Protocol Propaq 242 Directions For Use Manual Download Page 71

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Propaq CS Directions for Use

Printing &

rends

Print OxyCRG

The OxyCRG is a printout of two minutes of continuous HR/PR and SpO

numerics, and a

compressed respiratory waveform.

To print OxyCRG, from the Main Menu press

SETUP, TRENDS, PRINT OXYCRG

If any of the parameters have been completely inactive for the two minutes prior to the printout, the
associated band is empty.

Summary of Contents for Propaq 242

Page 1: ...Vital Signs Monitor Directions for Use Models 242 244 246 Software Version 3 1X Please check for Updates in the back pocket of this manual 0123...

Page 2: ...neous results and consequent danger in patient care and may also void Protocol s warranty Disclaimers Protocol Systems Inc cautions the reader of this manual This manual may be wholly or partially sub...

Page 3: ...S Monitor With Pacemaker Patients 32 Perform Invasive Blood Pressure IBP Monitoring 33 Take a Non Invasive Blood Pressure NIBP Reading 36 Perform Temperature Monitoring 40 Perform SpO2 Monitoring 41 P...

Page 4: ...ynchronous Cardioversion with LIFEPAK 6s Defibrillator 82 8 Maintenance 85 Connect the AC Power Adapter to Recharge the Battery 87 Replace Monitor Input Power Fuse 89 Install Printer Paper 90 Inspect...

Page 5: ...Symbols 7 General Warnings and Cautions 9 Controls and Connectors 10 Touch Screen Controls 11 System Control and Connectors Right Side Panel 11 Patient Connectors Left Side Panel 12 Option Connectors...

Page 6: ...6 Protocol Systems Inc...

Page 7: ...ocess to the occurrences of the R wave increasing accuracy in cases of extreme artifact and diminished pulses The operator may disable or enable the Smartcuf algorithm in the NIBP Menu The Temperature...

Page 8: ...isolating power transformer1 1 This symbol is on the Universal Power Adapter Patient connections are Type BF and protected against defibrillation For indoor use only on power adapter only Patient conn...

Page 9: ...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...

Page 10: ...an error message and error number Report such errors to Protocol Systems The Propaq CS monitor should be serviced only by a Protocol Systems service technician while under warranty The Propaq CS Servi...

Page 11: ...han one touch screen key at a time Touching more than one key area at a time can cause the touch screen to misinterpret the command and respond to the wrong key Caution Do not touch the screen with a...

Page 12: ...BLE HP P S N I ECG EKG RESP Propaq CS Model 242 HP Model 242 Propaq CS Model 246 HP Model 246 Model 242 ECG NIBP Temperature two channels Model 246 ECG Invasive Pressure two channels NIBP Temperature...

Page 13: ...ssure or SpO2 All numeric values are continuously displayed and updated If the monitor detects a vital sign outside the measurable range it displays below the range or above the range When selected tr...

Page 14: ...SSURE MENU 1 INVASIVE PRESSURE MENU 2 ECG RESP MENU 1 NIBP MENU CO2 MENU 1 MAIN MENU PREVIOUS MENU SpO2 CO2 ECG RESP MENU 2 RANGE RESCALE ZERO P1 MORE CANCEL ZERO P2 CANCEL GAS COMP RESPONSE SOURCE CO...

Page 15: ...INT NEXT TREND PRINT OXYCRG SETUP MENU 1 MORE ALARMS TRENDS WAVE SEL STATSCALE ON OFF NEXT INSERVICE PREVIOUS MENU MORE NIBP TEST IBP TEST SpO2 TEST CO2 TEST MORE NEXT CHANGE WAVE SELECT PRINTER WAVE...

Page 16: ...E SELECT INSERVICE The Propaq CS monitor has two sets of simulated patient information To change between the sets from the Main Menu press SETUP WAVE SELECT and INSERVICE again While in the in service...

Page 17: ...S Monitor for a New Patient 19 Set Patient Alarms and Alarm Limits 21 Change the Current Patient Mode 22 Change Powerup Patient Mode or Store Customized Settings 23 Change the Powerup Patient Mode 23...

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Page 19: ...connect the monitor to an ac power adapter to recharge the battery see page 24 Connecting the adapter does not interrupt patient monitoring 3 Confirm the monitor is in the correct patient mode accordi...

Page 20: ...ESP SELECTED SOURCE The user selected HR PR source is displayed along with the HR PR source currently used by the monitor SWEEP mm s Selectable sweep speeds for HR PR 12 5 25 50 mm sec Selectable swee...

Page 21: ...mit is off No bell All alarm limits are off or the vital sign is not being monitored Bells also appear in numerics windows ALARM LIMITS BR TEMP 99 8 98 6 1 2 97 15 mmHg M 25 9 S D NIBP 85 mmHg M F 122...

Page 22: ...BP cuff inflation pressures and internal computations are automatically changed to the defaults for that patient mode See page 23 for information about preset Factory patient modes or programmable Cus...

Page 23: ...tings Note When you change patient modes you also change the alarm limits associated with the new patient mode Change the Powerup Patient Mode 1 From the Main Menu press SETUP MORE CHANGE SETUP to acc...

Page 24: ...rm limits for all functions without connecting cables is to select the in service mode disconnect all patient cables turn the monitor power off and then on then press SETUP WAVE SELECT INSERVICE from...

Page 25: ...nts 32 Perform Invasive Blood Pressure IBP Monitoring 33 Take a Non Invasive Blood Pressure NIBP Reading 36 Improve NIBP Accuracy with Smartcuf 36 Take the NIPB Reading 37 Perform Temperature Monitori...

Page 26: ...26 Protocol Systems Inc...

Page 27: ...may cause the monitor to display inaccurate heart rates The Propaq CS monitor will show for HR numerics between 301 350 beats per minute Above 350 beats per minute it may display incorrectly low hear...

Page 28: ...ccessories provided or recommended in the Protocol Systems Products and Accessories booklet Severe artifact and interference such as defibrillation interference can cause the waveform to move off the...

Page 29: ...ECG channel contains electrosurgical interference suppression ESIS circuitry noise artifact may be displayed on the ECG trace while an electrosurgical device is in use Choose electrode placement to m...

Page 30: ...ESP menu and status window NET OFF HR MON MON 17 05 10 PRINT FAULT II BR P1 96 BPM mmHg M TEMP Ld2 100 4 98 6 1 8 97 121 79 S D P2 15 mmHg M 25 9 S D NIBP 85 mmHg M F 122 58 MCO2 SpO2 mmHg 38 Br m 12...

Page 31: ...cause underestimation of ST elevation and overestimation of ST depression Although the monitor does not have automated ST segment monitoring ST segments may be accurately displayed and printed in Exte...

Page 32: ...ence of pacemaker signals 1 To access the monitor pacer indicator from the Main Menu press ECG RESP MORE and then NEXT to select the PACER DISPLAY 2 Press CHANGE to set the PACER DISPLAY either ON or...

Page 33: ...and the manufacturer s recommendations Always refer to the manufacturer s Directions for Use Do not use light sensitive disposable transducers 1 Inspect the transducer cable and transducer dome for we...

Page 34: ...s not accepted the monitor continues to use the previous zero reference and displays numerics and waveforms based on that value If the transducer still does not zero try another transducer or another...

Page 35: ...access the second IBP menu then press LABEL P1 or LABEL P2 Selectable labels and display colors are P1 red default label P2 yellow default label ART red arterial PA yellow pulmonary artery CVP blue c...

Page 36: ...powerup the Propaq CS monitor has an NIBP default inflation pressure cuff inflation target based on the patient mode see page 104 for the values After each NIBP measurement the monitor adjusts the tar...

Page 37: ...instructions about changing the patient mode see page 22 Be aware that changing patient modes will cancel an NIBP reading in progress 2 Squeeze as much air from the cuff as you can before placing it...

Page 38: ...ing on patient mode and settings AUTO MANUAL Switches between Automatic and Manual Mode In Automatic Mode the monitor automatically takes measurements at the selected interval Cuff applied evenly and...

Page 39: ...p the Turbocuf Mode or the monitor completes the five minute Turbocuf cycle the monitor returns to the previous NIBP mode Automatic or Manual SMARTCUF Enables or disables the Smartcuf motion artifact...

Page 40: ...cable into one of the temperature connectors on the monitor side panel Within a few seconds the monitor displays the temperature If you connect a second temperature probe the monitor displays the tem...

Page 41: ...resumes 1 Attach the sensor to the patient according to the sensor manufacturer s instructions observing all warnings and cautions Use only NELLCOR accessories and sensors with the Propaq CS monitor S...

Page 42: ...CK set to ON SYNC appears next to the waveform when synchronization to the ECG has been obtained Synchronization takes a few seconds to establish the first time If C LOCK is on and the HR source is Sp...

Page 43: ...ent but leave it connected to the monitor When the monitor detects the lack of a pulsatile waveform it sounds a patient alarm and displays this menu 2 Press STANDBY to place SpO2 into the Standby Mode...

Page 44: ...may enter the CO2 sensor housing and cause a small shift in the measured CO2 values It may take 3 24 hours for the sensor to return to proper calibration Do not clean and or reuse a single patient use...

Page 45: ...way slot Any concentration of fluids here can cause inaccurate CO2 readings When connecting the adapter and sensor to the ventilator circuit do not use the adapter and sensor as a wrench to twist the...

Page 46: ...and measurement accuracy use only accessories supplied by Protocol Systems or recommended in the Protocol Systems Products and Accessories booklet Use accessories according to your facility s standard...

Page 47: ...ce should comply with ISO 8835 3 1997 E Do not allow any other connection to the exhaust port If the Sidestream CO2 option is connected to a ventilatory circuit be sure to adjust appropriate ventilato...

Page 48: ...onfirm INCO2 begins to go down to the baseline value If the Propaq CS monitor continues to display inspired values return the Mainstream CO2 sensor to Protocol Systems for service 3 Press mm s to set...

Page 49: ...allows you to disable CO2 monitoring without removing the watertrap or sensor When CO2 is off OFF is displayed for CO2 numerics 8 For Sidestream CO2 press FLOW RATE to set the sampling flow rate 90 o...

Page 50: ...50 Protocol Systems Inc...

Page 51: ...An Equipment Alert 56 Troubleshooting Equipment Alert Messages 57 ECG Messages 57 RESP Messages 57 IBP Messages 57 NIBP Messages 57 Temperature Messages 59 SpO2 Messages 59 Mainstream CO2 Messages 60...

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Page 53: ...L alarm tones for 90 seconds or until RESUME is pressed 2 Check the patient and provide appropriate care 3 To adjust alarm limits press Home SETUP ALARMS LIMITS to display the Alarm Limits Window Use...

Page 54: ...owable alarm limit range If a new limit is calculated to be above or below the allowable alarm limit range it defaults to the maximum or minimum alarm limit allowed for that vital sign Vital Sign If t...

Page 55: ...iately notifies the Nurse Call system whenever a patient alarm occurs To connect the monitor to the Nurse Call system you need a cable Protocol Part Number 008 0634 XX that has been customized for you...

Page 56: ...an equipment alert also causes one or more patient alarms Patient alarms have a higher priority than equipment alerts and are displayed first Respond to the patient alarm or alarms see page 53 then re...

Page 57: ...NAL CHECK ELECTRODES Electrodes are making poor contact and may be dried out Replace electrodes IBP Messages TRANSDUCER NOT DETECTED The transducer connection is broken TRANSDUCER SHORT CIRCUIT This m...

Page 58: ...ntinues while the NIBP channel is calibrating If the NIBP channel has not updated its calibration in 15 minutes the channel will briefly deactivate until a new calibration has occurred LOW BATTERY NIB...

Page 59: ...onnected Reconnect the probe or acknowledge the equipment alert by pressing any menu key PROBE SHORT Verify that the probe is properly inserted in the left side panel If so replace probe CALIBRATION E...

Page 60: ...supply ac power to the monitor NO MAINSTREAM SENSOR DETECTED SRCH appears in the numerics area The Mainstream CO2 sensor has been disconnected from the Propaq CS monitor after providing CO2 values Di...

Page 61: ...r for service LACK OF WAVEFORM SERVICE REQUIRED Send the Propaq CS monitor to a biomedical engineer for service MOTOR FAILURE SERVICE REQUIRED The sensor hardware has failed Send the Propaq CS monitor...

Page 62: ...or as quickly as possible Do the following 1 Connect an ac power adapter to recharge the battery if the battery is drained 2 Press any key below the equipment alert screen to acknowledge the alert The...

Page 63: ...er is overheating Service may be required PAPER OUT To add printer paper see page 90 Defibrillator Alert Message DEFIB FAULT CHECK INTERFACE CABLE The monitor detects a problem with the interface cabl...

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Page 65: ...t Data 67 Print the Displayed Waveforms 67 Display or Print Trends 68 Display or Print a Single Trend 68 Print Multiple Trends Manually or Automatically 69 Delete All Patient Trends 69 Set Printer Opt...

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Page 67: ...cates the NIBP reading was taken in the presence of high artifact while monitoring ECG with the Smartcuf motion artifact filter on Artifact can affect accuracy To help reduce artifact see page 39 step...

Page 68: ...8 38 38 38 38 38 38 38 38 38 mmHg 3 3 3 3 3 3 3 3 3 3 112 101 12 NEXT TREND Press to scroll through the recorded trends Press to print the displayed trend The monitor stores trends every 2 minutes exc...

Page 69: ...o select the hours for printing For example if you select 01 05 09 13 17 21 at 4 27 the printer will automatically print selected trends first at 5 00 then 9 00 etc Delete All Patient Trends 1 To dele...

Page 70: ...ded NIBP TICKET If ON automatically prints an NIBP TICKET with NIBP data whenever NIBP is measured APNEA TICKET If ON automatically prints an APNEA TICKET with apnea data after the patient resumes bre...

Page 71: ...of two minutes of continuous HR PR and SpO2 numerics and a compressed respiratory waveform 1 To print OxyCRG from the Main Menu press SETUP TRENDS PRINT OXYCRG If any of the parameters have been compl...

Page 72: ...72 Protocol Systems Inc...

Page 73: ...Acuity 6 Acuity Connect the Monitor to the Acuity System 75 Print at Acuity from the Propaq CS Monitor 76 Disconnect the Monitor from the Acuity System 76...

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Page 75: ...he monitor turned on The monitor transmits up to five hours of trend information when you connect it to the Acuity network If the monitor has not been connected to the patient clear any prior patient...

Page 76: ...the time of Acuity installation Visual alarm indications are not delayed Print at Acuity from the Propaq CS Monitor 1 To print a waveform displayed on the bedside Propaq CS monitor screen at the Acui...

Page 77: ...illator Synchronization Synchronous Cardioversion with LIFEPAK 5 Defibrillator 79 Install the Interface Cable 79 Perform Synchronous Cardioversion 80 Remove the Interface Cable 81 Synchronous Cardiove...

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Page 79: ...t intended to replace existing hospital procedures for cardiac electrical therapy and operation of the Physio Control LIFEPAK 5 defibrillator Follow all safety standards and clinical protocols as defi...

Page 80: ...However make sure the R wave amplitude is not so high that it obscures the displayed sync markers 3 With the defibrillator turned on press the defibrillator SYNC button Confirm the SYNC button light t...

Page 81: ...r to the defibrillator discharge Note A problem with the Interface Cable connecting the defibrillator and monitor such as a cable fault or unplugging the cable will prevent display of synchronization...

Page 82: ...s Defibrillator and any other instrumentation according to institutional procedures or manufacturer s operating instructions 2 Confirm the monitor displays an ECG waveform with tall distinct R waves a...

Page 83: ...brillator SYNC button and check for appropriate synchronization markers on the Propaq CS monitor before each attempt at cardioversion Protocol Systems cannot guarantee the delay from the sync marker t...

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Page 85: ...the Battery 87 Replace Power Adapter Fuses 88 Replace Monitor Input Power Fuse 89 Install Printer Paper 90 Inspect and Clean the Monitor and Accessories 91 Service Interval Recommendations 92 Monitor...

Page 86: ...86 Protocol Systems Inc...

Page 87: ...attery is not recharged the monitor will begin to disable monitor functions and eventually turn off completely 1 Before connecting the ac power adapter check the adapter power setting in the small win...

Page 88: ...se module as shown in the illustration Between the fuses is a small printed circuit board PCB that sets the power adapter to the desired ac mains voltage When handling the fuse module the PCB may slid...

Page 89: ...s procedure must be performed by a qualified service person To change fuses 1 Disconnect the monitor from the patient and turn off the monitor 2 Disconnect the ac power adapter from the monitor 3 Usin...

Page 90: ...y the monitor on its back to gain access to the bottom of the printer 2 Squeeze the locks on the paper door and pull out to open it 3 Lift the paper roll from the holder and pull out any paper remaini...

Page 91: ...3 If liquid gets into the right side panel connectors it will drain out If moisture gets into a left side panel connector dry the connector with warm air then check the monitoring functions for prope...

Page 92: ...Even when the monitor is turned off a very small amount of current is drawn from the battery For long term storage remove the battery from the monitor Battery removal is described in the Propaq CS Se...

Page 93: ...tions 102 Invasive Pressure Specifications 103 NIBP Specifications 104 Temperature Specifications 105 Pulse Oximetry SpO2 Specifications 105 Capnography CO2 Specifications 106 Alarms Specifications 10...

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Page 95: ...e second setting for the monitor in the Time Day window the monitor deletes any patient trend data that is older than five hours for non NIBP trends or older than eight hours for NIBP trends according...

Page 96: ...ts the decimal character as either a period or a comma HR PR ALARM LIMITS Allows or prohibits turning off the HR PR alarm limits If CANNOT TURN OFF is selected the ON OFF key is not displayed for HR P...

Page 97: ...60 Hz This setting is automatically updated whenever it is changed during use ECG Pacer ON RESP size 2X RESP lead Ld2 RESP sweep 6 25 mm s RESP monitoring ON RESP window ON IBP Range 0 to 180 mmHg IB...

Page 98: ...0 mmHg Ped 50 110 mmHg Neonate 35 80 mmHg SpO2 Limits Adult 90 100 Ped 90 100 Neonate 85 98 RR BR Adult 5 30 Br M Ped 10 45 Br M Neonate 10 75 Br M TEMP Limits 35 0 37 8 C T Limits 0 0 2 8 C ETCO2 Lim...

Page 99: ...364 Hz Input Protection Electrosurgery and defibrillator protected when used with specified ECG cables All models also include electrosurgery interference suppression Lead Fail Sense Current 50 nA dc...

Page 100: ...acer Pulse Rejection Pacer detection range i e will show the dashed vertical marker for 0 1 ms pulses is 3 mV to 700 mV and drops linearly to 2 mV to 700 mV for 0 2 to 2 ms pulses Will not count as he...

Page 101: ...wave 15 mA short circuit current Real time ECG Output Range 6 V minimum centered about 0 V Gain 1000X noninverting for lead II inverting for all other leads delay 3 ms 0 05 100 Hz going to 5 9 V 5 du...

Page 102: ...n 0 06 Hz single pole to 3 2 Hz 2 pole Breath detection threshold 140 milliohms or 2x CVA whichever is greater Respiration rate range Adult Ped 0 apnea 2 to 150 breaths min Neonate 0 apnea 3 to 150 br...

Page 103: ...actor increases to 91 Connector ITT Cannon plug MS3106F 14S 6P Std Hewlett Packard compatible 12 pin connector optional Bandwidth Digital filtered dc to 20 Hz Zero Drift 1 mmHg without transducer drif...

Page 104: ...Hg Neonate 90 mmHg Normal Overpressure Limit results in up to 2 retries Adult 280 mmHg Ped 200 mmHg Neonate 141 mmHg Single Fault Overpressure Limit Adult 308 mmHg Ped 220 mmHg Neonate 154 mmHg Leak R...

Page 105: ...surgery interference suppression Included in all models Characteristic Specification Range 0 to 100 Probe Accuracy specified at 28 to 42 C Adults 70 to 100 2 digits 50 to 69 3 digits 0 to 49 unspecifi...

Page 106: ...barometric pressure 760 mmHg and flow 60 ml min 3 Based on the following additional airway conditions Sample line 7 ft 0 055 in ID 2 13 m 1 4 mm ID Sample flow rate 175 ml min Protocol watertrap new...

Page 107: ...th 1 0 78 in 1 981 cm Sensor Weight 1 0 53 oz 15 03 g Cable Length 10 ft 3 05 m nominal Mainstream CO2 Airway Adapter Type Per ISO 3040 single use Size 15 mm ID meets ISO specifications Material clear...

Page 108: ...otocol watertrap new unused Total System Response Time 1 36 seconds maximum Rise Time and Delay Time Calibration Verify semi annually calibrate only as required Sampling Chamber Internal replaceable b...

Page 109: ...he alarm holdoff period begins if the monitor detects that the patient s vital sign has returned to acceptable limits the monitor cancels the alarm holdoff The next time a vital sign limit is violated...

Page 110: ...relay Energized during apnea alarm or patient alarm1 1 Pressing the Suspend Resume Alarm key or SUSPEND suspends the Nurse Call alarm for 90 seconds Customized cable2 Protocol Systems Part Number 008...

Page 111: ...made Characteristic Specification Type Color active matrix TFT Thin Film Transistor LCD module Resolution 640 x 480 pixels 1 pixel R G B dots Active Viewing Area 6 73 x 5 10 inches 170 9 x 129 6 mm Pi...

Page 112: ...eight 7 6 lb 3 4 kg Monitor with SpO2 Module Height 8 2 in 20 8 cm with handle Width 9 6 in 24 4 cm Depth 7 7 in 19 7 cm Weight 10 8 lb 4 9 kg Monitor with Expansion Module Printer SpO2 MCO2 Height 11...

Page 113: ...Paper Storage Short term Storage Environment up to 7 days 20 to 40 C 5 to 80 noncondensing Long term Storage Environment up to 5 years 25 C optimal 65 noncondensing Characteristic Specification Mode...

Page 114: ...erature 0 to 50 C Shipping and Storage Temperature 20 to 60 C Operating Altitude 2 000 to 15 000 feet 610 to 4 572 m Shipping and Storage Altitude 2 000 to 40 000 feet 610 to 12 192 m Operating Relati...

Page 115: ...battery message 63 87 Recharging 87 Recycling 92 Beeper loudness 20 Brightness display control 20 C Cannula for Sidestream CO2 47 Capnography see Mainstream CO2 and Sidestream CO2 Caution statements...

Page 116: ...idestream CO2 47 Extended Mode ECG bandwidth 31 Extended storage precautions 92 F Factory default settings 97 Factory patient modes Setup 23 Fahrenheit temperature units 40 False alarms with SpO2 43 F...

Page 117: ...NIBP Artifact 7 38 39 67 68 Artifact filtering message 59 Automatic intervals 39 Automatic Mode 38 Automatic printing on NIBP 70 Cuff and hose selection 37 Cuff placement 38 Default inflation pressure...

Page 118: ...ock 95 RESP Display 30 Equipment alert messages 57 High frequency ventilation 28 Lead selection 31 Specifications 102 SpO2 monitoring as backup method 28 Turn on or off 31 Waveform size adjustment 30...

Page 119: ...67 Synchronizing R waves C LOCK 42 T Temperature Display 40 Equipment alert messages 59 Monitoring 40 Select measurement units 96 Specifications 105 Warnings 40 Temperature units change 40 Time and d...

Page 120: ...120 Protocol Systems Inc...

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