ZOLL Propaq M Manual

Propaq
®
M Operator’s Guide
9650-0803-01 Rev. BMarch 2011

ZOLL is a registered trademark, and SurePower is a trademark of ZOLL Medical Corporation. Propaq and
Smartcuf are registered trademarks, and SureBP is a trademark of Welch Allyn Inc. Nellcor and OxiMax are
trademarks of Covidien. Oridion, Microstream, FilterLine, and CapnoLine are registered trademarks of Oridion
Systems, Ltd. All other trademarks and registered trademarks are property of their respective owners.
Copyright © 2011 ZOLL Medical Corporation. All rights reserved.
ZOLL International Holding B.V.
Newtonweg 18
6662 PV ELST
The Netherlands
Tel.: [phone]
Fax: [phone]

9650-0803-01 Rev. B Propaq M Operator’s Guide i
Table of Contents
Chapter 1 General Information
Product Description ............................................................................................................1-1
Propaq M Optional Features .......................................................................................1-2
How to Use This Manual.....................................................................................................1-2
Operator’s Guide Updates..................................................................................................1-2
Unpacking...........................................................................................................................1-2
Symbols Used on the Equipment .......................................................................................1-3
Conventions........................................................................................................................1-5
Propaq M Indications for Use..............................................................................................1-6
ECG Monitoring ..........................................................................................................1-6
Non-Invasive Blood Pressure Monitoring ...................................................................1-6
Temperature Monitoring .............................................................................................1-6
Sp02 Monitoring ..........................................................................................................1-6
Respiration Monitoring ................................................................................................1-7
CO2 Monitoring ...........................................................................................................1-7
Invasive Pressure Monitoring .....................................................................................1-7
Propaq M Product Functions ..............................................................................................1-7
ECG Monitoring ..........................................................................................................1-7
Batteries ......................................................................................................................1-8
Ready For Use (RFU) Indicator ..................................................................................1-9
Warnings...........................................................................................................................1-10
General .....................................................................................................................1-10
ECG Monitoring ........................................................................................................1-11
Pulse Oximeter .........................................................................................................1-11
Noninvasive Blood Pressure .....................................................................................1-12
IBP ............................................................................................................................1-13
CO2 ..........................................................................................................................1-13
Respiration ................................................................................................................1-13
Ferromagnetic Equipment ........................................................................................1-13
Battery ......................................................................................................................1-14
Operator Safety ........................................................................................................1-14
Patient Safety ...........................................................................................................1-14
Cautions............................................................................................................................1-15
Restarting the Monitor.......................................................................................................1-16
Notification of Adverse Events ..................................................................................1-16
Software License ..............................................................................................................1-16
Service..............................................................................................................................1-17
The ZOLL Serial Number..................................................................................................1-18

TABLE OF CONTENTS
ii www.zoll.com 9650-0803-01 Rev. B
Chapter 2 Product Overview
Monitor Controls and Indicators..........................................................................................2-1
The Front Panel ..........................................................................................................2-2
Display Screen ............................................................................................................2-4
Battery Status and Auxiliary Power Indicators ............................................................2-5
Patient Cables and Connectors ..................................................................................2-6
Auxiliary Power Adapter .............................................................................................2-7
Navigating the Display Screen............................................................................................2-8
Quick Access Keys .....................................................................................................2-8
Navigation Keys .......................................................................................................2-11
Display Brightness ....................................................................................................2-11
Common Tasks................................................................................................................. 2-11
Changing the Display Brightness ..............................................................................2-11
Replacing a Battery Pack on the Propaq M ..............................................................2-12
Using Treatment Buttons ..........................................................................................2-13
Chapter 3 Monitoring Overview
Propaq M Monitoring Functions..........................................................................................3-1
ECG ............................................................................................................................3-2
Heart Rate ..................................................................................................................3-2
Respiration Rate .........................................................................................................3-2
Temperature ...............................................................................................................3-2
Invasive Pressures (IBP) ............................................................................................3-2
Non-Invasive Blood Pressure (NIBP) .........................................................................3-2
Capnography (CO2) ...................................................................................................3-3
Monitoring Display Options.................................................................................................3-3
Configuring the Waveform Display .....................................................................................3-7
Chapter 4 Trends
Displaying the Trends Status Window ................................................................................4-1
Displaying Trend Information..............................................................................................4-2
Changing the Trends Status Window Display.....................................................................4-3
Chapter 5 Alarms
Visual Alarm Indicators ...............................................................................................5-1
Audible Alarm Indicators .............................................................................................5-2
Alarm Indicator Self-test .............................................................................................5-2
Patient Alarm Display .........................................................................................................5-3
Equipment Alert Display .....................................................................................................5-4
Responding to Active Alarms -- Silencing the Alarm ..........................................................5-4
Re-enabling an Alarm .................................................................................................5-5
Suspending Alarms.............................................................................................................5-5

9650-0803-01 Rev. B Propaq M Operator’s Guide iii
Alarm Options.....................................................................................................................5-7
Selecting Default Alarm Limits ....................................................................................5-8
Setting Alarm Limits Relative to the Patient -- Stat Set Option ...................................5-8
Chapter 6 Monitoring ECG
ECG Monitoring Setup........................................................................................................6-2
Preparing the Patient for Electrode Application ..........................................................6-2
Applying Electrodes to the Patient ..............................................................................6-3
Connecting the ECG Cable To the Propaq M Unit .....................................................6-5
Selecting ECG Waveforms for Display .......................................................................6-6
Selecting the Waveform Trace Size ...........................................................................6-8
ECG Monitoring and Pacemakers......................................................................................6-9
ECG System Messages......................................................................................................6-9
Chapter 7 Monitoring Respiration (Resp) and Heart Rate (HR)
Respiration/Breath Rate Meter...........................................................................................7-2
Using Impedance Pneumography to Measure Respiration ........................................7-2
Configuring Respiration (RR/BR) Alarms and Settings ......................................................7-3
Enabling/Disabling RR/BR Alarms and Setting Alarm Limits ......................................7-3
Using the Resp Parameter Control Panel ...................................................................7-4
Heart Rate Meter ................................................................................................................7-5
Configuring Heart Rate (HR) Meter Alarms........................................................................7-5
Enabling/Disabling HR Alarms and Setting Alarm Limits ............................................7-6
Using the Heart Rate Parameter Control Panel ..........................................................7-7
Chapter 8 Monitoring Non-Invasive Blood Pressure (NIBP)
How does NIBP Work?.......................................................................................................8-2
The NIBP Numeric Display.................................................................................................8-3
NIBP Setup and Use...........................................................................................................8-3
Selecting the NIBP Cuff......................................................................................................8-4
Connecting the NIBP Cuff...................................................................................................8-5
Applying the Cuff to the Patient ..........................................................................................8-7
Ensuring Correct Cuff Inflation Settings..............................................................................8-8
Configuring NIBP Alarms and Settings...............................................................................8-9
Enabling/Disabling NIBP Alarms and Setting Alarm Limits ........................................8-9
Using the NIBP Parameter Control Panel .................................................................8-11
NIBP System Messages...................................................................................................8-14

TABLE OF CONTENTS
iv www.zoll.com 9650-0803-01 Rev. B
Chapter 9 Monitoring Pulse Oximetry (SpO2)
Warnings -- SpO2, General.................................................................................................9-2
Warnings -- SpO2, Oximeter Sensor...................................................................................9-2
SpO2Setup and Use ..........................................................................................................9-3
Selecting the SpO2Sensor.................................................................................................9-3
Applying the SpO2Sensor..................................................................................................9-3
Applying a Reusable SpO2Sensor .............................................................................9-4
Applying a Single-Use Sensor ....................................................................................9-5
Connecting the SpO2Sensor..............................................................................................9-6
Displaying SpO2Measurements.........................................................................................9-7
Enabling/Disabling SpO2Alarms and Setting Alarm Limits................................................9-7
Setting Upper and Lower Systolic Alarm Limits ..........................................................9-8
Using the SpO2Parameter Control Panel ..........................................................................9-8
SpO2Response Time .................................................................................................9-9
Selecting the Heart Rate/ Pulse Rate (HR/PR) Tone .................................................9-9
SpO2System Messages.....................................................................................................9-9
Functional Testers and Patient Simulators .......................................................................9-10
Chapter 10 Monitoring CO2
Overview...........................................................................................................................10-1
CO2 Monitoring Setup and Use........................................................................................10-2
Selecting the CO2 Sampling Line .............................................................................10-3
Connecting the CO2 Sampling Lines ........................................................................10-4
Applying a FilterLine Set ...........................................................................................10-5
Applying a Smart CapnoLine Oral/Nasal Cannula ....................................................10-6
Measuring CO2.................................................................................................................10-7
Setting CO2 and Respiration Rate Alarms .......................................................................10-8
Enabling/Disabling Alarms and Setting CO2 Alarm Limits .......................................10-8
Using the CO2 Parameter Control Panel ................................................................10-10
System Messages .......................................................................................................... 10-11
Patents............................................................................................................................10-12
Chapter 11 Monitoring Invasive Pressures (IBP)
Invasive Pressure Transducers ........................................................................................ 11-1
IBP Setup.......................................................................................................................... 11-2
Attaching the Invasive Pressure Transducer .................................................................... 11-2
Zeroing the Transducer..................................................................................................... 11-3
Rezeroing a Transducer ................................................................................................... 11-4
Displaying IBP Measurements.......................................................................................... 11-5
Conditions Affecting IBP Measurements ..................................................................11-5

9650-0803-01 Rev. B Propaq M Operator’s Guide v
Enabling/Disabling IBP Alarms and Setting Alarm Limits................................................. 11-6
Setting Upper and Lower Systolic (SYS) Alarm Limits .............................................11-6
Setting Upper and Lower Diastolic (DIA) Alarm Limits .............................................11-7
Setting Upper and Lower Mean Arterial Pressure (MEAN) Alarm Limits ..................11-7
Setting IBP Source Label ..........................................................................................11-8
IBP System Messages...................................................................................................... 11-9
Chapter 12 Monitoring Temperature
Temperature Monitoring Setup .........................................................................................12-1
Selecting and Applying Temperature Probes....................................................................12-1
Connecting the Temperature Probe..................................................................................12-2
Displaying Temperature....................................................................................................12-2
Enabling/Disabling Temperature Alarms and Setting Alarm Limits...................................12-3
Setting Upper and Lower Temperature Alarm Limits........................................................12-3
Setting Upper and Lower Temperature Alarm Limits........................................................12-4
Selecting the Temperature Label......................................................................................12-4
Temperature System Messages .......................................................................................12-5
Chapter 13 Monitoring 12-Lead ECG
Entering Patient Information.............................................................................................13-2
Entering the Patient Name and ID ............................................................................13-3
Entering Patient Age and Gender .............................................................................13-4
12-Lead ECG Monitoring Setup........................................................................................13-4
Preparing the Patient for Electrode Application ........................................................13-4
Applying Electrodes to the Patient ............................................................................13-5
Connecting the 12-Lead Cable .................................................................................13-7
Observing the 12-Lead Waveform Traces ................................................................13-8
12-Lead Display Options ..................................................................................................13-9
Specifying the 12-Lead Frequency Response ..........................................................13-9
Chapter 14 Patient Data
Storing Data......................................................................................................................14-1
Capturing a Data Snapshot...............................................................................................14-2
Reviewing snapshots ................................................................................................14-2
Treatment Summary Report .............................................................................................14-2
Transferring Data to a USB Device...................................................................................14-3
Clearing the Log .......................................................................................................14-4

TABLE OF CONTENTS
vi www.zoll.com 9650-0803-01 Rev. B
Chapter 15 Cleaning and Maintenance
Inspection and Cleaning instructions................................................................................15-1
Cleaning the Propaq M unit ......................................................................................15-2
Cleaning the NIBP Blood Pressure Cuff ...................................................................15-2
Cleaning SpO2 Sensors ...........................................................................................15-2
Cleaning Cables and Accessories ............................................................................15-3
Recommended Minimum Preventive Maintenance Schedule..........................................15-3
Guidelines for Maintaining Peak Battery Performance.....................................................15-4
Appendix A Specifications
Monitor/Display...................................................................................................................A-2
Impedance Pneumography.................................................................................................A-3
Alarms.................................................................................................................................A-3
Battery ...............................................................................................................................A-4
General...............................................................................................................................A-4
CO2 ....................................................................................................................................A-6
Pulse Oximeter ...................................................................................................................A-7
Non-Invasive Blood Pressure .............................................................................................A-7
Invasive Pressures .............................................................................................................A-8
Temperature........................................................................................................................A-9
Electromagnetic Compatibility Guidance and Manufacturer’s Declaration.......................A-10
Appendix B Accessories

9650-0803-01 Rev. B Propaq M Operator’s Guide 1-1
Chapter 1
General Information
Product Description
The ZOLL®Propaq®M unit is an easy-to-use portable monitor that has the following
monitoring capabilities: ECG, Pulse Oximeter, Non-invasive Blood Pressure, IBP, CO2,
Temperature, and Respiration. It has been designed for all portable monitoring situations and its
rugged, compact, lightweight design makes it ideal for transport situations. It is powered by
auxiliary power and an easily replaced battery pack that is quickly recharged in the device
when it is connected to auxiliary power. In addition, the unit’s battery may be recharged and
tested using a ZOLL SurePower™ Battery Charger Station.
Note: Some of the monitoring functions of the Propaq M are optional features. See the
complete list of options in Fig. 1-1. Optional features are specified as “optional” within
this guide.
The unit has a large colorful LCD display of numerics and waveform data that provides easy
visibility from across the room and at any angle. ECG, plethysmograph, and respiration
waveform traces can be displayed simultaneously, giving easy access to all patient monitoring
data at once. The display screen is configurable, so you can choose the best visual layout to fit
your monitoring needs.
The Propaq M has a patient data review and collection system that allows you to view, store,
and transfer patient data. The Propaq M unit contains a USB port, which you can use to transfer
data to a PC.

CHAPTER 1GENERAL INFORMATION
1-2 www.zoll.com 9650-0803-01 Rev. B
Propaq M Optional Features
The following features are optional in the Propaq M unit.
Figure 1-1 Propaq M Optional Features
How to Use This Manual
The Propaq M Operator's Guide provides information operators need for the safe and effective
use and care of the Propaq M product. It is important that all persons using this device read and
understand all the information contained within.
Please thoroughly read the safety considerations and warnings section.
Procedures for daily checkout and unit care are located in Chapter 15: “Cleaning and
Maintenance.”
Operator’s Guide Updates
An issue or revision date for this manual is shown on the front cover. If more than three years
have elapsed since this date, contact ZOLL Medical Corporation to determine if additional
product information updates are available.
All users should carefully review each manual update to understand its significance and then
file it in its appropriate section within this manual for subsequent reference.
Product documentation is available through the ZOLL website at www.zoll.com. From the
Products menu, choose Product Manuals.
Unpacking
Carefully inspect each container for damage. If the shipping container or cushion material is
damaged, keep it until the contents have been checked for completeness and the instrument has
been checked for mechanical and electrical integrity. If the contents are incomplete, if there is
mechanical damage, or if the monitor does not pass its self-test, U.S.A. customers should call
ZOLL Medical Corporation (1-800-348-9011). Customers outside of the U.S.A. should contact
the nearest ZOLL authorized representative. If the shipping container is damaged, also notify
the carrier.
Optional Feature
12 Lead ECG
SpO2(Nellcor™)
NIBP (with Smartcuf®and SureBP™)
EtCO2 (Oridion®Microstream®)
Temperature
Invasive Pressures (3 Channels)