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Chapter 10 Pulse CO-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.

Clear Protective
Cover

Содержание Propaq M

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

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 10: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 46: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 56: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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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Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 80: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 106: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 144: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 150: ......

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

Страница 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...

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