EnglishUpdate to Directions for Use: Software Version 3.6X
DeutschAktualisierungen/Ergänzungen
Softwareversion 3.6X
EpañolActualización de las Instrucciones de uso: Versión de software 3.6X
FrançaisMise à jour du mode d´emploi pour le logiciel version 3.6X
ItalianoAggiornamento delle istruzioni per l´uso: software versione 3.6X
NederlandsUpdate voor Gebruiksaanwijzing: Softwareversie 3.6X
Polski Aktualizacja instrukcji obs³ugi: Wersja oprogramowania 3.6X
Português Actualização das Instruções de Utilização: Versão de Software 3.6X
SvenskaUppdatering av bruksanvisning: Programvaruversion 3.6X
zur Gebrauchsanweisung:
iiWelch Allyn Propaq CS Monitor
Copyright 2005, Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any
form, this manual or any part thereof without permission from Welch Allyn.
Welch Allyn assumes no responsibility for injury 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
indications for use published in this manual.
Welch Allyn
®
, Propaq® CS, Smartcuf®, Acuity®, FlexNet® and Flexible Monitoring® are registered
trademarks of Welch Allyn, Inc.
Nellcor
®
is a registered trademark of Nellcor Puritan Bennett. Masimo® and SET® are registered
trademarks of Masimo Corporation.
Software in this product is Copyright 2005, Welch Allyn or its vendors. All rights are reserved. The
software is protected by United States of America copyright laws and international treaty provisions
applicable worldwide. Under such laws, the licensee is entitled to use the copy of the software
incorporated with this instrument as intended in the operation of the product in which it is embedded. The
software may not be copied, decompiled, reverse-engineered, disassembled or otherwise reduced to
human-perceivable form. This is not a sale of the software or any copy of the software; all rights, title and
ownership of the software remain with Welch Allyn or its vendors.
For information about any Welch Allyn product, call Welch Allyn Technical Support:
USA 800 535 6663
315 685 4560
Canada 800 561 8797China 86 21 6327 9631
European Call Center 353 46 9067790France 33 1 55 69 58 49
Germany 49 7477 9271 86Japan 81 3 3219 0071
Latin America 305 669 9003Netherlands 31 157 505 000
Singapore 65 6419 8100South Africa 27 11 777 7555
United Kingdom 44 1332 363812
Australia 61 2 9638 3000
800 074 793
Reorder Number 810-1441-XX
Manual Part Number 810-1949-00 Rev. A, 6/2005
For a hard-copy version of the Propaq CS Directions For Use and the English section of this Update, order P/N 810-2105-XX.
Welch Allyn
8500 Creekside Place
Beaverton, Oregon 97008-7107
USA
Specifikationer för patientlarm och utrustningsvarningar . . . . . . . . . . . . . . 143
viiiContentsWelch Allyn Propaq CS Monitor
English Update: Propaq CS Monitor
This document describes changes in operation for Propaq CS monitors (software version
3.6X). This document replaces information in the following manual:
•Propaq CS Directions for Use (software version 3.5X)
For monitor operating information not contained in this document, please refer to the
preceding manual.
This document also describes basic information about how Propaq CS monitors operate
when they are connected to an Acuity Central Monitoring System. For additional
information about the Acuity System, refer to the Directions for Use for your Acuity
System.
1
Intended Use
The following statement is an addition to the Intended Use section in the Propaq CS
Directions for Use.
Propaq CS monitors that do not include CO
rain exposure over short periods of time (uniform distribution of approximately 1 mm of
water/ minute for 10 minutes or less).
Symbols
Symbols in This Update
WARNING Indicates conditions or practices that could result in illness, injury or
death
Caution In this manual, indicates conditions or practices that could damage the
equipment or other property.
Symbols on the Propaq CS Monitor, Accessories and Packaging
Non-ionizing electromagnetic radiationCaution: On the product, means “Consult
accompanying documentation.”
Warnings
Separate lead acid battery from other
disposables for recycling
Pb
Single use only
WARNING When taking NIBP measurements, periodically observe the
patient’s limb to make sure that the circulation is not impaired for a prolonged
period of time. Also make sure the blood pressure cuff is properly placed
according to the Propaq CS Directions for Use. Be especially careful when using
the short-term automatic mode (TURBOCUF). Prolonged impairment of
circulation or improper cuff placement can cause contusions.
WARNING The range of values measured by the monitoring parameters is
provided in the Specifications section of the Propaq CS Directions for Use.
Operation of the monitor outside the range of specified values is not
recommended and may cause inaccurate results.
WARNING Electronic equipment that emits very strong electromagnetic or
radio frequency signals can cause electrical interference with monitor operation,
including causing the monitor to turn off power. Avoid operating this monitor near
such equipment. For guidance about electromagnetic emissions and the
recommended separation distance between the monitor and such equipment,
refer to the specifications section of this manual.
Fuse
WARNING For best product performance and measurement accuracy, use only
accessories supplied by Welch Allyn or recommended in the Welch Allyn
Products and Accessories booklet (P/N 810-0409-XX). Use accessories according
to your facility’s standards and the manufacturer’s recommendations. Always
refer to the manufacturer’s Directions for Use. Use of accessories not
recommended by Welch Allyn may result in increased electromagnetic
emissions or decreased electromagnetic immunity of the equipment.
Update to Directions for Use English Update: Propaq CS Monitor3
Patient Alarms and Equipment Alerts
Description of Alarm and Alert Tone Patterns
A New Tone for Patient Alarms
•Patient alarm tone pattern: one second on, two seconds off
Other Alarm and Alert Tones
•Apnea alarm tone pattern: one second on, one second off (fastest)
•Equipment alert tone pattern: one second on, four seconds off (slowest)
Note
Propaq monitors connected to an Acuity Central Monitoring System can sound
distinct tone patterns for certain alarms, such as life-threatening Arrhythmia and
ST alarms. For further information regarding Acuity System alarm tones, please
consult the Acuity System Directions for Use.
Silence an Active Alarm or Alert Tone for 90 Seconds
You can silence the tone of a patient alarm or equipment alert for a period of 90 seconds.
Silence an Alarm or Alert Tone for 90 Seconds
Press either key to silence the alarm or
alert tone for 90 seconds.
1.Check the patient and provide appropriate care.
2. Press or the SILENCE key.
3. After caring for the patient, make sure the appropriate alarm limits are set.
Re-enable an Alarm or Alert Tone Before the 90-Second Silence Period Has Elapsed
1.Pr e s s .
Indications During a 90-Second Silence Period
At the Propaq CS MonitorAt the Acuity Central Station
During the silence period, the usual visual alarm and alert indications are displayed.
If a new alarm or alert occurs, the new alarm or alert
tone interrupts the silence period.
To re-enable an alarm or alert tone before the
90-seconds has elapsed, press .
If an equipment alert occurs during the silence period, you can acknowledge (dismiss) all indications of the alert by
pressing any key, as usual.
If the original alarm or alert condition still exists after 90 seconds, the alarm or alert tone sounds again.
Only life-threatening arrhythmia and apnea alarm tones
interrupt the suspend period.
To resume an alarm or alert tone before the 90-seconds has
elapsed, press RESUME.
Update to Directions for Use English Update: Propaq CS Monitor5
Inhibit Alarm and Alert Tones for Four Minutes: 4 MIN SUSPND
As you perform patient care, there might be occasions when you want to suspend
potential or current alarm and alert tones for a period of four minutes.
Initiate a Four Minute Suspend Period
1.Pr e ss , SETUP, ALARMS, 4 MIN SUSPND.
Resume Alarm and Alert Tone Capability Before the Four Minute Period Has Elapsed
1.Pr e ss .
Indications During a Four-Minute Suspend Period
At the Propaq CS MonitorAt the Acuity Central Station
If an alarm or alert occurs during the suspend period, the usual visual alarm and alert indications are displayed.
Propaq monitors connected to Acuity Central Station:
Apnea or life-threatening arrhythmia alarm tones
interrupt the suspend period.
Standalone Propaq monitors: Apnea alarms do not
interrupt the suspend period, and arrhythmias are not
detected.
To resume alarm and alert tone capability before the
4 minutes has elapsed, press .
If an equipment alert occurs during the suspend period, you can acknowledge (dismiss) all indications of the alert by
pressing any key, as usual.
Apnea or life-threatening arrhythmia alarm tones interrupt the
suspend period.
To resume alarm and alert tone capability before the 4
minutes has elapsed, press RESUME.
Inhibit Alarm and Alert Tones Indefinitely: ALL ALARMS
Note
This feature requires access to the Service Menu. The Service Menu features
are not intended for use during ordinary, routine operation.
You can suspend potential or current alarm and alert tones for an indefinite period of time.
The tones are disabled until someone re-enables them.
Indefinitely Suspend All Alarm and Alert Tones
1.Pr e ss , SETUP, MORE, MORE, SERVICE, YES, MORE, MORE, SETTINGS, ALL
ALARMS, YES.
WARNING Whenever audible alarm tones are disabled, make sure the patient
is closely observed.
Resume All Alarm and Alert Tone Capability
1.Press .
Indications During an All Alarms Suspended Period
At the Propaq CS MonitorAt the Acuity Central Station
If an alarm or alert occurs during the suspend period, the usual visual alarm and alert indications are displayed.
Propaq monitors connected to Acuity Central Station:
Apnea or life-threatening arrhythmia alarm tones
interrupt the suspend period.
Apnea or life-threatening arrhythmia alarm tones interrupt the
suspend period.
Standalone Propaq monitors: Apnea alarms do not
interrupt the suspend period, and arrhythmias are not
detected.
To resume alarm and alert tone capability, press .To resume alarm and alert tone capability, press RESUME.
If an equipment alert occurs during the suspend period, you can acknowledge (dismiss) all indications of the alert by
pressing any key, as usual.
Update to Directions for Use English Update: Propaq CS Monitor7
New Location for the ALL ALARMS Key
The ALL ALARMS key has been relocated to the Settings Menu under the Service Menu.
MAIN MENU
NIBPECG/
SETUP MENU 1
STATSCALE
RESP
ALARMS
INVASIVE
PRESSURE
WAVE
WAVE SEL
SELECT
ACUITY
SpO2 /
CO2
TRENDS
SETUP
MORE
SETUP MENU 2
TIME/DAY MENU
NEXTUPDOWNENTER
SERVICE MENU 1
TEST
SERVICE MENU 2
TEMP
TEST
NEXTCHANGEALL
IBP
TEST
PIXEL
TEST
SERVICE MENU 3
CAL
SETTINGS MENU
Respond to Equipment Alerts
Note
If multiple equipment alerts occur simultaneously, the Propaq monitor displays a
MULTIPLE EQUIPMENT ALERT message. In certain situations, such as when a
channel is disabled, the source of the second alert is not displayed in the new
message. Look for blank numeric and waveforms areas on the screen to identify
the source(s) of multiple alerts.
SELECT
SpO2
TEST
NET
TEST
SYSTEMRADIO
PRINTER
CO2
TEST
PCMCIA
TEST
ALARMS
MORENEXTCHANGEWAVE
SERVICE
MORENIBP
MORE
MORESETTINGSSCREEN
PREVIOUS
MENU
To access the ALL ALARMS key,
press SETUP, MORE, MORE,
SERVICE, YES, MORE, MORE,
SETTINGS, ALL ALARMS.
Summary of Alarm and Alert Keys and Acuity Central Station Messages
The following table summarizes Silence and Suspend behaviors and Acuity Central
Station messages for different combinations of current and previous Propaq monitor and
Acuity software versions.
Note
When your facility uses both older and newer Propaq monitors and Acuity
software versions, be aware that messages vary at the Acuity Central Station.
Some Acuity Central Station messages do not identify specific alarm/alert tone
silence or suspension states.
However, visual alarm indications still continue as usual at the Acuity Central
Station and at the Propaq monitors.
Propaq
Monitor
Version
Propaq CS 3.6X SILENCE or Silences active alarm and alert
Propaq Monitor
Key
4 MIN SUSPNDInhibits alarm and alert tones
ALL ALARMSIndefinitely inhibits alarm and
Result of Propaq Monitor
Key Press
tones for 90 seconds at the
Propaq monitor and Acuity
Central Station.
All new alarms and alerts
interrupt the silence.
for 4 minutes at the Propaq
monitor and Acuity Central
a
Station.
alert tones at the Propaq
monitor and Acuity Central
Station, until someone resumes
tone capability.
a
At Acuity Central Station, Result of Propaq
Monitor Key Press
Acuity 6.30 and prior Acuity 6.31 and later
Alarms Suspended
Message
Only life-threatening
arrhythmia and apnea
alarms interrupt the
silence.
Alarms Suspended
Message
Alarms Suspended
Message
Alarms Suspended
Message
Only life-threatening
arrhythmia and apnea
alarms interrupt the
silence.
Nurse Suspend 4 min
Message
Nurse Suspend Always
Message
Propaq CS 3.5X SUSPEND or Suspends (for 90 seconds) the
ALL ALARMSTurns off all patient vital sign
a. If connected to the Acuity Central Station, life-threatening arrhythmias and apnea alarms interrupt the suspension.
capability for patient alarm and
equipment alert tones at the
Propaq monitor and Acuity
Central Station.
alarm limits at the Propaq
monitor and Acuity Central
Station.
No visual or auditory alarm
indications occur until someone
resumes the limits.
a
a
Alarms Suspended
Message
Some Alarms Off,
Set Alarm Limits
Message
Alarms Suspended
Message
Some Alarms Off,
Set Alarm Limits
Message
Update to Directions for Use English Update: Propaq CS Monitor9
Confirm and Learn Alarm Behavior in the Inservice Mode
To confirm that a Propaq monitor is properly generating patient alarms and to learn the
alarm behavior of the Propaq CS monitor, perform the following steps.
1.Disconnect all patient cables from the Propaq monitor.
2. To temporarily remove customized alarm settings, press , SETUP, MORE,
CHANGE, SETUP, USE NOW, YES.
3. To put the Propaq monitor in (non-alarming) Inservice Mode 1, press , SETUP, WAVESELECT, INSERVICE.
4. To set the Propaq monitor in (alarming) Inservice Mode 2, press , SETUP, WAVESELECT, INSERVICE.
Within 3-5 seconds, the monitor will alarm because the “patient’s” vital signs fall
outside of the alarm limit ranges.
5. Confirm the following:
The monitor is sounding an alarm
A vital sign numeric is flashing
The small red light in the top right corner of the monitor is flashing
The SILENCE and LIMITS keys are showing on the screen
6. To silence the alarm tone for 90 seconds, press or SILENCE.
Visual alarm indications remain, and the alarm tone resets after the 90-second silence
period.
7.To bring the Propaq monitor back into the (non-alarming) Inservice Mode 1, press
INSERVICE.
The “patient’s” vital sign readings will return to acceptable levels within the alarm
limit range.
8. Turn off the Propaq monitor.
Any previously set custom patient mode settings are restored when you turn it on
again.
Under these conditions, if the monitor fails to generate visual or auditory alarm
indications, carefully repeat the above steps. If the monitor is still unresponsive, remove it
from circulation and take it to your facility’s biomedical service department for evaluation.
When humidity in the working environment decreases, the human body and other
insulators can become charged with static electricity due to friction.
To prevent unwanted electrostatic discharge (ESD), follow these standard guidelines:
•Maintain the recommended humidity of 40% to 60% in the work environment.
•Dissipate electrostatic charge before performing routine operator maintenance.
Wireless Connection to the Acuity Central Station
If you connect a wireless Propaq CS monitor to the Acuity Central Station, you might
notice that a few prompts have changed. Here are the new and previous prompts:
New PromptPrevious Prompt
Select Room at CentralSelect Room at Acuity
Select Patient at CentralSelect Patient at Acuity
Specifications
Monitor (Physical) Specifications
CharacteristicSpecification
Recovery time following
defibrillator discharge
Monitor (Environmental) Specification
s
CharacteristicSpecification
Degree of protection against
ingress for monitors without
CO
or printer options
2
Electrosurgery
Propaq CS monitors are suitable for use in the presence of electrosurgery.
Less than or equal to 10 seconds
IPX1 rating, drip proof per EN60529: 1991
Update to Directions for Use English Update: Propaq CS Monitor11
EMC Compliance
Special precautions concerning electromagnetic compatibility (EMC) must be taken for all
medical electrical equipment. The Propaq CS monitor complies with IEC EN 60601-12:2001.
•All medical electrical equipment must be installed and put into service in accordance
with the EMC information provided in this document and the Propaq Directions for Use.
•Portable and mobile RF communications equipment can affect the behavior of
medical electrical equipment.
Propaq CS monitors comply with all applicable and required standards for electromagnetic
interference.
•It does not normally affect nearby equipment and devices.
•It is not normally affected by nearby equipment and devices.
•It is safe to operate the monitor in the presence of high-frequency surgical
equipment.
•However, it is good practice to avoid using the monitor in extremely close
proximity to other equipment.
Propaq CS Monitor: Guidance and Manufacturer’s Declaration—Electromagnetic Emissions
The Propaq CS monitor is intended for use in the electromagnetic environment specified below. The customer or the user
of the monitor should assure that it is used in such an environment.
Voltage fluctuations/flicker
emissions
IEC 61000-3-3
Group 1The monitor uses RF energy only for its internal
function.Therefore, its RF emissions are very low and are not
likely to cause any interference in nearby electronic
equipment.
Class BThe monitor is suitable for use in all establishments,
Class A
Complies
including domestic establishments and those directly
connected to the public low-voltage power supply network
that supplies buildings used for domestic purposes.
Propaq CS Monitor: Guidance and Manufacturer’s Declaration—Electromagnetic Immunity
The Propaq CS monitor is intended for use in the electromagnetic environment specified below. The customer or the user
of the monitor should assure that it is used in such an environment.
Immunity testIEC 60601 Test Level Compliance LevelElectromagnetic Environment—
Guidance
Electrostatic discharge
(ESD)
IEC 61000-4-2
±6 kV contact
±8 kV air
±6 kV contact
±8 kV air
Floors should be wood, concrete, or ceramic
tile. If floors are covered with synthetic
material, the relative humidity should be at
least 30%.
Electrical fast
transient/burst
IEC 61000-4-4
Surge
IEC 61000-4-5
Voltage dips, short
interruptions, and
voltage variations on
power-supply input
lines
IEC 61000-4-11
Power frequency (50/
60 Hz) magnetic field
IEC 61000-4-8
NoteU
±2 kV for power supply
lines
±1 kV for input/output
lines
±1 kV differential mode
±2 kV common mode
±2 kV for power
supply lines
±1 kV for input/output
lines
±1 kV differential
mode
Mains power quality should be that of a
typical commercial or hospital environment.
Mains power quality should be that of a
typical commercial or hospital environment.
±2 kV common mode
<5% U
t
(>95% dip in Ut)
for 0.5 cycle
40% U
t
(60% dip in Ut)
for 5 cycles
70% U
t
(30% dip in Ut)
for 25 cycles
<5% U
t
(>95% dip in Ut)
for 5 sec
<5% U
t
(>95% dip in Ut)
for 0.5 cycle
40% U
t
(60% dip in Ut)
for 5 cycles
70% U
t
(30% dip in Ut)
for 25 cycles
<5% U
t
(>95% dip in Ut)
for 5 sec
Mains power quality should be that of a
typical commercial or hospital environment.
If the user of the monitor requires continued
operation during power mains interruption, it
is recommended that the monitor be
powered from an uninterruptible power
supply or a battery.
3 A/m3 A/mPower frequency magnetic fields should be
at levels characteristic of a typical location in
a typical commercial or hospital
environment.
is the AC mains voltage prior to application of the test level.
t
Update to Directions for Use English Update: Propaq CS Monitor13
Propaq CS Monitor: Guidance and Manufacturer’s Declaration—Electromagnetic Immunity
The Propaq CS monitor is intended for use in the electromagnetic environment specified below. The customer or the user
of the monitor should assure that it is used in such an environment.
Immunity TestIEC 60601 Test LevelCompliance
Level
Conducted RF
IEC 61000-4-6
Radiated RF
IEC 61000-4-3
3 V
rms
150 kHz to 80 MHz
3 V/m
80 MHz to 2.5 GHz
3 V
rms
3 V/md = 1.2 80 MHz to 800 MHz
Electromagnetic Environment—Guidance
Portable and mobile RF communications equipment
should be used no closer to any part of the monitor,
including cables, than the recommended separation
distance calculated from the equation applicable to the
frequency of the transmitter.
Recommended Separation Distance
d = 1.2
P
P
d = 2.3 800 MHz to 2.5 GHz
P
where P is the maximum output power rating of the
transmitter in watts according to the transmitter
manufacturer and d is the recommended separation
distance in meters.
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site survey
a
, should
be less than the compliance level in each frequency
rangeb.
Interference might occur in the vicinity of equipment
marked with the following symbol:
Note 1At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2These guidelines might not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects and people.
aField strengths from fixed transmitters, such as base stations for radio (cellular/cordless)
telephones and land mobile radios, amateur radio, AM and FM radio broadcast and TV broadcast
cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to
fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field
strength in the location in which the monitor is used exceeds the applicable RF compliance level
above, the monitor should be observed to verify normal operation. If abnormal performance is
observed, additional measures might be necessary, such as reorienting or relocating the monitor.
bOver the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Recommended Separation Distances Between Portable and Mobile RF Communications Equipment
and the Propaq CS Monitor
The Propaq CS monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are
controlled. The customer or the user of the monitor can help prevent electromagnetic interference by maintaining a
minimum distance between portable and mobile RF communications equipment (transmitters) and the monitor as
recommended below, according to the maximum output power of the communications equipment.
Rated Maximum Output
Power of Transmitter
W
0.010.120.120.23
0.10.380.380.73
11.21.22.3
103.83.87.3
100121223
For transmitters rated at a maximum output power not listed above, the recommended separation distance d in meters
(m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output
power rating of the transmitter in watts (w) according to the transmitter manufacturer.
Separation Distance According to Frequency of Transmitter
m
150 kHz to 80 MHz
d = 1.2
PPP
80 MHz to 800 MHz
d = 1.2
800 MHz to 2.5 GHz
d = 2.3
Note 1 At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2 These guidelines might not apply in all situations. Electromagnetic propagation is affected by absorption and
reflection from structures, objects and people.
Update to Directions for Use English Update: Propaq CS Monitor15
Patient Alarm and Equipment Alert Specifications
CharacteristicSpecification
System alarm delay time0.5 seconds, typical
IndicatorsFlashing red alarm bell light: patient alarm(s)
Tone patternsApnea: 1 second on, 1 second off
SILENCE and keys Silences patient alarm or equipment alert at the Propaq monitor and Acuity Central
4 MIN SUSPND keyAt the Propaq monitor and Acuity Central Station, inhibits all patient alarm and
ALL ALARMS keyAt the Propaq monitor and Acuity Central Station, inhibits all patient alarm and
RESUME and keysAt the Propaq monitor and Acuity Central Station, re-enables capability for alarm and
Acknowledge equipment
alert
HR/PR alarm limits range25 to 250 beats per minute
Apnea delay alarm limit
range
IBP alarm limit rangesAll patient modes
NIBP alarm limit rangesNeonate
Temp alarm limit range
(T1, T2)
Δ Temp alarm limit range0.0 to 90.0 °F
Continuously on red alarm bell light: patient alarm silenced or suspended
Flashing yellow crossed-alarm light: equipment alert
Continuously on yellow crossed-alarm light: one or more patient alarm limit(s) off
Patient alarm: 1 second on, 2 seconds off
Equipment alert: 1 second on, 4 seconds off
Station for 90 seconds or until is pressed again.
New patient alarms or equipment alerts interrupt the silence at the Propaq monitor, but
only life-threatening arrhythmia and apnea alarm tones interrupt the silence at the Acuity
Central Station.
equipment alert tone capability for 4 minutes or until or RESUME is pressed.
Apnea and life-threatening arrhythmia alarm tones do interrupt the silence for Propaq
monitors connected to the Acuity Central Station.
equipment alert tone capability indefinitely, until
Apnea and life-threatening arrhythmia alarm tones do interrupt the silence for Propaq
monitors connected to the Acuity Central Station.
alert tones and re-enables alarm and alert tones that are still active.
Tone and visual message are dismissed.
Neonate: 6 to 20 seconds
Adult/Pediatric: 6 to 30 seconds
Systolic, Diastolic, Mean
-30 to 300 mmHg
Systolic 25 to 120 mmHg
Diastolic 10 to 105 mmHg
Mean 10 to 110 mmHg
Pediatric
Systolic 30 to 160 mmHg
Diastolic 15 to 130 mmHg
Mean 15 to 140 mmHg
Adult
Systolic 30 to 260 mmHg
Diastolic 20 to 235 mmHg
Mean 20 to 255 mmHg
Dieses Dokument beschreibt den Betrieb des Propaq CS-Monitors (Softwareversion 3.6X)
betreffende Änderungen. Die Angaben in diesem Dokument ersetzen die entsprechenden
Informationen in dem folgenden Handbuch:
•Propaq CS-Gebrauchsanweisung (Softwareversion 3.5X)
Alle Informationen zum Betrieb des Monitors, die nicht im vorliegenden Dokument
enthalten sind, finden Sie in dem genannten Handbuch.
Das vorliegende Dokument enthält auch grundlegende Informationen zum Betrieb
des Propaq CS-Monitors in Verbindung mit einem Acuity-Zentralüberwachungssystem.
Zusätzliche Informationen zum Acuity-System finden Sie in der Gebrauchsanweisung
Ihres Acuity-Systems.
17
Verwendung
Bei der folgenden Aussage handelt es sich um eine Ergänzung des Abschnitts
„Verwendung“ der Propaq CS-Gebrauchsanweisung.
Propaq CS-Monitore ohne CO
einem leichten Niederschlag ausgesetzt werden (1 mm Wasser je Minute, gleichmäßig
verteilt, maximal 10 Minuten).
- und ohne Druckeroption können für kurze Zeit schadlos
2
Symbole
In diesem Dokument verwendete Symbole
WARNUNG Dieses Symbol weist auf Umstände oder Vorgehensweisen hin,
die zu Erkrankungen, Verletzungen oder zum Tode führen können.
Vorsicht Dieses Symbol weist auf Umstände oder Vorgehensweisen hin, die
zu einer Beschädigung des Geräts oder anderen Sachschäden führen können.
Symbole am Propaq CS-Monitor, den Zubehörteilen und der Verpackung
Pb
Warnhinweise
WARNUNG Bei der Durchführung von nicht-invasiven Blutdruckmessungen
muss die Extremität des Patienten regelmäßig beobachtet werden, um
sicherzustellen, dass die Zirkulation nicht für längere Zeit beeinträchtigt ist.
Achten Sie auch darauf, dass die Blutdruckmanschette richtig angelegt ist.
Beachten Sie hierzu die Propaq CS-Gebrauchsanweisung. Gehen Sie bei
Verwendung des Kurzzeit-Automatikmodus (KONT.) besonders vorsichtig vor.
Bei längerer Beeinträchtigung der Zirkulation oder falsch angebrachter
Manschette kann es zu Kontusionen kommen.
WARNUNG Die Messwertbereiche für die einzelnen Überwachungsparameter
finden Sie im Abschnitt „Technische Daten“ der Propaq CS-Gebrauchsanweisung.
Der Monitor sollte nicht außerhalb der angegebenen Wertebereiche betrieben
werden, da dies zu ungenauen Ergebnissen führen kann.
Nichtionisierende elektromagnetische
Strahlung.
Bleisäurebatterien nicht mit dem Restmüll
entsorgen, sondern zum Recycling geben.
Einmalartikel
Vorsicht Bedeutung bei Anbringung auf dem
Produkt: „Schlagen Sie in der beiliegenden
Dokumentation nach“.
Sicherung
WARNUNG Elektronische Geräte mit sehr starker elektromagnetischer
Strahlung oder HF-Ausstrahlungen können elektrische Störungen des
Monitorbetriebs verursachen; u. a. könnte sich der Monitor ausschalten. Der
Betrieb des Monitors in der Nähe solcher Geräte ist zu vermeiden. Richtlinien zu
elektromagnetischen Emissionen und dem empfohlenen Abstand zwischen
Monitor und Geräten dieser Art finden Sie im Abschnitt „Technische Daten“ der
Propaq CS-Gebrauchsanweisung.
WARNUNG Verwenden Sie im Interesse optimaler Produktleistung und
Messgenauigkeit nur von Welch Allyn geliefertes Zubehör oder Zubehör, das im
Welch Allyn-Prospekt Produkte und Zubehör (P/N 810-0409-XX) empfohlen wird.
Richten Sie sich bei der Verwendung von Zubehörteilen nach den Vorschriften
des Krankenhauses und den Empfehlungen des Herstellers. Beachten Sie stets
die Gebrauchsanweisung des jeweiligen Herstellers. Die Verwendung von nicht
von Welch Allyn empfohlenem Zubehör kann zu vermehrten elektromagnetischen
Emissionen oder einer verringerten elektromagnetischen Störfestigkeit des
Geräts führen.
Aktualisierungen/Ergänzungen zur Gebrauchsanweisung Aktualisierungen/Ergänzungen: Propaq CS-Monitor19
Patientenalarme und Gerätewarnungen
Alarm- und Warntöne
Ein neuer Ton für Patientenalarme
•Patientenalarm-Ton: Eine Sekunde ein, zwei Sekunden aus
Andere Alarm- und Warntöne
•Apnoe-Alarm-Ton: Eine Sekunde ein, eine Sekunde aus (schnellster akustischer
Alarm)
•Gerätewarnton: Eine Sekunde ein, vier Sekunden aus (langsamste akustische
Warnung)
Hinweis
An ein Acuity-Zentralüberwachungssystem angeschlossene Propaq-Monitore
können für bestimmte Alarme wie LBA-Alarm (lebensbedrohliche Arrhythmie)
oder ST-Alarm zusätzliche akustische Alarme mit anderem Tonmuster ertönen
lassen. Weitergehende Informationen zu den akustischen Alarmen des AcuitySystems finden Sie in der Gebrauchsanweisung Ihres Acuity-Systems.
Stummschalten eines akustischen Alarms oder
eines Warntons für 90 Sekunden
Sie können die akustische Signalisierung eines Patientenalarms oder einer
Gerätewarnung für einen Zeitraum von 90 Sekunden stummschalten.
Stummschalten eines akustischen Alarms oder Warntons für 90 Sekunden
Drücken Sie eine dieser Tasten, um den
akustischen Alarm oder Warnton für
90 Sekunden stumm zu schalten.
1.Überprüfen Sie den Zustand des Patienten, und kümmern Sie sich entsprechend um
ihn.
2. Drücken Sie eine der Tastenoder STUMMSCH.
3. Nachdem Sie den Patienten versorgt haben, überzeugen Sie sich, dass die passenden
Alarmgrenzen eingestellt sind.
Reaktivierung des akustischen Alarms oder Warntons vor Ablauf der Stummschaltphase
von 90 Sekunden
1.Drücken Sie .
Besonderheiten während der Stummschaltphase von 90 Sekunden
Auf dem Propaq CS-MonitorAn der Acuity-Zentralstation
Während der Stummschaltphase werden die visuellen Alarme und Warnungen wie üblich angezeigt.
Tritt ein neuer Alarm bzw. eine neue Warnung auf,
unterbricht dieser die Stummschaltphase.
Zum Reaktivieren der akustischen Alarme oder
Warntöne vor Ablauf der Stummschaltphase
von 90 Sekunden drücken Sie.
Nur der akustische LBA-Alarm (lebensbedrohliche
Arrhythmie) und der akustische Apnoe-Alarm unterbrechen
die Alarmton-Unterdrückung.
Zum Reaktivieren der akustischen Alarme oder Warntöne
vor Ablauf der Stummschaltphase von 90 Sekunden drücken
Sie AL. AKTIV.
Tritt während der Stummschaltphase eine Gerätewarnung auf, können Sie wie üblich alle Anzeigen der Warnung durch
Drücken einer beliebigen Taste bestätigen (löschen).
Sollte der ursprüngliche Alarm- oder Warnzustand nach Ablauf der 90 Sekunden noch bestehen, ertönt dann wieder der
akustische Alarm bzw. Warnton.
Aktualisierungen/Ergänzungen zur Gebrauchsanweisung Aktualisierungen/Ergänzungen: Propaq CS-Monitor21
Unterdrückung von akustischen Alarmen und Warntönen
für vier Minuten: 4 MIN AL AUS
Während der Versorgung des Patienten können Situationen auftreten, in denen Sie
möglicherweise die akustische Signalisierung potentieller oder akuter Alarm- und
Warntöne für einen Zeitraum von vier Minuten unterdrücken möchten.
Einleiten einer 4-minütigen Alarmton-Unterdrückung
1.Drücken Sie , SETUP, ALARME, 4 MIN AL AUS.
Aufhebung der Alarm- und Warnton-Unterdrückung vor Ablauf
der Akustikalarm-Unterdrückungsphase von vier Minuten
1.Drücken Sie .
Besonderheiten während der 4-minütigen Alarmton-Unterdrückung
Auf dem Propaq CS-MonitorAn der Acuity-Zentralstation
Tritt während der Alarmton-Unterdrückung ein Alarm oder eine Warnung auf, werden die visuellen Alarme und
Warnungen wie üblich angezeigt.
An eine Acuity-Zentralstation angeschlossene
Propaq-Monitore: Der LBA-Alarm (lebensbedrohliche
Arrhythmie) und der Apnoe-Alarm unterbrechen die
Alarmton-Unterdrückung.
Isolierte Propaq-Monitore: Der Apnoe-Alarm unterbricht
die Alarmton-Unterdrückung nicht, Arrhythmien werden
nicht erkannt.
Zum Reaktivieren der akustischen Alarme und Warntöne
vor Ablauf der 4-minütigen Alarmton-Unterdrückung
drücken Sie .
Tritt während der Alarmton-Unterdrückung eine Gerätewarnung auf, können Sie wie üblich alle Anzeigen der Warnung
durch Drücken einer beliebigen Taste bestätigen (löschen).
Der LBA-Alarm (lebensbedrohliche Arrhythmie) und der
Apnoe-Alarm unterbrechen die Alarmton-Unterdrückung.
Zum Reaktivieren der akustischen Alarme und Warntöne
vor Ablauf der 4-minütigen Alarmton-Unterdrückung drücken
Sie AL. AKTIV.
Zeitlich unbegrenztes Unterdrücken von akustischen Alarmen
und Warntönen: ALLE ALARME
Hinweis
Der Zugriff auf diese Funktion erfolgt über das Wartungsmenü. Die Funktionen
des Wartungsmenüs sind nicht für den normalen Routinebetrieb bestimmt.
Sie können die akustische Signalisierung von potentiellen und akuten Alarmen und
Warntönen auf unbestimmte Dauer unterdrücken. Alle akustischen Signale werden
unterdrückt, bis die Unterdrückung explizit wieder aufgehoben wird.
Zeitlich unbegrenztes Unterdrücken von akustischen Alarmen und Warntönen
1.Drücken Sie , SETUP, WEITER, WEITER, WARTUNG, JA, WEITER, WEITER,
EINSTELL., ALLE ALARME, JA.
WARNUNG Sind die akustischen Alarme unterdrückt, muss der Patient
engmaschig überwacht werden.
Aufheben der Unterdrückung aller Alarme und Warntöne
1.Drücken Sie .
Besonderheiten während der zeitlich unbegrenzten Unterdrückung aller Alarme
Auf dem Propaq CS-MonitorAn der Acuity-Zentralstation
Tritt während der Alarmton-Unterdrückung ein Alarm auf, werden die visuellen Alarme und Warnungen wie üblich
angezeigt.
An eine Acuity-Zentralstation angeschlossene
Propaq-Monitore: Der LBA-Alarm (lebensbedrohliche
Arrhythmie) und der Apnoe-Alarm unterbrechen
die zeitlich unbegrenzte Alarmton-Unterdrückung.
Isolierte Propaq-Monitore: Der Apnoe-Alarm unterbricht
die zeitlich unbegrenzte Alarmton-Unterdrückung nicht,
Arrhythmien werden nicht erkannt.
Zum Aufheben der Unterdrückung von Alarm- und
Warntönen drücken Sie .
Tritt während der Alarmton-Unterdrückung eine Gerätewarnung auf, können Sie wie üblich alle Anzeigen der Warnung
durch Drücken einer beliebigen Taste bestätigen (löschen).
Der LBA-Alarm (lebensbedrohliche Arrhythmie) und
der Apnoe-Alarm unterbrechen die zeitlich unbegrenzte
Alarmton-Unterdrückung.
Zum Aufheben der Unterdrückung von Alarm- und Warntönen
drücken Sie AL. AKTIV.
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