35 3 Alarms & alerts About alarms and alerts Alarms provide a warning about a patient condition (such as a vital sign limit violation). Alerts provide a warning about an equipment condition that needs attention (such as a low battery or detached ECG lead). Alarms and alerts may be detected either by the monitor or by the network. While connected to the network, alarms or alerts are displayed at the monitor and at the Acuity Central Station. Alarms have a higher priority than alerts.
36 Chapter 3 Alarms & alerts Welch Allyn Micropaq Monitor Respond to a patient alarm at monitor When a patient alarm occurs, the monitor produces an audible tone (if audible tones are enabled). Life-threatening arrhythmia alarms beep at a faster pace than other vital sign alarms (see “Patient alarm and equipment alert specifications” on page 56). The monitor also displays a message similar to the following: Red LED flashes during alarm.
Directions for Use Chapter 3 Alarms & alerts 37 3. To reset the alarm tone at the monitor and Acuity before the 90 seconds has elapsed, press at the monitor, or press Resume at the Acuity Central Station. 4. After caring for the patient, make sure that the appropriate alarm limits are set and that alarms are on.
38 Chapter 3 Alarms & alerts Welch Allyn Micropaq Monitor WARNING If you turn off any alarm limits, be sure to restore the appropriate alarm limits before you resume monitoring. Only life-threatening arrhythmias will be indicated at the monitor and Acuity (if connected) when alarms are turned off. 4. To change other limits, scroll to PREVIOUS MENU, press limit to change. , then select another 5.
Directions for Use Chapter 3 Alarms & alerts 39 2. If possible, determine what caused the problem and correct it. Note After you press to acknowledge or silence some types of alerts, the yellow LED remains on (either flashing or steady yellow) until you correct the problem. For low battery alerts and no Acuity connection alerts, specific icons also flash. For a list of possible messages and suggested responses, see “Alert messages and display information” on page 40.
40 Chapter 3 Alarms & alerts Welch Allyn Micropaq Monitor Alert messages and display information Message and Display Information Possible Cause(s) and Suggested Response LOW BATTERY The monitor will shut down within approximately 30 minutes or less due to a low battery. • Replace the battery as soon as possible. VERY LOW BATTERY The monitor will shut down within approximately 5 minutes or less due to a low battery. • Replace the battery as soon as possible.
41 4 Monitor patient at Acuity While the Micropaq is connected to the FlexNet network, patient data gathered by the monitor is continuously stored at Acuity. You can access this patient information at the Acuity Central Station and perform administrative functions, including: • Admit (and discharge) a patient in the Acuity unit. • Edit the patient description (name, physician, etc.). • Review and print patient data such as trends and waveforms.
42 Chapter 4 Monitor patient at Acuity Welch Allyn Micropaq Monitor
43 5 Maintenance This section provides information to help operators of the monitor and the battery charger perform routine maintenance activities such as changing or recharging batteries, inspection, and cleaning. Change the battery 1. Remove the depleted battery. 2. Insert a fully-charged battery. Use only batteries supplied by Welch Allyn. WARNING Before installing a battery, carefully inspect the battery case.
44 Chapter 5 Maintenance Welch Allyn Micropaq Monitor If the yellow LED is on continuously, the battery may have reached the end of its useful life. Refer to the table below for suggested responses. Charger LED Battery Charger Label—LEDs Battery Status and Possible Response Green LED on continuously Battery is fully charged. Green LED flashing Battery is charging. Green LED flashing very slowly Battery is detected and waiting to be charged. LED off No battery is detected.
Directions for Use Chapter 5 Maintenance 45 Inspect and clean the monitor and accessories WARNING Be sure to unplug the monitor battery charger power cord from the electrical power outlet before inspecting or cleaning the battery charger. Exposing the battery charger to liquids such as cleaning solutions while connected to electrical power could result in electrical shock or fire. WARNING Do not autoclave the monitor, battery, battery charger, or accessories.
46 Chapter 5 Maintenance Welch Allyn Micropaq Monitor Equipment Cleaning Instructions Approved Cleaning Solutions Monitora Batterya Battery Chargersa • Wipe with a nearly-dry cloth moistened with cleaning solution. • After cleaning, remove excess cleaning solution with a soft cloth dampened with clean water, then dry. Do not let cleaning solution run into connector openings or crevices.b Warm water, Liquid soap, Coverage®, Windex®, Ovation®, Hydrogen peroxide solution, Wex-cide®c, T.B.Q.
Directions for Use Chapter 5 Maintenance 47 Change the network name This procedure allows you to change the network name assigned to the monitor (as long as the current network name is one of the pre-set names available in the monitor Network Name Menu). Note Changing the monitor network name will cause the monitor to re-start and seek to connect with the FlexNet network corresponding to the new name.
48 Chapter 5 Maintenance Welch Allyn Micropaq Monitor To change the network name, make sure YES is highlighted, then press the following screen: to display Press or to highlight the desired network name, then press . The monitor automatically turns itself off, then turns on and seeks to connect to a FlexNet network with the new network name. If the current network name is a custom name, the monitor displays the following screen: You cannot change the network name using the Network Name Menu.
49 6 Reference Operating settings The following table lists all of the monitor settings and the default settings.
50 Chapter 6 Reference Welch Allyn Micropaq Monitor Specifications Monitor radio specifications (5 GHz) Characteristic FlexNet™ Network Modulation Output power IEEE standards Monitors per access point Specification 5 GHz orthogonal frequency division multiplexing (OFDM) wireless local area network (WLAN) and 10/100/1000 base-T Ethernet network OFDM 40 mW maximum; country-dependent 802.11a, 802.11e, 802.11h, 802.1X 20 (max.
Directions for Use Chapter 6 Reference 51 ECG specifications The ECG channel meets all the requirements for Cardiac Monitors Heart Rate Meters and Alarms specified ANSI/AAMI EC13-1992, except for Impulse response at the monitor (section 3.2.9.8 part (c)), and Standardizing Voltage at the monitor and at Acuity (section 3.2.9.9). The channel also meets the American National Standard, Safe Current Limits for Electromedical Apparatus (ANSI/AAMI ES1-1993).
52 Chapter 6 Reference Characteristic Common Mode Rejection FILTER function OFF FILTER function ON Input Impedance Input Range (ac) Welch Allyn Micropaq Monitor Specification <1 mV p-p RTI for 10V rms, 50/60 Hz into unbalanced input <30 µV p-p RTI for 10V rms, 50/60 Hz into unbalanced input >2.
Directions for Use Chapter 6 Reference 53 Heart rate and arrhythmia analysis option Method for calculating heart rate Monitor Determined by monitor (displayed at monitor) Heart rate = 60 / latest average interval in seconds. For higher heart rates, latest average interval = 7/8 of previous average interval + 1/8 of latest interval For lower heart rates, latest average interval = 3/4 (previous average interval) + 1/4 latest interval.
54 Chapter 6 Reference Welch Allyn Micropaq Monitor Pulse oximetry (SpO2) specifications - Masimo Characteristic Saturation (% SpO2) Range Resolution Alarm Limitsa With Acuity 6.0 or higher With Acuity 5.
Directions for Use Chapter 6 Reference 55 Pulse oximetry (SpO2) specifications - Nellcor Characteristic Saturation (% SpO2) Range Resolution Alarm Limitsa With Acuity 6.0 or higher With Acuity 5.4X or lower Probe Accuracyb c(Adults, Pediatrics) Pulse Rate Range Resolution Alarm Limits Pulse Rate Accuracy Display Update Interval at the monitor Alarm Hold-Off Time Period Circuitry Electrosurgery interference suppression Sensor Compatibility Sensor LED Wavelengths Sensor Energies (Radiant Power) a. b. c.
56 Chapter 6 Reference Welch Allyn Micropaq Monitor Patient alarm and equipment alert specifications Characteristic Visual Alarm Indicator at the monitor Flashing GREEN LED Flashing RED LED Continuously ON RED LED Flashing YELLOW LED Continuously ON YELLOW LED Audio Tone Locations Audio Tone Frequency Life-Threatening Arrhythmia Alarm Tone Pattern Patient Alarm Tone Pattern Equipment Alert Tone Pattern Audio Tone Volume Specification Normal operation Patient alarm Patient alarms are silenced An equipmen
Directions for Use Chapter 6 Reference Characteristic Transmitter Battery Failure a. 57 Specification An equipment alert is generated before the monitor battery becomes exhausted. To help minimize false alarms, the monitor briefly delays or "holds off" triggering both audible and visual alarms for limit violations for these vital signs. After the alarm hold-off period begins, if the monitor detects that the patient’s vital sign has returned to acceptable limits, the monitor cancels the alarm hold-off.
58 Chapter 6 Reference Welch Allyn Micropaq Monitor Physical specifications Protection classifications, all configurations Characteristic Specification Type of Protection against Electric Battery operation only Shock—Monitor Type: CF Battery must be recharged in separate battery charger. IEC EN 60601-1, 2nd Edition Degree of Protection Against Electric See monitor labels. CF defibrillator protected.
Directions for Use Chapter 6 Reference Eight-bay battery charger specifications Characteristic Reorder Number Universal Battery Charger Active C Functional Specifications Capacity Protection Classificationsa Duty Cycle Type of Protection Against Electric Shock Degree of Protection Against Harmful Ingress of Water Method of Disinfection Flammable Anesthetics Environmental Specifications Operating Temperature Shipping and Storage Temperature Operating Altitude Shipping and Storage Altitude Operating Relativ
60 Chapter 6 Reference Welch Allyn Micropaq Monitor
61 7 Compliance General The 802.11a Wireless PC Card must be installed and used in strict accordance with the manufacturer’s instructions as described in the user documentation that comes with the product. This product contains encryption. It is unlawful to export out of the U.S. without obtaining a U.S. Export License. Federal Communications Commission (FCC) This device complies with part 15 of the FCC Rules.
62 Chapter 7 Compliance Welch Allyn Micropaq Monitor The correction of interference caused by such unauthorized modification, substitution or attachment will be the responsibility of the user. Industry Canada (IC) emissions This device complies with RSS 210 of Industry Canada. Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of this device.
Directions for Use Chapter 7 Compliance Swedish 63 Härmed intygar Welch Allyn att denna RLAN device står I överensstämmelse med de väsentliga egenskapskrav och övriga relevanta bestämmelser som framgår av direktiv 1999/ 5/EG. Electromagnetic compatibility Special precautions concerning electromagnetic compatibility (EMC) must be taken for all medical electrical equipment. This device complies with IEC EN 60601-1-2:2001.
64 Chapter 7 Compliance Welch Allyn Micropaq Monitor Monitor Monitor - Guidance and Manufacturer’s Declaration—Electromagnetic Emissions The Model 4XX Series Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment.
Directions for Use Chapter 7 Compliance 65 Monitor - Guidance and Manufacturer’s Declaration—Electromagnetic Immunity The Model 4XX Series Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment.
66 Chapter 7 Compliance Welch Allyn Micropaq Monitor Monitor - Guidance and Manufacturer’s Declaration—Electromagnetic Immunity The Model 4XX Series Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment.
Directions for Use Chapter 7 Compliance 67 Recommended Separation Distances Between Portable and Mobile RF Communications Equipment and the Model 4XX Series Monitor The Model 4XX Series Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
68 Chapter 7 Compliance Welch Allyn Micropaq Monitor Battery charger for the monitor Monitor Battery Charger Only- Guidance and Manufacturer’s Declaration—Electromagnetic Emissions The Battery Charger for the Model 4XX Series Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the battery charger should assure that it is used in such an environment.
Directions for Use Chapter 7 Compliance 69 Monitor Battery Charger Only- Guidance and Manufacturer’s Declaration—Electromagnetic Immunity The Battery Charger for the Model 4XX Series Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment.
70 Chapter 7 Compliance Welch Allyn Micropaq Monitor Monitor Battery Charger Only- Guidance and Manufacturer’s Declaration—Electromagnetic Immunity The Battery Charger for the Model 4XX Series Monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the battery charger should assure that it is used in such an environment.
Directions for Use Chapter 7 Compliance 71 Recommended Separation Distances between Portable and Mobile RF Communications Equipment and the Battery Charger for the Model 4XX Series Monitor The Battery Charger for the Model 4XX Series Monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
72 Chapter 7 Compliance Welch Allyn Micropaq Monitor
73 Index 1-Waveform display, 15 2-Waveform display, 15 5-Second waveform display, 15 A Accessories, 16 Inspection and cleaning, 45 Use only recommended, 6, 16 Access points, 8 Acuity, 8 Acuity Central Station, 1, 8 Alarm holdoff at Acuity, 56 Default settings for Micropaq, 49 Download default settings, 21 DROPOUT equipment alert, 30 Messages displayed on Micropaq, 16 Micropaq operating settings, 16 Monitoring at Acuity, 41 Silence Micropaq alarms, 36 ACUITY CONNECTION LOST, 40 Acuity Menu END TELE, 13 NEW
74 Index Acuity and settings, 16, 49 Operating settings, 16, 49 DEFECTIVE SPO2 SENSOR, 40 Defibrillation During SpO2 monitoring, 26 Warning, 4 Delays for alarms, 35 Demo Mode Accessing, 17 Display values, alarm limits, 18 Toggling between modes, 18 Demonstration Mode, 17 Disconnection symbol, 12 Discontinue monitoring a patient, 30 Display Alert messages, 40 Artifact interference, 22 Blank during sleep mode, 12 Indicator symbols, 12 Pacemaker signals, 12 Sleep mode, 12 Specifications, 57 Waveform display
Directions for Use Main Menu EXIT, 13 Menu Lock option, 14, 49 Restricting access, 14 Maintenance Inspection and cleaning, 45 Operator maintenance, 43 Masimo SET technology, 7 Menu Lock option, 14, 49 Messages for alerts, 40 Messages from Acuity, 16 Micropaq Acuity messages, 16 Adjust alarm limits, 37 Alarms, 36 Audible indicators, 10 Automatic reconnection, 8 Battery recharging, 43 Communication with network, 8 Connect to the network, 19 Default operating settings, 16 Default settings, 49 Demo Mode, 17 Eq
76 Index Welch Allyn Micropaq Monitor Reconnect a recently monitored patient, 31 Reconnection to network, 8 Recycling Batteries, 46 Monitor, 46 Red LED, 10 Replace the battery, 43 Respond to equipment alert, 38 Respond to patient alarms, 36 RF warning, exposure, 5 Room selection, 21 Routine maintenance, 43 Warnings, 26 While monitoring NIBP, 27 Stop monitoring a patient, 30 Symbols, display, 12 System error, 40 S U Scroll Up/Down Keys, 10 Select Patient, 20 Room, 21 Select Patient at Central, 20 Sele