Micropaq® Monitor Directions for Use Model 406 and Model 408 Software version 1.
ii Welch Allyn Micropaq Monitor Copyright 2007, Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any form, this manual or any part thereof without permission from Welch Allyn. Welch Allyn assumes no responsibility for injury or for any illegal or improper use of the product that may result from failure to use this product in accordance with the instructions, cautions, warnings, or indications for use published in this manual.
iii Contents 1 - General information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Intended use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Battery charger labels and LEDs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 General warnings and cautions . . . . . . . . . . . . . .
iv Contents Welch Allyn Micropaq Monitor 4 - Monitor patient at Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41 5 - Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43 Change the battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Recharge a battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Eight-bay battery charger . . . . . .
1 1 General information Intended use The Micropaq™ monitor is intended to be used by clinicians for single or multiparameter vital signs monitoring of ambulatory and nonambulatory pediatric and adult patients in health care facilities. The monitor is able to withstand light rain exposure over short periods of time (uniform distribution of approximately 1 mm of water/ minute for 10 minutes or less).
2 Chapter 1 General information Welch Allyn Micropaq Monitor Symbols Warning Warning statements in this manual identify conditions or practices that could result in personal injury. Caution Caution statements in this manual identify conditions or practices that could result in damage to the equipment or other property. Caution On the product, means “Consult the accompanying documentation.” The following symbols appear on the monitor or accessories.
Directions for Use Chapter 1 General information Symbol Definition Non-ionizing electromagnetic radiation. This device contains an approved RLAN module frequency 2402 to 2480 MHz This device complies with the 47 CFR Part 15 radiated and conducted emissions requirements. The monitor is connected to Acuity Symbol 3 Definition Non-ionizing electromagnetic radiation.
4 Chapter 1 General information Welch Allyn Micropaq Monitor Battery charger labels and LEDs Eight-bay battery charger (008-0651-XX) Green LED on continuously Battery is fully charged. Green LED flashing Green LED flashing very slowly Yellow LED on continuously kj Battery is charging. Battery detected and waiting to be charged. Something is wrong with the battery or the charger. (See ”Battery Status and Possible Response” on page 44.
Directions for Use Chapter 1 General information WARNING Always check the patient mode at Acuity when monitoring a new patient. The patient mode determines default alarm limits and internal algorithm settings. WARNING The monitor may not meet its performance specifications if stored or used outside the specified temperature and humidity ranges. WARNING Do not connect more than one patient to a monitor. Do not connect more than one monitor to a patient.
6 Chapter 1 General information Welch Allyn Micropaq Monitor WARNING For patients with a pacemaker, position the monitor to maintain a minimum 6-inch distance between the monitor and pacemaker. Immediately turn the monitor off and provide appropriate patient care if you have any reason to suspect that the monitor is interfering with the pacemaker.
Directions for Use Chapter 1 General information 7 Introducing the monitor The monitor is a patient-worn vital signs monitor for use by adult or pediatric ambulatory patients.
8 Chapter 1 General information Welch Allyn Micropaq Monitor Understanding the monitor and the FlexNet Network The monitor is intended to operate with an Acuity® Central Station as part of Welch Allyn’s FlexNet network. FlexNet allows multiple devices to communicate through hardwired Ethernet networks and Wireless Local Area Networks (WLANs). The Acuity Central Station provides the primary display and entry of patient data for a patient connected to the monitor.
Directions for Use Chapter 1 General information Monitor features Controls and connectors SpO2 Connector ECG Connector Visual Alarm Indicator Liquid Crystal Display Select Key and Silence Patient Alarm/ Equipment Alert Key Scroll Up Key and Reset Patient Alarm Tone Key Snapshot key Scroll Down Key and Main Menu Key SpO2 connector clip (model 408) or cover (model 406) Battery pack latch Battery Back 9
10 Chapter 1 General information Welch Allyn Micropaq Monitor Visual alarm indicator Green Flashes slowly during normal operation. Red Flashes during patient alarm, remains on continuously when alarms are silenced or suspended. Yellow Flashes during an equipment alert or while not connected to the network. Remains on continuously if the operator suspends an alert at Acuity for 90 seconds or acknowledges (dismisses) a low battery alert from the monitor or Acuity.
Directions for Use Chapter 1 General information 11 Scroll Down key and Main Menu key Scrolls down menus on the display. Displays the Main Menu. Select key and Silence Patient Alarm/Equipment Alert key Selects the choice highlighted on the menu. During patient alarms, silences the tone at the monitor and Acuity (if connected) for 90 seconds. During equipment alerts, silences or acknowledges (dismisses) the alert at the monitor and Acuity. Battery Insert the battery to turn on power.
12 Chapter 1 General information Welch Allyn Micropaq Monitor Display Although the Acuity Central Station is the primary location for viewing patient data, the monitor provides information to support patient care. Waveform scale is selectable Dashed lines indicate the monitor detects a pacemaker signal (display of pacer detection can be enabled or disabled at Acuity) ECG lead is selectable HR indicates the heart rate is from ECG.
Directions for Use Chapter 1 General information 13 Main Menu When you first press Press Press , the Main Menu appears: to move through the menu. to select or change the highlighted choice. EXIT Exit the Main Menu (the menu disappears). ACUITY... Access the Acuity Menu with network options. The Acuity Menu is only accessible while connected to Acuity. EXIT Exit all menus and return to the monitoring screen. END TELE Discontinue monitoring a patient.
14 Chapter 1 General information Welch Allyn Micropaq Monitor ECG SCALE... Change the scale of the ECG waveform. If two waveforms are displayed, both have the same scale. 1 WAVEFORM There are four possible ECG waveform display selections: 1 WAVEFORM the default selection 2 WAVEFORMS 5 SECONDS FULL SCREEN Pressing changes to the next selection. This change does not take effect until after you exit the Main Menu. See ”Display” on page 12 for descriptions. LIMITS...
Directions for Use Chapter 1 General information 15 Waveform options There are four ECG waveform options as shown: 1 Waveform The single ECG 1 (lead II) waveform is displayed. 2 Waveforms ECG 1 (lead II) and ECG 2 (lead V) are both displayed. 5 Seconds ECG 1 (lead II) cascades from one line to the other. Full Screen The single ECG 1 (lead II) waveform is allowed to occupy most of the screen. To change the waveform selection during operation: 1. Press to display the Main Menu. 2.
16 Chapter 1 General information Welch Allyn Micropaq Monitor Messages from Acuity The monitor displays messages sent from Acuity as needed, including patient alarms and equipment alerts. When Acuity messages are displayed, they temporarily override information displayed on the lower half of the monitor screen.
Directions for Use Chapter 1 General information Demonstration mode You can practice using the monitor with the Demo mode of operation, including connection to Acuity. The Demo mode cannot be activated while you are monitoring a patient or if any cables have been plugged into the monitor. During the Demo mode, the monitor and Acuity display the message SIMULATION. To practice with the monitor in Demo mode: 1. Disconnect all patient cables connected to the monitor. 2. Remove the battery (if installed).
18 Chapter 1 General information 5. Press Welch Allyn Micropaq Monitor to highlight SERVICE MENU, then press to display the Service Menu. Service Menu 6. Press to highlight DEMO MENU, then press 7. to highlight DEMO 1 or DEMO 2, then press Press to display the Demo Menu. to start. SIMULATION indicates the Demo mode is active. A simulated waveform and numerics are displayed.
19 2 Monitoring Connect a new patient Connect to the network 1. Insert a battery into the monitor to turn it on. After a few seconds the monitor PowerUp Screen is replaced by an initial monitoring screen. If any patient cables are connected, there will be some patient data displayed. The format depends on the monitor default settings. The monitor is searching for a network connection. Example of Initial Monitor Screen 2.
20 Chapter 2 Monitoring Welch Allyn Micropaq Monitor 3. Press or to highlight the desired Acuity unit, then press . When you press or to highlight the desired Acuity unit and then press , your selection will begin to flash between normal and reverse video to confirm that the monitor is communicating your selection to Acuity. You cannot scroll to another selection during this time. The selection continues to flash until Acuity responds back to the monitor.
Directions for Use Chapter 2 Monitoring • If your patient is in the list, highlight the name and press seconds the monitor displays a list of unassigned rooms. Possible rooms to select. Select Room at Central 1104A 1104B 1105A 21 . Within a few SELECT ROOM ▼ Example of Room List • If you want to assign the patient to a room, highlight the room and press . • If you do not want to assign a room at this time, highlight Select Room at Central and press .
22 Chapter 2 Monitoring Welch Allyn Micropaq Monitor WARNING For patients with a pacemaker, position the monitor to maintain a minimum 6-inch distance between the monitor and pacemaker. Immediately turn the monitor off and provide appropriate patient care if you have any reason to suspect that the monitor is interfering with the pacemaker.
Directions for Use Chapter 2 Monitoring 23 Perform 5-Lead ECG monitoring 1. Inspect the ECG cable and replace it if it shows any signs of wear, breakage, or fraying. Plug the cable into the monitor. 2. Select electrode sites on the patient. Choose flat areas; avoid fatty or bony areas and major muscles. 3. Shave or clip hair from electrode sites, thoroughly clean skin, and lightly rub dry. You may use soap and water, isopropyl alcohol or special skin preparation pads.
24 Chapter 2 Monitoring Welch Allyn Micropaq Monitor 6. After leads are properly connected, confirm that the monitor displays the ECG waveform, heart rate, and other patient data. To change the ECG lead selection, press to display the Main Menu. Then press Scroll Down to highlight ECG LEAD . . . , then highlight ECG 1 or ECG 2 and press to change the lead.
Directions for Use Chapter 2 Monitoring 25 Be aware that only ECG lead II is available for display with the monitor’s 3-lead ECG monitoring. No other ECG lead selections are available. WARNING Do not try to perform this 3-lead ECG monitoring with any 5-lead ECG cable that does not have detachable electrode lead wires as described above.
26 Chapter 2 Monitoring Welch Allyn Micropaq Monitor Perform SpO2 monitoring WARNING Oxygen saturation measurements using pulse oximetry are highly dependent on proper placement of the sensor and patient conditions. Patient conditions such as shivering and smoke inhalation may result in erroneous oxygen saturation readings. If pulse oximetry measurements are suspect, verify the reading using another clinically accepted measurement method, such as arterial blood gas measurements on a co-oximeter.
Directions for Use Chapter 2 Monitoring 1. 27 Attach the SpO2 sensor to the patient according to the manufacturer’s directions for use, observing all warnings and cautions. Each SpO2 sensor is designed for application to a specific site on the patient within a certain size range. To obtain optimal performance, use an appropriate sensor and apply it as described in the sensor’s directions for use. If excessive ambient light is present, cover the sensor site with opaque material to block the light.
28 Chapter 2 Monitoring Welch Allyn Micropaq Monitor Install the carrying pouch WARNING As with all medical equipment, carefully route the patient cabling to reduce the possibility of patient entanglement or strangulation. Use the supplied garment clips to secure the cable properly. WARNING When positioning the monitor pouch on the patient, make sure the straps do not entangle the patient’s neck or cause choking.
Directions for Use Chapter 2 Monitoring 29 Monitor a patient out of range of Acuity While out of range of Acuity, the monitor continues to monitor the patient and provide local HR/PR and SpO2 alarms or alerts at the monitor as needed. When the patient wearing the monitor goes out of range of Acuity, do the following: 1. A DROPOUT equipment alert occurs at the Acuity Central Station. Acknowledge the alert at Acuity. 2.
30 Chapter 2 Monitoring Welch Allyn Micropaq Monitor Stop monitoring a patient If you want to discontinue monitoring the patient, follow these steps. 1. Press 2. Press to display the Main Menu. to highlight ACUITY, then press . Acuity Menu 3. Press to highlight END TELE, then press . 4. When the monitor displays the message SAFE TO REMOVE BATTERY, remove the battery. If the battery is not removed within 30 seconds, the monitor will automatically try to reconnect to the network. 5.
Directions for Use Chapter 2 Monitoring 31 Reconnect a recently monitored patient 1. Insert a battery into the monitor to turn on the monitor. Confirm that after a few seconds the monitor Power-Up Screen is replaced by the initial monitoring screen. 2. The monitor will then present a series of menus and messages requesting you to provide information about the connection and patient. The actual screens presented depend on how long the patient has been disconnected. Provide the information as requested.
32 Chapter 2 Monitoring Welch Allyn Micropaq Monitor Reassign a monitored patient to a new room in the same unit If a patient is being monitored and you want to assign them to a new room in the same unit, follow these steps. 1. Press to display the Main Menu. 2. Press screen. again to highlight ACUITY and press to display the Acuity Menu 3. Press to highlight NEW ROOM, then press . .
Directions for Use Chapter 2 Monitoring 33 Transfer a monitored patient to a new room in a different unit If a patient is being monitored and you want to assign them to a new room in a different unit, follow these steps. 1. Press to display the Main Menu. 2. Press screen. again to highlight ACUITY and press 3. Press to highlight TRANSFER, then press to display the Acuity Menu . Transfer a Patient Within a few seconds the monitor displays a list of units. 4.
34 Chapter 2 Monitoring Welch Allyn Micropaq Monitor Reassign the monitor to a new patient If you want to discontinue monitoring a patient and reconnect the monitor to a new patient, follow these steps. 1. Press to display the Main Menu. 2. Press screen. again to highlight ACUITY and press 3. Press to highlight NEW PATIENT, then press to display the Acuity Menu .
