Propaq Encore 206EL Reference guide

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:

[email protected]

E-mail Marketing Department:

[email protected]

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

©

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

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

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

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

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

Z

E

/

U

N

F

R

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

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

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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