Vital Signs Monitor
Reference Guide
Models 202EL, 204EL, 206EL
Software Version 1
IMPORTANT
Check for Reference Guide Updates in the back cover pocket of
this manual.
Title Page.doc Page 1 Monday, September 25, 1995 11:13 AM
Protocol Systems, Inc.
Customer Service
8500 SW Creekside Place
Beaverton, Oregon 97008-7107 USA
Within USA, toll free:
Phone: (800) 289-2500
Phone Technical Services: (800) 289-2501
WorldWide:
Phone: (1) 503 526 8500
Fax: (1) 503 526 4200
Fax Technical Services: (1) 503 526 4910
Internet
http://www.protocol.com
E-mail Technical Services:
E-mail Marketing Department:
Protocol Systems, London, England
Hartmann & Lotz
Harewood House
Wherwell Road
Longparish, Hampshire SP11 7AH
England
Phone: (44) 1264 72 08 28
Fax: (44) 1264 72 05 14
Protocol Systems, Paris, France
Hartmann & Lotz
42, Avenue Montaigne
F-75008 Paris
France
Phone: (33) 1 53 67 52 64
Fax: (33) 1 53 67 52 63
Protocol Systems, Munich, Germany
Hartmann & Lotz
Bretonischer Ring 16
D-85630 Grasbrunn/Technopark
Germany
Phone: (49) 89 460 70 80
Fax: (49) 89 460 80 87
Protocol Systems, Asia/Pacific
Level 17, Price Waterhouse Centre
119 Armagh Street
Christchurch 1
New Zealand
Phone: (64) 3 37 94 429
Fax: (64) 3 37 92 374
Reorder No:
810-0640-00, Rev C, Sept. 1995
Printed in USA
Copyright
©
1995 by Protocol Systems, Inc. All rights reserved. No part of this document may be
duplicated in any form without the written permission of Protocol Systems, Inc.
Protocol
®
, Protocol Cordless
®
, Propaq
®
, and Acuity
®
are registered trademarks and Propaq Encore
™
is
a trademark of Protocol Systems, Inc.
Protocol Systems, Inc. is protected under various patents and patents pending.
NELLCOR
®
, DURASENSOR
®
,
C-LOCK
®
and OXISENSOR
®
are registered trademarks of NELL-
COR, Incorporated. Nellcor is protected under U.S. patents 4,261,643; 4,653,498; 4,700,708; 4,770,179;
4,802,486; 4,869,254; 4,928,692; and 4,934,372.
LIFEPAK
5
®
and LIFEPAK
6s
®
are registered trademarks of Physio-Control Corporation.
The HP Component Monitoring System is a product of Hewlett-Packard Company.
For information concerning this document or any Protocol Systems product, contact:
Title Page.doc Page 2 Monday, September 25, 1995 11:13 AM
Propaq Encore Reference Guide i
Table of
Contents
Contents
The expanded table of contents for each chapter appears on the front page of each chapter.
Tables v
General Information vii
Safety Summary—ix
Propaq Encore Documentation—xii
Getting Started 1-1
Introducing the Propaq Encore—1-3
Using the Propaq Encore—1-6
Monitor Setup—1-18
Printer Functions—1-23
Learning the Propaq Encore—1-26
Patient Monitoring 2-1
ECG/RESP—2-3
Invasive Pressure—2-14
NIBP—2-21
Temperature—2-29
Pulse Oximetry (SpO
2
)—2-31
Capnography (CO
2
)—2-38
Alarms and Limits 3-1
Alarms Window and Menu—3-3
Types of Propaq Alarms—3-5
Setting Alarm Limits—3-9
Equipment Alerts—3-11
Trends 4-1
Trends—4-3
ProFit Book : ProFit TOC Page i Monday, September 25, 1995 11:14 AM
ii Protocol Systems, Inc.
Printing 5-1
Printing Patient Data—5-3
Printing Trends—5-9
Power Sources 6-1
Power Adapters—6-3
Battery Care—6-7
Care and Maintenance 7-1
Cleaning—7-3
Maintenance—7-6
Monitor Care—7-7
Printer Maintenance—7-8
Customer Services—7-10
Defibrillator Synchronization 8-1
Defibrillator Synchronization—8-3
Glossary A-1
Specifications B-1
ECG—B-3
Real-Time ECG Analog/Defib Sync—B-6
Impedance—B-7
Pneumography (RESP)—B-7
Invasive Pressure—B-8
NIBP—B-9
Temperature—B-11
Pulse Oximetry (SpO
2
)—B-12
Capnography (CO
2
)—B-13
Alarms—B-16
ProFit Book : ProFit TOC Page ii Monday, September 25, 1995 11:14 AM
Propaq Encore Reference Guide iii
Table of
Contents
Trends—B-17
Display—B-18
Monitor (Environmental)—B-19
Monitor (Physical)—B-20
Printer—B-22
Power—B-24
Power Adapters—B-25
Factory Default Settings—B-27
In-service Simulated Values—B-30
Index 1
ProFit Book : ProFit TOC Page iii Monday, September 25, 1995 11:14 AM
iv Protocol Systems, Inc.
ProFit Book : ProFit TOC Page iv Monday, September 25, 1995 11:14 AM
Propaq Encore Reference Guide v
List of
Tables
Tables
Table 1-1: Propaq Encore Models and Options—1-3
Table 2-1: Cuffs and Hoses Sizes—2-23
Table 2-2: SpO
2
Response Settings—2-36
Table 2-3: CO
2
Range Values—2-43
Table 2-4: Gas Compensation Values—2-44
Table 2-5: CO
2
Response Settings—2-44
Table 3-1: Patient Alarm Indications—3-5
Table 3-2: Stat Set Limit Calculations—3-9
Table 4-1: Column Labels for Each Trend—4-5
Table 6-1: Power Adapter Ratings—6-4
Table 6-2: Battery Voltage Effects on Operation—6-8
Table 7-1: These Cleaning Agents are Okay to Use—7-3
Table 7-2: Never Use These as Cleaning Agents—7-4
Table 7-3: Recommended Service Intervals—7-6
Table 8-1: Defibrillator Synchronization Cables/Interface—8-3
Table B-1: ECG Specifications—B-3
Table B-2: Real-Time ECG Analog / Defib Sync Signals—B-6
Table B-3: Impedance Pneumography (RESP) Specifications—B-7
Table B-4: Invasive Pressure Specifications—B-8
Table B-5: NIBP Specifications—B-9
Table B-6: Temperature Specifications—B-11
Table B-7: SpO
2
Specifications—B-12
Table B-8: CO
2
Specifications—B-13
Table B-9: Alarms Specifications—B-16
Table B-10: Trends Specifications—B-17
Table B-11: Display Specifications—B-18
Table B-12: Monitor Environmental Specifications—B-19
ProFit Book : ProFit LOT Page v Monday, September 25, 1995 11:14 AM
vi Protocol Systems, Inc.
Table B-13: Monitor Physical Specifications—B-20
Table B-14: Printer Specifications—B-22
Table B-15: Monitor Power Specifications—B-24
Table B-16: Power Adapter General Specifications—B-25
Table B-17: Power Adapter Physical Specifications—B-26
Table B-18: Factory Default Settings—B-27
Table B-19: In-service Values—B-30
ProFit Book : ProFit LOT Page vi Monday, September 25, 1995 11:14 AM
10
ALARMS
NIBP
ALARM(S)
OFF
ALARM
START/
STOP
SUSPEND/
RESUME
FREEZE/
UNFREEZE
MAIN
MENU
A
A
General Information
Safety Summary—ix
Important Safety Considerations—ix
Definitions—x
Symbols—xi
Propaq Encore Documentation—xii
The Documentation Set—xii
About This Reference Guide—xii
Statement of Expectations of the Reader—xii
Disclaimers—xii
ProFit Book : GenInfo.doc Page vii Tuesday, October 10, 1995 2:59 PM
viii Protocol Systems, Inc.
ProFit Book : GenInfo.doc Page viii Tuesday, October 10, 1995 2:59 PM
Propaq Encore Reference Guide ix
General
Information
Safety Summary
This Safety Summary should be read by all Propaq Encore users. Specific warnings and
cautions will be found throughout the Propaq Encore documentation where they apply.
Caution: Federal (U.S.A) law restricts this device to sale, distribution, or use by or on the
order of a licensed medical practitioner.
Important Safety Considerations
Please consider the following safety points when using the Propaq Encore:
• Place the Propaq Encore and accessories in locations where they cannot harm the
patient should they fall from their shelf or mount.
• Do not connect more than one patient to a monitor. Do not connect more than one
monitor to a patient.
• Do not use the Propaq Encore in an MRI suite or a hyperbaric chamber.
• Do not autoclave the Propaq. Autoclave accessories only if the manufacturer's
instructions clearly approve it. Many accessories can be severely damaged by
autoclaving.
• Inspect the power adapter cord periodically for fraying or other damage, and replace
the adapter as needed. Do not operate the apparatus from mains power with a
damaged power adapter cord or plug.
• Make frequent electrical and visual checks on cables and electrode wires.
• Avoid electrosurgery burns at monitoring sites by ensuring proper connection of the
electrosurgery return circuit so that the return paths cannot be made through
monitoring electrodes and probes.
• During defibrillation, keep the discharge paddles away from ECG and other
electrodes, as well as other conductive parts in contact with the patient. Avoid contact
with any accessories connected to the Propaq’s left side panel.
• To ensure patient safety, the conductive parts of the ECG electrodes (including
associated connectors) and other patient-applied parts should not contact other
conductive parts, including earth ground, at any time.
• Do not operate this product in the presence of flammable anesthetics. Explosion can
result.
ProFit Book : GenInfo.doc Page ix Tuesday, October 10, 1995 2:59 PM
x Protocol Systems, Inc.
Within certain governmental jurisdictions, all interconnected accessory equipment must be
labeled by an approved testing laboratory. After interconnection with accessory equipment,
risk (leakage) current and grounding requirements must be maintained.
• To ensure conformance to risk (leakage) current requirements when operating from an ac
mains power source, use only a Protocol Systems’ 503-0054 series power adapter.
• To ensure patient safety, use only accessories recommended or supplied by Protocol Systems,
Inc. For a list of those accessories, see the Protocol
Products and Accessories
book that
accompanied this manual (P/N 810-0409-XX). Accessories must be used according to your
hospital’s standards and the manufacturer’s recommendations. Always refer to the
manufacturer’s Directions for Use.
• A product that has been dropped or severely abused should be checked by qualified service
personnel to verify proper operation and acceptable risk (leakage) current values.
• If the monitor detects an unrecoverable problem, an error message window appears
containing an error number and a short message. Report such errors to Protocol Systems.
The Propaq Encore should be serviced only by a Protocol Systems service technician while
under warranty. The
Propaq Encore Service Manual
is available from Protocol Systems to
assist the biomedical engineer during post-warranty period service.
Definitions
Warning statements identify
conditions or practices that
could result in personal injury.
Caution statements identify
conditions or practices that could
result in damage to the
equipment or other property.
Note statements disclose
pertinent information.
n
ote.
..
W
ARNIN
G
CAUTION
CAUTION
10
A
L
A
R
M
S
N
IB
P
ALAR
M
(S)
OFF
ALA
R
M
S
T
A
R
T
/
S
T
O
P
S
U
S
P
E
N
D
/
R
E
S
U
M
E
F
R
E
E
Z
E
/
U
N
F
R
E
E
Z
E
M
A
I
N
M
E
N
U
n
ote.
..
ProFit Book : GenInfo.doc Page x Tuesday, October 10, 1995 2:59 PM
Propaq Encore Reference Guide xi
General
Information
Symbols
The following symbols appear in Propaq Encore documentation and on Propaq Encore labels.
These internationally recognized symbols are defined by the International Electrotechnical
Commission, IEC 878 and IEC 417A.
Right Side of Monitor
Left Side, Back of Monitor,
Other
Power Adapter
Off (Standby) All patient connec-
tions are Type CF,
isolated for direct
cardiac application,
and protected against
defibrillation.
Transformer meets
requirements of a
short-circuit-proof
safety-isolating power
transformer.
On
For continued
fire protection,
use only the
specified fuse.
Caution: Refer to
Reference Guide
and accompanying
documentation.
Alternating current
Direct current Temperature sensor
input
For indoor use only
(on power adapter
only)
Battery charging
when green
indicator illumi-
nated
Enclosure Protection
Drip proof: Classifi-
cation IPX1 per IEC
Publication 529
Input port to
monitor
The CE Mark and
Notified Body
Registration Number
signify Propaq Encore
200 Series monitors
have met all essential
requirements of
European Medical
Device Directive
93/42/EEC.
Signal output
port from monitor
Two way com-
munication port
IPX1
0123
ProFit Book : GenInfo.doc Page xi Tuesday, October 10, 1995 2:59 PM
xii Protocol Systems, Inc.
Propaq Encore Documentation
The Documentation Set
The Propaq Encore documentation set consists of documents for the clinician, the
biomedical technician, and the department head or purchaser of accessories for the
Propaq Encore monitors.
This
Propaq Encore, Reference Guide, 200 Series
, contains important safety and operating
information for the clinician.
The
Propaq Encore Service Manual, 200 Series
, (P/N 810-0696-XX) contains information on
how to properly maintain the Propaq Encore through routine calibration, inspection, and
maintenance.
The Protocol
Systems, Inc.
Products & Accessories
booklet (P/N 810-0409-XX) provides a
comprehensive list of accessories recommended for Propaq Encore monitors and options.
About This Reference Guide
This Reference Guide provides descriptions and operating information for the Propaq
Encore models 202EL, 204EL, and 206EL, including all available options at the time of this
manual's printing. This book covers Propaq Encores with software version 1.
Statement of Expectations of the Reader
This Reference Guide was written for the clinician. Although this guide may describe some
monitoring techniques, Protocol Systems expects that you are a trained clinician who knows
how to take and interpret a patient’s vital signs. The Propaq Encore has been designed as a
quality monitor, however, inherent limitations require that good clinical judgment always
prevails.
Disclaimers
Protocol Systems, Inc. cautions the reader of this manual:
• This manual and product specifications may, wholly or partially, be subject to change
without notice. Some features described in this manual may not be available on your
model.
• All rights are reserved: No one is permitted to reproduce or duplicate, in any form,
the whole or part of this manual without Protocol's permission.
• Protocol assumes no responsibility for usage not in accordance with this manual
resulting in illegal or improper use of the unit.
ProFit Book : GenInfo.doc Page xii Tuesday, October 10, 1995 2:59 PM
10
ALARMS
NIBP
ALARM(S)
OFF
ALARM
START/
STOP
SUSPEND/
RESUME
FREEZE/
UNFREEZE
MAIN
MENU
1
1
Getting Started
Introducing the Propaq Encore—1-3
Intended Use—1-3
Propaq Encore Models—1-3
Expansion Module—1-4
Propaq Encore Pulse Oximetry Option (SpO
2
)—1-5
Mainstream Capnography (CO
2
) Option—1-5
Impedance Pneumography (RESP) Option—1-5
Printer Option—1-5
HP-compatible Side Panel Option—1-5
Using the Propaq Encore—1-6
System Controls (Right Side Panel)—1-6
Alarm Lights—1-7
Startup Screen—1-8
Patient Connections—1-10
Propaq Encore Display—1-11
Propaq Encore Buttons—1-14
Propaq Encore Menus—1-15
Monitor Setup—1-18
Selecting Waveforms for Display—1-21
Setting the Time and Date—1-21
Customizing the Propaq's Settings—1-22
Printer Functions—1-23
ProFit Book : GetStart.doc Page 1 Tuesday, October 10, 1995 2:59 PM
1-2 Protocol Systems, Inc.
Learning the Propaq Encore—1-26
Using In-service Mode—1-26
What You Can Do With In-service Mode—1-27
What You Cannot Do With In-service Mode—1-27
ProFit Book : GetStart.doc Page 2 Tuesday, October 10, 1995 2:59 PM
Propaq Encore Reference Guide 1-3
Getting
Started
Introducing the Propaq Encore
Before using the
Propaq Encore on a patient, be sure you understand the Safety Summary
at the front of this book. It provides important information about safely using the Propaq
Encore.
Intended Use
The Propaq Encore monitor is intended to be used by skilled clinicians for multiparameter
vital signs monitoring of neonatal, pediatric, and adult patients in health care facility
bedside applications; as well as for intra- and interfacility transport.
Propaq Encore Models
Three models of Propaq Encore monitors are available.
Table 1-1: Propaq Encore Models and Options
Features
common to
all models
ECG, 3-lead or 5-lead configurations, 0.05-40/0.5-40 Hz
NIBP, with neonatal, pediatric and adult modes
Temperature, 2 channels: YSI
™
400 and 700 series-compatible connectors
Defibrillator Synchronization
Real-time Analog output of ECG
Electrocautery noise suppression on all channels except Impedance Pneumography
206EL
Two Invasive Pressure Channels
204EL
One Invasive Pressure Channel
202EL
No Invasive Pressure
Options
available for
each model
Pulse Oximetry (SpO
2
)
Mainstream Capnography (CO
2
) (available only with SpO
2
)
Impedance Pneumography (RESP) (available only with SpO
2
)
Printer
HP-compatible side panel
ProFit Book : GetStart.doc Page 3 Tuesday, October 10, 1995 2:59 PM
1-4 Protocol Systems, Inc.
Expansion Module
The Propaq Encore Expansion Module attaches to the monitor and houses additional
capabilities. The Expansion Module can be fitted with SpO
2
, CO
2
, and Printer options.
E
C
G
14:
51
:18
I
I
10
ALARMS
NIBP
ALARM(S)
OFF
ALARM
START/
STOP
SUSPEND/
RESUME
FREEZE/
UNFREEZE
MAIN
MENU
START
STOP
SNAP
SHOT
PRINT
TRENDS
CO
2
Option
SpO
2
Option
Expansion
Module
ALARM
Light
ALARM(S) OFF
Light
ProFit Book : GetStart.doc Page 4 Tuesday, October 10, 1995 2:59 PM
Propaq Encore Reference Guide 1-5
Getting
Started
Propaq Encore Pulse Oximetry Option (SpO
2
)
The Propaq Encore Pulse Oximetry option (SpO
2
) can be installed in the Expansion
Module or in a smaller unit that attaches to the rear of the monitor. The SpO
2
option was
designed to match the performance of a NELLCOR
®
N-200 Pulse Oximeter. This device
can be used only with NELLCOR oxygen transducers.
Mainstream Capnography (CO
2
) Option
The Propaq Encore Mainstream CO
2
option allows carbon dioxide monitoring directly in
the breathing circuit of a ventilator. The Mainstream CO
2
option is installed in the
Expansion Module and is configured with the Pulse Oximetry option.
Impedance Pneumography (RESP) Option
The RESP option detects the rate or absence of respiratory effort, and is configured with
the Pulse Oximetry option.
Printer Option
The Expansion Module with Printer (EMP) provides a lightweight 3-channel recorder.
HP-compatible Side Panel Option
The HP connector-compatible option makes the Propaq Encore compatible with many
Hewlett-Packard sensors and accessories used with the Hewlett Packard Component
Monitoring System. This option replaces the standard Propaq Encore left side panel.
ProFit Book : GetStart.doc Page 5 Tuesday, October 10, 1995 2:59 PM
1-6 Protocol Systems, Inc.
Using the Propaq Encore
System Controls (Right Side Panel)
Safe interconnection between the Propaq Encore and other devices must comply with
applicable medical systems safety standards such as IEC 601-1-1.
Power Input Connector
This receptacle accepts Protocol Systems’ ac power adapter, which must be used for ac
mains operation and battery charging. The Propaq Encore is also designed to operate with
other 12-28 volt, dc-only power sources, such as a vehicle battery system.
Input Fuse
On/Off Switch
Power Input
Connector
Defib Sync Connector
(see Chapter 8)
Real-time ECG
Output Connector
(see Appendix B)
Battery Charging Light
DEFIB SYNCHROMONITOR
EKG x 1000
!
3A
2AG
12-28V, 3A
!
!
W
ARNIN
G
ProFit Book : GetStart.doc Page 6 Tuesday, October 10, 1995 2:59 PM
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