-power radars are allocated as primary users of the bandwidth between 5.25 GHz and 5.35 GHz and between 5.65 GHz and 5.85 GHz. These radars can cause interference with this device and can damage this device.
WARNING Do not use the pulse oximeter as a replacement or substitute for ECG-based arrhythmia analysis.
WARNING The bedside patient monitor is the primary alarming source for the patient and a central station is a backup alarm source. The central station is only as reliable as its network and should be relied on only as a backup alarming device.
WARNING The leading cause of patient death or serious injury reported with the use of patient monitoring equipment is failure to respond to alarms notifying the user of an adverse change in patient condition. If you are relying on visual alarm notifications, maintain a clear line of sight and remain within 4 meters of the monitor or the central station. If you are relying on audio alarm notifications, make sure that you can hear audio alarms from where you are. Set the volume as needed considering the environment and ambient noise levels. Verify that the alarm is audible to a clinician working at the maximum distance from the monitor or central station.
General cautions
WARNING Auto-reboots occur and wireless connection is occasionally disrupted. During this period, the bedside monitors continue to provide their primary alarming functions. Auto-reboots occur infrequently, due to poor environmental conditions. Failure to perform preventative maintenance can increase the frequency of occurrence.
WARNING False alarms may occur in some situations. You must understand and address the cause of the false alarms whenever possible to eliminate the possibility of repeated false alarms and alarm fatigue, which might result in a failure to respond to an actual alarm situation.
Caution Do not autoclave the monitor.
Caution Autoclave accessories only if the manufacturer's instructions clearly
direct you to do so. Many accessories can be damaged by autoclaving.
Caution Changes or modifications not expressly approved by Welch Allyn could void the purchaser’s authority to operate the equipment.
Caution This product contains no user-serviceable components. Any unauthorized changes to the product invalidate Welch Allyn’s warranty and also invalidate all applicable regulatory certifications and approvals.
8 Introduction Welch Allyn Propaq LT Vital Signs Monitor
14040/7878
80
12
97
%
HALL, RO BERT E.
3456187
3:00:06P
Adult ,
Rm 23 9
HR/min
NIBP mmHg (102) @2:47P Manual
Resp/min
SpO2
SpO22x2x
II 1mV/cm
14040/7878
80
12
97
%
HALL, RO BERT E.
3456187
3:00:06P
Adult ,
Rm 23 9
HR/min
NIBP mmHg (102) @2:47P Manual
Resp/min
SpO2
SpO22x2x
II 1mV/cm

Controls, indicators, and connectors

Figure 1. Controls
HALL, ROBERT E.
3456187
3:00:06P
Adult,
II 1mV/cm
SpO2
HR/min
Rm 239
12
80
NIBP mmHg (102) @2:47P Manual
Resp/min
97
SpO2
Figure 2. Indicators: Monitor
HALL, ROBERT E.
3456187
3:00:06P
Adult,
II 1mV/cm
SpO2
HR/min
Rm 239
12
80
NIBP mmHg (102) @2:47P Manual
Resp/min
97
SpO2
Propaq LT
Display Cycle to the next configured display format, or cancel
the current control, setup, or pop-up menu.
Power Turn the monitor power on or off. Silence/Reset Silence the current alarm tone for 90 seconds or reset a
silenced alarm tone.
Arrows Move the display cursor up, down, right, or left to
highlight an item; change parameter values.
Action Act based on what is highlighted.
(See “Using the action button” on page 31.)
NIBP Start/Stop Start or stop an NIBP measurement. Snapshot Record 21 seconds of numeric and waveform data.
Monitor release Release the monitor from the cradle.
Green Connection to Acuity is confirmed and patient
identification is confirmed. (Wireless only, Acuity enabled.)
Green Monitoring normally; no active alarms or alerts. (flashing) (Standalone.)
Patient was confirmed and the monitor was then intentionally disconnected. (Wireless only, Acuity enabled.)
Yellow At least one alarm limit is disabled. (Standalone.)
Not monitoring (Wireless only, Acuity enabled).
Yellow Equipment alert. (Standalone.) (flashing) Acuity message windows.
(Wireless only, Acuity enabled.)
Red Patient alarm. (flashing)
Directions for Use Introduction 9
14040/7878
80
12
97
%
HALL, RO BERT E.
3456187
3:00:06P
Adult ,
Rm 23 9
HR/min
NIBP mmHg (102) @2:47P Manual
Resp/min
SpO2
SpO22x2x
II 1mV/cm
14040/7878
80
12
97
%
HALL, RO BERT E. 3456187 3:0 0:06P
Adult , Rm 239
HR/min
NIBP mmHg (102) @2:47P Manual
Resp/min
SpO2
SpO2 2x
II 1mV/cm
Figure 3. Indicators: cradle
12
80
HR/min
NIBP mmHg (102) @2:47P Manual
Resp/min
97
SpO2
Off Battery is full or monitor is not in the cradle Green Battery is charging
HALL, ROBERT E.
II 1mV/cm
SpO2
80
HR/min
NIBP mmHg (102) @2:47P Manual
3456187
3:00:06P
Adult,
Rm 239
12
97
Resp/min
SpO2
Yellow Cradle fault or battery fault
Green Cradle is connected to power Off Cradle is not connected to power,
or cradle fault
Figure 4. Connectors: monitor
SpO2sensor connector ECG/Resp cable connector NIBP hose connector
Figure 5. Connectors: cradle
Strap connectors
Power and data connector (from the cradle)
Monitor power and data connector
Fuse holder
USB connector for data to and from the PC (optional)
Power (DC) input connector
10 Introduction Welch Allyn Propaq LT Vital Signs Monitor

Features and functions

Monitoring of neonate, pediatric and adult patients
Display of ECG, SpO2, and Resp waveform traces
Accurate reading of NIBP in the presence of motion artifact, using Welch Allyn’s patented Smartcuf®motion-tolerant technology
SpO2monitoring with advanced technology for accuracy under conditions of low perfusion
Configurable adjustments to alarm limits with ParamSet™technology
Standalone operation with local patient alarms and equipment alerts
Optional two-way wireless communication within a Welch Allyn FlexNet network, providing monitoring and remote control at an Acuity Central Station
Color LCD for display of numerics and waveform data
Configurable display formats and monitoring capabilities
Internal antenna
Rechargeable lithium-ion battery
Weight of approximately 2 pounds (0.9 kg)
Durability
Tolerance of brief exposure to water
HIPAA support
Error detection

Models

The monitor is available in two standalone models and two wireless models.
Feature Model
3-lead and 5-lead ECG x x x x x x
Respiration rate (Resp) x x x x x x
Masimo SpO
Nellcor
Noninvasive blood pressure (NIBP) x x x x x x
802.11a (5-GHz) radio for FlexNet wireless communication with Acuity
802.11 FHSS (2.4-GHz) radio for FlexNet wireless communication with Acuity
Cradle to recharge the monitor battery x x x x x x
USB Option Option Option Option Option Option
Upload patient data from the monitor to a PC and download custom monitor configurations from a PC to the monitor
2
®
SpO
2
802LTAN
Option Option Option Option Option Option
Model
802LT0N
xxx
xx
Model
802LTRN
xx
Model
802LTAS
Model
802LT0S
xxx
Model
802LTRS
Directions for Use Introduction 11

Accessories

The following accessories are available for use with the monitor and the cradle:
Large Color Display Interface and cables
Propaq LT Monitor PC Utility software (CD)
Propaq LT Monitor Service Manual (CD)
Propaq LT Monitor Directions for Use (CD)
Patient carry strap
Patient wearable strap
Transport stretcher strap
Connector panel plugs
SpO2cables and sensors
3-lead and 5-lead ECG cables and cable extensions
ECG electrodes
NIBP hoses and cuffs
Battery pack
AC power adapter
WARNING Use only accessories approved by Welch Allyn. The use of any other accessories can result in inaccurate patient data, can damage the equipment, and can void your product warranty. Refer to the accessory list or
www.welchallyn.com.
For ordering information, contact Welch Allyn (see page ii).

USB option

The monitor can be purchased with the optional USB data transfer capability, which enables communication between the monitor and a PC. (See “About the USB data
transfer option” on page 15.)
WARNING Always use accessories according to your facility’s standards and the manufacturer’s recommendations.
12 Introduction Welch Allyn Propaq LT Vital Signs Monitor

HIPAA considerations

Each medical facility is responsible for creating and enforcing policies and procedures to guarantee compliance with the regulations defined in 45 CFR 160-164 of the Health Insurance Portability and Accountability Act (HIPAA) of 1996.
The Propaq LT Monitor, the Large Color Display Interface, the Propaq LT Monitor Configuration Utility, and the Propaq LT Monitor AutoPrint Utility incorporate security features that support your implementation of the HIPAA requirements for ensuring that patient information is kept private and confidential.
Monitor
Clinicians can lock the monitor display to prevent the display of patient vital signs. For patient protection when the monitor display is locked, the display is restored instantly in the event of a button press (unless button-pad lock-out is enabled), an alarm or an alert.
Clinicians can lock the monitor buttons to prevent any unauthorized access to the monitor controls. To protect the patient when the buttons are locked, access to the buttons is restored instantly in the event of an alarm or an alert.
No physiological data transmitted by radio from the monitor is in clear text. All data sent is encoded using Welch Allyn's proprietary PSI Communications Protocol and can only be decrypted by a Welch Allyn Acuity Central Station residing on the local Welch Allyn FlexNet network. By default, data transmitted using the 802.11a standard is also encrypted using AES (Advanced Encryption Standard).
Configuration utility
The Configuration Utility never contains patient data.
AutoPrint utility
All patient data is stored in a Welch Allyn proprietary data format which is readable only by machine.
All patient data is deleted from the PC when it is sent to the printer.
13
Application Version 1.00.00
Bootcore Version 1.00.00
Propaq
®
LT
Diagnostics in progress
Welch Allyn 2005
Select ( ) to Start a New Patient.
No data saved.
Start New Patient
Info
Demo
Portland Westside Hospital
Emergency Department
Select ( ) to delete data
and start a new patient.
Portland Westside Hospital
Emergency Department
Note!
There is patient data stored for
Hall, Robert E. ID: 3456187
Start New Patient
Continue Patient
Info
Demo
2

Overview of monitor operation

Turning on the monitor

The monitor runs through an operational self-test each time it is powered on. Always verify that it follows the power-on sequence shown below. When Step 3 completes as described, the monitor has verified that the visual and audible alarm indicators are working properly. If Step 4 does not complete as described, remove the monitor from service and have it examined by a qualified service person.
To turn on the monitor
1. Press and hold until a tone sounds.
2. A tone sounds as the green, yellow, and red lights turn on and off. This occurs twice.
3. The splash screen appears, identifying the product and displaying the message “Diagnostics in progress”. The green light turns on and off quickly while the low tone sounds, the yellow light turns on and off quickly while the medium tone sounds, and the red light turns on and off quickly while the loud tone sounds.
Figure 6. Splash screen
Propaq
LT
Diagnostics in progress
Application Version 1.00.00
Bootcore Version 1.00.00
c
Welch Allyn 2005
4. The splash screen is replaced by one of the power-on screens shown here:
Figure 7. Power-up screens
Portland Westside Hospital
Emergency Department
No data saved.
Select ( ) to Start a New Patient.
Start New Patient
To start monitoring from this point, see “Standalone monitoring” on page 47. To practice
Info
Demo
Portland Westside Hospital
Emergency Department
There is patient data stored for
Hall, Robert E. ID: 3456187
Select ( ) to delete data
Start New Patient
and start a new patient.
Note!
Continue Patient
Info
Demo
using the monitor, see “Using demo mode” on page 40.
14 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor
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Español
Italiano
Polski
Nederl
Svenska
Português
Japanese

Selecting a language

To change the language of the monitor interface
1. If the monitor power is on, press to turn it off.
2. Press to turn the monitor power on.
3. Immediately after pressing , and before any screen appears, simultaneously press
and . Keep the buttons pressed until the language selection screen appears.
Figure 8. Language selection screen
English Deutsch Français Español
Italiano
Polski Nederl
Svenska Português Japanese
4. Press , , , and to highlight the language you wish to use.
5. Press .
Power-on continues in the selected language.
Note
If you select French, HR/PR alarm limits cannot be turned off unless you go through the service menus to change this setting. If you do change this setting, the change stays in effect through power cycles.
For information about using the service menus, refer to the Propaq LT Monitor Service Manual (810-1811-XX).
The monitor always powers on in this language until the setting is changed again. The setting can be changed again only if one of the following occurs:
This procedure is repeated.
A new configuration is downloaded from a PC. (See “Using the Configuration
Utility to configure the monitor” on page 116).
A new configuration is downloaded from Acuity.

About the charging/communications cradle

When the charging/communication cradle (the cradle) is attached to AC power (or to vehicle DC power) and the monitor is seated in the cradle, the cradle does the following:
Recharges the monitor battery, whether patient monitoring is occurring or not.
Powers the monitor, conserving the charge on the monitor battery.
(If the cradle has the USB data transfer option) enables data transfer between a PC and a monitor. See “About the USB data transfer option” on page 15.
Directions for Use Overview of monitor operation 15
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WARNING Never download a configuration file to the monitor while you are monitoring a patient with the monitor in the cradle.
Communication with the network (and Acuity) is interrupted if you download
a configuration to the monitor or upload patient data from the monitor.
Changing the monitor configuration shuts down the monitor and deletes all
patient data from the monitor.
Figure 9. Monitor and cradle
Monitor
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Cradle
The cradle is intended to hold the monitor when the patient is in bed or is otherwise stationary. The cradle can sit on a flat surface near the patient or attach to the bed rail (using the bed-rail hook).
If the monitor is in the cradle and the AC power adapter is connected to the cradle, the monitor runs on AC power rather than battery power. This keeps the monitor battery at full charge so that the monitor can then run on battery power when it is removed from the cradle to accompany the patient away from the bed.
The cradle can be connected to AC power at all times, whether the monitor is present or not.
About the USB data transfer option
A cradle configured with the optional USB communication port and connected to a PC with the Propaq LT Configuration Utility and the Propaq LT AutoPrint Utility can be used for the following:
Creating custom monitor configurations on the PC and downloading them to any number of monitors. (See “Monitor configuration” on page 103.)
Uploading the configuration file from the monitor to the PC.
Uploading patient data from the monitor to the PC for printing. (See “Printing
patient data” on page 97.)
Setting up the cradle
1. Place the cradle on a table or shelf, or hang it on a bed rail.
WARNING Place the cradle so that it cannot fall on the patient.
Caution Locate the cradle near the patient but not so close that it interferes
with patient care.
16 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor
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2. Connect the AC adapter to an AC power outlet and to the cradle. The indicator (green) on the front of the cradle indicates that the AC power adapter is connected.
Figure 10. Cradle status indicators
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3. Insert the monitor into the cradle. When the monitor is properly seated, it clicks into place. (green) on the cradle indicates that the monitor battery is charging. (See
“Recharging the battery” on page 139.)
Note
The monitor can be inserted into the cradle when power is on or off. If monitor power is on, inserting the monitor in the cradle or removing the monitor from the cradle does not interrupt patient monitoring.
Removing the monitor from the cradle
To remove the monitor, depress the release button on the front of the cradle. With the button depressed, hold the cradle securely with one hand, grasp the monitor firmly with the other hand, and lift the monitor out.
Green Monitor battery charging Yellow Battery or charger failed
(Indicates either that the temperature of the battery pack is out of range or that service is required.)
Green AC power connected
Figure 11. Monitor release button
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Monitor release button
Directions for Use Overview of monitor operation 17
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Displaying data

Patient vital signs appear on the 3.5-inch (diagonal measurement) monitor display and optionally on the Large Color Display screen.
Figure 12. Components of the vital-signs display (A)
1
23 4 56
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Patient name (if available)
1
Waveform source
2
Waveform display scale
3
Patient ID (if available)
4
Connection status icon
5
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(blank) Connectivity not enabled.
Rm 239
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7
8
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Time of day
6
Patient room number
7
Patient mode
8
The monitor is communicating via USB cable with a PC. (Wireless monitor only, Acuity enabled.)
The monitor is communicating with the network and with Acuity. (Wireless monitor only, Acuity enabled.)
Flashing — the monitor is communicating with the network but not with Acuity. (Wireless monitor only, Acuity enabled.)
Steady — the monitor is not communicating with the network. (Wireless monitor only, Acuity enabled).
18 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor
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Figure 13. Components of the vital-signs display (B)
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Battery status (See Table 3, “Status indicators” on page 2.)
green partially to fully charged
yellow nearly discharged
red discharged; the monitor will shut down soon
Color-coded waveforms, ECG Lead identifiers, and vital-signs numerics
Adult
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9
10
11
Green Cyan Purple Yellow
SpO2pulse amplitude
11
SpO2numeric data
12
Respiration rate numeric data
13
NIBP numeric data
14
HR (heart rate) is displayed if ECG is active.
15
PR (pulse rate) is displayed if ECG is not active and SpO The monitor indicates an HR/PR measurement outside the measurable range as follows:
--- out +++ out ??? undetermined
ECG and HR/PR NIBP Resp SpO
2
-of-range low
-of-range high
or NIBP is active.
2
Directions for Use Overview of monitor operation 19
80
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Resp/min
HR/min
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%
S D M
%
140/78
80
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II 1mV/cm
%
12:41 12:40 12:39 12:38
12:37
12:38 12:36
12:35 12:34 12:33 12:32 12:31
125 122 100
75 50 25
100
50 25
100
130/65 (93) 112/87 (87)
192/110 (130)
152/78 (115) 152/78 (115)
22 18 16 17 19 19 19
19 19 19
17
98 98
99 99
98
100
98
98 98
100
152/78 (115)
n/a
n/a
n/a n/a
n/a n/a n/a n/a
12
SpO2
SEARCH
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Off
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II 1mV/cm
%
12:41 12:40 12:39 12:38
12:37
12:38 12:36
125 122 100
75 50 25
130/65 (93)
112/87 (87)
192/110 (130)
n/a n/a
n/a n/a
22 18 16 17 19 19
98 98
99 99
98
100
n/a
12
SpO2
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Tabular
Time
140/78
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About display formats
The monitor can be configured to display any of these formats:
Table 5. Display formats
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Time 12:41
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50 25
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n/a
112/87 (87)
n/a n/a
192/110 (130)
n/a
152/78 (115)
n/a
152/78 (115)
n/a
152/78 (115)
Rm 239
SpO2
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Resp/min
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Resp/min
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Off
22 18 16 17 19 19 19 17 19 19 19
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3:00:06P
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SpO2
100
n/a
100
n/a
Large numerics
Blood pressure, heart rate, respiration rate, and SpO2measurements displayed in large numerics.
Bell icons indicating...
Single waveform
3 seconds of one ECG or SpO2signal or ...
12 seconds of the Resp signal.
Vital signs displayed in medium-sized numerics.
Tabular trends
98 99 98 99
Current vital signs displayed above the table in small numerics.
Historical vital signs displayed in a table.
98 98
98 98
Left half Lower alarm limit Right half Upper alarm limit White Alarms enabled Black Alarms disabled
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Tabular
Time
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12:41
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12:40
122
12:39
100 12:38 12:38 12:37 12:36
Adult
Adult
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130/65 (93)
n/a
112/87 (87)
75
n/a n/a
50 25
192/110 (130)
n/a
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Resp/min
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Dual waveform
6 seconds of an ECG or SpO2signal or 24 seconds of the Resp signal or...
Any two of the following: 3 seconds of an ECG or SpO2signal and 12 seconds of the Resp
97
SpO2
signal.
Other vital signs displayed numerically below the waveforms.
12:41:32
Tabular trends with single waveform
3 seconds of an ECG or SpO2signal or...
12
SEARCH
SpO2
n/a
98
22
99 98
18
99
16
100
17
n/a
19
98
19
12 seconds of the Resp signal.
Other vital signs displayed numerically below the waveforms.
Historical vital signs displayed in a table below the waveform.
20 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor
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S D M
%
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%
12:41 12:40 12:39 12:38
12:37
12:38 12:36
12:35 12:34 12:33 12:32 12:31
125 122 100
75 50 25
100
50 25
100
130/65 (93) 112/87 (87)
192/110 (130)
152/78 (115) 152/78 (115)
22 18 16 17 19 19 19
19 19 19
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98 98
99 99
98
100
98
98 98
100
152/78 (115)
n/a
n/a
n/a n/a
n/a n/a n/a n/a
12
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SEARCH
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Time
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Resp/min
Off
The monitor can be configured to cycle quickly through three of the five available display formats when you press . For example, if the configuration specifies three formats— Large Numerics, Single Waveform, and Tabular Trends—you can press repeatedly to cycle through those formats.
Figure 14. Cycling through the configured display formats
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SpO2
Single waveform
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Large numerics
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Resp/min
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Time 12:41
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HR/min
125 122 100
75 50 25
100
50 25
100
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130/65 (93)
n/a
112/87 (87)
n/a n/a
192/110 (130)
n/a
152/78 (115)
n/a
152/78 (115)
n/a
152/78 (115)
Tabular trends
12
Resp/min
Off
22 18 16 17 19 19 19 17 19 19 19
12:41:32
SEARCH
SpO2
100
n/a
100
n/a
98 99 98 99
98 98
98 98
Certain properties of each display type can also be configured. See “Display Format” on page 129.
To view a tabular display if no tabular trends format is specified
1. Access the Setup menu. (See “To access the setup menus” on page 37.)
2. Highlight Trends and press .
Note
All valid display configurations include at least one waveform format.
Timing out the display and the back light
To conserve battery run life, the monitor display and the back light can be configured to turn off if no operator activity (that is, a button press) is detected for a specified number of minutes.
When the display is off, no patient data is visible.
When the back light is off, patient data is visible only under direct light.
If the display and the back light are turned off due to a time out, they turn on again immediately when an alarm or alert occurs or, if the buttons lock-out is not enabled, when you press any monitor button.
Note
The monitor configuration determines whether the time-out feature is enabled or disabled, and defines the default time-out period if it is enabled. If the feature is enabled in the configuration, you can temporarily change the time-out period or disable the time out through the Setup -> Timings menu.
Directions for Use Overview of monitor operation 21
Locking out the display, back light, and buttons
If lock-outs are enabled, you can lock out one or more of the following elements:
Buttons To prevent unauthorized use
Back Light To extend the battery run life
Display To prevent unauthorized viewing of patient information
The monitor configuration defines which of these, if any, can be locked out. For information on enabling or disabling lock-outs for these elements, see “Monitor
configuration” on page 103.
To lock out the configured elements
Hold down , , and simultaneously for 5 seconds.
To unlock the configured elements
Hold down , , and simultaneously for 5 seconds.
Note
Alarms and alerts immediately unlock any locked elements.
Large color display interface
Using the Large Color Display Interface (‘interface box’) optional accessory, you can display patient vital signs from the monitor on a full-size screen. It receives video signals from the cradle via a VGA cable.
WARNING All signal input and output (I/O) connectors are intended for connection of only devices complying with IEC 60601-1, or other IEC standards (for example, IEC 60950), as applicable to the monitor. Connecting additional devices to the monitor may increase chassis or patient leakage currents. To maintain operator and patient safety, consider the requirements of IEC 60601-1-1. Measure the leakage currents to confirm that no electric shock hazard exists.
Large color display configuration options
If the interface box is mounted on the large screen (Figure 15), the screen must be within about 3 meters of the cradle.
If the interface box is mounted on the cradle (Figure 16), the distance between the box and the screen is limited by the length of the VGA cable.
If the interface box, the cradle, and the large screen are mounted together (Figure 17), the distance from them to the patient’s bed is limited by the length of the SpO sensor cable, the ECG cable, and the NIBP air hose (whichever is shortest).
2
Note
Caution If you require medical-grade protection against leakage current, install
an approved power conditioner between the large color display power cable and the mains power.
The various configurations are not interchangeable. Each requires a unique combination of screws, USB and power cables, and VGA cable.
22 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor
Note
If the interface box is attached to the cradle, the bed rail hook cannot be used.
Figure 15. Interface box mounted on the large screen
Interface box mounted on the large screen
Power conditioner
Directions for Use Overview of monitor operation 23
Figure 16. Interface box mounted on the cradle
Interface box mounted on the cradle
Power conditioner
Figure 17. Interface box and cradle mounted on the large screen
Interface box and cradle mounted on the large screen
Power conditioner
24 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor
15
%
60 78
98
120
S
D
M
220
75
110
35
120
50
Manual
120
50
100
90
120
50
(89)
STEWART, AN N
HR/min
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Resp/min
SpO2
II
SpO2
Resp
7762940
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I
Resp
V
II
III
aVR
aVL
aVF
SpO2
15
%
60 78
98
120
S
D
M
220
75
110
35
120
50
Manual
120
50
100
90
120
50
(89)
HR/min
NIBP/PSNI-mmHg
Resp/min
SpO2
STEWART, AN N
7762940
Large display viewing options
The large display shows vital signs numerics and either four or nine waveforms.
Figure 18. Large color display viewing options
STEWART, ANN
II
SpO2
Resp
7762940
HR/min
60
NIBP/PSNI-mmHg
120
78
SpO2
98
Resp/min
15
Manual
(89)
100
90
STEWART, ANN
120
50
220
75
110
35
120
50
120
50
II
III
aVR
aVL
aVF
SpO2
Resp
7762940
HR/min
60
NIBP/PSNI-mmHg
120
78
SpO2
98
Resp/min
15
Manual
(89)
100
90
120
220
110
120
120
To change between 4-waveform and 9-waveform views, insert a wire into the small hole in the interface box near the USB connector, or press the button.
If you change the display format at least 15 seconds before shutting off power to the interface box, the newly selected display becomes the default display when the interface box is next powered on.
Figure 19. Switching between the 4-waveform and 9-waveform views
50
75
35
50
50
Waveformview selector
Waveformview selector
Determining what appears on the large display when using a 3-lead ECG cable
Figure 20. 4-waveform view, 3-lead cable
Directions for Use Overview of monitor operation 25
Leads I, II, and III are viewable. The waveform for the lead selected at the monitor is displayed on the large color display. Lead V cannot be displayed.
Note
When using a 5-lead cable with all electrodes attached, only leads II and V are available in the 4-waveform view.
Figure 21. 9-waveform view, 3-lead cable
Leads I, II, and III are viewable. The waveform for the lead selected at the monitor is displayed on the large color display. Leads V, aVR, aVL, and aVF cannot be displayed.
Note
When using a 5-lead cable with all electrodes attached, leads I, II, III, V, aVR, aVL, and aVF are available in the 9-waveform view.
Installing the interface box
The Large Color Display Interface receives DC power from the AC power adapter and vital-signs data from the cradle. It provides DC power to the cradle and the video signal to the large display.
Figure 22. Interface box connections
DC power out (to cradle)
USB in (from cradle)
Fuse
VGA out to (large color display)
DC power in (from AC power adapter)
DC power indicator
When the interface box is attached to the cradle, the default power and USB cables connect the interface box and the cradle. (See Figure 17 on page 23.)
If the interface box and the cradle are not attached, longer cables are used.
The AC power adapter is shipped with the cradle.
Note
The AC power adapter used with the Propaq CS monitor or the Propaq Encore monitor will not power the interface box.
26 Overview of monitor operation Welch Allyn Propaq LT Vital Signs Monitor
When the interface box is not used, the AC power adapter is attached to the cradle. When the interface box is used, the AC power adapter is connected to it and not to the cradle.
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