Welch Allyn FN802FH Propaq 802 LTRN User Manual part 9 of 10

Welch Allyn, Inc. Propaq 802 LTRN Users Manual part 9 of 10

Users Manual part 9 of 10

8111Monitor ConfigurationOverview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111About Factory Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112About Default Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 112About Temporary Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113About Acuity-Defined Configuration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 113OverviewThe monitor can be configured in various ways.Each facility can define as many default configurations as required to both meet the needs of individual departments and units and to conform to the facility’s general methods and standards. • Each time the patient mode is changed, the monitor settings return to this default configuration. • Each time the monitor is turned on, the clinician chooses whether to retain the most recently used temporary, patient-specific settings (see below) or to reset the monitor to its default configuration.Clinicians can use the monitor buttons to temporarily customize settings to meet the needs of individual patients. These custom settings can be retained through a monitor shut-down and restart, but they are lost if the patient mode is changed.When a wireless monitor is in communication with an Acuity Central Station, Acuity imposes several monitor settings to assure conformance and consistency among all monitors on a network. These settings override the factory configuration, the default configuration, and any temporary patient-specific settings. If the monitor power is cycled while the monitor is no longer in communication with Acuity, the monitor powers up with the default configuration or with the custom settings for the previously monitored patient.
112 Monitor Configuration Welch Allyn Propaq LT Vital Signs MonitorAbout Factory ConfigurationWhen the monitor arrives from the factory, it is fully configured and ready for operation. The factory configuration defines every setting and behavior for the monitor. Each setting and behavior defined in the factory configuration remains in effect until it is changed by a custom configuration or by a temporary adjustment. Unless the factory configuration is replaced by a custom configuration, the factory settings and behaviors are restored to the monitor each time the monitor is powered up and Start New Patient is selected.When a custom configuration is downloaded to the monitor, the settings and behaviors defined in the custom configuration become the power-up defaults for the monitor, and the factory configuration is no longer in effect. However, the factory configuration information can always be restored by qualified service personnel and can also be restored by downloading the configuration file PropaqLTFactoryConfig.mnt from a PC to the monitor.The factory settings are shown in the “Parameter Configuration Matrix” on page 113.About Default ConfigurationMost facilities, before putting a new monitor into service, reconfigure it to conform to local protocol and to adapt it to the clinical environment in which it is to be used. This reconfiguration results in a set of default settings and monitor behaviors. Creating a custom default configuration requires the following:• A Propaq LT Monitor Configuration Utility running on a PC, and• A cradle with the USB data transfer optionFor information about the monitor configuration utility, refer to “Configuring the Monitor” on page 126.To learn which parameters can be defined using the Configuration Utility, see the “Parameter Configuration Matrix” on page 113.
Directions for Use Monitor Configuration 113About Temporary ConfigurationWhile monitoring a patient, you can use the monitor buttons to temporarily adjust many of the monitor settings to accommodate the needs of a specific patient. These custom settings persist through a power cycle if you select to save patient data on shut-down. The persist until they are changed manually or by Acuity, or until the monitor is powered down and then powered up to monitor another patient.To learn which parameters can be temporarily defined using the User Interface, see the “Parameter Configuration Matrix” on page 113.About Acuity-Defined ConfigurationWhen the monitor comes into communication with the Acuity Central Station, Acuity downloads some parameter values to the monitor.The Acuity-defined configuration persists until the monitor is powered off. To learn which parameters are defined by Acuity, see “Parameter Configuration Matrix” on page 113.Parameter Configuration MatrixThis table lists shows the factory settings and the possible values for all parameters, and indicates which parameters and settings can be defined by Acuity, through the Configuration Utility, or by the clinician through the monitor buttons. Note This table shows only those parameters that can be changed.Note Except for Radio ESSID (NetName) and Can Disable HR/PR Alarm Limits, this table does not show parameters intended for use only by qualified service personnel.
114 Monitor Configuration Welch Allyn Propaq LT Vital Signs MonitorTable 11. Parameter Configuration MatrixParameter Factory Setting Possible Values Where SetGeneralPatient Name(Last, First, MI)[blank] (≤16 characters displayed; actual number of characters depends on character width)Monitor, AcuityPatient ID [blank] (12 characters) Monitor, AcuityRoom [blank] (5 characters) Monitor, AcuityRegulatory Setting US US, European EC, Japan Metrology Configuration Utility, AcuityPatient Mode Adult Adult, Pediatric, Neonate Monitor, Configuration Utility, AcuityLCD Bias 32 1 - 64 MonitorNetworkRadio Card ON and Acuity EnabledYES if the radio card is installed.NO if the radio card is not installed.Yes, No Configuration UtilityRadio ESSID (NetName) com.protocol com.protocol(1), demo.protocol(2)com1.protocol(3), com2.protocol(4)com1.protocol(5), com2.protocol(6)com1.protocol(7), com2.protocol(8)com1.protocol(9), com2.protocol(10)com1.protocol(11), com2.protocol(12)com1.protocol(13), com2.protocol(14)com1.protocol(15), com2.protocol(16)com1.protocol(17), com2.protocol(18)com1.protocol(19), com2.protocol(20)MonitorCAUTION Do not attempt to change the network name unless you are a qualified biomedical service engineer or technician. Changing the network name causes the monitor to disconnect from the current FlexNet network, restart (deleting all stored patient data), and attempt to connect to the FlexNet network corresponding to the new network name.To change the network name:1. Enter the Service menu.2. Highlight Radio.3. Highlight NetName and press .4. Select another network name and press .5. Press to return to the monitoring display.Radio Disconnect Not Disconnected Disconnected, Not Disconnected Monitor
Directions for Use Monitor Configuration 115User InterfaceConfiguration Name Factory 1.00 0 - 40 characters Configuration UtilityFacility Name [blank] 0 - 40 characters Configuration UtilityContact Name [blank] 0 - 40 characters Configuration UtilityUnit/Department ID [blank] 0 - 40 characters Configuration UtilityContact Telephone [blank] 0 - 40 characters Configuration UtilityTime Format 24-Hr 12-Hr, 24-Hr Monitor, Configuration UtilityConfigured Language English Dutch, English, French, German, Italian, Polish, Portuguese, Spanish, SwedishMonitor, Acuity, Configuration UtilityDecimal Format Dot Comma, Dot Configuration UtilityDate Format MM/DD/YY MM/DD/YY, DD.MM.YY, YY/MM/DD Monitor, Configuration UtilityAlarm/Alert Tone Level Medium Low, Medium, High Monitor, Configuration Utility, AcuityHR/Pulse Tone Level Medium Off, Low, Medium, High Monitor, Configuration UtilityNIBP Units mmHg mmHg, kPa Monitor, Configuration UtilityAudible Alarm Suspension Time4 min Disable, 90 sec, 2 min, 3 min, 4 min, 5 min, 10 min, 15 min, 30 min, 60 min, Always OnMonitor, Configuration UtilityPacer Indicator On No Yes, No Monitor, Configuration UtilityButtons Lock-Out Enabled Yes Yes, No Configuration Utility, AcuityDisplay Lock-Out Enabled Yes Yes, No Configuration UtilityBack Light Lock-Out Enabled Yes Yes, No Configuration UtilityBack Light Time-Out 2 min Always Off, 2 min, 5 min, 10 min, 15 min, 30 min, Always OnMonitor, Configuration UtilityDisplay Time-Out Always On 2 min, 5 min, 10 min, 15 min, 30 min, Always OnMonitor, Configuration UtilityAdult NIBP Mean Numerics Small Small, Large, Off Monitor, Configuration UtilityPediatric NIBP Mean NumericsSmall Small, Large, Off Monitor, Configuration UtilityNeonatal NIBP Mean NumericsLarge Small, Large, Off Monitor, Configuration UtilityTable 11. Parameter Configuration Matrix (continued)Parameter Factory Setting Possible Values Where Set
116 Monitor Configuration Welch Allyn Propaq LT Vital Signs MonitorDisplay All ECG Vectors Yes Yes, No Configuration UtilityECG I Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, 0.5 mV/cm, 0.2 mV/cmMonitorECG II Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, 0.5 mV/cm, 0.2 mV/cmMonitorECG III Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, 0.5 mV/cm, 0.2 mV/cmMonitorECG V Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, 0.5 mV/cm, 0.2 mV/cmMonitorECG aVR Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, 0.5 mV/cm, 0.2 mV/cmMonitorECG aVL Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, 0.5 mV/cm, 0.2 mV/cmMonitorECG aVF Wave Size 1 mV/cm 8 mV/cm, 4 mV/cm, 2 mV/cm, 1 mV/cm, 0.5 mV/cm, 0.2 mV/cmMonitorSpO2 Wave Size 2x 1x, 2x, 4x, 8x MonitorResp Wave Size 2x 0.5x, 1x, 2x, 4x, 8x, 16x MonitorParamSet Enable Yes Yes, No Configuration UtilityNIBP Turbo Mode Enable Yes Yes, No Configuration UtilityTab Trend Display Interval 5 min 1 min, 5 min, 10 min, 15 min, 30 min, 60 minMonitor, Configuration UtilityCurrent Screen Display 1 Display 1, Display 2, Display 3 MonitorDisplay 1Format Large Numerics Large Numerics, Single Waveform, Dual Waveform, Tabular Trends, Tabular Trends with WaveformMonitor, Configuration UtilityTop Waveform (if any) Lead II Lead I, Lead II, Lead III, Lead V, aVR, aVL, aVF, SpO2, RespMonitor, Configuration UtilityShow Top Waveform 6 SecondsNo Yes, No Monitor, Configuration UtilityShow Bottom Waveform 6 SecondsNo Yes, No MonitorBottom Waveform (if any) Lead V Lead I, Lead II, Lead III, Lead V, aVR, aVL, aVF, SpO2, RespMonitor, Configuration UtilityTabular Trends Display Interval5 min 1 min, 5 min, 10 min, 15 min, 30 min, 60 minMonitor, Configuration UtilityTable 11. Parameter Configuration Matrix (continued)Parameter Factory Setting Possible Values Where Set
Directions for Use Monitor Configuration 117Display 2Format Single Waveform Large Numerics, Single Waveform, Dual Waveform, Tabular Trends, Tabular Trends with WaveformMonitor, Configuration UtilityTop Waveform (if any) Lead II Lead I, Lead II, Lead III, Lead V, aVR, aVL, aVF, SpO2, RespMonitor, Configuration UtilityShow Top Waveform 6 SecondsNo Yes, No Monitor, Configuration UtilityShow Bottom Waveform 6 SecondsNo Yes, No MonitorBottom Waveform (if any) Lead V Lead I, Lead II, Lead III, Lead V, aVR, aVL, aVF, SpO2, RespMonitor, Configuration UtilityTabular Trends Display Interval5 min 1 min, 5 min, 10 min, 15 min, 30 min, 60 minMonitor, Configuration UtilityDisplay 3Format Tabular Trends with WaveformLarge Numerics, Single Waveform, Dual Waveform, Tabular Trends, Tabular Trends with WaveformMonitor, Configuration UtilityTop Waveform (if any) Lead II Lead I, Lead II, Lead III, Lead V, aVR, aVL, aVF, SpO2, RespMonitor, Configuration UtilityShow Top Waveform 6 SecondsNo Yes, No Monitor, Configuration UtilityShow Bottom Waveform 6 SecondsNo Yes, No MonitorBottom Waveform (if any) SpO2Lead I, Lead II, Lead III, Lead V, aVR, aVL, aVF, SpO2, RespMonitor, Configuration UtilityTabular Trends Display Interval5 min 1 min, 5 min, 10 min, 15 min, 30 min, 60 minMonitor, Configuration UtilityECGECG Bandwidth Monitor Monitor, Extended Monitor, Configuration Utility, AcuityHR/PR GeneralHR/PR Selected Source ECG ECG, SpO2Monitor, AcuityCan Disable HR/PR Alarm LimitsYes (No if lang=French)Yes, No MonitorPower Source Filter 60 Hz 50 Hz, 60 Hz, Off Monitor, Configuration Utility, AcuityParamSet for Upper HR/PR Limit20% 5% - 25% Configuration UtilityParamSet for Lower HR/PR Limit20% 5% - 25% Configuration UtilityTable 11. Parameter Configuration Matrix (continued)Parameter Factory Setting Possible Values Where Set
118 Monitor Configuration Welch Allyn Propaq LT Vital Signs MonitorHR/PR AdultUpper Alarm Limit 120 beats/min 27 - 300 beats/min MonitorLower Alarm Limit 50 beats/min 25 - 298 beats/min MonitorHR/PR PediatricUpper Alarm Limit 150 beats/min 27 - 300 beats/min MonitorLower Alarm Limit 50 beats/min 25 - 298 beats/min MonitorHR/PR NeonateUpper Alarm Limit 150 beats/min 27 - 300 beats/min MonitorLower Alarm Limit 50 beats/min 25 - 298 beats/min MonitorNIBP GeneralNIBP Mode Manual Auto, Manual, Turbo Monitor, AcuityAuto Interval 15 min 1 min, 2 min, 3 min, 5 min, 10 min, 15 min, 30 min, 60 minMonitor, Configuration UtilityParamSet for Upper NIBP Systolic15% 5% - 25% Configuration UtilityParamSet for Lower NIBP Systolic15% 5% - 25% Configuration UtilityParamSet for Upper NIBP Diastolic15% 5% - 25% Configuration UtilityParamSet for Lower NIBP Diastolic15% 5% - 25% Configuration UtilityParamSet for Upper NIBP Mean10% 5% - 15% Configuration UtilityParamSet for Lower NIBP Mean10% 5% - 15% Configuration UtilityNIBP AdultSystolic Upper Alarm Limit 220 mmHg 29.3 kPa32 - 260 mmHg4.3 - 34.7 kPaMonitor, AcuitySystolic Lower Alarm Limit 75 mmHg 10.0 kPa30 - 258 mmHg4.0 - 34.4 kPaMonitor, AcuityDiastolic Upper Alarm Limit 110 mmHg 14.7 kPa22 - 235 mmHg2.9 - 31.3 kPaMonitor, AcuityDiastolic Lower Alarm Limit 35 mmHg 4.7 kPa20 - 233 mmHg2.7 - 31.1 kPaMonitor, AcuityMean Upper Alarm Limit 120 mmHg 16.0 kPa22 - 255 mmHg2.9 - 34.0 kPaMonitor, AcuityMean Lower Alarm Limit 50 mmHg 6.7 kPa20 - 253 mmHg2.7 - 33.7 kPaMonitor, AcuityTable 11. Parameter Configuration Matrix (continued)Parameter Factory Setting Possible Values Where Set
Directions for Use Monitor Configuration 119NIBP PediatricSystolic Upper Alarm Limit 145 mmHg 19.3 kPa32 - 160 mmHg4.3 - 21.3 kPaMonitor, AcuitySystolic Lower Alarm Limit 75 mmHg 10.0 kPa30 - 158 mmHg4.0 - 21.1 kPaMonitor, AcuityDiastolic Upper Alarm Limit 100 mmHg13.3 kPa17 - 130 mmHg2.3 - 17.3 kPaMonitor, AcuityDiastolic Lower Alarm Limit 35 mmHg4.7 kPa15 - 128 mmHg2.0 - 17.1 kPaMonitor, AcuityMean Upper Alarm Limit 110 mmHg 14.7 kPa17 - 140 mmHg2.3 - 18.7 kPaMonitor, AcuityMean Lower Alarm Limit 50 mmHg 6.7 kPa15 - 138 mmHg2.0 - 18.4 kPaMonitor, AcuityNIBP NeonatalSystolic Upper Alarm Limit 100 mmHg 13.3 kPa27 - 120 mmHg3.6 - 16.0 kPaMonitor, AcuitySystolic Lower Alarm Limit 50 mmHg 6.7 kPa25 - 118 mmHg3.33 - 15.7 kPaMonitor, AcuityDiastolic Upper Alarm Limit 70 mmHg 9.3 kPa12 - 105 mmHg1.6 - 14.0 kPaMonitor, AcuityDiastolic Lower Alarm Limit 30 mmHg 4.0 kPa10 - 103 mmHg1.3 - 13.7 kPaMonitor, AcuityMean Upper Alarm Limit 80 mmHg 10.7 kPa12 - 110 mmHg1.6 - 14.7 kPaMonitor, AcuityMean Lower Alarm Limit 35 mmHg 4.7 kPa10 - 108 mmHg1.3 - 14.4 kPaMonitor, AcuitySpO2 GeneralEnable Spot Checks Yes Yes, No Configuration UtilityParamSet for Upper SpO25% 5% - 10% Configuration UtilityParamSet for Lower SpO25% 5% - 10% Configuration UtilitySpO2 AdultUpper Alarm Limit 100% 52% - 100% Monitor, AcuityLower Alarm Limit 90% 50% - 98% Monitor, AcuitySpO2 PediatricUpper Alarm Limit 100% 52% - 100% Monitor, AcuityLower Alarm Limit 90% 50% - 98% Monitor, AcuityTable 11. Parameter Configuration Matrix (continued)Parameter Factory Setting Possible Values Where Set
120 Monitor Configuration Welch Allyn Propaq LT Vital Signs MonitorSpO2 NeonatalUpper Alarm Limit 98% 52% - 100% Monitor, AcuityLower Alarm Limit 85% 50% - 98% Monitor, AcuityResp GeneralParamSet for Upper Resp 5% 5% - 25% Configuration UtilityParamSet for Lower Resp 5% 5% - 25% Configuration UtilityResp On/Off Yes Yes, No Monitor, Configuration UtilityResp AdultVector Ld1 Ld1 (RA-LA), Ld2 (RA-LL) Monitor, Configuration Utility, AcuityUpper Alarm Limit 30/min 4/min - 150/min Monitor, AcuityLower Alarm Limit 5/min 2/min - 148/min Monitor, AcuityResp PediatricVector Ld1 Ld1 (RA-LA), Ld2 (RA-LL) Monitor, Configuration Utility, AcuityUpper Alarm Limit 45/min 4/min - 150/min Monitor, AcuityLower Alarm Limit 10/min 2/min - 148/min Monitor, AcuityResp NeonatalVector Ld1 Ld1 (RA-LA), Ld2 (RA-LL) Monitor, Configuration Utility, AcuityUpper Alarm Limit 60/min 5/min - 150/min Monitor, AcuityLower Alarm Limit 10/min 3/min - 148/min Monitor, AcuityTable 11. Parameter Configuration Matrix (continued)Parameter Factory Setting Possible Values Where Set
9121PC UtilityIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .121Installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .122Configuring the Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .126About AutoPrint . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .136Configuration Worksheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .137IntroductionUse the Propaq LT Monitor PC Utility to install either or both of the following utilities on aPC:• Propaq LT Monitor Configuration Utility• Propaq LT Monitor AutoPrint UtilityThese utilities can then be used to control the behavior of any Propaq LT monitor.Propaq LT Monitor Configuration UtilityThe monitor comes fully configured and ready for operation. If the factory configuration does not match your specific needs, you can use the Propaq LT Monitor Configuration Utility to customize the monitor to fit the requirements of your clinical situation. To configure the monitor, follow these steps:1. Use the configuration worksheet to specify the monitor settings. (See “Configuration Worksheet” on page 137.)2. On a PC running the Propaq LT Monitor Configuration Utility, enter the settings into a configuration file. (See “Making a Configuration File” on page 126.)3. On a PC connected to a Propaq LT Monitor Charging/Communications Cradle configured with the optional data link capability, download the configuration file to any number of Propaq LT monitors. (See “Configuring a Monitor” on page 130.)
122 PC Utility Welch Allyn Propaq LT Vital Signs MonitorPropaq LT Monitor AutoPrint Utility With a PC connected to a printer and with a cradle configured with the optional data link capability, you can configure the PC to print, manually or automatically, all patient data stored in the monitor each time the monitor is placed in the cradle. (See “Printing Patient Data” on page 103.) InstallationSystem RequirementsPC on Which You Have Administrator Privileges• CPU: 800 MHz or faster• Hard drive: 20 GB or more• Available RAM: 256 MB or more• Available Port: USB 1.1• OS: Windows 2000 or Windows XPPrinter• Installed and configured• Resolution: 300 minimum; 600 or higher recommendedProcedureLaunching the Installation1. Insert the software distribution CD in a CD-ROM drive of your PC.2. When the installation program starts, follow the instructions presented on your computer monitor.If you are installing on a PC running Windows XP, you might see the message shown below. Click Continue Anyway to continue the installation.
Directions for Use PC Utility 123Figure 101. Windows Logo MessageUsually, the installation completes quickly. However, if the utility also has to install .NET Framework on your computer, this can add several minutes.3. Click through the Welcome screen and the license agreement. You must accept the terms of the license agreement to proceed with the installation. Figure 102. Accepting the Terms of the Software License4. Determine whether you want to install the Configuration Utility only, the AutoPrint Utility only, or both utilities.
124 PC Utility Welch Allyn Propaq LT Vital Signs MonitorFigure 103. Complete or Custom Installation• To install both utilities, click Complete.• To install only one of the utilities, click Custom and, in the next screen (Figure 104), select the utility you want to install.Figure 104. Selecting to Install Either the AutoPrint Utility or the Configuration UtilityIf you click the next to your choice, you can also select one of the installation options available for that choice (Figure 105).
Directions for Use PC Utility 125Figure 105. Menu of Installation Options5. The installation prompts you occasionally for information. At each prompt, provide the requested information and then click Next. The installation continues until it is finished.
126 PC Utility Welch Allyn Propaq LT Vital Signs MonitorConfiguring the MonitorMaking a Configuration File1. On a PC, start the Propaq LT Monitor Configuration Utility (Figure 106):Start >Programs >Welch Allyn >Propaq LT Monitor >ConfigurationFigure 106. Starting the Configuration Utility - Start MenuYou can also start the utility by double-clicking the Configuration icon on the computer desktop.The configuration utility Welcome screen (Figure 107) appears.Figure 107. Configuration Utility Welcome Screen2. Click Select. A file-selection window appears (Figure 108), displaying all configuration files (*.mnt) in the Config folder. For a new installation of the utility, DefaultPropaqLTConfiguration.mnt is the only file in the folder.
Directions for Use PC Utility 127Figure 108. Selecting a Configuration File for Display3. Select DefaultPropaqLTConfiguration.mnt and click Open. The file is opened for viewing in the configuration display (Figure 109). (See “About the Configuration Display” on page 130.)Figure 109. Configuration Display4. The program does not permit you to modify DefaultPropaqLTConfiguration.mnt. To make a new configuration file, save DefaultPropaqLTConfiguration.mnt under a new name (Figure 110) and then edit the new file as needed.
128 PC Utility Welch Allyn Propaq LT Vital Signs MonitorFigure 110. Creating a New Configuration File (Save As)The utility displays the new file (Figure 111).5. To open the new file for editing, click Edit. You can now enter text and select parameter options.Figure 111. File Opened for Editing
Directions for Use PC Utility 1296. Define the monitor settings for the new configuration. Examine each field in the configuration utility. Change any value that is not appropriate for your clinical situation.7. When the form is complete and the value in each field is correct, click Save.Alternatively, to save the file and close it, click Save/Close.Printing a Configuration FileTo print this configuration file, click Print. To see what the printed report looks like before you print it, click Print Preview. The Print Preview screen (Figure 112) displays a report of the configuration file and gives you several options for printing, viewing, exporting, and searching the report.Figure 112. Print Preview - OptionsSearch the report for a text string.Go to the first page of the report.Go to the previous page of the report.Go to the next page of the report.Go to the last page of the report.Go to the specified page of the report.Print the report.Export the report.Zoom the report display.
130 PC Utility Welch Allyn Propaq LT Vital Signs MonitorModifying a Configuration FileTo change a configuration file that has already been completed, follow these steps:1. Start the utility.2. Select the configuration file that you want to modify.3. Click Edit.4. Using the section tabs, navigate to the setting you want to change.5. Enter the new value.6. Repeat steps 4 and 5 until you have updated all of the settings you want to change.7. Click Save or Save/Close.Configuring a Monitor1. Seat the monitor in the cradle.2. If the monitor is off, turn it on and select Start New Patient.3. Start the utility.4. Select the configuration file that you want to upload.5. Click Load.6. Wait a few seconds. When the upload is complete, a completion message appears and then the monitor shuts off.7. Remove the monitor from the cradle. It is now configured.About the Configuration DisplayFigure 113. Configuration DisplayConfiguration commandsWindows command menusPage tabsConfiguration settings and parameters
Directions for Use PC Utility 131The configuration display contains the following elements:• Windows command bar• Configuration command bar• Page tabs• Configuration settings and parameters. The Windows command bar includes File, Configuration, and Help.The configuration commands include the following:File Save, Close, Save and Close, ExitConfiguration Select, Save As, Edit, Load, Print, Print PreviewHelp About Propaq LT Monitor Configuration UtilitySelect Open a file-selection dialog. This has the same function as the Select button on the Welcome screen (Figure 107 on page 126).Save As Save the configuration file as a new file with another name.Edit Enable the configuration file for editing.Load Upload the configuration file to the monitor currently in the cradle.Print Print the configuration file.Print Preview Open the Print Preview window. This presents options for navigating the configuration file, enlarging or reducing the size of the display, searching for occurrences of specified text in the file, printing the file, and exporting an electronic (PDF) version of the file. Close Close the configuration file.Exit Exit the configuration utility application.
132 PC Utility Welch Allyn Propaq LT Vital Signs MonitorThe page tabs link you to the sections of the configuration file:The utility is divided into eight sections, each represented by a labeled tab across the top of the form. The first page of the worksheet (see Figure 111) describes the content of each section. Individual settings are described in the worksheet.The first five settings, under the Identification tab, are text fields. You can enter text (Figure 114) in each field.Figure 114. Text Entered Into a Text FieldIn the remaining fields of the configuration utility, you either...• select one item from a drop-down menu of items or • use a check-box to choose between Ye s and NoTo see a drop-down menu, click the triangle at the right of the field (Figure 115). Identification Name the configuration, define monitor ownership and support responsibility, and define parameters related to your locale.Display Select and define the displays.Neonatal Mode Define default settings for neonatal patients.Pediatric Mode Define default settings for pediatric patients.Adult Mode Define default settings for adult patients.Feature Enable Specify the monitor features available to clinicians.Monitor Behavior Define the general properties of the monitor.ParamSet Define the alarm-limit adjustment percentages (ParamSet) for systolic, diastolic, and mean pressures, HR/PR, SpO2, and respiration rate.Note These text strings can be of any length; however, the monitor displays only the first 40 characters of the string for each field.
Directions for Use PC Utility 133Figure 115. Opening a Drop-down MenuClick a choice (Figure 116) to select it...Figure 116. Selecting From a Drop-Down MenuThe new selection appears in the field (Figure 117).Figure 117. New Selection DisplayedTo set a value for a Yes-No item, click the box to insert a mark for Ye s (Figure 118), or click the box to remove the mark for No (Figure 119).Figure 118. Selecting Yes (A Check Mark)
134 PC Utility Welch Allyn Propaq LT Vital Signs MonitorFigure 119. Selecting No (No Check Mark)To view the settings for a topic, click the tab for that topic. For example, to see the Default Resp Lead setting for adults, click Adult Mode (Figure 120).Figure 120. Settings Under Adult ModeError Messages• Communication with the monitor failed. Verify that the monitor is powered on and properly seated in the cradle. Verify that the cable is connected.• Could not read patient data from the monitor. Please contact Welch Allyn customer service.• The configuration file did not install on the monitor. Verify all connections between monitor, cradle, and PC and try again. If problems continue, contact Welch Allyn customer service.• Configuration file format is invalid. Try editing the configuration and saving it again.• The selected file is read-only and cannot be edited. Please select another file or Save the File with another name.• The Configuration File: [file name] that you are attempting to read is in the wrong format. Please select another file.
Directions for Use PC Utility 135About the Configuration WorksheetThe first step in customizing a monitor configuration is to complete a configuration worksheet. This defines the settings to be stored in the monitor. Print the worksheet (page 137 to page 156 of this document) and supply the values for any settings you want to change. When the worksheet is complete, give it to the person designated to create the new configuration file. About DefaultsThe settings defined for the monitor when it first arrives from the factory are called ‘factory defaults’. Factory defaults include settings for most parameters and also define whether certain monitor features are enabled or disabled.An example of a default setting: The default volume of the alarm tone is set to Medium. To change the default volume level to Low, select Low in the configuration file. (Like many other monitor settings, the volume of the alarm tone can also be changed by the clinician while the monitor is in use. The configuration simply defines what the setting will be when the monitor power is turned on.)An example of enabled and disabled features:The monitor behavior Pacer Indicator On Default has a default value of No, so the monitor does not, by default, include pacemaker indicators in an ECG waveform display. To change the default behavior so that the monitor does show pacemaker indicators in an ECG waveform display, change the value to Ye s in the custom configuration. The feature Back Light Lockout Enable has a factory-default value of Ye s (enabled), so it is, by default, available to clinicians. To make this feature unavailable to clinicians, change the value to No in the custom configuration.Factory defaults remain in effect until you reconfigure the monitor by downloading a custom configuration file to it from the PC. WARNING You must read and understand the warning statements in “Enable Wireless Communications (with Acuity)” on page 147 before any configuration file is created based on a worksheet.Note A worksheet is not required. The worksheet makes it possible for key clinical staff to preview and approve the configuration, and it makes it easier to create the configuration file.
136 PC Utility Welch Allyn Propaq LT Vital Signs MonitorAfter you reconfigure the monitor, the settings defined in the new configuration become the ‘system defaults’, and the factory defaults are no longer in effect. The new system defaults remain in effect until another configuration is downloaded to the monitor. If you reconfigure the monitor and then want to restore the factory defaults, download the configuration file “DefaultPropaqLTConfiguration.mnt.”The monitor is reset to the system defaults (not the factory defaults) every time the monitor power is cycled off and on, with one exception: If a clinician has changed some monitor settings at the bedside for a patient and then shuts off the monitor, the monitor offers the options to “Delete and Shut Down” and to “Save and Shut Down”. If the clinician selects “Save and Shut Down,” shuts off the monitor, and then turns on the monitor again, the monitor prompts with the choice, “Start New Patient” or “Continue Patient”. If the clinician selects “Continue Patient,” the monitor uses the settings that were saved for that patient before the power was turned off. If the clinician selects “Start New Patient,” the system default settings are restored.• In the printed version of the configuration worksheet, the factory default values are indicated by bold text. • In the electronic version of the configuration worksheet, the factory default values appear in the form fields when you first open the file, PropaqLTMonCfgWS.doc.• In the configuration utility, the factory default values appear in the data fields when you open the default configuration file, DefaultPropaqLTConfiguration.mnt, using the configuration utility.About AutoPrintFor information about using the AutoPrint Utility, see “Printing Patient Data” on page 103.Caution Do not attempt to modify a configuration file without using the Propaq LT Configuration Utility.
Configuration Worksheet 137Configuration Worksheet1 Identification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 138Name the configuration, define monitor ownership and support responsibility, and define parameters related to your locale.2 Display Configuration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 141Select and define the displays.3 Neonatal Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 144Define default settings for neonatal patients.4Pediatric Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145Define default settings for pediatric patients.5 Adult Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 146Define default settings for adult patients.6 Feature Enable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147Specify the monitor features available to clinicians.7 Monitor Behavior . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 151Define the general properties of the monitor.8 ParamSet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 154Define the alarm-limit adjustment percentages (ParamSet) for systolic, diastolic, and mean pressures, HR/PR, SpO2, and Resp.The final page of this worksheet is the worksheet authorization, which identifies the person responsible for defining the custom configuration. The information on the authorization page is not part of the monitor configuration.
138 Welch Allyn Propaq LT Vital Signs Monitor1 Identification1.1 Configuration IdentityFor each configuration, enter a unique name that identifies the following:• the hospital and the care unit or department that owns the monitor• the date on which this configuration is createdThe name can include any standard keyboard characters other than the comma (,). For example:StEGH #9 West Dec_29 2003 If multiple configuration files are created on the same day, include additional identifying information to the configuration name.For example:StEGH #9 West Dec_29 2003 PediatricStEGH #9 West Dec_29 2003 NeonateWhat name do you want to give this configuration?Configuration Name (Up to 40 characters.)Note All configuration parameters are set at the factory. You do not have to change any settings for the monitor to work properly.
Configuration Worksheet 1391.2 FacilityThis information further clarifies ownership of the monitor, and it identifies a person who should be notified if the monitor needs attention.What facility, department, and individual is responsible for this monitor?Facility Name (Up to 40 characters.)Department or Unit(Up to 40 characters.)Contact Name (Up to 40 characters.)Contact Telephone(Up to 40 characters.)1.3 Country SettingsThis section determines the appearance of information on the monitor display, and specifies an electrical setting and a regulatory setting. For each parameter, the factory setting is shown in bold. The factory setting is used until another value is uploaded to the monitor. 1.3.1 LanguageIn what language are monitor messages and text to be displayed?__ English__ Dutch __ French __ German__ Italian__ Polish__ Portuguese__ Spanish__ Swedish1.3.2 Time FormatHow do you want the monitor to display time?__ 12-hour AM/PM __ 24-hourNote All configuration parameters are set at the factory. The monitor works even if you do not change any settings.
140 Welch Allyn Propaq LT Vital Signs Monitor1.3.3 Date FormatHow do you want the monitor to display the date?__ mm/dd/yy __ dd.mm.yy__ yy/mm/dd1.3.4 Decimal FormatYou can configure the monitor to use a dot (for example, 195.18) or a comma (195,18) to display the decimal point.How do you want the monitor to display the decimal point?__ Dot__ Comma1.3.5 Power Source FilterSet the power-source interference filter to the appropriate frequency for your location.If the filter is not set, the ECG waveform displays might contain high-frequency noise caused by the interference generated from the facility ac power supply.Which filter, if any, should be used to reduce interference from the ac power supply?__ 60 Hz__ 50 Hz__ Off1.3.6 Regulatory SetIn which regulatory area is this facility located?__ US__ European EC__ Japan Metrology60 Hz North America, Taiwan, and Japan50 Hz All other locationsOff
Configuration Worksheet 1412 Display ConfigurationThe monitor interface includes a Display button: . Pressing cycles the display quickly through the three views you specify below. In the configuration, you can choose any three of the five display choices shown below for quick display with . For example, if you select Large Numerics, Single Waveform, and Dual Waveform, a clinician can repeatedly press to see a patient’s vital signs displayed first as large numerics, second as a single waveform with small numerics, and finally as a dual waveform with small numerics.• You must include at least one display with a waveform.• If you select Single Waveform and do not select Dual Waveform, Ta b u l a r Tr e n d s , or Ta b u l a r Tr e n d s w i t h Wa v e f o rm , users can still view dual waveforms, tabular trends, and tabular trends with a single waveform.• If you do not select Large Numerics, clinicians cannot access the Large Numerics display.After you select three displays (see “Display Format” on page 142), you can select the default appearance for each. For each parameter, the factory default value is shown in bold. The default value is used by the monitor unless you specify another value in this worksheet. 140/78140/78808012129797 %HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2SpO2SpO22x2x II 1mV/cm II 1mV/cm80809797140/78781212HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239NIBP mmHg (102) ManualNIBP mmHg (102) Manual2:47P2:47PResp/minResp/minHR/minHR/minSpO2SpO2%S D M%140/78140/78808012129797HALL, ROBERT E.HALL, ROBERT E.345618734561873:00:06P3:00:06PAdultAdultRm 239Rm 239HR/minHR/minNIBP mmHg (102)NIBP mmHg (102)@2:47P Manual@2:47P ManualResp/minResp/minSpO2SpO2 II 1mV/cm II 1mV/cmII 1mV/cmII 1mV/cm%12:4112:4112:4012:4012:3912:3912:3812:3812:3712:3712:3812:3812:3612:36125125122122100100757550502525130/65 (93)130/65 (93)112/87 (87)112/87 (87)192/110 (130)192/110 (130)n/an/an/an/an/an/an/an/a22221818161617171919191998989898999999999898100100n/an/a1212SpO2SpO2SEARCHSEARCHTabularTabularTimeTime8080140/78140/78HR/minHR/minNIBP mmHgNIBP mmHgResp/minResp/minn/an/aHALL, ROBERT E.HALL, ROBERT E.3456187345618712:41:3212:41:32AdultAdultRm 239Rm 239%12:4112:4112:4012:4012:3912:3912:3812:3812:3712:3712:3812:3812:3612:3612:3512:3512:3412:3412:3312:3312:3212:3212:3112:3112512512212210010075755050252510010050502525100100130/65 (93)130/65 (93)112/87 (87)112/87 (87)192/110 (130)192/110 (130)152/78 (115)152/78 (115)152/78 (115)152/78 (115)2222181816161717191919191919191919191919171798989898999999999898100100989898989898100100152/78 (115)152/78 (115)n/an/an/an/an/an/an/an/an/an/an/an/an/an/an/an/a1212SpO2SpO2SEARCHSEARCHHALL, ROBERT E.HALL, ROBERT E.3456187345618712:41:3212:41:32AdultAdultRm 239Rm 239TabularTabularTimeTime8080140/78140/78HR/minHR/minNIBP mmHgNIBP mmHgResp/minResp/minOffOffLarge Numerics Single Waveform Dual WaveformTabular TrendsTabular Trends with Waveform
142 Welch Allyn Propaq LT Vital Signs MonitorDisplay FormatWhich display format do you want to use for ...Display 1 Display 2 Display 3__ Large Numerics __ Large Numerics __ Large Numerics__ Single Waveform __ Single Waveform __ Single Waveform__ Dual Waveform __ Dual Waveform __ Dual Waveform__ Tabular Trends __ Tabular Trends __ Tabular Trends__ Tabular Trends with Waveform__ Tabular Trends with Waveform__ Ta b u l a r Tre n d s w i t h Waveform__ None __ NoneIf the format includes a waveform, then from which Lead is the waveform to be displayed?Display 1 Display 2 Display 3__ Lead I __ Lead I __ Lead I__ Lead II __ Lead II __ Lead II__ Lead III __ Lead III __ Lead III__ Lead V __ Lead V __ Lead V__ aVR __ aVR __ aVR__ aVL __ aVL __ aVL__ aVF __ aVF __ aVF__ SpO2__ SpO2__ SpO2__ Resp __ Resp __ RespDo you want to enable 6-second display of the top waveform?Display 1 Display 2 Display 3 (Yes) (Yes) (Yes) (No) (No) (No)If you select (Yes), the monitor displays two consecutive 3-second periods of the top waveform.If you select (No), the monitor displays 3 seconds of the top waveform and, if Dual Waveform is selected, 3 seconds of the bottom waveform.
Configuration Worksheet 143Display Format (continued)If Dual Waveform display is enabled, which signal is to be displayed as the default bottom waveform?Display 1 Display 2 Display 3__ Lead I __ Lead I __ Lead I__ Lead II __ Lead II __ Lead II__ Lead III __ Lead III __ Lead III__ Lead V __ Lead V __ Lead V__ aVR __ aVR __ aVR__ aVL __ aVL __ aVL__ aVF __ aVF __ aVF__ SpO2__ SpO2__ SpO2__ Resp __ Resp __ RespIf Tabular Trends display is enabled, what is the default data interval?__ 1 minute __ 1 minute __ 1 minute__ 5 minutes __ 5 minutes __ 5 minutes__ 10 minutes __ 10 minutes __ 10 minutes__ 15 minutes __ 15 minutes __ 15 minutes__ 30 minutes __ 30 minutes __ 30 minutes__ 60 minutes __ 60 minutes __ 60 minutes
144 Welch Allyn Propaq LT Vital Signs Monitor3 Neonatal ModeFor each parameter, the factory default value is shown in bold. The default value is used by the monitor unless you specify another value in this worksheet. 3.1 Use Smartcuf as Default for NIBPAn NIBP measurement can be adversely affected by many factors, including body motion (such as convulsions or shivering), ambient vibration, vehicle motion, weak pulse, a sudden change in blood pressure, or sudden cuff movement. When these factors are present, Welch Allyn’s patented Smartcuf technology can greatly increase the accuracy of NIBP measurements.Do you want to use Smartcuf as the default for neonatal NIBP measurements? (Yes) (No)3.2 Default Resp LeadThe default Resp Lead for neonatal patients is:__ Lead 1 (RA-LA)__ Lead 2 (RA-LL)3.3 NIBP Mean NumericsNote: Selecting Large reduces the size of the systolic and diastolic displays.What character size, if any, to you want to use as the default for displaying the NIBP Mean Numeric for neonatal patients?__ Small__ Large__ Off Note Smartcuf will be available in 2006.Note Smartcuf functions only during ECG monitoring.
Configuration Worksheet 1454 Pediatric ModeFor each parameter, the factory default value is shown in bold. The default value is used by the monitor unless you specify another value in this worksheet. 4.1 Use Smartcuf as Default for NIBPAn NIBP measurement can be adversely affected by many factors, including body motion (such as convulsions or shivering), ambient vibration, vehicle motion, weak pulse, a sudden change in blood pressure, or sudden cuff movement. When these factors are present, Welch Allyn’s patented Smartcuf technology can greatly increase the accuracy of NIBP measurements.Do you want to use Smartcuf as the default for pediatric NIBP measurements? (Yes) (No)4.2 Default Resp LeadThe default Resp Lead for pediatric patients is:__ Lead 1 (RA-LA)__ Lead 2 (RA-LL)4.3 NIBP Mean NumericsNote: Selecting Large reduces the size of the systolic and diastolic displays.What character size, if any, to you want to use as the default for displaying the NIBP Mean Numeric for pediatric patients?__ Small__ Large__ Off Note Smartcuf will be available in 2006.Note Smartcuf functions only during ECG monitoring.
146 Welch Allyn Propaq LT Vital Signs Monitor5 Adult ModeFor each parameter, the factory default value is shown in bold. The default value is used by the monitor unless you specify another value in this worksheet. 5.1 Use Smartcuf as Default for NIBPAn NIBP measurement can be adversely affected by many factors, including body motion (such as convulsions or shivering), ambient vibration, vehicle motion, weak pulse, a sudden change in blood pressure, or sudden cuff movement. When these factors are present, Welch Allyn’s patented Smartcuf technology can greatly increase the accuracy of NIBP measurements.Do you want to use Smartcuf as the default for adult NIBP measurements? (Yes) (No)5.2 Default Resp LeadThe default Resp Lead for adult patients is:__ Lead 1 (RA-LA)__ Lead 2 (RA-LL)5.3 NIBP Mean NumericsNote: Selecting Large reduces the size of the systolic and diastolic displays.What character size, if any, to you want to use as the default for displaying the NIBP Mean Numeric for adult patients?__ Small__ Large__ Off Note Smartcuf will be available in 2006.Note Smartcuf functions only during ECG monitoring.
Configuration Worksheet 1476 Feature EnableThese settings specify whether or not certain features are available to the clinician.If you enable a feature in the configuration, then it is available to the clinician. If you disable a feature in the configuration, then it is not available to the clinician.For each parameter, the factory value is shown in bold. Factory values are used until other values are uploaded to the monitor. 6.1 Enable Wireless Communications (with Acuity)For wireless monitors that must communicate with Acuity, this must be set to (Yes). If this is set to (No), the monitor cannot communicate with Acuity.For standalone monitors that do not communicate with Acuity, always set this to (No). If this is set to (Yes), the configuration file is not valid and cannot be uploaded to the monitor.Do you want to enable wireless communication with Acuity? (Yes) (No)Note If (Yes) is selected, NIBP Units Default (see “NIBP Units Default” on page 153) must be set to mmHg.
148 Welch Allyn Propaq LT Vital Signs Monitor6.2 Enable LockoutsIf lockouts are enabled, simultaneously pressing the Left Arrow, Right Arrow, and Down Arrow buttons locks out one or more of the following:For the following questions, select which lockouts, if any, to enable for this monitor configuration.6.2.1 Buttons Lockout EnableButtons lockout prevents unauthorized personnel from operating the monitor.If you enable buttons lockout, the 3-button combination (Up Arrow, Down Arrow, and Right Arrow) locks out the monitor until the combination is repeated or until an alarm or alert condition arises. Do you want to enable buttons lockout on this monitor? (Yes) (No)6.2.2 Display Lockout EnableDisplay lockout enable prevents unauthorized viewing of patient vital signs.If display lockout is enabled, the 3-button combination (Up Arrow, Down Arrow, and Right Arrow) locks out the monitor display until the combination is repeated or until an alarm or alert condition arises. Do you want to enable display lockout on this monitor? (Yes) (No)6.2.3 Back Light Lockout EnableBack light lockout prevents unauthorized viewing of patient vital signs.If back light lockout is enabled, the 3-button combination (Up Arrow, Down Arrow, and Right Arrow) locks out the monitor display back light until the combination is repeated or until an alarm or alert condition arises. Do you want to enable back light lockout on this monitor? (Yes) (No)Buttons Block access to the monitor buttons Back Light Extend the battery charge lifeDisplay Prevent unauthorized viewing of confidential patient information
Configuration Worksheet 1496.3 Display Time OutDisplay Time Out greatly increases monitor run time on battery power.Display Time Out completely shuts off the display if the monitor detects no button press and no alarm for a number of minutes defined below. When the display is off, no monitor information is visible.Any alarm condition, alert condition, or button press immediately restores the display. If the buttons are locked out (see “Buttons Lockout Enable” on page 148), pressing the 3-button combination (Up Arrow, Down Arrow, and Right Arrow) and then any other button immediately restores the display.How soon after the last button press or alarm should the monitor turn off the display?__ 2 minutes__ 5 minutes__ 10 minutes__ 15 minutes__ 30 minutes__ Always On (display always timed out)6.4 Back Light Time OutBack Light Time Out increases monitor run time on battery power.Back Light Time Out turns off the back light if the monitor detects no button press and no alarm for the number of minutes defined below. When the back light is off, the display continues to be visible, although slightly dimmer, in ambient light.Any alarm condition, alert condition, or button press immediately restores the back light. If the buttons are locked out (see “Buttons Lockout Enable” on page 148), pressing the 3-button combination (Up Arrow, Down Arrow, and Right Arrow) and then any other button immediately restores the back light.How soon after the last button press or alarm should the monitor turn off the back light?__ Always Off__ 2 minutes__ 5 minutes__ 10 minutes__ 15 minutes__ 30 minutes__ Always On (back light always timed out)
150 Welch Allyn Propaq LT Vital Signs Monitor6.5 SpO2 Spot Check EnableIf SpO2 Spot Check is enabled, a clinician can perform a quick SpO2 measurement when SpO2 monitoring is turned off. For detailed information, see Propaq LT Vital Signs Monitor Directions for Use.Do you want to enable SpO2 Spot Check? (Yes) (No)6.6 NIBP Turbo Mode EnableWhen the monitor takes automatic NIBP measurements in Turbo Mode, it takes as many measurements as possible within the 5-minute Turbo Mode measurement period.Do you want to enable NIBP turbo mode? (Yes) (No)
Configuration Worksheet 1517 Monitor BehaviorFor each parameter, the factory value is shown in bold. The factory value is used until another value is uploaded to the monitor. 7.1 Patient Mode DefaultIn what default patient mode should the monitor be set for new patients?__ Adult__ Pediatric__ Neonatal7.2 Display All ECG VectorsIf a 5-lead ECG cable is connected to the monitor, should the monitor be able to display the optional aVR, aVL, and aVF waveforms? (Yes) (No)7.3 ECG Bandwidth DefaultECG Bandwidth refers to the frequency range used to display and print patient data.Monitor bandwidth is less susceptible to artifact such as patient motion.Extended bandwidth, although more susceptible to artifact, can provide for more detailed data analysis.Which ECG bandwidth should be displayed by default?__ Monitor__ ExtendedMonitor-Mode BandwidthAdult 0.5 Hz to 40 HzPediatric/Neonate 0.5 Hz to 80 HzExtended-Mode BandwidthAdult 0.05 Hz to 40 HzPediatric/Neonate 0.05 Hz to 80 Hz
152 Welch Allyn Propaq LT Vital Signs Monitor7.4 Pacer Indicator On DefaultIf a patient being monitored has a pacemaker, the monitor detects the occurrence of pacemaker signals and optionally indicates them with vertical dashed lines in the waveform.If the pacemaker signal is strong enough, the monitor displays it as a spike. This spike is displayed whether the pacemaker indicator is on or off.Should the pacemaker indicator be on by default? (Yes) (No)7.5 Alarm Tone Level DefaultWhat should be the default volume level of the alarm tones?__ Low __ Medium__ High7.6 HR/PR Tone Level DefaultWhat should be the default volume level of the HR/PR tone?__ Off __ Low __ Medium__ HighPacemaker signal indicators
Configuration Worksheet 1537.7 Audible Alarms Suspension Time DefaultWhile monitoring a patient, the clinician can use the settings menu to suspend all alarm tones for all parameters for a configurable period.What is the period for which alarm tones are to be suspended?__ Disable (alarm tones cannot be suspended)__ 90 seconds__ 2 minutes__ 3 minutes__ 4 minutes__ 5 minutes__ 10 minutes__ 15 minutes__ 30 minutes__ 60 minutes__ Always On (alarm tones always suspended)7.8 NIBP Units DefaultSelect the NIBP display units. (Note: If the monitor is connected to an Acuity Central Station, this setting is forced to mmHg.)__ mmHg__ kPa7.9 NIBP Auto Mode Interval (minutes)When the monitor is in Auto NIBP mode, what is the default interval, in minutes, between automatic NIBP measurements?__ 1__ 2__ 3__ 5__ 10__ 15__ 30__ 607.10 Resp On DefaultDuring ECG monitoring, should the monitor also monitor impedance respiration rate (Resp) by default? (Yes) (No)Note This parameter does not affect the behavior of , (Silence/Reset). Regardless of how this parameter is configured, pressing silences a sounding alarm tone for 90 seconds.Suspend can be turned on or off by the clinician, but the suspend period cannot be changed by the clinician.
154 Welch Allyn Propaq LT Vital Signs Monitor8 ParamSetIf ParamSet is enabled, the clinician can quickly and easily change the current alarm limits for any vital sign. If you choose to enable ParamSet, you can then define the percentage by which the alarm limit for each vital sign is changed.To Adjust Alarm Limits Quickly with ParamSet:When the ParamSet message appears, press twice.Example: The ParamSet value for the Upper HR/PR alarm limit is configured to be 15%.Patient Jane’s Upper HR/PR alarm limit is set to 100. At the default alarm settings, Jane triggers an Upper HR/PR alarm with a heart rate of 103. Her clinician, knowing that a heart rate of 103 is acceptable for Jane, wants to quickly set a higher Upper HR/PR alarm limit for this patient. The monitor displays the message, “Press Select to ParamSet the upper HR/PR limit to 118.” The clinician presses to get to the HR/PR control screen and immediately presses again to accept the ParamSet adjustment. Jane’s alarm limit for Upper HR/PR is immediately changed to 118, and the main vital-signs screen is again displayed.(103 + 15% of 103 = approximately 118)ParamSet can be used multiple times for any alarm limit. Each time you press ParamSet for a given vital sign, the alarm limit expands by the configured percentage. However, the alarm limits can never be expanded beyond the limit boundaries built into the monitor. (See the specifications for vital signs in Appendix A, starting with “ECG” on page 163.)This table shows the effect of ParamSet for various vital signs, based on a patient’s normal levels for each vital sign. These values are based on the assumption that:• the patient mode is Adult• the monitor is initially using factory default alarm levelsNote The ParamSet default values can be changed only by downloading another monitor configuration.When monitor power is cycled, the factory default alarm limits and ParamSet default values are again in effect.
Configuration Worksheet 155For each parameter listed below, the factory value is shown in bold. The factory value is used until another value is uploaded to the monitor. Parameter AlarmingLevelAlarm Limit(ParamSet = 5%)Alarm Limit(Paramset = 10%)Alarm Limit(ParamSet = 15%)Alarm Limit(Paramset = 20%)Alarm Limit(Paramset = 25%)HR/PR Upper 90 94 99 104 108 113Lower 60 57 54 51 48 45NIBP Systolic Upper 140 147 154 161 168 175Lower 100 95 90 85 80 75NIBP DiastolicUpper 90 94 99 104 108 113Lower 60 57 54 51 48 45NIBP MAP Upper 107 112 118 123 128 134Lower 73 69 66 62 58 55SpO2Upper 100 100 100 100 100 100Lower 90 86 81 77 72 68Resp Upper 20 21 22 23 24 25Lower 12 11 11 10 10 9
156 Welch Allyn Propaq LT Vital Signs Monitor8.1 ParamSet Enable Do you want to enable ParamSet? (Yes) (No)8.2 ParamSet % for Upper HR/PRParamSet increases the Upper HR/PR limit by ____%. (5, 10, 15, 20, 25)8.3 ParamSet % for Lower HR/PRParamSet decreases the Lower HR/PR limit by ____%. (5, 10, 15, 20, 25)8.4 ParamSet % for Upper NIBP SystolicParamSet increases the Upper NIBP Systolic limit by ____%. (5, 10, 15, 20, 25)8.5 ParamSet % for Lower NIBP SystolicParamSet decreases the Lower NIBP Systolic limit by ____%. (5, 10, 15, 20, 25)8.6 ParamSet % for Lower NIBP DiastolicParamSet increases the Upper NIBP Diastolic limit by ____%. (5, 10, 15, 20, 25)8.7 ParamSet % for Lower NIBP DiastolicParamSet decreases the Lower NIBP Diastolic limit by ____%. (5, 10, 15, 20, 25)8.8 ParamSet % for Upper NIBP MeanParamSet increases the Upper NIBP Mean limit by ____%. (5, 10, 15)8.9 ParamSet % for Lower NIBP MeanParamSet decreases the Lower NIBP Mean limit by ____%. (5, 10, 15)8.10 ParamSet % for Upper SpO2 ParamSet increases the Upper SpO2 limit by ____%. (5, 10)8.11 ParamSet % for Lower SpO2 ParamSet decreases the Lower SpO2 limit by ____%. (5, 10)8.12 ParamSet % for Upper Resp ParamSet increases the Upper Resp limit by ____%. (5, 10, 15, 20, 25)8.13 ParamSet % for Lower Resp ParamSet decreases the Lower Resp limit by ____%. (5, 10, 15, 20, 25)Note If you select (No), disregard the rest of the ParamSet settings.
Configuration Worksheet 157Configuration Worksheet AuthorizationThe information on this page relates only to this worksheet, and is not entered into the monitor configuration. Users are encouraged to provide their own procedures for defining, categorizing, storing, and approving configuration files. Date _________________________________________________Hospital _________________________________________________Department _________________________________________________Name _________________________________________________Title _________________________________________________Phone _________________________________________________Signature _________________________________________________
158 Welch Allyn Propaq LT Vital Signs Monitor

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