Welch-allyn Connex Integrated Wall System - User Manual Manuel d'utilisateur

Welch Allyn Connex® IntegratedWall SystemDirections for use

Connectivity symbolsUSB Ethernet RJ-45Wireless signal strength• Best (4 bars)• Good (3 bars)• Fair (2 bars)• Weak (1 bar)• No signal (no bars)• No con

WARNING The accuracy of SpHb measurements can be affected by any of thefollowing:• elevated levels of total bilirubin• elevated levels of Methemoglob

Note A range of sensors is available for different patient sizes andmeasurement sites. Consult the sensor manufacturer's instructionsfor selectin

Note You can specify pulse tone volume in the Pulse rate tab (located in the Alarms tab).Monitor profileSpot Check and Triage profilesConfigure pulse

Enter manual parametersNote The Manual parameters frame enables you to enter measurements taken manuallyand displays measurements taken by some access

Note If an approved, battery-powered weight scale is attached to themonitor, measurements from the weight scale populate fields in theManual tab. You

Physical assessment instrument handlesUse the physical assessment instrument handlesThe handles supply power to Welch Allyn 3.5V instruments. This sec

CAUTION To minimize the external housing temperature of thediagnostic instrument heads, on-time should not exceed 2 minutes,and off-time should be a

Maintenance and servicePerform periodic checksWelch Allyn recommends that each facility conduct periodic checks of each monitor.1.Check the following

4. Remove all instrument heads, detach all accessible cords and cables, and unplug the powercord from the outlet.5. Remove the cover by loosening the

9. Carefully lift the wall system off the mounting rail bracket and place it onto a table or flat worksurface.Change the batteryBefore removing the ba

Screen elementsGlobal navigationSelect optionNIBPNIBP start NIBP stopIntervals status indicators NIBP view toggleTemperatureTemperature site control P

Clean the wall system (excluding handle cradles andaccessories)WARNING Electric shock hazard. Before cleaning the wall system, disconnectthe AC power

70 percent isopropyl alcoholWipe the monitor with a clean cloth slightly dampened with 70 percent isopropyl alcohol.10 percent chlorine bleach solutio

106 Maintenance and service Welch Allyn Connex® Integrated Wall System

SpecificationsPhysical specificationsProtection classifications, Wall system configurationsCharacteristic SpecificationElectrical rating 100 – 240 V A

Protection classifications, Wall system configurationsGraphical display resolutionDisplay area 8 in. (H) x 4 in. (V) (19.5 [H] cm x 11.3 [V] cm)Pixels

NIBP specificationsCuff pressure range Meets or exceeds ANSI/AAMI SP10:2002 standards for cuff pressurerangeSystolic rangeAdult: 30 to 260 mmHgPediatr

Braun ThermoScan PRO 4000 thermometer specifications (refer to manufacturer'sdirections for use for additional information)Temperature range 68°F

SpO2 specifications (refer to sensor manufacturer's directions for use foradditional information)Functional testerWARNING A functional testercan

Monitor radioThe monitor's radio operates on Welch Allyn FlexNet™ or other 802.11 networks.Wireless network interfaceIEEE 802.11 b/g, 802.11aFreq

Configuration optionsThe wall system is available in the following configurations.ModelPrefixDescription84 series Standard. Includes nurse call, Ether

SpO2 and Pulse ratePulse amplitude bar SatSeconds timer (Nellcorfeature only)SpO2 view toggle Response mode selector(touch for Fast mode)Heart rate (i

114 Specifications Welch Allyn Connex® Integrated Wall System

Standards and complianceGeneral compliance and standardsThe monitor complies with the following standards:21 CFR Subchapter H – Medical Devices – US F

For more specific disposal or compliance information, see www.welchallyn.com/weee, or contactWelch Allyn Customer Service at +44 207 365 6780.General

Industry Canada (IC) emissionsThis device complies with RSS 210 of Industry Canada.Operation is subject to the following two conditions: (1) this devi

Lithuanian Šiuo Welch Allyn deklaruoja, kad šis RLAN device atitinka esminius reikalavimus ir kitas1999/5/EB Direktyvos nuostatas.Malti Hawnhekk, Welc

Guidance and manufacturer's declarationEMC complianceSpecial precautions concerning electromagnetic compatibility (EMC) must be taken for all med

Electromagnetic emissionsVoltagefluctuations/flickeremissionsIEC 61000-3-3WARNING This equipment/system is intended foruse by healthcare professional

Electromagnetic immunityThe monitor is intended for use in the electromagnetic environment specified below. The customer or theuser of the monitor sho

Recommended separation distances between portable and mobile RFcommunications equipment and the monitorThe monitor is intended for use in an electroma

Advanced settingsThe Advanced tab provides password-protected access to the monitor's Advanced settings (orAdmin mode), enabling nurse administra

Patients list and reviewDiacritical marks key(available for languagesthat use diacritical marks;appearance differs basedon language)Symbols keySend pa

• To exit the Advanced Settings and return to the Home tab, touch Exit.Specify date and time settings1. Access the Advanced Settings.a. Touch the Sett

Minimum alarm volume Select the minimum alarm volume available. If youselect High, then Medium and Low are notavailable to the clinician.These control

Specify a monitor locationYou can associate the monitor with a specific location. The location appears in the Device Statusarea.1. Access the Advanced

3. Select the power line frequency for AC power supplied to the monitor.4. Do one of the following:• To continue in the Advanced Settings, touch anoth

If Display MAP is selected, specify whichnumerics are primary in the NIBP frame. On the Home tab, clinicians can touch the NIBP frame totoggle between

clinicians remove the temperature probe from thewell.Select Last Site to set the default to the siteselected for the last measurement.5. Do one of the

Unit of measure Select the primary unit of measure for the SpHbdisplay on the Home tab.Default averaging Select the default moving window of time used

4. Select up to four parameters and associated units of measure for display in the ManualParameters frame.If the monitor has the SureTemp Plus tempera

Require patient ID to save readings Make entering a patient ID a prerequisite for savingmeasurements. If they fail to enter an identifier, themonitor

initiates the search when the clinician enters orscans the ID from the Clinician tab. Returnedclinician information populates the Device Statusarea an

8 Screen elements Welch Allyn Connex® Integrated Wall System

NetworkView advanced monitor informationThe Status tab shows the monitor's software version, MAC and IP addresses, network, server andaccess poin

Method Select a method. Then touch and entercharacters: Network key (64 characters), or Passphrase (8 to 63 characters).Security protocol Select the

IP address Touch and enter the IP address of the serverthat is used for patient data communication. Therange of entry for each field is 0 to 255.Por

TroubleshootingThis section presents tables of technical alarm and information messages, as well as problemdescriptions that do not generate messages,

Message Possible cause Suggested actionClear the alarm and retryNIBP.Incorrect NIBP cuff size; checkpatient type.The cuff size is not correct Check th

Message Possible cause Suggested actionReplace the SpO2 sensor. The SpO2 sensor is faulty or expired Replace the SpO2 sensor.No SpO2 sensor is connect

Message Possible cause Suggested actionRetry temperature measurement.NoteThis message oftenaccompanies othertemperature messages.A probe heater or dat

Patient data management messagesMessage Possible cause Suggested actionMaximum number of patientrecords saved. Oldest recordoverwritten.The maximum nu

Message Possible cause Suggested actionUnable to establish networkcommunications. Radio out ofnetwork range.The radio is no longer communicating witht

Message Possible cause Suggested actionpersists, move the patient andthe monitor to a coolerlocation.Device shutdown is notavailable at this time.Devi

About warnings and cautionsWarning and caution statements can appear on the monitor, on the packaging, on the shippingcontainer, or in this document.T

Message Possible cause Suggested actionFunctional error. Call forservice.A critical configuration load error occurred Call for service.No connection f

AppendixApproved accessoriesThe following tables list approved wall system accessories and documentation. For informationabout options, upgrades, and

Part Number Model Description5082-102-1 Disposable Neo-2 disposable cuff, male luer connector (box of 10 cuffs)5082-103-1 Disposable Neo-3 disposable

Part Number Model DescriptionLNCS-TC-I LNCS Reusable ear sensorLNCS-Neo-L-3 LNCS Disposable adhesive finger sensor - Neonate/Adult (20 percase)Neo-Wra

Part Number Model DescriptionOXI-P/I OxiMax Oxiband pediatric/infant transducer (1 sensor, 50 wraps)SureTemp® Plus thermometryPart Number Description0

Part Number Description20201 Pneumatic otoscope without specula20200 3.5V pneumatic otoscope with specula202503.5V pneumatic otoscope with 12-diopter

Part Number Description27050 Nasopharynx illuminator28100 Tongue blade holderLamps03100-LED LED replacement lamp06500-LED LED replacement lamp04900-LE

Part Number Description660-0320-00 Patch cable, 100'660-0138-00 Patch cable, 5'104279 Connex IWS shipping box6000-50 USB memory stickService

Part Number Description104069 Directions for Use, Connex Integrated Wall System, PrintedCopy, English104091 Directions for Use, Connex Integrated Wall

Part Number Description105042 Quick Reference Card, Connex Integrated Wall System,Dutch105043 Quick Reference Card, Connex Integrated Wall System,Ital

WARNING Liquids can damage electronics inside the Connex IWS. Preventliquids from spilling on the wall system.If liquids are spilled on the wall syst

WarrantyWelch Allyn warrants the product to be free of defects in material and workmanship and toperform in accordance with manufacturer's specif

WARNING Inaccurate measurement risk. Do not use the monitor on patients whoare experiencing convulsions or tremors.WARNING Do not place the monitor

CAUTION Do not use a long press of to power down the monitor when it isfunctioning normally. You will lose patient data and configuration settings.

Controls, indicators, and connectorsNote Your model might not contain all of these features.Front viewNo. Feature Description1 Physical assessment ins

© 2012 Welch Allyn. All rights are reserved. To support the intended use of the product described in this publication, thepurchaser of the product is

No. Feature Description9 Braun ThermoScan® PRO 4000thermometer and dockSupport temperature measurements from the ear. Dockcharges the thermometer batt

No. Feature Description6 Ground lug (equipotential terminal) Supports electrical safety testing; terminal for connecting apotential equalization condu

No. Feature DescriptionMounting materials1 Wall mounting rail bracket and hardware Secures the wall system to the wall.2 Accessory bin mounting bracke

SetupCAUTION Welch Allyn is not responsible for the integrity of any wall mountinginterface. Welch Allyn recommends that you contact your Biomedical

3. Turn the wall system over so that back of the wall system faces up.Insert the batteryThis procedure applies to first-time setup of the wall system.

Prepare for mounting1. Slide the mounting rail bracket out of the packing material and put it aside. Do not discard.Then flip the wall system onto its

CAUTION Do not remove the cardboard securing the handles onthe left side of the wall system at this time. The cardboard preventsdamage to those instr

• Position the wall system so that all instruments are accessible and in a location that allows forergonomic examinations.Sample room layout12r1.Conne

3. Route the power cord through the channel in the back of the accessory bin bracket, thenmount the bracket on the center stud at least 13 in. (33 cm)

5. Hang wall system on the mounting rail bracket.WARNING Ensure that the ribs on the back of the wall systemfully engage the mounting rail bracket. T

ContentsIntroduction ... 1Intended use ...

7. If the wall unit is configured for SpO2 or SpHb, connect the sensor cable and route it throughthe channel above the security screw you just install

b. Tighten the two retention screws.9. Attach the system power cord to the wall unit. Do not plug the cord into an outlet at this time.Mount the acces

3. Properly orient and insert the sensor cable into the patient cable connector. (You justconnected the opposite end of the sensor cable to the wall s

Set up the physical assessment instrument handles andspecula dispenser1. Attach the specula dispenser. Ensure that the keyhole locking slots on the ba

2. Hold the temperature probe cable connector with the spring tab on the right and insert it intothe probe port of the temperature module. Push it int

20Probe Covers2. Remove the thermometer cover, insert the battery, replace the thermometer cover, then placethe thermometer in the dock.Connect AC pow

Note New batteries are only 30 percent charged. You must plug the wallsystem into AC power to fully charge the battery. Do not plug in thepower cord u

b. Tighten the two retention screws.5. Re-attach the system power cord and power up the wall system.Note Some accessories require a license to enable

32 Setup Welch Allyn Connex® Integrated Wall System

StartupPowerThe power button, located on the front of the monitor, performs the following functions:•Powers up the monitor• Sets the monitor into Disp

Content area ... 41Na

The following actions will return the monitor display to the active state:• Touch the screen• Remove the temperature probe from the probe well• Attach

a wrench icon and a system fault code to aid service personnel and engineers indiagnosing the problem.Power down the monitor1. Touch the Settings ta

Select a languageWhen you power up the wall system for the first time, the language selection screen appears.1. Select your language.2. Touch Exit.The

• Touch and enter the ID.• Scan the clinician's barcode with a barcode scanner. The scanned ID appears in the field.4. If prompted, enter your

38 Startup Welch Allyn Connex® Integrated Wall System

NavigationThe monitor screen provides the interface that you use to complete your workflow. You access themonitor's features by touching the scre

• Device location.• Time and date. Touch this area to navigate to date and time settings.• Connection status (wired or wireless). The icons indicate w

Note Observe the remaining battery charge in the battery status indicator and plug themonitor into a power outlet as soon as you are able.If the infor

The Content area also includes a Save button, which you use to manually save currentmeasurements.Save patient dataPatient data can be saved to the mon

• A title bar with a lock icon ( ) replaces the Navigation area at the bottom of the screen.• Patient information no longer appears at the bottom left

Clean the wall system accessories ... 105Specifications ...

44 Navigation Welch Allyn Connex® Integrated Wall System

ProfilesProfiles are variations of the Home tab. Each profile gives you access to a different set of features.Choose the profile that best suits your

Spot Check profileThe Spot Check profile is optimized for clinicians who take spot-check vitals readings and do notneed automatic reading or alarm fea

Profile feature comparisonThe following table compares the features of the profiles.Feature Monitor Spot Check TriageTake NIBP, SpO2,temperature, and

Select a profileFollow these steps to select a profile, which controls the appearance and functionality of thedevice.1. Touch Settings.2. Touch Profil

Using the keypad, keyboard, and barcodescannerOpen the numeric keypadTouch any field that includes the numeric keypad icon .The numeric keypad appear

Component Name DescriptionCancel button When touched, the numeric keypaddisappears and the selected number does notchange.OK button When touched, the

Component Name DescriptionData field Displays the characters you enter.Backspace key When touched, removes the rightmostcharacter from the data field.

Component Name DescriptionOK button When touched, the keyboard disappearsand the entered characters appear in thedata field.Enter a letter or number1.

Diacritical marks key Language(s)Finnish, Norwegian, Spanish, SwedishPortuguesePolishGreek1. With the keyboard open, touch the diacritical marks key.

vi Contents Welch Allyn Connex® Integrated Wall System

Note You can scan a patient's barcode from the Home tab or the Summary tab. Thescanned ID appears in the Patient frame on the Home tab and in the

Patient data managementPatient data is managed through the Patients tab.From this tab, you can do the following:•Retrieve a patient list from the netw

Note If the monitor is connected to the network, the monitor can receive a patient namefrom patient records associated with a scanned ID number.1. Ens

CAUTION Verify patient identity on the monitor after manual orbarcode entry and before printing or transferring patient records.CAUTION Always visua

Set modifiers1. Touch the Patients tab.2. Touch the Modifiers tab.3. Adjust the NIBP, O2, and Temperature settings as required.4. Touch OK to accept t

AlarmsThe monitor presents physiological alarms and technical alarms. Physiological alarms occur whenvital sign measurements fall outside of set alarm

• Constant amber for low priority alarmsHome tabHome tab notificationsNotification DescriptionDevice Status area The area changes color and displays a

Icons in parameter framesIcon Name and statusAlarm off.No visual or audio alarms or Nurse Call notification will occur for this parameter.Alarm on.Aud

Reset (pause or turn off) audio alarmsAudio alarm characteristics• After you reset an audio alarm, some tones do not return, but others return after a

Adjust vital sign alarm limitsYou can adjust vital sign alarm limits or turn off alarm limit checking for individual parameters.WARNING Alarm limits

IntroductionThe Welch Allyn Connex® Integrated Wall System combines the advanced, easy-to-use monitorcapabilities of the Welch Allyn Connex® Vital Sig

2. On the General tab, modify audio alarm notification.• To enable or disable audio alarms, select Alarm audio on or Alarm audio off.If you turn off a

Alarm messages PriorityAlarm limit exceeded. NIBP diastolic HIGH. HighAlarm limit exceeded. NIBP diastolic LOW. HighAlarm limit exceeded. NIBP MAP HIG

Alarm messages PrioritySpO2 not functional. LowAttach SpO2 sensor to monitor. LowReplace the SpO2 sensor. LowSet date and time. LowMaximum number of p

Alarm messages PriorityReplace the SpO2 cable. LowSpO2 mode only. Check sensor or cable. LowSpO2 sensor expires in…. LowUnexpected restart occurred. C

68 Alarms Welch Allyn Connex® Integrated Wall System

Patient monitoringNIBPNoninvasive Blood Pressure (NIBP) frameFrom the NIBP frame, you can measure blood pressure.Located in the upper left corner of t

•NIBP view 2 displays the MAP calculation as the primary content and the SYS/DIAas secondary content.ButtonsThe buttons on the right side of the fra

WARNING Never use an adult or pediatric monitor setting or cuff for an NIBPmeasurement on a neonatal patient. Adult and pediatric inflation limits ca

Cuff Size Circumference (cm) Circumference (in)NEO 3 5.4 – 9.1 2.1 – 3.6NEO 4 6.9 – 11.7 2.4 – 4.6NEO 5 8.9 – 15.0 3.5 – 5.9Multi-pack 1 of each 1 of

NIBP measurementThe monitor enables you to take manual and automatic NIBP measurements.WARNING NIBP readings may be inaccurate for patients experienc

motion and no motion conditions, and for patients who are well or poorly perfused in hospitals andhospital-type facilities.Optional compatible weight

1. Properly size the blood pressure cuff and position it around the patient’s bare upper arm.2. Touch Start to take a measurement.Interval NIBP measur

1. Properly size the blood pressure cuff and position it around the patient’s bare upper arm.2. On the Home tab, touch .3. Select Automatic.4. Use th

4. Touch the keyboard icon and enter the desired program name.5. Enter the desired duration and interval settings.6. Touch Start Intervals.The new int

1. On the Home tab, touch the interval timer button ( ).2. Touch Stop intervals.Cancel a measurement that is in progressFollow these steps to cancel a

Temperature frame in Spot Check and Triage profilesTemperature measurement displayIn all profiles, the frame can display temperature in Celsius or Fah

Temperature buttonsThe buttons on the right side of the frame enable you to do different tasks depending on the profileyou are using. The availability

WARNING Patient illness may result from improper use of oral and rectaltemperature probes. Using the incorrect probe may also produce inaccuratemeasu

Predictive modeIs a one-time measurement that takes a temperature in approximately 6 to 15 seconds. Removingthe probe from the probe well, loading a p

For axillary temperatures, lift the patient’s arm so that the entire axilla is easily seen and placethe probe tip as high as possible in the mid-axill

Take a temperature in the Direct modeDirect mode displays the temperature of the probe as long as the probe tip remains in place at themeasurement sit

SymbolsDocumentation symbolsWARNING The warning statements in this manual identify conditions or practicesthat could lead to illness, injury, or death

Note The monitor does not retain Direct mode temperatures in memory.Therefore, it is important to note the temperature before removingthe probe from t

5. The monitor sounds a tone when the final temperature is reached (in approximately 10 to 13seconds). The temperature frame continues to display the

CAUTION The thermometer has no user-serviceable parts. If service is required,call your nearest Welch Allyn Customer Service or Technical Support fac

• If the probe is positioned correctly in the ear canal the ExacTemp light flashes. When thethermometer detects an accurate measurement, the ExacTemp

The frame provides a numeric view and a waveform view of SpO2 data. You can toggle betweenviews by touching the left side of the frame.SpO2 numeric vi

PI is a relative reading of pulse strength at the monitoring site. PI is a numerical value thatindicates the strength of the IR (infrared) signal retu

WARNING Inaccurate measurement risk. Use only Nellcor sensors andaccessories on Nellcor-equipped monitors.WARNING The pulsations from intra-aortic b

WARNING Patient injury risk. The sensor and extension cable areintended only for connection to pulse co-oximetry equipment. Donot attempt to connect

Set SatSeconds limits1. Touch the Alarm limit control of the SpO2 frame .2. Touch the Alarms tab.3. Touch to select a SatSeconds setting.4. Touch Ho

SpHb graphical trend viewThe graphical trend view presents a trend of the real-time measurements over a user-selectedperiod. In Advanced settings, you