Welch Allyn FN802FH Propaq 802 LTRN User Manual part 2 of 10

Welch Allyn, Inc. Propaq 802 LTRN Users Manual part 2 of 10

Users Manual part 2 of 10

11IntroductionIntended Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2Safety. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5Controls, Indicators, and Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8Features and Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Models. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11USB Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11HIPAA Considerations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12Intended UseThe Propaq LT Series (802LT0N and 802LTRN) monitors are portable devices intended to be used by clinicians and medically qualified personnel for single or multiparameter vital-signs monitoring of ambulatory and nonambulatory neonate, pediatric and adult patients. These devices are indicated for ECG, noninvasive blood pressure (NIBP), respiration and SpO2. The most likely locations for patients to be monitored by these devices are hospital general medical-surgical, telemetry, and intermediate care floors, hospital emergency departments, transport, emergency medical services, and other healthcare applications.The monitors can be used as standalone devices or as devices networked to an Acuity Central Station (referred to in this manual as ‘Acuity’) through wireless communication over a Welch Allyn FlexNet network.Federal USA law restricts this device to sale, distribution, or use by or on the order of a licensed healthcare professional.Even though this manual describes some monitoring techniques, the monitor is intended for use only by trained and experienced clinicians who know how to measure and interpret vital signs.
2Introduction Welch Allyn Propaq LT Vital Signs MonitorSymbolsTable 1. Directions for UseWARNING Indicates conditions that could lead to illness, injury, or death. Caution In this manual, indicates conditions that could damage equipment or other property. Caution On the product, means “Consult the accompanying documentation.” Table 2. Control ButtonsMonitorPower - Turn the monitor power on or off. Down - Move the cursor down to the next display item.Action - Act based on what is highlighted. (See “Using the Action Button” on page 32.)Silence/Reset - Silence the current alarm tone for 90 seconds or reset a silenced alarm tone.Left - Move the cursor left to the next display item; decrease the parameter value.Display - Cycle to the next configured display format, or cancel the current control, setup, or pop-up menu.Right - Move the cursor right to the next display item; increase the parameter value.Snapshot - Record a 21-second period of numeric and waveform data.Up - Move the cursor up to the next display item.Start/Stop NIBP - Start or stop an NIBP measurement.CradleMonitor Release - Press and then hold while removing the monitor from the cradle.Table 3. Status IndicatorsMonitor(green) Monitoring normally (no active alarms or alerts). Connection to Acuity is confirmed and patient identification is confirmed. (Wireless only, Acuity enabled.)(green flashing) Monitoring normally (no active alarms or alerts). (Standalone only.)Patient confirmed, and monitor then intentionally disconnected. (Wireless only, Acuity enabled.)(yellow) At least one alarm is disabled.Monitor disconnected, connecting or connected; patient not confirmed. (Wireless only, Acuity enabled.)(yellow flashing) Equipment alert.Acuity message windows. (Wireless only, Acuity enabled.)(red flashing) Patient alarm.
Directions for Use Introduction 3Upper and lower alarm limits for this parameter are on.The upper alarm limit for this parameter is on and the lower is off.The upper alarm limit for this parameter is off and the lower is on.Upper and lower alarm limits for this parameter are off.A snapshot exists for this period.The snapshot for this period has been replaced with a more recent snapshot.(green) The battery is fully charged.The battery is partially full.The battery is partially full and is charging.(yellow) The battery is low.The battery is low and is charging.(red) The battery is near failure; the monitor will shut down soon. If this indicator appears while the monitor is in the cradle, the battery cannot be charged and must be replaced.The battery is near failure and is charging. The monitor will shut down if removed from the cradle.The monitor is communicating wirelessly with the network and with Acuity. (Wireless only, Acuity enabled.)The monitor is not communicating with the wireless network. (Wireless only, Acuity enabled.)(Flashing) The monitor is communicating with the network but is not communicating with Acuity.(Wireless only, Acuity enabled.)The monitor is communicating by USB cable with a PC.Cradle(green) Cradle is powered.(green) Monitor battery is charging. NOTE: When the battery is fully charged, this indicator is not lit.(yellow) Cradle fault or battery fault, or the monitor is not properly seated in the cradle. Table 3. Status Indicators (continued)
4Introduction Welch Allyn Propaq LT Vital Signs MonitorTable 4. LabelsMonitorProceed with caution. If in doubt, refer to the accompanying documentation.Enclosure protection: Drip-proof. Class IPX1 per EN60529:1991.The monitor or accessory meets all essential requirements of the European Medical Device Directive 93/42/EEC for a Class II-b product.The monitor is certified by the Canadian Standards Association International to comply with applicable US and Canadian medical safety standards.The monitor or accessory meets all essential requirements of the European Medical Device Directive 93/42/EEC for a Class I product.Type CF patient connections, isolated for direct cardiac application and protected against defibrillation.Australian registered importer. Hazard Class 9, IATA/ICAO (International Air Transport Association/International Civil Aviation Organization).High voltage. Do not touch during defibrillation.Direct current.Recycle the battery separately from other disposables. Battery replacement specification.Electromagnetic interference might occur in the vicinity of this monitor. (Wireless only, Acuity enabled; see “EMC Compliance” on page 179.)Recycle the monitor, cradle, and battery separately from other disposables. (See “Recycling Monitor Components” on page 162.)Lithium-ion battery.CradlePower in (DC). Fuse replacement specification.USB cable connector. For indoor use only.Input power (DC) pin pattern.Product PackagingStore this way up. Humidity limit.Temperature limits. Altitude limits.Rain protection required. Contents are fragile.Stacking limit. Recycle the packaging material.0123N3441900mAh7. 4 V Li ++Li ++T3A/250V
Directions for Use Introduction 5SafetyThe monitor is safe for patients and clinicians when used in accordance with the instructions and with the warning and caution statements presented in this manual.All personnel must read and understand all warning and caution statements presented in this manual before using the monitor. • Failure to understand and observe any warning statement in this manual could lead to patient injury, illness, or death.• Failure to understand and observe any caution statement in this manual could lead to equipment damage or loss of patient data.General WarningsThese statements apply to all aspects of patient monitoring. Statements which apply specifically to one aspect of monitoring, such as NIBP or SpO2 monitoring, are presented in the corresponding sections of the manual.WARNING Many environmental variables, including patient physiology and clinical application, can affect the accuracy and performance of the monitor. The clinician must verify all vital-signs information prior to patient intervention.WARNING Always check the patient mode (adult, pediatric, or neonate) when monitoring a new patient. The patient mode determines default alarm limits and internal algorithm settings. Make sure the monitor has settings that are appropriate before monitoring the patient.WARNING Make sure Acuity patients, and especially those prone to arrhythmias, are kept under close surveillance. While monitoring patients with Acuity, the clinician must review all clinical data before implementing therapy. As with all computerized arrhythmia analysis systems, Acuity cannot replace skilled care and proper surveillance by a clinician.WARNING It is possible for Acuity alarms, alerts, or other events to go unnoticed if clinical personnel are not present at Acuity or if interruptions occur in power or system operations. To help reduce this possible occurrence, Acuity must be installed with redundant power supplies and redundant means of operator surveillance, such as secondary Acuity Central Stations and hallway message panels.WARNING The monitor might not meet its performance specifications if stored or used outside the specified temperature and humidity ranges.WARNING Use of respiration monitoring by impedance pneumography can affect the operation of some pacemakers. If pacemaker operation is affected, turn off respiration pneumography. (See Figure 61 on page 61.)WARNING Do not connect more than one patient to a monitor. WARNING Do not connect more than one monitor to a patient.
6Introduction Welch Allyn Propaq LT Vital Signs MonitorWARNING During defibrillation, keep discharge paddles away from the monitor ECG lead wires, electrodes, any other monitor sensors, and other conductive parts in contact with the patient.WARNING Do not operate this product in the presence of flammable anaesthetics or other flammable substances in combination with air or oxygen-enriched environments. Failure to observe this warning can result in an explosion.WARNING Do not use the monitor in a Magnetic Resonance Imaging (MRI) suite or a hyperbaric chamber. Such use can cause fire or explosion resulting in patient injury and monitor damage.WARNING Do not operate this monitor near equipment that emits strong electromagnetic or radio-frequency signals. Electronic equipment of this type can cause electrical interference with monitor operation, which can distort the ECG signal and prevent accurate rhythm analysis.WARNING To comply with Federal Communications Commission (FCC) RF exposure requirements and to avoid exposure to radio-frequency (RF) radiation, always use the monitor in accordance with the operating conditions and instructions provided in this manual.WARNING Pacemaker signals can differ from one pacemaker to the next. The Association for Advancement of Medical Instrumentation (AAMI) cautions that “in some devices, rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias. Do not rely entirely upon rate meter alarms. All pacemaker patients should be kept under close or constant observation.” See “Pacer pulse rejection” on page 165 for disclosure of the pacemaker pulse rejection capability of this instrument.WARNING Use only accessories supplied by Welch Allyn or recommended in the Welch Allyn Products and Accessories guide (810-0409-XX). Use of any other accessories can result in inaccurate patient data and damage to the equipment. Always use accessories according to facility standards and the manufacturer’s recommendations. Always refer to the manufacturer’s instructions.WARNING Use only ECG cables supplied or specified by Welch Allyn. Use of any other ECG cables can negate defibrillator protection and can create a risk of patient injury due to shock.
Directions for Use Introduction 7General CautionsWARNING Frequently inspect—electrically and visually—all cables, sensors, and electrode wires. Replace any damaged cables, sensors or wires. Failure to properly inspect and keep in excellent working order all cables, sensors, and electrode wires can result in hazards to patients and to equipment failure and damage.WARNING Always properly connect the electrosurgery return circuit. Improper circuit connection can cause current to return through monitor electrodes and probes, creating a burn hazard for patients.WARNING Always keep patient motion to a minimum. Motion artifact can cause inaccurate measurement of patient vital signs. WARNING Carefully route and secure patient cabling, using the supplied garment clips. Improperly routed and secured cabling can cause the patient to become entangled in the cables, creating a strangulation hazard.WARNING When the patient is wearing the monitor or being transported by stretcher with the monitor connected, always take care to position the monitor carrying straps on the patient. Be certain that the straps do not and cannot cross the neck or throat and cause choking, and the straps do not restrict movement of the patient’s arms or legs.WARNING Never use a monitor that is not working properly. If the monitor is not working properly, patient waveforms might be inaccurate or might not be displayed.WARNING If the monitor is damaged, or if you see any indication that the monitor is not operating properly, disconnect it from the patient. Do not return it to service until it has been inspected and, if necessary, repaired by qualified service personnel.Caution Do not autoclave the monitor.Caution Autoclave accessories only if the manufacturer's instructions clearly direct you to do so. Many accessories can be damaged by autoclaving.
8Introduction Welch Allyn Propaq LT Vital Signs MonitorControls, Indicators, and ConnectorsFigure 1. ControlsFigure 2. Indicators: Monitor14040/7878808012129797%HALL, ROBERT E.HAL L, ROB ERT E.345618734561873:00:06P3:00:06PAdult,Adult,Rm 239Rm 23 9HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2SpO22x2xII 1mV/cmII 1mV/cmPower Turn the monitor power on or off.Silence/Reset Silence the current alarm tone for 90 seconds or reset asilenced alarm tone.NIBP Start/Stop Start or stop an NIBP measurement.Snapshot Record 21 seconds of numeric and waveform data.Arrows Move the display cursor up, down, right, or left tohighlight an item; change parameter values.Action Act based on what is highlighted. (See “Using the Action Button” on page 32.)Display Cycle to the next configured display format, or cancelthe current control, setup, or pop-up menu.Monitor release Release the monitor from the cradle.14040/7878808012129797%HALL, ROBERT E.HALL, R OBERT E.345618734561873:00:06P3:00:06PAdult,Adult,Rm 239Rm 23 9HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2SpO22x2xII 1mV/cmII 1mV/cmPropaq LTYellow At least one alarm limit is disabled. (Standalone.)Not monitoring (Wireless only, Acuity enabled).Green Connection to Acuity is confirmed and patientidentification is confirmed. (Wireless only, Acuity enabled.)Green Monitoring normally; no active alarms or alerts. (flashing) (Standalone.) Patient was confirmed and the monitor was then intentionally disconnected. (Wireless only, Acuity enabled.)Yellow Equipment alert. (Standalone.)(flashing) Acuity message windows. (Wireless only, Acuity enabled.)Red Patient alarm.(flashing)
Directions for Use Introduction 9Figure 3. Indicators: CradleFigure 4. Connectors: MonitorFigure 5. Connectors: Cradle14040/7878808012129797%HALL, ROBERT E.HALL, ROBE RT E.345618734561873:00:06P3:00:06PAdult,Adult,Rm 239Rm 23 9HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2SpO22x2xII 1mV/cmII 1mV/cmGreen Battery is chargingOff Cradle is not connected to power, or cradle faultGreen Cradle is connected to power14040/7878808012129797%HALL, ROBE RT E. 3456187 3:00:06PAdult, R m 2 39HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2 2xII 1mV/cmOff Battery is full or monitor is not in the cradleYellow Battery or cradle fault, or monitor is notproperly seated in the cradleSpO2 sensor connectorECG/Resp cable connectorNIBP hose connectorPower and data connector(from the cradle)Strap connectorsUSB connector for data to and from the PC (optional)Fuse holderPower (DC) input connectorMonitor power and data connector
10 Introduction Welch Allyn Propaq LT Vital Signs MonitorFeatures and Functions• Monitoring of neonate, pediatric and adult patients• Display of ECG, SpO2, and Resp waveform traces• Accurate reading of NIBP in the presence of motion artifact, using Welch Allyn’s patented Smartcuf motion-tolerant technology (available in 2006)•SpO2 monitoring with advanced technology for accuracy under conditions of low perfusion and in the presence of motion artifact• Configurable adjustments to alarm limits with ParamSet technology• Standalone operation with local patient alarms and equipment alerts• Optional two-way wireless communication within a Welch Allyn FlexNet network, providing monitoring and remote control at an Acuity Central Station• Color LCD for display of numerics and waveform data• Configurable display formats and monitoring capabilities• Internal antenna• Rechargeable lithium-ion battery• Weight of approximately 2 pounds (0.9 kg)• Durability• Tolerance of brief exposure to water • HIPAA support• Error detectionModelsThe monitor is available in a standalone model (802LT0N) and a wireless model (802LTRN).Table 5. Model DescriptionsFeature Model 802LT0NModel 802LTRN3-lead and 5-lead ECG x xRespiration rate (Resp) x xSpO2xxNoninvasive blood pressure (NIBP) x xRadio for FlexNet wireless communication with AcuityxCradle to recharge the monitor battery x xUSB Option OptionUpload patient data from the monitor to a PC and download custom monitor configurations from a PC to the monitorOption Option
Directions for Use Introduction 11AccessoriesThe following accessories are available for use with the monitor and the cradle:• Large Color Display Interface and cables• IV pole mount• Propaq LT Monitor PC Utility software (CD)•Propaq LT Monitor Service Manual (CD)•Propaq LT Monitor Directions for Use (CD)• Patient carry strap• Patient wearable strap • Transport stretcher strap• Connector panel plugs•SpO2 cables and sensors• 3-lead and 5-lead ECG cables and cable extensions• ECG electrodes• NIBP hoses and cuffs•Battery pack• AC power adapterFor ordering information, see Welch Allyn Products and Accessories (810-0409-XX).USB OptionThe monitor can be purchased with the optional USB data transfer capability. This option is required for the following:• Downloading custom configuration files from a PC to the monitor.• Uploading patient vital signs from the monitor to a PC (for printing).WARNING Use only accessories supplied by Welch Allyn or recommended in the Welch Allyn Products and Accessories guide. WARNING Always use accessories according to your facility’s standards and the manufacturer’s recommendations. WARNING Always refer to the manufacturer’s directions for use.
12 Introduction Welch Allyn Propaq LT Vital Signs MonitorHIPAA ConsiderationsEach medical facility is responsible for creating and enforcing policies and procedures to guarantee compliance with the regulations defined in 45 CFR 160-164 of the Health Insurance Portability and Accountability Act (HIPAA) of 1996.The Propaq LT Monitor, the Large Color Display Interface, the Propaq LT Monitor Configuration Utility, and the Propaq LT Monitor AutoPrint Utility incorporate security features that support your implementation of the HIPAA requirements for ensuring that patient information is kept private and confidential.Monitor• Clinicians can lock the monitor display to prevent the display of patient vital signs. For patient protection when the monitor display is locked, the display is restored instantly in the event of a button press (unless button-pad lock-out is enabled), an alarm or an alert.• Clinicians can lock the monitor buttons to prevent any unauthorized access to the monitor controls. To protect the patient when the buttons are locked, access to the buttons is restored instantly in the event of an alarm or an alert.• All patient data transmitted by radio from the monitor is fully encrypted. This data can be decrypted only by a Welch Allyn Acuity Central Station residing on the local Welch Allyn FlexNet network. Transmitted patient data is sent via the 802.11 spread-spectrum, frequency-hopping protocol, using the Welch Allyn proprietary PSI communications protocol. Configuration UtilityThe configuration utility never contains patient data.AutoPrint Utility• All patient data is stored in a Welch Allyn proprietary data format which is readable only by machine.• All patient data is deleted from the PC when it is sent to the printer.

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