Welch Allyn Connex Spot User manual

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Connex

Spot Monitor

Directions for use

Page 2

© 2017 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, Connex, SureTemp, FlexiPort, and SureBP are registered trademarks of Welch Allyn.

EcoCuff is a trademark of Welch Allyn.

LNCS, ReSposable , SET, LNOP, and Masimo are registered trademarks of Masimo Corporation. Possession or purchase of a Masimo SpO2-equipped device does not convey any express or implied license to use the device with unauthorized sensors or cables which would, alone or in combination with this device, fall within the scope of one or more of the patents relating to this device.

For Masimo patent information, please visit

www.masimo.com/patents.htm.

NellcorTM SpO2 Patient Monitoring System with OxiMaxTM Technology and NellcorTM SpO2 OxiMaxTM Technology are registered trademarks of COVIDIEN LP Covidien Holdings Inc.

Braun and ThermoScan are registered trademarks of Braun GmbH.

Nonin is a registered trademark of Nonin Medical, Inc.

The Bluetooth® word mark and logos are registered trademarks owned by BluetoothSIG, Inc. and any use of such marks by Welch Allyn is under license.

Software in this product is Copyright 2017 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, reverseengineered, 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.

This product may contain software known as “free” or “open source” software (FOSS). Welch Allyn uses and supports the use of FOSS. We believe that FOSS makes our products more robust and secure, and gives us and our customers greater flexibility. To learn more about FOSS that may be used in this product, please visit our FOSS website at

www.welchallyn.com/opensource. Where required, a copy of FOSS source code is available on our FOSS

website.

For patent information, please visit www.welchallyn.com/patents.

For information about any Welch Allyn product, contact your local Welch Allyn representative: www.welchallyn.com/

about/company/locations.htm.

DIR 80019224 Ver. N Revision date: 2017-04

Welch Allyn, Inc. 4341 State Street Road Skaneateles Falls, NY 13153 USA

www.welchallyn.com

This manual applies to 901058 Vital Signs Monitor Core.

Regulatory Affairs Representative Welch Allyn Limited Navan Business Park Dublin Road Navan, County Meath Republic of Ireland

Page 3

Introduction ............................................................................................. 1

Symbols and definitions ......................................................................... 3

About warnings and cautions ................................................................ 7

iii

Intended use ........................................................................................................ 1

Contraindications ................................................................................................. 1

General warnings and cautions ............................................................................ 7

Controls, indicators, and connectors ................................................... 13

Setup ...................................................................................................... 19

Supplies and accessories ................................................................................... 19

Connect the battery ........................................................................................... 19

Mount the monitor ............................................................................................. 20

Attach the probe well and temperature probe ................................................... 22

Remove the temperature probe and probe well ................................................ 22

Connect the NIBP hose ..................................................................................... 22

Disconnect the NIBP hose ................................................................................. 22

Connect the SpO2 cable .................................................................................... 23

Disconnect the SpO2 cable ............................................................................... 23

Attach an accessory ........................................................................................... 23

Detach an accessory .......................................................................................... 23

Disconnect AC power ........................................................................................ 23

Startup .................................................................................................... 25

Power ................................................................................................................. 25

Profiles ............................................................................................................... 32

Common screen functionality ............................................................................ 36

Primary screens ................................................................................................. 37

Pop-up screens .................................................................................................. 40

Navigation .......................................................................................................... 40

Patient data management .................................................................... 43

Load patient data with the barcode scanner ...................................................... 43

Add a patient ...................................................................................................... 43

Manage patient records ..................................................................................... 44

Modifiers ............................................................................................................ 45

Patient list .......................................................................................................... 45

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iv Contents Connex® Spot Monitor

Alarms .................................................................................................... 47

Vital sign summary view .................................................................................... 47

Alarm limits ........................................................................................................ 47

Alarm reminder signal ........................................................................................ 47

Alarm types ........................................................................................................ 47

Alarm notification locations ................................................................................ 48

Icons on the Home tab ...................................................................................... 48

Reset (pause or turn off) audio alarms ............................................................... 50

Adjust vital sign alarm limits .............................................................................. 51

Modify audio alarm notification .......................................................................... 51

Alarm messages and priorities ........................................................................... 52

Nurse Call ........................................................................................................... 53

Patient monitoring ................................................................................ 55

Required parameters ......................................................................................... 55

Intervals ............................................................................................................. 56

NIBP ................................................................................................................... 59

Temperature ...................................................................................................... 63

SpO2 .................................................................................................................. 72

Modifiers and manual parameters ..................................................................... 77

Configuration tool ............................................................................................... 78

Custom scoring .................................................................................................. 78

Advanced settings ............................................................................................. 79

Maintenance and service ...................................................................... 81

Perform periodic checks .................................................................................... 81

Replace the monitor battery .............................................................................. 81

Replace the APM work surface battery ............................................................. 82

Cleaning requirements ....................................................................................... 84

Troubleshooting .................................................................................... 89

NIBP messages ................................................................................................. 89

SpO2 messages ................................................................................................. 95

Temperature messages ................................................................................... 106

Patient and clinician data messages ................................................................ 115

Radio messages ............................................................................................... 117

Connectivity messages .................................................................................... 122

System messages ........................................................................................... 123

Software update messages ............................................................................. 126

Bluetooth® messages ..................................................................................... 127

APM messages ................................................................................................ 127

Specifications ...................................................................................... 131

Physical specifications ..................................................................................... 131

Environmental specifications ........................................................................... 138

Monitor radio .................................................................................................... 138

Bluetooth® module .......................................................................................... 139

Configuration options ....................................................................................... 140

Standards and compliance ................................................................. 141

General compliance and standards .................................................................. 141

Regulatory radio compliance ............................................................................ 142

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Directions for use Contents v

Guidance and manufacturer's declaration ........................................ 147

EMC compliance .............................................................................................. 147

Emissions and immunity information ............................................................... 147

Appendices .......................................................................................... 151

Approved accessories ...................................................................................... 151

Warranty .......................................................................................................... 159

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vi Contents Connex® Spot Monitor

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Introduction

This manual describes the capabilities and operation of the Connex Spot Monitor (monitor). The information, including the illustrations, pertains to a monitor configured with noninvasive blood pressure (NIBP), body temperature, pulse oximetry (SpO2), and pulse rate. If your monitor configuration lacks any of these options, some information in this manual might not apply.

Before using the monitor, read the sections of the manual that pertain to your use of the monitor.

Intended use

The Connex Spot Monitors (monitor) are intended to be used by clinicians and medically qualified personnel for monitoring of noninvasive blood pressure, pulse rate, noninvasive functional oxygen saturation of arteriolar hemoglobin (SpO2), and body temperature in normal and axillary modes of neonatal, pediatric and adult patients.

The most likely locations for patients to be monitored are general medical or surgical floors and general hospital and alternate care environments.

This product is available for sale only upon the order of a physician or licensed health care professional.

Contraindications

This system is not intended to be used:

•

on patients connected to heart/lung machines

• on patients being transported outside a healthcare facility

• near an MRI machine

• in a hyperbaric chamber

• near flammable anesthetics

• near electro-cauterization devices

For contraindications of SpO2 sensors, consult the sensor manufacturer's directions for use.

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2 Introduction Connex® Spot Monitor

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Symbols and definitions

Documentation symbols

WARNING The warning statements in this manual identify conditions or practices that could lead to illness, injury, or death. Warning statements appear with a grey background in a black and white document.

Power symbols

CAUTION The caution statements in this manual identify conditions or practices that could result in damage to the equipment or other property, or loss of data. This definition applies to both yellow and black and white symbols.

Follow instructions/directions for use (DFU) -- mandatory action. A copy of the DFU is available on this website. A printed copy of the DFU can be ordered from Welch Allyn for delivery within 7 calendar

days.

Stand-By

Power plug Battery absent or faulty

Alternating Current power present, battery fully charged

Equipotential Ground

Battery charge level

Alternating Current power present, battery is charging

Alternating current (AC) Rechargeable battery

Battery

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4 Symbols and definitions Connex® Spot Monitor

Rated power input, DC Rated power input, AC

Lithium-ion battery Direct current (DC)

Connectivity symbols

Bluetooth

USB Nurse call

Wireless signal strength

• Best (4 bars)

• Good (3 bars)

• Fair (2 bars)

• Weak (1 bar)

• No signal (no bars)

• No connection (blank)

Miscellaneous symbols

Manufacturer

Ethernet

Defibrillation-proof Type BF applied parts

Product Identifier Serial Number

Reorder Number China RoHS markings for control

of pollution caused by electronic information products. XX indicates Environmentally Friendly Use Period in years.

Do not reuse, Single use device Separate collection of Electrical

and Electronic Equipment. Do not dispose as unsorted municipal waste.

Non-ionizing electromagnetic radiation

Call for maintenance

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Directions for use Symbols and definitions 5

Task Light Prescription only or "For Use by or

on the order of a licensed medical professional"

This way up Fragile

Authorized Representative in the European Community

IPX1 IP = International Protection

Marking X = No object ingress rating

1 = Protected against vertically dripping water

Temperature limit Global Trade Item Number

Stacking limit by number Keep dry

Humidity limitation Recyclable

Meets essential requirements of European Medical Device Directive 93/42/EEC

Australian Communications and Media Authority (ACMA) Radio Compliance Mark (RCM).

Screen symbol

Maximum safe working load limits

Japan's PSE approval symbol for Category A

Process indicator for activities like acquiring measurements and connecting to a laptop

Mass in kilograms (kg)

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6 Symbols and definitions Connex® Spot Monitor

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About warnings and cautions

Warning and caution statements can appear on the monitor, on the packaging, on the shipping container, or in this document.

The monitor is safe for patients and clinicians when used in accordance with the instructions and the warning and caution statements presented in this manual.

Before using the monitor, familiarize yourself with the sections of this directions for use that pertain to your use of the monitor.

WARNING The warning statements in this manual identify conditions or practices that could lead to illness, injury, or death.

CAUTION The caution statements in this manual identify conditions or practices that could result in damage to the equipment or other property, or loss of patient data.

General warnings and cautions

WARNING Patient injury risk. Many environmental variables, including patient physiology and clinical application, can affect the accuracy and performance of the monitor. Therefore, you must verify all vital signs information, especially NIBP and SpO2, before treating the patient. If there is any question about the accuracy of a measurement, verify the measurement using another clinically accepted method.

WARNING Patient injury risk. To ensure data integrity and patient confidentiality, save readings and clear the monitor's display between patients.

WARNING Personal injury risk. The power cord is the disconnect device to isolate this equipment from supply mains. Position the equipment so that it is not difficult to reach or disconnect the cord.

WARNING Patient injury risk. Damaged cords, cables, and accessories can affect patient and operator safety. Never lift the monitor by the power supply cord or patient connections. Routinely inspect the AC power cord, blood pressure cuff, SpO2 cable, and other accessories for strain relief wear, fraying, or other damage. Replace as necessary.

WARNING Patient injury risk. During defibrillation, keep discharge paddles away from monitor sensors and other conductive parts in contact with the patient.

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8 About warnings and cautions Connex® Spot Monitor

WARNING Patient injury risk. Any external compression of the blood pressure hose or cuff may cause patient injury, system errors, or inaccurate measurements.

WARNING Patient injury risk. Wash hands to reduce the risk of crosscontamination and nosocomial infection.

WARNING Patient injury risk. Do not place the monitor in any position that might cause it to fall on the patient.

WARNING Patient injury risk. Verify patient identity on the monitor after manual or barcode entry and before printing or transferring patient records. Failure to identify the correct patient can result in patient injury.

WARNING Patient injury risk. If you use Stat mode repeatedly, periodically observe the patient's limb to ensure that circulation is not impaired and that the cuff remains in place. Prolonged impairment of circulation or improper cuff position can cause bruising.

WARNING Patient injury risk. Do not place the cuff on the arm on the same side of a mastectomy. If necessary, use the femoral artery in the thigh to take a measurement.

WARNING Inaccurate measurement risk. Do not place the cuff where it can disturb proper circulation. Do not place the cuff on any area where circulation is compromised or on any extremity used for intravenous infusions. Do not use an SpO2 finger clip sensor and a blood pressure cuff simultaneously on the same limb. Doing so may cause a temporary loss of pulsatile flow, resulting in either no reading or an inaccurate SpO2 or pulse rate until the flow returns.

WARNING Do not apply cuff to areas on patient where skin is delicate or damaged. Check cuff site frequently for irritation.

WARNING Equipment failure and patient injury risk. Do not cover the air intake or exhaust vents on the rear and base of the monitor. Covering these vents could cause overheating of the monitor or muffling of alarms.

WARNING This equipment is not suitable for use in the presence of electro-surgery.

WARNING For operator and patient safety, peripheral equipment and accessories that can come in direct patient contact must comply with all applicable safety, EMC, and regulatory requirements.

WARNING Equipment damage and personal injury risk. When transporting the monitor on a mobile stand, properly secure all patient cables and cords to keep them clear of the wheels and to minimize trip hazards.

WARNING Equipment damage and personal injury risk. No modifications to the monitor are allowed by anyone other than a qualified Welch Allyn service representative. Modification of the monitor could be hazardous to patients and personnel.

WARNING Fire and explosion hazard. Do not operate the monitor in the presence of a flammable anesthetic mixture with air, oxygen, or nitrous oxide; in oxygen-enriched environments; or in any other potentially explosive environment.

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Directions for use About warnings and cautions 9

WARNING Fire and shock hazard. Only connect LAN cables contained within the perimeter of a single building. Conductive LAN cables spanning multiple buildings may introduce fire or shock hazards unless they are fitted with fiber optic cables, lightning arresters, or other applicable safety features.

WARNING Electric shock hazard. This equipment must only be connected to a supply mains with protective earth.

WARNING Electric shock hazard. Do not open the monitor or attempt repairs. The monitor has no user-serviceable internal parts. Only perform routine cleaning and maintenance procedures specifically described in this manual. Inspection and servicing of internal parts shall only be performed by qualified service personnel.

WARNING Electric shock hazard. 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.

WARNING Explosion or contamination hazard. Improper disposal of batteries may create an explosion or contamination hazard. Never dispose of batteries in refuse containers. Always recycle batteries according to local regulations.

WARNING Use the monitor only as described in this directions for use. Do not use the monitor on patients as described in the Contraindications.

WARNING Alarm limits are patient- or facility-specific. The clinician must set or verify alarm limits appropriate for each patient. Each time the monitor is powered on, you must check that the alarm settings are appropriate for your patient before you start monitoring.

WARNING Inaccurate measurement risk. The monitor is not intended for use during patient transport outside of the medical facility. Do not use the monitor to take measurements on any patient in transit.

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

WARNING Inaccurate measurement risk. Dust and particle ingress can affect the accuracy of blood pressure measurements. Use the monitor in clean environments to ensure measurement accuracy. If you notice dust or lint build-up on the monitor's vent openings, have the monitor inspected and cleaned by a qualified service technician.

WARNING Inaccurate measurement risk. Do not expose to temperatures higher than 122º F (50º C).

WARNING Inaccurate measurement risk. Do not use the monitor on patients who are on heart-lung machines.

WARNING Inaccurate measurement risk. Do not use the monitor on patients who are experiencing convulsions or tremors.

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10 About warnings and cautions Connex® Spot Monitor

WARNING Liquids can damage electronics inside the monitor. Prevent liquids from spilling on the monitor.

If liquids are spilled on the monitor:

1. Power down the monitor.

2. Disconnect the power plug.

3. Remove battery pack from the monitor.

4. Dry off excess liquid from the monitor. Note If liquids possibly entered the monitor, remove the monitor

from use until it has been properly dried, inspected, and tested by qualified service personnel.

5. Reinstall battery pack.

6. Reconnect the power plug.

7. Power on the monitor and verify that the monitor functions normally before using it.

WARNING The monitor may not function properly if dropped or damaged. Protect it from severe impact and shock. Do not use the monitor if you notice any signs of damage. Qualified service personnel must check any monitor that is dropped or damaged for proper operation before putting the monitor back into use.

WARNING Defective batteries can damage the monitor. If the battery shows any signs of damage or cracking, it must be replaced immediately and only with a battery approved by Welch Allyn.

WARNING Personal injury risk. Improper handling of the battery can lead to heat generation, smoke, explosion or fire. Do not short-circuit, crush, incinerate, or disassemble the battery. Never dispose of batteries in refuse containers. Always recycle batteries according to national or local regulations.

WARNING Use only Welch Allyn approved accessories, and use them according to the manufacturer’s directions for use. Using unapproved accessories with the monitor can affect patient and operator safety and can compromise product performance and accuracy, and void the product warranty.

WARNING Wall mounted equipment and accessories must be installed in accordance with accompanying instructions. Welch Allyn is not responsible for the integrity of any installation not performed by authorized Welch Allyn service personnel. Contact an authorized Welch Allyn service representative or other qualified service personnel to ensure professional installation for safety and reliability of any mounting accessory.

WARNING Welch Allyn is not responsible for the integrity of a facility's power. If the integrity of a facility's power or protective earth conductor is in doubt, always operate the monitor on battery power alone when it is attached to a patient.

CAUTION Electric shock hazard. Do not sterilize the monitor. Sterilizing the monitor could damage the device.

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Directions for use About warnings and cautions 11

CAUTION United States Federal law restricts this monitor to sale, distribution, or use by or on the order of a physician or licensed healthcare professional.

CAUTION Electromagnetic interference risk. The monitor complies with applicable domestic and international standards for electromagnetic interference. These standards are intended to minimize medical equipment electromagnetic interference. Although this monitor is not expected to present problems to other compliant equipment or be affected by other compliant devices, interference issues still may occur. As a precaution, avoid using the monitor in close proximity to other equipment. In the event that equipment interference is observed, relocate the equipment as necessary or consult manufacturer's directions for use.

CAUTION Do not move the stand while the power source is plugged into the mains outlet.

CAUTION Do not sterilize the monitor. Sterilizing the monitor could harm the device.

CAUTION Use only a Class I (grounded) AC power cord to charge the power source for the monitor.

CAUTION Do not use a long press of to power down the monitor when it is functioning normally. You will lose patient data and configuration settings.

CAUTION Never move the monitor or mobile stand by pulling on any of the cords. This may cause the monitor to tip over or damage the cord. Never pull on the power cord when disconnecting the cord from the mains outlet. When disconnecting the power cord, always grasp the attachment plug. Keep the cord away from liquids, heat, and sharp edges. Replace the power cord if the strain relief, cord insulation, or metal prongs are damaged or begin to separate from the attachment plug.

CAUTION Use only the Welch Allyn USB client cable to connect a laptop computer to the USB client port. Any laptop connected to the monitor must be running on a battery, a 60601-1 compliant power supply, or a 60601-1 compliant isolation transformer.

CAUTION If the touchscreen is not responding properly, refer to the troubleshooting section. If the problem cannot be resolved, discontinue use of the monitor and contact an authorized Welch Allyn service center or qualified service personnel.

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12 About warnings and cautions Connex® Spot Monitor

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Controls, indicators, and connectors

Note Your model might not contain all of these features.

Front-Left view

No. Feature Description

1 LCD screen 7" color touchscreen provides a graphical user interface.

2 Thermometry Secures the SureTemp unit to the monitor

3 Battery charge and power-up status indicator

4 Power button

The LED indicates the charging and power-up status when connected to AC power:

• Green: The battery is charged.

• Amber: The battery is charging.

• Flashing: the monitor is powering up.

Blue button on lower-left corner of the monitor.

• Powers on the monitor

• Places the monitor into Sleep mode, except when an alarm condition is active (brief press)

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14 Controls, indicators, and connectors Connex® Spot Monitor

No. Feature Description

• Wakes up the monitor from Sleep mode

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Directions for use Controls, indicators, and connectors 15

Back-Bottom-Left view

No. Feature Description

1 Battery compartment (behind cover) Houses the battery (captive screw secures cover to monitor)

2 NIBP Connects NIBP cable to monitor

3 USB client port Provides a connection to an external computer for testing and

software upgrades

4 USB port Connects APM work surface to monitor

5 Power connection Connects APM work surface or any accessory to the monitor

6 Ethernet RJ-45 Provides a hardwired connection to the computer network

7 Nurse call Provides a connection to a hospital nurse call system

8 SpO2 Connects chosen SpO2 system to monitor

9 Thermometry Configuration shown features SureTemp module and probe

connection port

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16 Controls, indicators, and connectors Connex® Spot Monitor

APM

This section applies only to devices with an Accessory Power Management (APM) stand. The APM is an accessory stand with work surface, power supply for enhanced device run time, and organizational bins to arrange sensors and cables for available parameters.

Front-Top-Left view

No. Feature Description

1 Battery compartment (behind cover) Houses the battery

2 Battery charge status indicator Indicates charge level of battery

3 Light power switch Powers light under APM work surface

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1 2

Directions for use Controls, indicators, and connectors 17

Back-Bottom-Right view

No. Feature Description

1 Printer port Connect a printer (future use)

2 USB ports (2) Connect optional accessories

3 USB cable Connects APM work surface to monitor

4 APM power cable Connects APM work surface to monitor

5 Power connection Provides an external AC power connection

6 Ground lug (equipotential terminal) Provided for electrical safety testing and for connecting a

potential-equalization conductor

7 Recess for mounting Secures the APM work surface when it is mounted on the APM

stand (with 4 screws)

8 Battery cover screw Secures APM work surface battery cover

9 APM light Illuminates accessory bins and path for APM stand

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18 Controls, indicators, and connectors Connex® Spot Monitor

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Setup

Supplies and accessories

For a list of all approved supplies and accessories, see Appendices.

WARNING Patient injury risk. Clean all accessories, including cables and tubes, before storing the accessories on the device or cart. This helps reduce the risk of cross contamination and nosocomial infection. Refer to 'Clean the equipment' in "Maintenance and service" for directions.

Connect the battery

This procedure applies to first-time setup of the monitor. The battery is inserted in the battery compartment when you receive a new monitor. However, it is not connected.

WARNING Personal injury risk. Improper handling of the battery can lead to heat generation, smoke, explosion, or fire. Do not short-circuit, crush, incinerate, or disassemble the battery. Never dispose of batteries in refuse containers. Always recycle batteries according to national or local regulations.

Approved Accessories in the

1. Set the monitor on a flat surface with the screen facing downward to access the battery cover.

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20 Setup Connex® Spot Monitor

2. Locate the battery cover, indicated by on the back of the monitor.

3. Using a double-slotted screwdriver, loosen the captive screw at the base of the battery cover, and then remove the cover.

4. Remove the battery to access the battery connection port on the monitor.

5. Insert the battery connector into the battery connection port on the monitor.

6. Insert the battery into the battery compartment.

7. Replace the battery cover, and then tighten the captive screw at the bottom of the battery cover.

Note Do not over-tighten the screw.

Mount the monitor

The Connex Spot Monitor can be mounted on either the MS3 Connex Spot Classic Mobile Stand, Accessory Power Management (APM) stand, or wall mount. When mounted on an MS3 stand, a separate power supply is required. This power supply connects directly to the mains outlet. Follow the assembly instructions or directions for use included with your stand or wall mount. If you have an APM stand, follow all instructions regarding the equipotential terminal.

Connect AC power to a power source

You can use the monitor with power from the mains outlet. Battery power can be used after charging the battery.

Refer to the AC power directions in the stand to which you are mounting your monitor.

Connect AC power to APM and monitor

To connect the monitor to the APM stand, refer to the APM Assembly instructions.

Instructions for use that accompanied the

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Directions for use Setup 21

Connect AC power to MS3 Classic stand and monitor

This section applies only to devices with Classic (MS3) stands.

1. Thread the power cable from the power supply through one of the spaces next to the pole to reach the monitor.

2. Attach the power supply to the underside of the basket using the 2 Phillips screws provided.

3. Connect the power cable to the monitor.

4. Connect the power cord to the mains outlet.

5. Power up the monitor.

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22 Setup Connex® Spot Monitor

Attach the probe well and temperature probe

1. Align the slots on the monitor and probe well, and slide the probe well onto the monitor.

The probe well snaps into place when it is fully seated.

2. Attach the SureTemp probe connector to the bottom of the monitor.

3. Insert the SureTemp probe into the probe well.

4. In the compartment to the left of the probe well, insert a Welch Allyn probe cover carton.

Additional cartons of probe covers can be stored in the lower compartments of the cart if a cart is used.

Remove the temperature probe and probe well

Follow these steps to disconnect the probe cable and remove the probe well.

Press the spring tab on the SureTemp probe connector and pull it out of the connection port. The probe connector port is located on the bottom of the monitor.

2. Remove the SureTemp probe from the probe well.

3. Grasp the probe well and pull it up to remove it from the monitor.

Connect the NIBP hose

1. Place your thumb and forefinger on the hose connector spring tabs and squeeze firmly.

2. Align the hose connector with the hose connector port on the bottom of the monitor.

3. Insert the hose connector, pressing firmly until both of the spring tabs click into place.

Disconnect the NIBP hose

1. Place your thumb and forefinger on the hose connector spring tabs.

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Directions for use Setup 23

Note Always grasp the hose by the connector spring tabs. Do not

pull on the hose itself.

2. Squeeze and pull the spring tabs until the connector releases.

Connect the SpO2 cable

WARNING Patient injury risk. Do not use a damaged sensor or pulse oximetry cable or a sensor with exposed electrical or optical components.

1. On the bottom of the monitor, align the SpO2 cable connector with the cable connector port.

2. Insert the cable connector, pressing firmly until the connector is seated.

Disconnect the SpO2 cable

1. Place your thumb and forefinger on the Sp02 cable connector. Do not grasp the cable.

2. Pull the Sp02 cable connector out of the connector port.

Attach an accessory

CAUTION Accessories attached to this monitor must run on battery power. Do not use any accessory's external power supply when it is attached to the monitor.

To attach an accessory to the monitor, follow the Directions for use that accompanied the accessory.

CAUTION Connect cables in a manner that minimizes entangling.

Detach an accessory

To detach an accessory from the monitor, follow the instructions that accompanied the accessory.

Disconnect AC power

1. Grasp the power line cord.

2. Pull the power line cord from the mains outlet.

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24 Setup Connex® Spot Monitor

Page 31

Startup

Power

The Power button, located on the lower-left corner of the monitor, performs multiple functions.

• Powers up the monitor

• Wakes the monitor from Sleep mode

• Opens a pop-up dialog with controls to sign out, power down, and enter Sleep mode (except when an alarm condition is active)

The LED in the center of the power plug symbol indicates the battery charging status.

•

Green indicates that AC power is present and that the battery is fully charged.

• Amber indicates that AC power is present and that the battery is charging.

Power up the monitor

The monitor runs a brief diagnostic self-test each time it powers up. If an alarm situation occurs, the alert appears in the Status area.

Type of alert Color

CAUTION Do not use a long press of the Power button to power down the monitor when it is functioning normally. You will lose patient data and configuration settings. Touch the Settings > Device tabs to power down the monitor.

WARNING To ensure patient safety, listen for two audible indicators (a beeper and a speaker tone) and watch for visual alerts at power-up at least once daily. Correct any system errors before using the monitor. In addition to the audible indicators, the screen Status area displays color coding, icons, and messages that help you to distinguish clinical priority and actions, if needed.

High Alarm

Medium Alarm

Red

Flashing amber

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Startup Connex® Spot Monitor

Type of alert Color

Low Alarm

Very Low Alarm

Information message

WARNING Steady amber indicates a low-level alarm. Flashing amber indicates a medium-level alarm. Flashing red indicates a high-level alarm.

WARNING Always observe the monitor during power-up. If any display fails to illuminate properly, or if a system fault code or message displays, inform qualified service personnel immediately, or call your nearest Welch Allyn Customer Service or Technical Support facility. Do not use the monitor until the problem is corrected.

CAUTION Always use the monitor with an adequately charged and properly functioning battery.

CAUTION During intervals monitoring, keep the monitor connected to AC power at all times.

CAUTION Use only a Class I (grounded) AC power cord to charge the battery for this monitor.

Steady amber

Cyan

Blue

Press to power up the monitor. When the device is powering up, the LED flashes until the monitor displays the

Welch Allyn logo and a power-up tone sounds.

A pop-up screen appears, depending on your configuration and functionality.

•

On initial power-up, the monitor prompts you to set the language, date, and time. See “Change the language” and “Set the date and time” for directions.

• If your facility has chosen a login format, then the first image you see is the login screen.

• If your facility has not chosen a login format, then the first image you see is the Home tab.

•

If Bluetooth® is enabled, a list of paired devices and the option to add a new device is available.

Bluetooth® wireless technology

Note Your model might not contain all of these features.

Bluetooth wireless technology is available in the Office profile.

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Directions for use Startup 27

Bluetooth status

A monitor with Bluetooth wireless technology displays the status between the monitor and the laptop in the Status area.

Image Description

No image Bluetooth radio is OFF

Bluetooth icon appears in Status area Bluetooth radio is ON

Bluetooth icon is blinking on / off slowly The monitor is pairing with the laptop

Bluetooth icon is blinking on / off quickly The monitor is connecting with the laptop

Bluetooth icon appears with a border around the icon in

the Status area

In order to transmit data, you must first pair and then connect the monitor and the laptop.

Pair devices with Bluetooth wireless technology

When a monitor with Bluetooth wireless technology powers on and there are laptops already paired with the monitor, a pop-up screen appears showing the laptops available for connection with the monitor. Follow the directions below to pair an additional device with the monitor.

Touch .

2. Touch Add new device.

3. In your Bluetooth program manager on your laptop task bar, select the monitor from the list of available devices.

A message appears indicating that the monitor has been discovered and displays a confirmation number on both the laptop and monitor screens.

4. Confirm that the numbers match on the laptop and on the monitor, and then touch

Accept.

A message appears indicating that the monitor and laptop are paired.

5. Touch OK.

The monitor and the laptop are connected and the monitor is ready to transmit data

A screen appears that allows you to change the laptop name to a preferred name.

6. Enter the preferred name, and then touch Save. The new name appears in the list of paired devices.

Connect devices with Bluetooth wireless technology and download data

In the Bluetooth connection screen, select a laptop from the list of paired devices.

1. The Bluetooth icon in the Device Status area quickly blinks on and off as the monitor

and laptop are connecting. When the monitor and the laptop connect, an information message briefly appears that names the connected laptop. When the message disappears, the name of the connected laptop appears on the top left of the screen, and the Bluetooth connected icon appears in the connection area.

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28 Startup Connex® Spot Monitor

2. As the laptop downloads data, the progress indicator spins in the connection area. The Bluetooth connection remains active until the download is complete. After a

successful download, the system clears data from the monitor and disconnects the monitor from the laptop.

3. Repeat the process as needed, or touch Cancel to dismiss the Bluetooth connection screen.

Rename a laptop

You can rename a paired laptop from a system or generic name to a specific name.

1. Select the arrow button to the right of the laptop name you want to edit in the paired list.

A screen appears that allows you to change the laptop name to a preferred name.

2. Enter the name, and then touch Save. The new name appears in the list of paired devices.

Set the date and time

Depending on your facility's configuration, the date and time may already be set. If the time is set in the network configuration, the network time overrides any manual time that is set.

Touch the Settings tab.

2. Touch the Date / Time vertical tab.

3. Touch either the ▲ or ▼ keys or the the key pad, set the date and time.

Note The date and time stamps on saved patient measurements

Change the language

Refer to “Advanced Settings” in the Service manual for instructions on how to change the language.

Power down the monitor

If you power down the monitor using the button, patient measurements are retained in the monitor memory for a maximum of 24 hours. These saved measurements are available for recall or electronic transmission to the network. This method also ensures that any configuration settings you have changed and saved will be maintained at the next startup.

Press .

1. If there is a software update available, then a system message asks if you want to

upgrade the software.

2. If you want to upgrade the software, touch OK.

will adjust when you change the date and time settings.

3. If there is no system message, a dialog box appears with options.

• Sign out (if you signed in with a Clinician ID)

• Power down

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Directions for use Startup 29

• Sleep

• Cancel

4. Touch one of the options. The monitor will either sign you out as a clinician so that another clinician can sign in,

power down, go into Sleep mode, or return to the prior screen, depending on the option you choose. The battery continues to charge when in Sleep mode.

Reset the monitor

1. If the monitor stops functioning, press and hold , located on the lower-left corner of the monitor, to reset the monitor.

2. If there is a prompt with options to power down, Sleep, or Cancel, continue to press

The monitor performs a power reset.

CAUTION Do not use a long press of to power down the monitor when it is functioning normally. You will lose patient data and configuration settings. See “Power down the monitor” to power down the monitor.

Sleep mode

After a configurable amount of time, the monitor enters sleep mode. Different types of inactivity have different time delays.

•

When a configurable amount of time has passed since the last screen press

• The sensor modules are not being used to capture vitals

• If the monitor does not have an active alarm

The monitor does not enter sleep mode when it is in Intervals monitoring.

Three situations cause the monitor to leave sleep mode.

•

The power button is pressed.

• The screen is tapped.

• An alarm occurs.

Enter Sleep mode

1. Press .

2. If there is no system message, a dialog box appears with options.

• Sign out (if you signed in with a Clinician ID)

• Power down

• Sleep

• Cancel

3. Touch Sleep. The monitor enters Sleep mode.

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30 Startup Connex® Spot Monitor

Exit Sleep mode

1. Press either or tap the screen. The Login dialog box appears.

2. If you are the current user and are in a facility-specific login format, use the scanner or keypad to enter your ID and password.

If you are logging back into the monitor, the monitor returns to the screen that previously was visible, keeps the patient's context, and maintains the vital signs that could have been previously captured.

3. If you are a new user, use the barcode scanner or keypad to enter your ID and password.

Login methods

You can sign in to the monitor in two ways:

• By signing in on the login screen if your facility has chosen a login format.

• By signing in on the Clinician tab if your facility has not chosen a login format.

Sign in using the login screen

1. Using the keyboard or the barcode scanner, enter your ID and password in the respective fields, and then touch Sign in.

The Profile selection area becomes active and contains from one to three profiles.

2. From the profiles displayed for your level of permissions, select the desired profile. The Home tab for the chosen profile appears.

Sign in using the Clinician tab

1. Touch the Settings > Clinician tabs.

2. Using the keyboard or the barcode scanner, enter your ID and password in the respective fields, and then touch Sign in.

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Directions for use Startup 31

The Clinician ID appears in the Clinician ID field on this tab and in the Status area on the Home tab.

Use a barcode scanner

The monitor enables the scanning of patient and clinician barcodes to enter ID information. The barcode scanner (scanner) supports linear and two-dimensional barcodes.

If you have not done so previously, use the instructions provided with the scanner to attach the scanner to the monitor.

Note Refer to the manufacturer's instructions to ensure that the scanner is set

to USB Com Emulation mode. Confirm the type of EMR version being used by your facility.

1. Remove the scanner from its holder.

2. Hold the scanner approximately 6 inches (15.4 cm) from the barcode and squeeze the scanner trigger so that the light from the scanner appears on the barcode.

Once the scanner completes a successful barcode reading, the ID appears in the targeted area (Patient frame, data field, or Device Status area). See the additional notes below. If the scanner has difficulty reading the barcode, slowly adjust the distance and the angle between the scanner and the barcode while squeezing the scanner trigger. If it continues to have difficulty, verify that the barcode is as flat as possible.

Note You can scan a patient's barcode from the Home tab. The scanned ID

appears in the Patient frame on the Home tab.

Note Scanning a clinician ID while the Clinician ID pane is open places the

scanned ID into the Clinician ID section of the Device Status area. Touch OK to return to the Home tab and to begin obtaining patient measurements.

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32 Startup Connex® Spot Monitor

Profiles

The monitor offers multiple profiles, including Spot, Office, and Intervals.

Note Your model might not contain all of these features.

Spot profile

The Spot profile is optimized for rapid multi-patient vitals capture with custom and additional parameters, facility-specific login format, vital sign capture, and multiple patient review.

The Spot profile Home tab displays the following parameters and features:

• NIBP

• Pulse rate

• Respiration rate

• Temperature

• SpO2

• Custom scores

• Additional parameters

• WiFi and ethernet capability

Configurable parameters can be accessed in the Spot profile on the Home tab by touching the relative parameter.

Office profile

The Office profile is optimized for ambulatory vitals capture with external patient context and optional Bluetooth® functionality.

The Office profile Home tab displays the following parameters and features:

NIBP

•

• Pulse rate

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Directions for use

• Temperature

• SpO2

• BMI

• Height, weight, pain

•

USB and Bluetooth® capability

Startup 33

Intervals profile

The Intervals profile is optimized for unattended episodic interval monitoring of a single patient with single patient review and alarms.

The Intervals profile Home tab displays the following parameters and features:

•

NIBP

• Pulse rate

• Respiration rate

• Temperature

• SpO2

• Alarms

• Custom scores

• Additional parameters

• WiFi and ethernet capability

Configurable parameters can be accessed in the Intervals profile on the Home tab by touching the relative parameter.

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34 Startup Connex® Spot Monitor

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Directions for use Startup 35

Profile feature comparison

The monitor offers multiple profiles, including Spot, Office, and Interval.

Note Your model might not contain all of these features.

Profile feature comparison

The following table compares the features of the profiles.

Feature Spot Office Intervals

Configure and use interval timing setting

Observe and configure alarm limits

Observe and respond to physiological alarms

Access Alarms tab X

Take NIBP, SpO2, temperature, and pulse rate readings

Change patient type (adult, pediatric, neonate)

View and enter manual parameters (height, weight, pain, respiration,

temperature and BMI)

Save currently displayed data to device memory

Save patient data X X X

X X X

Review patient data X X X

Access Patients tab X X X

Access Review tab X X X

Access Settings tab X X X

Braun IR thermometers configured to work with the monitor transfer temperature data automatically to the temperature frame. You can enter the temperature manually if you take a patient temperature with a thermometer that is not connected to the monitor, and you have selected temperature as one of the four manual parameters to display.

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36 Startup Connex® Spot Monitor

Select a profile from the log in area

If your facility has configured the Connex Spot Monitors with a facility-specific format, the Log in screen appears when the monitor is powered up.

1. Sign in to the monitor.

The Profile selection screen appears and displays up to three profiles.

2. Touch the desired profile.

The Home tab appears for the chosen profile.

If you change the profile while acquiring patient measurements or while unsaved patient measurements are displayed, the measurements are deleted.

Change a profile

1. Touch the Settings tab.

2. Touch the Profiles vertical tab.

3. Touch the desired profile.

4. Touch the Home tab to navigate to the Home screen and to begin using the selected

profile.

Profiles cannot be changed while acquiring patient measurements or while unsaved patient measurements are on the screen.

Common screen functionality

Many parameter areas on the screen allow you to enter data. Touch an icon to perform the function noted.

Icon

Description

Numeric keypad for entering numeric information.

Alphanumeric keyboard for entering both alpha and

numeric information.

Shift key enters the next letter touched as uppercase.

Data field in which data is entered.

Back key to delete data starting at the right side of the

data being entered.

Next key captures the data entered, clears the data field, and advances to the next data field for data entry.

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Directions for use Startup 37

Icon Description

OK key captures entered data and closes keypad or

keyboard being used to enter data.

Cancel key closes the keypad or keyboard without capturing entered data.

Alpha key in the upper-left corner returns the keyboard to the basic alpha layout.

Symbol key in the upper-left corner changes the keyboard from the basic alpha layout to the symbols and special characters layout.

Diacritical marks key in the upper-left corner changes the keyboard from the basic alpha layout and displays diacritical marks for the selected language.

Primary screens

The monitor has primary screens and pop-up screens.

The primary screens have three sections:

Item

1 Status Status area appears at the top of the screen and includes information regarding system-wide

Description

features.

2 Content The Content area displays information determined by the primary — or global — navigation

tab chosen at the bottom of the screen. The content area also might have vertical tabs on the left side of the screen that relate to the primary navigation tab chosen. It also can display summary information on current vital signs.

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Startup Connex® Spot Monitor

Item Description

3 Primary navigation Based on which profile is in use, the primary navigation tabs for that profile appear at the

bottom of the screen.

Battery status

The battery status indicator displays the state of the battery.

The battery status is represented by icons in the upper-right corner of the monitor display. The status represents several possible situations.

• The monitor is connected to a power source and the battery is charging or is fully

charged. The estimated charge rate is displayed as a percentage of capacity.

• The monitor is not connected to a power source and is running on battery power.

The estimated charge time remaining, representing all available batteries in the monitor and stand, is shown by a series of 1–4 bars and hours/minutes:

• The monitor is connected to a power source but the battery does not maintain a

charge (or has been removed).

Bars Description

4 Running on battery, battery charge is high; 76% - 100%; display time remaining (HH:MM)

3 Running on battery, battery charge is medium; 51% - 75%; display time remaining (HH:MM)

2 Running on battery, battery charge is low; 26% - 50%; display time remaining (HH:MM)

1 Running on battery, battery charge is very low; 11% - 25%; display time remaining (HH:MM)

When the battery is not being recharged and power becomes low, an amber, low-priority alarm appears in the Status area.

Note Monitor the remaining battery charge in the battery status indicator and

plug the monitor into a power outlet as soon as you are able.

If the low-priority alarm is dismissed or if you take no action to charge the battery, a red, high-priority alarm appears and sounds when battery power is critically low. Plug the monitor into a power outlet immediately to prevent the monitor from powering down.

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Directions for use

Alarm and information messages

The Device Status area provides alarm and information messages that are either temporary or exist as long as the condition to which the message applies remains. Alarm or information messages may also include controls or behavior that you can use to manage alarm and information messages.

When the monitor detects an alarm condition, the vitals frame relating to the alarm flashes and an alarm message appears. When multiple alarms occur, the highest priority message appears first. You can cycle through each alarm message by touching the multiple alarm toggle.

Information messages instruct you to interact with the monitor in a specific way or provide information that does not require action. You can dismiss an information message by selecting the control associated with the message or waiting for the message to time out.

Screen lock mode

The screen lock blocks the display of patient information and prevents any input, which may be useful when cleaning the display.

Startup 39

The screen locks when any of the following occur:

•

You touch Display lock.

• There is no interaction with the monitor for the period specified in the Settings tab.

An authorized person can access the Advanced Settings tab to set or change the time specified for the screen lock to be triggered.

Lock the screen

Follow these steps to touch the screen without activating the controls.

Touch the battery icon in the Status area or touch the Settings tab.

2. Touch the Device vertical tab.

3. Touch Display lock.

The screen can also be configured to automatically lock after a pre-determined time of inactivity. See “Configuration Settings” for further directions.

Unlock the screen

If a Clinician ID login format has been configured for your site, follow the steps below. Otherwise, simply touch the lock icon to unlock the screen.

Using the barcode scanner or keypad, enter your ID or scan your ID and password.

2. Follow the onscreen prompts to unlock the screen.

A user logs on to the device, by either scanning or manually entering their ID and password. When a new user attempts to log onto the device, a dialog box appears: "Would you like to log the current user, XXX, out?"

If the new user selects No, then the initial user remains logged on. The new user can use the device, but the initial user is shown as logged on. If the new user selects OK, then the initial user is logged out, and the new user is logged on and taken to the Home screen.

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40 Startup Connex® Spot Monitor

Manual entry and parameter modifiers

You can change parameters manually by toggling between parameter values or using a pop-up screen to enter specific values.

Change a parameter unit

The units of measure for NIBP can be manually changed on the Home tab.

Touch the NIBP frame. The NIBP changes between SYS/DIA and MAP. Note An authorized person can change the temperature unit of

measure in Advanced settings.

Change a frame manually

1. Press and hold a frame, such as NIBP.

A pop-up dialog box appears.

2. Manually enter the value.

3. Touch OK.

The manual value appears in the frame on the screen.

Pop-up screens

When a pop-up screen appears, you cannot access any buttons or controls on the screen behind the pop-up. The specified action on the pop-up screen must be accomplished or, if allowed, actively dismissed or canceled, before other screens become active.

There are instances when multiple, layered pop-up screens occur. In these instances, only the top pop-up screen is accessible. The specified action on the top pop-up screen must be accomplished or, if allowed, actively dismissed or canceled, before the pop-up screen behind becomes active.

Navigation

There are four types of navigation in the monitor:

•

Primary tabs

• Vertical tabs

• Command buttons

• Shortcuts

Primary tabs

The primary tabs at the bottom of the screen enable you to switch between tabs and change the controls in the content area on the monitor. The profile you choose determines which tabs are available. The tab you choose determines what information appears on the screen. The five primary tabs are

•

Home

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Directions for use Startup 41

• Patient

• Alarms

• Review

• Settings

Vertical tabs

The vertical tabs on the left side of the screen enable you to navigate to additional areas of a primary tab. The vertical tabs displayed are determined by the primary tab chosen.

Command buttons

Command buttons, such as the Start Intervals button, enable you to navigate and perform actions.

Shortcuts

Home tab

Patient tab

Shortcuts provide an efficient means of navigation. For example, touching the battery area in the status bar enables you to navigate to Settings [Settings > Device > Date/ Time] and displays more information about that portion of the monitor.

The Home tab displays patient information.

•

Status area, including alarm status and battery status

• Patient area, including name and ID

• NIBP

• SpO2

• Pulse rate

• Temperature

• Action area, including Clear and Save

The Patient tab may contain the Patient Summary screen or the Patient List.

•

Patient name

• Patient location

• Patient ID

• Patient type

• Action area, including OK and Cancel.

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42 Startup Connex® Spot Monitor

Alarms tab

The Alarms tab contains vertical tabs.

• General

• NIBP

• Pulse rate

• SpO2

• Temperature.

The General tab contains parameter controls for alarm limits, volume controls, audio controls, and alarm reset.

Review tab

The Review tab displays patient data that has been previously captured. Data can be viewed for a single patient or for multiple patients. The Review tab displays both core and custom parameters and also provides controls.

• Patient name

• Date / Time

• Core vital signs

• Custom parameters

• Controls, including View, Send and Delete

Settings tab

The Settings tab enables you to edit certain device functions. It contains vertical navigation tabs.

•

Intervals

• Profiles

• Device

• Date / Time

• Clinician

• Advanced (this vertical tab is password protected and available only to authorized

personnel)

Adjust screen brightness

The screen can be adjusted to 10 levels of brightness. Adjust screen brightness in the Device tab in Settings.

On the Settings tab, touch Device.

2. In the Brightness area, touch ▲ or ▼ to brighten or dim the screen.

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Patient data management

Patient data is managed through the Patient tab.

From the Patient tab, you can do the following:

• Scan a patient ID with the barcode scanner and return an Admit/Discharge/Transfer

(ADT) patient name match.

• Enter additional patient information.

• Retrieve and use a patient list.

WARNING Patient injury risk. To ensure data integrity and patient confidentiality, save readings and clear the monitor's display between patients.

WARNING Verify patient identity on the monitor after manual or barcode entry and before saving or transferring patient records. Failure to identify the correct patient can result in patient injury.

Load patient data with the barcode scanner

You can use a barcode scanner to query existing patient records and perform an ADT patient name match.

Note If the monitor is connected to the network, the monitor can receive a

patient name from patient records associated with a scanned ID number.

1. Confirm that you are on the Home tab.

2. Scan the patient's barcode with the barcode scanner.

The Patient ID appears in the Patient frame.

If a barcode scanner is not available or not functional, manually enter the patient information using the screen keyboard.

Add a patient

Note This option is available in the Spot and Intervals profiles.

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44 Patient data management Connex® Spot Monitor

1. Touch the Patient tab.

2. Touch in any field and then enter patient information.

3. Touch Next to cycle through the patient data fields.

Note You can use a barcode scanner to enter a patient ID in the

Patient ID field. Touch in the Patient ID field, scan the barcode, and touch OK.

4. Touch OK to save and return to the Home tab.

Manage patient records

Patient records can be sent to the network or deleted.

Touch the Review tab.

Note Measurements that triggered a physiological alarm are

highlighted on this tab.

2. Select patients by touching the check box next to their names.

3. Touch Send to transmit the records to the network or Delete to permanently

remove the records as desired.

CAUTION Verify patient identity on the monitor after manual or barcode entry and before transferring patient records.

Note The icon indicates the records have been sent to the

network.

Note You can configure the Intervals profile, to automatically send

measurements to the network.

Note Patient measurements older than 24 hours are automatically

deleted from the patient records list on the Review tab.

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Directions for use Patient data management 45

Note Modifying the date and time on the device modifies the date

and time on all saved readings on the device.

Modifiers

The Modifiers tab enables you to enter additional information for current measurements.

Set modifiers

1. On the Home tab, press and hold the parameter desired.

The Modifiers screen appears.

2. Touch the desired parameter on the Modifiers screen and use the keypad for manual

entry of NIBP, SpO2, Pulse Rate, Temperature, or Additional parameters.

3. Touch OK to accept the entry.

4. Touch OK to accept the changes and return to the Home tab or touch Cancel to

delete all entries. The Modifier settings clear after a power cycle, after you clear or save the Home tab,

or after you select a new patient.

Patient list

From the Patient List screen, you can do the following:

•

Retrieve a patient list from the network (for example, electronic medical records (EMR) or a central station).

• Select a patient from the list.

• Manually create a patient record.

• Search Patient List

Select a patient

The options for selecting previously stored patients from the List tab vary based on the following conditions:

•

Active profile

• Established patient context

• Connection to a network

• Connection to a central station

Warning Patient injury risk. Verify patient identity on the monitor after manual or barcode entry and before printing or transferring patient records. Failure to identify the correct patient can result in patient injury.

Based on the boldface text presented, follow the steps below that apply to your patient and the device.

In all profiles but Office, when patient context has not been established on the

device: a. Touch the Patient tab.

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46 Patient data management Connex® Spot Monitor

The Patient List screen appears.

b. If the monitor is connected to the network, touch Retrieve list to update the

onscreen patient list. The monitor retrieves the patient list from the network.

c. Touch the patient's identifier (name, ID number, or location) you want to select.

Note Patient data can be sorted in ascending or descending

order by selecting the heading row and touching ▲ or ▼. If a sort marker does not appear in a column, touch the heading, and the ▲ appears.

d. On the Patient Summary screen, touch OK .

The selected patient's identifier appears on the Home tab. Note The Patient Summary screen is not editable; however,

the patient type can be changed.

Note Patients can be filtered using the search field by entering

a patient identifier (name, ID number, or location).

2. In all profiles but Office, to establish a onetime patient context:

a. Touch the Patient tab.

The List tab appears.

b. Touch New Patient to view patient summary screen.

c. Touch in any field, and then enter patient information. d. Touch Next to cycle through the patient data fields. e. Touch OK to save and return to the Home tab.

3. In all profiles but Office, when patient context has been established on the

device and you want to select a different patient (change patient context):

a. Touch the Patient tab.

The Summary screen appears. b. Touch the List button. c. If the monitor is connected to the network, touch Retrieve list to update the

onscreen patient list.

The monitor retrieves the patient list from the network. d. Touch the patient identifier (name, ID number, or location) you want to select.

Note Patient data can be sorted in ascending or descending

order by selecting the heading row and touching ▲ or ▼. If a sort marker does not appear in a column, touch the heading, and the ▲ appears.

e. Touch OK on the Patient Summary screen.

The selected patient's identifier appears on the Home tab.

Note All displayed patient measurements and configuration

settings are cleared.

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Alarms

The monitor presents physiological alarms and technical alarms. Physiological alarms occur when vital sign measurements fall outside of set alarm limits, but they occur only in the Intervals profile. Technical alarms occur in all profiles.

If the alarm system is powered down, the alarm log is maintained on the monitor for 14 days.

Note The three modes of data communication—USB, Ethernet, and IEEE 802.11

—are not intended for real-time alarms.

Vital sign summary view

At the top of the Alarms tab is a summary view of the core vital signs.

You cannot control any of the core vital sign parameters from the summary view.

Alarm limits

Default alarm limits are determined by the facility and are incorporated in the configuration file. Only authorized facility personnel can edit these limits.

Alarm reminder signal

An alarm reminder signal appears for all alarms if the global alarm audio has been paused or turned off. The reminder signal interval is the same as the alarm interval with which it appears.

Alarm types

Type Priority Color Alarm audio tone

• NIBP or SpO2 limit exceeded

• Some technical alarms

• Pulse rate limit exceeded

• Some technical alarms

• Temperature limit exceeded

High Red 10-pulse tone

Medium Amber 3-pulse tone

Low Amber 2-pulse tone or 1-pulse tone

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Alarms Connex® Spot Monitor

Type Priority Color Alarm audio tone

• Some technical alarms

Alarm notification locations

WARNING Patient injury risk. If you are relying on visual alarm notifications, maintain a clear line of sight with the monitor and/or Nurse Call. Set the volume as needed considering the environment and ambient noise levels.

WARNING Patient injury risk. Do not set the alarm parameters to extreme levels. Setting extreme parameters could render the alarm system useless, causing the potential for patient injury.

Nurse Call

When the Nurse Call cable is connected and Nurse Call has been enabled, the monitor immediately notifies the Nurse Call system when an alarm occurs. Nurse Call notification settings are specified in the configuration settings.

Home tab

Home tab notifications

Notification Description

Device Status area The area changes color and displays a message with an accompanying status icon or

button. If the alarm tone is in a pause interval, a timer countdown appears. If multiple alarms and information messages are active, the Device Status area shows the

highest priority alarm. If the alarms are equal in priority, the most recent alarm message appears. You can cycle through the messages for each active alarm.

Parameter frame The frame of the parameter brick flashes in the color of the alarm priority. Touch this area

to pause or turn off an alarm audio tone. Visual indicators and Nurse Call notification will persist during an audio paused condition.

Alarm Limit control The icon in this control indicates the status of the alarm limit settings. Red and amber

icons indicate measurements that have exceeded alarm limits. Touch this control to navigate to a parameter-specific tab where you can modify alarm

limit settings.

Icons on the Home tab

Icons in parameter frames

The icons in the parameter frames indicate alarm notification settings. When alarm limits are on, the icons will be gray until an alarm occurs. Then, the icons will change color to indicate the priority of the alarm. Red icons represent high priority alarms, and amber icons represent medium or low priority alarms.

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Directions for use Alarms 49

Icons in parameter frames

Icon Name and status

Alarm off. No visual or audio alarms or Nurse Call notification will occur for this parameter.

Alarm on. Audio and visual notifications and Nurse Call are enabled.

Alarm audio off. Only visual notifications, including Nurse Call, will occur.

Alarm audio paused. The default audio pause alarm duration is 1 minute. The icon remains until the paused time counts

down to 0. Authorized personnel can configure this parameter.

Icons in the Device Status area

The icons in the Device Status area are black and white, but the background area changes color to indicate the alarm priority. Messages accompany these icons. These icons can be controls or status indicators.

Icons in the Device Status area

Icon Name and status

Alarm active. One or more alarms are active. Touch this icon to pause or turn off the audio tone.

Alarm audio off. Audio signals are disabled, but alarm limits and visual alarm signals remain active.

Multiple alarms toggle. Touch this icon to cycle through the messages for each active alarm.

Alarm audio paused. The audio tone is paused for a period ranging from 90 seconds to 15 minutes. The icon remains

until the paused time counts down to 0. Touch this icon to reset the pause interval. The pause interval is determined by settings in the Advanced tab.

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50 Alarms Connex® Spot Monitor

Reset (pause or turn off) audio alarms

Audio alarm characteristics

• After you reset an audio alarm, some tones do not return, but others return after a pause interval if the condition that caused the alarm persists. Settings in the Advanced tab determine the length of the pause interval.

• If a new alarm condition occurs during a pause interval, a new audio tone occurs.

Pause or turn off an audio alarm

1. In the Device Status area, touch .

• Visual indications remain in the parameter frame until the condition is corrected

or until the next measurement is taken.

• In the Device Status area, if the icon changes to and the message

remains, the timer counts down and the audio tone returns after a pause

interval. You can touch If you responded to an NIBP alarm and multiple NIBP limits have been exceeded, the first audio tone and message go away, but another NIBP limit message shows with a countdown timer. A new NIBP audio tone sounds after

the countdown unless you touch to dismiss each remaining NIBP limit message.

2. If multiple alarms are active, a multiple alarm toggle will appear in the Device Status area. Respond to multiple alarms as follows:

a. Touch in the Device Status area. (See note below.) b. Read the alarm message for the second alarm.

c. Touch . d. Continue to touch multiple alarm toggle buttons and to reset tones until you

have read all of the messages.

Note The multiple alarm toggle button will display the number

of active alarms inside the alarm icon. A set of dots indicating the display order of alarms from highest (left) to lowest (right) priority (as well as the most recent in the case of multiple alarms of the same priority) will appear below it.

again to restart the timer.

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Directions for use Alarms 51

Adjust vital sign alarm limits

You can adjust vital sign alarm limits or turn off alarm limit checking for individual parameters.

WARNING Alarm limits are user adjustable. All alarm limit settings should take into account the patient's condition and acute care needs. Appropriate alarm limits should be set accordingly for each patient.

CAUTION Loss of power will cause the monitor to return to default settings. Each time you power up the monitor, you must set alarm limits appropriate for your patient.

1. On the Home tab, touch the alarm limits control in the selected parameter frame. For

example, to adjust the NIBP alarm limits, touch .

2. Adjust vital sign alarm limits.

• To adjust a limit: Touch ▲ or ▼ or touch the keypad to set the desired upper and

lower alarm limits.

• To turn alarm limits off or on for the vital sign: Touch or . This

button toggles to display the current alarm state. If you turn off alarm limit checking for a vital sign, no visual or audio alarm signals will occur for those limits. If alarm limit checking is off, the icon changes to

on the Home tab in the parameter frame.

Modify audio alarm notification

You can modify the volume of all audio alarms.

WARNING The alarm volume should be loud enough for you to hear it from where you are. Set the volume considering the environment and ambient noise levels.

As you set parameters on the Alarms tab, measurements appear across the top of the tab.

Touch the Alarms tab. The vertical the General tab appears.

2. From the General tab, modify audio alarm notifications for each parameter.

• To adjust a limit, touch ▲ or ▼ or touch the keypad to set the desired upper and

lower alarm limits.

• To turn audio alarms on or off, select the Alarm audio on or Alarm audio off

button. If you turn off audio alarms, visual alarm signals still occur in the Device Status area and on the Home tab in parameter frames.

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52 Alarms Connex® Spot Monitor

The in the Device Status area indicates alarm audio turned off, and a

similar bell will appear in the parameter frames . If an alarm condition occurs, the bell will be red or amber in the alarming frame, according to the

priority of the alarm, as shown here:

• To modify the volume of audio alarms: Select the volume button next to either

High, Medium, or Low. An audio tone sounds briefly to indicate the volume level.

Note Periodically test the speaker by selecting different

speaker volumes and listening for the different tones.

3. To reset alarm settings to the original configuration, touch Alarm reset.

Alarm messages and priorities

The following table lists the physiological alarm messages and their priorities.

See “Troubleshooting” for technical alarm messages.

Physiological alarms

Alarm messages Priority

Alarm limit exceeded. NIBP systolic HIGH. High

Alarm limit exceeded. NIBP systolic LOW. High

or .

Alarm limit exceeded. NIBP diastolic HIGH. High

Alarm limit exceeded. NIBP diastolic LOW. High

Alarm limit exceeded. NIBP MAP HIGH. High

Alarm limit exceeded. NIBP MAP LOW. High

Alarm limit exceeded. Pulse rate HIGH. High

Alarm limit exceeded. Pulse rate LOW. High

Alarm limit exceeded. SpO2 HIGH. High

Alarm limit exceeded. SpO2 LOW. High

Alarm limit exceeded. Temperature HIGH. High

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Directions for use Alarms 53

Alarm messages Priority

Alarm limit exceeded. Temperature LOW. High

Nurse Call

The monitor can be connected to a Nurse Call system through a cable that connects to the Nurse Call connector.

When the Nurse Call cable is connected and Nurse Call is enabled, the monitor immediately notifies the Nurse Call system when any alarm condition occurs that exceeds the preset threshold. The Nurse Call system is also synchronized with the alarm frame and audible alerts on the monitor.

Nurse Call thresholds are set in the configuration settings.

To connect the monitor to a Nurse Call system, you must have a cable that has been adapted to your Nurse Call system (REF 6000-NC), rated 25V AC or 60V DC maximum at 1A maximum. For ordering information, see Approved Accessories in the Appendix.

WARNING Do not rely exclusively on Nurse Call for patient monitoring. Although the Nurse Call option enables remote notification of an alarm condition, it is not intended to replace appropriate bedside patient monitoring by trained clinicians.

Note When a patient alarm occurs, touching the alarm icon in the Device Status

area pauses the alarm tone for 1 minute, as specified in the default settings in Advanced Settings, but the visual alarm indicator(s) on the monitor and Nurse Call continue.

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Patient monitoring

Required parameters

If a parameter is required, a Skip button appears at the bottom of the parameters, and a Next button appears in the lower-right corner of the screen. Parameters may require three types of inputs.

• Numerics

• Drop-down lists

• Parameter option buttons

If you choose not to record information for the parameter, a dialog box appears to confirm that the parameter is not being recorded.

If you have a required modifier, such as height, weight, or pain, it will take priority over other defined modifiers.

Once all parameters have been completed or skipped all required parameters, optional parameters may appear. Once these have been completed or skipped, touching the Next button returns you to the Home tab.

WARNING Patient injury risk. During defibrillation, keep discharge paddles away from monitor sensors, and other conductive parts in contact with the patient.

Complete required parameters

Required parameters appear before optional parameters.

From the Home tab, touch the parameter.

1. The additional parameter screen appears.

2. Touch the first parameter and either manually enter the required information or enter the data with the format presented.

The data is captured.

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Patient monitoring Connex® Spot Monitor

3. Proceed to the additional parameter and enter the required information either manually or enter the data with the format presented.

4. If there is a required parameter that you choose not to complete, then touch Skip. An override dialog box appears explaining that it is a required parameter and the

EMR will note that it was not captured.

5. Touch Cancel, return and complete the parameter, or touch OK to continue to the next parameter.

6. Once all parameters on the screen are completed or skipped, touch Next to proceed to the next screen.

There may be several screens with required parameters.

7. Once all required parameters have been completed or skipped, optional parameters may appear. Since optional parameters are not required, the Next button is active on each screen with optional parameters. Complete the optional parameters as appropriate for your patient.

8. When you are finished, touch Next. A screen appears that gives you the option of sending data to a laptop, if it is

Bluetooth® enabled, or saving the data to the monitor.

9. Touch Save to save the data to the monitor. If you are connected to a laptop, the data is downloaded automatically.

Intervals

The monitor can capture NIBP and SpO2 measurements automatically, based on intervals you choose on the Settings tab.

In Settings, the Intervals tab provides all intervals features. You can access this tab from the Office and Intervals profiles.

In the Intervals profile, you can set three types of intervals:

•

Automatic

• Program

• Stat

In the Office profile, you can set Averaging intervals.

You can do the following from the Intervals tab.

•

Configure intervals

• Turn off intervals

When the measurement is complete, the frame for that parameter displays the measurement until the next measurement is complete.

Note

During intervals, each automatic and manual save of patient measurements clears all measurements from the Manual parameters frame.

The Intervals button changes to a timer, which counts down to the next automatic measurement.

Automatic measurements continue until you turn off intervals.

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Directions for use Patient monitoring 57

WARNING Patient harm risk. Do not use intervals on neonates out of your hearing range. Verify that the audio can be heard from where you intend to be.

Automatic intervals

You can configure the monitor to take automatic NIBP measurements at consistent intervals.

Note An alarm does not turn off intervals. Subsequent automatic measurements

continue to occur as scheduled.

Start Automatic intervals

1. Place the proper cuff around the patient’s bare upper arm.

2. On the Home tab, touch . The vertical Intervals tab on the Settings tab appears.

3. Select Automatic.

4. Use either the keypad or ▲ or ▼ to enter the length of time between NIBP measurements.

5. Touch Start intervals.

Program intervals

The monitor comes with six custom programs. One program is always available for you to customize to meet your specific needs. If your facility does not configure all of the remaining five programs, you can customize the remaining programs at any time.

The numbers below the program names indicate the length of time between each interval in the cycle.

Start program intervals

You must be in either the Intervals or Office profile to access intervals.

Place the proper cuff around the patient’s bare upper arm.

2. On the Home tab, touch . The vertical Intervals tab on the Settings tab appears.

3. Select Program. The preconfigured Program screen appears with the available programs and the

interval between measurements displayed to the right of the program.

4. Touch the program you want to use.

5. If you want to change the interval for the program selected, use the keypad to the right of the program to enter the new interval.

6. Touch Start intervals.

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Stat intervals

You can configure the monitor to take NIBP measurements continuously.

When you select Stat on the Intervals tab in Settings, the monitor takes repeated NIBP measurements for 5 minutes, starting a new cycle each time the cuff deflates below safe venous return pressure (SVRP) for 2 seconds.

Current cuff pressures are not dynamically displayed during a Stat reading. The Home tab displays the NIBP reading from the previous cycle until the current cycle finishes.

Note Touch STOP to stop intervals. To restart intervals, go back to the Stat

intervals screen.

Start Stat intervals

1. Place the proper cuff around the patient’s bare upper arm.

2. On the Home tab, touch . The Intervals screen on the Settings tab appears.

3. Select Stat.

4. Touch Start intervals.

Averaging intervals

The averaging interval program enables you to record the patient's average NIBP readings over a set period of time.

Start Averaging intervals

Note You must be in the Office profile to access Averaging intervals.

Note Authorized personnel can configure the Averaging intervals in Advanced

settings.

1. Place the proper cuff around the patient’s bare upper arm.

2. On the Home tab, touch . The vertical Intervals tab on the Settings tab appears.

3. Select the desired program. Touch the program you want to use. For example, touch Program 2.

4. Touch Start intervals. The Program name appears on the Home tab, along the averaged reading as the

readings occur.

5. Touch Save after the Averaging intervals completes.

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Directions for use Patient monitoring 59

NIBP

NIBP measurements

WARNING Patient injury risk. Do not install luer connectors on blood pressure tubing. Using luer connectors in manual or automated blood pressure systems creates the risk of inadvertent connection to intravenous (IV) tubing, which can introduce air into the patient’s circulatory system.

WARNING Patient injury risk. Any external compression of the blood pressure hose or cuff may cause patient injury, system errors, or inaccurate measurements.

WARNING Do not apply cuff to areas on patient where skin is delicate or damaged. Check cuff site frequently for irritation.

WARNING NIBP readings may be inaccurate for patients experiencing moderate to severe arrhythmia.

WARNING Inaccurate measurement risk. Pulse rate measurements generated through the blood pressure cuff or through SpO2 are subject to artifact and might not be as accurate as heart rate measurements generated through ECG or through manual palpation.

WARNING Use caution when measuring blood pressure using oscillometric blood pressure devices in severely ill neonates and pre-term infants because these devices tend to measure high in this patient population.

WARNING Patient injury risk. Inaccurate measurement risk. Do not place the cuff where it can disturb proper circulation. Do not place the cuff on any area where circulation is compromised or on any extremity used for intravenous infusions.

WARNING Patient injury risk. Do not place the cuff on the arm on the same side of a mastectomy. If necessary, use the femoral artery in the thigh to take a measurement.

WARNING Possible measurement error. Use only Welch Allyn blood pressure cuffs and accessories; substitution may result in measurement error.

WARNING Inaccurate measurement risk. Ensure an airtight seal at all connection points before use. Excessive leaking may affect readings.

WARNING Inaccurate measurement risk. Minimize cuff movement and arm motion during readings. Excessive movement may alter readings.

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60 Patient monitoring Connex® Spot Monitor

WARNING Inaccurate measurement risk. Properly position the blood pressure cuff to ensure blood pressure accuracy.

WARNING Inaccurate measurement risk. Only use the cuff when the artery index marker falls within the printed range indicated on the cuff; otherwise, erroneous readings will result.

CAUTION Inaccurate measurement risk. Any external compression of the blood pressure hose or cuff may cause system errors or inaccurate measurements.

Located in the upper-left corner of the Home tab, the NIBP frame contains data and features relevant to noninvasive blood pressure measurement. The frame provides different features, based on the profile you are using.

For information about obtaining blood pressure measurements, refer to Blood pressure guidelines at https://www.welchallyn.com/en/products/categories/patient-monitoring/

vital-signs-devices/connex-spot-monitor/documents.html.

NIBP measurement display

In all profiles, the frame can display systolic and diastolic measurements, and MAP calculations. Authorized personnel can configure the default view in Advanced settings. The last NIBP measurement remains on the screen unless you touch Save or Clear, or until a new measurement is taken.

If any NIBP measurement is out of range or cannot be determined, the NIBP frame shows a “++” or “- -” in front of the measurement. All other NIBP parameters display no values.

View indicator

Touch the NIBP frame to toggle between views.

Buttons

Use the buttons on the right side of the frame to perform different tasks, depending on the profile you are using. The availability of functions depends on which profile you select. See the Profiles section for more information.

Technical alarms and NIBP measurements

A technical alarm stops any NIBP measurement. Once the alarm is resolved, the start button appears and you can start a new NIBP measurement.

NIBP cuffs

Warning Patient injury risk. Use only blood pressure cuffs and hoses listed

as approved accessories to ensure safe and accurate NIBP measurements.

Warning Patient injury risk. Never use an adult or pediatric monitor setting or cuff for an NIBP measurement on a neonatal patient. Adult and pediatric inflation limits can be excessive for neonatal patients, even if a neonatal cuff is used.

Warning Patient injury risk. The decision to use the device on pregnant or pre-eclamptic patients is at the discretion of the trained clinician using the equipment.

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Directions for use Patient monitoring 61

CAUTION Correct sizing of the blood pressure cuff is important for accurate blood pressure readings. A cuff that is too small might provide false high readings, while a cuff that is too large might provide false low readings.

The monitor uses the oscillometric method to determine blood pressure; therefore, if the cuff extends to the antecubital fossa (bend in the elbow), you can still acquire an accurate blood pressure reading.

If you use a single tube NIBP cuff, you can take only a step blood pressure measurement. The monitor will automatically default to Step BP.

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62 Patient monitoring Connex® Spot Monitor

Obtain a single NIBP measurement

1. Touch START to begin a single measurement. The START button becomes an orange STOP button. NIBP always displays the

current inflation rate. When complete, the NIBP parameter displays the completed NIBP measurement.

2. Touch Save to save the displayed measurement in the patient's record The measurement will continue to be displayed until you save it or you start another

NIBP measurement.

Interval NIBP measurement

You must be in either the Intervals or Office profile to set intervals. Refer to the “Intervals” section for directions on setting intervals.

While you are in the Intervals profile, touch Start on the Home tab to acquire a spot NIBP measurement.

The default interval for NIBP measurements is 15 minutes. You can adjust this interval as needed.

Stop automatic measurements

You must be in either the Intervals or Office profile to access intervals.

On the Home tab, touch .

2. Touch Stop intervals.

Cancel a NIBP measurement

In the NIBP parameter, touch STOP. The monitor cancels the NIBP measurement and an information message appears

informing you that the NIBP reading was stopped and that no reading was captured.

If intervals are turned on, the timer icon counts down to the next automatic measurement.

Configure NIBP alarms

1. Verify that you are using the Intervals profile, which contains the Alarms tab.

2. Touch the Alarms tab.

3. Touch the NIBP vertical tab.

4. Using either the keypad or ▲ or ▼, enter the desired upper and lower alarm limits for systolic and diastolic measurements, and MAP calculation.

5. Touch the Home tab. The new alarm settings display in the Alarm Limit control button.

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Directions for use

Temperature

Configure temperature alarms

You must be in the Intervals profile to set alarm limits.

1. Touch the Alarms tab.

2. Touch the Temperature vertical tab.

3. Using either the keypad or ▲ or ▼, enter the desired upper and lower alarm limits.

4. Touch the Home tab. The new alarm settings appear in the Alarm Limit control button.

General temperature warnings and cautions

WARNING Patient injury risk: The decision to use this device with children, or pregnant or nursing women is at the discretion of the trained clinician using the equipment.

Patient monitoring 63

Temperature frame

From the temperature frame you can measure patient temperature.

WARNING Inaccurate measurement risk. To ensure optimal accuracy, always confirm that the correct mode and site are selected.

WARNING Patient injury risk. Do not exceed the recommended temperature measurement durations in Direct mode. Continuous measurement durations of 3 minutes at the oral and rectal sites and 5 minutes at the axillary site are recommended for accurate measurement. Do not continuously measure beyond 10 minutes in any mode.

WARNING Patient injury risk. Always take a temperature measurement with a single-use probe cover securely attached. Failure to use a probe cover can cause patient cross-contamination and inaccurate temperature readings.

WARNING Patient injury risk. Always remain with patient while measuring temperature.

WARNING Patient injury risk. Inaccurate measurement risk. Do not use the thermometer if you notice any signs of damage to the probe or the instrument. If the thermometer probe is dropped or damaged, remove it from service and have it inspected by a qualified service person.

Located in the lower right corner of the Home tab, the temperature frame contains data and features relevant to temperature measurement. The frame provides different features based on the profile you are using.

Temperature measurement display

In all profiles, the frame displays the temperature in Celsius and Fahrenheit. You can configure the default view in Advanced settings.

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Site selection

Remove the temperature probe and touch the Temperature site control to toggle between sites.

Icon Description

Pediatric axillary

Adult axillary

Oral

Rectal. Monitors configured with the temperature module and the red rectal probe well and probe default to the rectal mode.

Ear mode. The monitor displays the ear mode when it receives a temperature measurement from the ear thermometer.

If a rectal probe is used, The rectal icon appears in the temperature brick and the Site Selection feature is not available.

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Directions for use Patient monitoring 65

Temperature buttons

The buttons on the right side of the frame enable you to perform different tasks, depending on the profile you are using. The profile you choose determines which functions are available.

Icon Button name Description

Temperature alarm Displays alarm limits and status.

Touch the button to display the Alarms tab.

Direct mode Touch the button to enter Direct mode.

SureTemp® Plus temperature module

The temperature module uses a thermistor thermometer design and a predictive algorithm to calculate patient temperatures in the Predictive mode.

WARNING Patient injury risk. Inaccurate measurement risk. Oral/axillary probes (blue ejection button at top of probe) and blue removable probe wells are used for taking oral and axillary temperatures only. Rectal probes (red ejection button) and red removable probe wells are used for taking rectal temperatures only. Use of the incorrect removable probe well could result in patient cross-contamination. Use of the probe at the wrong site will result in temperature errors.

WARNING Patient injury risk. When taking rectal temperatures, insert the probe tip a maximum of 5/8 inch (approximately 1.5 cm) inside the rectum of adults and a maximum of 3/8 inch (approximately 1 cm) inside the rectum of children to avoid the risk of bowel perforation.

WARNING Inaccurate measurement risk. Always take an axillary temperature with direct contact between the probe cover and the skin. Carefully place the probe in the axilla, avoiding contact with other objects or material.

WARNING Patient injury risk. Always take a temperature measurement with a Welch Allyn single-use probe cover securely attached. Failure to use a probe cover can cause patient discomfort from a heated probe, patient cross-contamination, and inaccurate temperature readings.

WARNING Inaccurate measurement risk. To ensure optimal accuracy, always confirm that the correct mode and site are selected.

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WARNING Never use a damaged temperature probe. The thermometer consists of high-quality precision parts and should be protected from severe impact or shock. Do not use the thermometer if you notice any signs of damage to the probe or monitor. If the thermometer probe is dropped or damaged, remove it from use and have it inspected by qualified service personnel.

WARNING Inaccurate measurement risk. For rectal measurements, apply a thin layer of lubricant to probe cover, if necessary, for patient comfort. Use of excessive lubricant may affect reading accuracy.

CAUTION Inaccurate measurement risk. Patient activities such as strenuous exercise, ingesting hot or cold liquids, eating, chewing gum or mints, brushing teeth, or smoking may affect oral temperature measurements for up to 20 minutes.

CAUTION Inaccurate measurement risk. Always use new probe covers taken from the monitor's probe cover box holder to ensure accurate temperature measurements. Probe covers taken from other places or that haven't stabilized in temperature may result in inaccurate temperature measurements.

CAUTION Probe covers are disposable, nonsterilized, and single-use. Probes are also nonsterilized. Do not autoclave probes and probe covers. Ensure that probe covers are disposed of according to facility requirements or local regulations.

Temperature mode selection

The monitor with the temperature module takes a patient temperature in either Predictive (Normal) or Direct mode. The default setting is the Predictive mode.

Predictive mode

WARNING Inaccurate measurement risk. To ensure optimal accuracy,

always confirm that the correct mode and site are selected.

Predictive mode is a one-time measurement that takes a temperature in approximately 6-15 seconds. Removing the probe from the probe well, loading a probe cover, and holding the probe tip in place at the measurement site initiates a Predictive mode measurement. The monitor sounds a tone to indicate the end of a predictive measurement.

Direct mode

Direct mode provides continual temperature measurements. For oral and rectal measurements, it is recommended to measure temperature until the temperature stabilizes or for 3 minutes. For axillary measurements, it is recommended to measure temperature until the temperature stabilizes or for 5 minutes. The monitor changes to Direct mode approximately 60 seconds after the probe is removed from the probe well.

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CAUTION The monitor does not retain Direct mode temperatures in memory unless there is a physiological temperature alarm condition. If there is a physiological temperature alarm condition, the monitor automatically saves the measurement in the patient record. For temperature measurements that are within normal range, it is important to note the temperature before removing the thermometer probe from the measurement site and then manually record it in the patient record. Once the temperature probe is returned to the well, the temperature measurement is removed from the Home tab

After 10 minutes of using the Direct mode, the monitor stops updating the measurement, generates a technical alarm condition, and clears the measurement.

Take a temperature in the Predictive mode

WARNING Inaccurate measurement risk. To ensure optimal accuracy,

always confirm that the correct mode and site are selected.

1. Remove the temperature probe from the probe well. The monitor sounds a tone as it enters the ready state.

2. Insert the probe into a new probe cover and press the probe handle down firmly.

3. Touch Temperature site control to select the measurement site: oral, pediatric axillary, or adult axillary.

4. Hold the probe tip in place at the measurement site. While the measurement is being obtained, the temperature frame displays the

process indicator. The monitor sounds a tone when the final temperature is obtained (in approximately 6 to 15 seconds). The temperature frame continues to display the temperature in degrees Fahrenheit and degrees Celsius even after the probe is returned to the probe well.

5. To switch to the Direct mode, touch Direct mode after you acquire the Predictive mode measurement. The temperature frame in the lower-left corner changes to "MODE: Direct..." as it switches to Direct mode.

The monitor sounds a tone at the start of a Direct mode measurement.

Take a temperature in the Direct mode

Direct mode displays the temperature of the probe as long as the probe tip remains in place at the measurement site and remains within the operating patient temperature range. The patient’s temperature will reach final equilibrium in approximately 3 minutes at the oral and rectal measurement sites and approximately 5 minutes at the axillary site.

The monitor enters Direct mode by the following methods.

After you complete a Predictive mode measurement, touch to change from

• Predictive to Direct mode. The temperature frame in the lower-left corner changes to "MODE: Direct..." as it switches to the Direct mode.

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• Remove the probe from the probe well, load a probe cover, select a temperature site, and expose the probe to ambient air for more than 60 seconds. The temperature frame changes to "MODE: Direct...".

• If you have a patient whose body temperature is below the normal temperature range and you follow the previous step, the probe sensor identifies this condition and turns off the probe preheater in order to accommodate the lower body temperature measurement.

WARNING Inaccurate measurement risk. To ensure optimal accuracy, always confirm that the correct mode and site are selected.

1. Remove the temperature probe from the probe well. The monitor sounds a tone as it enters the ready state.

2. Insert the probe into a new probe cover and press the probe handle down firmly.

3. Touch Temperature site control to choose from the measurement site: oral, pediatric axillary, or adult axillary.

The temperature frame changes to Direct mode approximately 60 seconds after the probe is removed from the probe well.

The monitor sounds a tone to indicate the start of a Direct mode measurement.

4. Hold the probe tip in place at the oral or rectal measurement site for a total of 3 minutes and at the axillary site for 5 minutes.

5. While the measurements are being obtained, the temperature frame displays the patient's continuous temperature measurements in degrees Fahrenheit and degrees Celsius.

Note The monitor does not retain Direct mode temperatures in

memory. Therefore, it is important to note the temperature before removing the probe from the measurement site and then manually record it in the patient record.

6. Remove the probe after the temperature measurement is obtained and firmly press the eject button on the top of the probe to release the probe cover.

7. Return the probe to the probe well to continue taking temperatures in the Predictive mode.

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Directions for use Patient monitoring 69

Take a temperature at the rectal site

WARNING Patient injury risk. When taking rectal temperatures, insert the

probe tip only 5/8 inch (approximately 1.5 cm) inside the rectum of adults and only 3/8 inch (approximately 1 cm) inside the rectum of children to avoid the risk of bowel perforation.

WARNING Cross-contamination or nosocomial infection risk. Thorough hand-washing greatly reduces the risk of cross-contamination and nosocomial infection.

WARNING Inaccurate measurement risk. To ensure optimal accuracy, always confirm that the correct mode and site are selected.

1. Remove the rectal temperature probe from the rectal probe well. The monitor sounds a tone as it enters the ready state. The Temperature Site

Control defaults to the rectal site.

2. Insert the rectal probe into a new probe cover and press the probe handle down firmly.

3. Perform a rectal temperature measurement using medical best practices. While the measurement is taking place, the temperature frame displays the process indicator.

4. The monitor sounds a tone when the final temperature is reached (in approximately 10 to 13 seconds). The temperature frame continues to display the temperature in degrees Fahrenheit and degrees Celsius even after the probe is returned to the probe well.

Note To switch to the Direct mode, touch Direct mode after the

Predictive mode measurement is acquired. The temperature frame (in the lower-left corner) changes to "MODE: Direct..." as it switches to the Direct mode. The monitor sounds a tone to indicate the start of a Direct measurement.

Note The monitor does not retain Direct mode temperatures in

memory. Therefore, it is important to note the temperature before removing the probe from the measurement site and then manually record it in the patient record.

5. Remove the probe after the temperature measurement is complete and firmly press the eject button on the top of the probe to release the probe cover.

6. Return the probe to the probe well.

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Braun ThermoScan® PRO 6000 thermometer

The Braun ThermoScan Pro 6000 thermometer enables you to transfer an ear temperature measurement to the monitor.

Read the thermometer manufacturer's directions for use before attempting to configure, use, troubleshoot, or maintain the thermometer.

WARNING Liquids can damage electronics inside the thermometer. Prevent liquids from spilling on the thermometer. If liquids are spilled on the thermometer, dry off the thermometer with a clean cloth. Check for proper operation and accuracy. If liquids possibly entered the thermometer, remove the thermometer from use until it has been properly dried, inspected, and tested by qualified service personnel.

CAUTION Probe covers are disposable, nonsterilized, and single-use. The thermometer is also nonsterilized. Do not autoclave the thermometer and probe covers. Ensure that probe covers are disposed of according to facility requirements or local regulations.

CAUTION The thermometer has no user-serviceable parts. If service is required, call your nearest Welch Allyn Customer Service or Technical Support facility.

CAUTION Store the thermometer and probe covers in a dry location, free from dust and contamination and away from direct sunlight. Keep the ambient temperature at the storage location fairly constant and within the range of 50°F to 104°F (10°C to 40°C).

Take a temperature at the ear site

WARNING Probe covers are single-use only. Re-use of a probe cover may

result in spread of bacteria and cross-contamination.

WARNING Inaccurate measurement risk. Use only Braun ThermoScan probe covers with this thermometer.

WARNING Inaccurate measurement risk. Frequently inspect the probe window and keep it clean, dry, and undamaged. Fingerprints, cerumen, dust, and other contaminants reduce the transparency of the window and result in lower temperature measurements. To protect the window, always keep the thermometer in the accessory dock when the thermometer is not in use.

CAUTION Inaccurate measurement risk. Before taking a temperature measurement, make sure that the ear is free from obstructions and excess cerumen build-up.

CAUTION Inaccurate measurement risk. The following factors can affect ear temperature measurements for up to 20 minutes:

• The patient was lying on his or her ear.

• The patient's ear was covered.

• The patient was exposed to very hot or very cold temperatures.

• The patient was swimming or bathing.

• The patient was wearing a hearing aid or an ear plug.

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Patient monitoring 71

CAUTION Inaccurate measurement risk. If ear drops or other ear medications have been placed in one ear canal, take the temperature in the untreated ear.

Note A temperature measurement taken in the right ear might differ from a

measurement taken in the left ear. Therefore, always take the temperature in the same ear.

Note When the monitor receives an ear temperature measurement, it displays

the measurement on the Home tab. If the Home tab already contains a temperature measurement, the new measurement overwrites it.

To take a measurement and transfer it to the monitor:

1. Make sure that the monitor is powered on.

2. Remove the ear thermometer from the accessory dock.

3. Locate the probe cover box in the accessory dock.

4. Firmly push the probe tip into the probe cover box. When the probe cover is in place, the thermometer turns on automatically.

5. Wait for the ready beep and three dashes to appear on the thermometer display.

6. Fit the probe snugly into the ear canal and then push and release Start.

• If the probe is positioned correctly in the ear canal the ExacTemp light flashes.

When the thermometer detects an accurate measurement, the ExacTemp light is continuously on, a long beep signals the end of the measurement, and the display shows the result.

• If the probe is positioned incorrectly in the ear canal or is moved during the

measuring process, the ExacTemp light goes out, a sequence of short beeps sounds, and the error message POS (position error) appears.

7. When you are finished taking the temperature, press the ejector button to eject the used probe cover.

8. Return the thermometer to the accessory dock. The LED on the dock flashes while the measurement is being transferred.

After the transfer is complete, the temperature and the temperature scale appear on the Home tab according to the monitor settings.

Note Only the latest measurement is transferred to the monitor.

Note Measurements that have already been transferred to the

monitor cannot be transferred again.

For more information about thermometer functionality, refer to the thermometer manufacturer's directions for use.

Change the temperature scale on the ear thermometer

Refer to the thermometer manufacturer's directions for use to change between Celsius and Fahrenheit.

Charge the ear thermometer battery

To charge the battery pack:

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Patient monitoring Connex® Spot Monitor

1. Place the thermometer in the accessory dock.

2. Make sure that the monitor is connected to AC power.

3. Make sure that the monitor is powered on.

The LED on the dock indicates the charging status of the battery pack:

• Orange: The battery pack is charging.

• Green: The battery pack is charged.

• Not illuminated: The battery pack is not charging.

Note The battery pack continues to charge while the monitor is in Display power

saving mode.

Note It is strongly recommended that you use only the Welch Allyn rechargeable

battery pack in the thermometer because the dock cannot charge other batteries.

SpO2

SpO2 and pulse rate monitoring continuously measures functional oxygen saturation of arteriolar hemoglobin as well as the pulse rate in a patient through a pulse oximeter. SpO2 measurements are updated each second ± 0.5 seconds.

The SpO2 sensors provided by Nonin, Masimo, and Nellcor for use with the monitor have been tested for biocompatibility in accordance with ISO 10993.

SpO2 frame

The SpO2 frame displays data and the controls used in pulse oximetry measurements.

The frame provides a numeric view and a waveform view of SpO2 data. You can toggle between views by touching the left side of the frame.

The SpO2 frame remains blank if no SpO2 measurement has been acquired.

SpO2 numeric view

The numeric view indicates the SpO2 saturation percentage and the pulse amplitude. Features of this view differ, based on the type of sensor enabled and the profile selected.

The SpO2 saturation percentage ranges between zero and 100. The SpO2 reading is updated each second +/- 0.5 seconds.

Pulse amplitude

The pulse amplitude bar, shown when you are in the Spot profile, indicates the pulse beat and shows the relative pulse strength. More bars illuminate as the detected pulse gets stronger.

Level of perfusion

The level of perfusion (LofP) is a relative reading of pulse strength at the monitoring site. The LofP is a numerical value that indicates the strength of the infrared (IR) signal returning from the monitoring site. The LofP display ranges from .02 percent (very weak pulse strength) to 20 percent (very strong pulse strength). The LofP is a relative number

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Directions for use Patient monitoring 73

and varies between monitoring sites and from patient to patient, as physiological conditions vary.

Masimo displays the LofP as a numeric value and refers to it as Perfusion Index. Nonin displays the LofP as a color value (yellow or red) only when the LofP is low, based on the sensor's algorithm.

During sensor placement, the LofP can be used to evaluate the appropriateness of an application site by looking for the site with the highest LofP number. Placing the sensor at the site with the strongest pulse amplitude (the highest LofP number) improves performance during motion. Monitor the trend of the LofP for changes in physiological conditions.

SatSeconds™ alarm management

The SatSeconds feature is an SpO2 alarm management system available only with monitors that are equipped with NellcorTM SpO2 OxiMaxTM Technology.

The SatSeconds feature is the product of the time and magnitude that a patient falls outside of the SpO2 alarm limits. For example, three points below the alarm limit for 10 seconds equals 30 SatSeconds. An alarm is triggered only when a desaturation event reaches the SatSeconds limit. The SatSeconds feature is clinician controlled and can be set to 0, 10, 25, 50, or 100 SatSeconds. If a desaturation event resolves on its own within the preset time, the clock will automatically reset and the monitor will not alarm.

Note The SatSeconds feature has a built-in safety protocol that sounds an alarm

whenever three SpO2 violations of any amount or duration occur within a 1-minute period.

Interval SpO2 measurement

You must be in either the Intervals or Office profile to set intervals. Refer to the “Intervals” section for directions on setting intervals. For a description of the effect on displayed and transmitted SpO2 pulse rate values, refer to the SpO2 manufacture's directions for use.

Measure SpO2 and pulse rate

The SpO2 sensor measures oxygen saturation and pulse rate. Oxygen saturation is displayed as a percentage from zero (0) to 100%. The oxygen saturation and pulse rate are updated and refreshed each second, ± 0.05 seconds.

WARNING Inaccurate measurement risk. Use only Masimo sensors and accessories on Masimo-equipped monitors.

WARNING Inaccurate measurement risk. Use only Nellcor sensors and accessories on Nellcor-equipped monitors.

WARNING Inaccurate measurement risk. Severe anemia may cause erroneous SpO2 readings.

WARNING Inaccurate measurement risk. The pulse oximeter can be used during defibrillation, but the readings may be inaccurate for up to 20 seconds.

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74 Patient monitoring Connex® Spot Monitor

WARNING Inaccurate measurement risk. Misapplied sensors or sensors that become partially dislodged may cause either over or under reading of actual arterial oxygen saturation.

WARNING Inaccurate measurement risk. Venous congestion may cause under reading of actual arterial oxygen saturation. Therefore, assure proper venous outflow from monitored site. Sensor should not be below heart level (e.g. sensor on hand of a patient in a bed with arm dangling to the floor).

WARNING Inaccurate measurement risk. Use only Nonin sensors and accessories on Nonin-equipped monitors.

WARNING The pulsations from intra-aortic balloon support can increase the pulse rate displayed on the monitor. Verify the patient's pulse rate against the ECG heart rate.

WARNING Patient injury risk. Do not attempt to reprocess, recondition, or recycle any sensors or patient cables. Doing so might damage electrical components.

WARNING Patient injury risk. The pulse oximeter is NOT intended for use as an apnea monitor.

WARNING Patient injury risk. To avoid cross contamination only use Masimo single use sensors on the same patient.

WARNING Patient injury risk. Do not use tape to secure the sensor to the site; this can restrict blood flow and cause inaccurate readings. Use of additional tape can cause skin damage or damage the sensor.

WARNING Unless otherwise specified, do not sterilize sensors or patient cables by irradiation, steam, autoclave or ethylene oxide. See the cleaning instructions in the Directions for use for the Masimo re-useable sensors.

WARNING Patient injury risk. Loss of pulse signal can occur when the patient has severe anemia or hypothermia.

WARNING SpO2 is empirically calibrated in healthy adult volunteers with normal levels of carboxyhemoglobin (COHb) and methemoglobin (MetHb).

WARNING High-intensity extreme lights, such as pulsating strobe lights, directed on the sensor may not allow the pulse oximeter to obtain vital sign readings.

WARNING Pulse rate measurement might not detect certain arrhythmias because it is based on the optical detection of a peripheral flow pulse. Do not use the pulse oximeter as a replacement or substitute for ECG-based arrhythmia analysis.

WARNING Use the pulse oximeter as an early warning device. As you observe a trend toward patient hypoxemia, use laboratory instruments to analyze blood samples to better understand the patient's condition.

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Directions for use Patient monitoring 75

WARNING The accuracy of SpO2 measurements can be affected by any of the following:

• elevated levels of total bilirubin

• elevated levels of Methemoglobin (MetHb)

• elevated levels of Carboxyhemoglobin (COHb)

• hemoglobin synthesis disorders

• low perfusion at the monitored site

• the presence of concentrations of some intravascular dyes, sufficient to change the patient's usual arterial pigmentation

• patient movement

• patient conditions such as shivering and smoke inhalation

• motion artifact

• painted nails

• poor oxygen perfusion

• hypotension or hypertension

• severe vasoconstriction

• shock or cardiac arrest

• venous pulsations or sudden and significant changes in pulse rate

• proximity to an MRI environment

• moisture in the sensor

• excessive ambient light, especially fluorescent

• the use of the wrong sensor

• a sensor applied too tightly

CAUTION If using pulse oximetry during full body irradiation, keep the sensor out of the irradiation field. If the sensor is exposed to the irradiation, the reading might be inaccurate or the unit might read zero for the duration of the active irradiation period.

CAUTION The instrument must be configured to match your local power line frequency to allow for the cancelation of noise introduced by fluorescent lights and other sources.

CAUTION Exercise caution when applying a sensor to a site with compromised skin integrity. Applying tape or pressure to such a site may reduce circulation and/or cause further skin deterioration.

CAUTION If the Low Perfusion message is frequently displayed, find a better perfused monitoring site. In the interim, assess the patient and, if indicated, verify oxygenation status through other means.

CAUTION Circulation distal to the sensor site should be checked routinely.

CAUTION Do not modify or alter the sensor in any way. Alterations or

modification may affect performance and/or accuracy.

1. Verify that the sensor cable is connected to the monitor.

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Patient monitoring Connex® Spot Monitor

WARNING Patient injury risk. The sensor and extension cable are intended only for connection to pulse oximetry equipment. Do not attempt to connect these cables to a PC or any similar device. Always follow the sensor manufacturer's directions for care and use of the sensor.

2. Clean the application site. Remove anything, such as nail polish, that could interfere with sensor operation.

Note Do not use disposable sensors on patients who have allergic

reactions to the adhesive.

3. Attach the sensor to the patient according to the manufacturer's directions for use, observing all warnings and cautions.

Note If a sterile sensor is required, select a sensor that has been

validated for sterilization, and follow the sensor manufacturer's directions for sterilizing the sensor.

Place the sensor and the NIBP cuff on different limbs to reduce unnecessary alarms when you monitor these parameters at the same time.

Note Consult the sensor manufacturer's instructions for selecting

4. Confirm that the monitor displays SpO2 and pulse rate data within 6 seconds after connecting the sensor to the patient.

While SpO2 is being measured, the displayed pulse rate is acquired from the sensor. If SpO2 is not available, the pulse rate is acquired from NIBP. The monitor identifies SpO2 or NIBP as the pulse rate source.

An alarm sounds If you detach the sensor during a measurement in intervals mode.

If SpO2 is being measured continuously on a patient for an extended period, change the sensor location at least every three hours or as indicated by the sensor manufacturer's instructions.

Pulse rate frame

The pulse rate frame is located in the upper right of the Home tab. The pulse rate frame displays data, information, and the controls used in reading pulse rates.

the correct sensor.

WARNING Patient injury risk. Incorrect sensor application or excessive duration of sensor use can cause tissue damage. Inspect the sensor site periodically as directed in the sensor manufacturer's instructions.

Typically, the pulse rate is derived from the SpO2 sensor. If SpO2 is not available, the pulse rate is derived from NIBP or manually obtained.

The source of the pulse rate is displayed beneath the numeric representation of the pulse rate.

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Directions for use

Configure pulse rate alarms

You must be in the Intervals profile to configure the pulse rate alarms.

1. Touch the Alarms tab.

2. Touch the Pulse rate vertical tab.

3. Using either the keypad or ▲ or ▼, enter the desired upper and lower alarm limits.

4. Touch the Home tab. The new alarm settings appear in the Pulse Rate Alarm Limit control button.

SpO2 alarms

SpO2 alarm signal delays

Alarm signal delays are built into the system and are not accessible by clinicians.

Patient monitoring 77

The lower range of signal delays is 50–98%. The upper range of signal delays is 52– 100%.

Refer to the SpO2 manufacturer's directions for use for additional information on alarm signal delays.

Configure SpO2 alarms

Verify that you are using the Intervals profile, which contains the Alarms tab.

2. Touch the Alarms tab.

3. Touch the SpO2 vertical tab.

4. Using the keypad or ▲ or ▼, enter the desired upper and lower alarms limits.

5. Touch the Home tab. The new alarm settings appear in the Alarm Limit control button.

Modifiers and manual parameters

Modifiers enable you to save additional information for the measurements for a specific patient:

•

Standard modifiers are the same on all devices

• Custom modifiers are specific to a facility or a unit; custom modifiers are set up during the initial configuration requested by your facility.

Manual parameters are core measurements that you can enter physically on the monitor, such as height, weight, temperature, and pain.

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Patient monitoring Connex® Spot Monitor

Enter manual parameters

CAUTION Weight scales attached to this monitor must be running on battery power (battery type is specified in the weight scale manufacturer's directions for use). Do not use the weight scale's external power supply.

Note If an approved, battery-powered weight scale is attached to the monitor,

measurements from the weight scale populate fields in the Manual parameter section. You can adjust weight and height measurements in this section. BMI will remain the same until you return to the Home screen.

Note Ensure that the current patient ID is correct before saving.

Note Authorized personnel can select and configure Manual parameters with the

online configuration tool. Only five parameter types appear in Manual parameters.

1. On the Home tab, touch the parameter desired.

2. Using either the keypad or ▲ or ▼, manually enter information for the parameter chosen.

Note Ensure that the current patient ID is correct before saving.

3. Touch OK on the numeric keypad to capture the parameter that you entered.

4. Touch Next to return to the Home tab.

5. Touch Save to save the data.

Note During intervals, each automatic and manual save of patient measurements

clears all measurements from the Manual parameters frame.

Configuration tool

The configuration tool is a web-based tool on the Welch Allyn website. The configuration tool enables you to set the device settings for your facility. For more information, visit the Connex Spot Monitor page on the Welch Allyn website.

Custom scoring

WARNING Risk to patient safety. Custom scores and messages serve as guides to your facility's protocols; do not substitute custom scores for patient physiological alarms. Appropriate alarms settings must be set and maintained to ensure patient safety.

Custom scoring is defined through the Configuration tool on the Welch Allyn web site. The order in which the custom score parameters are entered in the Configuration tool is the order in which they will appear in the custom scoring.

Custom scoring enables you to configure specific parameters, based on your institution’s practice standards, that calculate scores for patient monitoring. These scores generate messages regarding the patient status, based on the parameters chosen. These messages are provided only as reminders.

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Directions for use Patient monitoring 79

Advanced settings

Consult the Connex Spot Monitor Service manual for Advanced settings.

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80 Patient monitoring Connex® Spot Monitor

Page 87

Maintenance and service

Perform periodic checks

1. Verify the following at least daily.

• The audio speaker tone, especially at startup

• The touchscreen alignment

• The date

• The time

2. Visually inspect the following at least weekly.

• The monitor for any damage or contamination

• All cables, cords, and connector ends for damage or contamination

• All mechanical parts, including covers, for integrity

• All safety-related labeling for legibility and adhesion to the monitor

• All accessories (cuffs, tubing, probes, sensors) for wear or damage

• Documentation for current revision of the monitor

3. Visually inspect the following at least monthly

• The mobile stand wheels for wear and faulty operation

• The mounting screws on wall units or carts for looseness and wear

Update settings, replace items, or call for service as necessary, based on results from a visual inspection. Do not use the monitor if you see any signs of damage. Qualified service personnel must check any monitor that is damaged for proper operation before putting the monitor back into operation.

Replace the monitor battery

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82 Maintenance and service Connex® Spot Monitor

1. Set the monitor on a flat surface with the screen facing downward to access the battery cover.

2. Locate the battery cover, indicated by .

3. Using a double-slotted screwdriver, loosen the captive screw at the base of the battery cover, and then remove the cover.

4. Remove the old battery from the battery compartment.

5. Disconnect the battery connector from the battery connection port on the monitor.

6. Insert the battery connector for the new battery into the battery connection port on the monitor.

7. Insert the new battery into the battery compartment.

8. Replace the battery cover, and then tighten the captive screw at the bottom of the battery cover.

Note Do not overtighten the screw.

Replace the APM work surface battery

Before removing the APM work surface battery, power down the monitor and disconnect the power cord from the mains outlet.

Note You do not have to remove the APM work surface from the stand to

remove the APM work surface battery.

1. Loosen the captive screw on the bottom of the APM work surface that secures the battery cover.

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Directions for use Maintenance and service 83

2. Remove the battery cover and put it aside.

3. Gently lift the latch with one hand and pull the tab on the top of the battery with your other hand to remove the battery from its slot.

4. Slide the new battery into the slot.

Note Ensure that the tab is facing you on the top of the battery.

5. Replace the battery cover and tighten the captive screw on the bottom of the APM work surface.

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Maintenance and service Connex® Spot Monitor

Cleaning requirements

This section presents procedures for cleaning the Connex Spot Monitor (including the monitor, stand, APM work surface, accessories, and accessory basket and bins).

Welch Allyn has validated these instructions to be capable of preparing your Connex Spot Monitor devices and above accessories for re-use. Clean on a routine basis according to your facility's protocols and standards or local regulations. If the monitor is on, lock the display.

WARNING Patient injury risk. Clean all accessories, including cables and tubes, before storing the accessories on the device or stand. This helps reduce the risk of cross contamination and nosocomial infection.

WARNING Electric shock hazard. Before cleaning the monitor, disconnect the AC power cord from the mains outlet and the power source.

WARNING Electric shock hazard. DO NOT immerse or autoclave the monitor or accessories. The monitor and the accessories are not heatresistant.

WARNING Liquids can damage electronics inside the monitor. Prevent liquids from spilling on the monitor.

CAUTION Do not sterilize the monitor. Sterilizing the monitor could harm the device.

If liquids are spilled on the monitor:

Power down the monitor.

2. Disconnect the power cord from the mains outlet and the power source.

3. Remove battery pack from the monitor.

4. Dry off excess liquid from the monitor. Note If liquids possibly entered the monitor, remove the monitor

from use until it has been properly dried, inspected, and tested by qualified service personnel.

5. Reinstall battery pack.

6. Reconnect the power cord.

7. Power on the monitor and verify that the monitor functions normally before using it.

Prepare to clean the equipment

CAUTION Some cleaning agents are not appropriate for all components of the device. Use only approved cleaning agents, and observe restrictions noted for some components in the following table. Using unapproved cleaning agents may cause damage to components.

CAUTION Do not use bleach solutions of any kind when cleaning metal electrical contacts. They will damage the device.

Select a cleaning agent from the following table.

Section 1. Approved for all Connex Spot Monitor components

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Directions for use Maintenance and service 85

Cleaning agent Additional information

Accel INTERVention

Accel TB

CaviWipes

Clinell® Universal Wipes

Oxiver TB

Sani-Cloth® Plus

Super Sani-Cloth

70 percent isopropyl alcohol solution Applied to a clean cloth

Section 2. Not approved for all Connex Spot Monitor components

Note The following cleaning agents are NOT approved for cleaning Connex Spot

Monitors equipped with the Braun ThermoScan PRO 6000

Cleaning agent Additional information

Cleancide

Clorox HealthCare Bleach Germicidal Cleaner

Sani-Cloth® Bleach

Super HDQ® L10

Tuffie5 Cleaning Wipes

Virex II (256) Dilution rate of ½ oz per gallon of water (1:256) applied to a

Not approved for cleaning the display

Dilution rate of ½ oz per gallon of water (1:256) applied to a clean cloth

clean cloth

10 percent bleach solution (.5% - 1% sodium hypochlorite) applied to a clean cloth

Remove liquid spills from the monitor

Liquids can damage electronics inside the monitor. Follow these steps if liquids spill on the monitor.

Power down the monitor.

2. Disconnect the power cord from the mains outlet and the power source.

3. Remove battery pack from the monitor.

4. Dry excess liquid from the monitor.

5. Reinstall battery pack.

6. Reconnect the power cord.

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Maintenance and service Connex® Spot Monitor

7. Power on the monitor and verify that the monitor functions normally before using it.

If liquids possibly entered the monitor, remove the monitor from use until it has been properly dried, inspected, and tested by qualified service personnel.

Clean the equipment

The screen lock blocks the display of patient information and prevents any input, which may be useful when cleaning the display.

Follow the cleaning agent manufacturer's instructions to prepare solution, if applicable, and clean all exposed surfaces of the monitor, APM work surface, accessory bin(s) and basket, cords and cables, and stand. Wipe all surfaces until no visible soil remains. Change the wipe or cloth throughout the cleaning procedure as needed.

1. Disconnect the AC power cord from the mains outlet.

2. Wipe the top of the monitor.

3. Wipe the sides, front, and rear of the monitor.

4. Avoid residual film buildup on the LCD screen. After cleaning and disinfecting, wipe the LCD screen with a clean cloth dampened with water, and then wipe the screen dry with a dry clean cloth.

5. Wipe the bottom of monitor.

6. Wipe the APM work surface.

7. Wipe the accessory bins or basket.

8. Wipe the AC power cord and the APM work surface power/USB cable assembly.

9. Wipe the stand from top to bottom.

Dry the equipment

1. Allow all components except the LCD screen to air dry.

2. Wipe the LCD screen dry with a clean cloth.

Store the device

CAUTION Sterlizing the monitor could damage the device.

Store the device according to facility guidelines to keep the device clean, dry, and ready for service.

Cleaning accessories

Accessories include components like blood pressure cuffs and hoses, SpO2 sensors and cables, thermometers, and the barcode scanner. Follow accessory manufacturer’s instructions for cleaning and disinfection.

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Directions for use Maintenance and service 87

For cleaning the wallboard and VESA mount use only 70 percent isopropyl alcohol solution applied to a clean cloth.

For the Braun ThermoScan PRO 6000 thermometer, use only the approved cleaning agents published in the manufacturer's instructions for cleaning. Unapproved cleaning agents can damage the device and interfere with data transmission.

Clean the Braun ThermoScan PRO 6000 contacts

Debris that accumulates on the Braun ThermoScan PRO 6000 electrical contacts can interfere with data transmission. Welch Allyn recommends cleaning the contacts on the thermometer and the dock once every 4 months to maintain optimal performance.

CAUTION Do not use bleach solutions of any kind when cleaning metal electrical contacts. They will damage the device.

1. Slightly dampen a cotton swab with 70% isopropyl alcohol.

2. Remove the thermometer from the dock and clean the metal electrical contacts on the thermometer with the cotton swab.

3. Place the thermometer aside for 1 minute, allowing the contacts to air dry.

4. Clean the metal electrical contacts on the device dock with the cotton swab.

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88 Maintenance and service Connex® Spot Monitor

5. Allow the contacts to air dry for 1 minute.

6. Optional step to improve performance: On the dock only, apply DeoxIT Gold® to the tip of each electrical contact. Do not apply DeoxIT Gold to the thermometer.

No drying time is required.

7. Return the Braun thermometer to the dock.

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Troubleshooting

This section presents tables of technical alarm and information messages, as well as problem descriptions that do not generate messages, to help you troubleshoot issues on the monitor.

Note Problem descriptions without messages appear at the end of this section.

When the monitor detects certain events, a message appears in the Device Status area at the top of the screen. Below are the message types.

• Information messages, which appear on a blue background.

• Very low-priority alarms, which appear on a cyan background.

• Low- and medium-priority alarms, which appear on an amber background.

• High-priority alarms, which appear on a red background.

Technical alarm messages are low or very low priority unless noted in the Message column.

Alarm logs are not viewable by clinicians. However, all logs are transferred to Welch Allyn on a regularly scheduled basis. In the event of an unplanned power failure, all information, including device logs and patient data, are retained on the system.

You can dismiss a message by touching the message on the screen or, for some messages, you can wait for the message to time out.

To use these tables, locate the message that displays on the monitor in the left column of the table. The remainder of the row explains possible causes and suggests actions that can resolve the issue.

Note Instructions to "Call for service" in the following tables mean that you

NIBP messages

Message Possible cause Suggested action Alarm priority

User cancelled NIBP reading.

NIBP not functional. 050002

should contact qualified service personnel in your facility to investigate the issue.

The NIBP measurement was cancelled by user

The NIBP measurement is not available

Clear the alarm and retry NIBP. Information

Internal malfunction. If the problem persists, replace the module.

Medium

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90 Troubleshooting Connex® Spot Monitor

Message Possible cause Suggested action Alarm priority

Unable to determine NIBP; check connections; limit patient movement. 050003

Unable to determine NIBP; check connections; limit patient movement. 050004

Unable to determine NIBP; check inflation settings. 050005

Unable to determine NIBP; check connections and tubing for kinks. 050006

Unable to determine NIBP; check connections; limit patient movement. 050007

Unable to determine NIBP; check connections; limit patient movement. 050008

The NIBP measurement may be inaccurate, patient motion occurred, or the settings for patient readings obtain might not be accurate

Excessive artifact, no blood pressure parameters could be calculated

Low inflation on blood pressure measurement attempt

The NIBP tubing has a kink, or there is a NIBP transducer calibration failure

The blood pressure measurement dumped too soon

There were not enough steps on the measurement attempt

Make sure the NIBP settings/patient mode is appropriate. If the problem persists, replace the module.

Unable to determine blood pressure. Check connections; restrict patient movement. If problem persists, replace module

Make sure the NIBP settings/patient mode is appropriate. If the problem persists, replace the module.

Internal malfunction. If the problem persists, replace the module.

Make sure the NIBP settings/patient mode is appropriate. If the problem persists, replace the module.

Unable to determine blood pressure. Check connections; restrict patient movement.

Medium

Unable to determine NIBP; check inflation settings. 050009

Unable to determine NIBP; check connections; limit patient movement. 05000A

Unable to determine NIBP; check inflation settings. 05000B

Unable to determine NIBP; check connections and tubing for kinks. 05000C

No display The safety check failed on the

Unable to determine NIBP; check connections; limit

There is invalid patient information for the selected mode

The re-inflation was too late on the measurement attempt

There were many re-inflate attempts on the measurement attempt

Couldn’t bleed pressure below safe venous return pressure

measurement attempt

The NIBP pressure is not stable and the transducer zero value cannot be set

Make sure the NIBP settings/patient mode is appropriate. If the problem persists, replace the module.

Unable to determine blood pressure. Check connections; restrict patient movement.

Unable to release cuff pressure. Check tubing for kinks and connection integrity.

Internal malfunction. If the problem persists, replace the module.

The NIBP pressure is not stable and the transducer zero value cannot be set. If problem persists, replace module.

Medium

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Directions for use Troubleshooting 91

Message Possible cause Suggested action Alarm priority

patient movement. 05000F

NIBP not functional. 050105

NIBP not functional. 050201

NIBP not functional. 050202

NIBP not functional. 050203

NIBP not functional. 050205

NIBP not functional. 050206

NIBP not functional. 050207

NIBP not functional. 050208

WACP message CRC mismatch on NIBP module

This message is not implemented by the NIBP module

This message is not supported by the NIBP module

The NIBP module has run out of memory

The NIBP module has received a invalid parameter

The parameter provided by the NIBP module is outside of the allowable range for the specified message

The NIBP module message requires an object, but did not contain one

The NIBP module object provided with the message could not be deserialized

Internal malfunction. If the problem persists, replace the module.

Very low

NIBP not functional. 050209

NIBP not functional. 05020A

NIBP not calibrated. 050503

NIBP not functional. 050504

NIBP not functional. 050505

NIBP not calibrated. Calibrate the module. 050509

The NIBP module object could not be serialized

The NIBP module message is performing a request or action when the module state prohibits the request or action.

Factory EEPROM checksum error on NIBP. Units internal configuration was corrupted

User EEPROM checksum error. Configuration data which can be set in the user's configuration menu was damaged or lost on NIBP

Post failure of A/D convertor Internal malfunction. If the problem

NIBP module calibration failure, the calibration signature is zero

Internal malfunction. If the problem persists, replace the module.

Calibrate the NIBP Module. If problem persists, replace module.

persists, replace the module.

Calibrate the NIBP module. Very low

Very low

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92 Troubleshooting Connex® Spot Monitor

Message Possible cause Suggested action Alarm priority

Invalid algorithm. Select correct algorithm and retry. 05050A

NIBP not functional. 050513

Invalid patient mode. Select correct patient mode and retry. 050514

NIBP not functional. 050515

NIBP not functional. 050516

Ambient temperature out of range. Clear error and retry. 050517

Low battery. Plug into outlet. 050518

Battery overcharged. Disconnect from outlet. 050519

Invalid NIBP Algorithm. NIBP component software tried to configure the sensor in an illegal manner

Invalid NIBP initiation code Internal malfunction. If the problem

Invalid patient mode on NIBP. The NIBP component software tried to configure the sensor in an illegal manner

Invalid module configuration for NIBP

NIBP module malfunction Internal malfunction. If the problem

Ambient temp out of range on NIBP

The NIBP module power rail is too low

The NIBP module power rail is too high.

Verify the algorithm. If the problem persists, replace the module.

persists, replace the module.

Verify correct patient mode. If the problem persists, replace the module.

Internal malfunction. If the problem persists, replace the module.

persists, replace the module.

Restore device to normal temperature ranges and try again.

Plug device into an AC outlet to charge the battery.

Battery is overcharged. Remove from charging source.

Very low

NIBP not calibrated. Calibrate the module. 050601

NIBP not functional. 050602

NIBP not calibrated. Calibrate the module. 050603

Cuff pressure limits exceeded. 050604

Premature auto cycle skipped. 050605

Cuff pressure too high. Clear error to retry. 050606

NIBP not functional. 050607

NIBP not functional. 050608

NIBP failed to load safety processors calibration record from EEPROM

NIBP safety processor failed ROM checksum

NIBP safety processor not calibrated, missing calibration signature

NIBP system failure. Overpressure Restrict patient movement. Medium

NIBP auto cycle skipped, SVRP requirement not satisfied

NIBP cuff pressure above SVRP for to long

NIBP cannot clear the failsafe alerts

NIBP safety processor has stopped responding

Calibrate the NIBP module. If the problem persists, replace the module.

Internal malfunction. If the problem persists, replace the module.

Calibrate the NIBP module. If the problem persists, replace the module.

Cuff pressure is not below safety return pressure long enough to allow a cycle to occur.

Verify cuff connections. If the problem persists, replace the module.

Internal malfunction. If the problem persists, replace the module.

Very low

Medium

Very low

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Directions for use Troubleshooting 93

Message Possible cause Suggested action Alarm priority

Stat mode requested too soon. Clear to retry. 050609

Unable to determine NIBP; check connections and tubing for kinks. 05060A

NIBP not calibrated. Calibrate the module. 05060B

NIBP not functional. 05060C

NIBP not functional. 05060D

NIBP not functional. 05060E

NIBP excessive stat mode time. The time between readings is less than one minute and the readings plus time between readings result in the device taking over 15 minutes to complete the averaging cycle.

NIBP transducers are not matched The transducer are above 5 mmHg

Factory EEPROM checksum error on NIBP. Units internal configuration was corrupted

NIBP command not implemented Internal malfunction. If the problem

NIBP wrong data count Internal malfunction. If the problem

NIBP data range error Internal malfunction. If the problem

Internal malfunction. If the problem persists, replace the module.

and the difference in pressure is greater than 40 mmHg. Check cuff for pinched or obstructed tubing. If the problem persists, replace the module.

Calibrate the NIBP module. If the problem persists, replace the module.

persists, replace the module.

Very low

Medium

Very low

NIBP not functional. 05060F

NIBP not functional. 050610

NIBP not functional. 050611

NIBP not functional. 050612

NIBP not functional. 050613

NIBP not functional. 050614

NIBP not functional. 050615

NIBP not functional. 050616

NIBP not functional. 050617

NIBP no POST error to clear Internal malfunction. If the problem

persists, replace the module.

NIBP cannot clear this POST error Internal malfunction. If the problem

persists, replace the module.

NIBP command not command type Internal malfunction. If the problem

persists, replace the module.

NIBP communication timeout Internal malfunction. If the problem

persists, replace the module.

NIBP response header wrong Internal malfunction. If the problem

persists, replace the module.

NIBP response checksum wrong Internal malfunction. If the problem

persists, replace the module.

Too much NIBP data was received Internal malfunction. If the problem

persists, replace the module.

NIBP FPROM erase error Internal malfunction. If the problem

persists, replace the module.

NIBP FPROM programming error Internal malfunction. If the problem

persists, replace the module.

Very low

NIBP not functional. 050618

Invalid NIBP target pressure Internal malfunction. If the problem

persists, replace the module.

Very low

Page 100

94 Troubleshooting Connex® Spot Monitor

Message Possible cause Suggested action Alarm priority

Check cuff inflation settings.

Tube type does not match device configuration.

NIBP not functional. 05FF01

NIBP not functional. 05FF02

NIBP not functional. 05FF03

NIBP not functional. 05FF04

NIBP not functional. 05FF05

NIBP not functional. 05FF06

Cuff inflation target was overridden due to max pressure being too low

Switching to step BP Change tube type to dual lumen or

Unrecognized WACP parameter received from sensor

Timeout waiting for sensor response

Error deserializing the WACP message received from the sensor

WACP stack send message failure Internal malfunction. If the problem

Timeout waiting for asynchronous sensor message

One or more undetermined numerics when reading status indicates OK

Change cuff inflation target or maximum pressure so that the cuff inflation target is at least 20 mmHg lower than maximum pressure.

change the algorithm configuration to step BP

Internal malfunction. If the problem persists, replace the module.

persists, replace the module.

Internal malfunction. If the problem persists, replace the module.

Check connections. Restrict patient movement.

Information

Very low

NIBP not functional. 05FF07

NIBP not functional. 05FF08

NIBP not functional. 05FF09

NIBP not functional. 05FF0A

NIBP not functional. 05FF0B

NIBP not functional. 05FF0C

Device configuration issue. 05FF0D

NIBP not functional. 05FF0E

NIBP not functional. 05FF0F

Unrecognized sensor reading status code

Sensor power up failure Internal malfunction. If the problem

WACP rendezvous failure Internal malfunction. If the problem

Application firmware retrieval error during POST

Upgrade .pim file is corrupt Internal malfunction. If the problem

Configured upgrade firmware directory cannot be accessed

Configured parameter (NIBP or SpO2) used in Intervals is missing

The NIBP sensor unexpectedly reset

The NIBP sensor firmware failed to upgrade

Internal malfunction. If the problem persists, replace the module.

persists, replace the module.

Internal malfunction. If the problem persists, replace the module.

persists, replace the module.

Internal malfunction. If the problem persists, replace the module.

Use configured parameters for Intervals

Clear the error and try again Very low

Internal malfunction. If the problem persists, replace the module.

Very low

Welch Allyn Connex Spot User manual

Specifications and Main Features

Frequently Asked Questions

User Manual

Contents

Introduction

Intended use

Contraindications

Symbols and definitions

Documentation symbols

Power symbols

Connectivity symbols

Miscellaneous symbols

Screen symbol

About warnings and cautions

General warnings and cautions

Controls, indicators, and connectors

Setup

Supplies and accessories

Connect the battery

Mount the monitor

Connect AC power to a power source

Connect AC power to APM and monitor

Connect AC power to MS3 Classic stand and monitor

Attach the probe well and temperature probe

Remove the temperature probe and probe well

Connect the NIBP hose

Disconnect the NIBP hose

Connect the SpO2 cable

Disconnect the SpO2 cable

Attach an accessory

Detach an accessory

Disconnect AC power

Startup

Power

Power up the monitor

Bluetooth® wireless technology

Set the date and time

Change the language

Power down the monitor

Reset the monitor

Sleep mode

Enter Sleep mode

Exit Sleep mode

Login methods

Sign in using the login screen

Sign in using the Clinician tab

Use a barcode scanner

Profiles

Spot profile

Office profile

Intervals profile

Profile feature comparison

Profile feature comparison

Select a profile from the log in area

Change a profile

Common screen functionality

Primary screens

Battery status

Alarm and information messages

Screen lock mode

Lock the screen

Unlock the screen

Manual entry and parameter modifiers

Change a parameter unit

Change a frame manually

Pop-up screens

Navigation

Primary tabs

Vertical tabs

Command buttons

Shortcuts

Home tab

Patient tab

Alarms tab

Review tab

Settings tab

Adjust screen brightness

Patient data management

Load patient data with the barcode scanner