Welch Allyn Connex® Integrated Wall System

Welch Allyn Connex® Integrated
Wall System
Directions for use
© 2012 Welch Allyn. All rights are reserved. To support the intended use of the product described in this publication, the
purchaser of the product is permitted to copy this publication, for internal distribution only, from the media provided by Welch
Allyn. No other use, reproduction, or distribution of this publication, or any part of it, is permitted without written permission from
Welch Allyn. Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the product, that
may result from failure to use this product in accordance with the instructions, cautions, warnings, or statement of intended use
published in this manual.
Welch Allyn, Connex, SureTemp, FlexiPort, and SureBP are registered trademarks of Welch Allyn.
Vital Signs Monitor 6000 Series is a trademark of Welch Allyn.
LNCS, SpHb, ReSposable , and Rainbow are trademarks of, and SET, LNOP, and Masimo are registered trademarks of, Masimo
Corporation. Possession or purchase of a Masimo SpO2- or MasimoSpHb-equipped device does not convey any express or
implied license to use the device with unauthorized sensors or cables which would, alone or in combination with this device, fall
within the scope of one or more of the patents relating to this device.
Nellcor and OxiMax are registered trademarks of Nellcor Puritan Bennett Inc.
Braun and ThermoScan are registered trademarks of Braun GmbH.
Health o meter is a registered trademark of Sunbeam Products, Inc., used under license.
Software in this product is Copyright 2012 Welch Allyn or its vendors. All rights are reserved. The software is protected by United
States of America copyright laws and international treaty provisions applicable worldwide. Under such laws, the licensee is
entitled to use the copy of the software incorporated with this instrument as intended in the operation of the product in which it is
embedded. The software may not be copied, decompiled, reverse-engineered, disassembled, or otherwise reduced to humanperceivable form. This is not a sale of the software or any copy of the software; all right, title, and ownership of the software
remain with Welch Allyn or its vendors.
For information about any Welch Allyn product, call Welch Allyn Technical Support:
USA +1 800 535 6663
+1 315 685 4560
Canada +1 800 561 8797
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+46 85 853 6551
Software version 1.5X–1.7X
104066 (CD)
80016142 Ver. H
104069 (printed copy)
Material Number 718745, 80016142 Ver. H
Welch Allyn, Inc.
4341 State Street Road
Skaneateles Falls, NY 13153-0220 USA
Regulatory Affairs Representative
Welch Allyn Limited
Navan Business Park
Dublin Road
Navan, County Meath
Republic of Ireland
www.welchallyn.com
iii
Contents
Introduction ............................................................................................. 1
Intended use ...................................................................................................................................... 1
Contraindications .............................................................................................................................. 2
Symbols ................................................................................................... 3
Screen elements ...................................................................................... 5
About warnings and cautions ................................................................ 9
General warnings and cautions ..................................................................................................... 9
Controls, indicators, and connectors ................................................... 13
Setup ...................................................................................................... 17
Supplies and accessories ............................................................................................................. 17
Unpack the wall system ................................................................................................................. 17
Insert the battery ............................................................................................................................. 18
Prepare for mounting ..................................................................................................................... 19
Mounting location ........................................................................................................................... 20
Mount the wall system ................................................................................................................... 21
Mount the accessory bin ............................................................................................................... 25
Connect the blood pressure (NIBP) hose ................................................................................... 26
Set up the physical assessment instrument handles and specula dispenser ..................... 27
Set up the SureTemp® Plus thermometer ................................................................................. 27
Set up the Braun ThermoScan® PRO 4000 thermometer ........................................................ 28
Connect AC power .......................................................................................................................... 29
Attach an accessory ...................................................................................................................... 30
Startup .................................................................................................... 33
Power ................................................................................................................................................ 33
Power up the monitor ..................................................................................................................... 34
Power down the monitor ............................................................................................................... 35
Reset the wall system .................................................................................................................... 35
Select a language ........................................................................................................................... 36
Set the date and time ..................................................................................................................... 36
Enter clinician information ............................................................................................................ 36
Set the default configuration ........................................................................................................ 37
Navigation .............................................................................................. 39
Home tab .......................................................................................................................................... 39
Device Status area ......................................................................................................................... 39
iv
Contents
Welch Allyn Connex® Integrated Wall System
Content area .................................................................................................................................... 41
Navigation area ............................................................................................................................... 42
Profiles ................................................................................................... 45
Select a profile ................................................................................................................................ 48
Using the keypad, keyboard, and barcode scanner ........................... 49
Open the numeric keypad .............................................................................................................. 49
Numeric keypad .............................................................................................................................. 49
Enter a number ................................................................................................................................ 50
Close the numeric keypad ............................................................................................................. 50
Open the keyboard .......................................................................................................................... 50
Keyboard .......................................................................................................................................... 50
Enter a letter or number ................................................................................................................. 52
Enter a symbol or special character ............................................................................................ 52
Enter a diacritical mark .................................................................................................................. 52
Close the keyboard ......................................................................................................................... 53
Use a barcode scanner .................................................................................................................. 53
Patient data management .................................................................... 55
Add a patient to the patient list ..................................................................................................... 55
Load patient data with the barcode scanner ............................................................................. 55
Select a patient ............................................................................................................................... 56
Manage patient records ................................................................................................................ 56
Delete a patient from the list ......................................................................................................... 57
Modifiers .......................................................................................................................................... 57
Set modifiers .................................................................................................................................... 58
Alarms .................................................................................................... 59
Reset (pause or turn off) audio alarms ........................................................................................ 62
Adjust vital sign alarm limits ......................................................................................................... 63
Modify audio alarm notification .................................................................................................... 63
Alarm messages and priorities ..................................................................................................... 64
Nurse call ......................................................................................................................................... 67
Patient monitoring ................................................................................ 69
NIBP .................................................................................................................................................. 69
Temperature .................................................................................................................................... 77
SpO2 .................................................................................................................................................. 87
SpHb .................................................................................................................................................. 92
Pulse rate frame .............................................................................................................................. 95
Manual parameters frame ............................................................................................................. 96
Physical assessment instrument handles ........................................... 99
Use the physical assessment instrument handles .................................................................... 99
Maintenance and service .................................................................... 101
Perform periodic checks ............................................................................................................. 101
Remove the wall system from the wall ...................................................................................... 101
Change the battery ....................................................................................................................... 103
Clean the wall system (excluding handle cradles and accessories) .................................. 104
Clean the handle cradles ............................................................................................................. 105
Directions for use
Contents
v
Clean the wall system accessories ........................................................................................... 105
Specifications ...................................................................................... 107
Physical specifications ................................................................................................................ 107
Environmental specifications ...................................................................................................... 111
Monitor radio ................................................................................................................................. 112
Configuration options ................................................................................................................... 113
Patents ............................................................................................................................................ 113
Standards and compliance ................................................................. 115
General compliance and standards ........................................................................................... 115
General radio compliance ........................................................................................................... 116
Guidance and manufacturer's declaration ........................................ 119
EMC compliance ........................................................................................................................... 119
Emissions and immunity information ......................................................................................... 119
Advanced settings ............................................................................... 123
General ........................................................................................................................................... 123
Parameters ..................................................................................................................................... 127
Data management ......................................................................................................................... 131
Network .......................................................................................................................................... 134
Service ............................................................................................................................................ 136
Troubleshooting .................................................................................. 137
NIBP messages ............................................................................................................................. 137
SpO2 and SpHb messages .......................................................................................................... 138
Temperature messages ............................................................................................................... 139
Weight scale messages ............................................................................................................... 140
Physical assessment instrument handles ................................................................................ 140
Patient data management messages ........................................................................................ 141
Radio messages ............................................................................................................................ 141
Ethernet messages ....................................................................................................................... 142
USB messages .............................................................................................................................. 142
System messages ......................................................................................................................... 142
Battery power manager messages ............................................................................................ 143
Configuration Manager messages ............................................................................................. 143
Problems and solutions ................................................................................................................ 144
Appendix .............................................................................................. 145
Approved accessories ................................................................................................................ 145
Warranty ......................................................................................................................................... 154
vi
Contents
Welch Allyn Connex® Integrated Wall System
1
Introduction
The Welch Allyn Connex® Integrated Wall System combines the advanced, easy-to-use monitor
capabilities of the Welch Allyn Connex® Vital Signs Monitor 6000 Series with the Welch Allyn 767
Power Handles. This manual (directions for use) is designed to help you understand the
capabilities and operation of the wall system. The information in this manual, including the
illustrations, is based on a wall system configured with non-invasive blood pressure (NIBP), body
temperature, pulse oximetry (SpO2), total hemoglobin concentration (SpHb), pulse rate, weight
scale, and two power handles. If your wall system configuration lacks any of these options, some
information in this manual may not apply.
Before using the wall system, read the sections of the manual that pertain to your use of the
system.
Note
Throughout this directions for use, the Integrated Wall System may be referred to
as a wall system or monitor.
Note
Some product features described in this publication might not be available in your
country. For the latest information about products and features, please call Welch
Allyn Customer Care.
Intended use
Handle module assembly
Handles supply power to Welch Allyn 3.5V instruments.
Connex® Vital Signs Monitor patient monitor
The VSM 6000 Series of monitors is intended to be used by clinicians and medically qualified
personnel for monitoring of neonatal, pediatric, and adult patients for
•
noninvasive blood pressure,
•
pulse rate,
•
noninvasive functional oxygen saturation of arteriolar hemoglobin (SpO2), and
•
body temperature in normal and axillary modes
The most likely locations for patients to be monitored are general medical and surgical floors,
general hospital, and alternate care environments.
The optional Masimo Rainbow SET® and accessories are indicated for the continuous noninvasive
monitoring of total hemoglobin concentration of adult, pediatric, and neonatal patients during both
2
Welch Allyn Connex® Integrated Wall System
Introduction
motion and no motion conditions, and for patients who are well or poorly perfused in hospitals and
hospital-type facilities.
Optional compatible weight scales (e.g., Health o meter®) can be used for height, weight, and BMI
input.
This product is available for sale only upon the order of a physician or licensed health care
professional.
Contraindications
This system is not intended to be used:
•
on patients connected to heart/lung machines
•
on patients being transported outside a healthcare facility
•
near an MRI machine
•
in a hyperbaric chamber
•
near flammable anesthetics
•
near electro-cauterization devices
For contraindications of SpO2 and SpHb sensors, consult the sensor manufacturer's directions for
use.
3
Symbols
Documentation symbols
WARNING The warning statements in this manual identify conditions or practices
that could lead to illness, injury, or death.
Caution The caution statements in this manual identify conditions or practices that
could result in damage to the equipment or other property, or loss of data. This
definition applies to both yellow and black and white symbols.
Consult operating instructions.
Power symbols
Power on/standby
Equipotential terminal
(on the display) monitor is
plugged into Alternating
Current power
Battery absent or faulty
(on the monitor, green
indicator) Alternating Current
power present, battery fully
charged
Battery charge level
(on the monitor, amber
indicator) Alternating Current
power present, battery is
charging
Battery cover
Alternating Current (AC)
Rechargeable battery
Li-ion battery
AC input power
4
Welch Allyn Connex® Integrated Wall System
Symbols
Connectivity symbols
USB
Ethernet RJ-45
Wireless signal strength
•
Best (4 bars)
•
Good (3 bars)
•
Fair (2 bars)
•
Weak (1 bar)
•
No signal (no bars)
•
No connection (blank)
Nurse call
Miscellaneous symbols
Meets essential requirements
of European Medical Device
Directive 93/42/EEC
Authorized Representative in
the European Community
Call for maintenance
Defibrillation-proof Type BF
applied parts
Manufacturer
Recycle
Reorder number
Serial number
Do not reuse
China RoHS markings for
control of pollution caused by
electronic information
products. XX indicates
Environmentally Friendly Use
Period in years.
Nonionizing electromagnetic
radiation
Recycle the product separate
from other disposables
Restrictions for use of
wireless device in Europe.
European Community's Class
2 radio equipment.
5
Screen elements
Global navigation
Select option
NIBP
NIBP start
NIBP stop
Intervals status indicators
NIBP view toggle
Temperature site control
Process indicator
Temperature
Direct mode selector
6
Welch Allyn Connex® Integrated Wall System
Screen elements
SpO2 and Pulse rate
Pulse amplitude bar
SatSeconds timer (Nellcor
feature only)
SpO2 view toggle
Response mode selector
(touch for Fast mode)
Heart rate (in beats per
minute)
Total hemoglobin (SpHb)
SpHb view toggle
Averaging selector
Manual parameters
Manual parameter
selector
Alarm and information messages
Alarm limit button
Alarm On/Off toggle
Multiple alarms toggle
Alarm audio paused
Alarm active
Directions for use
Screen elements
Patients list and review
Diacritical marks key
(available for languages
that use diacritical marks;
appearance differs based
on language)
Symbols key
Send patient test reports
Print patient test reports
Cancel print request
(Not available)
Add patient identifiers
Retrieve the patient list
from the network
Settings
Save configuration
settings
Advanced settings
Save to USB flash
drive
Restore factory
default settings
Configure from USB
flash drive
7
8
Screen elements
Welch Allyn Connex® Integrated Wall System
9
About warnings and cautions
Warning and caution statements can appear on the monitor, on the packaging, on the shipping
container, or in this document.
The monitor is safe for patients and clinicians when used in accordance with the instructions and
the warning and caution statements presented in this manual.
Before using the monitor, familiarize yourself with the sections of this directions for use that
pertain to your use of the monitor.
•
Failure to understand and observe any warning statement in this manual could lead to patient
injury, illness, or death.
•
Failure to understand and observe any caution statement in this manual could lead to damage
to the equipment or other property, or loss of patient data.
General warnings and cautions
WARNING Many environmental variables, including patient physiology and
clinical application, can affect the accuracy and performance of the monitor. The
clinician must verify all vital signs information before treating the patient. If there is
any question about the accuracy of a measurement, verify the measurement using
another clinically accepted method.
WARNING Alarm limits are patient- or facility-specific. The clinician must set or
verify alarm limits appropriate for each patient. Each time the monitor is powered
on, you must check that the alarm settings are appropriate for your patient before
you start monitoring.
WARNING Use only Welch Allyn approved accessories, and use them according
to the manufacturer’s directions for use. Using unapproved accessories with the
monitor can affect patient and operator safety and can compromise product
performance and accuracy.
WARNING Inaccurate measurement risk. Do not connect more than one patient
to a monitor.
WARNING Inaccurate measurement risk. Dust and particle ingress can affect the
accuracy of blood pressure measurements. Use the monitor in clean environments
to ensure measurement accuracy. If you notice dust or lint build-up on the monitor's
vent openings, have the monitor inspected and cleaned by a qualified service
technician.
10
Welch Allyn Connex® Integrated Wall System
About warnings and cautions
WARNING Liquids can damage electronics inside the Connex IWS. Prevent
liquids from spilling on the wall system.
If liquids are spilled on the wall system:
1.
2.
3.
4.
5.
Power down the wall system.
Disconnect the power plug.
Remove the wall system from the wall.
Remove battery pack from the wall system.
Dry off excess liquid from the wall system.
Note
6.
7.
8.
If liquids possibly entered the wall system, remove the wall system
from use until it has been properly dried, inspected, and tested by
qualified service personnel.
Reinstall battery pack.
Mount the wall system on the wall.
Power on the wall system and verify that it functions normally before using it.
WARNING Safety risk. Damaged cords, cables, and accessories can affect
patient and operator safety. Routinely inspect the AC power cord, blood pressure
cuff, SpO2 cable, and other accessories for strain relief wear, fraying, or other
damage. Replace as necessary.
WARNING Fire and explosion hazard. Do not operate the monitor in the presence
of a flammable anesthetic mixture with air, oxygen, or nitrous oxide; in oxygenenriched environments; or in any other potentially explosive environment.
WARNING Fire and shock hazard. Only connect LAN cables contained within the
perimeter of a single building. Conductive LAN cables spanning multiple buildings
may introduce fire or shock hazards unless they are fitted with fiber optic cables,
lightning arrestors, or other applicable safety features.
WARNING The monitor may not function properly if dropped or damaged. Protect
it from severe impact and shock. Do not use the monitor if you notice any signs of
damage. Qualified service personnel must check any monitor that is dropped or
damaged for proper operation before putting the monitor back into use.
WARNING Defective batteries can damage the monitor. If the battery shows any
signs of damage or cracking, it must be replaced immediately and only with a
battery approved by Welch Allyn.
WARNING Improper disposal of batteries may create an explosion or
contamination hazard. Never dispose of batteries in refuse containers. Always
recycle batteries according to local regulations.
WARNING Electric shock hazard. Do not open the monitor or attempt repairs. The
monitor has no user-serviceable internal parts. Only perform routine cleaning and
maintenance procedures specifically described in this manual. Inspection and
servicing of internal parts shall only be performed by qualified service personnel.
WARNING Inaccurate measurement risk. Do not expose to temperatures higher
than 122º F (50º C).
WARNING Inaccurate measurement risk. Do not use the monitor on patients who
are on heart-lung machines.
WARNING Use the monitor only as described in this directions for use. Do not
use the monitor on patients as described in the Contraindications.
Directions for use
About warnings and cautions
11
WARNING Inaccurate measurement risk. Do not use the monitor on patients who
are experiencing convulsions or tremors.
WARNING Do not place the monitor in any position that might cause it to fall on
the patient.
WARNING Welch Allyn is not responsible for the integrity of a facility's power. If
the integrity of a facility's power or protective earth conductor is in doubt, always
operate the monitor on battery power alone when it is attached to a patient.
WARNING For operator and patient safety, peripheral equipment and
accessories that can come in direct patient contact must comply with all applicable
safety, EMC, and regulatory requirements.
WARNING All signal input and output (I/O) connectors are intended for
connection of only devices complying with IEC 60601-1, or other IEC standards (for
example, IEC 60950), as applicable to the monitor. Connecting additional devices to
the monitor may increase chassis or patient leakage currents. To maintain operator
and patient safety, consider the requirements of IEC 60601-1-1. Measure the
leakage currents to confirm that no electric shock hazard exists.
WARNING Equipment failure and patient harm risk. Do not cover the air intake
vents on the right or exhaust vents on the front of the Connex IWS. Covering these
vents could cause overheating or muffling of alarms.
WARNING This equipment is not suitable for use in the presence of electrosurgery.
WARNING Cross-contamination or nosocomial infection risk. Clean and disinfect
the monitor on a routine basis according to your facility's protocols and standards
or local regulations. Thorough hand-washing before and after contact with patients
greatly reduces the risk of cross-contamination and nosocomial infection.
WARNING The physical assessment instruments (handles) are designed for
intermittent use. On-time should not exceed 2 minutes. Allow at least 10 minutes offtime between patients.
CAUTION United States Federal law restricts this monitor to sale, distribution, or
use by or on the order of a physician or licensed healthcare professional.
CAUTION Welch Allyn is not responsible for the integrity of any wall mounting
interface. Welch Allyn recommends that you contact your Biomedical Engineering
Department or maintenance service to ensure professional installation, safety, and
reliability of any mounting accessory.
CAUTION Electromagnetic interference risk. The monitor complies with
applicable domestic and international standards for electromagnetic interference.
These standards are intended to minimize medical equipment electromagnetic
interference. Although this monitor is not expected to present problems to other
compliant equipment or be affected by other compliant devices, interference issues
still may occur. As a precaution, avoid using the monitor in close proximity to other
equipment. In the event that equipment interference is observed, relocate the
equipment as necessary or consult manufacturer's directions for use.
CAUTION Use only a Class I (grounded) AC power supply cord for powering this
monitor.
12
Welch Allyn Connex® Integrated Wall System
About warnings and cautions
CAUTION Do not use a long press of
to power down the monitor when it is
functioning normally. You will lose patient data and configuration settings.
CAUTION Never pull on the power cord when removing it from the power outlet.
When disconnecting the power cord, always grasp the attachment plug and not the
cord. Keep the cord away from liquids, heat, and sharp edges. Replace the power
cord if the strain relief or cord insulation is damaged or begins to separate from the
attachment plug.
CAUTION Use only the Welch Allyn USB client cable to connect a laptop
computer to the USB client port. Any laptop connected to the monitor must be
running on a battery, a 60601-1 compliant power supply, or a 60601-1 compliant
isolation transformer.
CAUTION If the touchscreen is not responding properly, refer to the
troubleshooting section. If the problem cannot be resolved, discontinue use of the
monitor and contact an authorized Welch Allyn service center or qualified service
personnel.
CAUTION Verify patient identity on the monitor after manual or barcode entry and
before printing or transferring patient records.
13
Controls, indicators, and connectors
Your model might not contain all of these features.
Note
Front view
No. Feature
Description
1
Physical assessment instruments Handles and handle cradles
Handles will accept any 3.5V Welch Allyn instrument head.
The handle cradles support using one handle at a time. A
handle turns on automatically when you remove it from a
cradle and turns off when you return it.
2
Rheostat
Located on each handle. Turn clockwise to increase light
output; turn counterclockwise to decrease light output.
3
Exhaust vents
Exhaust vents cool the monitor.
4
LCD screen
1024 x 600 color touchscreen provides a graphical user
interface.
5
Storage compartment
Provides covered storage for additional probe covers and
other small accessories.
6
Expansion slots
Provide space to add modules.
7
SureTemp® Plus thermometer probe
covers
Support temperature measurements from oral, axillary, and
rectal sites.
8
SureTemp® Plus thermometer probe
Supports temperature measurements from oral, axillary,
and rectal sites.
14
Controls, indicators, and connectors
No. Feature
Welch Allyn Connex® Integrated Wall System
Description
9
Braun ThermoScan® PRO 4000
thermometer and dock
Support temperature measurements from the ear. Dock
charges the thermometer battery.
10
SureTemp® Plus thermometer
connector
Secures the probe connection to the wall system.
11
Blood pressure and pulse oximetry
See front underside view for more detail.
12
Power switch and LED
Power-on/Standby switch.
The LED indicates the charging status when connected to
AC power:
•
Green: The battery is charged.
•
Amber: The battery is charging.
13
USB/Comms cover
Houses light bar.
Provides access to host USB connections for optional
accessories and some routing for cords and cables.
14
Light bar
Provides a visual alarm with red and amber LEDs.
15
Speaker
Provides tones. A piezo beeper inside the monitor provides
backup.
16
Specula dispenser
Dispenses KleenSpec® disposable specula in pediatric
(2.75 mm) and adult (4.25 mm) sizes.
Front underside views
(Left: USB/Comms cover attached; Right: USB/Comms cover removed)
1
Retention screws
Supports removing and attaching USB/Comms cover.
2
Blood pressure
Self-contained module for easy replacement. Supports
dual-lumen or single-lumen hoses.
3
Pulse oximetry
Optional Nellcor (SpO2) or Masimo Rainbow SET (SpO2 or
combined SpO2/SpHb) in a self-contained module for easy
replacement.
4
USB-to-computer connector
Provides a connection to an external computer for testing,
data transfer, and software upgrades.
5
Power connection
Provides an external AC power connection.
Directions for use
Controls, indicators, and connectors
No. Feature
15
Description
6
Ground lug (equipotential terminal)
Supports electrical safety testing; terminal for connecting a
potential equalization conductor.
7
USB connectors
Provides access to host USB connections for optional
accessories.
8
USB cable retainer
Reduces strain on USB cables and connectors; helps
prevent cables from disconnecting.
Back view
1
Recess for mounting bracket
Secures the monitor when mounted on the wall.
2
Ethernet RJ-45
Provides a hardwired connection to the computer network.
3
Li-ion battery
Provides backup power to wall system.
4
Nurse call
Provides a connection to the hospital nurse call system.
Accessory bin
1
Accessory bin
Stores accessories and organizes cables.
2
SpO2 holder
Provides location to wrap SpO2 cable and attach SpO2
finger clip.
16
Controls, indicators, and connectors
No. Feature
Welch Allyn Connex® Integrated Wall System
Description
Mounting materials
1
Wall mounting rail bracket and hardware Secures the wall system to the wall.
2
Accessory bin mounting bracket and
hardware
Secures accessory bin to the wall and provides routing and
strain relief for power cord.
17
Setup
CAUTION Welch Allyn is not responsible for the integrity of any wall mounting
interface. Welch Allyn recommends that you contact your Biomedical Engineering
Department or maintenance service to ensure professional installation, safety, and
reliability of any mounting accessory.
Supplies and accessories
For a list of all approved supplies and accessories, see Approved Accessories in the Appendix.
Unpack the wall system
This procedure applies to first-time setup of the wall system.
CAUTION You must follow these instructions exactly to ensure safety and ease of
assembly.
CAUTION Do not remove any packing materials around the wall system until the
instructions tell you to do so.
1.
Lift the wall system out of the box by the cardboard handles.
2.
With the wall system still in its packing material, place it onto a table or flat work surface and
remove it from the plastic bag.
18
Welch Allyn Connex® Integrated Wall System
Setup
3.
Turn the wall system over so that back of the wall system faces up.
Insert the battery
This procedure applies to first-time setup of the wall system. Therefore, the wall system is
assumed to be shut down.
WARNING Risk of fire, explosion, and burns. Do not short-circuit, crush,
incinerate, or disassemble the battery pack.
1.
Locate the battery compartment, indicated by
2.
Insert the battery. (The battery is in a pink anti-static bag in the accessory box.)
.
Directions for use
Setup
Prepare for mounting
1.
Slide the mounting rail bracket out of the packing material and put it aside. Do not discard.
Then flip the wall system onto its back.
2
1
2.
Remove the cardboard end caps and all foam as shown and put aside for recycling.
19
20
Welch Allyn Connex® Integrated Wall System
Setup
CAUTION Do not remove the cardboard securing the handles on
the left side of the wall system at this time. The cardboard prevents
damage to those instruments during the mounting process.
Mounting hardware inventory
Use these items to mount the wall system.
•
•
•
Mounting rail bracket
Accessory bin bracket
Screws
6x
Tools list
Use these tools to mount the wall system.
•
#2 Phillips screwdriver
•
level
•
tape measure
•
stud finder
•
drill
•
1/8-inch (3.17 mm) diameter drill bit
Mounting location
Before mounting the wall system, consider the following recommendations to determine the best
mounting location:
•
Mount the wall system to studs.
•
Mount the wall system within reach of the AC power outlet. The power cord is 8 ft. (2.44 m)
long.
•
Avoid brightly lit areas.
•
Blood pressure tubing is 8 ft. (2.44 m) long.
Directions for use
Setup 21
•
Position the wall system so that all instruments are accessible and in a location that allows for
ergonomic examinations.
Sample room layout
r
1
2
1.
Connex Integrated Wall System
2.
Examination table
Mount the wall system
1.
On the selected wall, find and mark the studs, and choose the system height and
corresponding height for the mounting rail bracket.
Recommendation: Place the mounting rail bracket 63 in. (1.6 m) from the floor, which
places screen center height at approximately 63 in. (1.6 m) from the floor.
CAUTION This drawing shows the physical relationships of the
mounting brackets to each other and to the wall system after you
complete the mounting instructions. Do not place the wall system
on the wall until you have completed all preliminary steps.
2.
Affix the mounting rail bracket to three studs at the selected height using the available screws
(anchors are provided for additional support).
CAUTION Ensure that the upper "lip" of the bracket sticks out
from the wall and that the bracket is level.
22
Welch Allyn Connex® Integrated Wall System
Setup
3.
Route the power cord through the channel in the back of the accessory bin bracket, then
mount the bracket on the center stud at least 13 in. (33 cm) below the mounting rail bracket.
4.
Before mounting the wall system, remove the cover by loosening the captive retention screws.
Directions for use
Setup 23
5.
Hang wall system on the mounting rail bracket.
WARNING Ensure that the ribs on the back of the wall system
fully engage the mounting rail bracket. The wall system should be
level and flush to the wall.
6.
Select one of the three available slots at the bottom of the unit that overlaps a stud, and
secure the unit to the stud with the remaining screw.
WARNING Failure to install this security screw may result in
personal injury and equipment damage.
24
Welch Allyn Connex® Integrated Wall System
Setup
7.
If the wall unit is configured for SpO2 or SpHb, connect the sensor cable and route it through
the channel above the security screw you just installed.
8.
Re-attach the cover.
a.
Thread the sensor cable through the cutouts on the top right and bottom left of the cover.
Directions for use
Setup
b.
9.
25
Tighten the two retention screws.
Attach the system power cord to the wall unit. Do not plug the cord into an outlet at this time.
Mount the accessory bin
1.
Mount the accessory bin on the accessory bin bracket, then loosely wrap the excess power
cord around the accessory bin bracket.
2.
If your wall system is configured for SpO2 (or SpHb), attach the spool to the accessory bin by
sliding the spool onto the retention clip.
26
Welch Allyn Connex® Integrated Wall System
Setup
3.
Properly orient and insert the sensor cable into the patient cable connector. (You just
connected the opposite end of the sensor cable to the wall system.) Ensure the sensor cable is
inserted completely, then close the protective cover. (See the sensor manufacturer's
directions for use.)
4.
Wrap the excess patient cable around the spool, and place the finger clip in the holder.
Connect the blood pressure (NIBP) hose
1.
Align the hose connector with the hose connector port on the bottom of the monitor.
2.
Insert the hose connector, pressing firmly until it clicks into place.
3.
Attach a blood pressure cuff to the tubing (see the cuff manufacturer's directions for use),
then store the cuff in the accessory bin.
Directions for use
Setup
27
Set up the physical assessment instrument handles and
specula dispenser
1.
Attach the specula dispenser. Ensure that the keyhole locking slots on the back of the
dispenser engage the locking screws on the wall system, then push down firmly.
2.
Remove cardboard securing instrument handles.
3.
Attach Welch Allyn 3.5V instrument heads of your choice to the handles. See the directions for
use for each instrument head.
Set up the SureTemp® Plus thermometer
If your wall system is configured for a SureTemp Plus thermometer, follow these setup
instructions.
1.
Align the probe well with the tabs facing up and down and insert the probe well into the
temperature module.
The probe well snaps into place when it is fully seated.
28
Welch Allyn Connex® Integrated Wall System
Setup
2.
Hold the temperature probe cable connector with the spring tab on the right and insert it into
the probe port of the temperature module. Push it into place until it clicks.
3.
Insert the temperature probe into the probe well.
4.
Open a box of probe covers and place it in the probe cover box holder.
Note
Spare boxes of probe covers can be stored in the compartment on
the top of the wall system.
Set up the Braun ThermoScan® PRO 4000 thermometer
If your system is configured for the Braun ThermoScan thermometer, follow these setup
instructions.
1.
Remove the thermometer from the package and discard the protective casing. Then open a
box of probe covers and place it in the dock.
Setup
29
Probe
20 Covers
Directions for use
2.
Remove the thermometer cover, insert the battery, replace the thermometer cover, then place
the thermometer in the dock.
Connect AC power
The wall system uses both battery and AC power. After completing all other setup activities, you
can apply power to the wall system.
1.
Insert the power plug into an outlet to power the monitor and to charge the battery.
30
Welch Allyn Connex® Integrated Wall System
Setup
Note
2.
New batteries are only 30 percent charged. You must plug the wall
system into AC power to fully charge the battery. Do not plug in the
power cord until completing all preliminary steps.
Proceed to Startup.
Attach an accessory
1.
Shut down the wall system and detach the power cord. Then remove the cover from the wall
system by loosening the captive retention screws.
2.
Loosen the two screws on the cable retention clamp and remove it. Then connect the USB
cable(s) to an available connector and thread the cable(s) through the cable guide(s).
3.
Replace the cable retention clamp and tighten the two screws.
4.
Re-attach the cover.
a.
Thread the SpO2 (or SpHb) cable through the cutouts on the top right and bottom left of
the cover.
Directions for use
Setup 31
b.
5.
Tighten the two retention screws.
Re-attach the system power cord and power up the wall system.
Note
Some accessories require a license to enable them for use. These accessories are
packaged with an authorization code and instructions for activating the license
using the Welch Allyn Service Tool. For more information, refer to the instructions
and the service tool installation guide.
32
Setup
Welch Allyn Connex® Integrated Wall System
33
Startup
Power
The power button, located on the front of the monitor, performs the following functions:
•
Powers up the monitor
•
Sets the monitor into Display power saving mode, except when an alarm condition is active
(brief press)
•
Resets the monitor and sets the monitor into Standby mode (press and hold for 6 seconds)
CAUTION Do not use a long press of
to power down the monitor when it is
functioning normally. You will lose patient data and configuration settings.
The LED in the center of the power plug symbol indicates the battery charging status:
•
Green indicates that AC power is present and that the battery is fully charged.
•
Amber indicates that AC power is present and that the battery is charging.
The monitor has distinct power states.
Monitor on
The monitor is operating on battery power or AC power. You can utilize the monitor's features, and
the display is active.
Display power saving
The monitor is operating on battery or AC power, but the display is off to conserve power. A brief
press of the power button sets the monitor into Display power saving mode from the active state.
Settings for this mode can be changed in the Advanced Settings Display tab.
Battery-powered accessories connected to the monitor continue to charge while the monitor is in
this mode and connected to AC power.
Note
The monitor will not enter the Display power saving mode while an alarm condition
is active. In addition, the monitor will exit this mode if an alarm occurs.
34
Welch Allyn Connex® Integrated Wall System
Startup
The following actions will return the monitor display to the active state:
•
Touch the screen
•
Remove the temperature probe from the probe well
•
Attach the SpO2 sensor to a patient
•
Press
Standby
The monitor is plugged into a power outlet, but the sensors and the display do not operate.
Note
Because power is still available to charge the battery and power the monitor, the
monitor is in Standby mode.
The monitor remains in Standby mode until you press
. Settings for this mode can be changed
in the Advanced Settings Display tab.
Power up the monitor
The monitor runs a brief diagnostic self-test each time it powers up.
WARNING Equipment failure risk. The monitor includes a fan that circulates air
through the device. If the fan does not run when you power up the device, remove it
from use and inform qualified service personnel immediately. Do not use the
monitor until the problem is corrected.
WARNING To ensure patient safety, listen for two audible indicators (a piezo
beeper and a speaker tone) and watch for visual alerts at power-up. Correct any
system errors before using the monitor. In addition to the audible indicators, the
monitor LED light bar illuminates to alert you of alarms. Amber indicates a low-level
alarm. Flashing amber indicates a medium-level alarm. Flashing red indicates a
high-level alarm.
WARNING Always observe the monitor during power-up. If any display fails to
illuminate properly, or if an error code displays, inform qualified service personnel
immediately, or call your nearest Welch Allyn Customer Service or Technical
Support facility. Do not use the monitor until the problem is corrected.
CAUTION Always use the monitor with an adequately charged and properly
functioning battery. For continuous monitoring, always connect to AC power.
CAUTION Use only a Class I (grounded) AC power cord for powering this monitor.
Press
to power up the monitor.
Following a successful self-test, the monitor displays the Welch Allyn logo, the LED light bar
(located on the handle) flashes, and a power-up tone sounds. The startup screen then appears
with the following banner across the bottom.
If a system error is detected, the monitor becomes inactive until you press
or until the
monitor shuts down automatically. The monitor displays a system fault message that contains
Directions for use
Startup
a wrench icon
35
and a system fault code to aid service personnel and engineers in
diagnosing the problem.
Power down the monitor
1.
Touch the Settings tab.
2.
Touch the Device tab.
3.
Touch Power down.
This power-down method, which places the monitor into Standby mode, ensures that patient
measurements are retained in the monitor memory for a maximum of 24 hours. (These saved
measurements are available for recall, printing, or to send electronically to the network.) This
method also ensures that any configuration settings you have changed and saved will be
maintained at the next startup.
Note
Because power is still available to charge the battery and power the monitor, the
monitor is in Standby mode.
Reset the wall system
If the wall system stops functioning, you can press and hold
for approximately 6 seconds
to allow the hardware to completely cycle off and to reset the wall system configuration
settings to the last saved default power-up configuration. The button is located on the front of
the wall system.
CAUTION Do not use a long press of
to power down the wall
system when it is functioning normally. You will lose patient data
and configuration settings.
Note
Because power is still available to charge the battery and power
the wall system, the wall system is in Standby mode.
36
Welch Allyn Connex® Integrated Wall System
Startup
Select a language
When you power up the wall system for the first time, the language selection screen appears.
1.
Select your language.
2.
Touch Exit.
The Home tab appears.
Set the date and time
1.
Touch the Settings tab.
2.
Touch the Device tab.
3.
Touch the Date/Time vertical tab.
4.
To change the date and time values: Touch the up and down arrow keys or touch
enter a value.
and
Repeat for each value you want to change.
Note
The date and time stamps on saved patient measurements will
adjust in response to new date and time settings.
Enter clinician information
1.
2.
Go to the Clinician tab using one of these methods:
•
Touch the Clinician ID section (left edge) of the Device Status area on the Home tab.
•
Touch the Settings tab and then touch the Clinician tab.
To enter the clinician name, touch
characters.
, located at the right of the text field, and enter
You can enter up to 32 characters for the clinician's first and last name. Enter only 1 character
for the middle initial.
3.
To enter the clinician ID, use one of these methods:
Directions for use
Startup
37
•
Touch
and enter the ID.
•
Scan the clinician's barcode with a barcode scanner. The scanned ID appears in the field.
4.
If prompted, enter your system password in the Authentication pane.
5.
Touch OK to save your entries and return to the Home tab.
Set the default configuration
1.
Touch the Settings tab.
2.
Touch the Device tab.
3.
Enter or adjust the desired settings you want to add or change.
Note
The new settings appear as they are completed but are temporary
until they are saved.
4.
Touch Save as default.
5.
Touch OK to confirm that you want to overwrite your previous settings and replace them with
your current settings in the startup default configuration. Or touch Cancel to retain the
previous settings.
The new settings are stored as the default startup settings once you restart the monitor.
Note
If your monitor is connected to the network, the date and time settings are
synchronized with the network settings.
Note
The date and time stamps on saved patient measurements will adjust in response to
new date and time settings.
38
Startup
Welch Allyn Connex® Integrated Wall System
39
Navigation
The monitor screen provides the interface that you use to complete your workflow. You access the
monitor's features by touching the screen.
Home tab
The Home tab includes the following areas:
Item
Area
1
Device Status
2
Content
3
Navigation
Device Status area
The Device Status area, located at the top of the Home screen, displays the following monitor
information, from left to right:
•
Clinician identification. The format can be a name, ID number, or icon. Touch this area to
navigate to the Clinician login.
40
Welch Allyn Connex® Integrated Wall System
Navigation
•
Device location.
•
Time and date. Touch this area to navigate to date and time settings.
•
Connection status (wired or wireless). The icons indicate which connection type, if any, is
currently active.
Icon
Connection type
Ethernet
USB
Wireless
Blank
No connection
•
Process indicator. This indicator appears when system or patient data is transferred between
the monitor and the network.
•
Battery condition. Estimated battery capacity is displayed in hour(s):minute(s) format.
This area also provides:
•
Interactive alarm and information messages.
•
Shortcuts to some setting controls. For example, touching the Alarm icon displays the Alarms
tab.
Battery status
The battery status indicator displays the state of the battery.
The battery status is represented by icons in the right corner of the Device Status area:
•
The monitor is connected to a power outlet and the battery is charging or is fully charged. The
estimated charge rate is displayed as a percentage of capacity.
•
The monitor is not connected to a power outlet and is running on battery power. The estimated
charge time remaining is displayed in the hour(s):minute(s) format. Each section of the battery
status indicator represents a percentage of remaining charge.
•
The monitor is connected to a power outlet but the battery does not maintain a charge (or has
been removed).
When the battery is not being recharged and power becomes low, an information message
displays in the Device Status area.
Directions for use
Navigation
Note
41
Observe the remaining battery charge in the battery status indicator and plug the
monitor into a power outlet as soon as you are able.
If the information message is dismissed or you do not take any action to charge the battery, a low
battery alarm condition results. An error message displays in the Device Status area to prompt you
to take action to help prevent the monitor from shutting down due to a critically low battery.
Alarm and information messages
The Device Status area provides alarm and information messages that are either temporary or
exist as long as the condition to which the message applies remains. Alarm or information
messages may also include controls and/or behavior that you can use to manage alarm and
information messages.
When the monitor detects an alarm condition, an alarm message appears. When multiple alarms
occur, the highest priority message appears. You can cycle through each alarm message by
touching the multiple alarm toggle.
Information messages instruct you to interact with the monitor in a specific way or provide
information that does not require action. You can dismiss an information message by selecting the
control associated with the message or waiting for the message to time out.
Content area
The Content area displays vital sign measurements. It also provides shortcuts to several controls.
The Content area includes the following frames:
•
NIBP
•
SpO2 with optional SpHb
•
Pulse rate
•
Temperature
•
Patient
•
Manual parameters (height, weight, pain, temperature, respiration, and BMI, depending on
configuration)
42
Welch Allyn Connex® Integrated Wall System
Navigation
The Content area also includes a Save button, which you use to manually save current
measurements.
Save patient data
Patient data can be saved to the monitor.
After taking a patient reading, touch Save.
A message will appear indicating a successful or failed save.
You can configure some profiles and settings to automatically save
measurements.
Note
Navigation area
The Navigation area includes the following tabs:
•
Home: Displays vital-sign measurements and provides shortcuts to several controls.
•
Patients: Accesses the patient list, patient summary, patient modifiers, and manual
parameters.
•
Alarms: Accesses global alarm response and settings controls, plus alarm limits settings
(available only in Monitor mode).
•
Review: Prints, deletes, and sends patient data.
•
Settings: Accesses device configuration settings.
To navigate to a tab, touch the tab in the Navigation area with the corresponding name. The active
tab is highlighted.
Display lock
The display lock prevents clinician input, which may be useful when cleaning the display.
Note
The lock feature is not a security mechanism.
The display locks when any of the following occur:
•
You touch Lock display now.
•
No interaction with the monitor occurs for the period specified in the Display tab. Use the
Advanced tab to set or change the time it takes for the display to lock. (This requires the
Advanced settings access code.)
Lock the display
Follow these steps to touch the screen without activating the controls.
1.
Touch the Settings tab.
2.
Touch the Device tab.
3.
Touch Lock display now.
The following occurs:
•
The Home screen appears.
Directions for use
Navigation
•
A title bar with a lock icon (
•
Patient information no longer appears at the bottom left of the screen.
•
All controls on the screen are locked, except for
of the screen other than
43
) replaces the Navigation area at the bottom of the screen.
on the title bar. If you select any area
, a message appears.
Unlock the display
On the locked screen, touch and move Slide to unlock (located at the bottom right) to the
rightmost position on the slidebar.
The following occurs:
•
Patient information appears in the Patient frame.
•
The Navigation area appears.
•
Home tab controls are available for use.
The display also unlocks when any of the following occur:
•
An alarm condition.
•
An externally initiated action, such as taking or stopping an NIBP measurement or upgrading
software.
•
The monitor powers up.
44
Navigation
Welch Allyn Connex® Integrated Wall System
45
Profiles
Profiles are variations of the Home tab. Each profile gives you access to a different set of features.
Choose the profile that best suits your needs.
The monitor offers multiple profiles—including Monitor, Spot Check, and Triage—based on the
model and any upgrade licenses you purchase.
Monitor profile
The Monitor profile enables you to use alarms and timed intervals. It is designed for continuous
patient monitoring.
46
Welch Allyn Connex® Integrated Wall System
Profiles
Spot Check profile
The Spot Check profile is optimized for clinicians who take spot-check vitals readings and do not
need automatic reading or alarm features.
Triage profile
The Triage profile allows for vital signs capture without alarms or access to the Patients tab.
Directions for use
Profiles
47
Profile feature comparison
The following table compares the features of the profiles.
Feature
Monitor
Spot Check
Triage
Take NIBP, SpO2,
temperature, and pulse
rate readings
X
X
X
Take SpHb readings
(Masimo only)
X
Change patient type
X
(adult, pediatric, neonate)
X
X
View and enter manual
parameters (height,
weight, pain, respiration,
temperature*, BMI**)
X
X
Save currently displayed
data to device memory
X
X
X
Save and review patient
data
X
X
X
Access Patients tab
X
X
Access Alarms tab
X
Access Review tab
X
X
X
Access Settings tab
X
X
X
Configure and use interval X
timing setting
Observe and configure
alarm limits
X
Observe and respond to
physiological alarms
X
* Braun IR thermometers configured to work with the monitor transfer temperature data automatically to the
Temperature frame. You can enter temperature manually if you take a patient temperature with a
thermometer that is not connected to the monitor, and you have selected temperature as one of the four
manual parameters to display.
** Body Mass Index (BMI) is calculated and transferred to the monitor only by an attached weight scale. You
cannot enter or adjust BMI values. BMI displays on the Manual tab and in the Manual parameters frame if
you have selected it as one of the four parameters to display.
48
Welch Allyn Connex® Integrated Wall System
Profiles
Select a profile
Follow these steps to select a profile, which controls the appearance and functionality of the
device.
1.
Touch Settings.
2.
Touch Profiles.
3.
Touch the desired profile.
4.
Touch Home to return to the Home tab.
Note
Profiles cannot be changed while acquiring patient measurements
or while unsaved patient measurements are on the display.
49
Using the keypad, keyboard, and barcode
scanner
Open the numeric keypad
Touch any field that includes the numeric keypad icon
.
The numeric keypad appears.
Numeric keypad
The numeric keypad includes the following components:
Component
Name
Description
Data field
Displays the numbers you enter. The field
name appears above and the range of values
you can enter appears below this field.
Backspace key
When touched, removes the rightmost
number from the data field.
Welch Allyn Connex® Integrated Wall System
50 Using the keypad, keyboard, and barcode scanner
Component
Name
Description
Cancel button
When touched, the numeric keypad
disappears and the selected number does not
change.
OK button
When touched, the numeric keypad
disappears and the entered number appears
in the associated frame or data field.
Enter a number
1.
With the numeric keypad open, touch a number or numbers.
The value must be within the range that appears below the data field.
2.
Touch OK.
•
If the value is within the required range and format, the numeric keypad disappears and
the entered numbers replace the previous numbers.
•
If the number is not within the required range and format, OK remains inactive until you
enter a valid number.
Close the numeric keypad
Touch one of the following:
•
OK: Exits the numeric keypad and inserts the number.
•
Cancel: Exits the numeric keypad without saving entered numbers.
Open the keyboard
Touch any field that includes the keyboard icon
The keyboard appears.
Keyboard
The keyboard includes the following components:
.
Directions for use
Using the keypad, keyboard, and barcode scanner
Component
51
Name
Description
Data field
Displays the characters you enter.
Backspace key
When touched, removes the rightmost
character from the data field.
Space bar
When touched, enters a space in the data
field.
Shift key
When touched, enters the next letter as
uppercase.
Letters key
When touched, returns to the primary
keyboard layout. The keyboard changes
from normal layout when you touch one of
these:
•
The symbols key
•
The diacritical marks key
Symbols key
When touched, the keyboard displays
symbols. The keyboard returns to its
normal layout when you touch one of
these:
•
Any symbol
•
The letters key
•
The symbols key
Note
The symbols that display
match the selected
language.
Diacritical marks key When touched, the keyboard displays
(appearance varies letters with diacritical marks. The
in some languages) keyboard returns to its normal layout when
you touch one of these:
•
Any letter
•
The letters key
•
The diacritical marks key
Note
This key appears only
when the selected
language uses diacritical
marks.
Next button
When touched, accepts the entry for the
current field, then clears the field to allow
data entry for the next field.
Cancel button
When touched, the keyboard disappears
and the content of the data field remains
the same.
52
Welch Allyn Connex® Integrated Wall System
Using the keypad, keyboard, and barcode scanner
Component
Name
Description
OK button
When touched, the keyboard disappears
and the entered characters appear in the
data field.
Enter a letter or number
1.
With the keyboard open, touch letters or numbers.
2.
Do one of the following:
•
Touch Next. This control accepts the entry for the current field, then clears the data field
to allow data entry in the next field.
•
Touch OK. The keyboard disappears and the entered characters appear in the data field.
Enter a symbol or special character
Note
1.
To return to the keyboard's normal layout, touch
With the keyboard open, touch
.
.
Symbols and special characters for the selected language appear.
2.
Touch the appropriate symbol or special character.
The keyboard returns to its normal layout.
Enter a diacritical mark
Note
Keyboards with diacritical marks are available only for languages that use
diacritical marks.
Note
To return to the keyboard's normal layout without saving changes, touch
Diacritical marks key
Language(s)
None (Not applicable)
Danish, English, Dutch, German, Italian
French
.
Directions for use
Using the keypad, keyboard, and barcode scanner
Diacritical marks key
53
Language(s)
Finnish, Norwegian, Spanish, Swedish
Portuguese
Polish
Greek
1.
With the keyboard open, touch the diacritical marks key. This key varies based on the
language, as noted above.
The keyboard displays diacritical marks for the selected language and therefore varies from
one language to another. On each diacritical marks keyboard, the letters key in the top left
corner returns you to the standard keyboard.
2.
Touch a diacritical mark.
The keyboard returns to its normal layout.
Close the keyboard
Touch one of the following:
•
Next: Accepts the entry for the current field, then clears the field to allow data entry for
the next field.
•
OK: Exits the keyboard and inserts the data.
•
Cancel: Exits the keyboard without saving entered data.
Use a barcode scanner
The monitor enables the scanning of patients’ and clinicians’ barcodes to enter ID information. The
barcode scanner supports linear and two-dimensional barcodes.
If you haven't done so already, attach the barcode scanner to the monitor. Use the instructions to
attach an accessory.
Note
Refer to the manufacturer's directions for use to ensure that the scanner is set to
USB Com Emulation mode.
1.
Remove the barcode scanner from its holder.
2.
Hold the scanner approximately 6 inches (15.4 cm) from the barcode and squeeze the trigger
so that the light from the scanner appears on the barcode.
Once the scanner completes a successful barcode reading, the ID appears in the targeted
area (Patient frame, data field, or Device Status area). See additional notes below.
If the scanner has difficulty reading the barcode, slowly adjust the distance and the angle
between the scanner and the barcode while squeezing the scanner trigger. If it continues to
have difficulty, verify that the barcode is as flat as possible.
54
Using the keypad, keyboard, and barcode scanner
Note
Welch Allyn Connex® Integrated Wall System
You can scan a patient's barcode from the Home tab or the Summary tab. The
scanned ID appears in the Patient frame on the Home tab and in the Patient ID field
on the Summary tab.
Before you scan a barcode on the Summary tab, touch the keyboard icon in the
Patient ID field. To return to the Home tab and begin taking patient measurements,
touch OK.
Note
Scanning a clinician ID while the Clinician ID pane is open places the scanned ID
into the Clinician ID section of the Device Status area. Touch OK to return to the
Home tab and to begin taking patient measurements.
Note
Use the Advanced settings Data Management tab to change the appearance of the
Clinician ID if you do not want your ID to appear in the Device Status area. (This
requires the Advanced settings access code.) However, this information is still
retained in the monitor memory for recall, printing, or to send measurements
electronically to the network.
55
Patient data management
Patient data is managed through the Patients tab.
From this tab, you can do the following:
•
Retrieve a patient list from the network or manually create a patient list.
•
Select a patient from the list.
•
Scan a patient ID with the barcode scanner and return an Admit/Discharge/Transfer (ADT)
patient name match.
•
Enter additional patient information such as modifiers and manual parameters.
CAUTION Verify patient identity on the monitor after manual or barcode entry and
before printing or transferring patient records.
Add a patient to the patient list
Note
If the monitor is configured to retrieve the patient list from the network, you cannot
manually add a patient to the patient list.
1.
Touch the Patients tab.
2.
Touch Add.
3.
Touch
and then enter patient information. Touch
patient data fields.
Note
You can use a barcode scanner to enter a patient ID in the Patient
ID field. Touch
and touch OK.
4.
to cycle through the
in the Patient ID field, scan the barcode,
Touch OK to return to the Home tab.
The information is saved.
CAUTION Verify patient identity on the monitor after manual or barcode entry and
before printing or transferring patient records.
Load patient data with the barcode scanner
You can use a barcode scanner to query existing patient records and perform an ADT patient name
match.
56
Welch Allyn Connex® Integrated Wall System
Patient data management
Note
If the monitor is connected to the network, the monitor can receive a patient name
from patient records associated with a scanned ID number.
1.
Ensure that you are on the Home tab.
2.
Scan the patient's barcode with the barcode scanner.
The Patient ID appears in the Patient frame.
CAUTION Verify patient identity on the monitor after manual or barcode entry and
before printing or transferring patient records.
Select a patient
1.
Touch the Patients tab.
2.
If the monitor is connected to the network, touch Retrieve list on the List tab.
The monitor retrieves the patient list from the network.
3.
From the patient list, touch the patient's identifier (name, ID number, or location).
The patient's identifier is determined in Advanced settings.
4.
Touch Select.
Note
In the Spot Check and Triage profiles, previous patient data will be
overwritten by a new save. In the Monitor profile, selecting a new
patient will clear the current patient data and readings.
Patient data can be sorted in ascending or descending order by selecting the heading row and
touching ▲ or ▼.
Manage patient records
Patient records can be sent to the network, printed, or deleted.
1.
Touch the Review tab.
Note
Measurements that triggered a physiological alarm are highlighted
on this tab.
2.
Select patients by touching the check box next to their names.
3.
Touch Send to transmit the records to the network, Print to print the records, or Delete to
permanently remove the records as desired.
Directions for use
Patient data management
CAUTION Verify patient identity on the monitor after manual or
barcode entry and before printing or transferring patient records.
CAUTION Always visually verify the printed patient records.
Note
icon indicates the records have been sent to the
The
network.
Note
You can configure some profiles and settings to automatically send
measurements to the network.
Note
Patient measurements older than 24 hours are automatically
deleted from the patient records list on the Review tab.
Note
The date and time stamps on saved patient measurements will
adjust in response to new date and time settings.
Delete a patient from the list
1.
Touch the Patients tab.
2.
From the List tab, touch the patient record you want to delete.
3.
Touch Delete.
At the Delete Confirmation window, touch OK to permanently delete the selected patient.
Touch Cancel to cancel the deletion.
Note
Deleting a patient from the Patients List does not delete saved
records. Touch Review to see or delete saved records.
Note
For monitors connected to the network, deleting a patient on the
monitor does not affect data on the network.
Modifiers
The Modifiers tab enables you to enter additional information for current measurements.
57
58 Patient data management
Welch Allyn Connex® Integrated Wall System
Set modifiers
1.
Touch the Patients tab.
2.
Touch the Modifiers tab.
3.
Adjust the NIBP, O2, and Temperature settings as required.
4.
Touch OK to accept the changes and return to the home screen, or touch Clear to delete all
entries.
The Modifier settings clear after a power cycle, after you clear the Home tab, or after you
select a new patient.
59
Alarms
The monitor presents physiological alarms and technical alarms. Physiological alarms occur when
vital sign measurements fall outside of set alarm limits, but they occur only in the Monitor profile.
Technical alarms occur in all profiles.
Note
The three modes of data communication—USB, Ethernet, and IEEE 802.11—are not
intended for real-time alarms.
Alarm types
Type
Priority
Color
Alarm audio tone
•
•
NIBP, SpO2, or SpHb limit exceeded
Some technical alarms
High
Red
10-pulse tone
•
•
Pulse rate limit exceeded
Some technical alarms
Medium
Amber
3-pulse tone
•
•
Temperature limit exceeded
Some technical alarms
Low
Amber
2-pulse tone or 1-pulse tone
Alarm notification locations
WARNING If you are relying on visual alarm notifications, maintain a clear line of
sight with the monitor and/or Nurse Call. If you are relying on audio alarm
notifications, ensure that you can hear audio alarms from where you are. Set the
volume as needed considering the environment and ambient noise levels.
Nurse Call
When the Nurse Call cable is connected and Nurse Call has been enabled, the monitor
immediately notifies the Nurse Call system when an alarm occurs. Nurse Call notification settings
are specified in the Advanced settings.
LED light bar
The light bar on the handle of the monitor illuminates as follows:
•
Flashing red for high priority alarms
•
Flashing amber for medium priority alarms
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Alarms
•
Constant amber for low priority alarms
Home tab
Home tab notifications
Notification
Description
Device Status area
The area changes color and displays a message with an accompanying status
icon or button. If the alarm tone is in a pause interval, a timer countdown appears.
If multiple alarms and information messages are active, the Device Status area
shows the highest priority alarm. If the alarms are equal in priority, the most
recent alarm message appears. You can cycle through the messages for each
active alarm.
Parameter frame
The background color changes. Touch this area to pause or turn off an alarm
audio tone. Visual indicators and Nurse Call notification will persist during an
audio paused condition.
Alarm Limit control
The icon in this control indicates the status of the alarm limit settings. Red and
amber icons indicate measurements that have exceeded alarm limits.
Touch this control to navigate to a parameter-specific tab where you can modify
alarm limit settings.
Icons on the Home tab
Icons in parameter frames
The icons in the parameter frames indicate alarm notification settings. When alarm limits are on,
the icons will be black and white until an alarm occurs. Then, the icons will change color to
indicate the priority of the alarm. Red icons represent high priority alarms, and amber icons
represent medium or low priority alarms.
Directions for use
Alarms 61
Icons in parameter frames
Icon
Name and status
Alarm off.
No visual or audio alarms or Nurse Call notification will occur for this parameter.
Alarm on.
Audio and visual notifications and Nurse Call are enabled.
Alarm audio off.
Only visual notifications, including Nurse Call, will occur.
Alarm audio paused.
The audio tone is paused for a period ranging from 90 seconds to 15 minutes. The icon
remains until the paused time counts down to 0.
Icons in the Device Status area
The icons in the Device Status area are black and white, but the background area changes colors
to indicate the alarm priority. Messages accompany these icons. These icons can be controls or
status indicators.
Icons in the Device Status area
Icon
Name and status
Alarm active.
One or more alarms are active. Touch this icon to pause or turn off the audio tone.
Alarm audio off.
Audio signals are disabled, but alarm limits and visual alarm signals remain active.
Multiple alarms toggle.
Touch this icon to cycle through the messages for each active alarm.
Alarm audio paused.
The audio tone is paused for a period ranging from 90 seconds to 15 minutes. The icon
remains until the paused time counts down to 0. Touch this icon to reset the pause
interval. The pause interval is determined by settings in the Advanced tab.
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Alarms
Reset (pause or turn off) audio alarms
Audio alarm characteristics
•
After you reset an audio alarm, some tones do not return, but others return after a pause
interval if the condition that caused the alarm persists. Settings in the Advanced tab determine
the length of the pause interval.
•
If a new alarm condition occurs during a pause interval, a new audio tone occurs.
•
If an audio alarm is not paused or turned off after a period of time, a buzzer accompanies the
tone.
Pause or turn off an audio alarm
1.
In the Device Status area, touch
.
•
Visual indications remain in the parameter frame until the condition is corrected or until
the next measurement is taken.
•
In the Device Status area, if the icon changes to
and the message remains, the
timer counts down and the audio tone returns after a pause interval. You can touch
again to restart the timer.
If you responded to an NIBP alarm and multiple NIBP limits have been exceeded, the first
audio tone and message go away, but another NIBP limit message shows with a
countdown timer. A new NIBP audio tone sounds after the countdown unless you touch
to dismiss each remaining NIBP limit message.
2.
If multiple alarms are active, a multiple alarm toggle will appear in the Device Status area.
Respond to multiple alarms as follows:
in the Device Status area. (See note below.)
a.
Touch
b.
Read the alarm message for the second alarm.
c.
Touch
d.
Continue to touch multiple alarm toggle buttons and to reset tones until you have read all
of the messages.
Note
.
The multiple alarm toggle button will display the number of
active alarms inside the alarm icon. A set of dots indicating the
display order of alarms from highest (left) to lowest (right)
priority (as well as the most recent in the case of multiple
alarms of the same priority) will appear below it.
Directions for use
Alarms 63
Adjust vital sign alarm limits
You can adjust vital sign alarm limits or turn off alarm limit checking for individual parameters.
WARNING Alarm limits are user adjustable. All alarm limit settings should take
into account the patient's condition and acute care needs. Appropriate alarm limits
should be set accordingly for each patient.
CAUTION Loss of power will cause the monitor to return to default settings. Each
time you power up the monitor, you must set alarm limits appropriate for your
patient.
1.
On the Home tab, touch the alarm limits control in the selected parameter frame. For example,
to adjust the NIBP alarm limits, touch
2.
.
Adjust vital sign alarm limits.
•
To adjust a limit: Enter the desired upper and lower alarm limits using the up/down arrow
keys or the keypad.
•
or
. This button
To turn alarm limits off or on for the vital sign: Touch
toggles to display the current alarm state.
If you turn off alarm limit checking for a vital sign, no visual or audio alarm signals will
occur for those limits. If alarm limit checking is off, the icon changes to
Home tab in the parameter frame.
on the
Modify audio alarm notification
You can modify the volume of all audio alarms.
Note
If the Allow user to turn off general audio option has been selected in Advanced
settings, you can turn off audio alarms, but turning off alarms is not recommended
in some circumstances, such as unattended monitoring.
WARNING The alarm volume should be loud enough for you to hear it from where
you are. Set the volume considering the environment and ambient noise levels.
As you are working in the Alarms tab, parameter measurements appear across the top of the tab.
1.
Touch the Alarms tab.
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Alarms
2.
On the General tab, modify audio alarm notification.
•
To enable or disable audio alarms, select Alarm audio on or Alarm audio off.
If you turn off audio alarms, visual alarm signals still occur in the LED light bar, Device
Status area, and on the Home tab in parameter frames.
The
in the Device Status area indicates alarm audio turned off, and a similar bell
will appear in the parameter frames
. If an alarm condition occurs, the bell will be
red or amber in the alarming frame, according to the priority of the alarm, as shown here:
or
•
.
To modify the volume of audio alarms: Select a volume level.
An audio tone sounds briefly to indicate the volume level.
Note
Periodically test the speaker by selecting different speaker
volumes and listening for the different tones.
Alarm messages and priorities
The following tables list the physiological and technical alarm messages and their priority.
Physiological alarms
Alarm messages
Priority
Alarm limit exceeded. NIBP systolic HIGH.
High
Alarm limit exceeded. NIBP systolic LOW.
High
Directions for use
Alarms 65
Alarm messages
Priority
Alarm limit exceeded. NIBP diastolic HIGH.
High
Alarm limit exceeded. NIBP diastolic LOW.
High
Alarm limit exceeded. NIBP MAP HIGH.
High
Alarm limit exceeded. NIBP MAP LOW.
High
Alarm limit exceeded. Pulse rate HIGH.
Medium
Alarm limit exceeded. Pulse rate LOW.
Medium
Alarm limit exceeded. SpO2 HIGH.
High
Alarm limit exceeded. SpO2 LOW.
High
Alarm limit exceeded. SpHb HIGH.
High
Alarm limit exceeded. SpHb LOW.
High
Alarm limit exceeded. Temperature HIGH.
Low
Alarm limit exceeded. Temperature LOW.
Low
Technical alarms
Alarm messages
Priority
Low battery 5 minutes or less remaining.
High
Searching for pulse signal.
High
Communications module did not power on properly. Power down the device.
High
Network not found; check network cable connections.
Low
Powering down. Call for service.
Low
Battery is absent or faulty. Call for service.
Low
NIBP air leak; check cuff and tubing connections.
Low
NIBP not functional. Call for service.
Low
Unable to determine NIBP; check connections and tubing for kinks.
Low
Incorrect NIBP cuff size; check patient type.
Low
Inflation too quick; check NIBP cuff and tubing connections.
Low
Unable to determine NIBP; check inflation settings.
Low
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Alarms
Alarm messages
Priority
SpO2 not functional.
Low
Attach SpO2 sensor to monitor.
Low
Replace the SpO2 sensor.
Low
Set date and time.
Low
Maximum number of patient records saved. Oldest record overwritten.
Low
Unable to access patient information.
Low
Connect temperature probe.
Low
Insert correct color coded probe well.
Low
Replace temperature probe.
Low
Temperature not functional. Call for service.
Low
Retry temperature measurement.
Low
Temperature time limit exceeded. Retry temperature measurement.
Low
Low battery; plug into outlet.
Low
Radio not functional. Call for service.
Low
Radio error. Power down and restart.
Low
Unable to establish network communications. Radio out of network range.
Low
Unable to establish network communications. Call for Service.
Low
Radio software upgrade failed.
Low
Unable to load configuration; using factory defaults.
Low
Functional error. Call for service.
Low
External device not recognized.
Low
Incompatible Welch Allyn device.
Low
USB Communication failure.
Low
Low battery 30 minutes or less remaining.
Low
Low SpHb signal quality. Check sensor.
Low
Low SpO2 signal quality. Check sensor.
Low
Low perfusion. Check sensor.
Low
Directions for use
Alarms 67
Alarm messages
Priority
Replace the SpO2 cable.
Low
SpO2 mode only. Check sensor or cable.
Low
SpO2 sensor expires in….
Low
Unexpected restart occurred. Call for service.
Low
Weight scale not functional. Call for service.
Low
Nurse call
The monitor can be connected to a Nurse Call system through a cable that connects to the Nurse
Call connector.
When the Nurse Call cable is connected and Nurse Call is enabled, the monitor immediately
notifies the Nurse Call system when a physiological alarm that exceeds the preset threshold
occurs. The Nurse Call system is also synchronized with the flashing LED lightbar and audible
alerts on the monitor.
Nurse Call thresholds are set in the Advanced Settings.
To connect the monitor to a Nurse Call system, you must have a cable that has been adapted to
your Nurse Call system (REF 6000-NC), rated 25V AC or 60V DC maximum at 1A maximum. For
ordering information, see Approved Accessories in the Appendix.
WARNING Do not rely exclusively on Nurse Call for patient monitoring. Although
the Nurse Call option enables remote notification of an alarm condition, it is not
intended to replace appropriate bedside patient monitoring by trained clinicians.
Note
When a patient alarm occurs, touching the alarm icon in the Device Status area
pauses the alarm tone for a period ranging from 90 seconds to 15 minutes, as
specified in Advanced settings, but the visual alarm indicator(s) on the monitor and
Nurse Call continue.
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Alarms
Welch Allyn Connex® Integrated Wall System
69
Patient monitoring
NIBP
Noninvasive Blood Pressure (NIBP) frame
From the NIBP frame, you can measure blood pressure.
Located in the upper left corner of the Home tab, the NIBP frame contains data and features
relevant to noninvasive blood pressure measurement. The frame provides different features based
on the profile you are using.
NIBP frame in Monitor profile
NIBP frame in Spot Check and Triage profiles
NIBP measurement display
In all profiles, the frame can display systolic and diastolic measurements, and MAP calculations.
You can configure the default view in Advanced settings.
View indicator
Touch the NIBP frame to toggle between views.
•
NIBP view 1
displays the SYS/DIA measurements as the primary content and the
MAP calculation as secondary content.
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Patient monitoring
•
NIBP view 2
displays the MAP calculation as the primary content and the SYS/DIA
as secondary content.
Buttons
The buttons on the right side of the frame enable you to do different tasks depending on the profile
you are using. The availability of functions depends on which profile is selected. See the Profiles
section for more information.
Button name
Button image
Description
Start/Stop
The appearance and function of this button dynamically changes.
Touch to start a manual measurement or a cycle
of automatic measurements.
Touch to stop a measurement that is in progress.
Interval
This button shows the status of automatic measurements.
Touch the button to display the Intervals tab, where you can configure
automatic measurements.
Automatic measurements are off.
Automatic measurements are on.
Alarm Limit control
This button displays alarm limits and status.
Touch the button to display the Alarms tab.
Select a cuff
WARNING Use only blood pressure cuffs and hoses listed as approved
accessories to ensure safe and accurate NIBP measurements.
Directions for use
Patient monitoring
71
WARNING Never use an adult or pediatric monitor setting or cuff for an NIBP
measurement on a neonatal patient. Adult and pediatric inflation limits can be
excessive for neonatal patients, even if a neonatal cuff is used. Neonates are
defined in the AAMI SP10:2002 standard as children 28 days or less of age if born at
term (37 weeks gestation or more); otherwise, up to 44 gestational weeks.
CAUTION Correct sizing of the blood pressure cuff is important for accurate
blood pressure readings. A cuff that is too small might provide false high readings,
while a cuff that is too large might provide false low readings.
The monitor uses the oscillometric method to determine blood pressure; therefore, if the cuff
extends to the antecubital fossa (bend in the elbow), you can still acquire an accurate blood
pressure reading.
Before taking an NIBP measurement, follow these steps to select the appropriate cuff for the
patient.
1.
Measure the circumference of the patient's bare upper arm, midway between the elbow and
shoulder.
2.
Choose the appropriate cuff size based on the circumference measurement. If the
circumference of the patient's arm falls between two cuff sizes, use the larger cuff size.
3.
Wrap the cuff around the patient's bare upper arm and verify that the artery index marker lies
somewhere between the two range markings on the cuff.
Cuff measurements
The following tables provide measurements for Welch Allyn blood pressure cuffs.
One-piece cuff measurements
Cuff Size
Circumference (cm)
Circumference (in)
Infant
9.0 – 13.0
3.5 – 5.1
Small child
12.0 – 16.0
4.7 – 6.3
Child
15.0 – 21.0
5.9 – 8.3
Small adult
20.0 – 26.0
7.9 – 10.2
Adult
25.0 – 34.0
9.8 – 13.4
Large adult
32.0 – 43.0
12.6 – 16.9
Thigh
40.0 – 55.0
15.7 – 21.7
Neonatal soft disposable cuffs with male Luer slips
Cuff Size
Circumference (cm)
Circumference (in)
NEO 1
3.3 – 5.6
1.3 – 2.2
NEO 2
4.2 – 7.1
1.6 – 2.8
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Patient monitoring
Cuff Size
Circumference (cm)
Circumference (in)
NEO 3
5.4 – 9.1
2.1 – 3.6
NEO 4
6.9 – 11.7
2.4 – 4.6
NEO 5
8.9 – 15.0
3.5 – 5.9
Multi-pack
1 of each
1 of each
For ordering information, see Approved Accessories in the Appendix.
Position the cuff
Note
The monitor and cuffs were validated using the bare upper arm site.
WARNING Patient injury risk. Do not use the NIBP for continuous monitoring
without frequently checking the patient's limb. When a patient is being monitored
frequently or for a prolonged period, regularly remove the cuff to inspect it and to
check the cuff site for ischemia, purpura, or neuropathy.
WARNING Inaccurate measurement risk. Do not place the cuff where it can
disturb proper circulation. Do not place the cuff on any area where circulation is
compromised or on any extremity used for intravenous infusions. Do not use an
SpO2 finger clip sensor and a blood pressure cuff simultaneously on the same limb.
Doing so may cause a temporary loss of pulsatile flow, resulting in either no reading
or an inaccurate SpO2 or pulse rate until the flow returns.
WARNING The blood pressure cuff must be properly positioned to ensure blood
pressure accuracy and patient safety. Wrapping the cuff too loosely (preventing
proper inflation) may result in inaccurate NIBP readings.
CAUTION If a site other than the bare upper arm is used, the blood pressure
measurements may be different. It is important to document the alternate site on the
patient record.
CAUTION To minimize inaccurate measurement, limit patient movement during
an NIBP measurement cycle.
Before taking an NIBP measurement, follow these steps to properly attach the cuff to the patient.
1.
Position the cuff on the patient's bare upper arm midway between the shoulder and the elbow.
2.
Wrap the cuff snugly so that there is room for no more than two fingers between the cuff and
the patient's bare upper arm.
3.
Position the alignment mark on the cuff directly over the brachial artery.
4.
Ensure that the blood pressure tubing has no kinks or twists.
Note
In situations where you cannot position the cuff level with the heart,
you should adjust the measurements as follows for greater
accuracy. For each inch (2.54 cm) that the cuff is above the level of
the heart, add 1.8 mmHg to the displayed reading. For each inch
(2.54 cm) that the cuff is below the level of the heart, subtract 1.8
mmHg from the displayed reading. It is important to document the
adjustment on the patient record.
Directions for use
Patient monitoring
73
NIBP measurement
The monitor enables you to take manual and automatic NIBP measurements.
WARNING NIBP readings may be inaccurate for patients experiencing moderate
to severe arrhythmia.
WARNING Do not allow a blood pressure cuff to remain on neonatal patients
more than 90 seconds when inflated above 5 mmHg. Do not allow a blood pressure
cuff to remain on the adult patients more than 3 minutes when inflated above 15
mmHg. Excessive cuff tightness may cause venous congestion, peripheral nerve
injury, discoloration of the limb, and patient distress.
WARNING Inaccurate measurement risk. Pulse rate measurements generated
through the blood pressure cuff or through SpO2 are subject to artifact and might
not be as accurate as heart rate measurements generated through ECG or through
manual palpation.
WARNING Use caution when measuring blood pressure using oscillometric
blood pressure devices in severely ill neonates and pre-term infants because these
devices tend to measure high in this patient population.
CAUTION Inaccurate measurement risk. Any external compression of the blood
pressure hose or cuff may cause system errors or inaccurate measurements.
At the start of a measurement, the monitor inflates the cuff to the appropriate level. In the NIBP
frame, the systolic display shows the cuff inflation pressure while the blood pressure measurement
is in progress.
The monitor measures blood pressure as the cuff is inflating. If patient movement, excessive noise,
or an arrhythmia prevent the monitor from determining the blood pressure while the cuff is
inflating, the monitor attempts to measure the blood pressure while deflating the cuff.
When the measurement is complete, the NIBP frame displays the measurement until you save it to
the patient's record or you start another NIBP measurement.
Note
The Pediatric and Adult blood pressure modes are supported on patients 29 days
and older. The Pediatric mode gives you the option of setting a lower initial inflation
pressure when using the StepBP deflation and not SureBP.
Note
Use dual-lumen tubes for adult and pediatric blood pressure measurements and
single-lumen tubes for neonate blood pressure measurements. Mismatching tube
types, patient types, and algorithms causes an information message to appear in
the Device Status area. For neonate patients, set the NIBP settings as follows:
Patient = Neonate, Tube type = 1 tube, Algorithm = Step.
Note
Welch Allyn uses the following definition of Neonate: Children 28 days or less of age
if born at term (37 gestation or more); otherwise, up to 44 gestational weeks.
Take a manual NIBP measurement
WARNING Patient injury risk. Never install Luer Lock connectors on Welch Allyn
blood pressure cuff tubing. Using these connectors on blood pressure cuff tubing
creates the risk of mistakenly connecting this tubing to a patient's intravenous line
and introducing air into the patient's circulatory system.
CAUTION Inaccurate measurement risk. Any external compression of the blood
pressure hose or cuff may cause system errors or inaccurate measurements.
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Welch Allyn Connex® Integrated Wall System
Patient monitoring
1.
Properly size the blood pressure cuff and position it around the patient’s bare upper arm.
2.
Touch Start to take a measurement.
Interval NIBP measurement
The monitor can take NIBP measurements automatically based on intervals you choose.
The Intervals tab provides all interval features.
From this tab, you can do the following:
•
Configure intervals
•
Turn off intervals
•
Configure the monitor to print automatic measurements as they are completed
When the measurement is complete, the NIBP frame displays the measurement until the next
measurement is complete.
Note
During intervals, each automatic and manual save of patient measurements clears
all measurements from Manual parameters frame.
The
button changes to a timer (
measurement.
), which counts down to the next automatic
Automatic measurements continue until you turn off intervals.
WARNING Patient harm risk. Do not use intervals on neonates out of earshot.
Verify that audio can be heard from where you intend to be.
Automatic intervals
You can configure the monitor to take automatic NIBP measurements at consistent intervals.
Note
An alarm does not turn off intervals. Subsequent automatic measurements continue
to occur as scheduled.
Start automatic intervals
Follow these steps to configure the monitor to take NIBP measurements at consistent intervals.
Directions for use
Patient monitoring
1.
Properly size the blood pressure cuff and position it around the patient’s bare upper arm.
2.
On the Home tab, touch
3.
Select Automatic.
4.
Use the numeric keypad to enter the length of time between NIBP measurements.
5.
Touch Start intervals.
Note
75
.
Intervals are not available in all profiles. See the Profiles section for
more information.
Program intervals
You can configure the monitor to take automatic NIBP measurements at variable intervals. The
monitor comes with preset interval programs that can be edited to meet your needs. The numbers
below the program name indicate the length of time between each interval in the cycle.
Start program intervals
Follow these steps to configure the monitor to take automatic NIBP measurements at variable
intervals.
1.
Properly size the blood pressure cuff and position it around the patient’s bare upper arm.
2.
On the Home tab, touch
3.
Select Program.
4.
Touch the desired program.
5.
Touch Start intervals.
.
Create a new program interval or edit an existing program
Follow these steps to create or edit a program interval.
1.
On the Home tab, touch the interval button (
2.
Select Program.
3.
Touch the desired program.
or
).
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Patient monitoring
4.
Touch the keyboard icon and enter the desired program name.
5.
Enter the desired duration and interval settings.
6.
Touch Start Intervals.
The new intervals take effect at the start of the next NIBP measurement.
Stat intervals
You can configure the monitor to take NIBP measurements continuously.
When you select the Stat option in the Intervals tab, the monitor takes repeated NIBP
measurements for 5 minutes, starting a new cycle each time the cuff deflates below safe venous
return pressure (SVRP) for 2 seconds.
WARNING Patient injury risk. If you use Stat mode repeatedly, periodically
observe the patient's limb to ensure that circulation is not impaired and that the cuff
remains in place. Prolonged impairment of circulation or improper cuff position can
cause bruising.
Current cuff pressures are not dynamically displayed during a Stat reading. The Home tab displays
the NIBP reading from the previous cycle until the current cycle finishes.
Note
If you are in Stat intervals, you can stop intervals by touching
. If you touch
the button twice, you will restart Stat intervals. The control toggles between STOP
and START with each touch.
Start Stat intervals
Follow these steps to start Stat intervals.
1.
Properly size the blood pressure cuff and position it around the patient’s bare upper arm.
2.
Select Stat.
3.
Touch Start intervals.
Stop automatic measurements
Follow these steps to turn off intervals.
Directions for use
Patient monitoring
1.
On the Home tab, touch the interval timer button (
2.
Touch Stop intervals.
77
).
Cancel a measurement that is in progress
Follow these steps to cancel any NIBP measurement that is in progress.
On the Home tab, touch
.
The monitor rapidly deflates the cuff, and the screen displays the NIBP cancellation message.
button changes to a timer (
If intervals are turned on, the
down to the next automatic measurement.
), which counts
Configure NIBP alarms
Follow these steps to set alarm limits for systolic and diastolic measurements, and MAP
calculation.
1.
Verify that you are using the Monitor profile, which contains the Alarms tab.
2.
Touch the Alarms tab.
3.
Touch the NIBP tab.
4.
Enter the desired upper and lower alarm limits for systolic and diastolic measurements, and
MAP calculation using the up/down arrow keys or the keypad.
5.
Touch the Home tab.
The new alarm settings display in the Alarm Limit control button.
Temperature
Temperature frame
From the temperature frame you can measure patient temperature.
Located in the lower right corner of the Home tab, the temperature frame contains data and
features relevant to temperature measurement. The frame provides different features based on the
profile you are using.
Temperature frame in Monitor profile
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Patient monitoring
Temperature frame in Spot Check and Triage profiles
Temperature measurement display
In all profiles, the frame can display temperature in Celsius or Fahrenheit. You can configure the
default view in Advanced settings.
Site selection
Remove the temperature probe and touch the Temperature site control
to toggle
between sites.
Pediatric axillary
Note
Adult axillary
Oral
Monitors configured with the temperature module and the red rectal probe well and
probe default to the rectal mode.
Rectal
Note
Ear
The monitor displays the ear mode when it receives a temperature measurement
from the ear thermometer.
Directions for use
Patient monitoring
79
Temperature buttons
The buttons on the right side of the frame enable you to do different tasks depending on the profile
you are using. The availability of functions depends on which profile is selected.
Button name
Button image
Description
Temperature alarm
This button displays alarm limits and status.
Touch the button to display the Alarms tab.
Direct mode
Touch the button to enter Direct mode.
Configure temperature alarms
Follow these steps to set alarm limits for temperature measurement.
1.
Verify that you are using the Monitor profile, which contains the Alarms tab.
2.
Touch the Alarms tab.
3.
Touch the Temperature tab.
4.
Enter the desired upper and lower alarm limits for temperature using the up/down arrow keys
or the keypad.
5.
Touch the Home tab.
The new alarm settings display in the Alarm Limit control button.
SureTemp® Plus temperature module
The temperature module uses a thermistor thermometer design and a predictive algorithm to
calculate patient temperatures in the Predictive mode.
WARNING Patient injury risk. Prior to taking a temperature, instruct the patient
not to bite down on the probe as patient injury and damage to the probe may result.
WARNING Patient injury risk. Do not exceed the recommended temperature
measurement durations in Direct mode. Continuous measurement durations of 3
minutes at the oral and rectal sites and 5 minutes at the axillary site are
recommended for accurate measurement. Do not continuously measure beyond 10
minutes in any mode.
WARNING Probe covers are single-use only. Re-use of a probe cover may result
in spread of bacteria and cross-contamination.
WARNING Patient injury risk. Use only Welch Allyn single-use disposable probe
covers. Never take a temperature measurement without a single-use probe cover
securely attached. Failure to use a probe cover can cause patient discomfort from a
heated probe, patient cross-contamination, and inaccurate temperature readings.
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WARNING Patient illness may result from improper use of oral and rectal
temperature probes. Using the incorrect probe may also produce inaccurate
measurements.
•
Use only oral probes, identified by a blue ejection button at the top of the probe, to
take oral and axillary temperatures.
•
Use only rectal probes, identified by a red ejection button at the top of the probe, to
take rectal temperatures.
WARNING Patient illness or cross-contamination may result from improper
placement of oral and rectal temperature probes in the probe wells.
•
Place only oral probes, identified by a blue ejection button at the top of the probe, in
the blue probe wells.
•
Place only rectal probes, identified by a red ejection button at the top of the probe, in
the red probe wells.
WARNING Inaccurate measurement risk. Never take an axillary temperature
through the patient's clothing. Carefully place the probe in the axilla, avoiding
contact with other objects or material. Always verify direct contact between the
probe cover and skin.
WARNING Patient injury risk. When taking rectal temperatures, insert the probe
tip only 5/8 inch (approximately 1.5 cm) inside the rectum of adults and only 3/8 inch
(approximately 1 cm) inside the rectum of children to avoid the risk of bowel
perforation.
WARNING Never use a damaged temperature probe. The thermometer consists
of high-quality precision parts and should be protected from severe impact or
shock. Do not use the thermometer if you notice any signs of damage to the probe
or monitor. If the thermometer probe is dropped or damaged, remove it from use
and have it inspected by qualified service personnel.
CAUTION Inaccurate measurement risk. Patient activities such as strenuous
exercise, ingesting hot or cold liquids, eating, chewing gum or mints, brushing teeth,
or smoking may affect oral temperature measurements for up to 20 minutes.
CAUTION Inaccurate measurement risk. Always use new probe covers taken
from the monitor's probe cover box holder to ensure accurate temperature
measurements. Probe covers taken from other places or that haven't stabilized in
temperature may result in inaccurate temperature measurements.
Temperature mode selection
The monitor with the temperature module takes a patient temperature in either Predictive (Normal)
or Direct mode. The default setting is the Predictive mode.
WARNING Inaccurate measurement risk. To ensure optimal accuracy, always
confirm that the correct mode and site are selected.
WARNING Patient injury risk. Do not exceed the recommended temperature
measurement durations in Direct mode. Continuous measurement durations of 3
minutes at the oral and rectal sites and 5 minutes at the axillary site are
recommended for accurate measurement. Do not continuously measure beyond 10
minutes in any mode.
Directions for use
Patient monitoring
81
Predictive mode
Is a one-time measurement that takes a temperature in approximately 6 to 15 seconds. Removing
the probe from the probe well, loading a probe cover, and holding the probe tip in place at the
measurement site initiates a Predictive mode measurement. The monitor sounds a tone to indicate
the end of a predictive measurement.
Direct mode
Provides continual temperature measurements. For oral and rectal measurements, it is
recommended to measure temperature until the temperature stabilizes or for 3 minutes. For axillary
measurements, it is recommended to measure temperature until the temperature stabilizes or for 5
minutes. The monitor changes to Direct mode approximately 60 seconds after the probe is removed
from the probe well.
CAUTION The monitor does not retain Direct mode temperatures in memory.
Therefore, it is important to note the temperature before removing the thermometer
probe from the measurement site and then manually record it in the patient record.
After 10 minutes of using the Direct mode, the monitor generates a technical alarm condition and
clears the measurement.
Take a temperature in the Predictive mode
WARNING Inaccurate measurement risk. To ensure optimal accuracy, always
confirm that the correct mode and site are selected.
WARNING Patient injury risk. Prior to taking a temperature, instruct the patient
not to bite down on the probe as patient injury and damage to the probe may result.
CAUTION Probe covers are disposable, nonsterilized, and single-use. Probes are
also nonsterilized. Do not autoclave probes and probe covers. Ensure that probe
covers are disposed of according to facility requirements or local regulations.
1.
Remove the temperature probe from the probe well.
The monitor sounds a tone as it enters the ready state.
2.
Insert the probe into a new probe cover and press the probe handle down firmly.
3.
Touch the Temperature site control
to choose from these measurement sites: oral,
pediatric axillary, or adult axillary.
4.
Hold the probe tip in place at the measurement site.
For oral temperatures, place the probe tip under the patient’s tongue on either side of the
mouth to reach the sublingual pocket and ask the patient to close his/her lips.
Note
Do not hand the probe to patients to place in their mouth.
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For axillary temperatures, lift the patient’s arm so that the entire axilla is easily seen and place
the probe tip as high as possible in the mid-axilla. Verify that axillary tissue completely
surrounds the probe tip and place the arm snugly at the patient’s side.
While the measurement is taking place, the temperature frame displays the process indicator.
5.
The monitor sounds a tone when the final temperature is reached (in approximately 6 to 15
seconds). The temperature frame continues to display the temperature in degrees Fahrenheit
and degrees Celsius even after the probe is returned to the probe well.
Note
To switch to the Direct mode, touch
after you acquire the
Predictive mode measurement. The temperature frame (in the
lower-left corner) changes to "MODE: Direct..." as it switches to the
Direct mode.
The monitor sounds a tone at the start of a Direct mode measurement.
6.
Remove the probe after the temperature measurement is complete and firmly press the eject
button on the top of the probe to release the probe cover.
WARNING Patient injury risk. Do not exceed the recommended
temperature measurement durations in Direct mode. Continuous
measurement durations of 3 minutes at the oral and rectal sites and
5 minutes at the axillary site are recommended for accurate
measurement. Do not continuously measure beyond 10 minutes in
any mode.
Ensure that probe covers are disposed of according to facility requirements or local
regulations.
7.
Return the probe to the probe well.
8.
Wash your hands to reduce the risk of cross-contamination.
Directions for use
Patient monitoring
83
Take a temperature in the Direct mode
Direct mode displays the temperature of the probe as long as the probe tip remains in place at the
measurement site and remains within the operating patient temperature range. The patient’s
temperature will reach final equilibrium in approximately 3 minutes at the oral and rectal
measurement sites and approximately 5 minutes at the axillary site.
The monitor enters Direct mode by the following methods.
•
After you complete a Predictive mode measurement, touch
to switch from Predictive
to Direct mode. The temperature frame (in the lower-left corner) changes to "MODE: Direct..."
as it switches to the Direct mode.
•
Remove the probe from the probe well, load a probe cover, select a temperature site, and
expose the probe to ambient air for more than 60 seconds to switch the monitor to Direct
mode. The temperature frame changes to "MODE: Direct...".
•
If you have a patient whose body temperature is below the normal temperature range and you
follow the previous step, the probe sensor identifies this condition and turns off the probe
preheater in order to accommodate the lower body temperature measurement.
WARNING Patient injury risk. Do not exceed the recommended temperature
measurement durations in Direct mode. Continuous measurement durations of 3
minutes at the oral and rectal sites and 5 minutes at the axillary site are
recommended for accurate measurement. Do not continuously measure beyond 10
minutes in any mode.
WARNING Inaccurate measurement risk. To ensure optimal accuracy, always
confirm that the correct mode and site are selected.
WARNING Patient injury risk. Prior to taking a temperature, instruct the patient
not to bite down on the probe as patient injury and damage to the probe may result.
CAUTION Probe covers are disposable, nonsterilized, and single-use. Probes are
also nonsterilized. Do not autoclave probes and probe covers. Ensure that probe
covers are disposed of according to facility requirements or local regulations.
1.
Remove the temperature probe from the probe well.
The monitor sounds a tone as it enters the ready state.
2.
Insert the probe into a new probe cover and press the probe handle down firmly.
3.
Touch the Temperature site control
to choose from these measurement sites: oral,
pediatric axillary, or adult axillary.
The temperature frame changes to Direct mode approximately 60 seconds after the probe is
removed from the probe well.
The monitor sounds a tone to indicate the start of a Direct mode measurement.
4.
Hold the probe tip in place at the oral or rectal measurement site for a total of 3 minutes and
for 5 minutes at the axillary site.
5.
While the measurements are taking place, the temperature frame displays the patient's
continuous temperature measurements in degrees Fahrenheit and degrees Celsius.
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Note
The monitor does not retain Direct mode temperatures in memory.
Therefore, it is important to note the temperature before removing
the probe from the measurement site and then manually record it in
the patient record.
6.
Remove the probe after the temperature measurement is complete and firmly press the eject
button on the top of the probe to release the probe cover.
7.
Return the probe to the probe well to continue taking temperatures in the Predictive mode.
8.
Wash your hands to reduce the risk of cross-contamination.
Take a temperature at the rectal site
WARNING Patient injury risk. When taking rectal temperatures, insert the probe
tip only 5/8 inch (approximately 1.5 cm) inside the rectum of adults and only 3/8 inch
(approximately 1 cm) inside the rectum of children to avoid the risk of bowel
perforation.
WARNING Cross-contamination or nosocomial infection risk. Thorough handwashing greatly reduces the risk of cross-contamination and nosocomial infection.
WARNING Patient injury risk. Do not exceed the recommended temperature
measurement durations in Direct mode. Continuous measurement durations of 3
minutes at the oral and rectal sites and 5 minutes at the axillary site are
recommended for accurate measurement. Do not continuously measure beyond 10
minutes in any mode.
WARNING Inaccurate measurement risk. To ensure optimal accuracy, always
confirm that the correct mode and site are selected.
CAUTION Probe covers are disposable, nonsterilized, and single-use. Probes are
also nonsterilized. Do not autoclave probes and probe covers. Ensure that probe
covers are disposed of according to facility requirements or local regulations.
1.
Remove the rectal temperature probe from the rectal probe well.
The monitor sounds a tone as it enters the ready state. The Temperature Site Control defaults
to the rectal site.
2.
Insert the rectal probe into a new probe cover and press the probe handle down firmly.
3.
Separate the patient’s buttocks with one hand. Use the other hand to gently insert the probe
tip only 5/8 inch (1.5 cm) inside the rectum of adults and only 3/8 inch (approximately 1 cm)
inside the rectum of children. The use of a lubricant is optional.
4.
Insert the probe so that the tip is in contact with tissue. Continue to separate the buttocks and
hold the probe in place throughout the measurement process. While the measurement is
taking place, the temperature frame displays the process indicator.
Directions for use
Patient monitoring
5.
85
The monitor sounds a tone when the final temperature is reached (in approximately 10 to 13
seconds). The temperature frame continues to display the temperature in degrees Fahrenheit
and degrees Celsius even after the probe is returned to the probe well.
Note
To switch to the Direct mode, touch
after the Predictive
mode measurement is acquired. The temperature frame (in the
lower-left corner) changes to "MODE: Direct..." as it switches to the
Direct mode. The monitor sounds a tone to indicate the start of a
Direct measurement. Once you are in the Direct mode, continue to
separate the buttocks and hold the probe in place throughout the
measurement process.
Note
The monitor does not retain Direct mode temperatures in memory.
Therefore, it is important to note the temperature before removing
the probe from the measurement site and then manually record it in
the patient record.
6.
Remove the probe after the temperature measurement is complete and firmly press the eject
button on the top of the probe to release the probe cover.
7.
Return the probe to the probe well.
8.
Wash your hands to reduce the risk of cross-contamination.
Braun ThermoScan® PRO 4000 thermometer and dock
The thermometer and dock enable you to transfer an ear temperature measurement to the monitor.
The dock also charges the thermometer battery.
Read the thermometer manufacturer's directions for use before attempting to configure, use,
troubleshoot, or maintain the thermometer.
WARNING Liquids can damage electronics inside the thermometer. Prevent
liquids from spilling on the thermometer. If liquids are spilled on the thermometer,
dry off the thermometer with a clean cloth. Check for proper operation and
accuracy. If liquids possibly entered the thermometer, remove the thermometer
from use until it has been properly dried, inspected, and tested by qualified service
personnel.
CAUTION Probe covers are disposable, nonsterilized, and single-use. The
thermometer is also nonsterilized. Do not autoclave the thermometer and probe
covers. Ensure that probe covers are disposed of according to facility requirements
or local regulations.
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CAUTION The thermometer has no user-serviceable parts. If service is required,
call your nearest Welch Allyn Customer Service or Technical Support facility.
CAUTION Store the thermometer and probe covers in a dry location, free from
dust and contamination and away from direct sunlight. Keep the ambient
temperature at the storage location fairly constant and within the range of 50°F to
104°F (10°C to 40°C).
Take a temperature at the ear site
WARNING Probe covers are single-use only. Re-use of a probe cover may result
in spread of bacteria and cross-contamination.
WARNING Inaccurate measurement risk. Use only Braun ThermoScan probe
covers with this thermometer.
WARNING Inaccurate measurement risk. Frequently inspect the probe window
and keep it clean, dry, and undamaged. Fingerprints, cerumen, dust, and other
contaminants reduce the transparency of the window and result in lower
temperature measurements. To protect the window, always keep the thermometer
in the dock when the thermometer is not in use.
CAUTION Inaccurate measurement risk. Before taking a temperature
measurement, make sure that the ear is free from obstructions and excess cerumen
build-up.
CAUTION Inaccurate measurement risk. The following factors can affect ear
temperature measurements for up to 20 minutes:
•
The patient was lying on his or her ear.
•
The patient's ear was covered.
•
The patient was exposed to very hot or very cold temperatures.
•
The patient was swimming or bathing.
•
The patient was wearing a hearing aid or an ear plug.
CAUTION Inaccurate measurement risk. If ear drops or other ear medications
have been placed in one ear canal, take the temperature in the untreated ear.
Note
A temperature measurement taken in the right ear might differ from a measurement
taken in the left ear. Therefore, always take the temperature in the same ear.
Note
When the monitor receives an ear temperature measurement, it displays the
measurement on the Home tab. If the Home tab already contains a temperature
measurement, the new measurement overwrites it.
To take a measurement and transfer it to the monitor:
1.
Make sure that the monitor is powered on.
2.
Remove the ear thermometer from the dock.
3.
Locate the probe cover box in the dock.
4.
Firmly push the probe tip into the probe cover box.
When the probe cover is in place, the thermometer turns on automatically.
5.
Wait for the ready beep and three dashes to appear on the thermometer display.
6.
Fit the probe snugly into the ear canal and then push and release the Start button.
Directions for use
Patient monitoring
87
•
If the probe is positioned correctly in the ear canal the ExacTemp light flashes. When the
thermometer detects an accurate measurement, the ExacTemp light is continuously on, a
long beep signals the end of the measurement, and the display shows the result.
•
If the probe is positioned incorrectly in the ear canal or is moved during the measuring
process, the ExacTemp light goes out, a sequence of short beeps sounds, and the error
message POS (position error) appears.
7.
When you are finished taking the temperature, press the ejector button to eject the used probe
cover.
8.
Return the thermometer to the dock.
The LED on the dock flashes while the measurement is being transferred.
After the transfer is complete, the temperature and the temperature scale appear on the Home
tab according to the monitor settings.
Note
Only the latest measurement is transferred to the monitor.
Note
Measurements that have already been transferred to the monitor
cannot be transferred again.
For more information about thermometer functionality, refer to the thermometer manufacturer's
directions for use.
Change the temperature scale on the ear thermometer
To switch from Celsius to Fahrenheit, refer to the thermometer manufacturer's directions for use.
Charge the ear thermometer battery
To charge the battery pack:
•
Place the thermometer in the dock.
•
Make sure that the monitor is connected to AC power.
•
Make sure that the monitor is powered on.
The LED on the dock indicates the charging status of the battery pack:
•
Orange: The battery pack is charging.
•
Green: The battery pack is charged.
•
Not illuminated: The battery pack is not charging.
Note
The battery pack continues to charge while the monitor is in Display power saving
mode.
Note
It is strongly recommended that you use only the Welch Allyn rechargeable battery
pack in the thermometer because the dock cannot charge other batteries.
SpO2
SpO2 and pulse rate monitoring continuously measures saturation level of oxygen in hemoglobin as
well as the pulse rate in a patient through a pulse oximeter.
SpO2 frame
The SpO2 frame displays data and controls used in pulse oximetry measurements.
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The frame provides a numeric view and a waveform view of SpO2 data. You can toggle between
views by touching the left side of the frame.
SpO2 numeric view
The numeric view indicates the SpO2 saturation percentage and the pulse amplitude. Features of
this view differ based on the type of sensor enabled and the profile selected.
Nellcor sensor
Monitor profile
Spot Check and Triage profiles
Masimo sensor
Monitor profile
Spot Check and Triage profiles
Pulse amplitude
The pulse amplitude bar indicates the pulse beat and shows the relative pulse strength. More bars
illuminate as the detected pulse gets stronger.
Response Mode Control
The Response Mode Control allows you to set the SpO2 measurement time to either Normal or
Fast.
Perfusion index
Perfusion Index (PI) is an SpO2 feature available only with Masimo-equipped monitors.
Directions for use
Patient monitoring
89
PI is a relative reading of pulse strength at the monitoring site. PI is a numerical value that
indicates the strength of the IR (infrared) signal returning from the monitoring site. PI display
ranges from .02 percent (very weak pulse strength) to 20 percent (very strong pulse strength). PI is
a relative number and varies between monitoring sites and from patient to patient, as physiological
conditions vary.
During sensor placement, the PI can be used to evaluate the appropriateness of an application
site, looking for the site with the highest PI number. Placing the sensor at the site with the
strongest pulse amplitude (highest PI number) improves performance during motion. Monitor the
trend of the PI for changes in physiological conditions.
SatSeconds™ alarm management
The SatSeconds feature is an SpO2 alarm management system available only with monitors that
are equipped with Nellcor OxiMax Technology.
The SatSeconds feature is the product of the time and magnitude that a patient falls outside of the
SpO2 alarm limits. For example, three points below the alarm limit for 10 seconds equals 30
SatSeconds. An alarm is triggered only when a desaturation event reaches the SatSeconds limit.
The SatSeconds feature is clinician controlled and can be set to 0, 10, 25, 50, or 100 SatSeconds. If
a desaturation event resolves on its own within the preset time, the clock will automatically reset
and the monitor will not alarm.
Note
The SatSeconds feature has a built-in safety protocol that sounds an alarm
whenever three SpO2 violations of any amount or duration occur within a 1-minute
period.
SpO2 waveform view
The waveform view shows the real-time SpO2 plethysmograph waveform. You can select the
waveform sweep speed in Advanced settings.
Measure SpO2 and pulse rate
WARNING Inaccurate measurement risk. Use only Masimo Rainbow SET sensors
and accessories on Masimo-equipped monitors.
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WARNING Inaccurate measurement risk. Use only Nellcor sensors and
accessories on Nellcor-equipped monitors.
WARNING The pulsations from intra-aortic balloon support can increase the
pulse rate displayed on the monitor. Verify the patient's pulse rate against the ECG
heart rate.
WARNING Patient injury risk. Do not attempt to reprocess, recondition, or recycle
any sensors or patient cables. Doing so might damage electrical components.
WARNING Pulse rate measurement might not detect certain arrhythmias
because it is based on the optical detection of a peripheral flow pulse. Do not use
the pulse oximeter as a replacement or substitute for ECG-based arrhythmia
analysis.
WARNING Use the pulse co-oximeter as an early warning device. As you
observe a trend toward patient hypoxemia, use laboratory instruments to analyze
blood samples to better understand the patient's condition.
WARNING The accuracy of SpO2 measurements can be affected by any of the
following:
1.
•
elevated levels of total bilirubin
•
elevated levels of Methemoglobin (MetHb)
•
elevated levels of Carboxyhemoglobin (COHb)
•
hemoglobin synthesis disorders
•
low perfusion at the monitored site
•
the presence of concentrations of some intravascular dyes, sufficient to change the
patient's usual arterial pigmentation
•
patient movement
•
patient conditions such as shivering and smoke inhalation
•
motion artifact
•
painted nails
•
poor oxygen perfusion
•
hypotension or hypertension
•
severe vasoconstriction
•
shock or cardiac arrest
•
venous pulsations or sudden and significant changes in pulse rate
•
proximity to an MRI environment
•
moisture in the sensor
•
excessive ambient light, especially fluorescent
•
the use of the wrong sensor
•
a sensor applied too tightly
Verify that the sensor cable is connected to the monitor.
Directions for use
Patient monitoring
91
WARNING Patient injury risk. The sensor and extension cable are
intended only for connection to pulse co-oximetry equipment. Do
not attempt to connect these cables to a PC or any similar device.
Always follow the sensor manufacturer's directions for care and
use of the sensor.
2.
Clean the application site. Remove anything, such as nail polish, that could interfere with
sensor operation.
Note
3.
Do not use disposable sensors on patients who have allergic
reactions to the adhesive.
Attach the sensor to the patient according to the manufacturer's directions for use, observing
all warnings and cautions.
Note
If a sterile sensor is required, select a sensor that has been
validated for sterilization, and follow the sensor manufacturer's
directions for sterilizing the sensor.
Place the sensor and the NIBP cuff on different limbs to reduce unnecessary alarms when you
monitor these parameters at the same time.
Note
4.
A range of sensors is available for different patient sizes and
measurement sites. Consult the sensor manufacturer's instructions
for selecting the correct sensor.
Confirm that the monitor displays SpO2 and pulse rate data within 15 seconds of connection to
the patient.
WARNING Patient injury risk. Incorrect sensor application or
excessive duration of sensor use can cause tissue damage. Inspect
the sensor site periodically as directed in the sensor
manufacturer's instructions.
While SpO2 is being measured, the displayed pulse rate is derived from the sensor. If SpO2 is not
available, the pulse rate is derived from NIBP.
Detaching the sensor during a measurement in Monitor mode triggers an alarm.
If SpO2 is being measured continuously on a patient for an extended period, change the sensor
location at least every three hours or as indicated by the sensor manufacturer's instructions.
Configure SpO2 alarms
Follow these steps to set alarm limits for SpO2 measurements.
1.
Verify that you are using the Monitor profile, which contains the Alarms tab.
2.
Touch the Alarms tab.
3.
Touch the SpO2 tab.
4.
Enter the desired upper and lower alarms limits for SpO2 using the up/down arrow keys or the
keypad.
5.
Touch the Home tab.
The new alarm settings display in the Alarm Limit control button.
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Set SatSeconds limits
1.
Touch the Alarm limit control of the SpO2 frame .
2.
Touch the Alarms tab.
3.
Touch
4.
Touch Home to save your settings and return to the Home tab.
to select a SatSeconds setting.
Set Response Mode
To set the Response Mode from the Home tab, the monitor must be in the Monitor profile.
Touch
in the SpO2 frame.
The SpO2 frame displays MODE: Fast when Fast mode is selected.
SpHb
Monitors configured with Masimo total hemoglobin can measure hemoglobin (SpHb), SpO2, and
pulse rate. SpHb monitoring continuously measures blood constituents and anemic status in a
patient through a noninvasive SpHb pulse co-oximeter.
SpHb frame
The SpHb frame displays data and controls used in total hemoglobin measurements.
Note
SpHb is available only in the Monitor profile.
In this frame, one of two labels appears:
•
SpHbv indicates the venous calibrated reference for total hemoglobin measurement.
•
SpHb indicates the arterial calibrated reference for total hemoglobin measurement.
You can specify the reference source in Advanced settings.
The frame provides a numeric view and a graphical trend view of total hemoglobin data. You can
toggle between views by touching the left side of the frame.
SpHb numeric view
The numeric view indicates the total hemoglobin level in either grams per deciliter (g/dL) or
millimoles per liter (mmol/L). You can select the unit of measure in Advanced settings.
Averaging
The averaging button enables you to select the moving window of time used by the parameter to
calculate the SpHb value and update the display: short (approximately 1 minute), medium
(approximately 3 minutes), or long (approximately 6 minutes).
Directions for use
Patient monitoring
93
SpHb graphical trend view
The graphical trend view presents a trend of the real-time measurements over a user-selected
period. In Advanced settings, you can select the period displayed.
The graph shows total hemoglobin level on the y-axis and time on the x-axis (oldest measurements
on the left to newest measurements on the right). The entire graph updates every 10 seconds.
To the right of the graph, the frame displays the current measurement in numeric format.
Measure SpHb
WARNING Inaccurate measurement risk. Use only Masimo Rainbow SET sensors
and accessories on Masimo-equipped monitors.
WARNING The pulsations from intra-aortic balloon support can increase the
pulse rate displayed on the monitor. Verify the patient's pulse rate against the ECG
heart rate.
WARNING Patient injury risk. Do not attempt to reprocess, recondition, or recycle
any sensors or patient cables. Doing so might damage electrical components.
WARNING Pulse rate measurement might not detect certain arrhythmias
because it is based on the optical detection of a peripheral flow pulse. Do not use
the pulse oximeter as a replacement or substitute for ECG-based arrhythmia
analysis.
WARNING Use the pulse co-oximeter as an early warning device. As you
observe a trend toward patient hypoxemia, use laboratory instruments to analyze
blood samples to better understand the patient's condition.
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WARNING The accuracy of SpHb measurements can be affected by any of the
following:
1.
•
elevated levels of total bilirubin
•
elevated levels of Methemoglobin (MetHb)
•
elevated levels of Carboxyhemoglobin (COHb)
•
hemoglobin synthesis disorders
•
low perfusion at the monitored site
•
the presence of concentrations of some intravascular dyes, sufficient to change the
patient's usual arterial pigmentation
•
patient movement
•
patient conditions such as shivering and smoke inhalation
•
motion artifact
•
painted nails
•
poor oxygen perfusion
•
hypotension or hypertension
•
severe vasoconstriction
•
shock or cardiac arrest
•
venous pulsations or sudden and significant changes in pulse rate
•
proximity to an MRI environment
•
moisture in the sensor
•
excessive ambient light, especially fluorescent
•
the use of the wrong sensor
•
a sensor applied too tightly
Verify that the sensor cable is connected to the monitor.
WARNING Patient injury risk. The sensor and extension cable are
intended only for connection to pulse co-oximetry equipment. Do
not attempt to connect these cables to a PC or any similar device.
Always follow the sensor manufacturer's directions for care and
use of the sensor.
2.
Verify that you are using the Monitor profile.
3.
Clean the application site. Remove anything, such as nail polish, that could interfere with
sensor operation.
Note
4.
Do not use disposable sensors on patients who have allergic
reactions to the adhesive.
Attach the sensor to the patient according to the manufacturer's directions for use, observing
all warnings and cautions.
Note
If a sterile sensor is required, select a sensor that has been
validated for sterilization, and follow the sensor manufacturer's
directions for sterilizing the sensor.
Place the sensor and the NIBP cuff on different limbs to reduce unnecessary alarms when you
monitor these parameters at the same time.
Directions for use
Patient monitoring
A range of sensors is available for different patient sizes and
measurement sites. Consult the sensor manufacturer's instructions
for selecting the correct sensor.
Note
5.
95
Confirm that the monitor displays SpHb or SpHbv data within 160 seconds of connection to the
patient.
WARNING Patient injury risk. Incorrect sensor application or
excessive duration of sensor use can cause tissue damage. Inspect
the sensor site periodically as directed in the sensor
manufacturer's instructions.
While SpHb is being measured, the displayed SpO2 and pulse rate are derived from the same
sensor. If SpO2 is not available, the pulse rate is derived from NIBP.
Detaching the sensor during a measurement triggers an alarm.
If SpHb is being measured continuously on a patient for an extended period, change the sensor
location at least every three hours or as indicated by the sensor manufacturer's instructions.
Configure SpHb alarms
Follow these steps to set alarm limits for SpHb measurements.
1.
Verify that you are using the Monitor profile, which contains the Alarms tab.
2.
Touch the Alarms tab.
3.
Touch the SpHb tab.
4.
Enter the desired upper and lower alarm limits for SpHb using the up/down arrow keys or the
keypad.
5.
Touch the Home tab.
The new alarm settings appear in the Alarm Limit control button.
Set SpHb averaging mode
Touch
in the SpHb frame.
The SpHb frame displays the current mode.
Pulse rate frame
The pulse rate frame, located in the upper right of the Home tab, displays data, information, and
controls used in reading pulse rates.
Typically, the displayed pulse rate is derived from the SpO2 sensor. If SpO2 is not available, the
pulse rate is derived from NIBP.
WARNING Inaccurate measurement risk. Pulse rate measurements generated
through the blood pressure cuff or through SpO2 are subject to artifact and might
not be as accurate as heart rate measurements generated through ECG or through
manual palpation.
96
Welch Allyn Connex® Integrated Wall System
Patient monitoring
Note
You can specify pulse tone volume in the Pulse rate tab (located in the Alarms tab).
Monitor profile
Spot Check and Triage profiles
Configure pulse rate alarms
Follow these steps to set alarm limits for pulse rate.
1.
Verify that you are using the Monitor profile, which contains the Alarms tab.
2.
Touch the Alarms tab.
3.
Touch the Pulse rate tab.
4.
Enter the desired upper and lower alarm limits for pulse rate using the up/down arrow keys or
the keypad.
5.
Touch the Home tab.
The new alarm settings display in the Alarm Limit control button.
Manual parameters frame
The Manual parameters frame, located in the lower right of the Home tab, supports manual entry of
parameters and displays measurements taken by some accessories.
Note
Manual parameters are not available in the Triage profile.
Note
Body mass index (BMI) is only available with an attached weight scale that
calculates BMI.
Note
When a measurement is transferred from an attached weight scale to the monitor,
the measurement displayed on the monitor is within one decimal place (0.1) of the
measurement displayed by the weight scale.
Note
You cannot manually enter temperature on a monitor configured with a SureTemp
Plus temperature module.
Directions for use
Patient monitoring
97
Enter manual parameters
Note
The Manual parameters frame enables you to enter measurements taken manually
and displays measurements taken by some accessories. You can select and
configure the parameters in Advanced settings. Only four parameters appear in the
Manual parameters frame.
CAUTION Weight scales attached to this monitor must be running on battery
power (battery type is specified in the weight scale manufacturer's directions for
use). Do not use the weight scale's external power supply.
1.
From the Home tab, touch anywhere within the Manual parameters frame.
The Manual tab appears. Two examples appear below.
2.
Touch the up/down arrow keys or the keypad to manually adjust height, weight, pain level,
temperature, respiration rate, or other parameters.
98
Welch Allyn Connex® Integrated Wall System
Patient monitoring
3.
Note
If an approved, battery-powered weight scale is attached to the
monitor, measurements from the weight scale populate fields in the
Manual tab. You can adjust weight and height measurements on
this tab, but if you do, the read-only BMI field will clear.
Note
Ensure that the current patient ID is correct before saving.
Touch
to confirm settings and return to the Home tab.
Note
During intervals, each automatic and manual save of patient measurements clears
all measurements from the Manual parameters frame.
99
Physical assessment instrument handles
Use the physical assessment instrument handles
The handles supply power to Welch Allyn 3.5V instruments. This section focuses on operation of
the handles only. Refer to the directions for use for each instrument head to use it properly.
Handle modules are available only in the 84- and 85-series models.
Note
Ensure the wall system is plugged in.
1.
Lift the handle you want to use from the handle cradle.
The instrument will automatically power on when you remove it from the handle cradle. Only
one handle is powered at a time.
2.
Attach a specula to the end of the instrument head if appropriate.
3.
Adjust light output by turning the rheostat on the handle.
•
Turning the rheostat clockwise increases the light output.
•
Turning the rheostat counterclockwise decreases the light output.
Note
4.
The rheostat does not power down the instrument when you turn it
counterclockwise as far as it will go.
Follow the directions for use for the instrument head when examining a patient.
CAUTION Do not overstretch the cords on these handles to
prevent damage. Always examine patients within a comfortable
reach of the wall system to protect the cords.
100
Physical assessment instrument handles
Welch Allyn Connex® Integrated Wall System
CAUTION To minimize the external housing temperature of the
diagnostic instrument heads, on-time should not exceed 2 minutes,
and off-time should be a minimum of 10 minutes.
5.
Return the handle to the handle cradle.
Placing the handle in the cradle disengages the OptiSense™ optical sensor and powers down
the instrument.
Note
The handles continue to receive power as long as the wall system is plugged in, has
a charged and functioning battery, and is powered on. You can power down the
handles by powering down the entire wall system. See the Startup section for
details.
101
Maintenance and service
Perform periodic checks
Welch Allyn recommends that each facility conduct periodic checks of each monitor.
1.
2.
3.
Check the following at least daily:
•
Audio (speaker and piezo beeper tones), especially at startup
•
Fan, especially at startup
•
Touchscreen alignment
•
Date
•
Time
Visually inspect the following at least weekly:
•
the monitor for any damage or contamination
•
all cables, cords, and connector ends for damage or contamination
•
all mechanical parts, including covers, for integrity
•
all safety-related labeling for legibility and adhesion to the monitor
•
all accessories (cuffs, tubing, probes, sensors) for wear or damage
•
documentation for current revision of the monitor
Visually inspect the following at least monthly:
•
Mounting screws on wall for looseness and wear
Update settings, replace items, or call for service as necessary based on results of visual
inspection. Do not use the monitor if you see any signs of damage. Qualified service personnel
must check any monitor that is damaged for proper operation before putting the monitor back into
use.
CAUTION Wall system components shall be replaced by Welch Allyn service
centers or qualified service personnel.
Remove the wall system from the wall
For maintenance or service activities that require access to the back of the wall system, follow
these steps to remove the wall system from the wall.
1.
Touch the Settings tab.
2.
Touch the Device tab.
3.
Touch Power down.
102 Maintenance and service
Welch Allyn Connex® Integrated Wall System
4.
Remove all instrument heads, detach all accessible cords and cables, and unplug the power
cord from the outlet.
5.
Remove the cover by loosening the captive retention screws.
6.
If USB accessories are connected, loosen the two screws on the cable retention clamp and
remove it, then disconnect all USB cables.
7.
If the wall system is configured with SpO2, disconnect the SpO2 cable and remove it from the
channel on the bottom of the wall system.
8.
Remove the security screw at the bottom of the wall system.
Directions for use
Maintenance and service
9.
103
Carefully lift the wall system off the mounting rail bracket and place it onto a table or flat work
surface.
Change the battery
Before removing the battery, follow the instructions to remove the wall system from the wall.
1.
Place the wall system on a table or flat work surface so that the back of the wall system faces
up.
2.
Locate the battery, indicated by
3.
Remove the battery.
4.
Insert the new battery. Ensure that you insert the new battery in the same orientation as the
old battery.
5.
Mount the wall system on the wall using the instructions presented in the Setup section of this
directions for use.
.
WARNING Risk of fire, explosion, and burns. Do not short-circuit, crush,
incinerate, or disassemble the battery pack. Never dispose of batteries in refuse
containers. Always recycle batteries according to local regulations.
Note
New batteries are approximately 30 percent charged. Therefore, connect the
battery to AC power immediately after inserting a new a battery.
104
Welch Allyn Connex® Integrated Wall System
Maintenance and service
Clean the wall system (excluding handle cradles and
accessories)
WARNING Electric shock hazard. Before cleaning the wall system, disconnect
the AC power cord from the power outlet.
WARNING Electric shock hazard. DO NOT autoclave the wall system or
accessories. The wall system and the accessories are not heat-resistant.
WARNING Liquids can damage electronics inside the wall system. Prevent
liquids from spilling on or dripping into the wall system.
If liquids are spilled on or drip into the wall system:
1.
2.
3.
4.
5.
Power down the wall system.
Disconnect the power plug.
Remove the wall system from the wall.
Remove battery pack from the wall system.
Dry off excess liquid from the wall system.
Note
6.
7.
8.
If liquids possibly entered the wall system, remove the wall system
from use until it has been properly dried, inspected, and tested by
qualified service personnel.
Reinstall battery pack.
Mount the wall system on the wall. (See the Setup section of this directions for use.)
Power on the wall system and verify that the wall system functions normally before
using it.
Clean on a routine basis according to your facility's protocols and standards or local
regulations. If the monitor is on, lock the display and disconnect the AC power cord.
The following agents are compatible with the wall system:
•
CaviWipes™ (see Caution below)
•
Sani-Cloth® Plus
•
70 percent isopropyl alcohol
•
10 percent chlorine bleach solution
CAUTION Some components and accessories of the wall system
require special care during cleaning. To ensure optimal functioning
and availability of specific components and accessories, use only
the cleaning agents noted and the processes described for these
items presented later in this section.
Note
Disinfect according to your facility's protocols and standards or
local regulations.
CaviWipes™ or Sani-Cloth® Plus
1.
Using CaviWipes™ or Sani-Cloth® Plus, wipe the surface of the monitor to remove all debris.
2.
Allow the monitor surface to dry for a minimum of 10 minutes before using the monitor.
Directions for use
Maintenance and service
105
70 percent isopropyl alcohol
Wipe the monitor with a clean cloth slightly dampened with 70 percent isopropyl alcohol.
10 percent chlorine bleach solution
1.
Wipe the monitor with a clean cloth slightly dampened with a 10 percent bleach and water
solution. Follow the cleaning agent manufacturer's guidelines.
2.
Rinse with a clean cloth slightly dampened with water that meets EP and USP quality
standards.
3.
Allow the monitor surface to dry for a minimum of 10 minutes before using the monitor.
Clean the handle cradles
The blue handle cradles in the wall system require special attention.
CAUTION Do not use CaviWipes™ to clean the blue handle cradles. This cleaning
agent produces bubbles and liquid during the cleaning process that can enter
openings in the cradles and limit handle performance for as long as 30 minutes after
cleaning.
Clean the handle cradles on a routine basis according to your facility's protocols and
standards or local regulations.
The following agents are compatible with the handle cradles:
•
Sani-Cloth® Plus
•
70 percent isopropyl alcohol
•
10 percent chlorine bleach solution
Note
Disinfect according to your facility's protocols and standards or local regulations.
Clean the wall system accessories
The cleaning procedures for wall system accessories vary from the procedure to clean the wall
system itself.
1.
Wipe the NIBP hose and any reusable cuffs with a damp cloth moistened in a mild detergent
solution.
2.
Wipe the temperature probe with a cloth dampened with alcohol, warm water, or an
appropriately diluted, nonstaining disinfectant solution.
3.
Clean the pulse oximetry sensors with a cloth dampened with 70 percent isopropyl alcohol or
10 percent chlorine bleach solution.
CAUTION Never immerse any wall system accessories.
4.
Clean the ear themometer according to the manufacturer's directions for use.
5.
Clean the physical assessment instrument handles and cords using the same cleaning agents
used on the wall system. Clean on a routine basis according to your facility's protocols and
standards, or local regulations.
6.
To clean Welch Allyn 3.5V instrument heads attached to the physical assessment handles,
follow instructions provided in their directions for use.
106 Maintenance and service
Welch Allyn Connex® Integrated Wall System
107
Specifications
Physical specifications
Protection classifications, Wall system configurations
Characteristic
Specification
Electrical rating
100 – 240 V AC, 50 – 60 Hz, 1.5 – 0.8 A
Duty cycle - monitor
Continuous operation
Duty cycle - physical assessment
handles
2 minutes on, 10 minutes off
Type of protection against electric
shock
Class I equipment (protectively earthed) with double insulation
Degree of protection against electric
shock, for parts applied to patients
Type BF defibrillator proof
IEC EN 60601-1
Recovery time following defibrillator
discharge
Less than or equal to 10 seconds
Flammable anesthetics
WARNING Not suitable for use with flammable
anesthetics.
Degree of protection provided by the
enclosure with respect to harmful
ingress of liquids
IPX0
Non-protected according to EN/IEC 60529; Pulse oximeter equipment
complies with ISO 9919 Cl. 44.6 Ingress of liquids tests and EN/IEC
60601-1, 60601-2-30, 60601-2-49 Cl. 44.3 Spillage tests
Height
10.56 in. (268.26 mm )
Width
39.92 in. (1014 mm)
Depth
7.51 in. (190.8 mm)
Weight (including battery)
14.1 lb. (6 kg)
Welch Allyn Connex® Integrated Wall System
108 Specifications
Protection classifications, Wall system configurations
Graphical display resolution
Display area
8 in. (H) x 4 in. (V) (19.5 [H] cm x 11.3 [V] cm)
Pixels
1024 (H) x 600 (V)
Pixel arrangement
RGB (red, green, blue)
Color depth
16 bits per pixel
Speaker volume
Output sound pressure
57 dB at 1.0 meter
Measured sound range
46 – 66 dB(A)
Alarm and pulse tones
per IEC 60601-1-8
Pulse frequency (f0)
150 – 1000 Hz
Number of harmonic components in
the range 300 Hz to 4000 Hz
minimum of 4
Effective pulse duration (td)
high priority: 75 –200 ms
medium and low priority: 125 – 250 ms
Rise time (tr)
10 – 20% of td
Fall timea (tf)
tf < ts – tr
Note
The relative sound pressure level of the harmonic components should be within 15 dB above
or below the amplitude at the pulse frequency.
a Prevents overlap of pulses.
Battery specifications
Rating
10.8V 1.9 Ah (20Wh)
Composition
Lithium-ion
Nurse Call connection specifications
Nurse Call
25 V AC or 60 V DC maximum at 1A maximum
Handle specifications
Handle output
3.00 - 3.90v, .700 - 1.5A
Leakage current is less than 10 microamps from any exposed metal part.
Directions for use
Specifications
109
NIBP specifications
Cuff pressure range
Meets or exceeds ANSI/AAMI SP10:2002 standards for cuff pressure
range
Systolic range
Adult: 30 to 260 mmHg
Pediatric: 30 to 260 mmHg
Neonate: 20 to 120 mmHg
Diastolic range
Adult: 20 to 220 mmHg
Pediatric: 20 to 220 mmHg
Neonate: 10 to 110 mmHg
Cuff Inflation Target
Adult: 160 mmHg (StepBP)
Pediatric: 120 mmHg (StepBP)
Neonate: 90 mmHg (StepBP)
Maximum Target Pressure
Adult: 280 mmHg (StepBP, SureBP)
Pediatric: 280 mmHg (StepBP, SureBP)
Neonate: 130 mmHg (StepBP)
Blood pressure determination time
Typical: 15 seconds
Maximum: 150 seconds
Blood pressure accuracy
Meets or exceeds ANSI.AAMI SP10:2002 standards for noninvasive
blood pressure accuracy (±5 mmHg mean error, 8 mmHg standard
deviation)
Mean Arterial Pressure (MAP) range
The formula used to calculate MAP
yields an approximate value.
Adult: 23 to 230 mmHg
Pediatric: 23 to 230 mmHg
Neonate: 13 to 110 mmHg
Pulse rate range (using blood pressure Adult: 30 to 200 bpm
determination)
Pediatric: 30 to 200 bpm
Neonate: 35 to 220 bpm
Pulse rate accuracy (using blood
pressure determination)
±5.0% (±3 bpm)
Overpressure cutoff
Adult: 300 mmHg ±15 mmHg
Pediatric: 300 mmHg ±15 mmHg
Neonate: 150 mmHg maximum
SureTemp Plus temperature module specifications
Temperature range
80°F to 110°F (26.7°C to 43.3°C)
Calibration accuracy
±0.2°F (±0.1°C) (Direct mode)
Welch Allyn Connex® Integrated Wall System
110 Specifications
Braun ThermoScan PRO 4000 thermometer specifications (refer to manufacturer's
directions for use for additional information)
Temperature range
68°F to 108°F (20°C to 42.2°C)
Calibration accuracy
•
•
Display resolution
±0.4°F (±0.2°C) for temperatures ranging from 95.9°F to 107.6°F
(35.5°C to 42°C)
±0.5°F (±0.3°C) for temperatures outside of this range
0.1°F or °C
SpO2 specifications (refer to sensor manufacturer's directions for use for
additional information)
SpO2 performance measurement range
1 to 100%
Masimo sensor accuracy guide
Accuracy specified when used with Masimo SET pulse
oximetry monitors or with licensed Masimo SET pulse
oximetry modules using PC series patient cables,
during no motion. Numbers present ± 1 standard
deviation. Plus or minus one standard deviation
represents 68% of the population.
Perfusion
0.02 % to 20 %
Pulse rate
25 to 240 beats per minute (bpm)
No motion: ± 3 digits
Motion: ± 5 digits
Saturation
Note
Saturation accuracy varies by
sensor type.
70% to 100%
Adults, Pediatrics (No motion): ± 2 digits
Neonates (No motion): ± 3 digits
Adults, Pediatrics, Neonates (Motion): ± 3 digits
Low Perfusion: 0.02 % to 20 % ± 2 digits
Nellcor sensor accuracy guide
SpO2 measurement accuracy can only be evaluated in
vivo by comparing pulse oximeter readings with SaO2
measurements obtained from simultaneously sampled
arterial blood made using a laboratory CO-oximeter.
SpO2 accuracy was validated through breathe-downequivalent testing by Covidien using electronic
measurements to prove equivalence to the Nellcor
N600x predicate device. The Nellcor N600x predicate
device was validated by performing human-subject,
“breathe-down” clinical trials.
Perfusion
0.03 % to 20 %
Pulse rate
20 to 250 beats per minute (bpm) ± 3 digits
Saturation
70% to 100%
Adult, Pediatrics: ± 2 digits
Note
Saturation accuracy varies by
sensor type.
Neonate: ± 3 digits
Low Perfusion: 0.02 % to 20 % ± 2 digits
Directions for use
Specifications
111
SpO2 specifications (refer to sensor manufacturer's directions for use for
additional information)
Functional tester
WARNING A functional tester
cannot be used to assess the
accuracy of a pulse oximeter monitor.
1
1 Some models of commercially available bench top functional testers and patient simulators can be used to
verify the proper functionality of Nellcor pulse oximeter sensors, cables and monitors. See the individual
testing device's operator's manual for the procedures specific to the model of tester being used.
While such devices may be useful for verifying that the pulse oximeter sensor, cabling, and monitor are
functional, they are incapable of providing the data required to properly evaluate the accuracy of a system's
SpO2 measurements. Fully evaluating the accuracy of the SpO2 measurements requires, at a minimum,
accommodating the wavelength characteristics of the sensor and reproducing the complex optical interaction
of the sensor and the patient’s tissue. These capabilities are beyond the scope of known bench top testers.
SpO2 measurement accuracy can only be evaluated in vivo by comparing pulse oximeter readings with SaO2
measurements obtained from simultaneously sampled arterial blood made using a laboratory CO-oximeter.
Many functional testers and patient simulators have been designed to interface with the pulse oximeter's
expected calibration curves and may be suitable for use with Nellcor monitors and/or sensors. Not all such
devices, however, are adapted for use with the Nellcor OXIMAX digital calibration system. While this will not
affect use of the simulator for verifying system functionality, displayed SpO2 measurement values may differ
from the setting of the test device. For a properly functioning monitor, this difference will be reproducible over
time and from monitor to monitor within the performance specifications of the test device.
SpHb specifications (refer to sensor manufacturer's directions for use for
additional information)
SpHb saturation range
0 to 25 g/dL
Masimo SpHb sensor accuracy guide
Adults, Pediatrics (no motion): 8 to 17 g/dL ± 1 g/dL.
SpHb accuracy has been validated on healthy adult
male and female volunteers and on surgical patients
with light to dark skin pigmentation in the range of 8 to
17 g/dL SpHb against a laboratory co-oximeter. This
variation equals ± 1 standard deviation which
encompasses 68% of the population. The SpHb
accuracy has not been validated with motion or low
perfusion.
Environmental specifications
Operating temperature
50°F to 104°F (10°C to 40°C)
Storage temperature
-4°F to 122°F (-20°C to 50°C)
Operating altitude
-557 to 10,000 ft. (-170 m to 3,048 m)
Operating humidity
15 to 95% noncondensing
Storage humidity
15% to 95% noncondensing
112
Welch Allyn Connex® Integrated Wall System
Specifications
Monitor radio
The monitor's radio operates on Welch Allyn FlexNet™ or other 802.11 networks.
Wireless network interface
IEEE 802.11 b/g, 802.11a
Frequency
802.11 b/g: 2.402 GHz to 2.4835 GHz
802.11a: 5.125 GHz to 5.875 GHz
Channels
Up to 14 in 802.11b/g, up to 24 in 802.11a; country-dependent
Security/encryption/
authentication
WPA2/AES (either EAP or PSK authentication)
Antenna
Internal multiband PIFA
Wireless data rates
802.11b: 1Mbps or higher during vitals transmission only
802.11a/g: 6Mbps or higher during vitals transmission only
(approximately 2 seconds per reading)
Agency approvals
US: FCC Part 15, Class B; C/UL; CE; 47 CFR Part 2.1093, 15.207, 15.209,
15.247, 15.407; FCC OET Bulletin 65C
Europe: CE; EN 50371; EN/ETSI 300 328 V1.7.1, 301 489-1 V1.6.1, 301
489-17 V1.2.1, 301 893 V1.4.1
Canada: RSS-210; RSS-GEN; RSS-102
Hong Kong: HKTA 1039
Protocols
UDP, DHCP, TCP/IP
Data transfer protocols
UDP/TCP/IP
Modulation
OFDM (802.11a/g), DSSS/CCK (802.11b)
Output power
40mW typical, country-dependent
Ancillary IEEE standards
802.11e, 802.11h, 802.11i, 802.11X
Channel restrictions in the 5-GHz band are determined by country.
Marking by the symbol ( ! ) indicates that usage restrictions apply. To ensure compliance with local
regulations, be sure the correct country in which the access point is installed is selected. This
product can be used with the following restriction(s):
France - Outdoor use is limited to 10 mW EIRP within the band 2454 to 2483.5 MHz.
Note
Effective Isotropic Radiated Power (EIRP).
Note
Some countries restrict the use of 5-GHz bands. The 802.11a radio in the monitor
uses only the channels indicated by the access point with which the radio
associates. The hospital IT department must configure access points to operate
with approved domains.
Directions for use
Specifications
113
Configuration options
The wall system is available in the following configurations.
Model
Prefix
Description
84 series
Standard. Includes nurse call, Ethernet, and USB connectivity.
85 series
Wireless. Includes all Standard features plus an internal 802.11 a/b/g radio.
Patents
The monitor is covered under the following patents:
6,000,846; 6,036,361; 7,255,475; 7,429,245; D480,977; D632,397; and other patents pending.
For SureTemp Plus configured monitors, US patent 6,971,790 applies.
For Nellcor-equipped monitors, the following Nellcor US patents and foreign equivalents apply:
5,485,847; 5,676,141; 5,743,263; 6,035,223; 6,226,539; 6,411,833; 6,463,310; 6,591,123; 6,708,049;
7,016,715; 7,039,538; 7,120,479; 7,120,480; 7,142,142; 7,162,288; 7,190,985; 7,194,293; 7,209,774;
7,212,847; 7,400,919.
For Masimo-equipped monitors, the following Masimo US patents and foreign equivalents apply:
5,758,644; 5,823,950; 6,011,986; 6,157,850; 6,263,222; 6,501,975; 7,469,157; and others listed at
www.masimo.com/patents.htm.
114 Specifications
Welch Allyn Connex® Integrated Wall System
115
Standards and compliance
General compliance and standards
The monitor complies with the following standards:
21 CFR Subchapter H – Medical Devices – US Food and Drug Administration
2002 No. 236 – Australian Therapeutic Goods Act
93/42/EEC – European Economic Community Medical Devices Directive
2007/47/EC – European Economic Community Medical Devices Directive 2007 Amendment
94/62/EC – European Economic Community Packaging Directive
2002/96/EC – European Economic Community Waste Electrical and Electronic Equipment Directive
2006/66/EC – European Economic Community Batteries and Accumulators Directive
SOR/98-282 – Canadian Medical Devices Regulation
IATA DGR – International Air Transport Association Dangerous Goods Regulation
United Nations ST/SG/AC.10/11 – Manual of Tests and Criteria, Part III, Sub-Section 38.3
ANSI/AAMI SP10
AS/NZS 3200.1.01
ASTM D 4332, E 1104
CAN/CSA C22.2 NO.601.11 CAN/CSA-C22.2 NO.60601-1-2, CSA Z9919
EN 1060-1, 1060-3, 1060-42
EN/IEC 60601-1, 60601-1-2, 60601-1-4, 60601-1-6, 60601-1-8, 60601-2-30, 60601-2-49, 62304, 62366
EN/ISO 9919, 13485, 14971, 21647
ISTA 2A
UL 60601-11
Directive 2002/96/EC-WEEE:
Disposal of noncontaminated electrical and electronic equipment
This product and its accessories must be disposed of according to local laws and regulations. Do
not dispose of this product as unsorted municipal waste. Prepare this product for reuse or
separate collection as specified by Directive 2002/96/EC of the European Parliament and the
Council of the European Union on Waste Electronic and Electrical Equipment (WEEE). If this
product is contaminated, this directive does not apply.
1 Standard is essentially the IEC 60601-1 General standard plus the listed country's National Deviations.
2 Non-Invasive Sphygmomanometers – Part 1: General Requirements, Part 3. Supplementary Requirements for
Electro-Mechanical Blood Pressure Measuring Systems, Part 4: Test Procedures to Determine the Overall System
Accuracy of Automated Non-Invasive Sphygmomanometers.
116
Standards and compliance
Welch Allyn Connex® Integrated Wall System
For more specific disposal or compliance information, see www.welchallyn.com/weee, or contact
Welch Allyn Customer Service at +44 207 365 6780.
General radio compliance
The wireless features of this monitor must be used in strict accordance with the manufacturer’s
instructions as described in the user documentation that comes with the product.
This device complies with Part 15 of the FCC rules and with the rules of the Canadian ICES-003 as
described below.
Federal Communications Commission (FCC)
This device complies with part 15 of the FCC Rules. Operation is subject to the following two
conditions:
•
This device may not cause harmful interference.
•
This device must accept any interference received, including interference that may cause
undesired operation.
This equipment has been tested and found to comply with the limits for a Class B digital device,
pursuant to Part 15 of FCC Rules. These limits are designed to provide reasonable protection
against harmful interference in a residential installation. This equipment generates, uses, and can
radiate radio frequency energy. If not installed and used in accordance with the instructions, it
may cause harmful interference to radio communications. However, there is no guarantee that
interference will not occur in a particular installation. If this equipment does cause harmful
interference to radio or television reception, which can be determined by turning the equipment off
and on, the user is encouraged to try and correct the interference by one or more of the following
measures:
•
Reorient or relocate the receiving antenna
•
Increase the distance between the equipment and the receiver
•
Connect the equipment to an outlet on a circuit different from that to which the receiver is
connected
•
Consult the dealer or an experienced radio/TV technician for help
The user may find the following booklet prepared by the Federal Communications Commission
helpful:
The Interference Handbook
This booklet is available from the U.S. Government Printing Office, Washington, D.C. 20402. Stock
No. 004-000-0034504.
Welch Allyn is not responsible for any radio or television interference caused by unauthorized
modification of the devices included with this Welch Allyn product, or the substitution or
attachment of connecting cables and equipment other than specified by Welch Allyn.
The correction of interference caused by such unauthorized modification, substitution, or
attachment will be the responsibility of the user.
Directions for use
Standards and compliance
117
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.
L’utilisation de ce dispositif est autorisée seulement aux conditions suivantes: (1) il ne doit pas
produire de brouillage et (2) l’ utilisateur du dispositif doit étre prêt à accepter tout brouillage
radioélectrique reçu, même si ce brouillage est susceptible de compromettre le fonctionnement du
dispositif.
This Class B digital apparatus complies with Canadian ICES-003.
Cet appareil numérique de la classe B est conform à la norme NMB-003 du Canada.
European Union
Czech
Welch Allyn tímto prohlašuje, ze tento RLAN device je ve shodě se základními požadavky a
dalšími příslušnými ustanoveními směrnice 1999/5/ES.
Danish
Undertegnede Welch Allyn erklærer herved, at følgende udstyr RLAN device overholder de
væsentlige krav og øvrige relevante krav i direktiv 1999/5/EF
Dutch
Bij deze verklaart Welch Allyn dat deze RLAN device voldoet aan de essentiële eisen en
aan de overige relevante bepalingen van Richtlijn 1999/5/EC.
English
Hereby, Welch Allyn, declares that this RLAN device is in compliance with the essential
requirements and other relevant provisions of Directive 1999/5/EC.
Estonian
Käesolevaga kinnitab Welch Allyn seadme RLAN device vastavust direktiivi 1999/5/EÜ
põhinõuetele ja nimetatud direktiivist tulenevatele teistele asjakohastele sätetele.
Finnish
Welch Allyn vakuuttaa täten että RLAN device tyyppinen laite on direktiivin 1999/5/EY
oleellisten vaatimusten ja sitä koskevien direktiivin muiden ehtojen mukainen.
French
Par la présente, Welch Allyn déclare que ce RLAN device est conforme aux exigences
essentielles et aux autres dispositions de la directive 1999/5/CE qui lui sont applicables
German
Hiermit erklärt Welch Allyn die Übereinstimmung des Gerätes RLAN device mit den
grundlegenden Anforderungen und den anderen relevanten Festlegungen der Richtlinie
1999/5/EG. (Wien)
Greek
ΜΕ ΤΗΝ ΠΑΡΟΥΣΑ Welch Allyn ΔΗΛΩΝΕΙ ΟΤΙ RLAN device ΣΥΜΜΟΡΦΩΝΕΤΑΙ
ΠΡΟΣ ΤΙΣ ΟΥΣΙΩΔΕΙΣ ΑΠΑΙΤΗΣΕΙΣ ΚΑΙ ΤΙΣ ΛΟΙΠΕΣ ΣΧΕΤΙΚΕΣ ΔΙΑΤΑΞΕΙΣ ΤΗΣ
ΟΔΗΓΙΑΣ 1999/5/ΕΚ
Hungarian
Alulírott, Welch Allyn nyilatkozom, hogy a RLAN device megfelel a vonatkozó alapvetõ
követelményeknek és az 1999/5/EC irányelv egyéb elõírásainak.
Italian
Con la presente Welch Allyn dichiara che questo RLAN device è conforme ai requisiti
essenziali ed alle altre disposizioni pertinenti stabilite dalla direttiva 1999/5/CE.
Latvian
Ar šo Welch Allyn deklarē, ka RLAN device atbilst Direktīvas 1999/5/EK būtiskajām
prasībām un citiem ar to saistītajiem noteikumiem.
118 Standards and compliance
Welch Allyn Connex® Integrated Wall System
Lithuanian
Šiuo Welch Allyn deklaruoja, kad šis RLAN device atitinka esminius reikalavimus ir kitas
1999/5/EB Direktyvos nuostatas.
Malti
Hawnhekk, Welch Allyn, jiddikjara li dan RLAN device jikkonforma mal-htigijiet essenzjali u
ma provvedimenti ohrajn relevanti li hemm fid-Dirrettiva 1999/5/EC
Portuguese
Welch Allyn declara que este RLAN device está conforme com os requisitos essenciais e
outras disposições da Directiva 1999/5/CE.
Slovak
Welch Allyn týmto vyhlasuje, ze RLAN device spĺňa základné požiadavky a všetky príslušné
ustanovenia Smernice 1999/5/ES.
Slovene
Šiuo Welch Allyn deklaruoja, kad šis RLAN device atitinka esminius reikalavimus ir kitas
1999/5/EB Direktyvos nuostatas.
Spanish
Por medio de la presente Welch Allyn declara que el RLAN device cumple con los
requisitos esenciales y cualesquiera otras disposiciones aplicables o exigibles de la
Directiva 1999/5/CE
Swedish
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.
119
Guidance and manufacturer's declaration
EMC compliance
Special precautions concerning electromagnetic compatibility (EMC) must be taken for all medical
electrical equipment. This device complies with IEC EN 60601-1-2.
•
All medical electrical equipment must be installed and put into service in accordance with the
EMC information provided in this document.
•
Portable and mobile RF communications equipment can affect the behavior of medical
electrical equipment.
The Connex Integrated Wall System complies with all applicable and required standards for
electromagnetic interference.
•
It does not normally affect nearby equipment and devices.
•
It is not normally affected by nearby equipment and devices.
•
It is not safe to operate the monitor in the presence of high-frequency surgical equipment.
•
However, it is good practice to avoid using the monitor in extremely close proximity to other
equipment.
Emissions and immunity information
Electromagnetic emissions
The monitor is intended for use in the electromagnetic environment specified below. The customer or user of
the monitor should assure that it is used in such an environment.
Emissions test
Compliance
Electromagnetic environment - guidance
RF emissions
CISPR 11
Group 1
The monitor uses RF energy only for its internal function. Therefore,
its RF emissions are very low and are not likely to cause any
interference in nearby electronic equipment.
RF emissions
CISPR 11
Class A
Harmonic
emissions
IEC 61000-3-2
Class A
The monitor is suitable for use in all establishments other than
domestic establishments and those directly connected to the public
low-voltage power supply network that supplies buildings used for
domestic purposes, provided the following warning is heeded:
Welch Allyn Connex® Integrated Wall System
120 Guidance and manufacturer's declaration
Electromagnetic emissions
Voltage
Complies
fluctuations/flicker
emissions
IEC 61000-3-3
WARNING This equipment/system is intended for
use by healthcare professionals only. This
equipment/ system may cause radio interference or
may disrupt the operation of nearby equipment a. It
may be necessary to take mitigation measures, such
as re-orienting or relocating the monitor or shielding
the location.
a The monitor contains a 5-GHz orthogonal frequency-division multiplexing transmitter or a 2.4-GHz frequency
hopping spread-spectrum transmitter for the purpose of wireless communication. The radio is operated
according to the requirements of various agencies, including FCC 47 CFR 15.247 and R&TTE Directive (1995/5/
EC). The transmitter is excluded from the EMC requirements of 60601-1-2, but should be considered when
addressing possible interference issues between this and other devices.
Electromagnetic immunity
The 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.
Immunity test
IEC 60601 test
level
Compliance
level
Electromagnetic environment - guidance
Electrostatic
discharge (ESD)
IEC 61000-4-2
±6 kV contact
± 8 kV air
± 6 kV contact
± 8 kV air
Floors should be wood, concrete or ceramic tile.
If floors are covered with synthetic material, the
relative humidity should be at least 30%.
Electrical fast
transient/burst
IEC 61000-4-4
±2 kV for power
supply lines
±1 kV for input/
output lines
±2 kV for power
supply lines
±1 kV for input/
output lines
Mains power quality should be that of a typical
commercial or hospital environment.
Surge
IEC 61000-4-5
± 1 kV differential
mode
± 2 kV common
mode
± 1 kV differential
mode
± 2 kV common
mode
Mains power quality should be that of a typical
commercial or hospital environment.
Voltage dips, short
interruptions and
voltage variations
on power supply
input lines
IEC 61000-4-11
>95% dip in 0.5
cycle
>95% dip in 0.5
cycle
>95% dip in 5
seconds
>95% dip in 5
seconds
Mains power quality should be that of a typical
commercial or hospital environment. If the user
of the monitor requires continued operation
60% dip in 5 cycles 60% dip in 5 cycles during power mains interruptions, it is
30% dip for 25
30% dip for 25
recommended that the monitor be powered from
cycles
cycles
an uninterruptible power supply or a battery.
Directions for use
Guidance and manufacturer's declaration
121
Electromagnetic immunity
The 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.
Immunity test
IEC 60601 test
level
Compliance
level
Electromagnetic environment - guidance
Portable and mobile RF communications
equipment should be used no closer to any part
of the monitor, including cables, than the
recommended separation distance calculated
from the equation applicable to the frequency of
the transmitter.
Recommended separation distance
Conducted RF
IEC 61000-4-6
3 Vrms
3 Vrms
150 kHz to 80 MHz
d= (1.17)
Radiated RF
IEC 61000-4-3
3 V/m 80 MHz to 1 3 V/m
GHz
d= (1.17)
80 to 800 MHz
d= (2.33)
800 MHz to 2,5 GHz
whereP is the maximum output power rating of
the transmitter in watts (W) andd is the
recommended separation distance in meters (m).
Field strengths from fixed RF transmitters, as
determined by an electromagnetic site surveya,
should be less than the compliance level in each
frequency rangeb. Interference may occur in the
vicinity of equipment marked with the following
symbol:
Note1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects, and people.
aField strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and
land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted
theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an
electromagnetic site survey should be considered. If the measured field strength in the location in which the
monitor is used exceeds the applicable RF compliance level above, the monitor should be observed to verify
normal operation. If abnormal performance is observed, additional measures may be necessary, such as
reorienting or relocating the monitor.
bOver the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Welch Allyn Connex® Integrated Wall System
122 Guidance and manufacturer's declaration
Recommended separation distances between portable and mobile RF
communications equipment and the monitor
The monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are
controlled. The customer or user of the monitor can help prevent electromagnetic interference by
maintaining a minimum distance between portable and mobile RF communications equipment (transmitters)
and the monitor as recommended below, according to the maximum output power of the communications
equipment.
Separation distance according to frequency of transmitter (m)
Rated max.
output power
of transmitter
(W)
150 kHz to 80
MHz
80 MHz to 800
MHz
d= (1.17)
d= (1.17)
0.01
0.11667
0.11667
0.23333
0.1
0.36894
0.36894
0.73785
1
1.1667
1.1667
2.3333
10
3.6894
3.6894
7.3785
100
11.667
11.667
23.3333
800 MHz to 2.5 GHz
d= (2.23)
For transmitters rated at a maximum output power not listed above, the recommended separation distanced
in meters (m) can be estimated using the equation applicable to the frequency of the transmitter, whereP is
the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by
absorption and reflection from structures, objects, and people.
123
Advanced settings
The Advanced tab provides password-protected access to the monitor's Advanced settings (or
Admin mode), enabling nurse administrators, biomedical engineers, and/or service engineers to
configure specific features. The Advanced tab also presents read-only information about the
monitor.
Note
You cannot enter the Advanced settings if sensors or physiological alarms are
active or if vital sign measurements are displayed.
General
Specify the language
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears, displaying the Language tab.
2.
Select a language.
3.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
Welch Allyn Connex® Integrated Wall System
124 Advanced settings
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify date and time settings
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
On the General tab, touch the Date / Time tab.
3.
Specify settings.
Setting
Action/Description
Date format
Select a date format for display.
Time zone
Select your time zone offset from Coordinated
Universal Time (UTC).
Automatically adjust clock for daylight saving time, Select this to adjust the displayed time by +/- one
reported by host
hour when the connected host reports daylight
savings time.
4.
Allow users to change date and time
Select this to allow clinicians to set the date and
time from the Settings tab.
Display date and time
Select this to display the date and time on the
Home tab in the Device Status area.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify advanced alarm settings
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Alarms tab.
3.
Specify settings.
Setting
Action/Description
Allow user to disable alarms
Select to allow clinicians to turn off or turn on all
alarm limits for each vital sign. The control is on
each parameter-specific tab on the Alarms tab.
Allow user to turn off general audio
Select to allow clinicians to turn off all audio
notification for alarms. This control is on the Alarms
tab (on the General tab).
Directions for use
Advanced settings
Minimum alarm volume
125
Select the minimum alarm volume available. If you
select High, then Medium and Low are not
available to the clinician.
These controls are on the Alarms tab (on the
General tab).
Nurse call threshold
Select the minimum priority alarm that activates a
nurse call relay. If you select High, only high-level
alarms activate a nurse call relay.
Audio pause time
Specify the amount of pause time that is added to
the 60-second pause time. When a clinician pauses
an audio alarm tone, the tone is paused for the
combined amount of time.
SpO2 alarm condition delay
Specify the minimum amount of time that an SpO2
alarm condition must be active before audio and
visual signals occur.
SatSeconds is available with Nellcor SpO2 sensors.
If you select 0 seconds or 10 seconds, SatSeconds
is disabled, and it is removed from the SpO2 tab in
the Alarms tab.
SpHb alarm condition delay
4.
Specify the minimum amount of time that an SpHb
alarm condition must be active before audio and
visual signals occur.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify advanced display settings
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Display tab.
3.
Specify settings.
Setting
Action/Description
Display lock
Specify the required period of clinician inactivity
before the touchscreen locks.
Display power saver
Specify the required period of monitor inactivity
before the display turns off.
Clinician interactions, new vital sign
measurements, or alarm conditions automatically
turn on the display.
Device power down
4.
Specify the required period of monitor inactivity
before the monitor turns off.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
126
Welch Allyn Connex® Integrated Wall System
Advanced settings
Specify a monitor location
You can associate the monitor with a specific location. The location appears in the Device Status
area.
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Other tab.
3.
In the Location ID box, touch
4.
Do one of the following:
and enter up to 20 alphanumeric characters.
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Enable monitor profile changes
You can allow clinicians to change the active profile on the monitor. Available profiles are
Monitor, Spot Check, and Triage. When this option is enabled, clinicians can change the
name of the profile as well.
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Other tab.
3.
Select Allow profile change.
4.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify power line frequency
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Other tab.
Directions for use
Advanced settings
3.
Select the power line frequency for AC power supplied to the monitor.
4.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
127
Set and start the demo mode
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the General tab.
3.
Touch the Demo tab.
4.
Specify settings.
Setting
Action/Description
Type
Select a type of demonstration mode.
Start
Touch Start to put the monitor in demonstration
mode. Navigate to the Home tab to begin Demo
mode.
5.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Demo mode, touch Exit on the Home tab. The monitor restarts automatically.
Parameters
Specify advanced NIBP settings
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Parameters tab.
3.
Touch the NIBP tab.
4.
Specify settings.
Setting
Action/Description
Default view
Select primary and secondary views.
Select Display MAP to display mean arterial
pressure (MAP) in the NIBP frame on the Home tab.
Welch Allyn Connex® Integrated Wall System
128 Advanced settings
If Display MAP is selected, specify which
numerics are primary in the NIBP frame. On the
Home tab, clinicians can touch the NIBP frame to
toggle between views.
Default patient type
Select a default patient type for this monitor. The
patient type shows in the Patient frame on the
Home tab.
In the Patients tab on the Summary tab, clinicians
can change the displayed patient type from the
default patient type that you set here.
Tube type
Select the number of tubes that are connected to
the NIBP cuff that is used with this monitor. If you
select 1 tube, the only algorithm available for
selection is Step.
Unit of measure
Select the NIBP unit of measure for display.
Allow interval program changes
Enable clinicians to modify interval program
settings from the Intervals tab.
Algorithm and Cuff inflation target (CIT)
Select the default algorithm used to determine
NIBP measurements.
If you select the Step algorithm, touch
and
enter a default cuff inflation target for each type of
patient. In the Patients tab on the Summary tab,
clinicians can change the CITs from the default
CITs that you set here.
5.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify advanced temperature settings
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab will appear.
2.
Touch the Parameters tab.
3.
Touch the Temperature tab.
4.
Specify settings.
Setting
Action/Description
Unit of measure
Select primary units of measure for the
temperature display on the Home tab
Display temperature conversion
Select this to display primary units of measure and
secondary units of measure for the temperature
display on the Home tab.
Default SureTemp Plus site
Select the default site for SureTemp
measurements. The default site applies when
clinicians power up the monitor and each time
Directions for use
Advanced settings
129
clinicians remove the temperature probe from the
well.
Select Last Site to set the default to the site
selected for the last measurement.
5.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify advanced SpO2 settings
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Parameters tab.
3.
Touch the SpO2 tab.
4.
Specify settings.
Setting
5.
Action/Description
Default view
Select a numeric view or a waveform view as the
primary SpO2 display on the Home tab.
Default response
Select the default speed of response to changes in
SpO2 measurements.
Sweep speed
Select the waveform sweep speed for the SpO2
display in the Home tab.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced tabs and return to the Home tab, touch Exit.
Specify advanced SpHb settings
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Parameters tab.
3.
Touch the SpHb tab.
4.
Specify settings.
Setting
Reference
Action/Description
Select arterial or venous as the calibrated
reference source.
130
Welch Allyn Connex® Integrated Wall System
Advanced settings
5.
Unit of measure
Select the primary unit of measure for the SpHb
display on the Home tab.
Default averaging
Select the default moving window of time used by
the parameter to calculate the SpHb value and
update the display: short (approximately 1 minute),
medium (approximately 3 minutes), or long
(approximately 6 minutes).
Trend view time
Select the period displayed in the SpHb trend
graphic on the Home tab.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced tabs and return to the Home tab, touch Exit.
Specify advanced pulse rate settings
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Parameters tab.
3.
Touch the Pulse rate tab.
4.
Specify settings.
Setting
Display source
5.
Action/Description
Select this to show the source of pulse rate
measurements (NIBP or SpO2) on the Home tab.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify the manual parameters
The Manual Parameters frame is in the lower right corner of the Home tab. You can manually enter
values for parameters in the frame. You also can specify which parameters appear in the frame.
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Parameters tab.
3.
Touch the Manual tab.
Directions for use
Advanced settings
4.
131
Select up to four parameters and associated units of measure for display in the Manual
Parameters frame.
If the monitor has the SureTemp Plus temperature module, the Temperature parameter is
not available here or in the Manual Parameters frame.
5.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Data management
Specify patient ID settings
Patient identification appears on the Home tab in the Patient frame, and it is listed in various tabs,
such as the Patient tab and the Review tab.
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Data Management tab.
3.
Touch the Patient IDs tab.
4.
Specify settings.
Setting
Action/Description
Name format
Select a format for all displayed patient names:
Full name or Abbreviation.
Primary label
Select the primary identification label for all
displayed patients.
Secondary label
Select a secondary identification label for patients.
A secondary label displays only on the Home tab,
after the primary label.
132
Welch Allyn Connex® Integrated Wall System
Advanced settings
Require patient ID to save readings
Make entering a patient ID a prerequisite for saving
measurements. If they fail to enter an identifier, the
monitor prompts them when they try to save.
Search by patient ID
Enable clinicians to enter a patient ID to query for
the patient's information. If clinicians scan the ID
onto the Home tab or the Summary tab, the monitor
queries the patient list and the network. Returned
patient information populates the Patient frame on
the Home tab and fields on the Summary tab.
Clear patient information on manual save
Specify that the monitor clears the selected patient
after a clinician manually saves measurements
from the Home tab. Patient information clears from
the Patient frame and the Summary tab.
Note: This setting does not take effect when
intervals are in progress.
Retrieve list
5.
Enable the monitor to retrieve the patient list from
the network. When this option is selected, a
Retrieve list button replaces the Add button
on the List tab. Information from the network
populates the List tab when clinicians touch the
Retrieve list button. Since the Add button is
not available, clinicians cannot add a patient to the
patient list.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify clinician ID settings
Clinician identification appears next to the medicine symbol in the Device Status area on the Home
tab.
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Data Management tab.
3.
Touch the Clinician IDs tab.
4.
Specify settings.
Setting
Action/Description
Label
Select a type of clinician identification label for
display on the Home tab: Full name,
Abbreviation, Clinician ID, or Symbol only.
Require clinician ID to save readings
Make entering a clinician ID a prerequisite for
saving measurements. If they fail to enter
identification, the monitor prompts them when they
try to save measurements. Clinicians can enter
clinician identification on the Clinician tab.
Search by clinician ID
Enable the monitor to query the network for
clinician information based on ID. The monitor
Directions for use
Advanced settings
133
initiates the search when the clinician enters or
scans the ID from the Clinician tab. Returned
clinician information populates the Device Status
area and fields on the Clinician tab.
Select Require password to require clinicians
to enter their password, in addition to ID, on the
Clinician tab. The monitor uses the ID and
password combination to query the network for
clinician information.
Clear clinician information on manual save
5.
Specify that the monitor clears the selected
clinician after a clinician manually saves
measurements from the Home tab. Clinician
information clears from the Clinician tab and the
Device Status area.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify clinical data settings
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Data Management tab.
3.
Touch the Clinical Data tab.
4.
Specify settings.
Setting
5.
Action/Description
Automatically send on manual save
Select this option to specify that measurements are
sent to the network when a clinician saves
measurements on the Home tab.
Delete readings after successful send
Select this option to specify that measurements are
deleted from the monitor after they are successfully
sent to the network. Sent measurements do not
appear in the Review tab.
Emulate Spot Vital Signs LXi
Select this option to specify that clinical data sent
to the network appears as Spot Vital Signs LXi data
at the network.
Do one of the following:
•
To continue in Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Welch Allyn Connex® Integrated Wall System
134 Advanced settings
Network
View advanced monitor information
The Status tab shows the monitor's software version, MAC and IP addresses, network, server and
access point information, session information, and more.
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Network tab.
3.
Touch the Status tab.
4.
View the information.
5.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify radio settings
This task is applicable only to monitors that have a radio installed.
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Network tab.
3.
Touch the Radio tab.
4.
Specify settings.
Setting
Action/Description
Enable radio
Enable the radio for device communications. When
disabled, the radio is not available.
Enable radio network alarms
Activate radio network alarms when an alarm
condition occurs. When disabled, radio network
alarms are not available.
SSID
Touch
and enter the service set identifier
(SSID). Enter a maximum of 16 characters.
Radio band
Select the radio band.
Authentication type
Select an authentication scheme. Then specify any
additional settings that appear.
Directions for use
Advanced settings
135
Method
Select a method. Then touch
and enter
characters: Network key (64 characters), or
Passphrase (8 to 63 characters).
Security protocol
Select the security protocol.
EAP type
Select the EAP type.
Identity
Enter the EAP identity (maximum of 32 characters).
Password
Enter the EAP password (maximum of 32
characters).
Key number
Select the WEP key number.
Key
Enter the WEP key (10 characters for WEP 64, or 26
characters for WEP 128).
Configure radio
Touch Configure radio to activate all new
radio settings not selected previously.
Touch OK in the confirmation popup telling you to
power down the monitor.
Touch the Settings tab. Touch the Device tab.
Touch Power down.
The radio will reboot.
Note If you do not touch Configure radio,
none of the changed radio settings will take effect.
5.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify server settings
1.
Access the Advanced Settings.
a.
Touch the Settings tab.
b.
Touch the Advanced tab.
c.
Enter the Advanced settings code.
d.
Touch OK.
The General tab appears.
2.
Touch the Network tab.
3.
Touch the Server tab.
4.
Specify settings.
Setting
Obtain server IP information automatically
Action/Description
Enable the monitor to automatically obtain the
server IP information via the network.
UDP broadcast port: Touch
and enter
the port number that is used to automatically obtain
server IP information. The range of entry is 0 to
65535.
136
Welch Allyn Connex® Integrated Wall System
Advanced settings
5.
IP address
Touch
and enter the IP address of the server
that is used for patient data communication. The
range of entry for each field is 0 to 255.
Port
Touch
and enter the port number associated
with the server IP address. The range of entry is 0
to 65535.
Test
Touch Test to test the connection to the
configured server.
Do one of the following:
•
To continue in the Advanced Settings, touch another tab.
•
To exit the Advanced Settings and return to the Home tab, touch Exit.
Service
For service-related advanced settings, see the service manual for this product.
137
Troubleshooting
This section presents tables of technical alarm and information messages, as well as problem
descriptions that do not generate messages, to help you troubleshoot issues on the monitor.
Note
Problem descriptions without messages appear at the end of this section.
When the monitor detects certain events, a message appears in the Device Status area at the top
of the screen. Message types include the following:
•
Information messages, which appear on a blue background.
•
Low- and medium-priority alarms, which appear on an amber background.
•
High-priority alarms, which appear on a red background.
Technical alarm messages are low priority unless noted in the Message column.
You can dismiss a message by touching the message on the screen, or, for some messages, you
can wait for the message to time out.
To use these tables, locate the message that displays on the monitor in the left column of the table.
The remainder of the row explains possible causes and suggests actions that can resolve the
issue.
Note
Instructions to "Call for service" in the following tables mean that you should contact
qualified service personnel in your facility to investigate the issue.
NIBP messages
Message
Possible cause
Suggested action
NIBP air leak; check cuff and
tubing connections.
The NIBP module has an air leak
Check the cuff and tubing
connections.
Clear the alarm and retry
NIBP.
NIBP not functional. Call for
service.
A module error occurred
Call for service.
Unable to determine NIBP;
The NIBP module experienced a motion
check connections; limit patient artifact
movement.
Check connections; limit
patient movement.
Clear the alarm and retry
NIBP.
Unable to determine NIBP;
The NIBP tubing has a kink
check connections and tubing.
Check the connections and
tubing for kinks.
Welch Allyn Connex® Integrated Wall System
138 Troubleshooting
Message
Possible cause
Suggested action
Clear the alarm and retry
NIBP.
Incorrect NIBP cuff size; check The cuff size is not correct
patient type.
Check the patient type.
Clear the alarm and retry
NIBP.
Inflation too quick; check NIBP NIBP inflation was too quick
cuff and tubing connections.
Check the connections and
tubing for kinks.
Clear the alarm and retry
NIBP.
Unable to determine NIBP;
check inflation settings.
Check inflation settings and
change as necessary.
Clear the alarm and retry
NIBP.
NIBP check inflation settings message
Change the cuff inflation
target (CIT).
Excessive patient movement.
NIBP measurements are not accurate
because of artifact
Limit patient movement during
blood pressure measurement.
Tube type does not match
device configuration.
(NIBP measurement is
available)
The tube connected to the NIBP sensor does Use the tube specified for the
not match the monitor's configuration
monitor.
Tube type does not match
device configuration.
(NIBP measurement is not
available)
User is using a single-lumen tube with the
following Advanced settings:
1. Patient type is Pediatric or Adult
2. Tube type is 2
3. Algorithm is SureBP
Clear message. Modify
settings or tube use to match
patient type.
SpO2 and SpHb messages
Message
Possible cause
Suggested action
SpO2 not functional. Call for
service.
A module error has occurred
Try a new cable/sensor pair.
Call for service.
Searching for pulse signal.
(High-priority alarm)
The SpO2 sensor is not attached to the
patient's finger
Touch the alarm icon or the
SpO2 frame to dismiss the
alarm.
Set SpO2 alarm limits to OFF.
Reattach the SpO2 sensor to
the patient's finger.
Attach SpO2 sensor to monitor. The sensor was not detected
Check the sensor connection.
Replace the SpO2 sensor.
Directions for use
Troubleshooting
Message
Possible cause
Suggested action
Replace the SpO2 sensor.
The SpO2 sensor is faulty or expired
Replace the SpO2 sensor.
No SpO2 sensor is connected
Connect an SpO2 sensor.
The cable is faulty or expired
Replace the cable.
The cable is faulty or expired
Replace the cable.
Replace the SpO2 cable.
139
Low SpO2 signal quality. Check Poor sensor placement on the patient
sensor.
Remove the sensor from the
patient and reapply.
Low SpHb signal quality. Check Poor sensor placement on the patient
sensor.
Remove the sensor from the
patient and reapply.
Low perfusion. Check sensor.
Remove the sensor from the
patient and reapply.
Poor sensor placement on the patient
SpO2 mode only. Check sensor The sensor is operating as an SpO2-only
Reattach the cable to the
or cable.
sensor because it failed to calibrate properly monitor.
Remove the sensor from the
patient and reapply.
SpO2 sensor expires in….
The SpO2 sensor will expire soon
Replace the SpO2 sensor.
Temperature messages
Message
Possible cause
Suggested action
Connect temperature probe.
No probe is connected
Connect a temperature probe
and retry.
The probe is faulty
Replace the temperature
probe.
The temperature module
returned a connect probe
message
Connect a temperature probe
and retry. If a probe is already
connected, replace the probe.
Insert correct color-coded probe well.
The probe well is missing
Insert a temperature probe
well.
Replace temperature probe.
The probe is faulty
Replace the temperature
probe.
Temperature not functional. Call for service. A module error occurred
Call for service.
Temperature time limit exceeded.
The 10-minute timeout for
Remove the probe from the
temperature measurement has measurement site.
occurred
Tissue contact lost
The probe has lost contact
with the patient's tissue
Reposition the probe to restore
proper contact with the
patient's tissue.
Welch Allyn Connex® Integrated Wall System
140 Troubleshooting
Message
Possible cause
Suggested action
Retry temperature measurement.
A probe heater or data error
occurred
Retry the temperature
measurement. If the problem
persists, replace the probe.
User settings require
adjustment
Adjust the user settings and
retry.
Note
This message often
accompanies other
temperature messages.
Weight scale messages
Message
Possible cause
Suggested action
Weight scale not functional.
Call for service.
The weight scale is not operating properly.
Call for service.
Physical assessment instrument handles
Symptom
Possible cause
The lamp does not illuminate
There is no lamp in the handle head Install a lamp in the handle head.
The lamp is too dim
The lamp is too bright
The lamp brightness does not
adjust
Suggested action
The lamp is burned out
Install a new lamp.
The other handle is off the cradle
Place the other handle in the
cradle.
The system is not powered up
Power up the system.
The platform handle controller
PCBA is defective
Call service.
The handle assembly is defective
Call service.
The rheostat setting is too low
Increase the rheostat setting.
The platform handle controller
PCBA is defective
Call service.
The handle assembly is defective
Call service.
The rheostat setting is too high
Decrease the rheostat setting.
The platform handle controller
PCBA is defective
Call service.
The handle assembly is defective
Call service.
The platform handle controller
PCBA is defective
Call service.
The handle assembly is defective
Call service.
The handle becomes very hot to the The lamp has been on for an
touch
extended period of time
Return the handle to the cradle.
Directions for use
Troubleshooting
141
Patient data management messages
Message
Possible cause
Suggested action
Maximum number of patient
records saved. Oldest record
overwritten.
The maximum number of patient records in
the monitor's memory has been exceeded
On the Review tab, delete old
records to prevent the alarm
from appearing when new
records are saved.
Unable to access patient
information.
An error occurred when reading the patient Power down and restart the
list or patient record during startup
monitor. If the error persists,
call for service.
No data to save.
No patient data is available
Take or enter vital signs
before saving.
Patient ID required to save
data.
The configuration requires a patient ID to
save data
Call for service.
Clinician ID required to save
data.
The configuration requires a clinician ID to
save data
Call for service.
Patient ID required to send
data.
The configuration requires a patient ID to
send data
Add a patient ID.
Patient list is full. Delete some
patients to add more.
The maximum number of patients was
exceeded
Delete a patient from the list
to add a new patient.
Stop intervals to select new
patient.
The monitor is set to take interval readings
Stop intervals before
changing the patient.
No connection for send.
No connectivity is available to support
sending data manually or automatically
sending data on manual save
Call for service.
Unable to retrieve list.
The monitor is unable to retrieve a patient
list from the network
Call for service.
Unable to identify clinician.
The clinician ID or password is incorrect
Confirm the clinician ID and
password (if applicable), and
retry.
Message
Possible cause
Suggested action
Radio not functional. Call for
service.
A hardware failure occurred (not currently
used)
Call for service.
Radio messages
The radio has the wrong software
The radio is not connected
Radio error. Power down and
restart.
The monitor and the radio failed to establish Power down and restart. If
communication with each other
problem persists, call for
service.
Welch Allyn Connex® Integrated Wall System
142 Troubleshooting
Message
Possible cause
Suggested action
Unable to establish network
communications. Radio out of
network range.
The radio is no longer communicating with
the access point
Call for service.
Unable to establish network
communications. Call for
service.
Unable to get an IP address from the DHCP
server
Call for service.
Communications module did not Communication failure.
power on properly. Power down
the device. (High-priority alarm)
Call for service.
Ethernet messages
Message
Possible cause
Suggested action
Network not found; check
network cable connection.
A network cable is unplugged
A network connection is broken elsewhere
Check the network cable
connection. If problem
persists, call for service.
Message
Possible cause
Suggested action
USB Communication failure.
Call for service.
An internal or external device is connected
but failed enumeration
Call for service.
USB messages
External device not licensed for A license for an external device (e.g.,
use.
barcode scanner) has not been activated
Disconnect the unlicensed
device.
External device not recognized. An unrecognized external device is
connected
Disconnect the unrecognized
device.
Incompatible Welch Allyn
device.
A communication protocol failure has
occurred
Call for service.
USB accessory disconnected.
The USB cable between an external device
and the monitor is disconnected
Confirm that the USB cable is
connected to the device and
the monitor.
Message
Possible cause
Suggested action
Set date and time.
The date or time is not set
Set the date and time.
The date or time is not set properly
Reset the date or time.
The ambient temperature is out of range
Operate the monitor within the
specified temperature range.
Retry patient temperature
measurement. If the message
System messages
Ambient temperature outside
operating range. Retry
measurement.
Directions for use
Troubleshooting
Message
Possible cause
143
Suggested action
persists, move the patient and
the monitor to a cooler
location.
Device shutdown is not
available at this time.
Device cannot perform an immediate
shutdown
Advanced settings unavailable Sensors are taking measurements
Touch OK, wait, and retry.
Stop continuous
measurements.
A physiological alarm condition is active
Respond to or reset the alarm.
Spot Check measurements have not been
saved
Save the measurements.
Unable to load language.
Chinese did not load
Power down and restart the
monitor.
Unexpected restart occurred.
Call for service.
A system error caused the monitor to restart. Call for service.
Battery power manager messages
Message
Possible cause
Suggested action
Low battery 5 minutes or less
Battery power is extremely low
remaining. (High-priority alarm)
Connect the monitor to AC
power. (If not connected to
AC power, the monitor powers
down when AC power is
depleted.)
Low battery 30 minutes or less
remaining.
Battery power is low
Touch the alarm icon to
dismiss or connect the
monitor to AC power.
Powering down. Call for
service.
Power manager or battery faults have
occurred
Call for service.
Battery is absent or faulty.
There is no battery in the monitor
Insert a battery.
The battery is faulty
Replace the battery.
The AC power cord has been disconnected
Touch OK to dismiss or
connect the monitor to AC
power.
Device is operating in battery
mode.
Configuration Manager messages
Message
Possible cause
Suggested action
Unable to load configuration;
using factory defaults.
A configuration load error occurred
Call for service.
Welch Allyn Connex® Integrated Wall System
144 Troubleshooting
Message
Possible cause
Suggested action
Functional error. Call for
service.
A critical configuration load error occurred
Call for service.
No connection for send.
The monitor is not configured to the network Call for service.
Problems and solutions
The problems addressed in this table do not generate alarm or information messages on the
monitor.
Problem
Possible cause
Suggested action
No SpHb value is displayed
An SpO2-only cable is connected to the
monitor
Replace the SpO2-only cable
with an SpO2/SpHb (Masimo
Rainbow) cable.
The SpHb cable has expired
Replace the SpHb cable.
Note
A technical alarm appears.
Poor sensor placement on the patient
Remove the sensor from the
patient and reapply.
The monitor may have the SpHb license, but Contact Welch Allyn to verify
the SpO2 module does not
that the SpO2 module
contains the SpHb license.
No weight measurement is
transferred from the scale to
the monitor
The scale is not connected
Inspect the USB cables from
the device to the adapter to
the scale to ensure that they
are connected properly.
The scale setting is incorrect
Ensure that the scale settings
are enabled for transfer.
145
Appendix
Approved accessories
The following tables list approved wall system accessories and documentation. For information
about options, upgrades, and licenses, refer to the service manual.
FlexiPort® cuffs (Latex free)
Part Number
Model
Description
Reuse-08
Reusable
Cuff, reuse, SM CHILD, 2-tube
Reuse-09
Reusable
Cuff, reuse, CHILD, 2-tube
Reuse-10
Reusable
Cuff, reuse, SM AD, 2-tube
Reuse-11
Reusable
Cuff, reuse, ADULT, 2-tube
Reuse-11L
Reusable
Cuff, reuse, AD LONG, 2-tube
Reuse-12
Reusable
Cuff, reuse, LG AD, 2-tube
Reuse-12L
Reusable
Cuff, reuse, LG AD LONG, 2-tube
Reuse-13
Reusable
Cuff, reuse, THIGH, 2-tube
Soft-08
Disposable
Cuff, soft, SM CHILD, 2-tube (box of 20)
Soft-09
Disposable
Cuff, soft, CHILD, 2-tube (box of 20)
Soft-10
Disposable
Cuff, soft, SM AD, 2-tube (box of 20)
Soft-11
Disposable
Cuff, soft, ADULT, 2-tube (box of 20)
Soft-11L
Disposable
Cuff, soft, AD LONG, 2-tube (box of 20)
Soft-12
Disposable
Cuff, soft, LG AD, 2-tube (box of 20)
Soft-12L
Disposable
Cuff, soft, LG AD LONG, 2-tube (box of 20)
Soft-13
Disposable
Cuff, soft, THIGH, 2-tube (box of 20)
5082-101-1
Disposable
Neo-1 disposable cuff, male luer connector (box of 10 cuffs)
Welch Allyn Connex® Integrated Wall System
146 Appendix
Part Number
Model
Description
5082-102-1
Disposable
Neo-2 disposable cuff, male luer connector (box of 10 cuffs)
5082-103-1
Disposable
Neo-3 disposable cuff, male luer connector (box of 10 cuffs)
5082-104-1
Disposable
Neo-4 disposable cuff, male luer connector (box of 10 cuffs)
5082-105-1
Disposable
Neo-5 disposable cuff, male luer connector (box of 10 cuffs)
008-0851-00
Disposable
Neonatal Cuff Kit, (1 each neo #1 — 5, reusable infant cuff,
NIBP hose)
Blood pressure accessories (Latex free)
Part Number
Model
Description
4500-30
SureBP
Double tube blood pressure hose (5 ft)
4500-31
SureBP
Double tube blood pressure hose (10 ft)
4500-32
SureBP
Double tube blood pressure hose (8 ft)
6000-30
BP
Single tube blood pressure hose (5 ft)
6000-31
BP
Single tube blood pressure hose (10 ft)
6000-33
BP
Neonatal blood pressure hose (10 ft)
5200-08
Calibration "T" connector
Masimo pulse oximetry (for use with devices with SpO2)
Part Number
Model
Description
LNOP-DCI
LNOP
Reusable finger sensor - Adult
LNOP-DCIP
LNOP
Reusable finger sensor - Pediatric
PC-04
LNOP
4-foot cable with sensor connector
PC-08
LNOP
8-foot cable with sensor connector
LNCS-DCI
LNCS
Reusable finger sensor - Adult
LNCS-DCIP
LNCS
Reusable finger sensor - Pediatric
LNCS-ADTX
LNCS
Disposable adhesive finger sensor - Adult (20 per case)
LNCS-PDTX
LNCS
Disposable adhesive finger sensor - Pediatric (20 per case)
RED LNC-10
LNCS
10-foot cable with sensor connector
LNCS-YI
LNCS
Multisite reusable sensor (1 sensor, 6 adhesive wraps)
Directions for use
Appendix
147
Part Number
Model
Description
LNCS-TC-I
LNCS
Reusable ear sensor
LNCS-Neo-L-3
LNCS
Disposable adhesive finger sensor - Neonate/Adult (20 per
case)
Neo-Wrap-RP
LNCS
Replacement wrap for neonatal adhesives (100 per case)
LNCS-Inf-3
LNCS
Disposable adhesive finger sensor - Infant (20 per case)
Inf-Wrap-RP
LNCS
Replacement wrap for infant adhesives (100 per case)
YI-AD
LNCS
Multisite adhesive wrap adult/pediatric/neonatal for YI
sensor (100 per case)
YI-FM
LNCS
Multisite foam wrap adult/pediatric/neonatal for YI sensor
(12 per case)
Masimo Rainbow SET (for use with devices with SpO2 and SpHb)
Part Number
Model
Description
104220
Rainbow
Adult reusable sensor and 3-foot cable
104360
Rainbow
ReSposable R2-25 sample pack
104149
Rainbow
Extension cable, 20 pin, 12 feet
Part Number
Model
Description
DS-100A
OxiMax
Durasensor adult oxygen transducer
DOC-10
OxiMax
Extension cable (10 feet)
DOC-8
OxiMax
Extension cable (8 feet)
DOC-4
OxiMax
Extension cable (4 feet)
D-YS
OxiMax
Dura-Y oxygen transducer (1 sensor, 40 wraps)
D-YSE
OxiMax
Ear clip (use with Dura-Y sensor)
D-YSPD
OxiMax
PediCheck pediatric spot check (use with Dura-Y sensor)
MAX-AI
OxiMax
OxiMax adult sensor (single use, case of 24)
MAX-PI
OxiMax
OxiMax pediatric sensor (single use, case of 24)
MAX-II
OxiMax
OxiMax infant sensor (single use, case of 24)
OXI-A/N
OxiMax
Oxiband adult/neonatal transducer (1 sensor, 50 wraps)
Nellcor pulse oximetry
Welch Allyn Connex® Integrated Wall System
148 Appendix
Part Number
Model
Description
OXI-P/I
OxiMax
Oxiband pediatric/infant transducer (1 sensor, 50 wraps)
SureTemp® Plus thermometry
Part Number
Description
02895-000
Oral probe and well kit (9ft., 2.7M)
02895-100
Rectal probe and well kit (9ft., 2.7M)
02894-0000
Oral probe well (blue)
02894-1000
Rectal probe well (red)
05031-101
Disposable probe covers (1,000 covers, packaged 25/box)
05031-110
Disposable probe covers (10,000 covers, packaged 25/box)
06138-000
Temperature calibration key
Braun ThermoScan® PRO 4000 thermometry
Part Number
Description
53020-0000
Rechargeable battery pack for the thermometer
05075-005
Disposable probe covers (5,000 covers, packaged 20/box)
05075-800
Disposable probe covers (800 covers, packaged 20/box)
Physical assessment instruments
Part Number
Description
Otoscopes
23810
MacroView™ otoscope
23820
MacroView™ otoscope with throat illuminator
23814
MacroView™ otoscope with insufflation bulb
23824
MacroView™ otoscope with throat illuminator and
insufflation bulb
25020
Diagnostic otoscope with specula
25021
Diagnostic otoscope with insufflation bulb
Directions for use
Appendix
149
Part Number
Description
20201
Pneumatic otoscope without specula
20200
3.5V pneumatic otoscope with specula
20250
3.5V pneumatic otoscope with 12-diopter lens and specula
20251
Pneumatic otoscope with 12-diopter lens
21700
3.5V operating otoscope with specula
21701
3.5V operating otoscope without specula
Specula and specula dispensers
52432-U
2.75 mm Universal KleenSpec® disposable ear specula
(case of 10 bags, 850/bag)
52434-U
4.25 mm Universal KleenSpec® disposable ear specula
(case of 10 bags, 850/bag)
52100-PF
Dispenser (full), large ear specula
52400-PF
Dispenser (full), small ear specula
Ophthalmoscopes
11810
Panoptic ophthalmoscope
11820
Panoptic ophthalmoscope with cobalt blue filter and addon corneal viewing lens
11710
Standard ophthalmoscope
11720
Coaxial ophthalmoscope
11730
AutoStep® coaxial ophthalmoscope
11735
Prestige coaxial-plus ophthalmoscope
Illuminators
41100
Finnoff ocular transilluminator
41101
Finnoff ocular transilluminator with cobalt blue filter
43300
Curved all-purpose transilluminator
26535
Nasal illuminator (section only)
26538
Complete nasal illuminator
26035
Bivalve nasal speculum
26038
Bivalve nasal speculum with illuminator
27000
Larynx illuminator
Welch Allyn Connex® Integrated Wall System
150 Appendix
Part Number
Description
27050
Nasopharynx illuminator
28100
Tongue blade holder
Lamps
03100-LED
LED replacement lamp
06500-LED
LED replacement lamp
04900-LED
LED replacement lamp
03800-LED
LED replacement lamp
03100-U
Halogen replacement lamp
06500-U
Halogen replacement lamp
04900-U
Halogen replacement lamp
03800-U
Halogen replacement lamp
Weight scales and connectivity kits
For a list of approved weight scales and connectivity kits, go to www.welchallyn.com.
Miscellaneous accessories
Part Number
Description
BATT33
Replacement battery
PWCD-B
Line cord B, North America, 8'
PWCD-2
Line cord 2, Europe, 8'
PWCD-4
Line cord 4, United Kingdom, 8'
PWCD-6
Line cord 6, Australia/New Zealand,8'
PWCD-7
Line cord 7, South Africa, 8'
6000-NC
Nurse Call Cable
6000-915
2D barcode scanner kit --scanner, mounting bracket,
hardware
6000-915HS
HS1-M 2D barcode scanner with coiled USB
4500-925
USB cable for wired connectivity
660-0321-00
Patch cable, 50'
Directions for use
Appendix
Part Number
Description
660-0320-00
Patch cable, 100'
660-0138-00
Patch cable, 5'
104279
Connex IWS shipping box
6000-50
USB memory stick
Part Number
Description
103371
Barcode license
Service
Partnership Programs for Global Use
S1-CIWS
One-year Comprehensive Partnership Program
S1-CIWS-2
Two-year Comprehensive Partnership Program
S2-CIWS
One-year Biomed Partnership Program
S2-CIWS-2
Two-year Biomed Partnership Program
Technical Training
CIWSSERREPW-TRN
Technical online training for Biomeds
CIWSSERREP-TRN
Technical onsite training for Biomeds
International Only
PRV-001
Preventive SVC WA bench per unit
PRV-002
Preventive SVC planned onsite per unit
S4-CIWS
One-year Extended Warranty
S4-CIWS-2
Two-year Extended Warranty
Literature/Documentation
Part Number
Description
104066
CD, Directions for Use (Multi-lingual), Service Manual
(English only)
4600-90E
Blood Pressure Accuracy and Variability Card-English
Directions for Use
151
Welch Allyn Connex® Integrated Wall System
152 Appendix
Part Number
Description
104069
Directions for Use, Connex Integrated Wall System, Printed
Copy, English
104091
Directions for Use, Connex Integrated Wall System, Printed
Copy, Spanish
104492
Directions for Use, Connex Integrated Wall System, Printed
Copy, French
105030
Directions for Use, Connex Integrated Wall System, Printed
Copy, German
105031
Directions for Use, Connex Integrated Wall System, Printed
Copy, Swedish
105032
Directions for Use, Connex Integrated Wall System, Printed
Copy, Polish
105033
Directions for Use, Connex Integrated Wall System, Printed
Copy, Dutch
105034
Directions for Use, Connex Integrated Wall System, Printed
Copy, Italian
105035
Directions for Use, Connex Integrated Wall System, Printed
Copy, Danish
105036
Directions for Use, Connex Integrated Wall System, Printed
Copy, Portuguese
105037
Directions for Use, Connex Integrated Wall System, Printed
Copy, Greek
105038
Directions for Use, Connex Integrated Wall System, Printed
Copy, Norwegian
105039
Directions for Use, Connex Integrated Wall System, Printed
Copy, Finnish
Quick Reference Card
104067
Quick Reference Card, Connex Integrated Wall System,
English
104068
Quick Reference Card, Connex Integrated Wall System,
Spanish
104491
Quick Reference Card, Connex Integrated Wall System,
French
105028
Quick Reference Card, Connex Integrated Wall System,
German
105040
Quick Reference Card, Connex Integrated Wall System,
Swedish
105041
Quick Reference Card, Connex Integrated Wall System,
Polish
Directions for use
Appendix
Part Number
Description
105042
Quick Reference Card, Connex Integrated Wall System,
Dutch
105043
Quick Reference Card, Connex Integrated Wall System,
Italian
105044
Quick Reference Card, Connex Integrated Wall System,
Danish
105045
Quick Reference Card, Connex Integrated Wall System,
Portuguese
105046
Quick Reference Card, Connex Integrated Wall System,
Greek
105047
Quick Reference Card, Connex Integrated Wall System,
Norwegian
105048
Quick Reference Card, Connex Integrated Wall System,
Finnish
153
Service Manual (English only)
104092
Service Manual, Connex Integrated Wall System, English
Welch Allyn Connex® Integrated Wall System
154 Appendix
Warranty
Welch Allyn warrants the product to be free of defects in material and workmanship and to
perform in accordance with manufacturer's specifications for the period of one year from the date
of purchase from Welch Allyn or its authorized distributors or agents. The coiled cords carry a
special 10-year warranty against breakage during normal usage.
The warranty period shall start on the date of purchase. The date of purchase is: 1) the invoiced
ship date if the device was purchased directly from Welch Allyn, 2) the date specified during
product registration, 3) the date of purchase of the product from a Welch Allyn authorized
distributor as documented from a receipt from said distributor.
This warranty does not cover damage caused by: 1) handling during shipping, 2) use or
maintenance contrary to labeled instructions, 3) alteration or repair by anyone not authorized by
Welch Allyn, and 4) accidents.
The product warranty is also subject to the following terms and limitations: Accessories are not
covered by the warranty. Refer to the directions for use provided with individual accessories for
warranty information.
A service notification number must be obtained from Welch Allyn prior to returning any products or
accessories to Welch Allyn's designated service centers for repair. To obtain a service notification
number, contact Welch Allyn Technical Support.
THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED, INCLUDING
BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A
PARTICULAR PURPOSE. WELCH ALLYN'S OBLIGATION UNDER THIS WARRANTY IS LIMITED TO
REPAIR OR REPLACEMENT OF PRODUCTS CONTAINING A DEFECT. WELCH ALLYN IS NOT
RESPONSIBLE FOR ANY INDIRECT OR CONSEQUENTIAL DAMAGES RESULTING FROM A
PRODUCT DEFECT COVERED BY THE WARRANTY.
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