Welch Allyn Propaq Directions For Use Manual

varumärke: Welch Allyn

Modell: Propaq

Typ: Directions For Use Manual

Propaq

Encore Monitor

Update: Directions for Use/Reference Guide

English Update to Directions for Use/Reference Guide: Software Version 2.5X

Deutsch Aktualisierungen/Ergänzungen zur Bedienungsanleitung: Softwareversion 2.5X

Español Actualización de la Guía de referencia: Versión de software 2.5X

Français Mise à jour du Guide de r éférence : Logiciel Version 2.5X

Italiano Aggiornamento delle Guida di riferimento: versione 2.5X

Nederlands Update voor de Gebruiksaanwijzing: softwareversie 2.5X

Português Actualização das Instruções de Utilização : Versão de Software 2.5X

Svenska Updatering av bruksanvisning: Programversion 2.5X

ii Welch Allyn Propaq Encore Monitor

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 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:

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

Printed in USA

USA 800 535 6663

315 685 4560

Australia 61 2 9638 3000

800 074 793

Canada 800 561 8797 China 86 21 6327 9631

European Call Center 353 46 9067790 France 33 1 55 69 58 49

Germany 49 7477 9271 86 Japan 81 3 3219 0071

Latin America 305 669 9003 Netherlands 31 157 505 000

Singapore 65 6419 8100 South Africa 27 11 777 7555

United Kingdom 44 1332 363812

0123

iii

Contents

English Update: Propaq Encore Monitor . . . . . . . . . . . . . . . . . . . . . . . . 1

Intended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Symbols in This Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Symbols on the Propaq Encore Monitor, Accessories and Packaging . . . . . . 2

Warnings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Patient Alarms and Equipment Alerts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

Description of Alarm and Alert Tone Patterns . . . . . . . . . . . . . . . . . . . . . . . . 4

Silence an Active Patient Alarm or Equipment Alert Tone for 90 Seconds. . . 5

Inhibit Alarm and Alert Tones for Four Minutes: 4 SUSPND . . . . . . . . . . . . . 6

Inhibit Alarm and Alert Tones Indefinitely: ALL ALARMS . . . . . . . . . . . . . . . 7

Respond to Equipment Alerts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Summary of Alarm and Alert Keys and Acuity Central Station Messages . . . 9

Confirm and Learn Alarm Behavior in the Inservice Mode. . . . . . . . . . . . . . 10

Avoid Electrostatic Discharge . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Monitor (Physical) Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Monitor (Environmental) Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Electrosurgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

EMC Compliance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Patient Alarm and Equipment Alert Specifications. . . . . . . . . . . . . . . . . . . . 16

Aktualisierungen/Ergänzungen: Propaq Encore-Monitor . . . . . . . . . . 17

Verwendung . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Symbole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

In diesem Dokument verwendete Symbole . . . . . . . . . . . . . . . . . . . . . . . . 18

Symbole am Propaq Encore-Monitor, den Zubehörteilen und der

Verpackung. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Warnungen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Patientenalarme und Gerätewarnungen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Alarm- und Warntöne . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

Stummschalten eines aktiven Patientenalarms oder

Warntons (Gerätewarnung) für 90 Sekunden. . . . . . . . . . . . . . . . . . . . . . . 21

Unterdrückung von akustischen Alarmen und Warntönen für vier

Minuten: 4 AL AUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

Zeitlich unbegrenztes Unterdrücken von akustischen Alarmen und

Warntönen: ALLE ALM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Reaktion auf Gerätewarnungen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Übersicht über die Alarm-/Warnungstasten und die Meldungen der

Acuity-Zentralstation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25

iv Contents Welch Allyn Propaq Encore Monitor

Simulationsmodus: Überprüfen und Kennenlernen des Alarmverhaltens . . 26

Vermeidung elektrostatischer Entladungen . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Spezifikationen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

Monitor (Physikalische Daten) – Technische Daten . . . . . . . . . . . . . . . . . . . 27

Monitor (Umgebungsbedingungen) – Technische Daten . . . . . . . . . . . . . . . 27

Elektrochirurgische Geräte . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27

EMV-Konformität . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

Patientenalarme und Gerätewarnungen – Spezifikationen. . . . . . . . . . . . . . 32

Actualización en español: Monitor Propaq Encore . . . . . . . . . . . . . . . 33

Uso propuesto . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

Símbolos. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Símbolos en esta actualización . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Símbolos en el embalaje, accesorios y monitor Propaq Encore. . . . . . . . . . 34

Advertencias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Alarmas del paciente y alertas del equipo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

Descripción de la repetición del tono de alarma o alerta . . . . . . . . . . . . . . . 36

Silenciar una alarma de paciente activa o un tono de alerta del equipo

durante 90 segundos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

Inhibir los tonos de alarma y alerta durante 4 minutos: 4 SUSPND . . . . . . . 38

Inhibir los tonos de alarma y alerta indefinidamente: TODAS . . . . . . . . . . . 39

Respuesta a las alarmas del equipo . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

Resumen de las teclas de alarma y alerta y de los mensajes de la

estación central Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41

Confirmar y conocer el comportamiento de las alarmas en Modo

simulación . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42

Evitar las descargas electrostáticas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Especificaciones . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Especificaciones físicas del monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Especificaciones ambientales del monitor . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Electrocirugía . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43

Compatibilidad electromagnética . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44

Especificaciones de las alarmas del paciente y alertas del equipo . . . . . . . 48

Mise à jour française : moniteur Propaq Encore . . . . . . . . . . . . . . . . . 49

Objet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

Symboles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Symboles dans cette mise à jour . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Symboles sur le moniteur Propaq Encore, les accessoires et l´emballage . 50

Mises en garde. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

Alarmes patient et alertes matériel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Description des différents signaux sonores pour les alertes et les alarmes 52

Désactivation d´une tonalité d´alarme patient ou d´alerte matériel active

pendant 90 secondes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53

Suspension des tonalités d´alerte ou d´alarme pendant

quatre minutes : 4 SUSPND. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 54

Désactivation des tonalités d´alerte ou d´alarme pour une durée

indéfinie : TTES ALS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

Réponse aux alertes matériel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56

Update to Directions for Use and Reference Guide Contents v

Résumé des messages de la station centrale Acuity et des touches

pour les alertes et les alarmes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

Comprendre et vérifier les comportements d´alarme dans le mode

DEMONSTR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

Éviter les décharges électrostatiques. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Spécifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Spécifications physiques du moniteur . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Spécifications sur l´environnement du moniteur . . . . . . . . . . . . . . . . . . . . . 59

Électrochirurgie. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Compatibilité électromagnétique . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 60

Spécifications pour les alarmes patient et les alertes matériel . . . . . . . . . . 64

Aggiornamento italiano: Monitor Propaq Encore . . . . . . . . . . . . . . . . 65

Destinazione di uso. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65

Simboli . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Simboli inclusi in questo aggiornamento . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Simboli presenti sul monitor Propaq Encore, sui relativi accessori e

sulla confezione . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66

Avvertenze . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67

Allarmi paziente e anomalie tecniche . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

Descrizione degli schemi relativi ai segnali acustici di allarme e anomalia. . 68

Interruzione per 90 secondi di un segnale acustico di allarme o di

anomalia attivi. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

Sospensione del segnale acustico di allarme o anomalia per quattro

minuti: 4 SOSP. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70

Sospensione indefinita dei segnali acustici di allarme e anomalia:

TUTTI AL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

Risposta alle anomalie tecniche . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72

Riepilogo dei tasti di allarme e anomalia e dei messaggi della stazione

centrale di Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

Conferma e apprendimento dei comportamenti di allarme in

modalità simulatore . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 74

Come evitare le scariche elettrostatiche. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Specifiche . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Specifiche (fisiche) del monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Specifiche (ambientali) del monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Elettrochirurgia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75

Normativa EMC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76

Specifiche degli allarmi paziente e anomalie tecniche . . . . . . . . . . . . . . . . . 80

Update Nederlands: Propaq Encore-monitor. . . . . . . . . . . . . . . . . . . . 81

Beoogd gebruik. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

Symbolen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

Symbolen in deze update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

Symbolen op de Propaq Encore-monitor, accessoires en verpakking . . . . . 82

Waarschuwingen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

Patiëntalarmen en apparaatwaarschuwingen . . . . . . . . . . . . . . . . . . . . . . . . . . . 84

Beschrijving van toonpatronen in alarmen en waarschuwingen. . . . . . . . . . 84

Een actief patiëntenalarm of apparaatwaarschuwingstoon

90 seconden onderdrukken . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85

Alarm en waarschuwingstonen vier minuten onderdrukken: 4 ONDRDR . . 86

vi Contents Welch Allyn Propaq Encore Monitor

Alarm en waarschuwingstonen voor onbepaalde

tijd onderdrukken: ALL ALRM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87

Reageren op apparaatwaarschuwingen . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

Overzicht van alarm- en waarschuwingstoetsen . . . . . . . . . . . . . . . . . . . . . 89

Controles uitvoeren in de simulatiemodus en leren hoe de alarmen

werken . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90

Elektrostatische ontlading voorkomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

Specificaties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

(Fysieke) monitorspecificaties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

(Omgevingstechnische) monitorspecificaties. . . . . . . . . . . . . . . . . . . . . . . . 91

Elektrochirurgie. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91

EMC-conformiteit. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92

Specificaties voor patiëntalarmen en apparaatwaarschuwingen . . . . . . . . . 96

Actualização Portuguesa: Monitor Propaq Encore . . . . . . . . . . . . . . . 97

Utilização pretendida. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

Símbolos. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Símbolos Nesta Actualização . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Símbolos no Monitor Propaq Encore ou

Respectivos Acessórios e Embalagem . . . . . . . . . . . . . . . . . . . . . . . . . . . . 98

Advertências . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99

Alarmes do Paciente e Alertas do Equipamento . . . . . . . . . . . . . . . . . . . . . . . 100

Descrição de Padrões de Sinais de Alarme e Alerta . . . . . . . . . . . . . . . . . 100

Silenciar um Alarme de Paciente Activo ou Sinal de Alerta de

Equipamento durante 90 segundos . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Inibir Sinais de Alarme e Alerta durante Quatro Minutos: 4 SUSPEN . . . . 102

Inibir Sinais de Alarme e Alerta por Tempo Indeterminado: TDS ALRM . . 103

Responder a Alertas do Equipamento . . . . . . . . . . . . . . . . . . . . . . . . . . . . 104

Resumo das Teclas de Alarme e Alerta . . . . . . . . . . . . . . . . . . . . . . . . . . . 105

Confirmar e Aprender o Comportamento de Alarmes no Modo Em

Serviço . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 106

Evitar a Descarga Electrostática . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Especificações . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Especificações (Físicas) do Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Especificações (Ambientais) do Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Electrocirurgia. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107

Conformidade à CEM. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 108

Especificações de Alarmes do Paciente e Alertas do Equipamento . . . . . 112

Svensk uppdatering: Propaq Encore-monitor . . . . . . . . . . . . . . . . . . 113

Användningsområde . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113

Symboler. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

Symboler i den här uppdateringen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114

Symboler på Propaq Encore-monitorn, tillbehör och emballage. . . . . . . . . 114

Varningar. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

Patientlarm och utrustningsvarningar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 116

Beskrivning av larm- och varningstonsmönster . . . . . . . . . . . . . . . . . . . . . 116

Tysta en aktiv patientlarms- eller utrustningsvarningston i 90 sekunder . . 117

Upphäva larm- och varningstoner i fyra minuter: 4 SLÅ AV . . . . . . . . . . . . 118

Upphäva larm- och varningstoner på obestämd tid: ALLA LRM. . . . . . . . . 119

Update to Directions for Use and Reference Guide Contents vii

Reaktion på utrustningsvarningar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 120

Sammanfattning av larm- och varningsknappar . . . . . . . . . . . . . . . . . . . . . 121

Bekräfta och studera larmfunktion i in-service-läget. . . . . . . . . . . . . . . . . . 122

Undvikande av elektrostatisk urladdning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Specifikationer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Specifikationer (fysiska) för monitorn. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Specifikationer (miljö) för monitorn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

Elektrokirurgi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 123

EMC-överensstämmelse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 124

Specifikationer för patientlarm och utrustningsvarningar . . . . . . . . . . . . . . 128

viii Contents Welch 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.

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

or printer options are able to withstand

light rain exposure over short periods of time (uniform distribution of approximately 1 mm

of water/ minute for 10 minutes or less).

2 English Update: Propaq Encore Monitor Welch Allyn Propaq Encore Monitor

Symbols

Symbols in This Update

Symbols on the Propaq Encore Monitor, Accessories and Packaging

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.

Non-ionizing electromagnetic radiation Caution: On the product, means “Consult

accompanying documentation.”

Separate lead acid battery from other

disposables for recycling

Fuse

This device has been tested and certified by

the Canadian Standards Association

International to comply with applicable U.S.

and Canadian medical safety standards.

Single use only

Temperature limits Stacking limit (by number)

Altitude limit Humidity limit

Keep away from rain Fragile

Update to Directions for Use and Reference Guide English Update: Propaq Encore Monitor 3

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.

4 English Update: Propaq Encore Monitor Welch 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 Guide English Update: Propaq Encore Monitor 5

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

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 ess .

Indications During a 90-Second Silence Period

Press either key to silence the alarm

or alert tone for 90 seconds.

At the Propaq Encore Monitor At 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.

Only life-threatening arrhythmia and apnea alarm tones

interrupt the suspend period.

To re-enable an alarm or alert tone before the

90-seconds has elapsed, press .

To resume an alarm or alert tone before the 90-seconds has

elapsed, press RESUME.

If an equipment alert occurs during the silence period, you can acknowledge (dismiss) all indications of the alert by

pressing any key, as usual.

If the original alarm or alert condition still exists after 90 seconds, the alarm or alert tone sounds again.

6 English Update: Propaq Encore Monitor Welch 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. P r e s s MAIN MENU, SETUP, ALARMS, 4 SUSPND.

Resume Alarm and Alert Tone Capability Before the Four Minute Period Has Elapsed

1. P r e s s .

Indications During a Four-Minute Suspend Period

At the Propaq Encore Monitor At the Acuity Central Station

If an alarm or alert occurs during the suspend period, the usual visual alarm and alert indications are displayed.

Propaq monitors connected to Acuity Central Station:

Apnea or life-threatening arrhythmia alarm tones

interrupt the suspend period.

Standalone Propaq monitors: Apnea alarms do not

interrupt the suspend period, and arrhythmias are not

detected.

Apnea or life-threatening arrhythmia alarm tones interrupt the

suspend period.

To resume alarm and alert tone capability before the

4 minutes has elapsed, press .

To resume alarm and alert tone capability before the 4

minutes has elapsed, press RESUME.

If an equipment alert occurs during the suspend period, you can acknowledge (dismiss) all indications of the alert by

pressing any key, as usual.

Update to Directions for Use and Reference Guide English Update: Propaq Encore Monitor 7

Inhibit Alarm and Alert Tones Indefinitely: ALL ALARMS

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. P r e s s MAIN MENU, SETUP, MORE, MORE, SERVICE, YES, MORE, MORE,

SETTINGS, ALL ALRM, YES.

Resume All Alarm and Alert Tone Capability

1. P r e s s .

Indications During an All Alarms Suspended Period

Note

This feature requires access to the Service Menu. The Service Menu features

are not intended for use during ordinary, routine operation.

WARNING Whenever audible alarm tones are disabled, make sure the patient

is closely observed.

At the Propaq Encore Monitor At the Acuity Central Station

If an alarm or alert occurs during the suspend period, the usual visual alarm and alert indications are displayed.

Propaq monitors connected to Acuity Central Station:

Apnea or life-threatening arrhythmia alarm tones

interrupt the suspend period.

Standalone Propaq monitors: Apnea alarms do not

interrupt the suspend period, and arrhythmias are not

detected.

Apnea or life-threatening arrhythmia alarm tones interrupt

the suspend period.

To resume alarm and alert tone capability, press

To resume alarm and alert tone capability, press RESUME.

If an equipment alert occurs during the suspend period, you can acknowledge (dismiss) all indications of the alert by

pressing any key, as usual.

8 English Update: Propaq Encore Monitor Welch 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.

Respond to Equipment Alerts

SETUP

NIBP ECG/RESP

INV PRS SpO2/CO2

SETUP MENU 1

ALARMS

TRENDS

WAVE SEL

STATSCALE

MORENIBP TEST

IBP TEST

SpO2 TST

CO2 TEST

MORENEXT CHANGE WAVE SEL PRINTER

SERVICE MENU 1

TEMP TEST

PIXL TST

SERVICE MENU 2

MORESETTINGS KEY TEST SYSTEM

SERVICE MENU 3

NET TEST

NEXT UP DOWN ENTER

TIME/DAY MENU

PREV MENUNEXT CHANGE ALL ALRM

SETTINGS MENU

SETUP MENU 2

SERVICE

WAVE SEL

ACUITY

To access the ALL ALRM key, press

MAIN MENU, SETUP, MORE, MORE,

SERVICE, YES, MORE, MORE,

SETTINGS, ALL ALRM.

MAIN MENU

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 Guide English Update: Propaq Encore Monitor 9

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

Monitor Key

Result of Propaq Monitor Key

Press

At Acuity Central Station, Result of Propaq

Monitor Key Press

Acuity 6.30 and prior Acuity 6.31 and later

Propaq Encore

2.5X

SILENCE or Silences active alarm and alert

tones for 90 seconds at the

Propaq monitor and Acuity

Central Station.

All new alarms and alerts

interrupt the silence.

Alarms Suspended

Message

Only life-threatening

arrhythmia and apnea

alarms interrupt the

silence.

Alarms Suspended

Message

Only life-threatening

arrhythmia and apnea

alarms interrupt the

silence.

4 SUSPND Inhibits alarm and alert tones for

four minutes at the Propaq

monitor and Acuity Central

Station.

a. If connected to the Acuity Central Station, life-threatening arrhythmias and apnea alarms interrupt the suspension.

Alarms Suspended

Message

Nurse Suspend 4 min

Message

ALL ALRM Indefinitely inhibits alarm and

alert tones at the Propaq monitor

and Acuity Central Station, until

someone resumes tone

capability.

Alarms Suspended

Message

Nurse Suspend Always

Message

Propaq Encore

2.4X

and prior

SUSPEND or Suspends (for 90 seconds) the

capability for patient alarm and

equipment alert tones at the

Propaq monitor and Acuity

Central Station.

Alarms Suspended

Message

Alarms Suspended

Message

ALL ALRM Turns off all patient vital sign

alarm limits at the Propaq

monitor and Acuity Central

Station.

No visual or auditory alarm

indications occur until someone

resumes the limits.

Some Alarms Off,

Set Alarm Limits

Message

Some Alarms Off,

Set Alarm Limits

Message

10 English Update: Propaq Encore Monitor Welch 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 Guide English Update: Propaq Encore Monitor 11

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

Monitor (Environmental) Specifications

Electrosurgery

Propaq Encore monitors are suitable for use in the presence of electrosurgery.

Characteristic Specification

Recovery time following

defibrillator discharge

Less than or equal to 10 seconds

Characteristic Specification

Degree of protection against

ingress for monitors without

or printer options

IPX1 rating, drip proof per EN60529: 1991

12 English Update: Propaq Encore Monitor Welch 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 Encore Reference 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.

Emissions Test Compliance Electromagnetic Environment—Guidance

RF emissions

CISPR 11

Group 1 The 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.

RF emissions

CISPR 11

Class B The monitor is suitable for use in all establishments,

including domestic establishments and those directly

connected to the public low-voltage power supply network

that supplies buildings used for domestic purposes.

Harmonic emissions

IEC 61000-3-2

Class A

Voltage fluctuations/flicker

emissions

IEC 61000-3-3

Complies

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varumärke: Welch Allyn

Modell: Propaq

Typ: Directions For Use Manual

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