ZOLL Propaq M Operator'S Manual Download Page 237

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9650-000820-01 Rev. K

Propaq M Operator’s Guide

B-1

Appendix B

Accessories

The following accessories are compatible for use with the Propaq M unit. To order any of these
items, contact your local ZOLL representative.

ECG Accessories

ECG, 3-Lead Cable, AAMI

ECG, 3-Lead Cable, IEC

ECG, 5-Lead Cable, AAMI

ECG, 5-Lead Cable, IEC

ECG, 12-Lead “Breakaway” Patient Cable Complete (Trunk Cable, 4-lead wire set with detachable
6 “V” precordial lead wire set), AAMI

ECG, 12-Lead “Breakaway” Patient Cable Complete (Trunk Cable, 4-lead wire set with detachable
6 “V” precordial lead wire set), IEC

ECG, 4-Lead “Breakaway” Trunk Cable and 4 lead wire set only, AAMI

ECG, 4-Lead “Breakaway” Trunk Cable and 4 lead wire set only, IEC

ECG, Detachable 6 precordial lead wire set for “Breakaway” 12-Lead Patient Cable, AAMI

ECG, Detachable 6 precordial lead wire set for “Breakaway” 12-Lead Patient Cable, IEC

Summary of Contents for Propaq M

Page 1: ...Propaq M Operator s Guide REF 9650 000820 01 Rev K SW VER 02 30 01 00...

Page 2: ...trademarks are the property of their respective owners Masimo Rainbow SET SpCO SpMet SpHb SpOC and PVI are trademarks or registered trademarks of Masimo Corporation in the United States and or other...

Page 3: ...oring 1 7 SpO2 Monitoring 1 7 Respiration Monitoring 1 7 CO2 Monitoring 1 7 Invasive Pressure Monitoring 1 7 12 Lead Analysis 1 7 Propaq M Product Functions 1 8 ECG Monitoring 1 8 Batteries 1 8 Ready...

Page 4: ...the Propaq M Unit No Printer 2 15 Replacing a Battery Pack on the Propaq M Unit with Printer 2 16 Using Treatment Buttons 2 17 Chapter 3 Monitoring Overview Propaq M Monitoring Functions 3 1 ECG 3 2...

Page 5: ...s to the Patient 6 4 Connecting the ECG Cable To the Propaq M Unit 6 6 Selecting ECG Waveforms for Display 6 6 Selecting the Waveform Trace Size 6 8 ECG Monitoring and Pacemakers 6 9 ECG System Messag...

Page 6: ...iration Rate Alarms 9 8 Enabling Disabling Alarms and Setting CO2 Alarm Limits 9 8 Using the CO2 Parameter Control Panel 9 10 System Messages 9 11 Patents 9 12 Chapter 10 Pulse CO Oximetry SpO2 Warnin...

Page 7: ...ffecting IBP Measurements 11 5 Enabling Disabling IBP Alarms and Setting Alarm Limits 11 6 Setting Upper and Lower Systolic SYS Alarm Limits 11 6 Setting Upper and Lower Diastolic DIA Alarm Limits 11...

Page 8: ...ive Text 13 16 Chapter 14 Patient Data Storing Data 14 1 Log Capacity Indicator 14 2 Capturing a Data Snapshot 14 2 Reviewing Snapshots 14 2 Printing Snapshots Optional 14 2 Treatment Summary Report 1...

Page 9: ...es 17 3 Loading Recorder Paper 17 3 Cleaning the Print Head 17 4 Recommended Minimum Preventive Maintenance Schedule 17 5 Guidelines for Maintaining Peak Battery Performance 17 6 Appendix A Specificat...

Page 10: ......

Page 11: ...The product is designed for use in hospital EMS and rugged military environments The unit has a large colorful LCD display of numerics and waveform data that provides easy visibility from across the r...

Page 12: ...e available All users should carefully review each manual update to understand its significance and then file it in its appropriate section within this manual for subsequent reference Product document...

Page 13: ...or on this equipment Symbol Description Attention consult accompanying documents Fragile handle with care Keep dry This end up Temperature limitation Conformit Europ enne Complies with medical device...

Page 14: ...away from open flame and high heat Do not open disassemble or intentionally damage Do not crush Do not discard in trash Recycle or dispose of properly Return to a collection site intended for waste el...

Page 15: ...e in the European Community Serial Number Catalogue number Consult instructions for use Refer to instruction manual booklet Prescription only Alarm audio is currently off Alarm audio is currently paus...

Page 16: ...an emergency It is also intended to be used during the transport of patients The Propaq M will be used whenever it is required to monitor any of those functions that are included as options in the de...

Page 17: ...easurement method actually measures respiratory effort apnea episodes with continued respiratory effort such as obstructive apnea may not be detected It is not intended to be used as an apnea monitor...

Page 18: ...utomatically begin charging the installed battery pack The front panel battery indicator operates as follows Note Upon power up it takes approximately 45 seconds for the LEDs on the battery to accurat...

Page 19: ...rred There is no battery installed while connected to auxiliary power One or more patient monitoring parameters have failed self test NIBP SpO2 CO2 IBP or Temp The front panel button self test failed...

Page 20: ...paq M adjacent to or stacked on other equipment If unavoidable verify that the unit operates normally in this configuration before clinical use The Propaq M unit should be installed and put into servi...

Page 21: ...uate separation between such emitters the device and the patient when performing rhythm analysis Shock Hazard Use of accessories other than those specified in the operating instructions may adversely...

Page 22: ...ionable or motion indication is displayed repeat the measurement If the repeated measurement result is still questionable use another blood pressure measurement method Do not use the NIBP on cardiopul...

Page 23: ...ow Battery indication occurs at any time during operation immediately replace the battery pack If the LOW BATTERY icon appears plug the Propaq M unit into a power source or install a fully charged bat...

Page 24: ...t practical contact area Always ensure proper application of the electrosurgical return electrode to the patient Check electrical leakage levels before use Leakage current might be excessive if more t...

Page 25: ...wer 3 Press the power switch on the top of the unit to turn it back on This sequence is necessary to restart the monitor and can also be used to clear some fault messages when immediate use of the mon...

Page 26: ...of ZOLL Medical Corporation 4 Use Restrictions As the Purchaser you may physically transfer the products from one location to another provided that the software firmware is not copied You may not disc...

Page 27: ...om the service representative Remove the battery pack from the unit Pack the unit with its cables and battery in the original containers if available or equivalent packaging Be sure the assigned servi...

Page 28: ...six or more alphanumeric characters The first two characters of the date of manufacture code give the last two digits of the year for example 06 appears for products manufactured in 2006 The last cha...

Page 29: ...Operator s Guide 2 1 Chapter 2 Product Overview This chapter provides an overview of the Propaq M unit s features controls and indicators It provides illustrations of the Propaq M unit both with and...

Page 30: ...beeps and alarm tones 4 Patient connectors For details refer to Patient Cables and Connectors on page 2 8 5 USB device connector For connecting the Propaq monitor to a USB device For details refer to...

Page 31: ...ion beeps and alarm tones 4 Paper Compartment Holds paper for the printer optional 5 Patient connectors For details refer to Patient Cables and Connectors on page 2 8 6 USB device connector For connec...

Page 32: ...inated when the unit is plugged in to an auxiliary power adapter Battery charge LED Indicates battery status Steady yellow Battery is charging Steady green Battery is charged Alternating green and yel...

Page 33: ...o acknowledge a current alarm and pause silence the alarm audio for 90 seconds Pressing Audio Pause Silence Reset button before the Audio Pause Silence period has expired resets the alarm RFU indicato...

Page 34: ...ta EtCO2 numeric data Invasive pressure numeric data Messages and prompts Fig shows the layout of parameter values waveforms system data and quick access key labels Propaq M Display Screen Color codin...

Page 35: ...unit is being powered by the auxiliary power adapter No battery detected Either there is no battery in the unit while it is being powered by the auxiliary power adapter or the device cannot detect th...

Page 36: ...t have the applicable connectors Patient Cable Connectors on Left Side of Unit Patient Cable Connectors on Right Side of Unit Connector Description ECG For connecting 3 or 5 lead ECG cable 12 lead mon...

Page 37: ...ed into the back of the Propaq M unit the auxiliary power LED on the front panel illuminates and the auxiliary power icon displays at the top of the display screen Auxiliary Power Adapter Caution Allo...

Page 38: ...display screen are an easy way to access the functionality of the Propaq M When you press the last key left arrow five more keys are displayed Quick access key Description Lead Selects the ECG input s...

Page 39: ...onal checklist and supervisor Treatment Summary Displays treatment summary cases Trend Settings Displays settings for trend display format trend on interval and trend on alarm Transfer Log Transfers t...

Page 40: ...parameter is highlighted in the main window Select options from a window 12 Lead Review Reviews all your 12 lead captured data 12 Lead Review Next Goes to the next page of the 12 lead snapshot you ar...

Page 41: ...ropaq M Set Date and Time screen allows you to set the date the Propaq M will use and its internal real time clock To set the Propaq M unit s date and time 1 On the Propaq M display screen navigate to...

Page 42: ...se fields only display on systems with the Clock Synchronization feature enabled For information on Clock Synchronization see Configuring Clock Synchronization on page 15 35 Note When Clock Synchroniz...

Page 43: ...the Propaq M unit no printer To remove a battery pack use your fingers to grasp and raise the latch and pull the battery pack out of the compartment Removing a Battery Pack from Propaq M Unit No Prin...

Page 44: ...q M equipped with the optional printer To remove a battery pack use your fingers to grasp and raise the latch and pull the battery pack out of the compartment Removing a Battery Pack from Propaq M Uni...

Page 45: ...o a Treatment Summary Report When the Propaq M device is equipped with a printer you can do this by selecting Print on Treatment Snapshot from Setup Supervisor Printer The following is a list of preco...

Page 46: ......

Page 47: ...Propaq M unit also allows you to set alarm limits for each monitoring function Should a patient s vital signs measurements go outside of these limits the Propaq M issues an audible alarm tone and dis...

Page 48: ...unction Temperature The Temperature Temp meter can display temperature measurements from up to two temperature probes The Propaq M unit provides two separate temperature monitoring channels and if bot...

Page 49: ...n in millimeters of mercury mmHg You can also specify that the Propaq M unit display a CO2 capnogram in the waveform trace display area Pulse Oximetry SpO2 Pulse Oximetry monitoring measures the oxyge...

Page 50: ...ndow which displays a report listing vital signs measurements that the Propaq M unit logs automatically and the primary ECG waveform trace Large Numerics Display window on which large numeric displays...

Page 51: ...ends Status window and the Large Numerics Display window appears The patient s vital signs measurements appear in large labeled numeric displays no waveform trace appears on this screen Press the Home...

Page 52: ...y four ECG traces on startup when no other monitoring devices are attached The Propaq M unit can also cascade a trace onto the adjoining trace area to double the duration of the trace display On the W...

Page 53: ...w to insert two more waveform traces into the window A third trace is inserted for ECG lead aVR and fourth trace for EtCO2 a capnogram Notice that when the third trace is inserted the numeric displays...

Page 54: ...06 2012 12 34 56 Adult 00 17 43 I II III 12 CO2 IBP 1 cm mV II HR bpm 80 121 79 96 NIBP mmHg 38 12 BR CO2 mmHg SpO2 97 T1 F 98 6 III aVL aVF V Insert Source II I Cascade aVR 06 06 2012 12 34 56 Adult...

Page 55: ...0 17 43 I II III 12 CO2 1 cm mV aVR 1 cm mV II HR bpm 80 NIBP mmHg 121 79 96 EtCO2 mmHg 12 BR 38 SpO2 97 T1 F 98 6 I II III aVR aVL aVF V SpO2 Source P1 P2 P3 Insert Cascade Remove Resp CO2 IBP 06 06...

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Page 57: ...also logs all monitored vital sign measurements when the following occurs An NIBP measurement is taken and the Trend on NIBP option is on You press the Snapshot button on the front panel A patient ala...

Page 58: ...tion at an interval that you specify with the exception of NIBP measurements which are logged and reported at the times they are taken The Trends status window reports the trends information at 5 minu...

Page 59: ...Highlight Print this Trend and press Select The trend snapshot begins printing Printing The 10 Most Recent Trend Snapshots To print the 10 most recent trends for the current patient 1 Press the Log qu...

Page 60: ...zed Record Displayed Waveforms Record only the top waveform that is displayed or record all waveforms that are displayed Record Additional Waveforms Always record the CO2 waveform or always record the...

Page 61: ...logic monitoring functions A technical alert is monitored equipment related variable that the Propaq M unit can detect such as a disconnected sensor internal diagnostics failures and so on Technical a...

Page 62: ...the alarms and alerts are functioning properly verify that two alarm tones are heard and the green yellow and red LEDs are illuminated upon power up Active Alarm Alert Priority Visual Alarm Alert Indi...

Page 63: ...essage and changes the display characteristics of the monitoring function s numeric display the alarming parameter appears in red against a white background In the following example the EtCO2 measurem...

Page 64: ...a problem with the Propaq M unit or an attached sensor triggers an alert in addition to sounding an equipment alert the Propaq M unit displays an alert message yellow background black text Warning Al...

Page 65: ...the alarm pause silence period has expired press the Alarm Pause Reset button Warning Do not pause silence the audible alarm if patient safety may be compromised Do not adjust alarm signal volume low...

Page 66: ...udio Paused icon appears at the top of the display next to the message area along with a timer indicating the amount of time the alarms will be paused 4 If you would like to turn the alarm audio off i...

Page 67: ...s General menu Alarm Options The Propaq M unit provides alarm options that you can specify through the Supervisor parameter control panel access to Supervisor is passcode controlled Press the More qui...

Page 68: ...by performing the following actions 1 Press 2 Press the Alarm quick access key 3 Press the Stat Set quick access key The Propaq M unit sets all parameters to a new value based on the current values as...

Page 69: ...tire range Limit Numeric 1 Limit 0 SpOC ml dL Entire range Limit Numeric 2 Limit 0 PVI Entire range Limit Numeric 5 Limit Numeric 5 PI Entire range Limit Numeric 2 Limit 0 EtCO2 mmHg Entire range Limi...

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Page 71: ...er 6 Monitoring ECG This chapter describes how to use the Propaq M unit to monitor ECG You can use a 3 lead 5 lead or 12 Lead wire configuration for ECG monitoring see Chapter 14 12 Lead ECG Interpret...

Page 72: ...To assure protection against the effects of defibrillator discharge use only ZOLL approved accessories To avoid a shock hazard and interference from nearby electrical equipment keep electrodes and pat...

Page 73: ...the patient 3 Connect each lead of the ECG cable to the appropriate electrode 4 Insert the patient cable plug into the ECG input connector on the Propaq M unit 5 Select the ECG waveforms to be displa...

Page 74: ...uscle masses 3 Lead Electrode Placement Depending upon local usage the ECG leads are marked either RA LA and LL or R L and F The following table shows the markings and color codes for the different le...

Page 75: ...mid clavicular line directly below clavicle LL Red Electrode F Green Electrode Place between 6th and 7th intercostal space on patient s left mid clavicular line RL Green Electrode N Black Electrode P...

Page 76: ...left side of the Propaq M unit as follows Connecting ECG Cable to Propaq M Unit Selecting ECG Waveforms for Display You can fit up to four waveforms on the Propaq M display The first waveform at the t...

Page 77: ...M unit then displays the available ECG waveform sources The following example illustrates the waveform source list that the Propaq M unit displays when a 5 lead ECG cable is connected to it The list...

Page 78: ...select the trace size that appears to the right of the electrode label The default trace size is 1cm mV You can select a larger 2 0 4 0 cm mV or smaller 0 125 0 25 0 50 cm mV trace size You can also s...

Page 79: ...ct Patient Pace Marker then press 5 Use the navigation keys to select On or Off as appropriate When you select Off the Pacer Off Indicator icon appears in the top ECG trace on the Display Screen to in...

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Page 81: ...eart Rate HR The Propaq M unit displays Respiration Resp and Heart Rate HR meters The Respiration and Heart Rate meters display values that the Propaq M unit derives from measurements taken by other P...

Page 82: ...in chest volume However No Breath episodes with continued respiratory effort may go undetected Always monitor and set alarms for SpO2 when using impedance pneumography to monitor respiratory function...

Page 83: ...R Alarm menu selection 4 On the RR BR Alarm Settings menu use the navigation keys to select the fields that you want to change Upper Limit Enable Lower Limit Enable Upper Limit Lower Limit 5 When you...

Page 84: ...LL from which the Propaq M unit calculates the respiration rate Resp Lead selection is independent of ECG Lead selection CO2 Resp Sweep Speed sets the respiratory sweep speed on the display Enabling...

Page 85: ...figuring Heart Rate HR Meter Alarms The Propaq M unit allows you to enable and disable the Heart Rate HR alarm to set alarm limits and to select a Heart Rate tone Enabling Disabling HR Alarms and Sett...

Page 86: ...you can set these limits Life Threatening Rhythm Alarms When LTA monitoring is enabled the Propaq M unit will monitor for the following life threatening ECG rhythms asystole ventricular fibrillation...

Page 87: ...d the Extreme Brady delta value is configured to 10 the Extreme Bradycardia LTA detection threshold will be at 40 bpm Likewise if the HR upper limit alarm is configured to 120 and the Extreme Tachy de...

Page 88: ...te Parameter Control Panel use the navigation keys to highlight and select the Heart Rate meter and display the HR PR Parameter Control Panel HR PR Parameter Control Panel Selecting the HR PR Alarm pr...

Page 89: ...features of Welch Allyn s SureBP and patented Smartcuf motion tolerant technology The Propaq M unit must perform ECG monitoring when using Smartcuf The SureBP monitoring software allows the Propaq M...

Page 90: ...l uncertain about the measurement use another method Do not use NIBP without proper training Check that the correct patient mode has been selected to ensure that the initial inflation pressure is set...

Page 91: ...re requires the use of a cuff and dual lumen hose 2 If high artifact prevents an accurate measurement during cuff inflation or if you use a cuff and single lumen hose the cuff inflates to its target p...

Page 92: ...artifact weak pulses cardiac arrhythmias or other blood pressure artifacts Note For a list of system messages that may display on the Propaq M unit when monitoring NIBP see NIBP System Messages on pag...

Page 93: ...tient s actual blood pressure Using a cuff that is too large results in measurements lower than the patient s actual blood pressure The Propaq M unit uses the same definitions of Neonates Pediatrics a...

Page 94: ...ual lumen two tube adaptor and hose You can also use a single lumen one tube hose and adaptor with the Propaq M unit but the unit will only measure blood pressure on cuff deflation To connect the NIBP...

Page 95: ...Connecting the NIBP Cuff 9650 000820 01 Rev K Propaq M Operator s Guide 8 7 Attach a single lumen hose as follows Attaching Single Lumen Hose to the Propaq M Unit...

Page 96: ...rement should be relaxed extended and placed on a smooth surface for support The operator position is not restricted during NIBP measurement 2 Squeeze as much air from the cuff as possible before plac...

Page 97: ...ff that is loosely applied or too small results in measurements higher than the patient s actual blood pressure Using a cuff that is too large results in values lower than the patient s actual blood p...

Page 98: ...sure systolic pressure the CIT pressure must be high enough to occlude the underlying artery However setting the CIT pressure too high may unnecessarily increase the reading determination time and pat...

Page 99: ...able NIBP alarms and set upper and lower alarm limits you can do so through the Alarms quick access key or the NIBP Parameter Control Panel To configure NIBP alarm limits through the Alarms quick acce...

Page 100: ...ure alarms are enabled ON or disabled OFF and displays the default Upper and Lower diastolic limits The upper and lower limits can be ON or OFF default is OFF The following table lists the default dia...

Page 101: ...Parameter Control Menu On the NIBP Parameter Control Panel you can select an alarm configuration option SYS DIA or MAP to enable disable alarms and set high and low alarm limits as described previous...

Page 102: ...Specify the Automatic NIBP Measurement Interval You can specify the time interval between NIBP measurements in Automatic Mode The default interval between measurements is 5 minutes You can specify in...

Page 103: ...o perform as many NIBP measurements as possible over a 5 minute period Select Stop TurboCuf to immediately stop STAT measurements WARNING Repeated use of STAT measurements on the same patient over a s...

Page 104: ...tion Check hose and cuff connections replace a defective hose or cuff as necessary and reattempt NIBP measurement KINKED HOSE An air obstruction is preventing the correct operation of the unit Check h...

Page 105: ...OUT OF RANGE The NIBP module is outside of its operating temperature range Move unit to proper operating temperature and reattempt the NIBP measurement WEAK PULSE The patient s pulse is too weak to ob...

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Page 107: ...ed for CO2 measurements on intubated and non intubated infant pediatric and adult patients The Microstream CO2 sensor generates infrared light and beams it through the sampled breathing gases and dete...

Page 108: ...components and check connections for leaks according to standard clinical procedures Always ensure the integrity of the patient breathing circuit after insertion of the airway adapter by verifying a...

Page 109: ...ty use only Microstream CO2 accessories Accessory Type Part Number FilterLine Set Adult Pediatric box of 25 Intubated sampling line and airway adapter for short term monitoring 8300 0520 01 FilterLine...

Page 110: ...ines To connect the FilterLine or Smart CapnoLine 1 Slide open the Propaq M unit s CO2 inlet port cover 2 Put the fitting at the end of the sidestream tubing over the CO2 inlet port connector 3 Turn t...

Page 111: ...to the manufacturers instructions The gas scavenging system should comply with ISO 8835 3 1997 E Note In order to avoid moisture buildup and sampling line occlusion during nebulization or suction for...

Page 112: ...red breath Warning The disposable Smart CapnoLine nasal and nasal oral cannula sets are intended for single patient use Do NOT reuse or sterilize any part of this product as the monitor may be damaged...

Page 113: ...ue and after a delay of approximately 1 minute the patient s Respiration Rate in Breaths Minute identified as BR Check that connections have been made correctly by verifying the display a proper capno...

Page 114: ...le CO2 alarms and set upper and lower alarm limits through the Alarms quick access key or the CO2 Parameter Control Panel To configure CO2 alarms through the Alarms quick access key 1 Press the More q...

Page 115: ...M unit in high altitude environments it is advisable to adjust EtCO2 alarm settings accordingly Setting Upper FiCO2 Limits Initially the FiCO2 Alarm menu specifies that the FiCO2 alarms are enabled O...

Page 116: ...O2 numeric display to display the CO2 Parameter Control Panel CO2 Parameter Control Menu On the CO2 Parameter Control Panel you can select a CO2 alarm EtCO2 Breath Rate or FiCO2 On the selected alarm...

Page 117: ...ilterLine is correctly attached replace the FilterLine AUTO ZERO The Propaq M unit displays AUTO ZERO when the CO2 module performs periodic self maintenance During self maintenance the CO2 module perf...

Page 118: ...29 and their foreign equivalents Additional patent applications pending NO IMPLIED LICENSE Possession or purchase of this device does not convey any express or implied license to the device with unaut...

Page 119: ...ter continuously and noninvasively measures the following at a peripheral site such as the foot toe or finger Oxygen saturation of arterial hemoglobin SpO2 Carboxyhemoglobin saturation SpCO Methemoglo...

Page 120: ...o as a percent normal values typically range from 95 to 100 at sea level alternating with SpCO and SpMet and SpHb SpOC PVI and PI values if available on your unit Note The monitor does not display SpC...

Page 121: ...injury follow the directions below Avoid placing the device on surfaces with visible liquid spills Do not soak or immerse the device in liquids Do not attempt to sterilize the device Use cleaning solu...

Page 122: ...elevated levels of COHb or MetHb are suspected laboratory analysis co Oximetry of a blood sample should be performed Intravascular dyes such as indocyanine green or methylene blue Externally applied...

Page 123: ...ia a laboratory blood sample should be taken to confirm the patient s condition If the Low Perfusion message is frequently displayed find a better perfused monitoring site In the interim assess the pa...

Page 124: ...nnected to the Propaq M unit Selecting the SpO2 Sensor When selecting the sensor consider the patient s weight the adequacy of perfusion the available sensor sites and the anticipated duration of moni...

Page 125: ...it Wrap adhesive flaps on non cable end around the digit 3 Fold cable end over top of digit so that windows are directly opposite each other Wrap adhesive securely around sides of digit Note If the se...

Page 126: ...Oximetry SpO2 10 8 www zoll com 9650 000820 01 Rev K 5 Lower the clear plastic cover over the connection to secure it 6 See Connecting the SpO2 Sensor on page 10 10 to connect the cable to the unit Cl...

Page 127: ...the sensor are parallel To ensure accurate data you must have complete coverage of the detector window Note With smaller digits the digit may not need to be pushed all the way to the stop to complete...

Page 128: ...Met or SpHb SpOC PVI and PI are installed and monitoring is on for these parameters the measurements will alternate every two seconds underneath the display Note SpHb and SpOC measurements require an...

Page 129: ...larm Settings menu use the navigation keys to select the fields that you want to change The fields are Upper Limit Enable Lower Limit Enable Upper Limit Lower Limit 6 When you are finished changing va...

Page 130: ...pMet Limit Default SpMet Limit Range Adult Lower 0 Upper 10 Lower 0 98 Upper 2 100 Lower 0 Upper 3 Lower 0 98 Upper 2 100 Pediatric Lower 0 Upper 10 Lower 0 98 Upper 2 100 Lower 0 Upper 3 Lower 0 98 U...

Page 131: ...limits for adult pediatric and neonate patients and gives the range in which you can set these limits Patient Type SpOC Limit Default SpOC Limit Range Adult Lower 10 ml dL Upper 25 ml dL Lower 0 34 9...

Page 132: ...aged 4 seconds 8 seconds default and 16 seconds The averaging period is rarely changed from the 8 second default setting For high risk patients with rapidly changing SpO2 conditions use the 4 second s...

Page 133: ...ng the Heart Rate Pulse Rate HR PR Tone The unit allows you enable or disable the tone that the monitor uses to indicate detection of the patient s pulse On or Off no tone sounds The default tone is O...

Page 134: ...simultaneously sampled arterial blood using a laboratory CO oximeter Many functional testers and patient simulators have been designed to interface with the pulse oximeter s expected calibration curv...

Page 135: ...5uV V mmHg sensitivity Each channel requires its own connector cabling and pressure transducer Invasive Pressure Transducers The Propaq M unit is compatible with many types of invasive pressure trans...

Page 136: ...ransducers and ensure that the transducers are connected properly Before you use the Propaq M unit on a new patient always turn it off for at least 2 minutes This clears the previous patient s trend v...

Page 137: ...ransducer dome if necessary 2 Apply the transducer according to your organization s procedures Always refer the manufacturer s Directions for Use before using a transducer 3 If the transducer is a dis...

Page 138: ...the tranducer s IBP channel and display the IBP channel s parameter control panel 6 Select Zero Probe The unit displays the message ZEROING in the IBP Channel s numeric display 7 The message ZEROED a...

Page 139: ...for that IBP channel The Propaq M unit allows you to specify a label that identifies the channel s IBP measurement and to select a display format for the numeric display The unit displays the waveform...

Page 140: ...stolic Diastolic Alarm and mean arterial pressure Mean Alarm alarm settings On the selected Alarm Settings menu use the navigation keys to select the fields that you want to change The fields are Uppe...

Page 141: ...are enabled ON or disabled OFF and displays the default Upper and Lower MEAN limits The upper and lower limits can be ON or OFF default is OFF The following table lists the default MEAN alarm limits...

Page 142: ...e unit display one of the following labels to identify the IBP channel In the following example source labels are specified for all three IBP channels Source Label Description Source Label Description...

Page 143: ...ANSDUCER The IBP probe is not compatible See the Appendix B Accessories for a list of ZOLL approved IBP probes CHECK PROBE The IBP probed has become disconnected ZERO PROBE The IBP probe is connected...

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Page 145: ...puts are Type CF defibrillator proof This chapter describes how to use the Propaq M unit to monitor temperature The Propaq M unit provides two temperature channels When both channels are in use the un...

Page 146: ...her probes that do not match the performance specifications of the ZOLL approved probes may produce incorrect temperature readings To apply the temperature probe to the patient follow your organizatio...

Page 147: ...lection On the Alarm Settings menu use the navigation keys to select the fields that you want to change The fields are Upper Limit Enable Lower Limit Enable Upper Limit Lower Limit 5 When you are fini...

Page 148: ...g the Temperature Label Through the Temp Parameter Control Panel you can configure alarms as described previously and select descriptive Temperature channel labels that will appear on the numeric disp...

Page 149: ...lly every 10 seconds while this function is active Source Label Description ART Arterial temperature probe CORE Central body temperature or tympanic membrane temperature probe ESOPH Esophageal tempera...

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Page 151: ...ents may produce noisy signals that are difficult to interpret The 12 Lead Interpretive algorithm s interpretive statements are designed to enhance the diagnostic process They are no substitute for th...

Page 152: ...To assure protection against the effects of defibrillator discharge use only 12 lead cables supplied by ZOLL Medical Corporation Check the operation and integrity of the Propaq M unit and 12 lead cabl...

Page 153: ...unit uses the name that you enter in the Patient Info panel to label the 12 lead ECG monitoring snapshots that it saves To enter patient information use the navigation keys to highlight and select a...

Page 154: ...front panel to decrease or increase the default value 45 then press Select To change Patient Gender use the navigation keys on the front panel to toggle between the default value M male and F female t...

Page 155: ...lead wires are marked with certain labels Refer to the following table for labels and color codes for the different lead sets 1 American Heart Association 2 International Electrotechnical Commission...

Page 156: ...ody of the sternum 3 Locate the second intercostal space on the patient s right side lateral to and just below the Angle of Louis 4 Move your finger down two more intercostal spaces to the fourth inte...

Page 157: ...follows Figure 13 2 Connecting the 12 Lead ECG Cable Observing the 12 Lead Waveform Traces To observe the 12 Lead waveform traces press The screen displays all twelve waveform traces with the size dis...

Page 158: ...nder ensures that the highest degree of ECG analysis is obtained If you do not enter the patient s age or gender the Propaq M uses the default age 45 years and default gender male See Entering Patient...

Page 159: ...terpretive statements Otherwise the first page shows the numeric analysis results only Note 12 Lead Interpretive Analysis and Interpretive Text are enabled through the Supervisor Menu In the example a...

Page 160: ...is 13 10 www zoll com 9650 000820 01 Rev K To display Analysis Page 2 press the 12 Lead Review Next quick access key Analysis Page 2 displays the identifying information that has been entered for the...

Page 161: ...terpretive Analysis if it detects one of the following fault conditions when attempting to acquire 12 Lead data A pacer signal is present A lead fault is detected in the ECG cable An invalid cable is...

Page 162: ...The waveform traces print according to the 12 Lead print format currently set up for your system See 12 Lead Print and Display Options on page 13 13 for a description of the various 12 Lead print for...

Page 163: ...r passcode Press SAVE when you are finished Once you have entered your supervisor passcode you will be able to access the configurable options in the Supervisor menu Select the Supervisor ECG 12 Lead...

Page 164: ...d Analysis page currently displayed on the Propaq M device as follows Page 1 0 0 2 5 Seconds Page 2 2 5 5 0 Seconds Page 3 5 0 7 5 Seconds Page 4 7 5 10 0 Seconds 3 x 4 Cabrera The 3 x 4 Cabrera forma...

Page 165: ...re or when printing from 12 Lead Analysis Page 1 or 2 the 3 x 4 Cabrera Hybrid format prints the 12 lead ECG data in four staggered 2 5 second segments as follows aVL I aVR 0 to 2 5 seconds II aVF III...

Page 166: ...using a diagnostic bandwidth that follows the unit s AC Mains filter setting Enabling 12 Lead Analysis This option allows you to enable or disable 12 Lead Analysis The default is enabled On Enabling...

Page 167: ...rt while monitoring a patient Storing Data The Propaq M unit continuously stores information in a full disclosure case log for the patient being monitored The Propaq M can maintain up to 150 full disc...

Page 168: ...32 snapshots including Monitor snapshots Treatment snapshots Alarm snapshots Reviewing Snapshots You can perform this procedure from any main display screen 1 Press the Home Display button repeatedly...

Page 169: ...r the Log menu 6 The green LED on the top of the device turns on while data is transferred to the USB device Note Wait for the log transfer to complete and for the green light on the top of the Propaq...

Page 170: ...ing data to the USB device or when the log is full Note Clearing the log during patient treatment results in the loss of all patient data and events recorded prior to clearing the log To clear the log...

Page 171: ...her continuous waveforms monitoring and event snapshots and 12 lead snapshots and analysis Note Full disclosure cases can also be automatically retrieved from the Propaq M unit using ZOLL RescueNet or...

Page 172: ...dicates the selected network cannot connect due to incorrect configuration or weak no signal strength If the unit is configured to use Bluetooth or cellular modem the unit will show this icon until a...

Page 173: ...cess the Wireless menu where you can Select preconfigured Wi Fi access points View connection details View Bluetooth paired devices View or update 12 Lead distribution lists Set up a temporary Wi Fi a...

Page 174: ...K The Wireless Menu The Wireless menu has the following options Wi Fi Access Point View Configure Paired Devices View Distribution List and Update Distribution List Use the navigation keys to navigate...

Page 175: ...re within range then displays a list of available pre configured Access Point Profiles with those that are in range appearing at the top of the list In addition the Propaq M colorizes the profiles whe...

Page 176: ...Access Point Profile In the wireless menu use the navigation keys to highlight and select Wi Fi Access Point You can now view preconfigured Access Point Profiles Use the navigation keys to highlight...

Page 177: ...elect either DHCP or Static IP If you select Static IP use the numeric keypad to enter values for the IP Address Subnet Mask Default Gateway Preferred DNS Server and Alternate DNS Server SSID Use the...

Page 178: ...Use the navigation keys to select the authentication type The unit supports three types of Wi Fi authentication WPA PSK Wi Fi Protected Access Pre shared key WPA2 PSK Wi Fi Protected Access II Pre sh...

Page 179: ...tity Other options on the screen will be greyed out Note The Propaq M unit only supports PEAPv0 v1 MSCHAPV2 TLS Transport Layer Security If TLS is selected you must select a Client Certificate and ent...

Page 180: ...ces To pair a new device use the navigation keys and select New The unit will then scan for nearby Bluetooth devices that are in discoverable mode Use the navigation keys to select the desired device...

Page 181: ...NAP profiles only Contact your local ZOLL Medical Corporation sales representative for a list of approved devices Changing the PIN It may be necessary to change the PIN on the Propaq M unit check you...

Page 182: ...ke a 12 lead snapshot see Chapter 13 12 Lead ECG Interpretive Analysis for more information about acquiring 12 lead data 3 Press the 12 lead review next quick access key A list of snapshots appears se...

Page 183: ...se The Case Selection dialog box displays with a list of up to 150 most recent cases 3 Use the navigation keys to select Select Cases then press the Select button The highlight moves to the list of av...

Page 184: ...12 lead report settings and set up distribution lists for 12 lead and full disclosure reports Disclosure Log transfer settings A password necessary for clients to access the Propaq M device Clock Syn...

Page 185: ...or configuring your Ethernet connection 12 Lead Reports Storage and management of 12 lead reports and full disclosure case files on the Propaq M unit can be managed from third party software such as Z...

Page 186: ...vigation keys to select a different profile or to add edit or delete other profiles Note Selecting a profile in this list allows you to edit or delete the profile It does not make a profile the active...

Page 187: ...eys to highlight and select Add You can enter the type of network setting profile name SSID authentication and security key Profile Name Use the alphabetical keypad to enter the profile name Press SAV...

Page 188: ...lect Static IP use the numeric keypad to enter values for the IP Address Subnet Mask Default Gateway Preferred DNS Server and Alternate DNS Server SSID Use the alphabetical keypad to enter the SSID na...

Page 189: ...ation Protocol Use the navigation keys to select the authentication type The unit supports three types of Wi Fi authentication WPA PSK Wi Fi Protected Access Pre shared key WPA2 PSK Wi Fi Protected Ac...

Page 190: ...lect PEAP Protected Extensible Authentication Protocol If PEAP Protected Extensible Authentication Protocol is selected you must enter the Password corresponding to the Identity entered If the network...

Page 191: ...Load from USB A list of files on the USB device displays Filenames can only be 24 characters long If the files on the USB device are more than 24 characters then they will not appear on the Propaq M...

Page 192: ...on the right side of the Propaq M unit 2 Select Load CA Certificate from USB A list of files on the USB device displays The Propaq M supports PEM DER and P7B CA certificate formats 3 Use the arrow ke...

Page 193: ...unications You can configure your USB cellular modem or Bluetooth device to work with the Propaq M unit Under the Communications menu select Cellular Configure The Cellular menu appears You can use th...

Page 194: ...eys to enter information about your cell phone provider Provider Name Provider name is an identifier you choose to refer to this cell phone provider Call Number Call number is an access number sometim...

Page 195: ...10 To pair Bluetooth devices select Bluetooth Cell Device Configure in the Cellular menu To pair a new device use the navigation keys and select New The unit will then scan for nearby Bluetooth device...

Page 196: ...device an optional nickname or set the provider A provider is not required for Bluetooth devices using the PAN NAP profile Press the back arrow to return to the list of paired devices Note Use Bluetoo...

Page 197: ...aq M Operator s Guide 15 27 Changing the PIN It may be necessary to change the PIN on the Propaq M unit check your device s documentation To change the PIN select Change Pin in the Pair New Device men...

Page 198: ...nu select Ethernet Configure Use the navigation keys to select either DHCP or Static IP If you select Static IP use the numeric keypad to enter values for the IP Address Subnet Mask Default Gateway Pr...

Page 199: ...ion can proceed If the verification fails the Propaq M displays a status message indicating whether the failure was a result of certificate or identity validation Enabling this option improves the sec...

Page 200: ...ready configured your wireless preferences you can use the Update Distribution List button to complete the download The Propaq M retains the current Distribution List until a new one is downloaded If...

Page 201: ...ote server 1 Under the Communications menu select Disclosure Log Configure The Disclosure Log menu displays 2 In the Server DNS Name field enter the host name of the remote server to which to send the...

Page 202: ...server a Insert a USB device with the certificates in the USB port on the right side of the Propaq M device b Select the Load CA Certificate from USB field The Load from USB window displays with a lis...

Page 203: ...swords Use a minimum of 16 characters Use one uppercase and one lowercase character Use one special character or example Avoid patterns and character repetitions Avoid common phrases or words associat...

Page 204: ...odify the password if desired Passwords must be at least 8 characters long Be sure to make the password you supply is sufficiently strong See password recommendations above c Select Save 4 If you woul...

Page 205: ...operator may subsequently toggle Daylight Saving Time on or off as necessary on the Set Date and Time screen see Setting the Date and Time on page 2 13 When Clock Sync is enabled and a network connect...

Page 206: ...must be manually adjusted at every transition between Standard Time and Daylight Saving Time The Daylight Saving Time offset is zero if Daylight Saving Time is set to Off and 60 minutes if Daylight Sa...

Page 207: ...the Wi Fi settings are correct in the Communications setup menu Verify that the ZOLL server is configured correctly Verify that your cellular device is configured correctly Make sure that the Propaq...

Page 208: ...se disclosure logs the snapshot list in the 12 Lead Review window or the case list in the Case Selection window displays an icon to the left of the snapshot or case indicating the status of that trans...

Page 209: ...The printing option allows you to print the following patient information Waveforms Reports Trends Note A date that contains question marks indicates that the Propaq M was not able to determine the d...

Page 210: ...options Automatic Prints You can print any following events by setting the monitor to print automatically in the Setup Supervisor Printer window To do this press then press Using the navigation butto...

Page 211: ...ntally The SpO2 Plethysmograph The SpO2 plethysmograph is printed with major divisions vertical dotted lines every 5 mm CO2 Waveform CO2 waveforms are printed on a grid with major divisions vertical d...

Page 212: ...ation keys to highlight the Trends field and press Select The Trend Settings menu displays 3 Highlight Print Trend Summary and press Select The Trend Summary Report begins printing and Print Summary f...

Page 213: ...ies thoroughly inspect them Look for any signs of damage and any improper mechanical function of buttons or connectors Gently bend and flex cables inspecting them for damage or extreme wear exposed wi...

Page 214: ...ol Denatured ethanol Freon Mild chlorine bleach solution Isopropyl alcohol Trichloroethane trichloroethylene Acetone Vesphene II Enviroquat Staphene Misty Glutaraldehyde Cleaning the NIBP Blood Pressu...

Page 215: ...the supply runs out during printing Use ZOLL recorder paper part number 8000 000901 To load the recorder paper into the printer 1 Insert your fingers into the indentations on the sides of the printer...

Page 216: ...inter perform the following steps 1 Pull the printer door open see Fig 2 then remove any paper 2 Locate the print head along the front floor of the printer compartment 3 Gently wipe the print head wit...

Page 217: ...est LCD Test RFU Indicator Test Audio Test Additional Tests may be performed by a qualified Biomedical Technician BMET Battery Test Fan Test NIBP Test USB Test The Operational Test Procedures are desc...

Page 218: ...ed from the charger even if it is not used Regular battery rotation helps to avoid incidents where a low battery condition is encountered because the battery has not been recharged or used in more tha...

Page 219: ...nitor Display on page A 2 Impedance Pneumography on page A 3 Alarms on page A 4 Printer Recorder on page A 5 General on page A 6 CO2 on page A 7 Pulse Oximeter on page A 8 Non Invasive Blood Pressure...

Page 220: ...C13 2002 section 4 1 2 1c for 0 9 mV T wave 0 8 mV with diagnostic response and 1mV QRS Diagnostic Signals Applied to Patient Connections Leads off active noise suppression sensing circuit is 0 1 micr...

Page 221: ...s to 2 ms with no tail Pulses with overshoot Rejects all pulses with amplitude of 2 mV to 700 mV and duration of 0 1 ms to 2 ms with overshoot up to 100 ms A V sequential pulses A V sequential pacemak...

Page 222: ...Physiological Alarms NIBP SpO2 Resp CO2 IP Temp Audible Same as Heart Rate Alarm Visual Physiological alarms cause the alarming parameter to be displayed in Red with a white background The red device...

Page 223: ...rs of continuous ECG 4 waveforms Capnography and IBP 3 channels The actual information stored can be more or less depending on the use profile and the log configuration settings Record Modes Manual an...

Page 224: ...with 26 drops IEC 60601 1 Tested at 2 meters Altitude 170 M to 4572 M 557 feet to 15 000 feet Transport and Storage Temperature 30 to 70 C Humidity 15 to 95 RH non condensing Atmospheric pressure 572...

Page 225: ...pecs CO2 Sampling Rate 50 msec Drift of Measurement Accuracy Over any 24 hour period the accuracy claims listed above are maintained The accuracy specification is maintained to within 4 for the follow...

Page 226: ...trics Infants Neonates Oxygen Saturation SpO2 During Low Perfusion Conditions 70 100 2 Adults Pediatrics Infants Neonates Pulse Rate bpm During No Motion Conditions 25 240 3 bpm Adults Pediatrics Infa...

Page 227: ...p clip LNOP TC I and LNCS M LNCS tip clip LNCS M LNCS TC I sensors use different light emitting diodes The wavelength information is as follows The LNOP transflectance LNCS M LNCS TF I forehead sensor...

Page 228: ...n which encompasses 68 of the population The Masimo SET Technology has been validated for low perfusion accuracy in bench top testing against a Biotek Index 2 simulator and Masimo s simulator with sig...

Page 229: ...a 5 minute period Pressure Measurement Range Systolic 20 to 260 mmHg Diastolic 10 to 220 mmHg Mean 13 to 230 mmHg Static Pressure Accuracy 3 mmHg Pulse Rate Range Adult 30 to 200 5 BPM Pediatric 30 to...

Page 230: ...Standards Institute ANSI AAMI SP10 To receive a copy of the report containing the AAMI SP10 results contact the ZOLL Technical Service Department NIBP Accuracy NIBP accuracy has been verified utilizi...

Page 231: ...10 C plus probe error Resolution 0 1 C Scale Fahrenheit or Celsius Temperature Display Signal 20Hz no averaging Probe YSI 400 and 700 series Mode of Operation Direct mode Display T1 T2 T Minimum Measu...

Page 232: ...an environment Emissions Test Compliance Electromagnetic Environment Guidance RF Emissions CISPR 11 Group 1 The Propaq M unit uses RF energy only for its internal function Therefore its RF emissions a...

Page 233: ...l or hospital environment Surge IEC 61000 4 5 1 kV differential mode 2 kV common mode 1 kV differential mode 2 kV common mode Mains power quality should be that of a typical commercial or hospital env...

Page 234: ...frequency of the transmitter Recommended Separation Distance Conducted RF IEC 61000 4 6 3 Vrms 150 kHz to 80 MHz outside ISM bandsa 3 Vrms d 1 17 3 Vrms 150 kHz to 80 MHz in ISM bandsa 3 Vrms d 1 17...

Page 235: ...to fixed RF transmitters an electromagnetic site survey should be considered If the measured field strength in the location in which the ZOLL Propaq M unit is used exceeds the applicable RF complianc...

Page 236: ...n 15 19 a 3 The user is cautioned to maintain 20cm 8 inches of space from the product to ensure compliance with FCC requirements This device is limited to indoor use in the 5150MHz to 5250MHz band Can...

Page 237: ...d Breakaway Patient Cable Complete Trunk Cable 4 lead wire set with detachable 6 V precordial lead wire set AAMI ECG 12 Lead Breakaway Patient Cable Complete Trunk Cable 4 lead wire set with detachabl...

Page 238: ...al lumen Reusable Cuffs Welch Allyn Blood Pressure Flexiport Cuffs Neonatal Cuff Kit one each of sizes 1 5 single tube w male luer connector bag of 5 Welch Allyn Cuff Kit Small Adult Large Adult and T...

Page 239: ...le Sensor 8 ft SpO2 SpCO SpMet Rainbow DCI Pediatric Reusable Patient Cable Sensor 12 ft SpO2 SpCO SpMet Rainbow Patient Cable Connects to Single Use Sensors 4 ft SpO2 SpCO SpMet Rainbow Patient Cable...

Page 240: ...c Skin Probe YSI Reusable Adult Esophageal Rectal YSI Reusable Pediatric Esophageal Rectal Sensor Adapter Cable for Disposable Probes YSI Disposable Esophageal Rectal Probe YSI Disposable Skin Probe I...

Page 241: ...nt Propaq M MD Litter Mount Propaq M MD Pole Mount Propaq M MD Wall Mount Propaq M MD Shelf Mount Other Accessories Propaq M Soft Carry Case Propaq Low Profile Soft Handle USB Flash Drive Cable adapte...

Page 242: ......

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