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
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.”
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.)
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 UseIntroduction3
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, Acuityenabled.)
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 onlyThis device complies with the 47 CFR Part 15
FCC ID: PGUWA11A07
IC:4168a-WA11A07
See the accompanying manual.Non-ionizing electromagnetic radiation. This
Reorder numberProduct 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.)
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 UseIntroduction5
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.
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 UseIntroduction7
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.
•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.
FeatureModel
3-lead and 5-lead ECGxxxxxx
Respiration rate (Resp)xxxxxx
Masimo SpO
Nellcor
Noninvasive blood pressure (NIBP)xxxxxx
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 batteryxxxxxx
USBOptionOptionOptionOptionOptionOption
Upload patient data from the monitor to a PC
and download custom monitor configurations
from a PC to the monitor
2
®
SpO
2
802LTAN
OptionOptionOptionOptionOptionOption
Model
802LT0N
xxx
xx
Model
802LTRN
xx
Model
802LTAS
Model
802LT0S
xxx
Model
802LTRS
Directions for UseIntroduction11
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.
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 holduntil 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.
14Overview of monitor operationWelch Allyn Propaq LT Vital Signs Monitor
English
Deutsch
Français
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, pressto turn it off.
2. Pressto 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,, , andto 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 MonitorService 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 UseOverview of monitor operation15
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
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
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
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.
16Overview of monitor operationWelch Allyn Propaq LT Vital Signs Monitor
14040/7878
80
12
97
%
HALL, ROBERT E .
345618 7
3:00:0 6P
Adul t,
Rm 2 39
HR/min
NIBP mmHg (102)
@2:47P Manual
Resp/min
SpO2
SpO22x2x
II 1mV/cm
14040/7878
80
12
97
%
HALL, ROBERT E .
345618 7
3:00:0 6P
Adul t,
Rm 2 39
HR/min
NIBP mmHg (102)
@2:47P Manual
Resp/min
SpO2
SpO22x2x
II 1mV/cm
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
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
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
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
Monitor release button
Directions for UseOverview of monitor operation17
140/78
80
12
97
%
HALL, ROBERT E.
3456187
3:00:06P
Adult
Rm 239
HR/min
NIBP mmHg (102)
@2:47P Manual
Resp/min
SpO2
SpO22x2x
II 1mV/cm
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
23456
HALL, ROBERT E.
II 1mV/cm
SpO2
80
HR/min
0
Patient name (if available)
1
Waveform source
2
Waveform display scale
3
Patient ID (if available)
4
Connection status icon
5
3456187
Adult
140/78
NIBP mmHg (102)
@2:47P Manual
(blank)Connectivity not enabled.
Rm 239
12
Resp/min
3:00:06P
7
8
97
SpO2
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).
18Overview of monitor operationWelch Allyn Propaq LT Vital Signs Monitor
140/78
80
12
97
%
HALL, ROBERT E.
3456187
3:00:06P
Adult
Rm 239
HR/min
NIBP mmHg (102)
@2:47P Manual
Resp/min
SpO2
SpO22x2x
II 1mV/cm
Figure 13. Components of the vital-signs display (B)
HALL, ROBERT E.
II 1mV/cm
SpO2
80
HR/min
9
10
140/78
NIBP mmHg (102)
@2:47P Manual
15141312
Battery status (See Table 3, “Status indicators” on page 2.)
greenpartially to fully charged
yellownearly discharged
reddischarged; the monitor will shut down soon
Color-coded waveforms, ECG Lead identifiers, and vital-signs numerics
Adult
3456187
Rm 239
12
Resp/min
3:00:06P
97
SpO2
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 UseOverview of monitor operation19
80
97
140/
78
12
HALL, ROBERT E.
3456187
3:00:06P
Adult
Rm 239
NIBP mmHg (102) Manual
2:47P
Resp/min
HR/min
SpO2
%
SDM
%
140/78
80
12
97
HALL, ROBERT E.
3456187
3:00:06P
Adult
Rm 239
HR/min
NIBP mmHg (102)
@2:47P Manual
Resp/min
SpO2
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
HALL, ROBERT E.
3456187
12:41:32
Adult
Rm 239
Tabular
Time
140/78
HR/min
NIBP mmHg
Resp/min
Off
140/78
80
12
97
%
HALL, ROBERT E.
3456187
3:00:06P
Adult
Rm 239
HR/min
NIBP mmHg (102)
@2:47P Manual
Resp/min
SpO2
SpO22x2x
II 1mV/cm
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
SEARCH
Tabular
Time
140/78
HR/min
NIBP mmHg
Resp/min
n/a
HALL, ROBERT E.
3456187
12:41:32
Adult
Rm 239
About display formats
The monitor can be configured to display any of these formats:
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 halfLower alarm limit
Right halfUpper alarm limit
WhiteAlarms enabled
BlackAlarms disabled
HALL, ROBERT E.
II 1mV/cm
SpO2
140/78
80
HR/min
NIBP mmHg (102)
@2:47P Manual
HALL, ROBERT E.
II 1mV/cm
Tabular
Time
HR/min
12:41
125
12:40
122
12:39
100
12:38
12:38
12:37
12:36
Adult
Adult
8080140/78
NIBP mmHg
130/65 (93)
n/a
112/87 (87)
75
n/a
n/a
50
25
192/110 (130)
n/a
3456187
Rm 239
12
Resp/min
3456187
Rm 239
Resp/min
3:00:06P
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.
20Overview of monitor operationWelch Allyn Propaq LT Vital Signs Monitor
80
97
140/
78
12
HALL, ROBERT E.
3456187
3:00:06P
Adult
Rm 239
NIBP mmHg (102) Manual
2:47P
Resp/min
HR/min
SpO2
%
SDM
%
140/78
80
12
97
HALL, ROBERT E.
3456187
3:00:06P
Adult
Rm 239
HR/min
NIBP mmHg (102)
@2:47P Manual
Resp/min
SpO2
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
HALL, ROBERT E.
3456187
12:41:32
Adult
Rm 239
Tabular
Time
140/78
HR/min
NIBP mmHg
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 pressrepeatedly
to cycle through those formats.
Figure 14. Cycling through the configured display formats
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 UseOverview of monitor operation21
Locking out the display, back light, and buttons
If lock-outs are enabled, you can lock out one or more of the following elements:
ButtonsTo prevent unauthorized use
Back Light To extend the battery run life
DisplayTo 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,, andsimultaneously for 5 seconds.
To unlock the configured elements
Hold down,, andsimultaneously 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.
22Overview of monitor operationWelch 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 onthe large screen
Power conditioner
Directions for UseOverview of monitor operation23
Figure 16. Interface box mounted on the cradle
Interface box mountedon 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
24Overview of monitor operationWelch 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
NIBP/PSNI-mmHg
Resp/min
SpO2
II
SpO2
Resp
7762940
V
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 UseOverview of monitor operation25
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.
26Overview of monitor operationWelch 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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