Protocol PROPAQ Encore User manual

English Update for software versions 2.0X-2.1X.
Keep this update in the back pocket of your manual.
Deutsch
Aktualisierung zur Software-Version 2.0X-2.1X Gebrauchsanweisung.
Bewahren Sie diese Aktualisierung in der Tasche in der hinteren Umschlagseite des
Handbuchs auf.
Français
Mise à jour jusqu’à la version logiciel 2.0X-2.1X Guide de référence.Gardez
cette mise à jour dans la pochette à l'arrière de votre manuel.
Español
Actualizar al software Guía de Referencia 2.0X-2.1X. Guarde esta
actualización en el boisillo trasero de su manual.
Italiano
Aggiornamento della Guida di Riferimento del software versione 2.0X-2.1X.
Conservate questo aggiornamento nella tasca in fondo al vostro manuale.
Nederlands
Update voor de gebruiksaanwijzing van software versie 2.0X-2.1X.
Bewaar deze update in de houder op de achterzijde van uw handleiding.
Português
Actualização das Instruções de Utilização da versão de software
2.0X-2.1X. Manter esta actualização na contracapa do manual.
Svenska Uppdatering till bruksanvisning till version 2.0X-2.1X av mjukvaran.Spara
denna uppdatering i fickan sist i handboken.
Directions for Use
Reference Guide
Vital Signs Monitor
Update

Copyright © 2000, Protocol Systems, Inc.
Protocol
®
, Propaq
®
, Propaq Encore
®
, 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.
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, you are licensed to use the
copy of the software incorporated with this instrument as intended in the operation of the product in which
it is embedded, but the software may not be copied, decompiled, reverse-engineered, disassembled or
otherwise reduced to human-perceivable form. This is not a sale of the software or any copy of the
software; all right, title and ownership of the software remains with Protocol or its vendors. Protocol
Systems, Inc. will make available specifications necessary for interoperability of this software on request;
however, users should be aware that use of Protocol 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 Encore.
•Protocol assumes no responsibility for usage not in accordance with this manual that results in illegal
or improper use of the Propaq Encore.
Send correspondence regarding this manual and other Protocol products to:
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.
810-0980-03 Rev. A, 5/00
Printed in USA
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
Technical Services email:
[email protected]
Marketing Department email:
[email protected]
0123

Propaq Encore 2.0X-2.1X Reference Guide/Directions for Use 3
Update
Contents
English . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Improve NIBP Accuracy with Smartcuf™. . . . . . . . . . . . . . . . . . . . . . . . . . . .5
NIBP Cuff Symbols. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
NIBP Display Default Settings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
Press NET OFF to Disconnect from Acuity . . . . . . . . . . . . . . . . . . . . . . . . . .8
Capnography (CO
2
) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
Time/Day Settings and Trends . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
Deutsch . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
Mit Smartcuf™erhöhen Sie die Genauigkeit nicht-invasiver
Blutdruckmessungen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .11
NIBP-Manschettensymbole . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13
NIBP-Standardeinstellungen der Anzeige . . . . . . . . . . . . . . . . . . . . . . . . . .13
Betätigen Sie NETZ AUS, um die Verbindung zu Acuity zu trennen . . . . . .14
Kapnographie (CO
2
). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15
Zeit/Tag-Einstellungen und Trends) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .16
Français . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
Améliorez la précision de la PSNI grâce àSmartcuf™. . . . . . . . . . . . . . . .17
Symboles de brassard PSNI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19
Réglages par défaut de l’affichage de la PSNI. . . . . . . . . . . . . . . . . . . . . . .19
Appuyez sur RES INAC pour vous déconnecter d’Acuity. . . . . . . . . . . . . . .20
Capnographie (CO
2
). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21
Paramètres heure/jour et tendances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .22
Español . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23
Mejore la precisión de la PSNI con Smartcuf™. . . . . . . . . . . . . . . . . . . . . .23
Símbolos de manga PSNI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .25
Valores por Defecto de la Pantalla de PSNI. . . . . . . . . . . . . . . . . . . . . . . . .25
Pulse RED NO para Desconectar de Acuity. . . . . . . . . . . . . . . . . . . . . . . . .26
Capnografia (CO
2
) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27
Configuración de Hora/Día y Tendencias. . . . . . . . . . . . . . . . . . . . . . . . . . .28
Italiano . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
L'uso di Smartcuf™serve a migliorare la precisione delle
misurazioni NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29
Simboli del bracciale NIBP . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31
Impostazioni predefinite di visualizzazione NIBP . . . . . . . . . . . . . . . . . . . . .31
Premere RETE OFF per scollegarsi da Acuity . . . . . . . . . . . . . . . . . . . . . . .32
Capnografia (CO
2
) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33
Impostazioni relative a ora/giorno e tendenze . . . . . . . . . . . . . . . . . . . . . . .34

4 Protocol Systems, Inc.
Contents (cont.)
Nederlands . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35
Verbeter NIBP nauwkeurigheid met Smartcuf™. . . . . . . . . . . . . . . . . . . . . 35
NIBP-manchetsymbolen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Standaardinstellingen NIBP-scherm . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37
Druk op NET UIT om de verbinding met Acuity te verbreken . . . . . . . . . . . 38
Capnografie (CO
2
). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Tijd/dag-instellingen en trends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Português . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41
Melhore a precisão de PNI com Smartcuf™. . . . . . . . . . . . . . . . . . . . . . . . 41
Símbolos de braçadeira de PNI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Ajustes Predefinidos do EcrãPNI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43
Prima REDE OFF para se desligar da rede Acuity . . . . . . . . . . . . . . . . . . . 44
Capnografia (CO
2
)I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Definições de Dia/Hora e Tendências. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 46
Svenska. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47
Förbättra noggrannheten för NIBP med Smartcuf™. . . . . . . . . . . . . . . . . . 47
NIBP manschettsymboler . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
NIBP - Visa fabriksinställningar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Tryck påNÄT AV för att koppla ned från Acuity . . . . . . . . . . . . . . . . . . . . . 50
Capnografi (CO
2
). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
Tid/dag-inställningar och trender. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52

Propaq Encore 2.0X-2.1X Reference Guide/Directions for Use 5
Update
English
Improve NIBP Accuracy with Smartcuf™
NIBP measurements can be adversely affected by many factor such as cardiac
arrhythmias, sudden changes in blood pressure, body motions such as convulsions or
shivering, bumping the cuff, vibration, vehicle motion, or weak pulses.
The patented Smartcuf software filtering technology greatly increases NIBP
measurement accuracy in the presence of motion artifact or diminished pulses.
Smartcuf synchronizes the NIBP reading with the R-wave of the patient’s ECG to
eliminate noise created by external stimuli such as patient motion or vibration. The
monitor must perform ECG monitoring while using Smartcuf.
To enable the Smartcuf filter:
• Connect the ECG leads to the patient and perform ECG monitoring during NIBP.
• From the Main Menu, press
NIBP
to display the NIBP Menu and set Smartcuf to
ON.
SoftwareVersions
2.0X-2.1X
(NOTE: SMARTCUF button
only available for 2.1X)
STOP SMARTCUFINTERVAL TURBOCUFAUTO/MAN
ART
HRT
1NIBP
18:46:00
18:45:28
III
1mV
cm
MON
NIBP ADULT
MODE : TURBOCUF
TIME : 4:21
SMARTCUF : ON
102.
°F
S 122
( 87)
85
109
72
122
58
80
85 50 100 150 200 85
122
58
NIBP
99
S
p
O2
mmHg
Set SMARTCUF ON

6 Protocol Systems, Inc.
English (cont.)
If artifact is so severe while Smartcuf is enabled that it affects the accuracy of an NIBP
measurement, that measurement is marked with a special symbol on the display and
on printouts
There may be some situations where it is desirable to disable Smartcuf. This may
include situations with very extreme motion artifact, certain types of arrhythmias, or
other situations where it is not possible to obtain a good ECG signal. NIBP
measurements can still be performed when Smartcuf is disabled.
To disable Smartcuf, from the Main Menu press
NIBP
to display the NIBP Menu and
set Smartcuf to OFF.
NIBP Equipment Alert Message
ARTIFACT PRESENT, MINIMIZE ARTIFACT (ERR# 15). The monitor has detected
too much artifact to allow accurate readings. Take steps to reduce artifact. Position the
patient’s limb away from the body so the applied cuff is not in contact with the
patient’s body or any other object such as a bed rail. If the Smartcuf motion artifact
filter is on, make sure that the ECG leads are properly connected to perform ECG
monitoring during NIBP. If the Smartcuf motion artifact filter is off, consider turning it
on (and connect ECG if not already connected).
SoftwareVersions
2.1X
M
(
PRINT NXT TRN
D
NIBP TREND
TIME BRSYS/DIA-MEANHR/PR
BPM Br/MHH:MM
10:01
9:46
9: 1
9:20
98
SRCH
OFF
100
101
88
9
91
11
10
5
11
1 9/ 74 106
142/ 8 110
145/ 87 112
126/ 85 91
S
p
O2
% mmHg
P
mmHg 122
58
85
This symbol indicates the NIBP
reading was taken in the
presence of high artifact while
monitoring ECG with Smartcuf
enabled. Artifact can affect
accuracy.
Trend Display
Printout
Numeric Display

Propaq Encore 2.0X-2.1X Reference Guide/Directions for Use 7
Update
English (cont.)
NIBP Cuff Symbols
NIBP Display Default Settings
To select which vital sign waveforms are displayed, press
MAIN MENU, SETUP,
WAVE SEL
to display the Wave Select window.
To enable the display of a waveform or large NIBP numerics, select ON (ECG cannot
be set to OFF). The monitor displays the first three active waveforms set to ON in the
order of priority listed in the Wave Select window. If NIBP is ON and only one or two
other waveforms are ON and active, the monitor displays large NIBP numerics in a
waveform window.
The factory default settings for waveform display are:
SoftwareVersions
2.0X-2.1X
Apply the NIBP cuff
as shown.
Single-use only (not
reusable).
Software version 2.03.00-2.1X All waveforms and NIBP are ON.
Software version 2.00.00-2.02.00 All waveforms are ON. NIBP is OFF.
NIBP cuff sizes:
Thigh
Large adult
Adult
Small adult
Child
Infant 2
WAVE SELECT
mmHg
NEXT PREV MENUINSERVON/OFF
MCO2BR
S
p
O
2
PA
SETUP
ECG : ON RESP : OFF
ART : ON Sp O2 : ON
PA : OFF NIBP : ON
CO2 : OFF
5/ 18
( 85)
5 12
92

8 Protocol Systems, Inc.
English (cont.)
Press NET OFF to Disconnect from Acuity
When you want to disconnect the monitor from Acuity, be sure to use the
NET OFF
button as described below. The
NET OFF
button is a safety feature to help make sure
the patient is not disconnected accidentally. If you simply disconnect the Acuity
network cable from the monitor without using the
NET OFF
button, the monitor and
Acuity both generate equipment alert messages that must be acknowledged by an
operator.
1.
To disconnect the Propaq Encore from the Acuity network, press the front
panel
NET OFF
button.
2.
Within 15 seconds, disconnect the Acuity network cable from either the Propaq
Encore side panel or the bedside jack. If the patient will no longer be monitored
with the Propaq Encore, turn off the monitor to erase trend information.
If you do not disconnect the Acuity network cable within about 30 seconds, the
monitor and Acuity attempt to reconnect and prompt you to confirm the
patient ID.
Whenever the monitor is connected to Acuity, the
NET OFF
function overrides the
FREEZE/UNFREEZE function for the
NET OFF
front panel button. Therefore, you
cannot freeze the displayed waveforms when the monitor is connected toAcuity.Also,
you cannot initiate a Freeze Print at Acuity when connected to Acuity. When the
monitor is not connected to Acuity, pressing the FREEZE/UNFREEZE button freezes
or unfreezes the displayed waveforms.
SoftwareVersions Access to NET OFF
2.03.00-2.1X
NET OFF
button on front panel
NET OFF softkey ( SETUP, ACUITY, NET OFF )
2.00.00-2.02.00
NET OFF softkey ( SETUP, ACUITY, NET OFF )
FREEZE/
UNFREEZE
NET OFF
ART
( 85)
122
58
HR 80
NET OFF
When the monitor is connected to Acuity,
pressing this button disconnects the monitor
from the Acuity network.
FREEZE/UNFREEZE
When the monitor is NOT connected to Acuity, pressing
this button freezes or unfreezes the displayed waveforms.

Propaq Encore 2.0X-2.1X Reference Guide/Directions for Use 9
Update
English (cont.)
Capnography (CO
2
)
Sidestream CO2 Monitoring
Warning
If the Sidestream CO
2
option is connected to a ventilatory circuit, be sure to adjust
appropriate ventilator or anesthesia system settings to compensate for the
sampling flow volume (90 or 175 ml/min) that is aspirated from the ventilatory
circuit by the Sidestream CO
2
option.
INCO
2
Numeric Display
The monitor only displays the numeric value for inspired CO
2
(INCO
2
) if it is in alarm
or if it is greater than or equal to 7.5 mmHg (or ≥ 1 kPa or 1%). Refer to the CO
2
specifications in the Propaq Encore Reference Guide for more information.
SoftwareVersions
2.0X-2.1X
General CO
2
Specifications (Mainstream CO
2
and Sidestream CO
2
)
Characteristic Specification
CO
2
Display
Accuracy
Mainstream
1
: 0-30 mmHg, ±3 mmHg
31-99 mmHg, ±10% of value
Sidestream
2
: 0-30 mmHg, ±3 mmHg
31-99 mmHg, ±10% of value
1. Based on these airway conditions: sensor temperature = 42
°
C
,
airway adapter temperature = 33
°
C,
water vapor pressure = 38 mmHg;standard gas mixture = CO
2
in balance air, fully hydrated at 33
°
C;
barometric pressure = 760 mmHg and flow = 60 ml/min.
2. Based on the following additional airway conditions:Sample line = 7 ft, 0.055 in ID (2.13 m, 1.4 mm ID);
Sample flow rate = 175 ml/min; Protocol watertrap (new/unused);Respiratory rate
≤
50 bpm, stable to
±
3 breaths/min; Inspired/Expired time ratio = 1:2; Barometric pressure = 760 mmHg.
Breath Rate Display
Accuracy ±1 breaths/min or ±5%, whichever is greater
3
3. For Sidestream CO
2
, this applies only for BR
≤
50.
CO
2Performance
Specification Per ISO 9918:1993 (E) / EN 864:1996

10 Protocol Systems, Inc.
English (cont.)
Time/Day Settings and Trends
Warning
Changing the hour/minute/second setting for the monitor in the Time/Day window
can cause the monitor to erase previously stored patient trend data.
When you change the hour/minute/second setting for the monitor in the Time/Day
window, the monitor deletes any patient trend data that is older than five hours for
non-NIBP trends or older than eight hours for NIBP trends according to the new clock
setting.
However, if the monitor has not yet stored the full capacity of trends and you change
the hour/minute/second setting to a time that is within the stored trend period,
previously stored trends are not erased.
Changing the day, month, or year setting does not affect the stored patient trends.
SoftwareVersions
2.0X-2.1X