EnglishUpdate to Directions for Use/Reference Guide: Software Version 2.5X
DeutschAktualisierungen/Ergänzungen zur Bedienungsanleitung: Softwareversion 2.5X
EspañolActualización de la Guía de referencia: Versión de software 2.5X
FrançaisMise à jour du Guide de r éférence : Logiciel Version 2.5X
ItalianoAggiornamento delle Guida di riferimento: versione 2.5X
NederlandsUpdate voor de Gebruiksaanwijzing: softwareversie 2.5X
PortuguêsActualização das Instruções de Utilização : Versão de Software 2.5X
SvenskaUpdatering av bruksanvisning: Programversion 2.5X
iiWelch Allyn Propaq Encore 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® Encore, 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 remains 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 810-1719-XX
Manual Part Number 810-2107-00 Rev. A 6/2005
For a hard-copy version of the English Propaq Encore Reference Guide and the English section of this Update, order P/N 810-2106-XX.
Welch Allyn
8500 Creekside Place
Beaverton, Oregon 97008-7107
USA
www.monitoring.welchallyn.com
Description des différents signaux sonores pour les alertes et les alarmes 52
Désactivation d´une tonalité d´alarme patient ou d´alerte matériel active
Specifikationer för patientlarm och utrustningsvarningar . . . . . . . . . . . . . . 128
viiiContentsWelch Allyn Propaq Encore Monitor
English Update: Propaq Encore Monitor
This document describes changes in operation for Propaq Encore monitors (software
version 2.5X). This document replaces information in the following manuals:
•Propaq Encore Reference Guide (software version 2.4X)
•Propaq Encore Directions for Use (software version 2.4X)
For monitor operating information not contained in this document, please refer to the
preceding manuals.
This document also describes basic information about how Propaq Encore 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 Encore
Directions for Use and the Propaq Encore Reference Guide.
Propaq Encore monitors that do not include CO
light rain exposure over short periods of time (uniform distribution of approximately 1 mm
of water/ minute for 10 minutes or less).
or printer options are able to withstand
2
2English Update: Propaq Encore MonitorWelch Allyn Propaq Encore Monitor
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.
Note
Provides additional information.
Symbols on the Propaq Encore Monitor, Accessories and Packaging
Pb
C
Non-ionizing electromagnetic radiationCaution: On the product, means “Consult
Separate lead acid battery from other
disposables for recycling
This device has been tested and certified by
the Canadian Standards Association
US
International to comply with applicable U.S.
and Canadian medical safety standards.
Temperature limitsStacking limit (by number)
Altitude limitHumidity limit
n
Keep away from rainFragile
accompanying documentation.”
Fuse
Single use only
n
n%
Update to Directions for Use and Reference GuideEnglish Update: Propaq Encore Monitor3
Warnings
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 Encore Directions for Use or Propaq Encore Reference Guide. 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 Encore Directions for Use or
Propaq Encore Reference Guide. 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.
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.
4English Update: Propaq Encore MonitorWelch Allyn Propaq Encore Monitor
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.
Update to Directions for Use and Reference GuideEnglish Update: Propaq Encore Monitor5
Silence an Active Patient Alarm or Equipment 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 Encore 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.
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.
If the original alarm or alert condition still exists after 90 seconds, the alarm or alert tone sounds again.
6English Update: Propaq Encore MonitorWelch Allyn Propaq Encore Monitor
Inhibit Alarm and Alert Tones for Four Minutes: 4 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 s s MAINMENU, SETUP, ALARMS, 4 SUSPND.
Resume Alarm and Alert Tone Capability Before the Four Minute Period Has Elapsed
1.Pr e s s .
Indications During a Four-Minute Suspend Period
At the Propaq Encore 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 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.
To resume alarm and alert tone capability before the 4
minutes has elapsed, press RESUME.
Update to Directions for Use and Reference GuideEnglish Update: Propaq Encore Monitor7
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 s s MAINMENU, SETUP, MORE, MORE, SERVICE, YES, MORE, MORE,
SETTINGS, ALL ALRM, YES.
WARNING Whenever audible alarm tones are disabled, make sure the patient
is closely observed.
Resume All Alarm and Alert Tone Capability
1.Pr e s s .
Indications During an All Alarms Suspended Period
At the Propaq Encore 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
.
If an equipment alert occurs during the suspend period, you can acknowledge (dismiss) all indications of the alert by
pressing any key, as usual.
To resume alarm and alert tone capability, press RESUME.
8English Update: Propaq Encore MonitorWelch Allyn Propaq Encore Monitor
New Location for the ALL ALRM Key
The ALL ALRM key has been relocated to the Settings Menu under the Service Menu.
MAIN MENU
NIBPECG/RESP
INV PRSSpO2/CO2
SETUP
SETUP MENU 1
STATSCALE
SETUP MENU 2
TIME/DAY MENU
NEXTUPDOWNENTER
SERVICE MENU 1
SERVICE MENU 2
TEMP TEST
ALARMS
IBP TEST
PIXL TST
SERVICE MENU 3
SETTINGS MENU
WAVE SEL
WAVE SEL
ACUITY
SpO2 TST
NET TEST
TRENDS
CO2 TEST
MORE
MORENEXTCHANGEWAVE SELPRINTER
SERVICE
MORENIBP TEST
MORE
MORESETTINGSKEY TESTSYSTEM
PREV MENUNEXTCHANGEALL ALRM
To access the ALL ALRM key, press
MAIN MENU, SETUP, MORE, MORE,
SERVICE, YES, MORE, MORE,
SETTINGS, ALL ALRM.
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.
Update to Directions for Use and Reference GuideEnglish Update: Propaq Encore Monitor9
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 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 Encore
2.5X
Propaq Encore
2.4X
and prior
Propaq
Monitor Key
SILENCE orSilences active alarm and alert
4 SUSPNDInhibits alarm and alert tones for
ALL ALRMIndefinitely inhibits alarm and
SUSPEND or Suspends (for 90 seconds) the
ALL ALRMTurns off all patient vital sign
Result of Propaq Monitor Key
tones for 90 seconds at the
Propaq monitor and Acuity
Central Station.
All new alarms and alerts
interrupt the silence.
four minutes at the Propaq
monitor and Acuity Central
Station.
alert tones at the Propaq monitor
and Acuity Central Station, until
someone resumes tone
capability.
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.
Press
a
a
a
a
At Acuity Central Station, Result of Propaq
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
Some Alarms Off,
Set Alarm Limits
Message
Monitor Key Press
Alarms Suspended
Message
Only life-threatening
arrhythmia and apnea
alarms interrupt the
silence.
Nurse Suspend 4 min
Message
Nurse Suspend Always
Message
Alarms Suspended
Message
Some Alarms Off,
Set Alarm Limits
Message
a. If connected to the Acuity Central Station, life-threatening arrhythmias and apnea alarms interrupt the suspension.
10English Update: Propaq Encore MonitorWelch Allyn Propaq Encore Monitor
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 Encore monitor, perform the following steps.
1.Disconnect all patient cables from the Propaq monitor.
2. To temporarily remove customized alarm settings, press the MAIN MENU key, then
SETUP, MORE, CHANGE, SETUP, USE NOW, YES.
3. To put the Propaq monitor in (non-alarming) Inservice Mode 1, press MAIN MENU,
SETUP, WAVE SEL, INSERV.
4. To set the Propaq monitor in (alarming) Inservice Mode 2, press MAIN MENU,
SETUP, WAVE SEL, INSERV.
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
INSERV.
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.
Update to Directions for Use and Reference GuideEnglish Update: Propaq Encore Monitor11
Avoid Electrostatic Discharge
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.
Specifications
Monitor (Physical) Specifications
CharacteristicSpecification
Recovery time following
defibrillator discharge
Less than or equal to 10 seconds
Monitor (Environmental) Specifications
CharacteristicSpecification
Degree of protection against
ingress for monitors without
or printer options
CO
2
IPX1 rating, drip proof per EN60529: 1991
Electrosurgery
Propaq Encore monitors are suitable for use in the presence of electrosurgery.
12English Update: Propaq Encore MonitorWelch Allyn Propaq Encore Monitor
EMC Compliance
Special precautions concerning electromagnetic compatibility (EMC) must be taken for all
medical electrical equipment.The Propaq Encore complies with IEC EN 60601-1-2:2001.
•All medical electrical equipment must be installed and put into service in accordance
with the EMC information provided in this document and the Propaq Encore Directions for Use or Propaq EncoreReference Guide.
•Portable and mobile RF communications equipment can affect the behavior of
medical electrical equipment.
Propaq Encore 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 Encore Monitor: Guidance and Manufacturer’s Declaration—Electromagnetic Emissions
The Propaq Encore 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,
including domestic establishments and those directly
Class A
Complies
connected to the public low-voltage power supply network
that supplies buildings used for domestic purposes.
Update to Directions for Use and Reference GuideEnglish Update: Propaq Encore Monitor13
Propaq Encore Monitor: Guidance and Manufacturer’s Declaration—Electromagnetic Immunity
The Propaq Encore 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
±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
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
<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.
NoteUt is the AC mains voltage prior to application of the test level.
14English Update: Propaq Encore MonitorWelch Allyn Propaq Encore Monitor
Propaq Encore Monitor: Guidance and Manufacturer’s Declaration—Electromagnetic Immunity
The Propaq Encore 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
Electromagnetic Environment—Guidance
Level
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
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
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
be less than the compliance level in each frequency
b
range
.
a
, should
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.
Update to Directions for Use and Reference GuideEnglish Update: Propaq Encore Monitor15
Recommended Separation Distances Between Portable and Mobile RF Communications Equipment
and the Propaq Encore Monitor
The Propaq Encore 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.
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.
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
16English Update: Propaq Encore MonitorWelch Allyn Propaq Encore Monitor
Patient Alarm and Equipment Alert Specifications
CharacteristicSpecification
System alarm delay time0.5 seconds, typical
IndicatorsFlashing red ALARM light: patient alarm(s)
Continuously on red ALARM light: patient alarm silenced or suspended
Flashing yellow ALARMS OFF light: equipment alert
Continuously on yellow ALARMS OFF light: one or more patient alarm limit(s) off
Tone patternsApnea: 1 second on, 1 second off
Patient alarm: 1 second on, 2 seconds off
Equipment alert: 1 second on, 4 seconds off
SILENCE and keysSilences patient alarm or equipment alert at the Propaq monitor and Acuity Central
4 SUSPND keyAt the Propaq monitor and Acuity Central Station, inhibits all patient alarm and
ALL ALRM keyAt the Propaq monitor and Acuity Central Station, inhibits all patient alarm and
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 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 or RESUME is pressed.
Apnea and life-threatening arrhythmia alarm tones do interrupt the silence for Propaq
monitors connected to the Acuity Central Station.
RESUME and keysAt the Propaq monitor and Acuity Central Station, re-enables capability for alarm and
alert tones and re-enables alarm and alert tones that are still active.
Acknowledge equipment alert Tone and visual message are dismissed.
HR/PR alarm limits range25 to 250 beats per minute
Apnea delay alarm limit range Neonate: 6 to 20 seconds
Dieses Dokument beschreibt den Betrieb des Propaq Encore-Monitors (Softwareversion
2.5X) betreffende Änderungen. Die Angaben in diesem Dokument ersetzen die
entsprechenden Informationen in den folgenden Handbüchern:
•Propaq Encore-Gebrauchsandweisung (Softwareversion 2.4X)
Alle Informationen zum Betrieb des Monitors, die nicht im vorliegenden Dokument
enthalten sind, finden Sie in den genannten Handbüchern.
Das vorliegende Dokument enthält auch grundlegende Informationen zum Betrieb des
Propaq Encore-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 Encore-Gebrauchsanweisung.
Propaq Encore-Monitore ohne CO
schadlos einem leichten Niederschlag ausgesetzt werden (1 mm Wasser je Minute,
gleichmäßig verteilt, maximal 10 Minuten).
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.
Hinweis
Dieses Symbol kennzeichnet Zusatzinformationen.
Symbole am Propaq Encore-Monitor, den Zubehörteilen und
der Verpackung
Pb
C
Nichtionisierende
elektromagnetische Strahlung
Bleisäurebatterien nicht mit dem Restmüll
entsorgen, sondern zum Recycling geben.
Dieses Gerät wurde von der Canadian
Standards Association International
US
geprüft und zertifiziert und erfüllt die
geltenden US-amerikanischen und
kanadischen Sicherheitsbestimmungen
für medizinische Geräte.
Zulässiger TemperaturbereichMaximale Stapelhöhe
Maximale Höhe über MeeresspiegelZulässiger Luftfeuchtigkeitsbereich
n
Vorsicht Bedeutung bei Anbringung auf
dem Produkt: „Schlagen Sie in der beiliegenden
Dokumentation nach“.
Sicherung
Einmalartikel
n
n%
Vor Feuchtigkeit schützenZerbrechlich
Aktualisierungen/Ergänzungen zur Gebrauchsanweisung/Bedienungsanleitung Aktualisierungen/Ergänzungen: Propaq Encore-Monitor19
Warnungen
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 Encore-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 Encore-Gebrauchsanweisung. Der Monitor sollte nicht außerhalb der angegebenen
Wertebereiche betrieben werden, da dies zu ungenauen Ergebnissen führen
kann.
WARNUNG Elektronische Geräte mit sehr starker elektromagnetischer
Strahlung oder HF-Ausstrahlungen können elektrische Störungen des
Monitorbetriebs verursachen; unter anderem könnte sich der Monitor
ausschalten. Das Betreiben 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“ dieses Handbuchs.
WARNUNG Verwenden Sie, um bestmögliche Produktleistungen und
Messgenauigkeit zu erreichen, nur von Welch Allyn geliefertes Zubehör oder
Zubehör, das im Welch Allyn-Prospekt Produkte und Zubehör (P/N 810-0409-XX)
empfohlen wird. Verwenden Sie Zubehörteile entsprechend Ihren
Krankenhausvorschriften und den Empfehlungen des Herstellers. Beachten
Sie beim Gebrauch immer die Anweisungen des Herstellers. Die Verwendung
von nicht von Welch Allyn empfohlenem Zubehör kann zu vermehrten
elektromagnetischen Emissionen oder einer verringerten elektromagnetischen
Störfestigkeit des Geräts führen.
•Patientenalarmton: Eine Sekunde ein, zwei Sekunden aus
Andere Alarm- und Warntöne
•Apnoe-Alarmton: 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 AcuitySystem finden Sie in der Gebrauchsanweisung zum Acuity-System.
Aktualisierungen/Ergänzungen zur Gebrauchsanweisung/Bedienungsanleitung Aktualisierungen/Ergänzungen: Propaq Encore-Monitor21
Stummschalten eines aktiven Patientenalarms oder
Warntons (Gerätewarnung) 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 Tasten oder STUMMSCH.
3. Nachdem Sie den Patienten versorgt haben, überzeugen Sie sich, dass die passenden
Alarmgrenzen eingestellt wurden.
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 Encore-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 diese(r) die Stummschaltphase.
Zum Reaktivieren des akustischen Alarms bzw.
Warntons vor Ablauf der Stummschaltphase
von 90 Sekunden drücken Sie .
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.
Nur der akustische LBA-Alarm (lebensbedrohliche Arrhythmie) und
der akustische Apnoe-Alarm unterbrechen die Stummschaltphase.
Zum Reaktivieren des akustischen Alarms bzw. Warntons
vor Ablauf der Stummschaltphase von 90 Sekunden drücken
Sie AL. AKTIV.
Unterdrückung von akustischen Alarmen und Warntönen für vier
Minuten: 4 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 vierminütigen Alarmton-Unterdrückung
1.Drücken Sie HAUPTMENÜ, SETUP, ALARME, 4 AL AUS.
Aufhebung der Alarm- und Warnton-Unterdrückung vor Ablauf der AlarmtonUnterdrückungsphase von vier Minuten
1.Drücken Sie .
Besonderheiten während der vierminütigen Alarmton-Unterdrückungsphase
Auf dem Propaq Encore-MonitorAn der Acuity-Zentralstation
Tritt während der Alarmton-Unterdrückungsphase 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-Unterdrückungsphase.
Der LBA-Alarm (lebensbedrohliche Arrhythmie) und der
Apnoe-Alarm unterbrechen die Alarmton-Unterdrückungsphase.
Isolierte Propaq-Monitore: Der Apnoe-Alarm unterbricht
die Alarmton-Unterdrückungsphase nicht, Arrhythmien
werden nicht erkannt.
Zum Reaktivieren der akustischen Alarme und
Warntöne vor Ablauf der vierminütigen AlarmtonUnterdrückungsphase drücken Sie .
Tritt während der Alarmton-Unterdrückungsphase eine Gerätewarnung auf, können Sie wie üblich alle Anzeigen der
Warnung durch Drücken einer beliebigen Taste bestätigen (löschen).
Zum Reaktivieren der akustischen Alarme und Warntöne
vor Ablauf der vierminütigen Alarmton-Unterdrückungsphase
drücken Sie AL. AKTIV.
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