Welch-allyn Vital Signs Monitor, Propaq Encore - Quick Referen Manuel d'utilisateur

Propaq®EncoreVital Signs MonitorReference GuideModels 202EL, 204EL, 206ELSoftware version 2.5X

4 General information Welch Allyn Propaq Encore Vital Signs MonitorFor continued fireprotection, use onlythe specified fuse.Patient connections areTyp

94 Care and maintenance Welch Allyn Propaq Encore Vital Signs MonitorMaintenanceService interval recommendationsAt the intervals recommended below, ve

Reference Guide Care and maintenance 95Recycling monitor componentsWithin the European UnionDo not dispose of this product as ‘unsorted municipal wast

96 Care and maintenance Welch Allyn Propaq Encore Vital Signs MonitorPrinter paper removalPrinter maintenancePaper is loaded through the bottom of the

Reference Guide Care and maintenance 97Customer servicesOrdering and customer serviceFor ordering information, for the location of your nearest Welch

98 Care and maintenance Welch Allyn Propaq Encore Vital Signs Monitor

1099SpecificationsECGThe ECG channel meets all the requirements for Cardiac Monitors Heart Rate Meters andAlarms specified ANSI/AAMI EC13-1992, except

100 Specifications Welch Allyn Propaq Encore Vital Signs MonitorQRS Detector Adult or Pediatric Amplitude Range: 0.22 to 5.0 mV (RTI)Neonatal Amplitud

Reference Guide Specifications 101Real-time ECG analog/defib syncSpecial cables are required to interface the defib sync connector to the Physio-Contr

102 Specifications Welch Allyn Propaq Encore Vital Signs MonitorImpedance pneumography (RESP)Characteristic SpecificationDisplay CharacteristicsSweep

Reference Guide Specifications 103Invasive pressureApplies only to models 204 and 206.Characteristic SpecificationTransducer Type Strain-gauge resisti

Reference Guide General information 5Propaq Encore documentationThe documentation setThe Propaq Encore documentation set consists of documents for the

104 Specifications Welch Allyn Propaq Encore Vital Signs MonitorNIBPCharacteristic SpecificationMethod OscillometricControl Automatic and manual measu

Reference Guide Specifications 105TemperatureCharacteristic SpecificationRange 0° to +50°C; 32° to +122°FDisplays T1, T2, andTProbes Compatible with

106 Specifications Welch Allyn Propaq Encore Vital Signs MonitorPulse oximetry (SpO2)MasimoSpO2 complies with EN ISO 9919:2005.Characteristic Specific

Reference Guide Specifications 107NellcorSpO2 complies with EN ISO 9919:2005.Characteristic Specificationaa. When performing SpO2 monitoring, the moni

108 Specifications Welch Allyn Propaq Encore Vital Signs MonitorCapnography (CO2)Characteristic SpecificationCO2displayScreen Display CO2waveform and

Reference Guide Specifications 109Mainstream CO2Characteristic SpecificationMainstream CO2sensorSensor Type MainstreamPrinciple of Operation Non-dispe

110 Specifications Welch Allyn Propaq Encore Vital Signs MonitorSidestream CO2Characteristic SpecificationSensor Type Sidestream, internalPrinciple of

Reference Guide Specifications 111AlarmsTrendsCharacteristic SpecificationIndicators Flashing red alarm bell light: patient alarm(s)Continuously on re

112 Specifications Welch Allyn Propaq Encore Vital Signs MonitorDisplayCharacteristic SpecificationMatrix 552 x 256 pixels EL displayActive Viewing Ar

Reference Guide Specifications 113Monitor (environmental)Caution The monitor may not meet performance specifications if it is not usedor stored within

6 General information Welch Allyn Propaq Encore Vital Signs Monitor

114 Specifications Welch Allyn Propaq Encore Vital Signs MonitorMonitor (physical)Characteristic SpecificationProtection classifications, all configur

Reference Guide Specifications 115PrinterCharacteristic SpecificationOperationOperating Modes Continuous, Snapshot, Freeze Print, Auto Print, Auto Tre

116 Specifications Welch Allyn Propaq Encore Vital Signs MonitorPowerCharacteristic SpecificationMode of Operation ContinuousBattery Pack Type Sealed,

Reference Guide Specifications 117Power adaptersCharacteristic SpecificationProtection classifications, all adaptersaa. Per EN 60601-1 unless otherwis

118 Specifications Welch Allyn Propaq Encore Vital Signs MonitorFactory default settingsCharacteristic SpecificationDateaMO/DA/YR, DA.MO.YR, or YR/MO/

Reference Guide Specifications 119P1, P2 Limits - Diastolic Adult: 35, 110 mmHgPed: 35, 100 mmHgNeonate: 30, 70 mmHgP1, P2 Limits - Mean Adult: 50, 12

120 Specifications Welch Allyn Propaq Encore Vital Signs MonitorIn-service simulated valuesChannel Display Initial value Alternate valueECG Waveform N

Reference Guide Specifications 121EMC complianceThis device complies with part 15 of the FCC Rules. Operation is subject to the followingtwo condition

122 Specifications Welch Allyn Propaq Encore Vital Signs MonitorPropaq Encore Monitor: Guidance and Manufacturer’s Declaration—Electromagnetic Immunit

Reference Guide Specifications 123Propaq Encore Monitor: Guidance and Manufacturer’s Declaration—Electromagnetic ImmunityThe Propaq Encore monitor is

27Getting startedIntroducing the Propaq EncoreIntended useBefore using the Propaq Encore on a patient, be sure you understand the SafetySummary at the

124 Specifications Welch Allyn Propaq Encore Vital Signs MonitorRecommended Separation Distances Between Portable and Mobile RF Communications Equipme

125GlossaryT. Difference temperature. The difference between T1 and T2.AAMI. Association for the Advancement of Medical Instrumentation (United State

126 Glossary Welch Allyn Propaq Encore Vital Signs MonitorBR. Breath rate, expressed in units per minute or 1/min. BR is derived from CO2. See alsoRR.

Reference Guide Glossary 127Error Message Window. The window that appears when the monitor detects amalfunction requiring factory service. This window

128 Glossary Welch Allyn Propaq Encore Vital Signs MonitorIn-service Mode. A user training aid built into all Propaq Encores that provides simulatedsi

Reference Guide Glossary 129Pulse Rate. The heart rate determined from either a pressure channel, SpO2, or NIBP;expressed in units per minute or 1/min

130 Glossary Welch Allyn Propaq Encore Vital Signs MonitorTrend. The accumulation of several hours of data at two-minute intervals.Trend Parameter. He

131IndexAac adapter connector, 10Acuity System, 85Acuity menu, 87connecting, 85Intended use, 85Network Fault message, 88printing at Acuity, 87Adult Mo

132 Index Welch Allyn Propaq Encore Vital Signs MonitorNIBP, 44patient, 13power input, 10temperature probes, 50CONTINUOUS (print speed) setting, 25Cuf

Reference Guide Index 133HHP connector-compatible option, 9HR/PR TONE setting, 21, 34IICP, label for intracranial pressure, 40Impedance Pneumography (

8 Getting started Welch Allyn Propaq Encore Vital Signs MonitorExpansion moduleThe Propaq Encore Expansion Module attaches to the monitor and houses a

134 Index Welch Allyn Propaq Encore Vital Signs MonitorMessagesECG, 36INV PRS, 41Mainstream CO2, 66NIBP, 48–49Printer Fault, 26RESP, 36Sidestream CO2,

Reference Guide Index 135factory default, 11Neonatal, 42Pediatric, 42PATIENT MODE setting, 21Pediatric Mode, 42Physical (monitor) specifications, 114P

136 Index Welch Allyn Propaq Encore Vital Signs MonitorSSafety summary, 1Screen display, 15SELECTED SOURCE setting, 20Service intervals, 94Service Men

Reference Guide Index 137NXT TRND button, 77, 78, 83OXYCRG button, 77P1, 77P2, 77PRINT button, 77, 83printing each shift, 83printing one, 83printing s

138 Index Welch Allyn Propaq Encore Vital Signs Monitor

Reference Guide Getting started 9Propaq-to-Acuity®option This option allows communication between the Propaq Encore and the Acuity CentralMonitoring S

10 Getting started Welch Allyn Propaq Encore Vital Signs MonitorInput fuseThe input fuse, which protects the Propaq Encore against power surges, is a

Reference Guide Getting started 11Power-up screen1. If the Propaq Encore has been used for a previous patient, switch the monitor off,then on again. T

12 Getting started Welch Allyn Propaq Encore Vital Signs Monitor2. Press any button below the equipment alert screen to acknowledge the alert. Themoni

Reference Guide Getting started 13Patient connectionsThe left side panels differ depending on the Propaq Encore model. All models have ECG,NIBP, and t

ii Welch Allyn Propaq Encore Vital Signs Monitor© 2012 Welch Allyn. All rights are reserved. To support the intended use of the product described in t

14 Getting started Welch Allyn Propaq Encore Vital Signs MonitorOption connectorsMainstream CO2ConnectorSidestream CO2Connector!CO2!CO2Nellcor SpO2Con

Reference Guide Getting started 15Propaq Encore displayThe display shows waveforms, vital sign numeric values, Propaq Encore status, and alarminformat

16 Getting started Welch Allyn Propaq Encore Vital Signs MonitorYou can select up to three waveforms to be shown on the Propaq. When only onewaveform

Reference Guide Getting started 17Propaq Encore menusMenus for some patient vital signs are displayed only if that option is included in yourPropaq.ST

18 Getting started Welch Allyn Propaq Encore Vital Signs MonitorKey-press route to setup menu 1STAT SET4 SUSPNDLIMITSPREV MENUSETUPNIBP ECG/RESP INV P

Reference Guide Getting started 19Key-press route to setup menu 2ON/OFFNEXTINSERVPREV MENUMORENIBP TEST IBP TEST SpO2 TST CO2 TESTNEXT CHANGE PR TREND

20 Getting started Welch Allyn Propaq Encore Vital Signs MonitorMonitor setupSetup Menu 1 is accessed by pressing the SETUP button on the Main Menu.ST

Reference Guide Getting started 21HR/PR TONE Sets the Heart Tone volume to HIGH, MEDIUM, LOW, or OFF.PATIENT MODE Pressing CHANGE in this selection di

22 Getting started Welch Allyn Propaq Encore Vital Signs MonitorSelecting waveforms for displayTo select waveforms for display, press SETUP, WAVE SEL.

Reference Guide Getting started 23Changing the date format, filter, and unitsTo change the date format, ECG filter, or some measurement units, first m

iiiContents1 - General information ...1Safety summary ...1Symbols ..

24 Getting started Welch Allyn Propaq Encore Vital Signs MonitorYou can program the Propaq Encore to power up in any of the Factory patient modes orth

Reference Guide Getting started 25Printer functionsPress SETUP, MORE, PRINTER to display the printer menu and setup window.NEXT Selects the next setti

26 Getting started Welch Allyn Propaq Encore Vital Signs MonitorPRINTER FAULT messagesThese PRINTER FAULT messages can appear in an equipment alert wi

Reference Guide Getting started 27What you can do with in-service modeWhile using the in-service mode, you can press any of the Propaq Encore buttons,

28 Getting started Welch Allyn Propaq Encore Vital Signs Monitor5. Confirm the following:The monitor is sounding an alarmA vital sign numeric is flash

329Patient monitoringECG/RESPIntended use–impedance pneumography (RESP)The Respiration channel is intended to detect the rate or absence of respirator

30 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorIntended use–ECGThe Propaq Encore is intended for ECG monitoring of either a five-l

Reference Guide Patient monitoring 31ECG connector and applicable accessoriesTo prevent injury, use the provided garment clips to route the ECG cables

32 Patient monitoring Welch Allyn Propaq Encore Vital Signs Monitor3. If you are using non-gelled electrodes, apply a1/4to1/2inch mound of gel over th

Reference Guide Patient monitoring 33Propaq Encore is programmed, a beep tone may occur with each detected QRSevent.7. If there is no waveform, check

iv Contents Welch Allyn Propaq Encore Vital Signs Monitor3 - Patient monitoring ...29ECG/RESP...

34 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorImpedance pneumography selectionsIf your Propaq Encore includes the Impedance Pneum

Reference Guide Patient monitoring 35Using the Propaq Encore with pacemaker patientsPacemaker signalsIf the patient being monitored has a pacemaker, t

36 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorUsing the filter to better display a waveformThe Propaq Encore includes a filter th

Reference Guide Patient monitoring 37NOISY SIGNAL, CHECK ELECTRODES. Electrodes are making poor contact andmay be dried out. Replace electrodes.Invasi

38 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorPreparationPreparing for invasive pressure monitoring with the Propaq Encore requir

Reference Guide Patient monitoring 39or if the transducer’s offset is too great. Once the channel is zeroed, the pressurescale appears next to the wav

40 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorRANGE Sets the display to Range Mode. All invasive pressure waveformsmonitored are

Reference Guide Patient monitoring 41Invasive pressure messagesThe following messages can appear in the numerics window.NOT ZEROED (or NO ZERO). No ze

42 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorNIBPIntended useThe Propaq Encore noninvasive blood pressure channel (NIBP) indirec

Reference Guide Patient monitoring 43Improve NIBP accuracy with Smartcuf®NIBP measurements can be adversely affected by many factor such as cardiacarr

Reference Guide Contents vIndications during a 90-second silence period ...70Inhibit alarm and alert tones for four minutes: 4 SUS

44 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorNIBP connector and cuffsThe Propaq Encore uses a single-hose cuff. Cuffs that confo

Reference Guide Patient monitoring 452. Place the cuff on the limb.When you place the cuff, it should ideally be placed at the same level as the heart

46 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorSTART/STOP Starts and stops NIBP measurements. Any time the Propaq Encore istaking

Reference Guide Patient monitoring 47NIBP Displayed in Waveform WindowSet the NIBP alarm limitsSet the alarm limits according to your hospital's

48 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorImportant information about automatic measurementsA blood pressure measurement will

Reference Guide Patient monitoring 49CALIBRATING, PLEASE WAIT (ERR# 10). The Propaq Encore periodically recalibratesthe NIBP channel to ensure it can

50 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorNIBP IN PROGRESS messageThe monitor displays this message when noise or artifact su

Reference Guide Patient monitoring 51How temperature is displayedTemperature is displayed as a numeric only, in a window at the top of the Propaq Enco

52 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorPulse oximetry (SpO2)Each SpO2sensor is designed for application to a specific site

Reference Guide Patient monitoring 53Perform SpO2monitoring with Masimo option1. Attach the sensor to the patient according to the sensor manufacturer

vi Contents Welch Allyn Propaq Encore Vital Signs MonitorMonitor functions resumed ...91Operating times using batter

54 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorPerform SpO2monitoring with Nellcor option1. Attach the sensor to the patient accor

Reference Guide Patient monitoring 559. If the C-LOCK function is desired, press C-LOCK to set it to ON.10. Set alarm limits according to your hospita

56 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorPerform SpO2“spot-cCheck” monitoringThe SpO2Standby Mode allows you to remove the S

Reference Guide Patient monitoring 57Capnography (CO2)Intended useThe Propaq’s Capnography (CO2) option is intended to noninvasively measure thefollow

58 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorSidestream CO2optionThe sidestream CO2option measures the carbon dioxide content of

Reference Guide Patient monitoring 59Apnea eventsIn the Adult and Pediatric Mode, you can set the apnea delay to 6, 10, 15, 20, 25, or 30seconds. In t

60 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorSidestream CO2 menu and status windowWhen sidestream CO2is active, press MORE from

Reference Guide Patient monitoring 61Mainstream CO2monitoring1. Select the appropriate airway adapter.2. Connect the adapter, ventilator circuit, and

62 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorHow to set up the CO2channel and alarm limitsAfter you connect the mainstream CO2se

Reference Guide Patient monitoring 636. Press RESPONSE to select either NORMAL, SLOW, or FAST.The FAST setting is recommended where a sudden step chan

11General informationSafety summaryThis Safety Summary should be read by all Propaq Encore users. Specific warnings andcautions will be found througho

64 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorSidestream CO2 monitoringSetting up for sidestream CO2monitoring requires these ma

Reference Guide Patient monitoring 65Connect to a nonintubated patient1. Position the cannula on the patient according to the manufacturer’s instructi

66 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorConnect to an intubated patient1. Connect the gas sampling elbow and elbow connecto

Reference Guide Patient monitoring 67ALTIMETER FAILURE - RANGE. The Propaq is operating at an altitude outside themainstream CO2option’s operating alt

68 Patient monitoring Welch Allyn Propaq Encore Vital Signs Monitorthe monitor to within this range automatically cancels this message and restoresope

469Alarms and limitsDescription of alarm and alert tone patterns• Patient alarm tone pattern: one second on, two seconds off• Apnea alarm tone pattern

70 Alarms and limits Welch Allyn Propaq Encore Vital Signs MonitorRe-enable an alarm or alert tone before the 90-second silence period haselapsed1. Pr

Reference Guide Alarms and limits 71Inhibit alarm and alert tones indefinitely: ALL ALARMSYou can suspend potential or current alarm and alert tones f

72 Alarms and limits Welch Allyn Propaq Encore Vital Signs MonitorSummary of alarm and alert keys and Acuity CentralStation messagesThe following tabl

Reference Guide Alarms and limits 73Alarm holdoffsPropaq audio and visual alarm hold-offsMotion artifact or other factors can cause false vital sign a

2 General information Welch Allyn Propaq Encore Vital Signs MonitorWARNING During defibrillation, keep the discharge paddles away from ECG andother el

74 Alarms and limits Welch Allyn Propaq Encore Vital Signs MonitorSetting alarm limitsAdjust limits with STAT SETWhen you want to quickly set all alar

Reference Guide Alarms and limits 75Power-up equipment alert: program fault, settings lostIf a PROGRAM FAULT: SETTINGS LOST, TIME/DAY RESET equipment

76 Alarms and limits Welch Allyn Propaq Encore Vital Signs Monitor

577TrendsEvery two minutes, the Propaq Encore collects the monitored vital sign numerics andstores them in its trend memory, which can save the last f

78 Trends Welch Allyn Propaq Encore Vital Signs MonitorThe following is programmable: which trend window comes up first. The NIBP trendwindow is the f

679PrintingPrinting patient dataPrinting waveformsIf you have an expansion module set up with your monitor, you can print any waveform bypressing eith

80 Printing Welch Allyn Propaq Encore Vital Signs MonitorCO2and RESP waveformsCO2waveforms are printed on a grid with major divisions (vertical dotted

Reference Guide Printing 81Printing the apnea ticketThe Apnea Ticket documents the length of each apnea episode.To set the Propaq to print an Apnea Ti

82 Printing Welch Allyn Propaq Encore Vital Signs MonitorOxyCRGThe OxyCRG is a graphical printout of two minutes of continuous HR/PR and SpO2numerics,

Reference Guide Printing 83Printing trendsPrinted trends are useful for reviewing the patient's vital signs over the last severalminutes to the l

Reference Guide General information 3The Propaq Encore must be serviced only by a Welch Allyn service technician while underwarranty. Propaq Encore Se

84 Printing Welch Allyn Propaq Encore Vital Signs Monitor

785Acuity Central Monitoring systemIntended useThe Acuity system is used as a central monitoring system for Propaq Encore monitorsconfigured to interf

86 Acuity Central Monitoring system Welch Allyn Propaq Encore Vital Signs Monitor3. Plug in the Acuity network cable to the Acuity network jack on the

Reference Guide Acuity Central Monitoring system 87Key-press route to Acuity menuPress NET OFF to disconnect from AcuityWhen you want to disconnect th

88 Acuity Central Monitoring system Welch Allyn Propaq Encore Vital Signs MonitorNetwork alert messageWhen the Propaq Encore is connected to the Acuit

889Power sourcesFor in-hospital operation and recharging from ac mains, an ac power adapter plugs into themonitor. Use only a Welch Allyn ac power ada

90 Power sources Welch Allyn Propaq Encore Vital Signs MonitorPower-adapter configurationsPower-adapter part numbers are listed with their rated input

Reference Guide Power sources 91Battery careRecharging timeThe battery charges to full capacity within eight hours (if the monitor remains off).Monito

92 Power sources Welch Allyn Propaq Encore Vital Signs MonitorFor monitors without the Expansion Module or SpO2option, typical monitor operatingtime i

993Care and maintenanceAvoid electrostatic dischargeWhen humidity in the working environment decreases, the human body and otherinsulators can become