Welch-allyn 206EL Propaq Encore Vital Signs Monitor - User Man User Manual

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

6 General information Welch Allyn Propaq Encore Vital Signs Monitor

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 and Alarms specified ANSI/AAMI EC13-1992, excep

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 pressure Applies only to models 204 and 206.Characteristic SpecificationTransducer Type Strain-gauge resist

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 ΔTProbes Compatible with

27Getting startedIntroducing the Propaq EncoreIntended use Before using the Propaq Encore on a patient, be sure you understand the Safety Summary at t

106 Specifications Welch Allyn Propaq Encore Vital Signs MonitorPulse oximetry (SpO2)MasimoCharacteristic SpecificationSaturation (% SpO2)RangeResolut

Reference Guide Specifications 107NellcorCharacteristic Specificationaa. When performing SpO2 monitoring, the monitor SpO2 channel may not (in rare in

108 Specifications Welch Allyn Propaq Encore Vital Signs MonitorCapnography (CO2)Characteristic SpecificationCO2 displayScreen Display CO2 waveform an

Reference Guide Specifications 109Mainstream CO2 Characteristic SpecificationMainstream CO2 sensorSensor Type MainstreamPrinciple of Operation Non-dis

110 Specifications Welch Allyn Propaq Encore Vital Signs MonitorSidestream CO2 Characteristic SpecificationSensor Type Sidestream, internalPrinciple o

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 used or stored wit

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

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

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

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

Reference Guide Specifications 117Power adaptersCharacteristic SpecificationProtection classifications, all adapters aa. Per EN 60601-1 unless otherwi

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 following two conditio

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

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

125GlossaryΔT. Difference temperature. The difference between T1 and T2.AAMI. Association for the Advancement of Medical Instrumentation (United Sta

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

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 also RR

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

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

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

130 Glossary Welch Allyn Propaq Encore Vital Signs MonitorTr e n d . The accumulation of several hours of data at two-minute intervals.Trend Paramet

131IndexAac adapter connector, 10AccessoriesProducts & Accessories book, 5Acuity System, 85Acuity menu, 87connecting, 85Intended use, 85Network Fa

132 Index Welch Allyn Propaq Encore Vital Signs Monitorac adapter, 10ECG, 31INV PRS, 37NIBP, 44patient, 13power input, 10temperature probes, 50CONTINU

Reference Guide Index 133Gas compensation for CO2, 57, 62HHP connector-compatible option, 9HR/PR TONE setting, 21, 34IICP, label for intracranial pres

134 Index Welch Allyn Propaq Encore Vital Signs MonitorTrends, 18Wave Select, 19, 22MessagesECG, 36INV PRS, 41Mainstream CO2, 66NIBP, 48–49Printer Fau

Reference Guide Index 135Custom, 23default alarm limits, 11factory default, 11Neonatal, 42Pediatric, 42PATIENT MODE setting, 21Pediatric Mode, 42Physi

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

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

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

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

14 Getting started Welch Allyn Propaq Encore Vital Signs MonitorOption connectorsMainstream CO2 ConnectorSidestream CO2 Connector!CO2!CO2Nellcor SpO2

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

ii Welch Allyn Propaq Encore Vital Signs Monitor© 2008 Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any for

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

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

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 2 ON/OFFNEXTINSERVPREV MENUMORENIBP TEST IBP TEST SpO2 TST CO2 TESTNEXT CHANGE PR TREN

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

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 or t

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

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

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 flas

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

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 accessoriesUse only with accessories provided or recommended by Welch Allyn. Refer t

32 Patient monitoring Welch Allyn Propaq Encore Vital Signs Monitor4. Apply the electrodes to the patient.5. Support the ECG cable so it does not stre

Reference Guide Patient monitoring 337. If there is no waveform, check the electrodes, wires, cable, and the monitor for a possible lead fault.If an E

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

iv Contents Welch Allyn Propaq Encore Vital Signs MonitorConnecting to the Acuity system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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 and may be dried out. Replace electrodes.Invas

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 pressure scale appears next to the wa

40 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorRANGE Sets the display to Range Mode. All invasive pressure waveforms monitored 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 cardiac ar

44 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorNIBP connector and cuffsUse Propaqs with approved hoses and cuffs listed in Product

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

11General informationSafety summaryThis Safety Summary should be read by all Propaq Encore users. Specific warnings and cautions will be found through

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

Reference Guide Patient monitoring 47NIBP Displayed in Waveform Window Set 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 recalibrates the 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 SpO2 sensor is designed for application to a specific si

Reference Guide Patient monitoring 53Perform SpO2 monitoring with Masimo option1. Attach the sensor to the patient according to the sensor manufacture

54 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorPerform SpO2 monitoring with Nellcor option1. Attach the sensor to the patient acco

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

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

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

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

58 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorSidestream CO2 optionThe sidestream CO2 option measures the carbon dioxide content

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

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

Reference Guide Patient monitoring 61Mainstream CO2 monitoring1. Select the appropriate airway adapter.Use only accessories provided or recommended in

62 Patient monitoring Welch Allyn Propaq Encore Vital Signs MonitorHow to set up the CO2 channel and alarm limitsAfter you connect the mainstream CO2

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

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

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

Reference Guide General information 3The Propaq Encore should be serviced only by a Welch Allyn service technician while under warranty. Propaq Encore

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 the mainstream CO2 option’s operating a

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

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 has elapsed1. P

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 Central Station messagesThe following tab

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

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

4 General information Welch Allyn Propaq Encore Vital Signs MonitorFor continued fire protection, use only the specified fuse.Patient connections are

76 Alarms and limits Welch Allyn Propaq Encore Vital Signs Monitor

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

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

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

80 Printing Welch Allyn Propaq Encore Vital Signs MonitorCO2 and RESP waveformsCO2 waveforms are printed on a grid with major divisions (vertical dott

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

82 Printing Welch Allyn Propaq Encore Vital Signs MonitorOxyCRGThe OxyCRG is a graphical printout of two minutes of continuous HR/PR and SpO2 numerics

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

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 monitors configured to inter

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

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 the monitor. Use only a Welch Allyn ac power ad

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 SpO2 option, typical monitor operating time

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

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