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Welch Allyn Propaq Encore 202EL User Manual

Welch Allyn Propaq Encore 202EL
178 pages
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Propaq
®
Encore
Vital Signs Monitor
Reference Guide
Model 202EL, 204EL, 206EL
Software version 2.4X

Table of Contents

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Welch Allyn Propaq Encore 202EL Specifications

General IconGeneral
BrandWelch Allyn
ModelPropaq Encore 202EL
CategoryMedical Equipment
LanguageEnglish

Summary

General Information

Safety Summary

Provides crucial warnings and cautions for safe operation of the Propaq Encore monitor.

Symbols

Explains symbols used in documentation and on the Propaq Encore monitor for clarity.

Propaq Encore Documentation

Details the components of the Propaq Encore documentation set for users and technicians.

About This Reference Guide

Describes the scope and content of this specific reference guide for Propaq Encore models.

Statement of Expectations of the Reader

Outlines the expected knowledge and responsibilities of the reader using this guide.

Getting Started

Introducing the Propaq Encore

Provides a general introduction to the Propaq Encore vital signs monitor.

Propaq Encore Models and Options

Details the different Propaq Encore models and the available optional features.

Expansion Module

Describes the Propaq Encore Expansion Module and its role in housing additional capabilities.

Propaq Encore Pulse Oximetry Option (SpO2)

Details the Pulse Oximetry (SpO2) option, including sensor types and installation.

Capnography (CO2) Options

Explains the Capnography (CO2) options, including Mainstream, Sidestream, and Dualstream.

Impedance Pneumography (RESP) Option

Describes the RESP option for detecting respiratory effort and its configuration.

Printer Option

Details the Printer Option, providing a lightweight 3-channel recorder.

Propaq-to-Acuity Option

Explains the option for communicating with the Acuity Central Monitoring System via Ethernet.

Modem-Propaq Option

Describes the option for telecommunication with the Acuity System via external modems.

HP-compatible Side Panel Option

Details the HP connector option for compatibility with Hewlett-Packard sensors and accessories.

Using the Propaq Encore

System Controls (Right Side Panel)

Identifies and describes the physical controls located on the right side panel of the monitor.

Defib Sync Connector

Explains the connector for LIFEPAK defibrillator synchronization for cardioversion.

Real-Time ECG Output Connector

Describes the connector providing a real-time analog ECG signal output.

Battery Charging Light

Explains the function of the green light indicating battery charging status.

Connector for Acuity or Modem-Propaq

Details the connector for Acuity System connection or modem telecommunication.

Alarm Lights

Describes the function of the red ALARM light and yellow ALARM(S) OFF light.

Power-up Screen

Explains the information displayed and diagnostics run when the monitor is first turned on.

Powerup Equipment Alert: Program Fault, Settings Lost

Describes an alert indicating lost settings and the steps to recover.

Patient Connections

Option Connectors

Illustrates and describes connectors for optional modules like CO2 and SpO2.

Propaq Encore Display

Propaq Encore Buttons

Identifies and explains the function of the four main buttons on the screen sides.

Propaq Encore Menus

Key-press Route to Setup Menu 1

Provides a step-by-step guide to access Setup Menu 1 through button presses.

Key-press Route to Setup Menu 2

Details the key presses required to navigate to Setup Menu 2.

Monitor Setup

Setup Menu 1

Explains the options available within Setup Menu 1 for configuring the monitor.

Patient Mode Configuration

Explains how to change and set the patient mode (Adult, Pediatric, Neonatal).

Selecting Waveforms for Display

Guides users on how to choose which waveforms are shown on the monitor.

Setting the Time and Date

Details the process for setting the monitor's current time and date.

Changing Date Format, Filter, and Units

Explains how to modify date format, ECG filter, and measurement units.

Setting Current, Custom, and Powerup Modes

Describes how to set and customize patient modes for powerup and operation.

Mode Setup Window

Details the Mode Setup window for configuring patient modes and powerup defaults.

Printer Functions

Printer Fault Messages

Lists and explains error messages related to printer malfunctions.

Learning the Propaq Encore

Using In-Service Mode

Explains how to use the in-service mode for practicing monitor functions without a patient.

What You Can Do With In-Service Mode

Lists the operations that can be performed while the monitor is in in-service mode.

What You Cannot Do With In-Service Mode

Lists the limitations of the in-service mode regarding calibration and specific functions.

Patient Monitoring

ECG/RESP Monitoring

Covers the setup and use of ECG and Impedance Pneumography (RESP) monitoring.

Intended Use–ECG

Details the intended use of the Propaq Encore for ECG monitoring with different lead configurations.

ECG Connector and Applicable Accessories

Guides on using correct ECG connectors and accessories for safety and performance.

ECG/RESP Preparation

Outlines the steps for preparing the monitor and the patient for ECG/RESP monitoring.

Setting Up the ECG/RESP Channel

Explains how to configure the ECG and RESP channels, including lead selection and bandwidth.

Setting ECG/RESP Alarms

Guides on setting appropriate alarm limits for ECG and RESP vital signs.

How ECG/RESP is Displayed

Explains how ECG and RESP data are presented on the Propaq Encore display.

ECG/RESP Menus and Status Window

Describes the menus and status windows related to ECG and RESP monitoring.

Impedance Pneumography Selections

Details the specific selections available for the Impedance Pneumography option.

Impedance Pneumography Selections

Details specific selections for Impedance Pneumography (RESP) including leads and response settings.

Using Propaq Encore With Pacemaker Patients

Provides guidance on using the Propaq Encore with patients who have pacemakers.

Pacemaker Signals

Explains how the Propaq Encore detects and indicates pacemaker signals.

Pacer Display

Describes how pacemaker signals are visually indicated on the Propaq Encore display.

Turn On and Off the Pacemaker Indicator

Details how to enable or disable the pacemaker indicator function.

Noise on the Signal

Discusses noise issues affecting the ECG signal and potential solutions.

Using the Filter to Better Display a Waveform

Explains how to use the built-in filter to reduce noise and improve ECG waveform clarity.

ECG Messages

Lists and explains messages related to ECG lead faults or changes.

RESP Messages

Lists and explains error messages specific to the RESP (Respiration) channel.

Invasive Pressure

Invasive Pressure Intended Use

Details the intended use of the invasive pressure channel for measuring various pressures.

Invasive Pressure Connectors and Transducers

Guides on selecting and connecting appropriate transducers for invasive pressure monitoring.

Invasive Pressure Preparation

Outlines the steps for preparing the transducer and zeroing it for invasive pressure monitoring.

Setting Up the Pressure Channel

Explains how to configure the invasive pressure channel settings like range and format.

Setting Invasive Pressure Alarms

Guides on setting alarm limits for invasive pressure measurements.

Rezeroing a Transducer

Describes how to rezero a transducer at any time for accurate readings.

How Invasive Pressure is Displayed

Explains how pressure waveforms and numeric values are presented on the Propaq Encore display.

Invasive Pressure Messages

Lists and explains messages related to invasive pressure measurements and transducer status.

NIBP (Noninvasive Blood Pressure)

NIBP Intended Use

Details the intended use of the Noninvasive Blood Pressure (NIBP) channel.

Improve NIBP Accuracy with Smartcuf™

Explains how the Smartcuf filter enhances NIBP measurement accuracy, especially with motion artifact.

NIBP Connector and Cuffs

Guides on selecting and using appropriate NIBP connectors and cuffs for different patient age groups.

NIBP Preparation

Outlines the three steps for preparing NIBP monitoring: cuff placement, channel setup, and alarm limits.

Set Up the NIBP Channel

Details how to access the NIBP menu and set up the channel, including modes and Smartcuf.

NIBP Displayed in Waveform Window

Explains how NIBP numerics can be displayed within a waveform window.

Set the NIBP Alarm Limits

Guides on setting appropriate alarm limits for NIBP measurements.

NIBP Display Default Settings

Explains how to select waveforms and view default NIBP display settings.

Important Information About Automatic Measurements

Provides details on how automatic NIBP measurements are scheduled and initiated.

NIBP Messages

Lists and explains various NIBP error and caution messages.

Temperature

Temperature Intended Use

Details the intended use of the temperature monitoring function and unit selection.

Temperature Connectors and Probes

Guides on using approved temperature probes and connectors for accurate readings.

Temperature Preparation

Outlines the steps for preparing the patient and monitor for temperature measurement.

How Temperature is Displayed

Explains how temperature measurements are numerically displayed on the Propaq Encore screen.

Temperature Messages

Lists and explains messages related to temperature probe detection and calibration errors.

Pulse Oximetry (SpO2)

Pulse Oximetry (SpO2) Intended Use

Describes the intended use of pulse oximetry, factors affecting accuracy, and sensor application.

Perform SpO2 Monitoring with Masimo Option

Guides on attaching and using the Masimo SpO2 sensor and interpreting its display.

Perform SpO2 Monitoring with Nellcor Option

Details the steps for attaching and using Nellcor SpO2 sensors, including cable inspection.

Perform SpO2 “Spot-Check” Monitoring

Explains how to use the SpO2 Standby Mode for intermittent or spot-check monitoring.

Capnography (CO2)

Capnography (CO2) Intended Use

Details the intended use of Capnography (CO2) for measuring vital signs and events like ETCO2 and apnea.

Mainstream CO2 Option

Explains the Mainstream CO2 option, its sensor attachment, and patient connection requirements.

Sidestream CO2 Option

Describes the Sidestream CO2 option, sensor location, and patient connection methods.

CO2 Measurements and Display

Explains how CO2 levels are displayed as waveforms and numerics, including active sensor indication.

Breath Rate Measurements

Explains how Breath Rate (BR) is determined from the CO2 sensor and alarm limits.

Apnea Events

Details how apnea delays are set and how apnea alarms are triggered and recorded.

Numeric Area Status Messages

Lists status messages that can appear in the CO2 numeric display area.

CO2 Display Menus and Status Window

Explains how to access and use the Mainstream CO2 menu and status window for configuration.

Mainstream CO2 Menu and Status Window

Explains how to access and use the Mainstream CO2 menu and status window for configuration.

Sidestream CO2 Menu and Status Window

Details how to access and use the Sidestream CO2 menu and status window for configuration.

Mainstream CO2 Monitoring

Focuses on the setup and operation of the Mainstream CO2 monitoring.

How to Set Up the CO2 Channel and Alarm Limits

Provides steps for setting up the CO2 channel and alarm limits after connecting the sensor.

Sidestream CO2 Monitoring

Outlines the major steps for setting up Sidestream CO2 monitoring, including connecting the watertrap.

Connect the Watertrap

Details how to properly connect the disposable Sidestream CO2 watertrap.

Set Up the CO2 Channel and Alarm Limits

Refers back to page 81 for setting up the CO2 channel and alarm limits.

Connect to a Non-Intubated Patient

Explains how to connect the Sidestream CO2 system for non-intubated patients.

Connect to an Intubated Patient

Details how to connect the Sidestream CO2 system for intubated patients.

Mainstream CO2 Messages

Lists and explains equipment messages related to the Mainstream CO2 sensor and operation.

Sidestream CO2 Messages

Lists and explains equipment messages for the Sidestream CO2 option.

Alarms and Limits

Alarms Window and Menu

Explains how to access and use the Alarms Window and Menu for managing alarms.

Adjusting the Alarm Tone Volume

Describes how to adjust the volume of alarm tones to different levels.

Types of Propaq Alarms

Patient Alarms: Definitions and Indications

Defines patient alarms, their indications (lights, tones), and status.

Life-Threatening Alarms

Explains life-threatening alarms, their priority, and automatic activation.

Temporary Alarms

Describes temporary alarms, their cause, and how asterisks indicate violations.

Responding to Patient Alarms

Suspend an Alarm Tone

Explains how to temporarily silence alarm tones and the duration of suspension.

Turn Off or Change Alarm Limits

Details how to cancel alarms by turning off or changing individual alarm limits.

Responding to Life-Threatening Alarms

Provides guidance on responding to life-threatening alarms, including tone suspension and limit adjustment.

Alarm Prints

Explains how to configure the Propaq Encore to print when a patient alarm occurs.

Alarm Holdoffs

Propaq Audio and Visual Alarm Holdoffs

Explains alarm holdoff periods that delay triggering alarms for vital signs.

Propaq Audio Alarm Holdoff with Acuity

Describes audio alarm delays when the Propaq Encore is connected to an Acuity System.

Setting Alarm Limits

Adjust Limits with STAT SET

Explains how to use the STAT SET feature to quickly calculate and set new alarm limits.

Turning On and Off All Limits

Guides on turning all alarm limits on or off simultaneously without changing their values.

Changing Individual Limits

Details the process for selecting and adjusting alarm limits for individual vital signs.

Customizing Propaq Encore Alarm Limits

Explains how to customize alarm limits to take effect every time the monitor is turned on.

Equipment Alerts

Equipment Alerts: Definitions and Indications

Defines and explains the indications of equipment alerts, including tones and display messages.

Responding to Equipment Alerts

Outlines how to respond to equipment alerts to resume normal monitoring.

Power-up Equipment Alert: Program Fault, Settings Lost

Describes an alert indicating lost settings and the steps to recover.

Trends

Trend Status Window and Menu

Explains the Trend Status Window and Menu for selecting and viewing trend data.

How Trends are Accumulated

Details how vital sign numerics are sampled and stored in trend memory.

NIBP Trends

Explains the collection and display of NIBP readings in trend format, including error indicators.

Displaying Trends

Guides on how to display trend data by accessing the main menu or setup.

Selecting a Trend (NXT TRND)

Explains how to use the NXT TRND button to select specific trends for display.

Printing

Printing Patient Data

Describes how to print patient data, including waveforms and vital sign numerics.

Printing Waveforms

Explains how to print various waveforms using snapshot or automatic print functions.

CO2 and RESP Waveforms

Details how CO2 and RESP waveforms are printed, including labeling and sweep speeds.

Printing NIBP Measurements

Guides on how to print NIBP measurement results as an NIBP Ticket.

Printing the Apnea Ticket

Explains how to configure and print an Apnea Ticket after an apnea event.

Printing When a Patient Alarm Occurs

Details how to set up the printer to automatically print when a patient alarm occurs.

OxyCRG

Describes the OxyCRG graphical printout of HR/PR, SpO2, and respiratory waveform.

OxyCRG on Alarm

Explains how OxyCRG printing is initiated when specific alarms are detected.

Printing Trends

Printing a Single Trend

Guides on printing a single trend using the PRINT button or NXT TRND.

Printing Several Trends

Explains how to select and print multiple trends simultaneously.

Automatic Trend Prints

Details how to activate and configure automatic trend printing at 4-hour intervals.

Acuity Central Monitoring System

Acuity Central Monitoring System Intended Use

Describes the Acuity system as a central monitoring solution for Propaq Encore monitors.

Connecting to the Acuity System

Outlines the steps for saving settings and connecting the Propaq Encore to the Acuity network.

Press NET OFF to Disconnect from Acuity

Key-press Route to Acuity Menu

Shows the button sequence to access the Acuity menu on the Propaq Encore.

Printing at Acuity

Explains how to print waveforms from the Propaq Encore to the Acuity system printer.

Network Alert Message

Describes alert messages related to interruptions in communication with the Acuity system.

Power Sources

Power Adapter Intended Use

Details the intended use of Welch Allyn power adapters with Propaq monitors for safe operation.

Verifying Proper Power Adapter Configuration

Guides on checking and ensuring the correct voltage setting for the power adapter.

Power Adapter Configurations

Lists part numbers, voltage, fuse, and output specifications for power adapters.

Replacing the Power Adapter Fuses

Explains how service personnel can replace fuses in the power adapter if necessary.

Power Adapter Fuse Replacement Procedure

Provides a step-by-step guide for replacing fuses in the power adapter, including PCB handling.

Battery Care

Recharging Time

States the typical time required for the battery to charge to full capacity.

Monitor Functions Resumed

Explains when monitor functions become available after connecting the power adapter.

Operating Times Using Battery Power

Provides estimates for battery operating times based on various factors and configurations.

Monitor Functions Based on Battery Voltage

Describes how monitor functions are affected by dropping battery voltage.

Checking Battery Voltage

Explains where to view the monitor's current battery voltage.

Replacing the Fuse

Details the location and procedure for replacing the monitor's fuse.

Care and Maintenance

Inspect and Clean the Monitor and Accessories

Provides instructions for inspecting for damage and cleaning the monitor and its accessories using approved solutions.

Maintenance

Service Interval Recommendations

Recommends intervals for verifying proper operation and performing checks by qualified service personnel.

Monitor Care

Product Recycling

Details options for returning the Propaq Encore for recycling at the end of its lifespan.

Environmental Operating and Storage Limits

Specifies the environmental conditions for operating and storing the Propaq Encore.

Extended Storage Precautions

Provides precautions for storing the monitor for extended periods, especially regarding battery care.

Battery Removal

Refers to the service manual for procedures on removing the monitor's battery.

Printer Maintenance

Printer Paper Removal

Instructions on removing printer paper, with a caution about storage.

Loading Paper

Provides step-by-step instructions for loading paper into the printer.

Customer Services

Ordering and Customer Service

Provides contact information for ordering, sales representatives, and general product information.

Technical Service

Offers contact details for technical assistance, troubleshooting, and replacement parts.

Repacking

Gives instructions for preparing the monitor for return shipment for service.

Defibrillator Synchronization

Defib Sync Connector and Cables

Identifies the connector and discusses the cables required for defibrillator synchronization.

Installing the Defib Sync Interface to the LIFEPAK 5

Details the steps to install the interface between the Propaq Encore and LIFEPAK 5 defibrillator.

Removing the Defib Sync Interface from the LIFEPAK 5

Provides instructions on how to remove the Defib Sync interface from the LIFEPAK 5 defibrillator.

Synchronized Cardioversion Using the LIFEPAK 5

Guides on performing synchronized cardioversion using the LIFEPAK 5 defibrillator with the Propaq Encore.

Synchronized Cardioversion Using the LIFEPAK 6s

Details how to perform synchronized cardioversion using the LIFEPAK 6s defibrillator with the Propaq Encore.

Defib Sync Message

Explains the Defib Sync error message and its meaning related to cable issues.

Specifications

ECG Specifications

Lists detailed specifications for the ECG channel, including connectors, leads, and bandwidth.

Real-Time ECG Analog/Defib Sync

Explains the interface for defibrillator sync and real-time ECG output signals.

Real-Time ECG Analog/Defib Sync Signals

Lists the specifications for sync output and real-time ECG output signals.

Impedance Pneumography (RESP) Specifications

Details specifications for the Impedance Pneumography channel, including sweep speed, range, and artifact rejection.

Invasive Pressure Specifications

Lists specifications for invasive pressure, including transducer types, sensitivity, and bandwidth.

NIBP Specifications

Details NIBP specifications for method, control, ranges, accuracy, and timing.

Temperature Specifications

Lists specifications for temperature measurement, including range, probes, units, and accuracy.

Masimo SpO2 Specifications

Details Masimo SpO2 specifications for saturation, pulse rate, accuracy, and circuitry.

Nellcor SpO2 Specifications

Lists Nellcor SpO2 specifications for saturation, pulse rate, accuracy, and circuitry.

General CO2 Specifications

Provides general specifications for CO2 display, units, gas compensation, accuracy, and breath rate.

Mainstream CO2 Specifications

Lists specifications for the Mainstream CO2 sensor and airway adapter, including environmental data.

Sidestream CO2 Specifications

Details specifications for the Sidestream CO2 sensor, including operating temperature, response time, and sampling line.

Alarms

Alarms Specifications

Lists specifications for alarm indicators, tone frequency, volume, limits, and holdoff times.

Trends

Trends Specifications

Details specifications for trend parameters, duration, and resolution for different monitor models.

Display

Provides specifications for the monitor's EL display matrix, resolution, and pixel dimensions.

Display Specifications

Lists display specifications including viewing angle, contrast ratio, colors, and refresh rate.

Monitor (Environmental)

Monitor Environmental Specifications

Lists operating and storage specifications for temperature, humidity, altitude, and EMC.

Monitor (Physical)

Monitor Physical Specifications

Details physical specifications like dimensions, weight, and protection classifications for the monitor and its modules.

Printer

Printer Specifications

Lists printer specifications for operation modes, printing speeds, mechanism, and environmental factors.

Power

Monitor Power Specifications

Details monitor power specifications including battery type, capacity, recharge circuitry, and operating times.

Power Adapters

Power Adapter General Specifications

Lists general specifications for power adapters, including protection classifications and environmental limits.

Power Adapter Physical Specifications

Details physical specifications for different universal power adapter models, including dimensions and features.

Factory Default Settings

Factory Default Settings

Lists the default settings for various monitor parameters, patient modes, and printer options.

In-Service Simulated Values

In-Service Values

Provides initial and alternate simulated values for ECG, RESP, P1, P2, NIBP, SpO2, and CO2 channels.

Glossary

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