Protocol Propaq 242 Manual

Vital Signs Monitor
Directions for Use
Models 242, 244, 246
Software Version 3.1X
Please check for Updates in the back pocket
of this manual.
0123

Copyright © 2000 by Protocol Systems,Inc. Protocol
®
, Propaq
®
, Propaq
®
CS, Acuity
®
, Protocol Cordless
®
, and Flexible
Monitoring
®
are registered trademarks and Smartcuf™ 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 Mallinckrodt, Incorporated.
LIFEPAK 5
®
and LIFEPAK 6s
®
are registered trademarks of Physio-Control Corporation.
The HP Component Monitoring System is a product of Agilent (formerly Hewlett-Packard Company).
Copyright Notice: Software in this Product is Copyright © 2000 by Protocol Systems, Inc., or its vendors.All rights are
reserved.The software is protected by United States of America Copyright laws, and international treaty provisions
applicable all over the world.Under such laws, it may be used as intended in the operation of the product in which it is
embedded, but it may not be copied, decompiled, reverse-engineered, disassembled, or otherwise reduced to
human-perceivable form. Protocol Systems, Inc. will make available specifications necessary for interoperability of this
software on request; however, users should be aware that use of Protocol Systems, Inc.hardware and software with
devices or software not sold by Protocol or its authorized dealers and affiliates may lead to erroneous results and
consequent danger in patient care, and may also void Protocol’s warranty.
Disclaimers: Protocol Systems, Inc.cautions the reader of this manual:
• This manual may be wholly or partially subject to change without notice.
• All rights are reserved.No one is permitted to reproduce or duplicate, in any form, the whole or part of this manual
without permission from Protocol Systems, Inc.
• Protocol Systems, Inc.will not be responsible for any injury to the user or other person(s) that may result from accidents
during operation of the Propaq CS monitor.
• Protocol Systems, Inc.assumes no responsibility for usage not in accordance with this manual that results in illegal or
improper use of the Propaq CS monitor.
For information concerning this document or any Protocol Systems product, contact:
Protocol Systems, Inc.
Customer Service
8500 SW Creekside Place
Beaverton, Oregon 97008-7107 USA
Within USA, toll free:
Phone: [phone]
Phone Technical Services: [phone]
WorldWide: Phone: [phone]
Fax: [phone]
Fax Technical Services: [phone]
Internet: http://www.protocol.com
Email Technical Services: [email protected]
Email Marketing Dept.: [email protected]
Protocol Medical Systems, Ltd.: NW Europe
Derby Service Centre
St. Georges House
Vernon Gate
Derby DE1 1UQ, United Kingdom
Phone: [phone]
Fax: [phone]
Email: [email protected]
Protocol Systems, Inc.: Asia/Pacific
P.O. Box 29020
Christchurch 5, New Zealand
Phone: [phone]
Fax: [phone]
Reorder No: 810-1097-01, Rev. A 5/00
Printed in USA

Table of
Contents
Propaq CS Directions for Use 3
Contents
1 – General Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Intended Use, Symbols, and Safety Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Controls and Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Learn Propaq CS Operation with In-Service Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . 16
2 – Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Prepare the Propaq CS Monitor for a New Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Set Patient Alarms and Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Change the Current Patient Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Change Powerup Patient Mode or Store Customized Settings . . . . . . . . . . . . . . . . . . 23
3 – Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Perform ECG/RESP Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Use the Propaq CS Monitor With Pacemaker Patients . . . . . . . . . . . . . . . . . . . . . . . . 32
Perform Invasive Blood Pressure (IBP) Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Take a Non-Invasive Blood Pressure (NIBP) Reading. . . . . . . . . . . . . . . . . . . . . . . . . 36
Perform Temperature Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Perform SpO
2
Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Perform Mainstream CO
2
Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Perform Sidestream CO
2
Monitoring. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Set Up the CO
2
Display and Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
4 – Alarms & Alerts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51
Respond to Patient Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Customize Alarm Limits Based on Patient’s Current Vital Signs. . . . . . . . . . . . . . . . . 54
Alarm Holdoffs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Connect Nurse Call Option . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Respond to An Equipment Alert. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 56
Troubleshooting Equipment Alert Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
5 – Printing & Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65
Print Patient Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 67
Display or Print Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68
Set Printer Options and Automatic Printing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70
Print OxyCRG . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71

4 Protocol Systems, Inc.
6 – Acuity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73
Connect the Monitor to the Acuity System. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 75
Disconnect the Monitor from the Acuity System . . . . . . . . . . . . . . . . . . . . . . . . . . . . 76
7 – Defibrillator Synchronization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 77
Synchronous Cardioversion with LIFEPAK 5 Defibrillator . . . . . . . . . . . . . . . . . . . . . . 79
Synchronous Cardioversion with LIFEPAK 6s Defibrillator . . . . . . . . . . . . . . . . . . . . . 82
8 – Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Connect the AC Power Adapter to Recharge the Battery . . . . . . . . . . . . . . . . . . . . . . 87
Replace Monitor Input Power Fuse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 89
Install Printer Paper . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 90
Inspect and Clean the Monitor and Accessories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Service Interval Recommendations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92
9 – Reference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Set the Time and Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95
Change the Date Format, ECG Filter, and Units . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96
Factory Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97
Specifications. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 99
10 – Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 115

General
Information
1 – General Information
Intended Use, Symbols, and Safety Information . . . . . . . . . . . . . . . . . . . . . 7
Intended Use. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
General Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
Controls and Connectors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Touch-Screen Controls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
System Control and Connectors (Right Side Panel) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Patient Connectors (Left Side Panel) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Option Connectors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Display. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Menus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Main Menu . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Setup Menus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Learn Propaq CS Operation with In-Service Mode . . . . . . . . . . . . . . . . . . 16

6 Protocol Systems, Inc.

Propaq CS Directions for Use 7
General
Information
Intended Use, Symbols, and Safety Information
Intended Use
The Propaq CS 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. It is
also intended for intra-facility and ambulance transport.
The ECG channel is intended for five-lead or three-lead ECG monitoring.
The Respiration (RESP) channel is intended to detect the rate or absence of respiratory effort, deriving the
signal by measuring the ac impedance between selected terminals of ECG electrodes.
The Invasive Pressure (IBP) channel is intended for measuring arterial, venous, and intracranial pressures
(and umbilical artery and vein pressures for neonates) using invasive transducers.
The Noninvasive Blood Pressure (NIBP) channel is intended for indirectly measuring arterial pressures using
an inflatable cuff. If ECG is also monitored, the Propaq CS Smartcuf™ software algorithm automatically
synchronizes the NIBP measurement process to the occurrences of the R-wave, increasing accuracy in cases of
extreme artifact and diminished pulses. The operator may disable or enable the Smartcuf algorithm in the
NIBP Menu.
The Temperature (TEMP) channel is intended to measure temperature using an attachable probe.
The Pulse Oximetry (SpO
2
) channel is intended to noninvasively measure oxygen saturation of arteriolar
hemoglobin at a peripheral measurement site.
The Capnography (CO
2
) channel is intended to noninvasively measure the following vital signs or events:
End-tidal CO
2
(ETCO
2
), Inspired CO
2
(INCO
2
), Breath Rate, and Apnea.
This guide was written for clinicians. 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. This monitor has been designed as a quality monitor; however, inherent
limitations require that good clinical judgment always prevails.
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.
Note
NOTE statements provide additional important information.

8 Protocol Systems, Inc.
The following symbols may appear on the Propaq CS monitor or accessories. They are defined by the
International Electrotechnical Commission, IEC 878 and IEC 417A.
Off (Standby) Two way communication port
On Input port
For continued fire protection, use only the
specified fuse Output port
Direct current Alternating current
1
Direct current or alternating current Separate batteries from other disposables for
recycling.
Caution: Refer to Directions For Use and
accompanying documentation Enclosure Protection Drip proof: Classification IPX1 per IEC Publication 529
Battery charging when green indicator
illuminated Temperature sensor input
Patient connections are Type CF, isolated for
direct cardiac application, and protected
against defibrillation
Transformer meets requirements of a
short-circuit-proof safety-isolating power
transformer
1
1.This symbol is on the Universal Power Adapter.
Patient connections are Type BF, and
protected against defibrillation For indoor use only (on power adapter only)
Patient connections are Type B Signifies the device has met all essential
requirements of European Medical Device
Directive 93/42/EEC for a Class 1 product
1
The CE Mark and Notified Body Registration
Number signify the device has met all
essential requirements of European Medical
Device Directive 93/42/EEC
The Canadian Standards Association has
evaluated this device according to CSA
601-1 and Underwriters Laboratory Standard
UL 2601-1
1
.
Urgent alarm notification (output to Nurse
Call system) This device has been tested and certified by the Canadian Standards Association
International to comply with applicable U.S.
and Canadian medical safety standards.
Apply the NIBP cuff as shown.
Single-use only (not reusable).
IPX1
0123
NRTL/C
Evaluated to CSA 601-1
and UL2601-1
CUS
2
NIBP cuff sizes:
Thigh
Large adult
Adult
Small adult
Child
Infant

Propaq CS Directions for Use 9
General
Information
General Warnings and Cautions
Familiarize yourself with all warnings and cautions before using the Propaq CS monitor. In addition
to the following, other warnings and cautions appear throughout this manual.
Warning
Safe interconnection between the Propaq CS monitor and other devices must comply with applicable medical
systems safety standards such as IEC 601-1-1.
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.
Before you use a Propaq CS monitor on a new patient, always turn off the monitor for a few seconds, then turn
it on again. This clears the prior patient’s trend values, alarm limit settings, and NIBP cuff inflation target.
Always check the patient mode when monitoring a new patient. The patient mode determines default alarm
limits, maximum cuff inflation pressure, and internal algorithm settings.
The monitor may not meet its performance specifications if stored or used outside the specified temperature
and humidity ranges.
Place the Propaq CS monitor and accessories in locations where they cannot harm the patient if 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.
Inspect the power adapter cord periodically for fraying or other damage, and replace the adapter as needed. Do
not operate the apparatus from ac power with a damaged power adapter cord or plug.
Make frequent electrical and visual checks on cables, sensors, and electrode wires. All cables, sensors, and
electrode wires must be inspected, properly maintained, and in proper working order to allow the equipment to
function properly and protect patient safety.
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 monitor’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.
Electronic equipment that emits strong electromagnetic or radio frequency signals can cause electrical
interference with ECG monitor operation. This interference may distort the displayed or recorded ECG signal, thereby
preventing accurate rhythm analysis. Avoid operating this device near equipment of this type.
To help protect against electrical shock due to leakage current, use only monitor ac power adapters
recommended in the Protocol Systems Products and Accessories booklet (P/N 810-0409-XX).
For best product performance and measurement accuracy, use only accessories supplied by Protocol
Systems or recommended in the Protocol Systems Products and Accessories booklet. Use accessories according to
your facility’s standards and the manufacturer’s recommendations. Always refer to the manufacturer’s Directions for
Use.
If a product has been dropped or severely abused, send it to a qualified service person to confirm proper
operation and acceptable risk (leakage) current values.
Some or all NIBP safety functions are disabled in the NIBP TEST screen in the Service Menu. Do not attempt to
conduct NIBP TEST when the cuff is attached to a patient.
Do not use the Propaq CS monitor in a Magnetic Resonance Imaging (MRI) suite or a hyperbaric chamber.
Such use can cause fire or explosion resulting in patient injury and monitor damage.
Impedance pneumography and CO
2
monitoring may not operate properly when used in conjunction with
high-frequency jet ventilation or high-frequency oscillatory ventilation.

10 Protocol Systems, Inc.
Caution
Do not autoclave the Propaq CS monitor. Autoclave accessories only if the manufacturer's instructions clearly
approve it. Many accessories can be severely damaged by autoclaving.
Federal USA law restricts this device to sale, distribution, or use by or on the order of a licensed medical
practitioner.
It is possible for the monitor to detect a problem that prevents the monitor from operating properly. If
this occurs, the monitor displays an error message and error number. Report such errors to Protocol
Systems.
The Propaq CS monitor should be serviced only by a Protocol Systems service technician while under
warranty. The Propaq CS Service Manual (P/N 810-1101-XX) is available from Protocol Systems to
assist the biomedical engineer during post-warranty period service.
Controls and Connectors
Mainstream
CO2Option
Nurse Call
Option
Printer Buttons
Alarm(s) Off Light
Alarm Light
Sidestream
CO2Option
Printer
Option
SpO2
Option
Starts or stops NIBP
reading
Suspend/
Resume
Alarm
Returns the display to
the Main Menu
Suspends alarm tone
for 90 seconds or
resumes alarm tone
(if active)
Start/
Stop
NIBP
Home

Propaq CS Directions for Use 11
General
Information
Touch-Screen Controls
The front panel touch-screen provides five softkeys along the bottom and three icon-labeled keys
along the right side. An Acuity
NET OFF
key is displayed in the upper left corner if the monitor is
connected to an Acuity system. These keys allow control of all monitoring and setup functions.
Note
Avoid pressing more than one touch-screen key at a time. Touching more than one key area at a time can cause the
touch-screen to misinterpret the command and respond to the wrong key.
Caution
Do not touch the screen with a sharp object such as a pen or pencil. Sharp objects can damage the
touch-screen. Use your finger to press the touch-screen keys.
System Control and Connectors (Right Side Panel)
DEFIB SYNCHROMONITOR
EKG x 1000
!
3A
2AG
!
!
!
12-28V, 3A
Input Fuse
On/Off Switch
Power Input Connector
Defib Sync Connector
Real-time ECG Output Connector
Battery Charging Light
Speaker
Connector for Acuity or Modem-Propaq

12 Protocol Systems, Inc.
Patient Connectors (Left Side Panel)
Option Connectors
NIBP
PSNI
ECG/EKG RESPINV. BP
T1
T2
P1
!
NIBP
INV. BP P1
COMPATIBLE
HP
!P
S
N
I
ECG/EKG RESP
NIBP
PSNI
ECG/EKG RESPINV. BP
T1
T2
INV. BP P2
P1
!
NIBP
ECG/EKG RESP
INV. BP
INV. BP P2
P1
COMPATIBLE
HP
!
P
S
N
I
NIBP
PSNI
ECG/EKG RESP
T1
T2
!
NIBP
COMPATIBLE
HP
!P
S
N
I
ECG/EKG RESP
Propaq CS Model 242
HP Model 242*
Propaq CS Model 246
HP Model 246*
Model 242
ECG
NIBP
Temperature (two channels)*
Model 246
ECG
Invasive Pressure (two channels)
NIBP
Temperature (two channels)*
Model 244
ECG
Invasiv Pressure (one channel)
NIBP
Temperature (two channels)*
Propaq CS Model 244
HP Model 244*
*The HP (Hewlett-Packard) side panels provide only one temperature connector.
NELLCOR
SENSORS/CAPTEURS
!
SpO2
!
CO2
!
CO2
SpO2Connector Mainstream CO2Connector Sidestream CO2Connector Nurse Call Connector

Propaq CS Directions for Use 13
General
Information
Display
You can select up to four waveforms to be shown on the Propaq CS monitor. When only one
waveform is selected, a trend window automatically appears beneath the waveform.
While changing monitor settings, a status window may appear below the waveform:
NET
OFF
HR
MON
V
MON
17:05:10 PRINT FAULT
II
BR
P
1
( 96)
BPM
mmHg
(M)
TEMP
130
100
70
30
15
0
P
2
P
1
100.4
9 .6
1.
97
121
79
S
D
P2
( 15) mmHg
(M) 25
9
S
D
NIBP
( 5) mmHg
(M)
%
°F
122
5
MCO2
S
p
O2
mmHg 3 Br/m
12
S
D
STATSCALE
ALARMS
ACUITY
TRENDS
MORE
ADULT
ON NETWORK
T1
T2
∆T
mV
cm
1
mV
cm
1
112
ALLEN KIM
Bells indicate
alarm limit status
NET OFF
to disconnect
from the Acuity
network.
Heart Rate in
beats per minute.
HeartRateSource:
HR indicates ECG;
PR indicates blood
pressure or SpO2.
All numeric
values are
continuously
displayed and
updated.
If the monitor
detects a vital
sign outside the
measurable
range, it displays
- - - (below the
range) or + + +
(above the
range).
When
selected,
trends are
displayed
here.
Patient mode Status messages can appear here.Time of day
Patient name
entered at
Acuity Central
Station.
STATSCALE
automatically adjusts
all waveform scales for
optimum viewing.
12
ADULT
ECG/RESP
MON
17:05:10 PRINT FAULT
II
BR
P
1
( 96) mmHg
(M)
TEMP 100.4
9 .6
1.
97
121
79
S
D
P2
( 15) mmHg
(M) 25
9
S
D
NIBP
( 5) mmHg
(M)
%
°F
122
5
MCO2
S
p
O2
mmHg 3 Br/m
S
D
NEXT CHANGE PREVIOUS
MENU
NET
OFF ON NETWORK
T1
T2
∆T
mV
cm
1
112
HR
BPM
: ON
: MONITOR (0.5-40Hz)
: Ld2 (RA-LL)
: OFF
HR/PR TONE
PACER DISPLAY
ECG BANDWIDTH
RESP LEAD
RESP MONITORING : ON
ALLEN KIM
Status
window
Oxygen saturation is
a percentage value.
ETCO2
concentration
Breath Rate
from CO2
Systolic, diastolic,
and mean pressures
are uniquely labeled
and displayed.
ECG1
waveform
is always
displayed
if active.

14 Protocol Systems, Inc.
Menus
Menus for some patient vital signs are displayed only if the option is included in your Propaq CS
monitor.
Main Menu
START AUTO/
MANUAL TURBOCUF
STOP
INTERVAL
ECG1
SIZE ECG2 SIZE RESP SIZE MORE
SIZE MORE
PREVIOUS
MENU
mm/s MORE
GAS
COMP RESPONSE
CO2 MENU 2A (NO CO2 SENSORS)
SpO2 MENU 1
SpO2 MENU 2
INVASIVE PRESSURE MENU 1
INVASIVE PRESSURE MENU 2
ECG/RESP MENU 1
NIBP MENU
CO2 MENU 1
MAIN MENU
PREVIOUS
MENU
SpO2 CO2
ECG/RESP MENU 2
RANGE RESCALE ZERO P1 MORE
CANCEL
ZERO P2
CANCEL
GAS
COMP RESPONSE SOURCE
CO2 MENU 2B (MAINSTREAM CO2 ACTIVE)
CO2 MENU 2C (SIDESTREAM CO2 ACTIVE)
GAS
COMP RESPONSE SOURCE
FLOW
RATE
PREVIOUS
MENU
SETUP
NIBP ECG/
RESP INVASIVE
PRESSURE SpO2/
CO2
PREVIOUS
MENU
PREVIOUS
MENU
PREVIOUS
MENU
RESPONSE C-LOCK PREVIOUS
MENU
LABEL
P1 FORMAT P1 LABEL P2 PREVIOUS MENU
FORMAT
P2
ECG1
LEAD
NEXT PREVIOUS
MENU
CHANGE
RANGE
SMARTCUF

Propaq CS Directions for Use 15
General
Information
Setup Menus
4Patient Mode menu
is accessed when
CHANGE is pressed
for PATIENT MODE.
3Service menu tests
are only for use by
authorized service
personnel and are
only available in the
Adult patient mode.
2ON/OFF key is not
displayed for HR/PR
alarm limits if the
HR/PR ALARM
LIMITS setting is set
to CANNOT TURN
OFF.
STAT SET SUSPEND ALL
ALARMS LIMITS PREVIOUS MENU
SETUP
NIBP ECG/
RESP INVASIVE
PRESSURE SpO2/ CO2
ALARMS MENU
RESUME
NEXT
SETTING UP DOWNNEXT PARAMETER ON/ OFF
ALARM LIMITS MENU2
TREND MENU
PRINT NEXT
TREND PRINT OXYCRG
SETUP MENU 1 MOREALARMS TRENDS
WAVE SEL
STATSCALE
ON/
OFF
NEXT INSERVICE PREVIOUS
MENU
MORENIBP
TEST IBP
TEST SpO2
TEST CO2
TEST
MORE
NEXT CHANGE WAVE
SELECT PRINTER
WAVE SELECT MENU
SERVICE MENU 13
PREVIOUS
MENU
NEXT CHANGE PRINT
TREND
PRINTER SETUP MENU
TEMP
TEST PIXEL
TEST PCMCIA
TEST
SERVICE MENU 23
MORESETTINGS SCREEN
CAL SYSTEM
SERVICE MENU 33
NET
TEST
NEXT UP DOWN ENTER
TIME/DAY MENU
PREVIOUS
MENU
NEXT CHANGE
SETTINGS MENU
PREVIOUS
MENU
NEONATAL PEDIATRIC SETUP
PATIENT MODE MENU4
NEXT POWERUP* USE
NOW SAVE
MODE SETUP MENU
SETUP MENU 2
MORE
SERVICE
WAVE
SELECT
ACUITY
ACUITY MENU1
1Acuity Menu is
displayed if the monitor
is connected to Acuity.
NET
OFF SNAPSHOT PREVIOUS MENU
NO
INSERVICE
ADULT
CHANGE
PREVIOUS
MENU

16 Protocol Systems, Inc.
Learn Propaq CS Operation with In-Service Mode
You can practice using the Propaq CS monitor with the in-service mode of operation.
The in-service mode cannot be activated while you are monitoring a patient. During in-service mode,
the monitor display and all printouts include the message SIMULATING or SIMULATED DATA.
To practice with your Propaq CS monitor:
1. Disconnect all patient cables connected to the monitor. You can leave the NIBP cuff connected
to the monitor so you can take NIBP measurements.
2. If you have been monitoring a patient, turn off the monitor and turn it back on.
If your monitor is programmed so that the NIBPAutomatic Mode is selected at powerup,
select one of the Factory Patient Modes as the powerup patient mode (see page 23). Then turn
the monitor off and turn it back on. (The in-service mode is not available if the NIBP
Automatic Mode has been selected.)
3. From the Main Menu, press SETUP,WAVE SELECT, INSERVICE.
The Propaq CS monitor has two sets of simulated patient information. To change between the
sets, from the Main Menu press SETUP,WAVE SELECT, and INSERVICE again.
While in the in-service mode, you can press any monitor keys (except the AUTO/MANUAL key in
the NIBP Menu) to change a function setting. For example, you can change ECG and RESP
waveform sizes, set alarm limits, or set custom settings.
You can also apply the NIBP cuff to yourself and take NIBP measurements.
4. To exit the in-service mode, turn off the monitor.
If you changed the powerup patient mode in step 2, be sure to restore the appropriate
powerup patient mode according to your local protocol.
Note
The in-service mode is not available if the monitor detects that a sensor has been connected (except for an NIBP cuff)
or the NIBP Automatic Mode has been selected. If the monitor is in in-service mode and you connect a sensor (except for an
NIBP cuff) or press the NIBP AUTO/MANUAL key, the monitor will turn off power to exit the in-service mode, and then turn on in
the normal operating mode.
The pacemaker signal indicators are not displayed in the in-service mode.

Setup
2 – Setup
Prepare the Propaq CS Monitor for a New Patient . . . . . . . . . . . . . . . . . . 19
Set Patient Alarms and Alarm Limits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Change the Current Patient Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Change Powerup Patient Mode or Store Customized Settings . . . . . . . . 23
Change the Powerup Patient Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Customize Patient Mode Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

18 Protocol Systems, Inc.

Propaq CS Directions for Use 19
Setup
Prepare the Propaq CS Monitor for a New Patient
Warning
Before you use a Propaq CS monitor on a new patient, always turn it off for a few seconds, then turn it on
again. This clears the prior patient’s trend values, alarm limit settings, and NIBP cuff inflation target.
1. Press the gray recessed MONITOR button on the right side of the monitor to turn the monitor
off (if it is on). Press it again to turn the monitor on. The monitor displays the powerup screen
for about 10 seconds, then displays the Main Menu. The monitor is in the powerup patient
mode with the associated settings.
2. Confirm that the monitor emits a tone. If the monitor has SpO2, listen for two tones and
confirm both speakers are working.
Note
Check the battery voltage level on the powerup screen (or check it on the Time/Day window: Home,
SETUP, MORE, MORE). If the battery voltage is 7.4V or less or a low battery message is displayed, connect the
monitor to an ac power adapter to recharge the battery (see page 24). Connecting the adapter does not interrupt
patient monitoring.
3. Confirm the monitor is in the correct patient mode according to the patient’s age. If the patient
mode is not correct, from the Main Menu press SETUP, MORE, CHANGE to access the Patient
Mode window:
4. Based on the patient’s age, press NEONATAL, PEDIATRIC, or ADULT. When the confirmation
window appears, press YES to confirm your selection.
Whenever you change the patient mode, the alarm limit settings, maximum NIBP cuff inflation
pressures, and internal computations are automatically changed to the defaults for that patient mode.
See page 23 for information about preset Factory patient modes or programmable Custom patient
modes.
Note
If you change the patient mode, the CO2alarm limits in the new mode might vary slightly from the
originally-programmed CO2alarm limits for the new mode. Check the CO2alarm limits.
Home
PATIENT MODE
NEONATAL
PEDIATRIC
ADULT SETUP
SELECT PATIENT MODE BASED ON AGE:
PED : > 44 WEEKS GEST. AGE,
ADULT:
NEO : < 44 WEEKS GEST. AGE
< 9 YEARS
> 9 YEARS
BATTERY: .2 VOLTS
PREVIOUS
MENU

20 Protocol Systems, Inc.
5. To select which vital sign waveforms will display, from the Main Menu press SETUP, MORE,
WAVE SELECT. Use NEXT and ON/OFF to turn on the desired waveforms in the Wave Select
window..
You can turn on all waveforms, but only the first four waveforms selected as ON in the Wave Select
window are displayed. You cannot turn off the ECG1 waveform.
6. To set the HR/PR source, display sweep speed, tone volumes, and display brightness, from
the Main Menu press SETUP, MORE to access Setup Menu 2. Use NEXT and CHANGE to select
settings.
CURRENT SOURCE When the selected HR/PR source is no longer available, the current
source is the active source with highest priority. The RR/BR source
cannot be manually selected. It is always CO2if CO2is active.
Otherwise, it is ECG/RESP.
SELECTED SOURCE The user-selected HR/PR source is displayed along with the HR/PR
source currently used by the monitor.
SWEEP (mm/s) Selectable sweep speeds for HR/PR: 12.5, 25, 50 mm/sec.
Selectable sweep speeds for RR/BR: 3.13, 6.25, 12.5 mm/sec.
ALARM TONE Sets the Alarm Tone volume to HIGH, MEDIUM, or LOW.
HR/PR TONE Sets the Heart Tone volume to HIGH, MEDIUM, LOW, or OFF.
BRIGHTNESS Sets the display brightness to NORMAL or LOW.
Warning
At the highest volume alarm level, the sound pressure level does not exceed safe limits (OSHA HSM 73-1101,
1972). However, additional precautions may be required in patients under treatment with ototoxic medications.
SETUP
ECG1 : ON
WAVE SELECT
CO2 : ON
RESP : ON
SpO2 : ON
NIBP : ON
ECG2 : ON
NEXT
ON/
OFF
INSERVICE PREVIOUS
MENU
PA : ON
P
2: ON
SETUP
CURRENT SOURCE : ???
SELECTED SOURCE : ECG
SWEEP (mm/s)
ALARM TONE
HR/PR TONE
PATIENT MODE
BRIGHTNESS
HR/PR RR/BR
NEXT
CHANGE WAVE
SELECT MORE
???
---
:25.0 6.25
:
:
:
:
LOW
OFF
ADULT
NORMAL
PRINTER
The ? ? ? is
displayed until
a source is
active.