Welch Allyn Medical Diagnostic Equipment 202el, 206el, 204el User Manual

Propaq® Encore

Vital Signs Monitor

Reference Guide

Model 202EL, 204EL, 206EL

Software version 2.4X

Copyright © 2004 by Welch Allyn. Welch Allyn

Acuity

are registered trademarks of Welch Allyn. Welch Allyn is protected under various patents and patents pending. Masimo

®

and SET
DURASENSOR
LIFEPAK

are registered trademarks and Signal Extraction Technology

®

®

, C-LOCK

®

6s

are registered trademarks of Medtronic Physio-Control Corporation.

®

and OXISENSOR

®

is a registered trademark of Welch Allyn. Propaq

is a trademark of Masimo Corporation. NELLCOR

®

are registered trademarks of Nellcor Puritan Bennett, Inc. LIFEPAK

™

®

, Propaq Encore

®

, and

®

5

and

,

®

Copyright Notice: Software in this Product is Copyright© 2004 by Welch Allyn or its vendors. All rights are reserved. The

software is protected by United States of America copyright laws and international treaty provisions applicable all over the world.
Under such laws, you are licensed to use the copy of the software incorporated with this instrument as intended in the operation
of the product in which it is embedded, but the software may not be copied, decompiled, reverse-engineered, disassembled or
otherwise reduced to human-perceivable form. This is not a sale of the software or any copy of the software; all right, title and
ownership of the software remains with Welch Allyn or its vendors. Welch Allyn will make available specifications necessary for
interoperability of this software on request; however, users should be aware that use of Welch Allyn hardware and software with
devices or software not sold by Welch Allyn or its authorized dealers and affiliates may lead to erroneous results and consequent
danger in patient care, and may also void Welch Allyn's warranty.

Disclaimers: Welch Allyn cautions the reader of this manual:

• This manual may be wholly or partially subject to change without notice.

• All rights are reserved. No one is permitted to reproduce or duplicate, in any form, the whole or part of this manual without
permission from Welch Allyn.

•Welch Allyn will not be responsible for any injury to the user or other person(s) that may result from accidents during
operation of the Propaq monitor.

•Welch Allyn assumes no responsibility for usage not in accordance with this manual that results in illegal or improper use of
the Propaq monitor.

• No implied license: Possession or purchase of this 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.

Welch Allyn Technical Support:

USA 1-800-

535-6663

Latin America ([phone]

European Call Center ([phone]

United Kingdom 0-207-365-6780

France ([phone]

Australia ([phone]

Germany ([phone] Singapore ([phone]

Canada 1-800-561-8797

South Africa ([phone]

Japan ([phone]

China ([phone]

For information concerning this document or any Welch Allyn product, contact:

Welch Allyn

Customer Service
8500 SW Creekside Place
Beaverton, Oregon 97008-7107 USA

Within USA, toll free:

Phone: [phone]
Phone Technical Services: (800)

535-6663

WorldWide:

Phone: [phone]
Fax: [phone]
Fax Technical Services: [phone]

Internet: http://www.monitoring.welchallyn.com

E-mail Technical Services :
[e-mail]
E-mail Marketing Dept.:
[e-mail]

Welch Allyn European Customer Service

IPA Business Park, Dublin Road
Navan, County Meath, Ireland
Phone: [phone]
Fax: [phone]

Welch Allyn U.K. Ltd.

Cublington Road, Aston Abbotts
Buckinhamshire HP22 4ND, England

Welch Allyn GmbH: Germany

Postfach 31, Zollerstrasse 2-4
72417 Jungingen, Germany
Phone: [phone]
Fax: [phone]

Welch Allyn: France

814 Rue Charles de Gaulle
77100 Mareuil les Meaux, France
Phone: [phone]
Fax: [phone]

Welch Allyn: Pacific

P. O. Box 39-293 Howick, Auckland, New Zealand
Phone: [phone]
Fax: [phone]

Welch Allyn: Asia

Room1002, 10/F Tung Sun Comm. Centre
194-200 Lockhart Road, Wanchai, H.K.
Phone: [phone]
Fax: [phone]

Welch Allyn, Inc.: Latin America

MD International, 11300 NW 41st Street
Miami, FL 33172 USA
Phone: [phone]
Fax: [phone]

Phone: [phone]
Fax: [phone]

Welch Allyn Italia

Via Napo Torriani, 29, 20124 Milan, Italy
Phone: [phone]

Reorder Part No: 810-1719-XX

Manual Part No: 810-0640-03 Rev. A 8/04
Printed in USA

Fax: [phone]

®

0123

Contents

General Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Safety Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Propaq Encore Documentation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

The Documentation Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

About This Reference Guide . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13

Statement of Expectations of the Reader . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Getting Started. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Introducing the Propaq Encore. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Propaq Encore Models and Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Expansion Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

Propaq Encore Pulse Oximetry Option (SpO

Capnography (CO

Impedance Pneumography (RESP) Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Printer Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Propaq-to-Acuity Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Modem-Propaq Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

HP-compatible Side Panel Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Using the Propaq Encore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

System Controls (Right Side Panel) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Alarm Lights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Power-up Screen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Patient Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22

Propaq Encore Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Propaq Encore Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

Propaq Encore Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Monitor Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29

Selecting Waveforms for Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Setting the Time and Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31

Changing the Date Format, Filter, and Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Setting the Current, Custom, and Powerup Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Printer Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Learning the Propaq Encore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

Using In-Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

) Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

2

) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16

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What You Can Do With In-Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37

What You Cannot Do With In-Service Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .38

Patient Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

ECG/RESP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39

Intended Use–Impedance Pneumography (RESP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39

Intended Use–ECG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40

ECG Connector and Applicable Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

How ECG/RESP is Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45

Using the Propaq Encore With Pacemaker Patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47

Using the Filter to Better Display a Waveform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48

ECG Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .48

RESP Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .49

Invasive Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50

Invasive Pressure Connectors and Transducers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .50

Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Rezeroing a Transducer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .52

How Invasive Pressure is Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53

Invasive Pressure Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54

NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

Improve NIBP Accuracy with Smartcuf™ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

NIBP Connector and Cuffs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59

Important Information About Automatic Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62

NIBP Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62

Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Temperature Connectors and Probes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

How Temperature is Displayed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Temperature Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .67

Pulse Oximetry (SpO2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68

Perform SpO2 Monitoring with Masimo Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .69

Perform SpO2 Monitoring with Nellcor Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70

Perform SpO2 “Spot-Check” Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73

Capnography (CO2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75

Propaq Encore Reference Guide 4 Welch Allyn

Contents

CO2 Measurements and Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

CO2 Display Menus and Status Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 78

Mainstream CO2 Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

How to Set Up the CO2 Channel and Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Sidestream CO2 Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .83

CO2 Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86

Alarms and Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Alarms Window and Menu. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Alarm Status Window . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

Alarms Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

Adjusting the Alarm Tone Volume . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .91

Types of Propaq Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Patient Alarms: Definitions and Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

Life-Threatening Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Temporary Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .94

Responding to Patient Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .95

Responding to Life-Threatening Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Alarm Prints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

Alarm Holdoffs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .97

Propaq Audio and Visual Alarm Holdoffs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Propaq Audio Alarm Holdoff with Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Setting Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Adjust Limits with STAT SET . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .98

Turning On and Off All Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Changing Individual Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Customizing Propaq Encore Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100

Equipment Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .101

Definitions and Indications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Responding to Equipment Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Power-up Equipment Alert: Program Fault, Settings Lost . . . . . . . . . . . . . . . . . . . . . . . . . . . .102

Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

The Trend Status Window and Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 103

How Trends are Accumulated . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

NIBP Trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Displaying Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Selecting a Trend (NXT TRND) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .105

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Contents

Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Printing Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Printing Waveforms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .107

Printing NIBP Measurements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .109

Printing the Apnea Ticket . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .110

Printing When a Patient Alarm Occurs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .111

OxyCRG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .112

Printing Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113

Printing a Single Trend . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113

Printing Several Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .113

Automatic Trend Prints . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .114

Acuity Central Monitoring System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Connecting to the Acuity System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Key-press Route to Acuity Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .117

Press NET OFF to Disconnect from Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 117

Printing at Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118

Network Alert Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 118

Power Sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Power Adapter Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119

Verifying Proper Power Adapter Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120

Replacing the Power Adapter Fuses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .120

Battery Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123

Recharging Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123

Monitor Functions Resumed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123

Operating Times Using Battery Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .123

Monitor Functions Based on Battery Voltage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124

Checking Battery Voltage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124

Replacing the Fuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .124

Care and Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Inspect and Clean the Monitor and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125

Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 126

Service Interval Recommendations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126

Product Recycling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127

Monitor Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Environmental Operating and Storage Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .127

Propaq Encore Reference Guide 6 Welch Allyn

Contents

Extended Storage Precautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127

Printer Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

Loading Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 128

Customer Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Ordering and Customer Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Technical Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Repacking . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 130

Defibrillator Synchronization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Defib Sync Connector and Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Installing the Defib Sync Interface to the LIFEPAK 5. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 131

Removing the Defib Sync Interface from the LIFEPAK 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 132

Synchronized Cardioversion Using the LIFEPAK 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .133

Synchronized Cardioversion Using the LIFEPAK 6s. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 134

Defib Sync Message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 136

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

ECG. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 137

Real-Time ECG Analog/Defib Sync. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 139

Impedance Pneumography (RESP) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140

Invasive Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141

NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 142

Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143

Pulse Oximetry (SpO

Capnography (CO

Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .150

Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .151

Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151

Monitor (Environmental) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .152

Monitor (Physical) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 153

Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154

Power . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 155

Power Adapters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 156

Factory Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 158

In-Service Simulated Values . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 160

) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144

2

) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146

2

Welch Allyn

7

Propaq Encore Reference Guide

Contents

Glossary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 161

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171

Propaq Encore Reference Guide 8 Welch Allyn

General Information

Safety Summary

This Safety Summary should be read by all Propaq Encore users. Specific warnings and
cautions will be found throughout the Propaq Encore documentation where they apply.

Caution Caution: Federal (U.S.A.) law restricts this device to sale,

distribution, or use by or on the order of a licensed medical practitioner.

Warning This monitor is to be operated by qualified personnel only. The

operator of this monitor should read this entire manual, the monitor Reference

Guide or Directions For Use , and all accessory Directions For Use before

operating the monitor.

Place the Propaq monitor and accessories in locations where they cannot
harm the patient if they fall from their shelf or mount. Lift the monitor only by its
handle; do not lift it by any attached cables.

Do not connect more than one patient to a monitor. Do not connect more than
one monitor to a patient.

Do not use the Propaq Encore in an MRI suite or a hyperbaric chamber.

Do not autoclave the Propaq. Autoclave accessories only if the manufacturer's
instructions clearly approve it. Many accessories can be severely damaged by
autoclaving.

Inspect the power adapter cord periodically for fraying or other damage, and
replace the adapter as needed. Do not operate the apparatus from mains
power with a damaged power adapter cord or plug.

When using a power adapter with this monitor, be sure to connect the power
adapter to a three-wire, grounded, hospital-grade receptacle. Do not under
any circumstances attempt to remove the grounding conductor from the power
plug of the power adapter. Do not plug the power adapter into an extension
cord. If there is any doubt about the integrity of the protective earth ground of
the receptacle for the power adapter, do not plug in the power adapter;
operate the monitor only on battery power. Contact your biomedical
engineering department for assistance in identifying the proper power
receptacle and making appropriate power connections.

Propaq Encore Reference Guide 9 Welch Allyn

Safety Summary

Warning Make frequent electrical and visual checks on cables and electrode

wires.

Avoid electrosurgery burns at monitoring sites by ensuring proper connection
of the electrosurgery return circuit so that the return paths cannot be made
through monitoring electrodes and probes.

During defibrillation, keep the discharge paddles away from ECG and other
electrodes, as well as other conductive parts in contact with the patient. Avoid
contact with any accessories connected to the Propaq’s left side panel.

To ensure patient safety, the conductive parts of the ECG electrodes
(including associated connectors) and other patient-applied parts should not
contact other conductive parts, including earth ground, at any time.

Do not operate this product in the presence of flammable anesthetics or other
flammable substance in combination with air, oxygen-enriched environments,
or nitrous oxide; explosion can result.

Within certain governmental jurisdictions, all interconnected accessory
equipment must be labeled by an approved testing laboratory. After
interconnection with accessory equipment, risk (leakage) current and
grounding requirements must be maintained.

To ensure conformance to risk (leakage) current requirements when operating
from an ac mains power source, use only a Welch Allyn 503-0054 series
power adapter.

This monitor should only be repaired by qualified service personnel. The
operator should not attempt to open the monitor case or perform any
maintenance on the monitor except for procedures explicitly described in this
manual that can be performed by operators such as inspection and cleaning.

To ensure patient safety, use only accessories recommended or supplied by
Welch Allyn. For a list of those accessories, see the Welch Allyn Products and

Accessories book that accompanied this manual (P/N 810-0409-XX).

Accessories must be used according to your hospital’s standards and the
manufacturer’s recommendations. Always refer to the manufacturer’s
Directions for Use.

Welch Allyn 10 Propaq Encore Reference Guide

Safety Summary

Warning Safe interconnection between the Propaq monitor and other devices

must comply with applicable medical systems safety standards such as IEC
60601-1-1. Within certain governmental jurisdictions, all interconnected
accessory equipment must be labeled by an approved testing laboratory. After
interconnection with accessory equipment, risk (leakage) current and
grounding requirements must be maintained.

As with all medical equipment, carefully route the patient cabling to reduce the
possibility of patient entanglement or strangulation.

A product that has been dropped or severely abused should be checked by
qualified service personnel to verify proper operation and acceptable risk
(leakage) current values.

The pulse oximetry channel should NOT be used as an apnea monitor.

If the monitor detects an unrecoverable problem, an error message window
appears containing an error number and a short message. Report such errors
to Welch Allyn.

The Propaq Encore should be serviced only by a Welch Allyn service technician while under
warranty. The Propaq Encore Service Manual (P/N 810-0696-XX) is available from Welch Allyn
to assist the biomedical engineer during post-warranty period service.

Symbols

The following symbols may appear on the Propaq Encore monitor or accessories or
documentation. These internationally recognized symbols are defined by the International
Electrotechnical Commission, IEC 878 and IEC 417A.

Notes identify useful tips or points about operation.

Caution Caution statements identify conditions or practices that could result

in damage to the equipment or other property.

Warning Warning statements identify conditions or practices that could result

in personal injury.

Propaq Encore Reference Guide 11 Welch Allyn

Safety Summary

Off (Standby) Patient connections are Type

CF, isolated for direct cardiac
application, and protected
against defibrillation.

On

Tr ansformer meets
requirements of a
short-circuit-proof
safety-isolating power
transformer.

Alternating current

For continued fire
protection, use only
the specified fuse.

Direct current

Battery charging when
green indicator
illuminated

The CE Mark and

0123

Notified Body
Registration Number
signify the device has
met all essential
requirements of
European Medical
Device Directive
93/42/EEC.

Tw o way
communication port

NIBP cuff sizes:
Thigh
Large adult
Adult
Small adult
Child
Infant

IPX1

NRTL/ C

Evaluated to CSA 601-1
and UL2601-1

Patient connections are Type
BF, and protected against

For indoor use only (on
power adapter only)

defibrillation.

Patient connections are Type
B.

Caution: Refer to
Reference Guide and
accompanying
documentation.

Enclosure Protection Drip
proof: Classification IPX1 per
IEC Publication 529

The Canadian
StandardsAssociation has
evaluated this device
according to CSA 601-1 and
Underwriters Laboratory
Standard UL 2601-1. (This

The CE Mark signifies
the device has met all
essential requirements
of European Medical
Device Directive
93/42/EEC for a Class
1 product. (This symbol
is on the Universal
Power Adapter.)

symbol is on the Universal
Power Adapter.)

Input port Temperature sensor

input

Output port Single-use only (not

2

reusable).

Apply the NIBP cuff as
shown.

Welch Allyn 12 Propaq Encore Reference Guide

Propaq Encore Documentation

Propaq Encore Documentation

The Documentation Set

The Propaq Encore documentation set consists of documents for the clinician, the biomedical
technician, and the department head or purchaser of accessories for the Propaq Encore
monitors.

This Propaq Encore Reference Guide contains important safety and operating information for
the clinician.

The Propaq Encore Service Manual (P/N 810-0696-XX) contains information on how to
properly maintain the Propaq Encore through routine calibration, inspection, and
maintenance.

The Welch Allyn Products & Accessories booklet (P/N 810-0409-XX) provides a
comprehensive list of accessories recommended for Propaq Encore monitors and options.

About This Reference Guide

This Reference Guide provides descriptions and operating information for the Propaq Encore
models 202EL, 204EL, and 206EL, including all available options at the time of this manual's
printing.

Statement of Expectations of the Reader

This Reference Guide was written for the clinician. Although this guide may describe some
monitoring techniques, Welch Allyn expects that you are a trained clinician who knows how
to take and interpret a patient’s vital signs. The Propaq Encore has been designed as a quality
monitor; however, inherent limitations require that good clinical judgment always prevails.

Propaq Encore Reference Guide 13 Welch Allyn

Propaq Encore Documentation

Welch Allyn 14 Propaq Encore Reference Guide

Getting Started

Introducing the Propaq Encore

Intended Use

Before using the

Propaq Encore on a patient, be sure you understand the Safety Summary at
the front of this book. It provides important information about safely using the Propaq
Encore. The Propaq Encore monitor is intended to be used by skilled clinicians for
multiparameter vital signs monitoring of neonatal, pediatric, and adult patients in health
care facility bedside applications; as well as for intra- and interfacility transport.

Propaq Encore Models and Options

Three models of Propaq Encore monitors are available.

Features common
to all models

206EL Tw o Invasive Pressure Channels

204EL One Invasive Pressure Channel

202EL No Invasive Pressure

Options available
for each model

ECG, 3-lead or 5-lead configurations, 0.05-40/0.5-40 Hz
NIBP, with neonatal, pediatric and adult modes
Temperature, 2 channels: YSI™ 400 and 700 series-compatible connectors
Defibrillator Synchronization
Real-time Analog output of ECG
Electrocautery noise suppression on all channels except Impedance
Pneumography

Pulse Oximetry (SpO
Capnography (CO
Mainstream Capnography (MCO
Sidestream Capnography (SCO
Dualstream Capnography (Both MCO
Impedance Pneumography (RESP) (available only with SpO
Printer
HP-compatible side panel

)

2

) (available only with SpO2):

2

)

2

)

2

and SCO2)

2

)

2

Propaq Encore Reference Guide 15 Welch Allyn

Introducing the Propaq Encore

Expansion Module

The Propaq Encore Expansion Module attaches to the monitor and houses additional
capabilities. The Expansion Module can be fitted with the SpO

ALARM(S)

OFF Light

ALARM Light

Option

SpO

2

, CO2, and Printer options.

2

Mainstream

CO

Option

2

Printer Option

Sidestream
CO

Option

2

Expansion
Module

Propaq Encore Pulse Oximetry Option (SpO2)

The Propaq Encore Pulse Oximetry option (SpO2) can be installed in the Expansion Module
or in a smaller unit that attaches to the rear of the monitor:

Masimo
Nellcor
Nellcor

®

Pulse Oximetry option (motion tolerant).

®

Pulse Oximetry option (motion tolerant).

®

Pulse Oximetry option (without motion tolerance).

Capnography (CO2) Options

The Propaq Encore CO
option and Sidestream CO
a ventilator. The Sidestream CO
patients through a cannula. The CO
Dualstream CO

in the Expansion Module. These options require the Pulse Oximetry (SpO2)

2

options allow carbon-dioxide monitoring. The Mainstream CO

2

option allow CO2 monitoring directly in the breathing circuit of

2

option also allows CO2 monitoring of non-intubated

2

options can be installed separately, or together as

2

2

option.

Welch Allyn 16 Propaq Encore Reference Guide

Introducing the Propaq Encore

Impedance Pneumography (RESP) Option

The RESP option detects the rate or absence of respiratory effort, and is configured with the
Pulse Oximetry option.

Printer Option

The Expansion Module with Printer (EMP) provides a lightweight 3-channel recorder.

Propaq-to-Acuity Option

This option allows communication between the Propaq Encore and the Acuity Central
Monitoring System by means of an ethernet network system installed in your facility. The
Acuity System operator can view the patient data and control most of the bedside Propaq
functions. The Propaq Encore connects to the Acuity System through an Acuity network
cable that plugs into the Propaq right side panel.

Modem-Propaq Option

This option allows telecommunication between a Propaq Encore and the Acuity System by
means of external modems. This option is configured with the Propaq-to-Acuity option. For
more information refer to the Modem-Propaq Reference Guide.

HP-compatible Side Panel Option

The HP connector-compatible option makes the Propaq Encore compatible with many
Hewlett-Packard sensors and accessories used with the Hewlett Packard Component
Monitoring System. This option replaces the standard Propaq Encore left side panel.

Propaq Encore Reference Guide 17 Welch Allyn

Using the Propaq Encore

System Controls (Right Side Panel)

Using the Propaq Encore

On/Off Switch

Input Fuse

Power Input

Connector

Warning Safe interconnection between the Propaq Encore and other devices
must comply with applicable medical systems safety standards such as IEC
601-1-1.

On/Off Switch

3A

2AG

12-28V, 3A

DEFIB SYNCHROMONITOR

!

!

EKG x 1000

!

Defib Sync Connector

Real-time ECG
Output Connector

Speaker

Battery Charging
Light

Connector for Acuity

!

or Modem-Propaq

This switch turns the monitor on and off. The switch is recessed to prevent accidentally
turning off the monitor, which would result in losing patient data.

Input Fuse

The input fuse, which protects the Propaq Encore against power surges, is a 3 Ampere fuse,
externally replaceable by qualified service personnel. See page 124 for fuse replacement
instructions.

Power Input Connector

This receptacle accepts the Welch Allyn ac power adapter, which must be used for ac mains
operation and battery charging. The Propaq Encore is also designed to operate with other 12­28 volt, dc-only power sources, such as a vehicle battery system.

Welch Allyn 18 Propaq Encore Reference Guide

Using the Propaq Encore

Defib Sync Connector

This connector allows connection with a LIFEPAK 5 or LIFEPAK 6s defibrillator for
synchronized cardioversion. See page 131 for more information.

Real-Time ECG Output Connector

This connector provides a real-time analog ECG signal output.

Battery Charging Light

This green light turns on when a power source (ac power adapter or external dc source) is
connected and the battery is charging. Although the monitor may be turned off, battery
charging continues when an external power source is connected.

Connector for Acuity or Modem-Propaq

This connector allows either direct connection to an Acuity System, or connection to an
external modem for telecommunication to an Acuity System. For more information about the
Acuity System, see page 115. For more information about the Modem-Propaq, refer to the

Modem-Propaq Reference Guide.

Alarm Lights

Alarms and limits are described in detail beginning on page 91.

ALARM Light

When an alarm limit is violated, the red ALARM light turns on.

ALARM(S) OFF Light

When any alarm limit is turned off, the yellow ALARM(S) OFF light turns on.

Propaq Encore Reference Guide 19 Welch Allyn

Power-up Screen

Using the Propaq Encore

PROTOCOL SYSTEMS INC.

MODEL PROPAQ 204

DIAGNOSTICS IN PROGRESS

BATTERY: 8.3 VOLTS

SOFTWARE VERSION 2.00.00

(c) PROTOCOL SYSTEMS INC. 1988-1998

A few seconds later, the top
two lines of the screen are
replaced with text indicating the
current patient mode (adult,
pediatric, or neonatal).

(c) PROTOCOL SYSTEMS INC. 1988-1998

PEDIATRIC MODE

DIAGNOSTICS IN PROGRESS

SOFTWARE VERSION 2.00.00

When you first turn on the monitor,
the power-up screen displays
information about the Propaq
Encore and the monitor runs
diagnostic tests to ensure proper
functioning.

BATTERY: 8.3 VOLTS

Warning Before you use a Propaq on a new patient, always turn off the
Propaq for a few seconds, then turn it on again. This clears the prior patient’s
trend values, alarm limit settings, and NIBP cuff inflation target.

1. If the Propaq Encore has been used for a previous patient, switch the monitor off,
then on again. The monitor will turn on in the powerup patient mode with the
associated settings.

Verify that the powerup tone is produced. If the monitor has SpO2, verify two
tones are produced to make sure that both speakers are working.

2. Verify the monitor is in the correct patient mode according to the patient’s age. If the
patient mode is not correct, change it (see page 29 to change the patient mode).

Warning Always check the patient mode when monitoring a new patient. The
patient mode determines default alarm limits, maximum cuff inflation pressure,
and internal algorithm settings.

3. Verify the battery voltage is sufficient for monitoring. If it is less than 7.4 V, connect to
a power adapter (see page 119 for information about the power adapter).

Welch Allyn 20 Propaq Encore Reference Guide

Using the Propaq Encore

Powerup Equipment Alert: Program Fault, Settings Lost

If a PROGRAM FAULT: SETTINGS LOST, TIME/DAY RESET equipment alert appears when
you turn on the monitor, the monitor cannot recall the programmed custom settings and
current time and date. This can occur if the battery is drained or after new software has been
installed.

If this occurs, the monitor provides a special sequence of display windows to help you regain
use of your monitor as quickly as possible. Do the following:

1. Connect an ac power adapter to recharge the battery (if the battery is drained).

2. Press any button below the equipment alert screen to acknowledge the alert. The

monitor will display the Mode Setup window (shown on page 33).

3. Press these buttons to select one of the Factory patient modes for use:

Factory Adult mode

POWERUP*, YES.

Factory Pediatric mode NEXT, POWERUP*, YES.

Factory Neonatal mode NEXT, NEXT, POWERUP*, YES.

After you press

4. Press

NEXT, UP, and DOWN as needed to set the time and date. Then press ENTER to store

YES, the monitor will display the Time/Day window.

the new time and date.

These display screens are only displayed in this order if the PROGRAM
FAULT equipment alert occurs.

5. Turn off the monitor, then turn it on again so the settings will take effect.

The monitor is ready for use. If you want to store some customized patient mode program
settings, refer to page 33.

If you follow these steps and the equipment alert reappears at powerup, the monitor may
need to be serviced and the battery replaced. Contact a qualified service person.

Propaq Encore Reference Guide 21 Welch Allyn

Using the Propaq Encore

Patient Connections

The left side panels differ depending on the Propaq Encore model. All models have ECG,
NIBP, and two temperature connectors. The Propaq Encore 204 left side panel includes one
invasive-pressure connector, and the Propaq Encore 206 includes two invasive-pressure
connectors.

ECG / EKG RESPINV. BP

NIBP
PSNI

ECG / EKG RESP

!

P1

NIBP

T1

PSNI

!

NIBP
PSNI

T1

ECG / EKG RESPINV. BP

P1

T1

!

!

COMPATIBLE

HP

ECG / EKG RESP

P
S

N

I

202 HP

NIBP

ECG / EKG RESP

P
S
N

I

NIBP

T2

INV. BP

P2

Propaq Encore 206 EL

INV. BP

INV. BP

!

COMPATIBLE

HP

P1

P2

206 HP

T2

Propaq Encore 204 ELPropaq Encore 202 EL

INV. BP

!

COMPATIBLE

HP

P1

204 HP

ECG / EKG RESP

P
S

N

I

NIBP

T2

On Propaqs with the Hewlett-Packard connector option, all models have only one
temperature connector, the YSI 400 connector.

Welch Allyn 22 Propaq Encore Reference Guide

Using the Propaq Encore

Option Connectors

CO

2

CO

2

!

!

Mainstream CO2

Connector

Masimo SpO2 Connector

(motion tolerant)

Cable: see Welch Allyn

Products and

Accessories Guide

(810-0409-XX)

Sidestream CO2

Connector

Cable: see Welch Allyn

Products and

Accessories Guide

(810-0409-XX)

Masimo SpO2 Connector

(motion tolerant)

SpO

2

!

NELLCOR
SENSORS/ CAPTEURS

Nellcor SpO2 Connector

(newer style, motion tolerant)

Nellcor SpO2 Connector

(older style, without motion

tolerance)

Propaq Encore Reference Guide 23 Welch Allyn

Using the Propaq Encore

Propaq Encore Display

The display shows waveforms, vital sign numeric values, Propaq Encore status, and alarm
information in different windows. Different vital sign numeric values (such as heart rate and
blood pressures) have upper and lower range limits. If the Propaq Encore detects a vital sign
value outside of the Propaq's measurable range, the monitor displays – – – (below the range)
or + + + (above the range) instead of the vital sign value.

Warning The Propaq Encore will show + + + for HR numerics between 301­350 beats per minute. Above 350 beats per minute, it may display incorrectly
low heart rates, due to intermittent picking of R-waves.

Due to differences in software versions and standards required by different
countries, the displays shown in this reference guide may be slightly different
than the display on your Propaq Encore.

Time of day, caution and

status messages.

Noninvasive blood

pressure values can

appear here.

18:45:28

III

Wavefo rm

window

Status

window

ETCO2 concentration Breath Rate

mV

1

cm

MON

CO2
GAS COMPENSATION: OFF

RESPONSE : NORMAL
CO2 SOURCE : MAINSTREAM
SWEEP SPEED : 6.25 mm/s
BAROMETER : 762.2 mmHg

GAS COMP PREV MENUSOURCERESPONSE

from CO

Temperature values are

displayed here.

122

S

Oxygen

saturation is a

2

percentage

value.

Heart Rate Source: HR

indicates ECG;

PR indicates blood

pressure or SpO

102.3

Systolic, diastolic, and (if

pressures are displayed.

.

2

°

F

HRT1NIBP

ART

( 85)

PA

MCO2

35

mmH

SpO

space permits) mean

Bells indicate alarm

limit status

Heart Rate in

60

122
58

35/ 18

BR

12

g

2

92

beats per

minute.

The screenspace is reallocated when vital signs are added or removed. By changing the size
of the numeric windows below the heart rate, the Propaq Encore provides the best possible
view of all numerics for vitals signs being monitored.

Welch Allyn 24 Propaq Encore Reference Guide

Using the Propaq Encore

You can select up to three waveforms to be shown on the Propaq. When only one waveform
is selected, a trend window automatically appears below the waveform. While changing
Propaq Encore settings, a status window may appear below the waveform.

12:45:28

III

mV

1

cm

MON

RESP TREND

TIME INCO2ETCO2HR/PR

10:00
9:58
9:56
9:54

BPMHH:MM

101
88
93
91

PRINT OXYCRGNXT TRND

SpO2
%
98

SRCH
OFF
100

122

S

BR

Br/M

11
11
5
10

1NIBP

mmHgmmH

30
31
30
30

102.3

°

3
3
10
2

F

HRT

80

ART

g

( 85)

PA
MCO

2 BR

35

mmH

SpO

122
58

35/ 18

g

2

12
92

Patient waveform and trend

information can be

simultaneously displayed,

while numeric values are

continuously updated.

Propaq Encore Buttons

The four buttons at the sides of the screen are reserved for the most commonly used
functions.

SUSPEND/RESUME Suspends or resumes alarm tone.

START/STOP Starts and stops NIBP measurements. The STOP function will

automatically vent the cuff.

FREEZE/UNFREEZE Freezes or “unfreezes” the waveforms. If only one or two waveforms

are displayed and you press FREEZE, the frozen waveform(s) are shown
along with an active waveform so you can continue to monitor the
patient’s condition.

MAIN MENU Pressing MAIN MENU always returns the monitor to the top level menu.

SUSPEND/

RESUME

START/

STOP

(NIBP)

FREEZE/

UNFREEZE

MAIN MENU

The five labels

above the

associated

buttons

Propaq Encore Reference Guide 25 Welch Allyn

Using the Propaq Encore

The five buttons below the screen, and their associated labels located on the screen, provide
access to the menus.

Later in this manual, the notation

A , B , C is used as a shorter way to say “Press Button A, then

B, then C.”

Propaq Encore Menus

Menus for some patient vital signs are displayed only if that option is included in your
Propaq.

MAIN MENU

SETUPNIBP ECG/RESP INV PRS SpO2/CO2

MORE

PREV MENU

FLOWRATE

PREV MENU

PREV MENU

PREV MENURANGE mm/s MORE

PREV MENU

PREV MENU

PREV MENU

INV PRS MENU 1

RANGE

INV PRS MENU 2

LABEL P1 FORMAT 1 LABEL P2 FORMAT 2

ECG/RESP MENU 1

ECG SIZE

SpO2 CO2

CO2 MENU 1

CO2 MENU 2A (NO CO2 SENSORS)

GAS COMP RESPONSE

CO2 MENU 2B (MAINSTREAM CO2 ACTIVE)

GAS COMP RESPONSE SOURCE

CO2 MENU 2C (SIDESTREAM CO2 ACTIVE)

GAS COMP RESPONSE SOURCE

SpO2 MENU 1

SIZE MORE

SpO2 MENU 2

RESPONSE C-LOCK

RESCALE

ECG LEAD RESP SZE

ZERO P1

CANCEL

ZERO P2

CANCEL

MORE

PREV MENU

ECG/RESP MENU 2

NEXT CHANGE

NIBP MENU

START AUTO/MAN TURBOCUF

STOP

INTERVAL

PREV MENU

PREV MENU

Welch Allyn 26 Propaq Encore Reference Guide

Using the Propaq Encore

Key-press Route to Setup Menu 1

SETUP MENU 1

STATSCALE

ALARMS

TRENDSWAVE SEL

ALARMS MENU

STAT SET

SUSPEND

RESUME

SETUPNIBP ECG/RESP INV PRS SpO2/CO2

MORE

(MORE button takes you to next Setup Menu)

TRENDS MENU

PRINT NXT TRND

ALL ALRM LIMITS

PREV MENU

ALARM LIMITS MENU*

NEXT

UP DOWN ON/OFF

(*ON/OFF button is not displayed for HR/PR alarm limits if

the HR/PR ALARM LIMITS setting is set to CANNOT

TURN OFF.)

OXYCRG

NEXT PAGE

Propaq Encore Reference Guide 27 Welch Allyn

Key-press Route to Setup Menu 2

Using the Propaq Encore

SCATSCALE ALARMS TRENDSWAVE SEL

SETUP MENU 2

NEXT CHANGE WAVE SEL PRINTER

SETUPNIBP ECG/RESP INV PRS SpO2/CO2

MORE

MORE

*(Service menu tests are for use by authorized

service personnel only, and are available only

when in the Adult patient mode.)

TIME/DAY MENU

NEXT UP DOWN ENTER

SERVICE

PREV MENU

SERVICE MENU 1*

MORENIBP TEST IBP TEST SpO2 TST CO2 TEST

SERVICE MENU 2*

TEMP TEST

PIXL TST

NET TEST

MORE

SERVICE MENU 3*

MORESETTINGS KEY TEST SYSTEM

SETTINGS MENU

PREV MENUNEXT CHANGE

PRINTER SETUP MENUS

(Printer Setup status window)

PREV MENUNEXT CHANGE PR TREND MORE

(Printer Trend Select status window)

NEXT CHANGE PR TREND MORE

PREV MENU

WAVE SELECT MENU

ON/OFFNEXT

INSERV

NO INSRV

PREV MENU

PATIENT MODE MENU

PREV MENUNEONATAL PED ADULT SETUP

(Patient Mode menu is

accessed when CHANGE is

pressed for PATIENT

MODE.)

MODE SETUP MENU

PREV MENUNEXT POWERUP* USE NOW SAVE

Welch Allyn 28 Propaq Encore Reference Guide

Monitor Setup

Monitor Setup

Setup Menu 1 is accessed by pressing the SETUP button on the Main Menu.

STATSCALE MOREWAVE SEL TRENDSALARMS

STATSCALE

ALARMS Allows access to the Alarms menu.

WAVE SEL Allows you to turn on and off desired waveforms or NIBP

Automatically readjusts all waveform scales.

numerics for display.

TRENDS

MORE

NEXT

CHANGE

PRINTER Allows access to the Printer Menu.

Allows access to the Trend settings and display.

Displays the next setup menu and the following status window:

SETUP HR/PRHR/PR RR/BR
CURRENT SOURCE : ECG MCO2

SELECTED SOURCE : ART --­SWEEP (mm/s) : 12.5 3.13
ALARM TONE : HIGH
HR/PR TONE : LOW
PATIENT MODE : ADULT

NEXT MOREWAVE SEL PRINTERCHANGE

( 85)

PA
MCO

2 BR

35

mmH

SpO

35/ 18

g

2

12
92

Selects the next setting in the status window.

Changes the currently selected display setting. (Pressing CHANGE at
PATIENT MODE allows you to choose between Adult, Pediatric, and
Neonatal in a Patient Mode window.)

MORE

CURRENT SOURCE When the selected HR/PR source is no longer available, the current

Allows access to the Time/Day window.

source is the active source with highest priority. The RR/BR source
cannot be manually selected. It will always be CO2 if CO2 is active.
Otherwise, it will be ECG/RESP.

SELECTED SOURCE The user-selected HR/PR source is displayed along with the HR/

PR source currently being used by the monitor.

SWEEP (mm/s) The selectable sweep speeds for HR/PR are 12.5, 25, and 50 mm/

sec. The sweep speeds for RR/BR are 3.13, 6.25, and 12.5 mm/sec.

ALARM TONE Sets the Alarm Tone volume to HIGH, MEDIUM, or LOW.

Propaq Encore Reference Guide 29 Welch Allyn

Monitor Setup

HR/PR TONE Sets the Heart Tone volume to HIGH, MEDIUM, LOW, or OFF.

PATIENT MODE Pressing CHANGE in this selection displays the following Patient Mode

window:

PATIENT MODE
SELECT PATIENT MODE BASED ON AGE:

NEO : < 44 WEEKS GEST. AGE
PED : > 44 WEEKS GEST. AGE,
< 9 YEARS
ADULT: > 9 YEARS

NEONATAL PREV MENUADULTPED

BATTERY: 9.2 VOLTS

SETUP

( 85)

PA

35/ 18

MCO2 BR

35

12

g

mmH

SpO

2

92

If you press NEONATAL, PED, or ADULT, a confirmation window
appears, requiring you to confirm your selection:

PATIENT MODE

CHANGING SETTINGS AND MODE

TO:

CUSTOM: ADULT

ADULT ALARM LIMITS WILL BE SET

ARE YOU SURE?

YES NO

( 85)

PA
MCO

2 BR

35

mmH

SpO

35/ 18

g

2

12
92

Whenever you change the patient mode, the alarm limit
settings are automatically changed to the defaults for that
mode. If Custom settings have been set for that mode, the
defaults are the Custom mode settings. If no Custom settings
have been set, the defaults are the Factory Mode settings.
See page 33 for more information about patient modes.

If you change the patient mode, the CO

alarm limits in the

2

new mode might vary slightly from the originally-programmed
CO

limits for the new mode. Check the CO2 alarm limits.

2

If you press

SETUP in the previous Patient Mode window, the

Mode Setup window appears. This allows you to set custom
patient modes and powerup defaults as described on
page 33.

Welch Allyn 30 Propaq Encore Reference Guide