Printing Trends. Printing a Single Trend. Printing Several Trends. Automatic Trend Prints. Acuity Central Monitoring System. Intended Use. Power Sources. Power Adapter Intended Use. Care and Maintenance. Inspect and Clean the Monitor and Accessories. Service Interval Recommendations.
Product Recycling. Monitor Care. Environmental Operating and Storage Limits. Extended Storage Precautions. Printer Maintenance. Loading Paper. Customer Services. Ordering and Customer Service. Technical Service. Invasive Pressure. Pulse Oximetry SpO 2. Capnography CO 2. Monitor Environmental. Monitor Physical. Power Adapters. Factory Default Settings. In-Service Simulated Values. This Safety Summary should be read by all Propaq Encore users.
Caution Caution: Federal U. Warning This monitor is to be operated by qualified personnel only. The operator of this monitor should read this entire manual, the monitor Reference Guide or Directions For Use , and all accessory Directions For Use before operating the monitor.
Place the Propaq monitor and accessories in locations where they cannot harm the patient if they fall from their shelf or mount. Lift the monitor only by its handle; do not lift it by any attached cables.
Do not connect more than one patient to a monitor. Do not connect more than one monitor to a patient. Do not autoclave the Propaq.
Autoclave accessories only if the manufacturer's instructions clearly approve it. Many accessories can be severely damaged by autoclaving. Inspect the power adapter cord periodically for fraying or other damage, and replace the adapter as needed. Do not operate the apparatus from mains power with a damaged power adapter cord or plug. When using a power adapter with this monitor, be sure to connect the power adapter to a three-wire, grounded, hospital-grade receptacle. Do not under any circumstances attempt to remove the grounding conductor from the power plug of the power adapter.
Do not plug the power adapter into an extension cord. If there is any doubt about the integrity of the protective earth ground of the receptacle for the power adapter, do not plug in the power adapter; operate the monitor only on battery power. Contact your biomedical engineering department for assistance in identifying the proper power receptacle and making appropriate power connections. Warning Make frequent electrical and visual checks on cables and electrode wires. Avoid electrosurgery burns at monitoring sites by ensuring proper connection of the electrosurgery return circuit so that the return paths cannot be made through monitoring electrodes and probes.
During defibrillation, keep the discharge paddles away from ECG and other electrodes, as well as other conductive parts in contact with the patient. To ensure patient safety, the conductive parts of the ECG electrodes including associated connectors and other patient-applied parts should not contact other conductive parts, including earth ground, at any time. Do not operate this product in the presence of flammable anesthetics or other flammable substance in combination with air, oxygen-enriched environments, or nitrous oxide; explosion can result.
Within certain governmental jurisdictions, all interconnected accessory equipment must be labeled by an approved testing laboratory. After interconnection with accessory equipment, risk leakage current and grounding requirements must be maintained. To ensure conformance to risk leakage current requirements when operating from an ac mains power source, use only a Welch Allyn series power adapter.
This monitor should only be repaired by qualified service personnel. The operator should not attempt to open the monitor case or perform any maintenance on the monitor except for procedures explicitly described in this manual that can be performed by operators such as inspection and cleaning.
To ensure patient safety, use only accessories recommended or supplied by Welch Allyn. Warning Safe interconnection between the Propaq monitor and other devices must comply with applicable medical systems safety standards such as IEC As with all medical equipment, carefully route the patient cabling to reduce the possibility of patient entanglement or strangulation. A product that has been dropped or severely abused should be checked by qualified service personnel to verify proper operation and acceptable risk leakage current values.
If the monitor detects an unrecoverable problem, an error message window appears containing an error number and a short message. Report such errors to Welch Allyn. The Propaq Encore should be serviced only by a Welch Allyn service technician while under warranty. The following symbols may appear on the Propaq Encore monitor or accessories or documentation. Caution Caution statements identify conditions or practices that could result in damage to the equipment or other property.
Warning Warning statements identify conditions or practices that could result in personal injury. The Propaq Encore documentation set consists of documents for the clinician, the biomedical technician, and the department head or purchaser of accessories for the Propaq Encore monitors. This Propaq Encore Reference Guide contains important safety and operating information for the clinician.
This Reference Guide provides descriptions and operating information for the Propaq Encore models EL, EL, and EL, including all available options at the time of this manual's printing. This Reference Guide was written for the clinician.
The Propaq Encore has been designed as a quality monitor; however, inherent limitations require that good clinical judgment always prevails. Before using the Propaq Encore on a patient, be sure you understand the Safety Summary at the front of this book. It provides important information about safely using the Propaq Encore. The Propaq Encore monitor is intended to be used by skilled clinicians for multiparameter vital signs monitoring of neonatal, pediatric, and adult patients in health care facility bedside applications; as well as for intraand interfacility transport.
Capnography CO 2 available only with SpO 2 :. The Propaq Encore Expansion Module attaches to the monitor and houses additional capabilities. The Propaq Encore CO 2 options allow carbon-dioxide monitoring. These options require the Pulse Oximetry SpO 2 option. This option allows communication between the Propaq Encore and the Acuity Central Monitoring System by means of an ethernet network system installed in your facility. The Acuity System operator can view the patient data and control most of the bedside Propaq functions.
The Propaq Encore connects to the Acuity System through an Acuity network cable that plugs into the Propaq right side panel. This option allows telecommunication between a Propaq Encore and the Acuity System by means of external modems. For more information refer to the Modem-Propaq Reference Guide. This option replaces the standard Propaq Encore left side panel. Warning Safe interconnection between the Propaq Encore and other devices must comply with applicable medical systems safety standards such as IEC This switch turns the monitor on and off.
The switch is recessed to prevent accidentally turning off the monitor, which would result in losing patient data. See page for fuse replacement instructions. This receptacle accepts the Welch Allyn ac power adapter, which must be used for ac mains operation and battery charging.
The Propaq Encore is also designed to operate with other volt, dc-only power sources, such as a vehicle battery system. See page for more information. This green light turns on when a power source ac power adapter or external dc source is connected and the battery is charging. Although the monitor may be turned off, battery charging continues when an external power source is connected. This connector allows either direct connection to an Acuity System, or connection to an external modem for telecommunication to an Acuity System.
For more information about the Acuity System, see page For more information about the Modem-Propaq, refer to the. A few seconds later, the top two lines of the screen are replaced with text indicating the current patient mode adult, pediatric, or neonatal.
Warning Before you use a Propaq on a new patient, always turn off the Propaq for a few seconds, then turn it on again. If the Propaq Encore has been used for a previous patient, switch the monitor off, then on again. The monitor will turn on in the powerup patient mode with the associated settings. Verify that the powerup tone is produced. If the monitor has SpO 2 , verify two tones are produced to make sure that both speakers are working.
If the patient mode is not correct, change it see page 29 to change the patient mode. Warning Always check the patient mode when monitoring a new patient.
The patient mode determines default alarm limits, maximum cuff inflation pressure, and internal algorithm settings. If it is less than 7. This can occur if the battery is drained or after new software has been installed. Changing patient modec. A confirmation screen appears:Figure Directions for Use Standalone monitoring 51Figure When the time and date are correct and formatted appropriatel. Inspect the ECG cable. Replace it if it shows any signs of wear, br.
Directions for Use Standalone monitoring 55Figure ECG leads - placement displays, 5-lead and 3-leadThe locations of the circles displayed on the m. Control buttonsMonitorPower - Turn the monitor power on or off. Down - Move the curso. Waveform source: II2. Highlight your waveform source choice and press or. Directions for Use Standalone monitoring 57About pacemakers and ECG monitoringIf the patient being monitored has a pacemaker, the monitor detects and.
Directions for Use Standalone monitoring 59Figure Resp waveform, default size 2x For more detail, change the waveform size to 8x. Directions for Use Standalone monitoring Inspect the SpO2cable. Replace it if it shows any signs of wear, breakage, or fraying. Plug the cable. Directions for Use Standalone monitoring 63Figure SpO2monitoring turned offTo take a n SpO2spot check reading1. Enable spot checks. Directions for Use Introduction 3 red The battery is near failure; the monitor will shut down soon.
If this indicator appearswhile the monitor is in. Select cuff size based on limb circumference. Use only h. Directions for Use Standalone monitoring 67Figure NIBP: reading in progressWhen the cycle completes, control returns to the previous direct-access.
Highlight NIBP and press. Directions for Use Standalone monitoring 71To discontinue monitoring1. The Power Off screen appears. Figure Directions for Use Monitoring in communication with Acuity 75Monitoring a patient outside of network rangeMonitors are typically deployed in an active.
Directions for Use Monitoring in communication with Acuity 77Figure When the monitor re-establishes communi. Directions for Use Monitoring in communication with Acuity 79To disconnect from the network1. Highlight and press. Highlight Disconnect, press , an.
When an alarm occ. Sample alarm screenFigure Sample alert screen2. Check the patient and pro. Directions for Use Alarms and alerts 85About ParamSetUsing ParamSet, you can quickly widen the alarm limits by a configured percentage relative to the.
Directions for Use Introduction 5General warningsThese statements apply to all aspects of patient monitoring. Statements which applyspecifically to on. Directions for Use Alarms and alerts 87Alert messages and status messagesTable 7. Alert messagesAlert type Message Possible cause and suggested respon. Uso propuesto. Silenciar una alarma de paciente activa o un tono de alerta del equipo durante 90 segundos.
Aggiornamento italiano: Monitor Propaq Encore. Destinazione di uso. Update Nederlands: Propaq Encore-monitor. Beoogd gebruik. Equipamento durante 90 segundos. Svensk uppdatering: Propaq Encore-monitor. This document describes changes in operation for Propaq Encore monitors software version 2.
This document replaces information in the following manuals:. For monitor operating information not contained in this document, please refer to the preceding manuals. This document also describes basic information about how Propaq Encore monitors operate when they are connected to an Acuity Central Monitoring System. Caution In this manual, indicates conditions or practices that could damage the equipment or other property. Prolonged impairment of circulation or improper cuff placement can cause contusions.
Operation of the monitor outside the range of specified values is not recommended and may cause inaccurate results. WARNING Electronic equipment that emits very strong electromagnetic or radio frequency signals can cause electrical interference with monitor operation, including causing the monitor to turn off power. Avoid operating this monitor near such equipment.
For guidance about electromagnetic emissions and the recommended separation distance between the monitor and such equipment, refer to the specifications section of this manual. Use of accessories not recommended by Welch Allyn may result in increased electromagnetic emissions or decreased electromagnetic immunity of the equipment. Note Propaq monitors connected to an Acuity Central Monitoring System can sound distinct tone patterns for certain alarms, such as life-threatening Arrhythmia and ST alarms.
You can silence the tone of a patient alarm or equipment alert for a period of 90 seconds. Check the patient and provide appropriate care. After caring for the patient, make sure the appropriate alarm limits are set.
During the silence period, the usual visual alarm and alert indications are displayed. If an equipment alert occurs during the silence period, you can acknowledge dismiss all indications of the alert by pressing any key, as usual.
If the original alarm or alert condition still exists after 90 seconds, the alarm or alert tone sounds again. As you perform patient care, there might be occasions when you want to suspend potential or current alarm and alert tones for a period of four minutes.
If an alarm or alert occurs during the suspend period, the usual visual alarm and alert indications are displayed. If an equipment alert occurs during the suspend period, you can acknowledge dismiss all indications of the alert by pressing any key, as usual.
Note This feature requires access to the Service Menu. The Service Menu features are not intended for use during ordinary, routine operation. You can suspend potential or current alarm and alert tones for an indefinite period of time. The tones are disabled until someone re-enables them.
Propaq monitors connected to Acuity Central Station : Apnea or life-threatening arrhythmia alarm tones interrupt Apnea or life-threatening arrhythmia alarm tones the suspend period.
Standalone Propaq monitors: Apnea alarms do not interrupt the suspend period, and arrhythmias are not detected. In certain situations, such as when a channel is disabled, the source of the second alert is not displayed in the new message.
Look for blank numeric and waveforms areas on the screen to identify the source s of multiple alerts. The following table summarizes Silence and Suspend behaviors and Acuity Central Station messages for different combinations of current and previous Propaq monitor and Acuity software versions.
Modes: AED function with manual override, manual defibrillation. Sets defaults for alarms, defibrillation energy, and NIBP settings. The Zoll Defibrillator is not only technically refurbished but also cosmetically refurbished to make it work and look like new. When the refurbishing process starts on the defibrillator, it is carefully inspected and tested by our own in-house biomedical engineers that are highly skilled and certified to work on defibrillators. If necessary, parts are replaced to make sure that all aspects of the Propaq are to the original engineering manufacturer specifications.
This ensures that the unit is working the same way that it originally left the manufacturer. After the Zoll Propaq is working like new it undergoes a special cosmetic restoration process. The defibrillator is cleaned, minor scratches and dents are repaired, it's painted, and new decals are replaced if necessary. After this strenuous refurbishing process, the unit functions and looks new.
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