Welch Allyn Connex Vital Signs Monitor Software Version 2.2X

Welch Allyn Connex Vital Signs Monitor Software Version 2.2X
Welch Allyn Connex® Vital Signs
Monitor 6000 Series™
Directions for use
© 2014 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 and PartnerConnect are trademarks of Welch Allyn.
Integrated Pulmonary Index is a trademark of , and Oridion and Microstream are registered trademarks of, Oridion Medical
1987 Ltd. No implied license. Possession or purchase of this device does not convey any express or implied license to use
the device with unauthorized CO2 sampling products which would, alone, or in combination with this device, fall within the
scope of one or more of the patents relating to this device and/or CO2 sampling products.
Radical-7R, Pulse CO-Oximeter, rainbow Acoustic Monitoring, RRa, and ReSposable are trademarks of, and SET, LNCS,
SpHb, rainbow, and Masimo are registered trademarks of, Masimo Corporation. Possession or purchase of a Masimoequipped 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.
EarlySense is a registered trademark of EarlySense Ltd.
Software in this product is Copyright 2014 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 human-perceivable form. This is not a sale of the software or any copy of the software; all right, title,
and ownership of the software remain with Welch Allyn or its vendors.
For patent information, please visit www.welchallyn.com/patents.
For information about any Welch Allyn product, contact Welch Allyn Technical Support: www.welchallyn.com/about/
company/locations.htm.
105853 (CD)
DIR 80019042 Ver. A
721953 (printed copy)
DIR 80019042 Ver. A
This manual applies to
Welch Allyn, Inc.
4341 State Street Road
Skaneateles Falls, NY 13153-0220 USA
www.welchallyn.com
901060 Vital Signs Monitor.
Regulatory Affairs Representative
Welch Allyn Limited
Navan Business Park
Dublin Road
Navan, County Meath
Republic of Ireland
iii
Contents
Introduction ............................................................................................. 1
Indications for use ................................................................................................ 1
Contraindications ................................................................................................. 2
Symbols ................................................................................................... 3
Screen elements ...................................................................................... 7
About warnings and cautions .............................................................. 13
General warnings and cautions .......................................................................... 13
Physical design ...................................................................................... 19
Controls, indicators, and connectors .................................................................. 20
Setup ...................................................................................................... 23
Supplies and accessories ................................................................................... 23
Insert the battery ............................................................................................... 23
Mount the monitor ............................................................................................. 24
Attach the probe well ......................................................................................... 25
Attach the temperature probe ........................................................................... 26
Remove the temperature probe and well .......................................................... 26
Connect the NIBP hose ..................................................................................... 27
Disconnect the NIBP hose ................................................................................. 27
Connect the SpO2 cable or the SpO2/RRa dual cable ....................................... 27
Disconnect the SpO2 cable or the SpO2/RRa dual cable .................................. 29
Connect the patient movement cable ................................................................ 29
Disconnect the patient movement sensor and cable ........................................ 30
Attach a USB accessory ..................................................................................... 30
Detach a USB accessory .................................................................................... 31
Insert a new roll of paper ................................................................................... 31
Connect AC power ............................................................................................. 32
Disconnect AC power ........................................................................................ 32
Startup .................................................................................................... 33
Power ................................................................................................................. 33
Power up the monitor ........................................................................................ 34
Power down the monitor ................................................................................... 35
Reset the monitor .............................................................................................. 37
Set the date and time ........................................................................................ 37
Enter clinician information .................................................................................. 37
Set the default configuration .............................................................................. 38
iv Contents
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Navigation .............................................................................................. 39
Home tab ........................................................................................................... 39
Device Status area ............................................................................................. 39
Content area ...................................................................................................... 42
Navigation area .................................................................................................. 43
Using the keypad, keyboard, and barcode scanner ........................... 45
Open the numeric keypad .................................................................................. 45
Numeric keypad ................................................................................................. 45
Enter a number .................................................................................................. 46
Close the numeric keypad ................................................................................. 46
Open the keyboard ............................................................................................ 46
Keyboard ............................................................................................................ 46
Enter a letter or number ..................................................................................... 48
Enter a symbol or special character ................................................................... 48
Enter a diacritical mark ....................................................................................... 48
Close the keyboard ............................................................................................ 49
Use a barcode scanner ...................................................................................... 49
Connex CS ............................................................................................. 51
Overview ............................................................................................................ 51
Monitor tab ........................................................................................................ 52
Connect to the central station ........................................................................... 53
Disconnect from the central station .................................................................. 53
Continuous patient monitoring ........................................................................... 54
Activate the Continuous Monitoring profile ...................................................... 54
Pause continuous monitoring (Pause mode) ..................................................... 55
Resume continuous monitoring ........................................................................ 56
End continuous monitoring ............................................................................... 56
Assign a patient and location ............................................................................. 57
Profiles ................................................................................................... 59
Continuous Monitoring profile ........................................................................... 59
Continuous Monitoring profile ........................................................................... 61
Saving vital sign measurements (Continuous Monitoring profile) ...................... 63
Intervals Monitoring profile ................................................................................ 63
Spot Check profile .............................................................................................. 65
Triage profile ...................................................................................................... 65
Profile feature comparison ................................................................................. 66
Profile feature comparison ................................................................................. 67
Changing profiles ............................................................................................... 67
Patient data management .................................................................... 73
Add a patient to the patient list .......................................................................... 73
Load patient data with a barcode scanner ......................................................... 74
Select a patient .................................................................................................. 74
Manage patient records (Continuous Monitoring profile) .................................. 76
Manage patient records (Intervals Monitoring, Spot Check, and Triage
profiles) .............................................................................................................. 78
Printer ................................................................................................................ 79
Delete a patient from the list ............................................................................. 81
Directions for use
Contents
v
Alarms .................................................................................................... 83
Patient rest mode .............................................................................................. 85
Reset (pause or turn off) audio alarms ............................................................... 86
Cancel a paused alarm ....................................................................................... 88
Adjust vital sign alarm limits .............................................................................. 88
Modify audio alarm notification .......................................................................... 89
Alarm messages and priorities ........................................................................... 90
Nurse call ........................................................................................................... 97
Patient monitoring ................................................................................ 99
Standard and custom modifiers ......................................................................... 99
Custom scoring ................................................................................................ 100
Manual overrides ............................................................................................. 100
Patient movement ........................................................................................... 100
Capnography (CO2) .......................................................................................... 106
Respiration rate ................................................................................................ 111
IPI ..................................................................................................................... 113
Acoustic respiration rate (RRa) ......................................................................... 116
NIBP ................................................................................................................. 120
Temperature .................................................................................................... 131
SpO2 ................................................................................................................ 142
SpHb ................................................................................................................ 148
Pulse rate frame ............................................................................................... 152
Manual parameters frame ................................................................................ 154
Maintenance and service .................................................................... 157
Perform periodic checks .................................................................................. 157
Replace the printer paper ................................................................................. 157
Change the battery .......................................................................................... 158
Clean the monitor ............................................................................................ 160
Clean the accessories ...................................................................................... 161
Clean the stand ................................................................................................ 161
Advanced settings ............................................................................... 163
General ............................................................................................................. 163
Parameters ....................................................................................................... 168
Data management ........................................................................................... 173
Network ........................................................................................................... 176
Service ............................................................................................................. 179
Troubleshooting .................................................................................. 181
Patient movement messages .......................................................................... 181
CO2 messages ................................................................................................ 183
RRa messages ................................................................................................. 184
NIBP messages ............................................................................................... 185
SpO2 and SpHb messages .............................................................................. 186
Temperature messages ................................................................................... 187
Weight scale messages ................................................................................... 188
Patient data management messages .............................................................. 188
Communications module messages ................................................................ 189
Radio messages ............................................................................................... 189
Ethernet messages .......................................................................................... 189
USB and USB flash drive messages ................................................................ 190
vi
Contents
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
System messages ........................................................................................... 190
Battery power manager messages .................................................................. 191
Configuration Manager messages ................................................................... 191
Printer messages ............................................................................................. 191
Network messages .......................................................................................... 192
Problems and solutions .................................................................................... 192
Specifications ...................................................................................... 195
Physical specifications ..................................................................................... 195
Physical specifications ..................................................................................... 205
Environmental specifications ........................................................................... 217
Monitor radio .................................................................................................... 217
Configuration options ....................................................................................... 219
Standards and compliance ................................................................. 221
General compliance and standards .................................................................. 221
General radio compliance ................................................................................. 222
Guidance and manufacturer's declaration ........................................ 225
EMC compliance .............................................................................................. 225
Emissions and immunity information ............................................................... 225
Appendix .............................................................................................. 227
Approved accessories ...................................................................................... 227
Warranty .......................................................................................................... 238
1
Introduction
This directions for use describes the capabilities and operation of the monitor. The
information, including the illustrations, covers all configuration options. If your monitor
configuration lacks any of these options, some information in this manual might not
apply.
Before using the monitor, you must familiarize yourself with all warnings and cautions,
with the steps to power up the monitor, and with the sections of this directions for use
that pertain to your use of the monitor. You must also familiarize yourself with all
information that accompanies the accessories you use.
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.
Indications for use
The Connex 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 (NIBP)
•
pulse rate (PR)
•
noninvasive functional oxygen saturation of arteriolar hemoglobin (SpO2)
•
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. Monitoring can be
accomplished on the VSM 6000 series bedside monitor itself, and the VSM 6000 series
bedside monitor also can transmit data continuously for secondary remote viewing and
alarming (e.g., at a central station). Secondary remote viewing and alarming features are
intended to supplement and not replace any patient bedside monitoring procedures.
The optional Masimo rainbow® SET Pulse CO-Oximeter™ and accessories are indicated
for the continuous noninvasive monitoring of functional oxygen saturation of arterial
hemoglobin (SpO2), pulse rate (PR), total hemoglobin concentration (SpHb®), and/or
respiration rate (RRa™). The Masimo rainbow SET Radical-7R™ Pulse CO-Oximeter and
accessories are indicated for use with adult, pediatric, and neonatal patients during both
motion and no-motion conditions, and for patients who are well or poorly perfused in
hospitals and hospital-type facilities.
The optional Oridion®module and accessories are intended for the continuous
noninvasive measurement and monitoring of carbon dioxide concentration of the expired
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
2 Introduction
and inspired breath (etCO2 and FiCO2) and respiration rate (RR). It is intended for use
with neonatal, pediatric, and adult patients in hospitals and hospital-type facilities.
The optional Oridion module also provides the clinician with an Integrated Pulmonary
Index™ (IPI). The IPI is based on four parameters provided by the monitor: end-tidal
carbon dioxide (etCO2), respiration rate (RR), oxygen saturation (SpO2), and pulse rate
(PR). The IPI is a single index of an adult or pediatric patient's ventilatory status displayed
on a scale of 1–10, where 10 indicates optimal pulmonary status. IPI monitoring displays
a single value that represents the patient's pulmonary parameters and alerts clinicians to
changes in the patient's pulmonary status.
The IPI is an adjunct to, and is not intended to replace, vital signs monitoring.
Optional compatible weight scales (e.g., Health o meter®) can be used for height,
weight, and BMI input.
The optional EarlySense® (Everon) System is intended for continuous measurement of
respiration rate, heart rate, and movement in an automatic contact-less manner, in a
hospital or clinic setting. The system is indicated for use in children, adolescents, and
adults. The operation of the EarlySense has been studied in children (weight ≥ 10 Kg)
and adults (weight <111 Kg) during sleep and resting condition.
This product is available for sale only upon the order of a physician or licensed healthcare
professional.
Contraindications
This system (all configurations) is not intended to be used:
•
on patients connected to heart/lung machines
•
on patients being transported outside a healthcare facility
•
within the controlled access area of MRI equipment
•
in a hyperbaric chamber
•
in the presence of flammable anesthetics
•
in the presence of electrocauterization devices
Systems configured with EarlySense are not intended to be used:
•
on patients for whom proper positioning cannot be achieved or maintained
•
on patients who do not meet the weight limits tested or specified
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.
WARNING Hot surface. Do not touch.
Follow the operating instructions/directions for use (DFU) — mandatory action.
A copy of the DFU is available on this website.
A printed copy of the DFU can be ordered from Welch Allyn for delivery within 7 days.
Power symbols
Power on/Display power-saving
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
4
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Symbols
Alternating Current (AC)
Rechargeable battery
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
Connected to central station
Disconnected from central station
Miscellaneous symbols
CO2 sampling input
CO2 sampling output/exhaust
Manufacturer
Limited rotation/Turn completely to
right
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.
Call for maintenance
Defibrillation-proof Type BF applied
parts
Do not expose to open flame
Directions for use
Symbols
Altitude range
Not for injection
Transport and storage temperature
range
Authorized Representative of the
European Community
5
6
Symbols
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
7
Screen elements
Global navigation, controls, and indicators
Select option
Process indicator for
activities like acquiring
measurements and
connecting to a central
station
Select item from list
Display lock/unlock
Increase or decrease value
Monitoring and connectivity
Connect to the central station
and retain patient data
(Monitor tab)
Disconnect from the central
station but continue
monitoring and retain patient
data (Monitor tab)
Connected to the central
station (Device Status area)
Disconnected from the
central station (Device Status
area)
Temporarily pause continuous
monitoring but retain patient
data
End continuous monitoring
session for current patient
and clear patient data
8
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Screen elements
NIBP
NIBP start
NIBP stop
Intervals status indicators
NIBP view toggle
Temperature site control
Direct mode selector
Temperature
SpO2 and Pulse rate
Pulse amplitude bar
SatSeconds timer (Nellcor
feature only)
SpO2 view toggle
Response mode selector (Fast
mode selected)
Pulse rate (in beats per
minute)
Total hemoglobin (SpHb)
SpHb view toggle
Averaging mode selector
(Long mode selected)
CO2 pump start
CO2 pump stop
Capnography (CO2)
Directions for use
Screen elements
Capnography (CO2)
etCO2 view toggle
IPI view toggle
IPI graphic indicators
RRa
Respiration indicator
Averaging mode selector
(Fast mode selected)
Bed mode
Bed exit
Patient turn indicator and
timer
Bed exit (Review tab)
Patient movement
Patient turn indicator (Review
tab)
Exit sensitivity indicator
Manual parameters
Manual parameter selector
9
10
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Screen elements
Alarm and information messages
Alarm limit control
Alarm On/Off toggle
Multiple alarms toggle
Alarm audio paused
Alarm active
Information message
Patient Rest Mode
Patient data management
Diacritical marks key
(available for languages that
use diacritical marks;
appearance differs based on
language)
Symbols key
Send patient data
Print patient data/patient
trend data
Cancel action
Add patient identifiers
Retrieve patient list from the
network
Select patient from List tab
Delete patient from List tab
Clear patient context from
Summary tab
Forward or backward in
Review tab
Proceed to the next field to
input patient information
Directions for use
Screen elements
11
Settings
Save configuration
settings
Select state or view
Save to USB flash
drive
Configure from USB
flash drive
Restore factory
default settings
Close Advanced
settings
12
Screen elements
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
13
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, you must familiarize yourself with all warnings and cautions,
with the steps to power up the monitor, and with the sections of this directions for use
that pertain to your use of the monitor. In addition to reviewing the general warnings and
cautions presented in the next section, you must also review the more specific warnings
and cautions appear throughout the manual in conjunction with setup/startup, device
operation, patient monitoring, and maintenance tasks.
•
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.
Therefore, you 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-specific. For alarms to function
properly, you 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 The monitor is not intended for use during patient transport
outside of the medical facility. Do not use the monitor to take
measurements on any patient in transit.
WARNING Do not use the monitor as an apnea monitor. Neither the VSM
6000 series monitors, nor any of the integrated or accessory sensor
systems used in conjunction with the VSM 6000 series monitors, are
intended for use in apnea monitoring.
14
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
About warnings and cautions
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.
WARNING Inaccurate measurement risk. Liquids and excessive moisture
can damage patient sensors and cause them to perform inaccurately or fail.
WARNING Patient harm risk. Always remove sensors from patients and
disconnect them completely from monitors before bathing.
WARNING Liquids can damage electronics inside the monitor. Prevent
liquids from spilling on the monitor.
If liquids are spilled on the monitor:
1.
2.
3.
4.
Power down the monitor.
Disconnect the power plug.
Remove battery pack from the monitor.
Dry off excess liquid from the monitor.
Note
If liquids possibly entered the monitor, remove the monitor
from use until it has been properly dried, inspected, and
tested by qualified service personnel.
5. Reinstall battery pack.
6. Power on the monitor and verify that the monitor functions normally before
using it.
If liquids enter the printer housing:
1.
2.
3.
4.
5.
Power down the monitor.
Disconnect the power plug.
Remove battery pack from the monitor.
Remove and discard the paper roll.
Clean and dry the inside of the printer housing.
Note
The printer housing has a drain tube that directs liquids down
and out the bottom of the monitor. If liquids possibly entered
other openings in the monitor, remove the monitor from use
until it has been properly dried, inspected, and tested by
qualified service personnel.
6. Install a new roll of paper.
7. Power on the monitor and verify that the monitor functions normally before
using it.
Directions for use
About warnings and cautions
15
WARNING Safety risk and potential shock hazard. Cords, cables, and
accessories damaged from prior misuse can affect patient and operator
safety. Inspect all cords, cables, and accessories for strain relief wear,
fraying, or other damage according to the recommendations presented in
the Maintenance and service section of this manual. Replace as necessary.
Inspect the AC cord for exposed copper before touching the cord. Unplug
the AC cord only by pulling on the plug, never the cord. Never lift the
monitor by the power cord or patient connections.
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 oxygen-enriched 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 Inaccurate measurement risk. If using patient sensors during
full body irradiation, keep the sensor out of the irradiation field. If the
sensor is exposed to the irradiation, the reading might be inaccurate or the
monitor might read zero during the active irradiation period.
WARNING Inaccurate measurement risk. Do not use the monitor on
patients who are experiencing convulsions or tremors.
WARNING Use the monitor only as described in this directions for use. Do
not use the monitor on patients as described in the Contraindications.
16
About warnings and cautions
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
WARNING Personal/patient injury risk. Wall-mounted equipment and
accessories must be installed in accordance with accompanying
instructions. Improper installation can result in the monitor falling off the
wall and injuring someone. Welch Allyn is not responsible for the integrity
of any installation not performed by authorized Welch Allyn service
personnel. Contact an authorized Welch Allyn service representative or
other qualified service personnel to ensure professional installation for
safety and reliability of any mounting accessory.
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 Avoid continuously monitoring a patient when the device is
operating on battery power. If only battery power is available, you must
remain in the room with any patient whose vital signs are being monitored
continuously. Actively monitor both patient and battery status to ensure
patient safety.
WARNING Patient harm and equipment damage risk. Carefully route
patient cabling to reduce the possibility of patient entanglement or
strangulation. When transporting the monitor on a mobile stand, properly
secure all patient cables and cords to keep them clear of the wheels and to
minimize trip hazards.
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 or exhaust vents on the rear and base of the monitor. Covering
these vents could cause overheating of the monitor or muffling of alarms.
WARNING This equipment is not suitable for use in the presence of
electro-surgery.
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 For patient safety, do not use the monitor or any accessory
during MRI scanning. Induced current could cause burns.
Directions for use
About warnings and cautions
17
WARNING When the monitor is not conected to a secondary alarm
system during continuous monitoring, check the monitor regularly to
receive patient data, alarms, and alerts.
WARNING Patient safety risk. The EarlySense system is not intended for
high-risk patients in coronary or respiratory distress who require continuous
monitoring of heart function or CO2. For these patients, the most reliable
method of patient monitoring involves close personal surveillance and/or
equipment suited to that type of monitoring.
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 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.
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 move the monitor or mobile stand by pulling on any of
the cords as this may cause the monitor to tip over or may damage the
cord. 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 60601-1compliant isolation transformer. While monitoring a patient, you can only
charge the laptop battery if it is connected to 60601-1-compliant, isolated
AC power.
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.
CAUTION Keep the monitor outside of MRI suites and any areas marked
for high magnetic or electric field strength.
18
About warnings and cautions
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
19
Physical design
The monitor is available in two sizes: standard and extended. The primary difference
between these models is the number of parameters they support.
Note
Your monitor, based on size or configuration, might not contain all
parameters or features illustrated in this section.
In a standard monitor, up to two parameter modules are installed on the left side. You
can tell which modules are installed based on the connectors visible on the outside of
the device. The following image shows a standard monitor with pulse-oximetry and
blood-pressure modules.
Standard monitor left side
20
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Physical design
The extended version can have a maximum of three modules (such as CO2, pulse
oximetry, and blood pressure) on the left side.
Extended monitor left side
Equipment setup and basic monitor functions are the same for both models, unless
otherwise noted in the directions for use.
Controls, indicators, and connectors
The following diagrams show a full-featured monitor. Your monitor, based on size or
configuration, might not contain all of these features.
No. Feature
1
Printer
Description
Printer provides a printout of patient and device information.
Directions for use
Physical design
No. Feature
21
Description
2
Light bar
Provides a visual alarm with red and amber LEDs.
3
Thermometry
Temperature probe cover box.
4
Thermometry
Temperature probe.
5
Thermometry (connector behind cover)
Secures the probe connection to the monitor.
6
LCD screen
1024 x 600 pixels color touchscreen provides a graphical user
interface.
7
Battery compartment (behind cover)
Houses the lithium-ion battery.
8
Blood pressure
Supports dual-lumen or single-lumen hoses.
9
Pulse oximetry
Nellcor or Masimo rainbow SET module.
The Nellcor module measures SpO2 and pulse rate.
The Masimo module measures SpO2, pulse rate, SpHb, and RRa.
Note
SpHb and RRa are optional parameters.
Note
Monitors configured with RRa cannot be
configured with CO2.
10
CO2
CO2 sampling exhaust port.
11
CO2
CO2 sampling input connector (behind cover).
No. Feature
1
Power switch and LED
Description
Power-on/Display power-saving button.
The LED indicates the charging status when the monitor is
connected to AC power:
22
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Physical design
No. Feature
Description
•
•
Green: The battery is charged.
Amber: The battery is charging.
2
Ethernet RJ-45
Provides a hardwired connection to the computer network.
3
USB client
Provides a connection to an external computer for testing and
software upgrades.
4
Nurse call
Provides a connection to the hospital nurse call system. (Not
available on the 6300 model.)
5
Fan exhaust
6
Ground lug (equipotential terminal)
Provided for electrical safety testing and as a means for
connection of a potential-equalization conductor.
7
Power connection
Provides an external AC power connection.
8
Mobile stand mounting hardware
Secures the mounting plate to the monitor.
9
Recess for mounting plate
Secures the monitor when the monitor is mounted on the mobile
stand or wall.
10
USB connector door
Provides access to host USB connections for optional
accessories.
11
Fan intake
12
Speaker
Provides tones. A piezo beeper inside the monitor provides
backup.
23
Setup
Supplies and accessories
For a list of all approved supplies and accessories, see Approved accessories in the
Appendix.
Insert the battery
This procedure applies to first-time setup of the monitor.
WARNING Risk of fire, explosion, and burns. Do not short-circuit, crush,
incinerate, or disassemble the battery pack.
1. Turn the monitor upside down to access the battery cover.
2. Locate the battery cover, indicated by
.
3. Insert a coin into the slot and push to open. Choose a coin that fits comfortably into
the slot.
4. Slide in the battery.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
24 Setup
Do not remove the tab label from the battery. This tab helps
you remove the battery from the compartment when you
need to replace it.
Note
5. Replace the battery cover by inserting one end into the notched access and then
pressing firmly on the opposite end.
Note
New batteries are only 30 percent charged. Therefore, connect the monitor
to AC power immediately after inserting a new battery.
Mount the monitor
You can install the monitor on a mobile stand or on an interior wall equipped with a
Welch Allyn-approved wall-mount fixture.
Check the mounting bracket
Before you mount the monitor, make sure the stand or wall-mount fixture has the
mounting bracket designed for your monitor. Monitors with a standard housing require a
small bracket. Monitors with an extended housing require a large bracket.
Small bracket for standard housing
Note
Large bracket for extended housing
If your monitor has an extended housing but the small bracket is installed
on your stand or wall-mount fixture, you must replace the small bracket
with the large bracket. Follow the steps presented in the Mounting Bracket
Replacement Install Guide shipped with the large bracket, and then
proceed to mount the monitor.
Directions for use
Setup
25
Mount the monitor on a stand
1. Align the monitor on the mounting bracket in the center of the stand tray. Slide the
monitor into place, catching the bracket in the guides on the bottom of the monitor.
2. Ensure that the monitor is properly seated on the bracket. If you can raise either side
of the monitor off the stand, it is not seated properly. Repeat step 1 until the monitor
is mounted correctly.
3. Tighten the screw on the bracket into the screw hole on the back of the monitor.
Mount the monitor on the wall
For mounting instructions, see the wall mount manufacturer's directions for use.
Attach the probe well
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.
2. Insert the temperature probe into the probe well.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
26 Setup
Attach the temperature probe
CAUTION The temperature module only operates with the probe well
properly in place.
1. Remove the cover of the temperature module by pressing the tab on the bottom and
sliding the cover to the right. The cover is located at the bottom-right of the monitor,
below the probe well.
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.
3. Push it into place until it clicks.
4. Reattach the cover. Use the alignment tab and slide the cover to the left to click it
back into place.
Remove the temperature probe and well
Follow these steps to disconnect the probe cable and remove the probe well.
1. Remove the cover of the temperature module by pressing the tab on the bottom and
sliding the cover to the right. The cover is located at the bottom-right of the monitor,
below the probe well.
Directions for use
Setup
27
2. Depress the spring tab on the temperature probe cable connector and withdraw it
from the probe port.
3. Reattach the cover. Use the alignment tab and slide the cover to the left to click it
back into place.
Grasp the probe well and pull it up to remove it from the monitor.
Connect the NIBP hose
1. Place your thumb and forefinger on the hose connector and squeeze the side tabs.
2. Align the hose connector with the hose connector port on the side of the monitor.
3. Insert the hose connector, pressing firmly until it clicks into place.
Disconnect the NIBP hose
1. Place your thumb and forefinger on the hose connector.
Note
Always grasp the hose by the connector. Do not pull on the
hose itself.
2. Squeeze the side tabs until the connector releases.
3. Pull the connector away from the connector port.
Connect the SpO2 cable or the SpO2/RRa dual cable
WARNING Patient injury risk. Do not use a damaged sensor or pulse
oximetry cable or a sensor with exposed electrical or optical components.
Follow these steps to connect the SpO2 cable or the SpO2/RRa dual cable to the SpO2
port on the monitor. The location of the port on your monitor might differ from that
shown in the images below.
Note
For monitors configured with SpHb, the sensor used to monitor SpHb also
measures SpO2.
Connect the SpO2 cable
1. Place your thumb and forefinger on the cable connector and squeeze the side tabs.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
28 Setup
2. Align the cable connector with the cable connector port.
3. Insert the cable connector, pressing firmly until it clicks into place.
Connect the SpO2/RRa dual cable
Note
Monitors configured to measure acoustic respiration (RRa) require a dual
cable as shown below. The dual cable has two ports, one for the SpO2
cable and the other for the RRa cable.
1. Connect the dual cable to the device as shown in the preceding steps. (The
connector is the same as for the standard SpO2 cable.)
2. Connect the SpO2 cable to the Pulse CO-Oximetry port (the larger of the two ports
with the red background).
3. Attach the RRa patient cable to the Acoustic Monitoring port (the smaller of the two
ports with no colored background). See the dual cable manufacturer’s directions for
use for more information.
Directions for use
Setup
29
Note
Labels appear on both the top and bottom of the dual connector as well as
on the patient cables to help ensure proper connection of the patient
cables to the dual cable.
Note
Typically, a clinician will connect the single-use RRa sensor to the RRa
patient cable at the start of acoustic respiration monitoring. See the sensor
manufacturer’s directions for use for more information. Also see the
Acoustic Respiration rate (RRa) section of this directions for use.
Disconnect the SpO2 cable or the SpO2/RRa dual cable
1. Place your thumb and forefinger on the cable connector.
Note
Always grasp the cable by the connector. Do not pull on the
cable itself.
2. Squeeze the side tabs until the connector releases.
3. Pull the connector away from the connector port.
Connect the patient movement cable
1. Align the EarlySense cable connector with one of the EarlySense ports on the right
side of the monitor.
2. Insert the cable connector until it clicks into place. Also check the stress relief
connector on the cable to ensure that both parts of the cable are tightly connected.
3. When you are ready to monitor a patient, position the bed sensor (sensing unit) as
follows:
•
horizontally under the patient's mattress
•
the top surface of the sensing unit facing the mattress
•
the sensing unit under the patient's chest area
•
the sensing unit cable extending toward the head of the bed
30
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Setup
Note
Typically, a clinician will connect the bed sensor and cable at the start of
patient movement monitoring. See the Patient movement section of this
directions for use for more information.
Disconnect the patient movement sensor and cable
To disconnect the EarlySense bed sensor, pull the sensor cable connector out of the
cable connector port on the device.
Attach a USB accessory
CAUTION Accessories attached to this monitor must run on battery
power. Do not use any accessory's external power supply when it is
attached to the monitor.
1. On the rear of the monitor, loosen the screw on the USB door and open it.
Note
On some monitor stands, the monitor mounting bracket
partially overlaps the USB door. If you observe this overlap,
loosen the screw on the monitor mounting bracket and shift
the monitor forward just enough on the bracket to open the
USB door, then slide the monitor back on the mounting
bracket.
2. Attach each accessory's USB cable into an unused USB port on the monitor. See the
accessory's directions for use for any special instructions.
CAUTION Connect cables in a manner that minimizes
entangling.
3. Close the door and tighten the screw.
Directions for use
Setup
Note
Note
31
If you loosened the monitor mounting bracket in order to
open the USB door, shift the monitor forward on the bracket
as you did in step 1, close the door, and then slide the
monitor back into its mounted position. Ensure that the
monitor is seated firmly on the bracket, then tighten the
screw on the bracket into the screw hole on the back of the
monitor. (See "Mount the monitor on a stand" in this section
for more detail.)
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.
Detach a USB accessory
1. On the rear of the monitor, loosen the screw on the USB door and open it.
2. Detach the accessory's USB cable from USB port on the monitor.
3. Close the door and tighten the screw.
Insert a new roll of paper
The printer is located on the top of the monitor. Follow these steps to insert the roll of
printer paper:
1. Grasp the two tabs on the printer door and pull up to open.
2. Insert a new roll of paper.
Note
The paper roll must be installed so that it unwinds from the
bottom of the roll, as illustrated. If the paper roll is not
installed correctly, the printer will not print properly.
3. Advance the end of the roll past the roller so that it extends past the printer door, as
shown.
32
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Setup
4. With one hand, pull lightly on the paper to take up any slack. With the other hand,
close the printer door by pushing it down and into place until it clicks.
Be certain that the paper does not catch in the printer door.
Connect AC power
You can use the monitor with AC or battery power (after fully charging the battery).
WARNING Shock hazard. Inspect the AC cord for exposed copper before
touching the cord.
CAUTION During continuous monitoring, keep the monitor connected to
AC power at all times. If only battery power is available, you must remain in
the room with any patient whose vital signs are being monitored
continuously. Actively monitor both patient and battery status to ensure
patient safety.
1. Insert the power cord into the AC power connector port on the back of the monitor.
2. Insert the power plug into an electrical outlet to power the monitor and to charge the
battery.
Disconnect AC power
Carefully grasp the power plug and disconnect it from the power outlet. To avoid
damaging the power cord, do not pull on the cord itself.
33
Startup
Power
The device operates in one of two power states:
•
Device powered on. The device is operating on battery power or AC power. You can
utilize the device's features, and the display is active.
•
Sleep (Display power-saving) mode. The device is operating on battery or AC power,
but the display is off to conserve power. Settings for this mode can be changed in
the Display tab in Advanced settings.
Note
Battery-powered accessories connected to the device
continue to charge while the device is in this mode and
connected to AC power.
The following actions will return the display to the active state:
•
Touch the screen
•
Remove the temperature probe from the probe well
•
Attach the SpO2 sensor to a patient
•
Attach a sampling line to a patient
•
Press
The following actions will return the display to the active state:
•
Touch the screen
•
Remove the temperature probe from the probe well
•
Attach the SpO2 sensor to a patient
•
Connect the patient movement cable and bed sensor (sensing unit) to the device
•
Attach a sampling line to a patient
•
Press
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
34 Startup
Power on/Display power-saving button
The Power on/Display power-saving button
, located on the device housing, performs
the following functions:
•
Powers up the device
•
Opens an onscreen Power-down dialog with options to Power down, Sleep, or
Cancel (brief press)
•
Sets the device into Display power-saving (Sleep) mode (brief press followed by 30
seconds of inactivity)
Note
The device will not enter the Sleep (Display power-saving) mode while an
alarm condition is active or when NIBP intervals or continuous
measurements are in progress. The device also exits this mode if an alarm
occurs.
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.
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 at
least once daily. 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.
Directions for use
Startup
35
WARNING Always observe the monitor during power-up. If any display
fails to illuminate properly, or if a system fault code or message 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.
CAUTION During continuous monitoring, keep the monitor connected to
AC power at all times.
CAUTION Use only a Class I (grounded) AC power cord for powering this
monitor.
1. 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.
Note
Note
If patient data was saved during the most recent power
down and the device was in the Continuous Monitoring
profile, a Confirm patient and location dialog appears with
the following options:
•
Same patient and location
•
Same patient, new location
•
New patient
If "Allow profile change" is enabled in Advanced settings and
continuous sensors are attached to the device at startup, the
device powers up in the Continuous Monitoring profile,
overriding other default profile selections.
2. If the Confirm patient and location dialog appears, select the desired option and
touch OK.
If a system error is detected during startup, the monitor becomes inactive until you press
or until the monitor shuts down automatically. The monitor displays a system fault
message that contains a wrench icon
and a system fault code to aid service
personnel and engineers in diagnosing the problem.
Power down the monitor
You can power down the device as follows: 1) by briefly pressing the power button on
the housing and then following the onscreen prompts, or 2) by using onscreen controls
alone. These methods help prevent the inadvertent clearing of patient information and
configuration settings you have changed and saved so that they are available at the next
startup.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
36 Startup
CAUTION Avoid using a long press of
to power down the device
when it is functioning normally. You will lose patient data and configuration
settings.
CAUTION Software updates may be remotely installed when you attempt
to power down the device. A progress bar appears, along with an indication
of the update. Do not turn off the device during the update or the update
may not fully install.
Key term
Patient context
Condition in which a patient ID and patient type have been
selected on a device.
Option 1. After the device is powered up, a brief press of the power button opens an
onscreen dialog with the following options:
•
Power down. Device behavior varies based on the active profile, whether or not
patient trend data is stored, and whether or not patient context is established. See
the Notes in Option 2, step 3.
•
Sleep. The Sleep button clears the display and puts the device into Display powersaving mode.
•
Cancel. The Cancel button dismisses the dialog.
Touch Power down and complete the power-down procedure as described in Option 2,
steps 3 and 4.
Option 2. To use onscreen controls alone to power down the device, follow these steps:
1. Touch the Settings tab.
2. Touch the Device tab.
3. Touch Power down.
A Power-down options dialog appears.
Note
Note
If the monitor is in the Continuous Monitoring profile and
continuous patient measurement data has been stored with
patient context, the Power-down options dialog displays the
following options:
•
Save patient data on the device
•
Remove patient data from the device
If the monitor is in the Continuous Monitoring profile and
continuous measurement patient data has been stored
without patient context, the Power-down options dialog
displays the following options:
•
Save patient data on the device with a temporary Patient ID
•
Remove patient data from the device
4. Select the desired option and then touch Power down.
The Power-down options dialog
The buttons in this dialog produce varied effects, as noted below:
Directions for use
Startup
•
•
37
Power down.
○ When the Continuous Monitoring profile is not active: The device performs a
complete software shutdown, and any patient context and patient measurement
data displayed onscreen are cleared.
○ When the Continuous Monitoring profile is active, but no trend data has been
stored: The device performs a complete software shutdown.
○ When the Continuous Monitoring profile is active and trend data has been
stored:
–
If you opted to save patient data, existing patient context (if established) and
trend data are stored and can be re-established on the next power up.
–
If you opted to save patient data but no patient context was established,
trend data is stored under a temporary ID and can be re-established on the
next power up.
–
If you opted to remove patient data from the device, monitoring and patient
assignment end, and trend data on the device is deleted.
Cancel. This button dismisses the dialog and returns you to the previous screen.
Note
If your monitor is configured with a Braun thermometer, avoid powering
down the monitor between patient measurements to help maintain an
adequate charge to the Braun dock.
Reset the monitor
If the monitor stops functioning, you can press and hold
for approximately 6
seconds to allow the hardware to completely cycle off and to reset the monitor
configuration settings to the last saved default power-up configuration. The button is
located on the side of the monitor.
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.
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
and enter a value.
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. Go to the Clinician tab using one of these methods:
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
38 Startup
•
On the Home tab, touch the Clinician ID section of the Device Status area (top
left corner of the screen).
•
Touch the Settings > Clinician tab.
2. To enter the clinician name, touch
enter characters.
, located at the right of the text field, and
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:
•
Touch
•
Scan the clinician's barcode with a barcode scanner.
Note
and enter the ID.
If "Require clinician ID match to save measurements" is
enabled in Advanced settings, a progress indicator appears in
the Device Status area as the device queries an external host
system for a matching ID.
•
An unsuccessful query results in the message, "Unable to identify
clinician."
•
A successful query results in clinician data replacing the progress
indicator according to preferences configured in Advanced settings.
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. Enter or adjust the settings you want to add or change on the device.
Note
The new settings appear as they are completed but are
temporary until they are saved.
2. Touch the Settings tab.
3. Touch the Device tab.
4. Touch the Defaults vertical tab.
5. Touch Save as default.
6. Touch OK to confirm that you want to overwrite your previous settings and replace
them with your current settings in the default startup 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
To enable or disable this control, navigate to the Device tab in Advanced
settings and select or deselect Enable save as default. (This requires the
Advanced settings access code.)
Note
If the device is connected to Connex CS, the date and time settings are
synchronized with the Connex CS settings.
Note
The date and time stamps on saved patient measurements will adjust in
response to new date and time settings.
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.
•
Device location.
40
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Navigation
•
Time and date. Touch this area to navigate to date and time settings.
•
Current profile. Touch this area to navigate to the Profiles vertical tab (on the Device
tab), which displays available profiles.
•
Connection status (wired or wireless, and central station). The icons indicate which
connections, if any, are currently attempted or active.
Icon
Connection type or indicator
Ethernet
USB
Wireless
Wireless signal strength
Attempting to connect to the central station
Connected to central station
Not connected to central station
Blank
•
No connection
Battery condition. Estimated battery capacity is displayed in hour(s):minute(s) format.
Touch this area to navigate to the Device tab, where you can power down the
device.
This area also provides interactive alarm and information messages, including a Demo
mode active indicator.
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.
Directions for use
Navigation
•
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.
Note
•
41
When the battery switches from AC power to battery power,
no charge time is displayed while the device calculates the
remaining charge time.
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, a very low-priority
alarm appears in the Device Status area.
Note
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 very low-priority alarm is dismissed or if you take no action to charge the battery, a
high-priority alarm appears when battery power is critically low. Plug the monitor into a
power outlet immediately to prevent it from powering down.
Failure to plug in the monitor before the remaining charge runs out causes the monitor to
power down and lose all unsaved data.
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 device provides options to manually toggle or autoscroll
through a stack of messages. You can cycle through each alarm message in sequence of
priority by touching the multiple alarm toggle. Alternatively, the autoscroll option displays
messages in the stack for approximately 4 seconds. These messages are stacked in
order of priority: the monitor displays the highest priority messages first followed by
each successive alarm message in order of priority. After presenting the entire stack of
alarm messages, the autoscroll feature loops back to the top priority message and
repeats the entire stack unless specific alarms auto-dismiss or you reset or cancel
specific alarms. In both the manual toggle and autoscroll options, when multiple alarm
messages of the same priority exist at the same time, the device displays the most
recent of those alarm messages first.
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
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
42 Navigation
message by selecting the control associated with the message or waiting for the
message to time out. Information messages rank the lowest in priority.
When the monitor is operating in Demo mode, which requires access to Advanced
settings, the Device Status area displays an information message indicating that the
Demo mode is active, as shown below.
Any alarm messages that occur in Demo mode include a clear "DEMO MODE:" prefix as
well.
Content area
The Content area displays current vital sign measurements and patient identification. It
also provides relevant controls.
The Content area includes the following:
•
A frame for each available parameter
•
The Patient frame
•
The Manual parameters frame (height, weight, pain, temperature, respiration, and
BMI, depending on configuration)
In the Triage, Spot Check, and Intervals Monitoring profiles, the Content area also
includes a Save button, which you use to manually save current measurements to the
Review tab. If your monitor is connected to an external system, you can send these
patient measurements to that external system as well. You can configure your monitor
to automatically send these measurements any time you press Save, or you can navigate
to the Review tab and then select specific records to send to the external system.
In the Continuous Monitoring profile, patient measurement data is automatically saved to
the Review tab. Consequently, there is no Save button on the Home tab. (A Pause
button appears in its place. See "Pause continuous monitoring (Pause mode)" in the
Connex CS section of this directions for use.) If the monitor is connected to the Connex
central station, the monitor automatically sends these patient measurements to the
central station as well.
Directions for use
Navigation
43
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, and manual parameters.
•
Alarms: Accesses global alarm response and settings controls, alarm limit settings
(available only in the Intervals Monitoring and Continuous Monitoring profiles), and
patient rest 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.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
44 Navigation
•
A title bar with a lock icon (
screen.
) replaces the Navigation area at the bottom of the
•
Patient information no longer appears at the bottom left of the screen.
•
All controls on the screen are locked, except for
any area of the screen other than
on the title bar. If you select
, a message appears.
Unlock the display
On the locked screen, touch
in the title bar (located at the bottom of the screen).
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 the following occur:
•
An alarm condition.
•
An externally initiated action, such as taking or stopping an NIBP measurement or
upgrading software.
•
Connecting a sampling line.
45
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.
46
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
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
Name
Description
Data field
Displays the characters you enter.
Note
47
The keyboard can be
configured to mask character
entries and display them as
asterisks.
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
Diacritical marks key
(appearance varies in
some languages)
The symbols that display
match the selected
language.
When touched, the keyboard displays letters
with diacritical marks. The 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.
OK button
When touched, the keyboard disappears and
the entered characters appear in the data field.
48
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Using the keypad, keyboard, and barcode scanner
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
To return to the keyboard's normal layout, touch
1. 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
Finnish, Norwegian, Spanish, Swedish
Portuguese
Directions for use
Using the keypad, keyboard, and barcode scanner
Diacritical marks key
49
Language(s)
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 and any required queries
for a matching ID on the device or in an external host system, 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.
50 Using the keypad, keyboard, and barcode scanner
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Note
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
If "Require patient ID match to save measurements" is enabled in Advanced
settings, a progress indicator appears onscreen as the device queries an
external host system or the device's Patient list for a matching ID.
Note
•
An unsuccessful query results in the message, "Unable to identify patient."
•
A successful query results in patient data populating fields and appearing
onscreen according to preferences configured in Advanced settings.
If "Require clinician ID match to save measurements" is enabled in
Advanced settings, a progress indicator appears onscreen as the device
queries an external host system for a matching ID.
•
An unsuccessful query results in the message, "Unable to identify clinician."
•
A successful query results in clinician data replacing the progress indicator
according to preferences configured in Advanced settings.
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.
51
Connex CS
Overview
A monitor can be used as standalone device or be networked to a central station
(Connex CS). This section describes communication between the monitor and the
central station.
Monitors communicate with the central station through hardwired Ethernet and wireless
networks. The diagram below shows monitors connected to the central station.
1.
Wired monitors
(Ethernet
connection)
2.
Wireless
monitors
3.
Wireless access
point
4.
Network
5.
Central station
The central station provides centralized monitoring of connected monitors. This central
monitoring system supports the communication of continuously monitored and
intermittently acquired (episodic) data, patient vital-sign alarms, and technical equipment
alerts, as well as the review and printing of all stored data.
Communication between the monitor and the central station is bi-directional but varies
based on the active profile and selected advanced settings. In all profiles, for example,
episodic patient data can be saved and sent to the central station, but in the Continuous
Monitoring profile, patient vital-signs data streams to the central station automatically
when the monitor is connected to the central station. You can enable or disable
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
52 Connex CS
automatic connection to the central station in Advanced settings. Furthermore, in all
profiles but Triage (see Note), you can add patients to a patient list on the monitor and
then send them to the central station, and you can also retrieve patient lists from a
central station. In the Intervals Monitoring and Spot Check profiles, retrieving the patient
list requires user action. In the Continuous Monitoring profile, the patient list on the
monitor updates automatically when the monitor is connected to the central station.
Note
The Triage profile does not include a Patients tab and therefore does not
provide a patient list.
Once you assign a patient to a monitor and send this information to the central station,
you can edit patient information on the monitor as noted in the following table:
Editable patient information based on profile
and central station communication
Spot Check and Intervals profiles
Patient ID
Patient name
Patient
location
Patient type
X
X
X
X
X
X
X
X
Continuous Monitoring profile, communicating with
the central station
Continuous Monitoring profile, not communicating
with the central station
Note
X
In many cases, changing patient information opens an onscreen dialog
asking you to confirm the action. These dialogs appear whenever the action
results in clearing patient measurement data or patient context.
If a monitor loses its connection to the central station, the device continues to monitor
the patient, display patient data, and generate alarms and messages. When connectivity
is restored, the monitor resumes sending vital-signs trends and episodic data.
Monitor tab
The Monitor tab provides the following controls related to continuous patient monitoring
at the device and the streaming of patient vital-signs data to a central station:
•
End Monitoring – Stop continuous monitoring on the current patient and clear patient
data on the device.
•
Pause – Pause continuous monitoring as well as alarms for a specified period and
retain patient data on the device.
•
Change pause interval – Increase or decrease the pause interval in 15 minute
increments up to 2 hours.
•
Connect to central station – Manually connect to a central station and start or
resume the streaming of patient vital-signs data when the device does not connect
automatically.
•
Disconnect from central station – Manually disconnect the device from a central
station yet continue monitoring the patient and retain patient vital-signs data on the
device. This control is only available after connecting to a central station.
The sections which follow provide instructions for using these controls.
Note
This tab is visible only when the Continuous Monitoring profile is active. It
is not available in the Triage, Spot Check, or Intervals Monitoring profiles.
Directions for use
Connex CS 53
Note
The Continuous Monitoring profile is available only on devices with a
Continuous Monitoring profile license.
Connect to the central station
To connect the monitor to a central station over a wireless or Ethernet network
connection while in the Continuous Monitoring profile, you must first enable the
Connect to CS option in Advanced setttings. When this control is enabled, the monitor
automatically attempts to connect to the central station and continues to do so until a
connection is achieved.
If the Continuous Monitoring profile is active but your device has been disconnected
from the central station (you will see the
can restore the connection manually.
indicator in the Device Status area), you
1. Touch the Settings tab.
The Monitor tab appears.
2. Select
Connect to central station.
appears in the
As the monitor attempts to connect to the central station, a
Device Status area until a connection is achieved. When the monitor connects to the
central station, the
indicator appears.
The Connect to CS control described above only impacts the Continuous Monitoring
profile, but you can configure Intervals Monitoring and Spot Check profiles to
communicate with a central station as well in Advanced settings. In these configurations,
if either the Intervals Monitoring or Spot Check profile is active, your device connects to
the central station when you retrieve a patient list or load a patient's previously saved
records with a barcode scanner. In addition, you can send episodic data to the central
station when you touch Send on the Patient Review tab.
Disconnect from the central station
Disconnecting from the central station enables you to stop streaming data to the central
station yet continue monitoring your patient, retaining patient vital signs data on the
monitor. Select this option when you need to transport a patient yet continue monitoring
them.
1. Touch the Settings tab.
The Monitor tab appears.
2. Select
Disconnect from central station.
If reasons for disconnecting from the central station have been configured in Connex
CS, a Disconnect dialog appears with a list box of reasons.
3. Select a reason for disconnecting, if applicable, then touch OK.
The Home tab appears.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
54 Connex CS
Continuous patient monitoring
Your device must be configured with the Continuous Monitoring profile to perform
continuous patient monitoring.
Key terms
Patient context
Condition in which a patient ID and patient type have been selected on a device.
Location context
Condition in which a room or a room and bed have been selected on a device.
You have the option to continuously monitor patients on the device alone (primary
monitoring) or to stream continuous patient data to a central station as well (secondary
monitoring).
If Continuous Monitoring has been configured as the default profile, then the device
starts up in this profile. If the Continuous Monitoring profile is active, you can proceed
with an existing patient and/or location context, or you can assign a patient and location.
Activate the Continuous Monitoring profile
If the Continuous Monitoring profile is not active, follow these steps:
1. Touch the Settings tab.
2. Touch the Device tab.
The Profile vertical tab appears.
3. Select Continuous Monitoring.
When neither patient nor location context are established and no patient
measurements have been taken or saved, the Continuous Monitoring profile
immediately becomes active. If these conditions do not apply, proceed to step 4.
4. Using the conditions presented in boldface text, select and follow the steps below
that apply to your patient and the device.
a.
When patient and/or location context are established but no patient
measurements have been taken or saved:
A confirmation dialog appears asking you to confirm the patient and/or location
context information or select a new patient. For example, if both patient and
location context have been established, the following options appear:
•
Same patient, same location
•
Same patient, different location
•
New patient
Select the desired option and touch OK.
b. When patient and/or location context are established and patient
measurements have been taken or saved:
A confirmation dialog appears with the following message: "Changing to the
Continuous Monitoring profile deletes all measurement data from the device.
Continue anyway?"
1. Touch Yes to confirm or No to cancel the profile change.
Directions for use
Connex CS 55
Note
Selecting No enables you to send captured vitals data on
the device before changing profiles. After you complete
that task, if applicable, repeat steps 1 to 3.
Another confirmation dialog appears asking you to confirm the patient and/or
location context information or select a new patient. For example, if both patient
and location context have been established, the following options appear:
•
Same patient, same location
•
Same patient, different location
•
New patient
2. Select the desired option and touch OK.
The profile change immediately takes effect.
5. Touch the Home tab.
You can now start monitoring a patient in the Continuous Monitoring profile.
Pause continuous monitoring (Pause mode)
You can temporarily pause continuous monitoring and retain patient data on the device
when your patient needs to ambulate, use the restroom, or go off the unit for a test.
Note
If a low-battery alarm occurs on the device, Pause mode is not available.
Note
While in Pause mode, the device retains previously stored patient data, but
it does not display this data or store additional patient measurements until
you exit Pause mode.
1. Touch Pause on the Home tab.
A "Pause" dialog appears, indicating that you have paused continuous monitoring.
Controls on this screen provide options to resume or end monitoring. A countdown
timer displays the time remaining before continuous monitoring resumes.
Note
You can configure the Pause Mode timeout in Advanced
settings.
2. To increase the pause interval, repeatedly touch the + symbol until the desired
length of time appears.
The pause interval is automatically applied.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
56 Connex CS
Resume continuous monitoring
You can resume continuous monitoring after a pause when patient sensors are
connected to a patient. The status of the pause timer determines your next step.
Pause time remaining
If the pause time limit has not expired (time remains on the countdown timer), resume
monitoring as follows:
1. Reconnect patient sensors to the patient as needed.
2. Touch Resume monitoring.
The Home tab appears and continuous monitoring resumes.
Pause time limit expired (patient sensors connected)
If the pause time limit has expired and you have already reconnected patient sensors to
the patient and/or the device, the Home tab appears and continuous monitoring
automatically resumes.
Pause time limit expired (patient sensors disconnected)
If the pause time limit runs out before you resume monitoring, the device exits Pause
mode, and alarms might occur.
Reconnect patient sensors to the patient and/or device and acknowledge alarm and
information messages as needed.
Continuous monitoring resumes.
End continuous monitoring
When you no longer need to monitor a patient continuously, follow these steps to end
monitoring:
1. Touch the Settings tab.
The Monitor tab appears.
2. Touch End monitoring.
An "End monitoring" dialog appears with the following options:
•
New patient – Clears patient and location context and review data after you
remove patient sensors
•
Power down – Clears patient and location context and review data, and powers
down the device
•
Cancel – Retains patient data and returns to Home tab
3. Select the desired option.
Directions for use
Connex CS 57
Note
After approximately 30 seconds of inactivity, the "End
monitoring" dialog disappears. If you do not respond to this
dialog and continuous monitoring is interrupted, the "Confirm
patient and location" dialog appears. You must respond to
this dialog before continuous monitoring resumes.
4. If you select New patient, follow the onscreen prompt to remove sensors from your
patient (and the device, if applicable), and then touch OK.
The Home tab appears.
Assign a patient and location
You can assign a patient and location after you have begun to monitor a patient's vital
signs.
When you start to continuously monitor a patient on a device that has no patient context,
the following information message appears in the Device Status area: "Assign patient
and location."
1. In the top right corner of the screen, touch Assign.
The List tab appears.
Note
When the monitor is connected to a central station, the
monitor automatically retrieves the patient list when you
navigate to the Patients tab.
2. If you see your patient's name on the patient list, select that patient entry, and then
touch Select.
The Home tab appears with patient and/or location information filled in according to
your monitor's settings.
Note
If patient name or location information is missing, the
monitor will prompt you to "Assign patient" or "Assign
location" until that information is complete. You can monitor
the patient without entering all of these details.
3. If your patient's name does not appear on the patient list, touch Add.
4. In the Patient pane, touch
in a field and enter patient information. Touch
Next to cycle through the patient data fields.
Note
You can use a barcode scanner to enter a patient ID in the
Patient ID field. Touch
the barcode, and touch OK.
Note
in the Patient ID field, scan
If "Require patient ID match to save measurements" is
enabled in Advanced settings, a progress indicator appears
onscreen as the device queries an external host system or
the device's Patient list for a matching ID.
•
An unsuccessful query results in the message, "Unable to identify
patient."
•
A successful query results in patient data populating fields and appearing
onscreen according to preferences configured in Advanced settings.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
58 Connex CS
5. In the Location pane, select an available room and bed from the list box.
Note
The Location list only presents locations that are not already
assigned to a continuous monitoring device.
"No location assigned" appears in the list box until you select a room and bed.
6. Touch OK to return to the Home tab.
The information is saved.
Note
You have the option to leave some fields blank on the Patient > Summary
tab. However, if patient name or location information is missing, the
monitor will prompt you to "Assign patient" or "Assign location" until that
information is complete. You can monitor the patient without entering all of
these details.
59
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 Continuous Monitoring, Intervals
Monitoring, Spot Check, and Triage—based on the configuration and any upgrade
licenses you purchase.
Continuous Monitoring profile
The Continuous Monitoring profile is designed for continuous patient monitoring.
Monitors configured with Oridion Microstream Capnography provide continuous
monitoring of end-tidal CO2 (etCO2), fraction of inspired CO2 (FiCO2), respiration rate
(RR), pulse rate, and Integrated Pulmonary Index (IPI). Monitors configured with the
Nellcor pulse oximetry option provide continuous monitoring of oxygen saturation of
hemoglobin (SpO2) and pulse rate. Monitors configured with the Masimo rainbow SET
option may provide continuous monitoring of oxygen saturation of hemoglobin (SpO2),
total hemoglobin (SpHb or SpHbv), Acoustic Respiration (RRa), and pulse rate.
The Continuous Monitoring profile also enables you to take manual temperature or NIBP
readings, as well as use alarms and timed intervals.
The Continuous Monitoring profile also enables you to take manual temperature or NIBP
readings, to use alarms and timed intervals, and to use bi-directional controls to transmit
data between the monitor and a central station.
Note
Patient data continuously streams to a central station only in the
Continuous Monitoring profile.
Note
If "Allow profile change" is enabled in Advanced setting, the device
attempts to change to the Continuous Monitoring profile automatically
when a continuous sensor (CO2, RRa) is attached to the device. (See
"Change to the Continuous Monitoring profile: Automatic profile change"
later in this section.)
Oridion CO2-based Home tab
60
Profiles
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Directions for use
Profiles 61
Masimo RRa-based Home tab
Continuous Monitoring profile
The Continuous Monitoring profile is designed for continuous patient monitoring.
Monitors configured with Oridion Microstream Capnography provide continuous
monitoring of end-tidal CO2 (etCO2), fraction of inspired CO2 (FiCO2), respiration rate
(RR), pulse rate, and Integrated Pulmonary Index (IPI). Monitors configured with the
Nellcor pulse oximetry option provide continuous monitoring of oxygen saturation of
hemoglobin (SpO2) and pulse rate. Monitors configured with the Masimo rainbow SET
option may provide continuous monitoring of oxygen saturation of hemoglobin (SpO2),
total hemoglobin (SpHb or SpHbv), Acoustic Respiration (RRa), and pulse rate. Monitors
configured with EarlySense provide continuous monitoring of respiration rate (RR), pulse
rate, and patient movement.
The Continuous Monitoring profile also enables you to take manual temperature or NIBP
readings, to use alarms and timed intervals, and to use bi-directional controls to transmit
data between the monitor and a central station.
Note
Patient data continuously streams to a central station only in the
Continuous Monitoring profile.
Note
If "Allow profile change" is enabled in Advanced setting, the device
attempts to change to the Continuous Monitoring profile automatically
when a continuous sensor (CO2, RRa, EarlySense) is attached to the
device. (See "Change to the Continuous Monitoring profile: Automatic
profile change" later in this section.)
Oridion CO2-based Home tab
62
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Profiles
Masimo RRa-based Home tab
EarlySense patient movement-based Home tab
Directions for use
Profiles 63
Saving vital sign measurements (Continuous Monitoring
profile)
In the Continuous Monitoring profile, measurements are automatically saved as follows:
•
Continuous measurements (SpO2, SpHb, pulse rate, etCO2, FiCO2, IPI, and
respiration rate) are saved once per minute.
•
When any measurements fall outside of alarm limits, all continuous measurements
are saved.
•
NIBP and predictive temperature measurements are saved when acquired.
•
Manual parameters are saved when you touch the OK button on the Manual tab.
•
Modifiers are set when you complete parameter setup and return to the Home tab.
These modifiers do not appear on the Review tab.
In the Continuous Monitoring profile, measurements are automatically saved as follows:
•
Continuous measurements (SpO2, SpHb, pulse rate, etCO2, FiCO2, IPI, respiration
rate, and patient movement) are saved once per minute.
•
When any measurements fall outside of alarm limits, all continuous measurements
are saved.
•
NIBP and predictive temperature measurements are saved when acquired.
•
Manual parameters are saved when you touch the OK button on the Manual tab.
•
Modifiers are set when you complete parameter setup and return to the Home tab.
These modifiers do not appear on the Review tab.
After 24 hours of data has been saved for the selected patient, any data older than 24
hours is deleted from the monitor.
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.
Intervals Monitoring profile
The Intervals Monitoring profile enables you to use alarms and timed NIBP intervals for
patient monitoring.
64
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Profiles
Note
Patient vital signs data streams to a central station only in the Continuous
Monitoring profile.
Directions for use
Profiles
65
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.
66
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Profiles
Profile feature comparison
The following table compares the features of the profiles.
Feature
Continuous
Monitoring
Intervals
Monitoring
Spot Check
Triage
Take NIBP, SpO2, temperature, and pulse
rate measurements
X
X
X
X
Take SpHb measurements (Masimo only)
X
X
Monitor etCO2, FiCO2, IPI, and RR (Oridion
only)
X
Monitor RRa (Masimo only)
X
Configure and use interval timing setting
X
X
Observe and configure alarm limits
X
X
Observe and respond to physiological alarms
X
X
Change patient type (adult, pediatric,
neonate)
X
X
X
X
View and enter manual parameters (height,
weight, pain, respiration, temperature*,
BMI**)
X
X
X
Save currently displayed vital signs data to
device memory
X
X
X
X
Review saved vital signs data
X
X
X
X
Use bi-directional controls between monitor
and external systems
X
X
X
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.
Directions for use
Profiles
67
Profile feature comparison
The following table compares the features of the profiles.
Feature
Continuous
Monitoring
Intervals
Monitoring
Spot Check
Triage
Take NIBP, SpO2, temperature, and pulse
rate measurements
X
X
X
X
Take SpHb measurements (Masimo only)
X
X
Monitor etCO2, FiCO2, and IPI (Oridion only)
X
Monitor RR (EarlySense and Oridion only)
X
Monitor patient movement (EarlySense only)
X
Monitor RRa (Masimo only)
X
Configure and use interval timing setting
X
X
Observe and configure alarm limits
X
X
Observe and respond to physiological alarms
X
X
Change patient type (adult, pediatric,
neonate)
X
X
X
X
View and enter manual parameters (height,
weight, pain, respiration, temperature*,
BMI**)
X
X
X
Save currently displayed vital signs data to
device memory
X
X
X
X
Review saved vital signs data
X
X
X
X
Use bi-directional controls between monitor
and external systems
X
X
X
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.
Changing profiles
You can change the active profile on the device to access a different set of features.
Note
"Allow profile change" must be enabled in Advanced settings to change
profiles.
The steps to change profiles vary based on several conditions:
68
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Profiles
•
Active versus target profile
•
Established patient context
•
Saved patient measurement data
•
Sensors actively collecting patient measurement data
The following table provides an overview of allowed profile changes based on these
conditions.
Conditions under which specific profile changes are allowed
Active profile
Target profile
Established patient
Saved patient
context
measurement data
Continuous
Monitoring
Intervals Monitoring
or Spot Check
X
Continuous
Monitoring
Triage
X
Sensors actively
collecting patient
measurement data
Intervals Monitoring Continuous
or Spot Check
Monitoring
X
X
X
Spot Check
X
X
X
X
X
X
Intervals Monitoring
Intervals Monitoring Spot Check
Triage
Continuous
Monitoring
N/A
X
X
Triage
Intervals Monitoring
or Spot Check
N/A
X
X
X
X
X
Intervals Monitoring Triage
or Spot Check
Note
Confirmation dialogs appear onscreen whenever a specific profile change
would erase saved Review tab data, erase episodic patient measurements
on the display, or potentially require changes to patient or location context.
Change from one non-continuous profile to another non-continuous
profile
1. Touch the selected profile indicator in the Device Status area.
The Profile vertical tab appears.
2. Select the desired profile.
The profile change immediately takes effect.
Directions for use
Profiles 69
For all of these non-continuous profile changes, saved
episodic patient measurements remain on the Review tab,
and current measurements remain onscreen. Patient and/or
location context, if established, remain onscreen for all noncontinuous profile changes except Triage because the Triage
profile, by design, does not display patient or location
context.
Note
Change to the Continuous Monitoring profile
Automatic profile change
If "Allow profile change" has been enabled in Advanced settings, the device attempts to
change to the Continuous Monitoring profile automatically when a continuous sensor
(CO2, RRa, EarlySense) is attached to the device. When the profile change occurs, an
information message appears in the Device Status area to report that change.
Note
The profile change dialogs described in the following Manual profile change
section appear onscreen as appropriate based on established patient
context and/or patient measurements on the device.
Note
An automatic change to the Continuous Monitoring profile occurs only once
for each continuous sensor attachment. If the attempted profile change
fails, or if you switch to an episodic profile after an automatic change to the
Continuous Monitoring profile, you must disconnect and then reconnect a
continuous sensor for another automatic change to occur.
Note
If the device cannot change to the Continuous Monitoring profile, a dialog
indicating that this profile is unavailable in the current configuration
appears.
Manual profile change
To manually change to the Continuous Monitoring profile from any other profile,
complete these steps.
1. Touch the selected profile indicator in the Device Status area.
The Profile vertical tab appears. Based on the boldface text presented, select and
follow the step and substeps below that apply to your patient and the device.
2. When no patient and/or location context are established and no patient
measurements have been taken or saved, select the desired profile.
The profile change immediately takes effect.
3. When patient and/or location context are established but no patient
measurements have been taken or saved:
a.
Select the desired profile.
A confirmation dialog appears asking you to confirm the patient and/or location
context information or select a new patient. For example, if both patient and
location context have been established, the following options appear:
•
Same patient, same location
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
70 Profiles
•
Same patient, different location
•
New patient
b. Select the desired option and touch OK.
The profile change immediately takes effect.
4. When patient and/or location context are established and patient
measurements have been taken or saved:
a.
Select the desired profile.
A confirmation dialog appears with the following message: "Changing to the
Continuous Monitoring profile deletes all measurement data from the device.
Continue anyway?"
b. Touch Yes to confirm or No to cancel the profile change.
Note
Selecting No enables you to send captured vitals data on
the device before changing profiles. After you complete
that task, if applicable, repeat steps 1 and 4.
A confirmation dialog appears asking you to confirm the patient and/or location
context information or select a new patient. For example, if both patient and
location context have been established, the following options appear:
c.
•
Same patient, same location
•
Same patient, different location
•
New patient
Select the desired option and touch OK.
The profile change immediately takes effect.
5. Touch the Home tab.
You can now start monitoring a patient in the Continuous Monitoring profile.
Change from the Continuous Monitoring profile
To change from the Continuous Monitoring profile to any other profile, complete these
steps.
1. Touch the selected profile indicator in the Device Status area.
The Profile vertical tab appears. Based on the boldface text presented, select and
follow the step and substeps below that apply to your patient and the device.
2. When no patient trend data has been stored, select the desired profile.
The profile change immediately takes effect.
3. When continuous sensors are connected to the patient, or when episodic or
continuous data has been stored, no other profile selections are available until you
remove patient sensors and end monitoring.
a.
Remove continuous sensors from your patient.
b. On the Settings tab, touch the Monitor tab.
c.
Touch End monitoring.
An "End monitoring" dialog appears with the following options:
Directions for use
Profiles 71
•
New patient – Clears patient and location context and review data
•
Power down – Clears patient and location context and review data, and
powers down the device
•
Cancel – Retains patient data and returns to Home tab
Note
Ending monitoring deletes all patient measurement data
from the device.
d. Select the desired option and touch OK.
The Home tab appears.
e. Repeat step 1 and select the desired profile on the Profile vertical tab.
The profile change immediately takes effect.
4. When patient and/or location context are established, but no episodic or
continuous trend data has been stored:
a.
Select the desired profile.
A confirmation dialog appears asking you to confirm the patient and/or location
context information or select a new patient. For example, if both patient and
location context have been established, the following options appear:
•
Same patient, same location
•
Same patient, different location
•
New patient
b. Select the desired option and touch OK.
The profile change immediately takes effect.
Note
If the device was connected to a central station while the Continuous
Monitoring profile was active, changing to any other profile disconnects the
device from the central station.
72
Profiles
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
73
Patient data management
Patient demographic data is managed on the Patients tab.
From this tab, you can do the following:
•
Retrieve a patient list from the network (for example, electronic medical records
(EMR) or a central station).
•
Select a patient from the list.
•
Manually create patient entries and a patient list.
•
Scan a patient ID with the barcode scanner and return a patient name match from
your host system.
The patient name match could come from EMR or a central
station.
Note
•
Enter additional patient information such as manual parameters.
•
Assign a patient and location to device only or to a central station during continuous
monitoring.
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 and
is in the Spot Check or Intervals Monitoring profile, you cannot manually
add a patient to the patient list.
Note
If the monitor is configured to retrieve the patient list from the central
station and is in the Continuous Monitoring profile, you can add a patient to
the patient list and transfer it to the central station.
1. Touch the Patients tab.
2. Touch Add.
3. Touch
and then enter patient information. Touch Next to cycle through the
patient data fields.
Note
You can use a barcode scanner to enter a patient ID in the
Patient ID field. Touch
the barcode, and touch OK.
in the Patient ID field, scan
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
74 Patient data management
4. 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 a barcode scanner
You can use a barcode scanner to query existing patient records and perform a patient
name match with the host system.
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.
Note
If "Require patient ID match to save measurements" is enabled in Advanced
settings, a progress indicator appears onscreen as the device queries an
external host system or the device's Patient list for a matching ID.
•
An unsuccessful query results in the message, "Unable to identify patient."
•
A successful query results in patient data populating fields and appearing
onscreen according to preferences configured in Advanced settings.
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 if the patient query is successful.
CAUTION Verify patient identity on the monitor after manual or barcode
entry and before printing or transferring patient records.
Select a patient
The options for selecting previously stored patients from the List tab vary based on the
following conditions:
•
Active profile
•
Established patient context
•
Connection to a network
•
Connection to a central station
Based on the boldface text presented, follow the steps below that apply to your patient
and the device.
1. In all profiles but Triage, when patient context has not been established on the
device and patient type remains the same:
a.
Touch the Patients tab.
The List tab appears.
b. If the monitor is connected to the network, touch Retrieve list to update the
onscreen patient list.
The monitor retrieves the patient list from the network.
Directions for use
Patient data management
Note
c.
75
When the monitor is connected to a central station, the
monitor retrieves the patient list when you navigate to
the Patients tab.
Touch the patient's identifier (name, ID number, or location) you want to select.
Note
Patient data can be sorted in ascending or descending
order by selecting the heading row and touching ▲ or
▼. If a sort marker does not appear in a column, touch
the heading, and the ▲ appears.
d. Touch Select.
The selected patient's identifier appears on the Home tab.
Note
As long as you make no change to patient type, any
displayed patient measurements remain onscreen and
are associated with the selected patient, and patient
configuration settings are retained.
2. In the Intervals Monitoring and Spot Check profiles, when patient context has
been established on the device and you want to select a different patient
(change patient context):
a.
Touch the Patients tab.
The Summary tab appears.
b. Touch the List tab.
c.
If the monitor is connected to the network, touch Retrieve list to update the
onscreen patient list.
The monitor retrieves the patient list from the network.
Note
You can enable the monitor to retrieve the patient list
from the network in Advanced settings. When this
feature is enabled, a Retrieve list button replaces the
Add button on the List tab.
Note
When the monitor is connected to a central station, the
monitor automatically retrieves the patient list when you
navigate to the Patients tab.
d. Touch the patient's identifier (name, ID number, or location) you want to select.
Note
Patient data can be sorted in ascending or descending
order by selecting the heading row and touching ▲ or
▼. If a sort marker does not appear in a column, touch
the heading, and the ▲ appears.
e. Touch Select.
The selected patient's identifier appears on the Home tab.
Note
All displayed patient measurements and configuration
settings are cleared.
3. In the Continuous Monitoring profile, when patient context has been
established on the device and you want to select a different patient (change
patient context), you must end monitoring before selecting/assigning a different
patient.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
76 Patient data management
a.
Touch the Settings tab.
The Monitor tab appears.
b. Touch End monitoring.
An "End monitoring" dialog appears with the following options:
c.
•
New patient – Clears patient and location context and review data after you
remove patient sensors
•
Power down – Clears patient and location context and review data, and
powers down the device
•
Cancel – Retains patient data and returns to Home tab
Touch New patient.
d. Complete step 1.
Note
If patient context has been established and you attempt to
select a new patient by navigating to the List tab, the device
displays the message, "Patient already assigned to device.
To assign a different patient, end monitoring for the current
patient."
Manage patient records (Continuous Monitoring profile)
In the Continuous Monitoring profile, the Review tab enables access to a trend table of
all readings for the currently selected patient. You can configure the time intervals
displayed, and you can scroll through the last 24 hours of patient measurements. Trend
data can be printed from this tab.
1. Touch the Review tab.
Note
Measurements that triggered a physiological alarm are
highlighted on this tab.
If your device is configured to monitor patient movement, the Review tab might
resemble the following example.
Directions for use
Patient data management
77
2. Modify the trend interval (the progression of time displayed horizontally in the table)
by using the View listbox. Trend interval options are 1, 5, 15, and 30 minutes; 1, 2, 4,
or 8 hours; and alarms only. The default trend interval is 1 minute.
Note
Event data (e.g., physiological alarms, manual NIBP or
temperature measurements, Manual parameter entries) is
displayed in all trend intervals. By modifying the trend
interval to one of the longer time spans, you can filter out
non-alarming, continuous measurements between the
currently selected time intervals to focus more attention on
event data. Alternatively, you can modify the trend interval
by selecting a shorter time span to display a more
comprehensive listing of continuous measurements.
Note
Event data (e.g., physiological alarms, patient movement,
manual NIBP or temperature measurements, Manual
parameter entries) is displayed in all trend intervals. By
modifying the trend interval to one of the longer time spans,
you can filter out non-alarming, continuous measurements
between the currently selected time intervals to focus more
attention on event data. Alternatively, you can modify the
trend interval by selecting a shorter time span to display a
more comprehensive listing of continuous measurements.
3. Use the scroll bar on the right to view patient measurements for any parameters that
do not fit in the display area.
4. Touch the page forward
and page backward
controls in the table header
to view additional measurements for this patient. The most recent measurements
appear on the right of the table, with older measurements to the left.
5. Touch Print to print the patient's record.
A Print options dialog appears.
6. Select the desired Timespan and touch Print.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
78 Patient data management
Note
If no patient is selected, the Continuous Monitoring profile is not active,
and no measurements have been taken, all table cells in the Review tab
remain blank.
Note
In the Continuous Monitoring profile, you cannot delete saved patient
measurements. Patient measurements older than 24 hours are
automatically deleted from the Review tab.
Note
The date and time stamps on saved patient measurements will adjust in
response to new date and time settings.
Note
In the Continuous Monitoring profile, the Send option is not available on the
Review tab.
Manage patient records (Intervals Monitoring, Spot
Check, and Triage profiles)
Patient records can be sent to the network, printed, or deleted in these profiles.
Note
Because the Patient tab is not available in the Triage profile, records saved
in the Triage profile contain only vital signs measurements. Even without
patient identification, these 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 records by touching the check box.
3. Touch Send to transmit the records to the network, Print to print the records, or
Delete to permanently remove the records as desired.
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.
Directions for use
Patient data management
Note
The
icon indicates the records have been sent to 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 Review tab.
Note
The date and time stamps on saved patient measurements
adjust in response to new date and time settings.
79
Printer
The monitor prints to a strip to create printouts of patient information and data.
Note
The sample printouts below are English, but the language in the printouts is
defined by the language selected on the monitor.
Intervals Monitoring report
Continuous Monitoring trend data report
with capnography
Spot Check report
80
Patient data management
Continuous Monitoring trend data report
with patient movement
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Directions for use
Patient data management
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 the Review tab 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.
81
82
Patient data management
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
83
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 Continuous Monitoring and Intervals Monitoring profiles. Technical alarms occur
when there is a problem with the monitor, an accessory connected to the monitor, or the
network. Technical alarms occur in all profiles.
The monitor can communicate alarms to the following external systems:
•
Nurse Call systems
•
Welch Allyn software systems (Connex CS and Connex VM)
•
Nurse Call systems
•
Welch Allyn software systems
WARNING The monitor is the primary alarming source for the patient, and
any external system (such as a Nurse Call or Connex CS) is a backup alarm
source. The external system is only as reliable as its network and can be
relied on only as a backup alarming device.
WARNING The monitor is the primary alarming source for the patient, and
any external system (such as a Nurse Call or software system) is a backup
alarm source. The external system is only as reliable as its network and can
be relied on only as a backup alarming device.
WARNING When the monitor is not connected to a secondary alarm
system during continuous patient monitoring, check the monitor regularly
to receive patient data, alarms, and alerts.
Note
USB is not intended for remote communication of continuous parameters
and continuous alarms. Ethernet and wireless are intended for
communication of vital signs parameters, patient data, and alarms
(including continuous and episodic parameters and alarms) to secondary
remote viewing and alarming systems.
84
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Alarms
Alarm types
Type
Priority
Color
Alarm audio tone
•
High
Red
10-pulse tone
•
•
NIBP, SpO2, SpHb, etCO2, respiration, pulse
rate, or IPI limit exceeded
No breath detected
Some technical alarms
•
Patient has exited the bed
High
Red
Alternate 10-pulse tone
•
•
•
Temperature or FiCO2 limit exceeded
Extremely high motion
Some technical alarms
Medium
Amber
3-pulse tone
•
Some technical alarms
Low
Amber
2-pulse tone or 1-pulse tone at
30-second intervals
•
Technical alarms that don't impact patient
safety
Very low
Cyan
2-pulse tone or 1-pulse tone at
5-minute intervals
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 are black and white until an alarm occurs. Then, the icons change color
to indicate the priority of the alarm. Red icons represent high-priority alarms, and amber
icons represent medium- or low-priority alarms.
Icons in parameter frames
Icon
Name and status
Alarm off.
No visual or audio alarms occur for this parameter.
You are fully responsible for maintaining awareness of the patient’s condition.
Alarm on.
Audio and visual notifications are enabled.
Alarm audio off.
Only visual notifications occur.
If the patient is being monitored continuously, maintain a clear line of sight with the monitor while
audio alarms are disabled.
Directions for use
Alarms
85
Icons in parameter frames
Icon
Name and status
Alarm audio paused.
The audio tone is paused. 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 reset (pause or turn off) the alarm tone.
WARNING Do not pause or turn off an audible alarm if patient safety might be
compromised.
Alarm audio off.
Audio signals are disabled, but alarm limits and visual alarm signals remain active.
If the patient is being monitored continuously, maintain a clear line of sight with the monitor while
audio alarms are disabled.
Multiple alarms toggle.
Touch this icon to cycle through the messages for each active alarm.
Alarm audio paused.
The audio tone is paused. The icon remains until the paused time counts down to 0. Touch this
icon to start the user-configured pause interval (set in the Advanced tab).
Patient rest mode
Patient rest mode enables you to turn the audio off and dim the screen of the device
when continuous monitoring is enabled and a device is connected to the Central Station.
The visual alarms indication on the device will display, and audible alarms will sound at a
compatible Welch Allyn host with visual indications. The device may still be used for
additional vitals capture. Touch the screen to remove the dimming while in use. If a loss
of connectivity occurs, certain alarms become audible until connectivity is restored.
Patient rest mode can be enabled and disabled from the Central Station or from the
device. If patient rest mode is initiated from the Central Station, the mode can be
disabled at the Central Station or at the device. If patient rest mode is initiated from the
device, it must be disabled at the device.
86
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Alarms
Patient rest mode location on the monitor
Access the rest mode on the Alarms tab.
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.
Turn on patient rest mode
To turn on the patient rest mode from the device:
1. Touch the Alarms tab.
The Alarms screen appears.
2. On the Alarms screen, touch Patient rest mode on.
The patient rest mode is activated.
Turn off patient rest mode
To turn off the patient rest mode from the device:
1. Touch the Alarms tab.
The Alarms screen appears.
2. On the Alarms screen, touch either Alarm audio on or Alarm audio off.
The patient rest mode is deactivated.
Reset (pause or turn off) audio alarms
WARNING Do not pause or turn off an audible alarm if patient safety
might be compromised.
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.
•
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,
the next measurement is taken, or the alarm is cancelled.
Directions for use
Alarms
•
87
In the Device Status area, if the icon changes to
and the message
remains, the timer counts down a fixed pause interval of 60 seconds. The alarm
tone returns after the pause interval.
A longer pause interval can be configured in the Advanced tab. You start the
configured pause interval by touching
.
If you responded to an NIBP alarm and multiple NIBP limits have been
exceeded, the alarm tone pauses, the first message clears, and the next NIBP
limit message appears with a countdown timer. A new NIBP alarm tone sounds
after the countdown unless you touch
limit message.
to dismiss each remaining NIBP
2. If multiple alarms are active, a multiple alarm toggle appears in the Device Status
area. The monitor will either autoscroll through the alarm messages, displaying each
for approximately 4 seconds in order of priority, or you can move through the alarms
manually. Respond to multiple alarms manually as follows:
a.
Touch
to pause all audio alarms.
The alarm icon changes to
and the timer counts down a fixed pause
interval of 60 seconds. The alarm tone returns after the pause interval.
b. Touch
Note
in the Device Status area to view each alarm in the stack.
The multiple alarm toggle button displays 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) appears
below it.
88
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Alarms
Cancel a paused alarm
You can clear a paused alarm from the Home tab. If the condition that caused the alarm
persists, a new alarm appears with visual and audio notification.
1. On the Home tab, touch the alarm limits control in the selected parameter frame.
The Alarms tab for that parameter appears.
2. Touch
.
The alarm clears.
3. Touch
.
4. Touch the Home tab and confirm that
appears in the parameter frame.
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 patient-specific. For alarms to function
properly, you 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.
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.
•
To turn alarm limits off or on for the vital sign: Touch
or
. This
button 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
on the Home tab in the parameter frame.
Directions for use
Alarms
89
Modify audio alarm notification
You can modify the volume of all audio alarms.
If the Allow user to turn off general audio option is selected in Advanced
settings, you can turn off audio alarms. Whenever possible, however, do
not rely on visual alarm notifications alone while monitoring patients. If the
patient is being monitored continuously, maintain a clear line of sight with
the monitor while audio alarms are disabled.
Note
WARNING If you are relying on audio alarm notifications, set the volume
as needed considering the environment and ambient noise levels. Verify
that the alarm is audible to a clinician working at the maximum distance
from the monitor.
As you are working in the Alarms tab, parameter measurements appear across the top of
the tab.
1. Touch the Alarms tab.
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 appears in the parameter frames
. If an alarm condition occurs,
the bell is red or amber in the alarming frame, according to the priority of the
alarm, as shown here:
or
.
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Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Alarms
•
To modify the volume of audio alarms: Select a volume level.
An audio tone sounds briefly to indicate the volume level.
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. etCO2 HIGH.
High
Alarm limit exceeded. etCO2 LOW.
High
Alarm limit exceeded. FiCO2 HIGH.
Medium
Alarm limit exceeded. IPI LOW.
High
No breath detected. Exceeded time limit since last breath.
High
Alarm limit exceeded. Respiration HIGH.
High
Alarm limit exceeded. Respiration LOW.
High
Alarm limit exceeded. NIBP systolic HIGH.
High
Alarm limit exceeded. NIBP systolic LOW.
High
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. SpO2 HIGH.
High
Alarm limit exceeded. SpO2 LOW.
High
Alarm limit exceeded. SpHb HIGH.
High
Alarm limit exceeded. SpHb LOW.
High
Alarm limit exceeded. Pulse rate HIGH.
High
Alarm limit exceeded. Pulse rate LOW.
High
Alarm limit exceeded. Temperature HIGH.
Medium
Alarm limit exceeded. Temperature LOW.
Medium
Extremely high motion.
Medium
Directions for use
Alarms
Technical alarms
Alarm messages
Priority
Low battery 5 minutes or less remaining.
High
Searching for SpO2.
High
Communications module did not power on properly. Power down the device.
High
Check for occlusion in gas line.
High
Network not found; check network cable connection.
Very low
Battery is absent or faulty.
Very low
Battery is absent or faulty. Call for service.
Very low
NIBP air leak; check cuff and tubing connections.
Very low
NIBP not functional. Call for service.
Very low
Unable to determine NIBP; check connections and tubing for kinks.
Very low
Incorrect NIBP cuff size; check patient type.
Very low
Inflation too quick; check NIBP cuff and tubing connections.
Very low
Unable to determine NIBP; check connections; limit patient movement.
Very low
Unable to determine NIBP; check inflation settings.
Very low
SpO2 not functional. Call for service.
Very low
Attach SpO2 sensor to monitor.
Very low
Replace the SpO2 sensor.
Very low
Set date and time.
Very low
Maximum number of patient records saved. Oldest record overwritten.
Very low
Connect temperature probe.
Very low
Insert correct color-coded probe well.
Very low
Replace temperature probe.
Very low
Temperature not functional. Call for service.
Very low
Retry temperature measurement.
Very low
Temperature time limit exceeded. Retry temperature measurement.
Very low
Low battery, unable to print; plug into outlet.
Very low
91
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Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Alarms
Alarm messages
Priority
Printer door is open; close to continue.
Very low
Printer not functional. Call for service.
Very low
Out of paper.
Very low
Printer too hot; wait to retry.
Very low
Radio not functional. Call for service.
Very low
Radio error. Power down and restart.
Very low
Radio error. The radio has restarted.
Very low
Unable to establish network communications. Radio out of network range.
Very low
Unable to establish network communications. Call for service.
Very low
Radio software upgrade failed.
Very low
Unable to load configuration; using factory defaults.
Very low
Functional error. Call for service.
Very low
External device not recognized.
Very low
Incompatible Welch Allyn device.
Very low
USB Communication failure. Call for service.
Very low
Low battery 30 minutes or less remaining.
Very low
Low SpHb signal quality. Check sensor.
Very low
Low SpO2 signal quality. Check sensor.
Very low
Low perfusion. Check sensor.
Very low
Replace the SpO2 cable.
Very low
SpO2 mode only. Check sensor or cable.
Very low
SpO2 sensor expires in….
Very low
Unexpected restart occurred. Call for service.
Very low
Weight scale not functional. Call for service.
Very low
CO2 not functional. Call for service.
Very low
Filter line disconnected.
Very low
CO2 module temperature is out of range. CO2 might not be accurate.
Very low
Directions for use
Alarms
Alarm messages
Priority
Purging filter line.
Very low
Calibration is overdue. CO2 might not be accurate.
Very low
Factory service is overdue. CO2 might not be accurate.
Very low
CO2 auto-zero in progress.
Very low
Respiratory freshness timeout expired.
Very low
Replace RRa sensor.
Very low
RRa background interference detected.
Very low
RRa patient interference detected.
Very low
File system formatted on first-time startup.
Very low
Lost connectivity with host.
Low
Technical alarms
Alarm messages
Priority
Low battery 5 minutes or less remaining.
High
Searching for SpO2 signal.
High
Communications module did not power on properly. Power down the device.
High
Check for occlusion in gas line.
High
Network not found; check network cable connection.
Very low
Battery is absent or faulty.
Very low
Battery is absent or faulty. Call for service.
Very low
NIBP air leak; check cuff and tubing connections.
Very low
NIBP not functional. Call for service.
Very low
Unable to determine NIBP; check connections and tubing for kinks.
Very low
Incorrect NIBP cuff size; check patient type.
Very low
Inflation too quick; check NIBP cuff and tubing connections.
Very low
Unable to determine NIBP; check connections; limit patient movement.
Very low
Unable to determine NIBP; check inflation settings.
Very low
93
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Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Alarms
Alarm messages
Priority
SpO2 not functional. Call for service.
Very low
Attach SpO2 sensor to monitor.
Very low
Replace the SpO2 sensor.
Very low
Set date and time.
Very low
Maximum number of patient records saved. Oldest record overwritten.
Very low
Connect temperature probe.
Very low
Insert correct color-coded probe well.
Very low
Replace temperature probe.
Very low
Temperature not functional. Call for service.
Very low
Retry temperature measurement.
Very low
Temperature time limit exceeded. Retry temperature measurement.
Very low
Low battery, unable to print; plug into outlet.
Very low
Printer door is open; close to continue.
Very low
Printer not functional. Call for service.
Very low
Out of paper.
Very low
Printer too hot; wait to retry.
Very low
Radio not functional. Call for service.
Very low
Radio error. Power down and restart.
Very low
Radio error. The radio has restarted.
Very low
Unable to establish network communications. Radio out of network range.
Very low
Unable to establish network communications. Call for service.
Very low
Radio software upgrade failed.
Very low
Unable to load configuration; using factory defaults.
Very low
Functional error. Call for service.
Very low
External device not recognized.
Very low
Incompatible Welch Allyn device.
Very low
USB Communication failure. Call for service.
Very low
Directions for use
Alarms
Alarm messages
Priority
Low battery 30 minutes or less remaining.
Very low
Low SpHb signal quality. Check sensor.
Very low
Low SpO2 signal quality. Check sensor.
Very low
Low perfusion. Check sensor.
Very low
Replace the SpO2 cable.
Very low
SpO2 mode only. Check sensor or cable.
Very low
SpO2 sensor expires in….
Very low
Unexpected restart occurred. Call for service.
Very low
Weight scale not functional. Call for service.
Very low
CO2 not functional. Call for service.
Very low
Filter line disconnected.
Very low
CO2 module temperature is out of range. CO2 might not be accurate.
Very low
Purging filter line.
Very low
Calibration is overdue. CO2 might not be accurate.
Very low
Factory service is overdue. CO2 might not be accurate.
Very low
CO2 auto-zero in progress.
Very low
Respiratory freshness timeout expired.
Very low
Replace RRa sensor.
Very low
RRa background interference detected.
Very low
RRa patient interference detected.
Very low
File system formatted on first-time startup.
Very low
Lost connectivity with host.
Low
The patient has exited bed.
High
Patient turn overdue.
Very low
EarlySense not functional.
Very low
The sensor has expired.
Very low
The sensor is defective.
Very low
95
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Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Alarms
Alarm messages
Priority
Replace the bed sensor.
Very low
The bed sensor is disconnected.
Very low
The bed sensor is upside down.
Very low
Bed sensor expires in <"1 month", "1 week", "1 day", "x hours">
Very low
Cannot measure patient. Lost or unstable signal.
Very low
Cannot measure respiration.
High
Cannot measure pulse rate.
High
Trend change detected. Review patient history.
Very low
Directions for use
Alarms
97
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 notifies
the Nurse Call system when an alarm that exceeds the preset threshold occurs. Nurse
Call notification persists until one of the following occurs on the monitor:
•
The alarm clears.
•
You reset (pause or turn off) the alarm tone.
For paused alarms, Nurse Call notification returns after the pause interval if the condition
that caused the alarm persists.
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 The monitor is the primary alarming source for the patient, and
any external system (such as a Nurse Call or software system) is a backup
alarm source. The external system is only as reliable as its components
(e.g., wiring, hardware, light bulbs, connections) and can be relied on only
as a backup alarming device.
98
Alarms
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
99
Patient monitoring
This section of the directions for use describes the parameters available on the device,
how to modify settings and alarm limits for those parameters, and how to take
parameter measurements.
Before focusing on each parameter, the section addresses features that generally apply
to the parameters on your device: standard and custom modifiers, and manual overrides.
WARNING When the monitor is not connected to a secondary alarm
system during continuous monitoring, check the monitor regularly to
receive patient data, alarms, and alerts.
WARNING Whenever possible, do not rely on visual alarm notifications
alone while monitoring patients. If you must rely on visual alarm
notifications, maintain a clear line of sight with the monitor. For audio alarm
notifications, set the volume as needed considering the environment and
ambient noise levels. Verify that the alarm is audible to a clinician working
at the maximum distance from the monitor.
Standard and custom modifiers
Modifiers enable you to save additional information for the measurements for a specific
patient. Standard modifiers are the same on all devices. Custom modifiers are specific to
a facility or a unit, and they are set up during the initial configuration of your site.
Both standard and custom modifiers appear on the Patients > Manual tab.
Enter modifiers
Follow these steps to enter standard and custom modifiers.
1. Touch the Patients tab.
2. Touch the Manual tab.
3. Scroll through the list to find the parameter(s) you want to modify, then enter or
select the modifier(s) as desired.
4. Touch OK.
The Home tab appears. In the Continuous Monitoring profile, the modifiers are saved
with the next set of measurements sent to the network. In the episodic profiles, the
modifiers are saved with the next set of measurements you take or with any current,
unsaved measurements on the device when you touch Save.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
100 Patient monitoring
Custom scoring
WARNING Risk to patient safety. Custom scores and messages serve as
guides to your facility's protocols; do not subsitute custom scores for
patient physiological alarms. Appropriate alarms settings must be set
and maintained to ensure patient safety.
Custom scoring enables you to configure specific parameters, based on your institution’s
practice standards, that calculate a score(s) for patient monitoring. This score(s)
generates a message(s) regarding the patient status, based on the parameters chosen.
These messages are provided only as reminders.
Configurable parameters can be accessed on the Home tab by touching Height/
Weight/Pain/RR.
Manual overrides
The manual override feature enables you to do the following:
•
input measurements when none have been recorded on the device
•
replace the currently displayed measurements with measurements you take
manually
Enter a manual override measurement
Follow these steps to enter a manual measurement.
1. Press and hold the selected parameter frame until a keypad appears.
2. Enter the manually acquired measurement on the keypad and touch OK.
The Home tab appears and displays the entered measurement.
Note
Touch Clear to remove all values and correct your entry as needed.
Note
In the Continuous Monitoring profile, measurements entered manually
remain on the screen for one minute. In the episodic profiles, the manual
measurement remains in the frame until the next measurement is taken.
Patient movement
Monitors configured with the EarlySense™ module continuously monitor patient
movement, as well as Respiration rate (RR) and Pulse rate if licensing is enabled for
these functions.
Note
Respiration rate and Pulse rate measurements taken by the EarlySense
module are displayed in the RR and Pulse rate frames, respectively. The
frame remains blank until the sensor acquires its first measurements,
which could take 1 to 2 minutes. After the initial measurement, a process
indicator appears in the frame if a lost or low signal condition occurs. Lost
or low signal conditions that last more than 3 minutes trigger an alarm. See
the Respiration rate and Pulse rate sections of this directions for use for
more information.
Directions for use
Patient monitoring
101
Note
Monitors configured with EarlySense cannot be configured with Masimo
rainbow Acoustic Respiration (RRa) or Oridion Microstream® capnography.
Note
Patient movement monitoring is not available for neonatal/infant patients.
Note
The EarlySense system has not been studied on any specific patient group,
nor has it been studied as a tool to diagnose any specific disease of
medical condition. It is an adjunctive tool used to measure respiratory rate,
pulse rate, and patient movement.
Movement frame
The Movement frame displays the following data and controls used to monitor patient
movement:
•
Patient motion level
•
Exit sensitivity
•
Movement-related alarm conditions
•
Patient turn events and status (time overdue or time remaining until next scheduled
turn)
•
Sensor source indicator
The size of the Movement frame and displayed data varies based on your configuration.
If the patient turn reminder is active, the timer counts down to zero and then displays a
reminder in the Device Status area to perform and log a patient turn. If a scheduled
patient turn remains overdue, a "Patient turn overdue" alarm message appears in the
Device Status area, and the patient turn control is highlighted based on the priority of the
alarm (for example,
indicates a very low alarm). The timer displays a negative
time until the next patient turn or the timer reaches –99:59.
Exit alarm view
The Exit alarm view is displayed automatically when an exit alarm is triggered. An exit
graphic replaces the movement level and exit sensitivity indicators in the frame. The
entire frame and alarm icon are highlighted based on the priority of the exit alarm.
Set up movement
The Movement vertical tab (Settings > Setup > Movement) presents information on
the status of sensors. Only alarm settings and modifiers can be changed for this
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
102 Patient monitoring
parameter. See "Configure movement alarms" to adjust alarm settings. Follow these
steps to set up movement modifiers, if applicable.
1. Touch the Patients tab.
2. Touch the Manual tab.
3. Scroll through the list to find the Movement section, then enter or select the
Movement modifier(s) as desired.
If no modifiers are associated with this parameter, no
Movement section will appear.
Note
4. Touch OK.
The Home tab appears. In the Continuous Monitoring profile, the modifiers are saved
with the next set of measurements sent to the network.
Configure movement alarms and patient turn reminder
Follow these steps to set alarm limits for patient movement.
1. Verify that you are using the Continuous Monitoring profile.
Note
If “Allow profile change” is enabled in Advanced settings,
the device attempts to shift automatically to the Continuous
Monitoring profile when you connect the sensor cable.
2. Touch the Alarms tab.
3. Touch the Movement vertical tab.
4. Ensure that the Exit alarm and Motion alarm controls are set to ON.
Note
If any parameter's alarm limit control is set to OFF, you
cannot adjust alarm limits on the Alarm tab, and no visual or
audio signals occur for that specific parameter.
5. Adjust the following settings as desired:
•
Exit sensitivity. Use the up/down arrow keys or the keypad to choose a
sensitivity level ranging from 1 to 6. Setting 1 is the least sensitive, and setting 6
is the most sensitive.
Levels 5 and 6 are highly sensitive and might trigger an
alarm as a result of minimal movement while the patient
is in bed. Correct patient assessment is the key to
minimize false alerts.
Note
•
Turn reminder. Select the desired turn schedule from the list box.
6. Touch the Home tab.
The new alarm settings take effect immediately.
Monitor patient movement
WARNING Patient safety risk. Do not use heating blankets. Heating
blankets could reduce the safety and efficacy of the system and void the
warranty.
Directions for use
Patient monitoring
103
WARNING Patient safety risk. The EarlySense system is not intended for
high-risk patients in coronary or respiratory distress who require continuous
monitoring of heart function or CO2. For these patients, the most reliable
method of patient monitoring involves close personal surveillance and/or
equipment suited to that type of monitoring.
WARNING Patient injury risk. The patient should not have direct contact
with the bed sensor. A mattress, mattress pad, or mattress cover should
always be placed as a barrier between the sensor and the patient. Check
patients regularly to ensure that direct contact with the sensor does not
occur.
WARNING Patient safety risk. Provide careful oversight when the
EarlySense System is used with children.
CAUTION Sensor malfunction risk. Do not use EarlySense with patients
who weigh more than 200 kg (440 pounds).
CAUTION Sensor malfunction or inaccurate measurement risk. Patients
should not share a bed with another person during EarlySense monitoring.
CAUTION Inaccurate measurement risk. The quality of measurements
might be affected by cable lengths. Do not shorten or extend the cable.
CAUTION Sensor malfunction risk. Do not allow patients to jump on the
bed or the bed sensor.
CAUTION Sensor malfunction risk. For patients with poor bladder function
or control, take care when placing the bed sensor under the mattress,
mattress pad, or mattress cover to prevent urine from contacting the
sensor.
CAUTION Sensor malfunction risk. Do not create sharp bends in the cable
to prevent tearing or breaking the shielding.
1. Verify that you are using the Continuous Monitoring profile.
Note
If "Allow profile change" is enabled in Advanced settings, the
device attempts to shift automatically to the Continuous
Monitoring profile when you connect the sensor cable.
2. Touch the patient type control on the right side of the Patient frame.
The Patient Summary tab appears.
3. Select the patient type, then touch OK.
Note
Patient movement monitoring is not available for neonatal/
infant patients.
4. If sensor is not plugged into the device, align the EarlySense cable connector with
one of the EarlySense ports on the right side of the monitor. Insert the cable
connector until it clicks into place. Also check the stress relief connector on the cable
to ensure that both parts of the cable are tightly connected.
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Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Patient monitoring
5. Position the bed sensor (sensing unit) as follows:
•
horizontally under the patient's mattress
•
the top surface of the sensing unit facing the mattress
•
the sensing unit under the patient's chest area
•
the sensing unit cable extending toward the head of the bed
6. Instruct or assist the patient to lie down in bed. Double-check the position of the
patient and the sensor (see step 5), and adjust as needed.
Note
Careful placement of the sensor is key to getting quality
EarlySense measurements.
7. Wait for a first measurement.
Directions for use
Patient monitoring
Note
Patient movement, Respiration rate, and Pulse rate
measurements taken by EarlySense are displayed in the
Movement, RR, and Pulse rate frames, respectively. Each
frame remains blank until the sensor acquires its first
measurements, which could take approximately 1 to 2
minutes. After the sensor detects a patient, an initial set of
measurements appears in the associated frames.
Note
EarlySense alarms occur only after a good initial
measurement.
105
Low confidence condition
After receiving a valid set of measurements for a specific patient, a low confidence
condition occurs whenever the EarlySense module loses or has difficulty acquiring a
signal. During low confidence conditions, a process indicator
replaces the
previous reading in the Respiration rate (RR) and/or Pulse rate frames and remains in the
frame until the sensor acquires a valid measurement.
Note
A low confidence condition that persists beyond 3 minutes triggers a
technical alarm.
Observe and report patient turn events
Based on the Turn reminder schedule configured on the Alarms > Movement tab, the
patient turn countdown timer indicates the time remaining until the next scheduled turn.
If turn reminders have been turned off, the patient turn control is disabled and the
counter is blank.
Any time the patient turn button is active and the timer is running, you can report a
patient turn on the device. You do not have to wait for the timer to expire.
1. On the Home tab, touch Pause.
Note
Putting the device in Pause mode prevents triggering a bed
exit alarm.
2. Turn the patient.
3. Touch Resume monitoring.
Note
4. Touch
The Home tab appears.
.
The patient turn button is disabled, and the following confirmation appears in the
Device Status area: "Patient turn logged and counter reset."
The patient turn button remains disabled until the updated turn status is recorded.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
106 Patient monitoring
Capnography (CO2)
Monitors configured with Oridion Microstream® capnography continuously measure or
indicate the following:
•
End-tidal CO2 (etCO2): the level of CO2 in a patient's exhaled breath
•
Fraction of inspired CO2 (FiCO2): the level of CO2 in a patient's inhaled breath
•
Respiration rate (RR)
•
Integrated Pulmonary Index (IPI): a numerical value that integrates four parameters
(etCO2, respiration rate, SpO2, and pulse rate) and indicates a patient's overall
respiratory status
Note
Monitors configured with Oridion Microstream capnography cannot be
configured with Acoustic Respiration (RRa).
etCO2 frame
The etCO2 frame displays data and controls used in monitoring the level of CO2 in a
patient's breath (etCO2 and FiCO2). Controls to pause or restart the CO2 pump as well
as to pause CO2 alarms also appear in the frame.
Note
CO2 monitoring is available only with the Continuous Monitoring profile.
The frame provides a numeric view and a waveform view of CO2 data. You can toggle
between views by touching the left side of the frame.
Directions for use
Patient monitoring
107
etCO2 numeric view
The numeric view displays end-tidal CO2 (etCO2) and fraction of inspired CO2 (FiCO2) in
mmHg or kPa. The size of the etCO2 frame and displayed measurements varies based
on your configuration.
CO2 waveform view
The CO2 capnogram waveform view displays the CO2 waveform, enabling you to
observe a patient's breathing patterns and to determine adequate, hyperventilation, or
hypoventilation conditions.
The size of the etCO2 frame and displayed measurements varies based on your
configuration.
Set up etCO2
Follow these steps to configure etCO2 parameter settings and to set up etCO2
modifiers.
1. Touch the Settings tab.
2. Touch the Setup tab.
3. Touch the etCO2 vertical tab.
4. Adjust the following settings as desired:
•
Sweep speed. Select the desired speed. You can set the default in Advanced
settings.
•
Waveform scale. Select the scale using the toggle button. You can set the
default in Advanced settings.
•
Pump standby time. Select the time using the toggle button.
5. Touch the Home tab.
The new settings take effect immediately.
6. To set up modifiers, if applicable, touch the Patients tab.
7. Touch the Manual tab.
8. Scroll through the list to find the etCO2 section, then enter or select the etCO2
modifier(s) as desired.
Note
If no modifiers are associated with this parameter, no etCO2
section will appear.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
108 Patient monitoring
9. Touch OK.
The Home tab appears. In the Continuous Monitoring profile, the modifiers are saved
with the next set of measurements sent to the network.
Configure etCO2 and FiCO2 alarms
Follow these steps to set alarm limits for CO2 measurements.
FiCO2 appears only if enabled in Advanced settings.
Note
1. Verify that you are using the Continuous Monitoring profile.
Note
If “Allow profile change” is enabled in Advanced settings,
the device attempts to shift automatically to the Continuous
Monitoring profile when you connect the sensor cable.
2. Touch the Alarms tab.
3. Touch the etCO2 vertical tab.
4. Ensure that the etCO2 and FiCO2 alarm limit controls are set to ON.
Note
If any parameter's alarm limit control is set to OFF, you
cannot adjust alarm limits on the Alarm tab, and no visual or
audio signals occur for that specific parameter.
5. Adjust the following settings as desired:
•
etCO2 limits. Enter upper and lower alarm limits for etCO2 using the up/down
arrow keys or the keypad next to the Limits control.
•
FiCO2 limit. Enter the desired upper alarm limit for FiCO2, if activated, using the
up/down arrow keys or the keypad next to the FiCO2 control.
•
High alarm delay. For etCO2 only, select the duration using the list box. This
alarm delay specifies the minimum duration of a high alarm condition to activate
an alarm signal. You can set the default in Advanced settings.
6. Touch the Home tab.
The new alarm settings take effect immediately.
Measure CO2
Before you begin, read the Microstream CO2 sampling line's directions for use.
WARNING Loose or damaged connections can compromise ventilation or
cause an inaccurate measurement of respiratory gases. Securely connect
all components and check connections for leaks according to standard
clinical procedures.
WARNING When using a sampling line for intubated patients with a
closed suction system, do not place the airway adapter between the
suction catheter and endotracheal tube. This is to ensure that the airway
adapter does not interfere with the functioning of the suction catheter.
WARNING Do not cut or remove any part of the sampling line. Cutting the
sampling line could lead to erroneous readings.
Directions for use
Patient monitoring
109
WARNING Inaccurate measurement or equipment malfunction risk. If too
much moisture enters the sampling line (e.g., from ambient humidity or
breathing unusually humid air), the message "Purging filter line" will appear
in the Device Status area. If the sampling line cannot be cleared, the
message "Check for occlusion in gas line" appears. Replace the sampling
line when this message appears.
WARNING The sampling line might ignite in the presence of O2 when
directly exposed to lasers or high heat. When performing head and neck
procedures involving lasers or high heat, use with caution to prevent
combustion of the sampling line or surrounding surgical drapes.
CAUTION Only use Welch Allyn-approved CO2 sampling lines to ensure
the monitor functions properly. For ordering information, see Approved
Accessories in the Appendix.
CAUTION Only use Welch Allyn-approved CO2 sampling lines to ensure
the monitor functions properly.
CAUTION Microstream CO2 sampling lines are designed for single patient
use and are not to be reprocessed. To prevent damage to the monitor, do
not attempt to clean, disinfect, or blow out the sampling line.
CAUTION Dispose of Microstream CO2 sampling lines according to
standard operating procedures or local regulations.
1. Touch the patient type control on the right side of the Patient frame.
The Patient Summary tab appears.
2. Select the patient type, then touch OK.
3. Select the appropriate sampling line based on the following considerations:
•
Whether the patient is intubated or non-intubated
•
Whether the patient is on mechanical ventilation
•
Duration of use
•
Patient's size and weight
4. Connect the sampling line to the monitor.
a.
Slide open the door that protects the sampling line port on the monitor.
b. Connect the sampling line.
Note
c.
The CO2 pump starts as soon as the pump sensor
recognizes the sampling line. This can occur before you
completely connect the sampling line.
Turn the connector completely to the right until tight.
An etCO2 sampling line dialog appears on the screen to reinforce this
instruction.
d. Turn the connector completely to the right until tight.
An etCO2 sampling line dialog appears on the screen to reinforce this instruction
(unless the dialog is disabled in Advanced settings).
WARNING You must connect the sampling line correctly.
Ensure that the connector is tight to accurately monitor CO2.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
110 Patient monitoring
Note
This secure connection prevents gases from leaking at the
connection point during measurement and is essential to
ensure accurate measurements.
5. Watch the animation on the etCO2 sampling line dialog and confirm that you have
connected the sampling line correctly, then touch OK to dismiss the dialog.
6. If the etCO2 sampling line dialog appears on your screen, watch the animation and
confirm that you have connected the sampling line correctly, then touch OK to
dismiss the dialog.
7. Verify that you are using the Continuous Monitoring profile.
Note
If "Allow profile change" is enabled in Advanced settings, the
device attempts to shift automatically to the Continuous
Monitoring profile when you connect the sensor cable.
8. Connect the sampling line to the patient as described in the directions for use
supplied with the sampling line.
9. Perform the following checks:
a.
Check that CO2 values appear on the monitor.
b. Check the patient type. Make sure it is correct to ensure accurate sampling.
c.
Touch the alarm control to ensure the alarms are set appropriately.
d. Toggle to the waveform view to ensure that a complete waveform appears.
Note
When the cannula is not on the patient, the etCO2 value is blank.
Note
After you connect the sampling line, the monitor immediately searches for
breaths, but it does not indicate a No Breath condition before any valid
breaths have been detected.
Note
To avoid moisture buildup and sampling line occlusion during suction or
nebulization of intubated patients, stop the CO2 pump and remove the
sampling line luer connector from the monitor.
Directions for use
Patient monitoring
111
Note
Replace the sampling line according to hospital protocol or when a
blockage is indicated by the device. Excessive patient secretions or a
buildup of liquids in the airway tubing might occlude the sampling line,
requiring more frequent replacement.
Note
When the message "Check for occlusion in gas line" appears on the screen,
indicating that the sampling line attached to the monitor is blocked, the
monitor’s CO2 pump will stop. Follow the instructions in the
Troubleshooting section of this manual to correct the problem.
Stop and restart the CO2 pump
Stopping the CO2 pump prevents the ingress of fluids into the CO2 module during
certain patient procedures (such as suction or lavage). In addition, this pump-stop
condition pauses the monitoring of all parameters obtained from the CO2 module for a
configured period of time or until you restart the CO2 pump.
1. To temporarily pause or stop CO2 monitoring, touch the pump-stop button
in the etCO2 frame.
Note
This button is a toggle. When you stop the CO2 pump, the
Start button with a countdown timer appears.
2. To resume CO2 monitoring, touch the pump-start button
.
The CO2 pump restarts, the current timer clears, and the Stop button appears in the
frame.
Stop and restart the CO2 pump
Stopping the CO2 pump prevents the ingress of fluids into the CO2 module during
certain patient procedures (such as suction or lavage). In addition, this pump-stop
condition pauses the monitoring of all parameters obtained from the CO2 module until
you restart the CO2 pump.
1. To temporarily pause or stop CO2 monitoring, touch
Note
in the etCO2 frame.
This button is a toggle. When you stop the CO2 pump, the
Start button appears.
2. To resume CO2 monitoring, touch
.
The CO2 pump restarts, and the Stop button appears in the frame.
Respiration rate
RR frame
The RR frame displays the following:
•
Respiration rate in breaths per minute (BPM)
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
112 Patient monitoring
•
Alarm limit control
RR monitoring is available only in the Continuous Monitoring profile.
Note
Set up RR
Only alarm delays and modifiers can be changed for the RR parameter. See "Configure
RR alarms" to adjust alarm settings. Follow these steps to set up RR modifiers, if
applicable.
1. Touch the Patients tab.
2. Touch the Manual tab.
3. Scroll through the list to find the RR section, then enter or select the RR modifier(s)
as desired.
Note
If no modifiers are associated with this parameter, no RR
section will appear.
4. Touch OK.
The Home tab appears. In the Continuous Monitoring profile, the modifiers are saved
with the next set of measurements sent to the network.
Configure RR alarms
Follow these steps to set alarm limits for RR measurements.
1. Verify that you are using the Continuous Monitoring profile.
Note
If "Allow profile change" is enabled in Advanced settings, the
device attempts to shift automatically to the Continuous
Monitoring profile when you connect the sensor cable.
2. Touch the Alarms tab.
3. Touch the RR vertical tab.
4. Ensure that the RR alarm limit control is set to ON.
Note
If any parameter's alarm limit control is set to OFF, you
cannot adjust alarm limits on the Alarm tab, and no visual or
audio signals will occur for that specific parameter.
5. Adjust the following settings as desired:
•
RR limits. Enter upper and lower alarm limits for RR using the up/down arrow
keys or the keypad.
•
High alarm delay. Select the duration from the list box. This alarm delay specifies
the minimum duration of a high alarm limit condition to activate an alarm signal.
You can set the default in Advanced settings.
Directions for use
Patient monitoring
•
113
No breath detected alarm delay. Select the duration from the list box. This alarm
delay specifies the minimum duration of a no-breath condition to activate an
alarm signal. You can set the default in Advanced settings.
6. Touch the Home tab.
The new alarm settings take effect immediately.
IPI
The Integrated Pulmonary Index (IPI) integrates four parameters and their interactions to
provide a numeric value indicating a patient's overall respiratory status. The integrated
parameters are etCO2, RR, SpO2, and PR. The additional status information provided by
IPI enables you to intervene before values of individual parameters reach levels of clinical
concern.
Note
IPI is available for adult patients as well as three groups of pediatric
patients (1–3 years, 3–6 years, and 6–12 years), but it is not available for
neonatal/infant patients.
Note
Pediatric patient subtypes appear on the Patient Summary tab and on the
Home tab as a label in the IPI frame, but they do not appear in the Patient
frame.
Note
IPI is available only with the Continuous Monitoring profile.
The range of IPI is 1–10. These values can be interpreted as indicated in the following
table.
Index range
Patient status
10
Normal
8–9
Within normal range
7
Close to normal range; requires attention
5–6
Requires attention and may require intervention
3–4
Requires intervention
1–2
Requires immediate intervention
Source: The microMediCO2 Module - OEM Manufacturers' Integration Guide (p. 13), Oridion Medical 1987 Ltd.
Note
The interpretation of a patient's IPI value might change in different clinical
conditions. For example, patients who have a history of respiratory
difficulties might require a lower IPI Low Alert threshold that takes into
account their diminished respiratory capacity.
IPI frame
The IPI frame displays a numeric value from 1–10 as well as an alarm threshold and
control.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
114 Patient monitoring
The frame provides a numeric view and a graphical trend view of IPI data. You can toggle
between views by touching the left side of the frame.
IPI numeric view
This view displays the numeric value for the integrated parameters.
The numeric view also includes a graphic indicator of the patient's current IPI value. As
shown in the examples below, when the IPI value is 8, 9, or 10, the outline of the vertical
bar is gray. When the IPI value is 4, 5, 6, or 7, the outline of the bar is yellow, and the
middle section of the bar is shaded yellow. When the IPI value is 1, 2, or 3, the outline of
the bar is red, and the lowest section of the bar is shaded red.
IPI trend graph view
This view presents a graph of the IPI numeric values over a user-selected period and
thus can alert you to changes in the patient's respiratory status. In Advanced settings,
you can select the period displayed.
The size of the IPI frame and displayed trend data varies based on your configuration.
The graph shows the IPI value on the y-axis and time on the x-axis (oldest calculations on
the left and newest calculations on the right). IPI values update once every second.
Set up IPI
Follow these steps to configure IPI parameter options.
1. Touch the Settings tab.
2. Touch the Setup tab.
3. Touch the IPI vertical tab.
4. Adjust the Trend period as desired. You can set the default in Advanced settings.
5. Touch the Home tab.
The new settings take effect immediately.
6. Touch the patient type control on the right side of the Patient frame.
The Patient Summary tab appears.
Directions for use
Patient monitoring
Note
IPI is available for adult patients as well as three groups of
pediatric patients (1–3 years, 3–6 years, and 6–12 years), but
it is not available for neonatal/infant patients.
Note
If you are monitoring a pediatric patient, the following
additional considerations apply when you select patient type:
Pediatric patients fall into one of three types based on their
age: Ped 1–3, Ped 3–6, Ped 6–12. Because these age ranges
overlap, consider details such as patient size and birth date
to select Pediatric patient type.
CAUTION The characteristics of a breath are calculated
differently for different patient types. Incorrect patient type
selections cause inaccurate monitoring of the patient's
respiration rate and affect the patient's IPI value.
7. Touch the Type list box and select patient type.
Note
If you select Pediatric as a patient type, an information
message prompts you to select a pediatric age range when
you monitor IPI on pediatric patients, as shown here.
8. Touch OK.
The Home tab appears.
Note
Pediatric patient subtypes appear on the Patient Summary
tab and on the Home tab as a label in the IPI frame, but they
do not appear in the Patient frame.
9. Select the patient type.
Note
If you are monitoring a pediatric patient, the following
additional considerations apply when you select patient type:
Pediatric patients fall into one of three types based on their
age: Ped 1–3, Ped 3–6, Ped 6–12. Because these age ranges
overlap, consider details such as patient size and birth date
to select Pediatric patient type. These pediatric patient
subtypes appear on the Summary tab, not on the Home tab.
115
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
116 Patient monitoring
CAUTION The characteristics of a breath are calculated
differently for different patient types. Incorrect patient type
selections cause inaccurate monitoring of the patient's
respiration rate and affect the patient's IPI value.
Configure IPI alarms
Follow these steps to set alarm limits for IPI.
1. Verify that you are using the Continuous Monitoring profile.
Note
If "Allow profile change" is enabled in Advanced settings, the
device attempts to shift automatically to the Continuous
Monitoring profile when you connect the sensor cable.
2. Touch the Alarms tab.
3. Touch the IPI vertical tab.
4. Ensure that the Limits control is set to ON.
Note
If any parameter's alarm limit control is set to OFF, you
cannot adjust alarm limits on the Alarm tab, and no visual or
audio signals will occur for that specific parameter.
5. Adjust the IPI limits setting as desired. Enter the desired lower alarm limit for IPI
using the up/down arrow keys or the keypad.
6. Touch the Home tab.
The new alarm settings take effect immediately.
Acoustic respiration rate (RRa)
Monitors configured with Masimo rainbow Acoustic Monitoring technology continuously
and noninvasively measure respiration rate based on respiratory sounds produced in the
upper airway. Respiratory sounds are detected through a sensor applied to the patient's
neck.
Note
RRa is available only in the Continuous Monitoring profile.
Note
Masimo SpO2 monitoring is required when monitoring RRa.
Note
RRa monitoring is only for adult patients who weigh more than 66 pounds
(30 kilograms).
Note
Monitors configured with RRa cannot be configured with CO2.
RRa frame
The RRa frame displays the following:
•
Respiration rate in breaths per minute (BPM)
•
Respiration Indicator
•
Alarm limit control
•
Averaging control toggle providing the options of slow, medium, fast, trending, and
off
Directions for use
Patient monitoring
Note
RRa is available only in the Continuous Monitoring profile.
Note
RRa is available only when the Continuous Monitoring profile and Adult
patient type are selected.
Respiration Indicator
The Respiration Indicator displays the level of sound detected by the RRa sensor. A
higher level of sound causes more bars to illuminate.
117
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
118 Patient monitoring
Averaging selector
The averaging selector enables you to choose the desired visibility of subtle variations in
RRa measurements. You can adjust averaging in the RRa frame by touching the
. Use this control toggle to select an averaging option (off,
averaging selector
slow, medium, fast, or trending) while acquiring readings.
Averaging selector options
Off
Fast
Medium
Slow
Trending
~10 seconds
~20 seconds
~30 seconds
~60 seconds
You can set the RRa averaging default in Advanced settings. Averaging is set to default
settings when any of the following occurs:
•
The device starts up
•
You change or clear patient context
Set up RRa
Default settings for the RRa parameter can be changed only in Advanced settings.
Configure RRa alarms
Follow these steps to set alarm limits for RRa measurements.
1. Verify that you are using the Continuous Monitoring profile.
Note
If "Allow profile change" is enabled in Advanced settings, the
device attempts to shift automatically to the Continuous
Monitoring profile when you connect the sensor cable.
2. Verify that the patient type is Adult.
3. Touch the Alarms tab.
4. Touch the RRa vertical tab.
5. Ensure that the RRa alarm limit control is set to ON.
Note
If any parameter's alarm limit control is set to OFF, you
cannot adjust alarm limits on the Alarm tab, and no visual or
audio signals will occur for that specific parameter.
6. Adjust the following settings as desired:
•
RRa limits. Enter upper and lower alarm limits for RRa using the up/down arrow
keys or the keypad.
•
Alarm delay. Select the duration from the list box. This alarm delay specifies the
minimum duration of an alarm limit condition to activate an alarm signal. The
Directions for use
Patient monitoring
119
alarm delay you select impacts both upper and lower alarm limits. You can set
the default in Advanced settings.
•
No breath detected alarm delay. Select the duration from the list box. This alarm
delay specifies the minimum duration of a no-breath condition to activate an
alarm signal. You can set the default in Advanced settings.
7. Touch the Home tab.
The new alarm settings take effect immediately.
Measure RRa
RRa monitoring is only for adult patients who weigh more than 66 pounds (30 kilograms).
WARNING Inaccurate measurement risk. Use only Masimo rainbow SET
sensors and accessories on Masimo-equipped monitors.
WARNING The accuracy of RRa measurements can be affected by any of
the following:
•
Excessive ambient or environmental noise
•
Improper sensor placement
•
Failure to properly connect the sensor and cables
WARNING Masimo SpO2 monitoring is required when monitoring RRa.
WARNING Patient injury risk. Do not attempt to reprocess, recondition, or
recycle any sensors or patient cables. Doing so might damage electrical
components.
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.
Before you begin, read the RRa sensor directions for use.
1. Verify that the dual cable is connected to the monitor and to the SpO2 cable and the
RRa cable. If a sensor is connected to the RRa cable, disconnect the sensor from the
cable.
Note
When the RRa sensor is off the patient and is connected to
the monitor, the sensor might pick up periodic ambient
sounds and report a measurement.
2. Verify that you are using the Continuous Monitoring profile.
Note
If "Allow profile change" is enabled in Advanced settings, the
device attempts to shift automatically to the Continuous
Monitoring profile when you connect the sensor cable.
3. Verify that the patient type is Adult.
4. Verify that the alarms are set appropriately.
5. Start monitoring SpO2 as described in this directions for use.
6. Attach the RRa sensor to the patient according to the manufacturer's directions for
use, observing all warnings and cautions.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
120 Patient monitoring
Note
The sensor is for single-patient use only. You can reuse the
sensor on the same patient if it is clean and dry, and the
adhesive still adheres to the skin. Otherwise, use a new
sensor. Do not reuse the sensor on another patient.
Note
Do not use disposable sensors on patients who have allergic
reactions to the adhesive.
Note
appears in the RRa frame until an
A process indicator
RRa measurement is available for display.
7. Connect the RRa sensor to the RRa cable.
8. Confirm that the monitor displays RRa data within approximately 60 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.
Detaching the sensor during a measurement triggers an alarm.
NIBP
Noninvasive Blood Pressure (NIBP) frame
From the NIBP frame, you can measure blood pressure.
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 Continuous Monitoring profile
The size of the NIBP frame and displayed measurements varies based on your
configuration.
The Continuous Monitoring profile also provides a visual indication of aging episodic
measurements (those more than 16 minutes old) and a timestamp indicating the time of
the measurement. When a NIBP measurement is displayed for more than 16 minutes,
the numerics on the screen change from their current color to gray. After one hour,
these measurements are cleared from the frame.
Directions for use
Patient monitoring
121
NIBP frame in Intervals Monitoring 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.
•
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
Start/Stop
The appearance and function of this button dynamically changes.
Note
Description
A process indicator
appears in the NIBP frame until the
NIBP parameter has initialized.
Touch to start a manual measurement or a cycle of
automatic measurements.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
122 Patient monitoring
Button name
Button image
Description
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 status. It also displays alarm limits in some device
configurations.
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.
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.
Directions for use
Patient monitoring
123
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
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.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
124 Patient monitoring
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. Check the cuff for residual air from a previous measurement. Squeeze the cuff as
needed to completely deflate the cuff.
2. Position the cuff on the patient's bare upper arm midway between the shoulder and
the elbow.
3. 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.
4. Position the alignment mark on the cuff directly over the brachial artery.
5. 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
125
Set up NIBP
Follow these steps to configure NIBP parameter settings and to set up modifiers.
1. Touch the Settings tab.
2. Touch the Setup tab.
3. Touch the NIBP vertical tab.
4. Adjust the following setting as desired:
•
Cuff inflation target. If the monitor is set up for StepBP, enter the Cuff inflation
target. You can set the default in Advanced settings.
5. Touch the Home tab.
The new setting takes effect immediately.
6. To set up modifiers, touch the Patients tab.
7. Touch the Manual tab.
8. Scroll through the list to find the NIBP section, then enter or select the NIBP
modifier(s) as desired.
•
Cuff site. Select the site from the list box.
•
Cuff size. Select the size from the list box.
•
Patient position. Select the position from the list box.
9. Enter or select other modifier(s), if applicable, as desired.
10. Touch OK.
The Home tab appears. In the Continuous Monitoring profile, the modifiers are saved
with the next set of measurements sent to the network. In the episodic profiles, the
modifiers are saved with the next set of measurements you take or with any current,
unsaved measurements on the device when you touch Save.
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 Intervals Monitoring or Continuous Monitoring profile.
2. Touch the Alarms tab.
3. Touch the NIBP vertical tab.
4. Ensure that the NIBP and MAP alarm limit controls are set to ON.
Note
If any parameter's alarm limit control is set to OFF, you
cannot adjust alarm limits on the Alarm tab, and no visual or
audio signals will occur for that specific parameter.
5. Adjust the following settings as desired:
•
Systolic. Enter upper and lower Systolic alarm limits using the up/down arrow
keys or the keypad.
•
Diastolic. Enter upper and lower Diastolic alarm limits using the up/down arrow
keys or the keypad.
•
MAP. Enter upper and lower MAP alarm limits using the up/down arrow keys or
the keypad.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
126 Patient monitoring
6. Touch the Home tab.
The new alarm settings take effect immediately.
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.
Directions for use
Patient monitoring
Note
127
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.
1. Properly size the blood pressure cuff and position it around the patient’s bare upper
arm.
2. Touch
to take a measurement.
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.
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 starts.
Note
In the Intervals Monitoring profile, each time automatic interval
measurements are saved, manual parameter and predictive temperature
measurements are cleared from the screen. When you manually save any
patient measurements in this profile, all patient measurements are cleared
from the screen.
128
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Patient monitoring
Note
In the Continuous Monitoring profile, all patient measurements remain
onscreen when automatic interval measurements are saved.
The
button changes to a timer (
automatic measurement.
), which counts down to the next
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.
Set up NIBP intervals
Follow these steps to configure NIBP intervals.
1. Touch the Settings tab.
2. Touch the Setup tab.
3. Touch the Intervals vertical tab.
4. Select Automatic, Program, or Stat, and follow the steps presented in the
associated topics that follow.
5. To automatically print patient data at each interval, touch the Automatic print on
interval checkbox.
6. To start intervals immediately, touch Start intervals. Otherwise, touch the Home
tab.
The new settings take effect immediately.
Automatic intervals
You can configure the monitor to take automatic NIBP measurements at consistent
intervals. Use the spin box or keypad to set the desired interval.
Note
An alarm does not turn off intervals. Subsequent automatic measurements
continue to occur as scheduled.
Directions for use
Patient monitoring
129
Start automatic intervals
Follow these steps to configure the monitor to take NIBP measurements at consistent
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 Automatic.
4. Use the numeric keypad to enter the length of time between NIBP measurements.
5. Touch Start intervals.
Note
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. You can rename selected programs using the keyboard feature. The
columns below the selected program name indicate the length of each interval in the
cycle (Interval) and the number of intervals you set (Frequency).
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.
.
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130 Patient monitoring
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 (
or
).
2. Select Program.
3. Touch the desired program.
4. Touch the keyboard icon and enter the desired program name.
5. Enter the desired interval and frequency 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, 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
Start Stat intervals
Follow these steps to start Stat intervals.
.
Directions for use
Patient monitoring
131
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 Stat.
4. Touch Start intervals.
The Home tab appears with the intervals timer counting down from 0:05:00.
Stop intervals measurements
Follow these steps to turn off intervals.
1. On the Home tab, touch the interval timer button (
Note
).
The actual time remaining varies based on the length of the
selected interval and the time expired.
2. Touch Stop intervals.
Note
If you are in Stat intervals, you can also stop intervals on the Home tab by
touching
.
Temperature
Temperature frame
From the temperature frame you can measure patient temperature.
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 Continuous Monitoring profile
The size of the Temperature frame and displayed measurements varies based on your
configuration.
The Continuous Monitoring profile also provides a visual indication of aging episodic
measurements (those more than 16 minutes old) and a timestamp indicating the time of
the measurement. When a temperature measurement is displayed for more than 16
minutes, the numerics on the screen change from their current color to gray. After one
hour, these measurements are cleared from the frame.
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132 Patient monitoring
Temperature frame in Intervals Monitoring profile
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 tympanic mode when it receives a temperature
measurement from the ear thermometer.
Directions for use
Patient monitoring
133
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 status. It also displays alarm
limits in some device configurations.
Touch the button to display the Alarms tab.
Direct mode
Touch the button to enter Direct mode.
Set up temperature
If your device is not configured with a temperature sensor and you want to record
temperature measurements as a manual parameter, follow these steps to set up
temperature modifiers.
1. Touch the Patients tab.
2. Touch the Manual tab.
3. Scroll through the list to find the Temperature section, then select the Measurement
site from the list box.
4. Enter or select other modifier(s), if applicable, as desired.
5. Touch OK.
The Home tab appears. In the Continuous Monitoring profile, the modifiers are saved
with the next set of measurements sent to the network. In the episodic profiles, the
modifiers are saved with the next set of measurements you take or with any current,
unsaved measurements on the device when you touch Save.
Configure temperature alarms
Follow these steps to set alarm limits for temperature measurement.
1. Verify that you are using the Intervals or Continuous profile.
2. Touch the Alarms tab.
3. Touch the Temperature vertical tab.
4. Ensure that the Temperature alarm limit control is set to ON.
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134 Patient monitoring
If any parameter's alarm limit control is set to OFF, you
cannot adjust alarm limits on the Alarm tab, and no visual or
audio signals will occur for that specific parameter.
Note
5. Adjust the Temperature limits as desired. Enter the desired upper and lower alarm
limits for temperature using the up/down arrow keys or the keypad.
6. Touch the Home tab.
The new alarm settings take effect immediately.
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.
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.
Directions for use
Patient monitoring
135
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.
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.
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.
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Patient monitoring
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.
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.
Directions for use
Patient monitoring
137
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 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 displays text indicating that the Direct mode is active.
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.
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 displays text indicating that the
Direct mode is active.
•
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 displays text indicating that the
Direct mode is active.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
138 Patient monitoring
•
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.
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.
Directions for use
Patient monitoring
139
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
hand-washing 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.
5. 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
even after the probe is returned to the probe well.
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140 Patient monitoring
Note
To switch to the Direct mode, touch
after the
Predictive mode measurement is acquired. The temperature
frame displays text indicating that the Direct mode is active.
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 accessory dock
The thermometer and accessory 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.
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.
Directions for use
Patient monitoring
141
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 accessory 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 accessory dock.
3. Locate the probe cover box in the accessory 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.
•
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.
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142 Patient monitoring
8. Return the thermometer to the accessory 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 accessory 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.
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.
Directions for use
Patient monitoring
143
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.
The size of the SpO2 frame and displayed measurements varies based on your
configuration.
Nellcor sensor
Intervals Monitoring and Continuous Monitoring profiles
Spot Check and Triage profiles
Masimo sensor
Intervals Monitoring profile, no SpHb license
Spot Check and Triage profiles
Intervals Monitoring profile, SpHb license activated
Continuous Monitoring profile
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.
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Patient monitoring
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.
PI is a relative reading of pulse strength at the monitoring site. PI display ranges from 0.1
percent (very weak pulse strength) to 20.0 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.
Directions for use
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145
SpO2 waveform view
The waveform view shows the SpO2 plethysmograph waveform. You can select the
default SpO2 waveform sweep speed in Advanced settings, but you can change the
sweep speed on the Setup tab.
Set up SpO2
Follow these steps to configure SpO2 parameter settings and to set up modifiers.
1. Touch the Settings tab.
2. Touch the Setup tab.
3. Touch the SpO2 vertical tab.
4. Select the desired Sweep speed.
5. Touch the Home tab.
The new setting takes effect immediately.
6. To set up modifiers, touch the Patients tab.
7. Touch the Manual tab.
8. Scroll through the list to find the SpO2 section, then enter or select the SpO2
modifier(s) as desired.
•
SpO2 measurement site. Select the measurement site from the list box.
•
O2 flow rate. Enter the flow rate using the keypad.
Note
All O2 modifier selections are cleared when the O2 flow
rate is changed to 0 and when the O2 method is
changed to none.
•
O2 concentration. Enter the concentration using the keypad.
•
O2 Method. Select the method from the list box.
9. Enter or select other modifier(s), if applicable, as desired.
10. Touch OK.
The Home tab appears. In the Continuous Monitoring profile, the modifiers are saved
with the next set of measurements sent to the network. In the episodic profiles, the
modifiers are saved with the next set of measurements you take or with any current,
unsaved measurements on the device when you touch Save.
Configure SpO2 alarms
Follow these steps to set alarm limits for SpO2 measurements.
1. Verify that you are using the Intervals Monitoring or Continuous Monitoring profile.
2. Touch the Alarms tab.
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146 Patient monitoring
3. Touch the SpO2 vertical tab.
4. Ensure that the SpO2 alarm limit control is set to ON.
Note
If any parameter's alarm limit control is set to OFF, you
cannot adjust alarm limits on the Alarm tab, and no visual or
audio signals will occur for that specific parameter.
5. Enter the desired upper and lower alarms limits for SpO2 using the up/down arrow
keys or the keypad.
6. If your monitor is configured with a Nellcor SpO2 sensor, touch
select a SatSeconds setting.
to
7. Touch the Home tab.
The new alarm settings take effect immediately.
Set Response Mode
To set the Response Mode from the Home tab, the monitor must be in the Intervals
Monitoring or Continuous Monitoring profile.
Touch
in the SpO2 frame.
When Fast mode is selected, either MODE: Fast or : Fast appears in the frame.
Measure SpO2 and pulse rate
WARNING Inaccurate measurement risk. Use only Masimo rainbow SET
sensors and accessories on Masimo-equipped monitors.
WARNING Inaccurate measurement risk. Use only Nellcor sensors and
accessories on Nellcor-equipped monitors.
WARNING High-intensity lights (including pulsating strobe lights) directed
on the pulse co-oximeter can prevent it from obtaining readings.
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 Inaccurate measurement risk. Venous congestion might cause
a low reading of arterial oxygen saturation. Place the sensor on a hand at
heart level to ensure proper venous outflow from a monitored site.
WARNING Inaccurate measurement risk. The pulse co-oximeter can be
used during defibrillation, but the reading may be inaccurate for up to 20
seconds.
WARNING Patient injury risk. Do not attempt to reprocess, recondition, or
modify any sensors or patient cables. Doing so might damage electrical
components.
Directions for use
Patient monitoring
147
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:
•
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 misapplied or dislodged
•
severe anemia
•
venous congestion
1. 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. Clean the application site. Remove anything, such as nail polish, that could interfere
with sensor operation.
Note
Do not use disposable sensors on patients who have allergic
reactions to the adhesive.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
148 Patient monitoring
3. Attach the sensor to the patient according to the manufacturer's directions for use,
observing all warnings and cautions.
WARNING Patient injury and inaccurate measurement risk.
Do not use tape to secure the sensor to the patient. This can
restrict blood flow, damage the patient's skin, cause
inaccurate readings, and damage the sensor.
WARNING Patient injury risk. Exercise caution whe applying
a sensor to a patient with compromised skin integrity.
Applying tape or pressure to compromised sites can reduce
circulation and cause additional skin damage.
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.
Note
Place the sensor and the NIBP cuff on different limbs to reduce unnecessary alarms
when you monitor these parameters at the same time.
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
4. 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.
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.
Note
In the Intervals Monitoring and Continuous Monitoring profiles, removing
the SpO2 sensor from the patient triggers the following responses:
•
The last SpO2 saturation measurement captured before the sensor was
removed remains on the display for approximately 10 seconds and then is
cleared.
•
If SpO2 physiological alarm limits are ON, when the saturation measurement
is cleared, a "Searching for pulse signal" technical alarm occurs.
•
If SpO2 physiological alarm limits are OFF, when the saturation
measurement is cleared, no physiological or technical alarms occur.
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.
Directions for use
Patient monitoring
149
SpHb frame
The SpHb frame displays data and controls used in total hemoglobin measurements.
Note
SpHb is available only in the Intervals Monitoring and Continuous
Monitoring profiles.
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.
The size of the SpHb frame and displayed measurements varies based on your
configuration.
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).
SpHb graphical trend view
The graphical trend view presents a trend of the measurements over a user-selected
period. You can select the period displayed on the Setup tab. The size of the SpHb frame
and displayed trend varies based on your configuration.
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.
Set up SpHb
Follow these steps to configure SpHb parameter settings.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
150 Patient monitoring
1. Touch the Settings tab.
2. Touch the Setup tab.
3. Touch the SpHb vertical tab.
4. Select the desired Trend period.
5. Touch the Home tab.
The new settings take effect immediately.
Configure SpHb alarms
Follow these steps to set alarm limits for SpHb measurements.
1. Verify that you are using the Intervals Monitoring or Continuous Monitoring profile.
2. Touch the Alarms tab.
3. Touch the SpHb vertical tab.
4. Ensure that the SpHb alarm limit control is set to ON.
Note
If any parameter's alarm limit control is set to OFF, you
cannot adjust alarm limits on the Alarm tab, and no visual or
audio signals will occur for that specific parameter.
5. Enter the desired upper and lower alarm limits for SpHb using the up/down arrow
keys or the keypad.
6. Touch the Home tab.
The new alarm settings take effect immediately.
Set SpHb averaging mode
Touch
in the SpHb frame.
The SpHb frame displays the current mode.
Measure SpHb
WARNING Inaccurate measurement risk. Use only Masimo rainbow SET
sensors and accessories on Masimo-equipped monitors.
WARNING High-intensity lights (including pulsating strobe lights) directed
on the pulse co-oximeter can prevent it from obtaining readings.
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 Inaccurate measurement risk. Venous congestion might cause
a low reading of arterial oxygen saturation. Place the sensor on a hand at
heart level to ensure proper venous outflow from a monitored site.
Directions for use
Patient monitoring
151
WARNING Inaccurate measurement risk. The pulse co-oximeter can be
used during defibrillation, but the reading may be inaccurate for up to 20
seconds.
WARNING Patient injury risk. Do not attempt to reprocess, recondition, or
modify 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 SpHb measurements can be affected by any
of the following:
•
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 misapplied or dislodged
•
severe anemia
•
venous congestion
1. Verify that the sensor cable is connected to the monitor.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
152 Patient monitoring
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 Continuous or Intervals profile.
3. Clean the application site. Remove anything, such as nail polish, that could interfere
with sensor operation.
Note
Do not use disposable sensors on patients who have allergic
reactions to the adhesive.
4. Attach the sensor to the patient according to the manufacturer's directions for use,
observing all warnings and cautions.
WARNING Patient injury and inaccurate measurement risk.
Do not use tape to secure the sensor to the patient. This can
restrict blood flow, damage the patient's skin, cause
inaccurate readings, and damage the sensor.
WARNING Patient injury risk. Exercise caution whe applying
a sensor to a patient with compromised skin integrity.
Applying tape or pressure to compromised sites can reduce
circulation and cause additional skin damage.
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
A range of sensors is available for different patient sizes and
measurement sites. Consult the sensor manufacturer's
instructions for selecting the correct sensor.
5. Confirm that the monitor displays SpHb or SpHbv data after 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.
Pulse rate frame
The Pulse rate frame displays data, information, and controls used in reading pulse rates.
Directions for use
Patient monitoring
153
Pulse rate is derived from one of three sensors based on your configuration: the SpO2
sensor, the NIBP sensor, or the EarlySense sensor. The source of Pulse rate
measurements appears in the lower left corner of the frame.
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.
Note
You can specify pulse tone volume in the Pulse rate vertical tab (located in
the Settings > Setup tab).
Continuous Monitoring profile
The size of the pulse rate frame and displayed measurements varies based on your
configuration.
The Continuous Monitoring profile also provides a visual indication of aging episodic
measurements (those more than 16 minutes old). When a pulse rate measurement
derived from NIBP is displayed for more than 16 minutes, the numeric on the screen
changes from its current color to gray. (See the timestamp in the NIBP frame for actual
time of this measurement.) After one hour, this measurement is cleared from the frame.
Intervals Monitoring profile
Spot Check and Triage profiles
Set up pulse rate
Follow these steps to configure pulse rate parameter settings.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
154 Patient monitoring
1. Touch the Settings tab.
2. Touch the Setup tab.
3. Touch the Pulse rate vertical tab.
4. Select the desired Tone volume.
5. Touch the Home tab.
The new settings take effect immediately.
Configure pulse rate alarms
Follow these steps to set alarm limits for pulse rate.
1. Verify that you are using the Intervals Monitoring or Continuous Monitoring profile.
2. Touch the Alarms tab.
3. Touch the Pulse rate vertical tab.
4. Ensure that the Pulse rate alarm limit control is set to ON.
Note
If any parameter's alarm limit control is set to OFF, you
cannot adjust alarm limits on the Alarm tab, and no visual or
audio signals will occur for that specific parameter.
5. Enter the desired upper and lower alarm limits for pulse rate using the up/down
arrow keys or the keypad.
6. Touch the Home tab.
The new alarm settings take effect immediately.
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
device, the measurement displayed on the device is within one decimal
place (0.1) of the measurement displayed by the weight scale.
Note
You cannot manually enter temperature in this frame on a device
configured with a SureTemp Plus temperature module.
Note
You cannot manually enter respiration rate in this frame on a device
configured with CO2, RRa, or EarlySense.
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.
Directions for use
Patient monitoring
155
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.
2. Touch the keypad icon in selected fields to open the numeric keypad, and then
manually adjust height, weight, pain level, temperature, respiration rate, or other
parameters.
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.
3. Touch OK to confirm settings and return to the Home tab.
Note
In the Intervals Monitoring and Spot Check (episodic)
profiles, manual parameters clear from the Home tab after a
successful save.
Note
When the device is connected to a central station and in the
Continuous Monitoring profile, all manual parameters except
temperature will be sent to the central station when you
touch OK.
4. Touch OK to confirm settings and return to the Home tab.
Note
In the Intervals Monitoring and Spot Check (episodic)
profiles, manual parameters clear from the Home tab after a
successful save.
156
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Patient monitoring
Note
In the Continuous Monitoring profile, saved manual
parameters will not appear on the Review tab.
157
Maintenance and service
Perform periodic checks
Welch Allyn recommends that each facility conduct periodic checks of each monitor.
1. Check the following at least daily:
•
Audible indicators (a piezo beeper and a speaker tone) at power-up
•
Fan, especially at startup
•
Touchscreen alignment
•
Date
•
Time
2. Visually inspect the following at least weekly:
•
The monitor for any damage or contamination
•
The AC cord for exposed copper
•
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
3. Do the following at least monthly:
•
Test the speaker by selecting each alarm volume level and listening for the
different tones
•
Visually inspect the mobile stand wheels for wear and faulty operation
•
Visually inspect the mounting screws on the wall or cart 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.
Replace the printer paper
The printer is located on the top of the monitor. Follow these steps to replace the roll of
printer paper:
1. Grasp the two tabs and pull up to open the printer door.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
158 Maintenance and service
2. Remove the empty core.
WARNING Hot surface. Do not touch the printer mechanism.
3. Insert a new roll of paper.
Note
The paper roll must be installed so that it unwinds from the
bottom of the roll, as illustrated. If the paper roll is not
installed correctly, the printer will not print properly.
4. Advance the end of the roll past the roller so that it extends past the printer door, as
shown.
5. With one hand, pull lightly on the paper to take up any slack. With the other hand,
close the printer door by pushing it down and into place until it clicks.
Be certain that the paper does not catch in the printer door.
Change the battery
Before removing the battery, shut down the monitor.
1. Turn the monitor upside down to access the battery cover.
Directions for use
Maintenance and service
2. Locate the battery cover, indicated by
159
.
3. Insert a coin into the slot and push to open. Choose a coin that fits comfortably in
the slot.
4. Pull the battery out by pulling the battery label, which is visible when you open the
battery cover.
5. Slide in the new battery. Ensure that you insert the new battery in the same
orientation as the old battery.
6. Replace the battery cover by positioning the end below
firmly on the opposite end.
Note
and then pressing
New batteries are only 30 percent charged. Therefore, connect the monitor
to AC power immediately after inserting a new battery.
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.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
160 Maintenance and service
Clean the monitor
WARNING Electric shock hazard. Before cleaning the monitor, disconnect
the AC power cord from the power outlet and the monitor.
WARNING Electric shock hazard. DO NOT autoclave the monitor or
accessories. The monitor and the accessories are not heat-resistant.
WARNING Liquids can damage electronics inside the monitor. Prevent
liquids from spilling on the monitor.
If liquids are spilled on the monitor:
1.
2.
3.
4.
Power down the monitor.
Disconnect the power plug.
Remove battery pack from the monitor.
Dry off excess liquid from the monitor.
Note
If liquids possibly entered the monitor, remove the monitor
from use until it has been properly dried, inspected, and
tested by qualified service personnel.
5. Reinstall battery pack.
6. Power on the monitor and verify monitor functions normally before using it.
If liquids enter the printer housing:
1.
2.
3.
4.
5.
Power down the monitor.
Disconnect the power plug.
Remove battery pack from the monitor.
Remove and discard the paper roll.
Clean and dry the inside of the printer housing.
Note
The printer housing has a drain tube that directs liquids down
and out the bottom of the device. If liquids possibly entered
other openings in the monitor, remove the monitor from
service until it has been properly dried, inspected, and tested
by qualified service personnel.
6. Install a new roll of paper.
7. Power on the monitor and verify that the monitor 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 monitor:
•
70 percent isopropyl alcohol
•
10 percent chlorine bleach solution
CAUTION When cleaning the device, avoid using cloths or solutions that
include quaternary ammonium compounds (ammonium chlorides) or
glutaraldehyde-based disinfectants.
Note
Disinfect according to your facility's protocols and standards or local
regulations.
Avoid residual film buildup on the monitor by periodically cleaning the monitor with either
of the cleaning solutions listed and wiping the monitor dry.
Directions for use
Maintenance and service
161
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 accessories
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.
4. Clean the RRa cable and the SpO2/RRa dual cable with a cloth dampened with 70
percent isopropyl alcohol.
5. Clean the ear thermometer according to the manufacturer's directions for use.
6. Clean the ear thermometer dock with the same cleaning agents used on the
monitor.
7. Clean the EarlySense sensor by gently wiping with a soft, slightly damp cloth or
wipes containing antiseptic substances (alcohols, Chlorohexidine, and bleach
material up to 5% concentration). Ensure that the sensor is dry before re-use. Avoid
excessive liquids.
CAUTION Never immerse any monitor accessories.
Clean the stand
The same cleaning agents used on the monitor can be used on the stand and
accessory cable management system. Clean on a routine basis according to your
facility's protocols and standards, or local regulations.
Note
Disinfect according to your facility's protocols and standards,
or local regulations.
162
Maintenance and service
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
163
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 readonly 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.
164
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
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,
reported by host
Select this to adjust the displayed time by +/- one hour
when the connected host reports daylight savings time.
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.
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 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.
Option
Description
General
(vertical tab)
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.
Nurse call threshold
Select the minimum priority alarm that activates a nurse
call relay. If you select High, only high-priority alarms
activate a nurse call relay. If you select Medium,
medium- or high- priority alarms activate a nurse call
Directions for use
Advanced settings
165
relay. If you select Low, high-, medium-, and lowpriority alarms activate a nurse call relay.
Audio
(vertical 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).
Minimum alarm volume
Select the minimum alarm volume available. If you select
High, then Medium and Low are not available to
the clinician.
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.
Delays
(vertical tab)
Note Alarm delays are available only for the parameters
supported by your configuration.
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 Off or 10 seconds, SatSeconds is disabled,
and it is removed from the SpO2 tab in the Alarms tab.
SpO2 pulse rate alarm condition delay
Specify the minimum amount of time that a Pulse rate
alarm condition measured by the SpO2 sensor must be
active before audio and visual signals occur.
Motion pulse rate alarm condition delay
Specify the minimum amount of time that a Pulse rate
alarm condition measured by the patient movement
sensor must be active before audio and visual signals
occur.
SpHb alarm condition delay
Specify the minimum amount of time that an SpHb alarm
condition must be active before audio and visual signals
occur.
Motion respiration alarm condition delay
Specify the minimum amount of time that a respiration
alarm condition must be active before audio and visual
signals occur (EarlySense configuration).
Motion pulse rate low confidence alarm delay
Specify the minimum amount of time that a pulse rate
low confidence alarm condition must be active before
audio and visual signals occur (EarlySense
configuration).
Motion respiration low confidence alarm delay
Specify the minimum amount of time that a respiration
low confidence alarm condition must be active before
audio and visual signals occur (EarlySense
configuration).
etCO2 alarm condition delay
Specify the minimum amount of time that an etCO2
alarm condition must be active before audio and visual
signals occur.
Respiration alarm condition delay
Specify the minimum amount of time that an RR alarm
condition must be active before audio and visual signals
occur.
No breath detected alarm delay
If configured with a CO2 module, specify the amount of
time for the device to wait after receiving a "valid
breath" message before activating the "No breath
detected" physiological alarm.
If configured for RRa, specify the time that the Masimo
module will wait before sending a respiration pause
166
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Advanced settings
event, which will result in a "No breath detected"
physiological alarm.
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 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
Specify the required period of monitor inactivity before
the monitor turns off.
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 advanced device 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 Device tab.
3. Specify settings.
Option
Description
Location ID
Touch
characters.
Enable Save as default
Select to enable display of the Save as default control.
and enter up to 20 alphanumeric
Directions for use
Advanced settings
167
Pause Mode timeout
Specify the default timeout used when entering Pause
mode in the Continuous Monitoring profile.
Power line frequency
Specify power line frequency for AC power supplied to
the device.
Available profiles
Specify the profiles to be available for selection.
Allow profile change
Select to enable manual selection of different profiles
and the automatic shift to the Continuous Monitoring
profile when a continuous sensor is connected to a
patient.
When disabled, the current profile selection in the
Settings tab is locked in. No other profile selection
buttons are available, and the device does not
automatically shift to the Continuous Monitoring profile
when a continuous sensor is connected to a patient.
Default profile
Specify the default profile to be used at startup in the
following Continuous Monitoring profile workflows: 1)
patient trend data has not been saved, and 2) patient
trend data has been saved and the user selects a new
patient.
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.
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.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
168 Advanced settings
Parameters
Specify advanced IPI 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 IPI tab.
4. Specify settings.
Setting
Action/Description
Display IPI
Select to display the IPI frame on the Home tab.
Default view
Select a numeric view or trend graph view as the primary
IPI display on the Home tab.
Trend period default
Select a default time period for the trend graph display
of IPI.
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 RRa 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 RRa tab.
4. Specify settings.
Setting
Action/Description
RRa averaging
Select the default averaging option that provides the
desired visibility of subtle variations in RRa
measurements.
Freshness timeout
Select the period of time the device should wait before
alarming while it attempts to obtain a valid RRa reading.
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.
Directions for use
Advanced settings
169
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
Action/Description
Default view
Select a numeric view or a waveform view as the default
primary SpO2 display on the Home tab.
Default response
Select the default speed of response to changes in SpO2
measurements.
Sweep speed default
Select the default waveform sweep speed for the SpO2
display in the Home tab.
5. 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
Action/Description
Select this to show the source of pulse rate
measurements (NIBP or SpO2) on the Home tab.
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 etCO2 settings
1. Access the Advanced Settings.
a.
Touch the Settings tab.
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Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Advanced settings
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 etCO2 tab.
4. Specify settings.
Setting
Action/Description
Default view
Select a numeric view or a waveform view as the
primary etCO2 display on the Home tab.
Display FiCO2
Select to display FiCO2 on the Home tab.
Waveform scale default
Select the default waveform scale in etCO2
measurements.
Unit of measure
Select primary units of measure for the etCO2 display on
the Home tab.
Check calibration
Select to start CO2 calibration check.
Calibrate
Select to start CO2 calibration.
Sweep speed default
Select the default waveform sweep speed for the CO2
waveform view on the Home tab.
Enable sampling line dialog
Select to enable the sampling line dialog to be displayed
when connecting a sampling line to the device.
BTPS compensation
Select to enable automatic adjustments for BTPS (body
temperature pressure saturated) to improve the accuracy
of CO2 measurements.
Calibration due hours
Displays time remaining until CO2 sensor calibration is
required.
Maintenance due hours
Displays time remaining until CO2 periodic sensor
maintenance is required.
Last calibration
Displays date (XX/XX/XXXX) and time (00:00:00) of last
calibration.
Annual calibration
Displays anniversary date (XX/XX) of annual calibration.
•
For more calibration information, see the Service manual.
5. 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.
Directions for use
Advanced settings
171
3. Touch the SpHb tab.
4. Specify settings.
Setting
Action/Description
Default view
Select a numeric view or a trend graph view as the
primary SpHb display on the Home tab.
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).
Reference
Select arterial or venous as the calibrated reference
source.
5. 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 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
Default view
Action/Description
Select primary and secondary views.
Select Display MAP to display mean arterial
pressure (MAP) in the NIBP frame on the Home tab.
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.
Unit of measure
Select the NIBP unit of measure for display.
Tube type
Select the number of tubes that are connected to the
NIBP cuff used with this monitor. If you select 1 tube,
the only algorithm available for selection is Step.
Algorithm default
Select the default algorithm used to determine NIBP
measurements.
Cuff inflation target
If you select the Step algorithm, touch
and enter
a default cuff inflation target for each type of patient.
Clinicians can change the CITs from the default CITs that
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
172 Advanced settings
you set here on the Settings > Setup > NIBP
tab.
Allow interval program changes
Select to enable user to modify interval program
selections in the Settings > Setup > Intervals
tab.
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 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 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. In Advanced settings, you can specify
which parameters appear in the frame and enable manual overrides of other parameter
measurements displayed on the device.
1. Access the Advanced Settings.
a.
Touch the Settings tab.
b. Touch the Advanced tab.
c.
Enter the Advanced settings code.
Directions for use
Advanced settings
d. Touch OK.
The General tab appears.
2. Touch the Parameters tab.
3. Touch the Manual tab.
4. Select up to four parameters and associated units of measure for display in the
Manual Parameters frame.
Note
If the monitor has the SureTemp Plus temperature module,
the Temperature parameter is not available here or in the
Manual Parameters frame.
Note
If the monitor is configured with CO2 or RRa, and you select
the Continuous Monitoring profile before you enter
Advanced settings, the respiration rate (RR) parameter is not
available here or in the Manual Parameters frame. If any
other profile is selected when you enter Advanced settings,
the respiration rate (RR) parameter remains available for
selection on this screen and is displayable in the Manual
parameters frame.
5. Enable manual overrides of selected parameter measurements displayed on the
device as desired.
6. 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 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.
173
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Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Advanced settings
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 tab.
4. Specify settings.
Setting
Default patient type
Action/Description
Select a default patient type for this monitor. The patient
type shows in the Patient frame on the Home tab.
In the Summary tab on the Patients tab, clinicians can
change the displayed patient type from the default
patient type that you set here.
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.
Require patient ID to save readings
Make entering a patient ID a prerequisite for saving
measurements. If the clinician fails to enter an identifier,
the monitor prompts the clinician 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.
Select Require patient ID match to save
measurements to require that the selected
patient ID matches a patient ID in the Patient list of the
device or an external host system before you can save
measurements.
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
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.
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.
Directions for use
Advanced settings
175
Specify clinician 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 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.
Clear clinician information on manual save
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.
Search by clinician ID
Enable the monitor to query the network for clinician
information based on ID. The monitor 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.
Select Require clinician ID match to save
measurements to require that the selected
clinican ID matches a clinician ID in an external host
system before you can save measurements.
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 clinical data settings
1. Access the Advanced Settings.
a.
Touch the Settings tab.
b. Touch the Advanced tab.
c.
Enter the Advanced settings code.
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
176 Advanced settings
d. Touch OK.
The General tab appears.
2. Touch the Data Management tab.
3. Touch the Clinical Data tab.
4. Specify settings.
Setting
Automatically send on manual save
Action/Description
Select this option to specify that measurements are sent
to the network when a clinician saves measurements on
the Home tab.
Note When the device is in the Continuous Monitoring
profile, this setting is grayed out.
Note When the monitor is not connected to the network,
measurements saved on the monitor are sent to the
network with the first successful send after reconnecting
to the network.
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.
Connect to CS
Select to enable connection to the Connex central
station.
5. 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.
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.
Directions for use
Advanced settings
177
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). SSIDs that are longer than 16 characters may be
truncated in the user view. Enter a maximum of 32
characters.
Radio band
Select the radio band.
Authentication type
Select an authentication scheme. Then specify any
additional settings that appear.
Method
and enter
Select a method. Then touch
characters: Network key (64 characters), or
Passphrase (8 to 63 characters).
Note The characters you enter for Network key and
Passphrase appear as asterisks on the keyboard and
then on the Radio pane.
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.
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Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Advanced settings
Note None of the changed radio settings take effect
until you touch Configure radio.
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. Select the method used to identify the IP address of the server with which the
device will communicate.
5. Specify settings.
Setting
Broadcast
Action/Description
Enable the device to broadcast a request to obtain an IP
address for a selected service. Specify the port to match
the port used by the server. Touch
in the Port entry
field and enter the port number. The range of entry is 0
to 65535.
VM IP
Enable the device to connect to a Connex Vitals
Management (VM) Datacatcher or other server at a fixed
IP address. Touch
in the Vitals Management server
IP address fields and enter the IP address. Touch
in
the Port entry field and enter the port number. The range
of entry is 0 to 65535.
NRS IP
Enable the device to connect to a Network Rendezvous
Service (NRS) at a fixed IP address. Touch
in the
Network rendezvous service IP address fields and enter
the IP address. Touch
in the Port entry field and
enter the port number. The range of entry is 0 to 65535.
DNS name
Enable the device to connect to a Network Rendezvous
Service (NRS) by entering a hostname to be sent to a
Domain Name Server (DNS) to retrieve the NRS IP
address. Touch
in the Network rendezvous service
DNS name field and enter the DNS name. Touch
in
the Port entry field and enter the port number. The range
of entry is 0 to 65535.
Note The DNS name option is only available in the
following conditions:
Directions for use
Advanced settings
DHCP
179
•
The version of the installed radio is 3.00.02 or greater
•
The radio is disabled
•
No radio is installed
Enable the device to connect to a Network Rendezvous
Service (NRS) by entering a port number and then
connecting at an address provided by the DHCP43
response. Touch
in the Port entry field and enter the
port number. The range of entry is 0 to 65535. After
touching Test and successfully connecting to the
server, the NRS IP addresses appear onscreen.
Restore defaults
Touch Restore defaults to restore settings for the
selected option to the default values.
Test
Touch Test to test the connection to the configured
server.
6. 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
The Service tab presents numerous settings and controls typically accessed by
authorized service or biomedical engineering personnel to configure, maintain, test, and
update the device. For example, the Service tab enables authorized users to save device
configurations to a USB flash drive and then load saved configurations to other devices.
Systems and devices configured with the PartnerConnect™ service feature also have
access to remote diagnostics, troubleshooting, and software upgrades.
For a description of service-related advanced settings, see the service manual for this
product.
180
Advanced settings
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
181
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.
•
Very low-priority alarms, which appear on a cyan 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 or very 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.
Patient movement messages
Message
Possible cause
Suggested action
Replace the bed sensor.
The sensor is faulty or expired
Replace the bed sensor.
The cable is faulty or expired
Replace the cable.
The bed sensor is disconnected from the
monitor
Check the bed sensor cable to
ensure that connections to the
monitor and the extension cable
are tight.
The bed sensor is disconnected.
The bed sensor is disconnected from the
extension cable
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Troubleshooting
Message
Possible cause
Suggested action
The bed sensor is upside down.
The bed sensor was not placed properly under
the mattress, mattress cover, or mattress pad
Turn the sensor right-side up.
Cannot measure patient. Lost or
unstable signal.
The sensor is not under the patient's chest
(Low confidence condition)
Reposition the sensor under the
patient's chest.
The sensor is turned 90 degrees, placed
vertically (Low confidence condition)
Place the sensor horizontally
under the patient's mattress,
with the cable extending toward
the head of the bed.
There is excessive patient movement (Low
confidence condition)
Check the patient.
Replace the bed sensor.
An unqualified mattress type is in use
Switch to a qualified mattress
type.
The sensor is not under the patient's chest
(Low confidence condition)
Adjust the position of the sensor
under the patient's chest.
The sensor is turned 90 degrees, placed
vertically (Low confidence condition)
Place the sensor horizontally
under the patient's mattress,
with the cable extending toward
the head of the bed.
There is excessive patient movement (Low
confidence condition)
Check the patient.
Replace the bed sensor.
Cannot measure respiration.
Use an alternative sensor to
monitor respiration.
Cannot measure pulse rate.
An unqualified mattress type is in use
Switch to a qualified mattress
type.
The sensor is not under the patient's chest
(Low confidence condition)
Adjust the position of the sensor
under the patient's chest.
The sensor is turned 90 degrees, placed
vertically (Low confidence condition)
Place the sensor horizontally
under the patient's mattress,
with the cable extending toward
the head of the bed.
There is excessive patient movement (Low
confidence condition)
Check the patient.
Replace the bed sensor.
Use an alternative sensor to
monitor pulse rate.
An unqualified mattress type is in use
Switch to a qualified mattress
type.
EarlySense not functional.
A module error occurred
Call for service.
Bed sensor expires in ...
The bed sensor expires soon
Replace the bed sensor before it
expires.
The sensor has expired.
The bed sensor has expired
Replace the sensor.
Directions for use
Troubleshooting
Message
Possible cause
Suggested action
The sensor is defective.
A sensor error occurred
Replace the sensor.
Trend change detected. Review
patient history.
Patient measurements have changed enough to
require attention
Check the patient and patient
history.
Possible cause
Suggested action
183
CO2 messages
Message
CO2 not functional. Call for service. A nonrecoverable communications error has
occurred
Filter line disconnected.
Call for service.
The sampling line is not connected to the monitor Connect a sampling line to the
monitor.
Check to ensure that the
sampling line plug is tightly
connected to the monitor.
Check for occlusion in gas line.
The purge cycle failed to clear a blockage in the
sampling line
CO2 temperature out of range. CO2 CO2 module temperature is out of range
might not be accurate.
Replace the sampling line.
Wait for the module temperature
to return to normal and the
module to reset before
calibrating CO2.
Move to a location where the
ambient temperature enables the
module temperature to return to
normal and the module to reset
before calibrating CO2.
Connect or clear filter line.
Calibration failed because sampling line is
blocked or kinked
Check sampling line for
obstruction or kinks. Replace the
filter line if necessary.
Module is not ready for calibration because the
sampling line is not connected to the monitor
Check to ensure that the
sampling line plug is tightly
connected to the monitor.
Purging filter line.
An occlusion was detected in the sampling line,
which automatically initiated a purge cycle
Wait for the purge cycle to clear
the blockage and the module to
be reset.
Check calibration gas
concentration.
The calibration gas is not flowing
Check that the calibration gas is
turned on.
The calibration gas has the wrong CO2
concentration
Check that the calibration gas
has the correct concentration.
The calibration gas flow is unstable
Check the sampling line for kinks
or obstructions.
Check calibration gas flow.
Check all tubing connections for
leaks.
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Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Troubleshooting
Message
Possible cause
Suggested action
Check that the gas source is not
running out.
Check exhaust port for obstruction. The exhaust port is blocked
Call for service.
Internal flow problem
Calibration overdue. CO2 might not The due date for calibration has passed
be accurate.
Perform CO2 calibration or call
for service.
Factory service overdue. CO2 might The due date for factory service has passed
not be accurate.
Call for service.
Calibration failed. Error message
here.
The calibration failed for the reason named in the Check the error message and
error message
take corrective action presented.
Calibration completed successfully. An uninterrupted, error-free calibration took
place
Resume using the monitor.
Calibration aborted.
You or some other user interrupted the
calibration
Resume or retry calibration.
Message
Possible cause
Suggested action
Respiratory freshness timeout
expired.
Excessive ambient or environmental noise
Reduce the level of noise in the
room.
Poor sensor placement on the patient
Remove the sensor from the
patient and reapply.
The patient cable or sensor is defective
Replace the patient cable or
sensor.
The sensor is faulty
Replace the sensor.
No sensor is connected
Connect the sensor.
The cable is faulty
Replace the cable.
RRa messages
Replace RRa probe.
RRa patient interference detected. Poor sensor placement on the patient
Remove the sensor from the
patient and reapply.
The patient is talking
Ask the patient to limit talking.
The patient is snoring
Gently adjust the patient's
position to reduce snoring.
Awaken and ask the patient to
adjust their position to reduce
snoring.
Directions for use
Troubleshooting
185
Message
Possible cause
Suggested action
RRa background interference
detected.
Excessive ambient or environmental noise
Reduce the level of noise in the
room.
Possible cause
Suggested action
NIBP messages
Message
NIBP air leak; check cuff and tubing The NIBP module has an air leak
connections.
Check the cuff, tubing, and
connections for leaks. If no leaks
are found, clear the alarm and
retry NIBP.
If the message reappears, call for
service to replace the NIBP
module.
NIBP not functional. Call for
service.
A module error occurred
Call for service.
The ambient temperature is out of range
Use the monitor in the specified
temperature range.
Unable to determine NIBP; check
connections; limit patient
movement.
The NIBP module detected a motion artifact
Check connections; limit patient
movement.
Clear the alarm and retry NIBP.
Unable to determine NIBP; check
connections and tubing for kinks.
The NIBP tubing on the outside of the device has Check the connections and tubing
a kink
for kinks.
Clear the alarm and retry NIBP.
Incorrect NIBP cuff size; check
patient type.
The NIBP module needs to be calibrated
Call for service to calibrate the
NIBP module.
Tubing inside the NIBP module is kinked
Call for service to replace the
NIBP module.
The cuff size is not correct for the selected
patient type
Check the patient type and cuff
size.
Clear the alarm and retry NIBP.
Inflation too quick; check NIBP cuff NIBP inflation was too quick
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.
Target pressure is too low
Change the cuff inflation target
(CIT).
Excessive patient movement.
The NIBP module detected a motion artifact
Touch OK to dismiss.
Limit patient movement and retry
NIBP.
186
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Troubleshooting
Message
Possible cause
Suggested action
Tube type does not match device
configuration.
(NIBP measurement is available)
The tube connected to the NIBP sensor does not Touch OK to dismiss.
match the monitor's configuration
Use the tube type specified for
the 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. (Highpriority alarm)
The SpO2 sensor is not attached to the patient's Touch the alarm icon or the SpO2
finger
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.
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.
Replace the SpO2 cable.
The cable is faulty or expired
Replace the cable.
Low SpO2 signal quality. Check
sensor.
Low SpHb signal quality. Check
sensor.
Poor sensor placement on the patient
Remove the sensor from the
patient and reapply.
The patient cable or sensor is defective
Call service to test or replace the
module.
The SpO2 module is faulty
Remove the sensor from the
patient and reapply.
The sensor is operating as an SpO2-only sensor
because it failed to calibrate properly
Reattach the cable to the
monitor.
Low perfusion. Check sensor.
SpO2 mode only. Check sensor or
cable.
Remove the sensor from the
patient and reapply.
SpO2 sensor expires in….
The SpO2 sensor will expire soon
Replace the SpO2 sensor.
Directions for use
Troubleshooting
Message
187
Possible cause
Suggested action
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.
Retry temperature measurement.
The direct mode timed out
Remove the probe from the
measurement site.
Tissue contact lost.
The probe has lost contact with the patient's
tissue
Touch OK to dismiss the
message. Return the probe to the
probe well and retry patient
temperature measurement.
Ensure that the probe makes
proper contact with the patient's
tissue.
Retry temperature measurement.
A probe heater or data error occurred
Note This message often
accompanies other temperature
messages.
Retry the temperature
measurement. If the problem
persists, replace the probe.
User settings require adjustment
Adjust the user settings and
retry.
The ambient temperature is out of range
Operate the monitor within the
specified temperature range.
Retry patient temperature
measurement.
The SureTemp temperature module is faulty
Call for service.
Note This message only appears
on devices configured with SpHb.
Temperature messages
Unable to detect new temperature. The Braun thermometer is removed from the dock Return the thermometer to the
Retry measurement.
or not seated properly in the dock
dock or adjust the thermometer
in the dock.
The Braun dock is disconnected from the device
Connect the USB cable for the
Braun dock to the device.
188
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Troubleshooting
Message
Possible cause
Thermometer might be docked
improperly. Check contacts and
connections.
The Braun thermometer is removed from the dock Return the thermometer to the
or not seated properly in the dock
dock or adjust the thermometer
in the dock.
The Braun dock is disconnected from the device
Suggested action
Connect the USB cable for the
Braun dock to the device.
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.
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.
No data saved.
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 to modify
advanced settings.
Clinician ID required to save data. The configuration requires a clinician ID to save
data
Call for service to modify
advanced settings.
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 to check the
network connection or wireless
settings.
Unable to retrieve list.
The monitor is unable to retrieve a patient list
from the network
Call for service to check the
network connection or wireless
settings, or to verify that the
server is available.
Unable to identify clinician.
The clinician ID or password is incorrect
Confirm the clinician ID and
password (if applicable), and
retry.
Directions for use
Troubleshooting
Message
Possible cause
Suggested action
Unable to identify patient.
The patient ID does not match an ID in the
patient list or network
Re-enter the patient ID.
Touch Clear to delete all data.
189
To delete all unsaved data, touch
Clear.
Unable to identify clinician.
Touch Clear to delete all data.
The clinician ID does not match an ID in the
network
Re-enter the clinician ID.
To delete all unsaved data, touch
Clear.
Communications module messages
Message
Possible cause
Suggested action
Communications module did not
power on properly. Power down
the device. (High-priority alarm)
Communication failure
Call for service.
Message
Possible cause
Suggested action
Radio not functional. Call for
service.
A hardware failure occurred
The radio has the wrong software
Call for service to update the
radio software or replace the
radio.
Radio error. Power down and
restart.
The monitor and the radio failed to establish
communication with each other
Power down and restart. If
problem persists, call for service.
Unable to establish network
communications. Radio out of
network range.
The radio is no longer communicating with the
access point
Call for service to verify that the
device is within the radio
coverage area and is configured
to the network.
Unable to establish network
communications. Call for service.
Unable to get an IP address from the DHCP server Call for service to verify that the
server is available.
Radio messages
Ethernet messages
Message
Possible cause
Network not found; check network A network cable is unplugged
cable connection.
A network connection is broken elsewhere
Suggested action
Check the network cable
connection. If problem persists,
call for service.
190
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Troubleshooting
USB and USB flash drive messages
Message
Possible cause
Suggested action
USB Communication failure. Call
for service.
An internal or external device is connected but
failed enumeration
Power down and restart.
Check USB connections.
If problem persists, call for
service.
External device not licensed for
use.
A license for an external device (e.g., barcode
scanner) has not been activated
Disconnect the unlicensed
device.
Call for service to obtain the
authorization code from Welch
Allyn to activate the license.
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.
Save not successful.
Missing, improperly inserted, or incompatible
USB flash drive
Dismiss message and insert a
compatible USB flash drive.
Unable to save configuration to
USB.
Missing, improperly inserted, or incompatible
USB flash drive
Dismiss message and insert a
compatible USB flash drive.
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.
Device shutdown is not available
at this time.
Device cannot perform an immediate shutdown
Touch OK, wait, and retry.
Advanced settings unavailable.
Sensors are taking measurements
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.
A system error caused the monitor to restart.
Call for service.
System messages
Unexpected restart occurred. Call
for service.
Directions for use
Troubleshooting
191
Battery power manager messages
Message
Possible cause
Suggested action
Low battery 5 minutes or less
remaining. (High-priority alarm)
Battery power is extremely low
Connect the monitor to AC
power. (If not connected to AC
power, the monitor powers down
when battery 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.
Battery is absent or faulty.
There is no battery in the monitor
Insert a battery.
Battery is absent or faulty. Call for The battery is faulty
service.
Replace the battery.
Device is operating in battery
mode.
Touch OK to dismiss or connect
the monitor to AC power.
The AC power cord has been disconnected
Configuration Manager messages
Message
Possible cause
Suggested action
Unable to load configuration; using A configuration load error occurred
factory defaults.
Call for service.
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.
Message
Possible cause
Suggested action
Low battery, unable to print; plug
into outlet.
The monitor's battery voltage is too low to
support printing
Connect the monitor to AC
power.
Printer door is open; close to
continue.
The printer door is open
Close the printer door.
Out of paper.
The paper is not properly loaded
Align the paper with the print
head. If the problem persists, call
for service.
The paper sensor does not detect paper
Replace the paper. If the problem
persists, call for service.
Printer too hot; wait to retry.
The print head overheated
Wait for the print head to cool
down and retry. If the problem
persists, call for service.
External device not recognized.
An external printer is plugged into a USB port
Unplug the external printer.
Printer messages
192
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Troubleshooting
Message
Possible cause
Suggested action
Printer not functional. Call for
service.
The printer motor is broken
Call for service.
The detection switch malfunctioned
A hardware failure occurred in the power supply
The printer does not identify itself correctly
The printer does not enumerate
Printing records:
Note The number of records
requested appears in the message
and counts down during printing.
Printing report; please wait.
The monitor is printing the records selected on
the Review tab
Acknowledge the number of
records printing or touch Cancel
to interrupt printing.
The printer needs more time to complete a print
job when the Automatic print on interval
control has been enabled
Wait for the print job to print
completely.
Disable Automatic print on
interval in Intervals settings.
Network messages
Message
Possible cause
Suggested action
Lost connectivity with host.
The central station or other host Confirm that the host application
application has stopped running or is running properly.
is not operating properly
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 SpO2/SpHb reusable sensor has expired
Replace the sensor.
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 the Contact Welch Allyn to verify
SpO2 module does not
that the SpO2 module contains
the SpHb license.
Directions for use
Troubleshooting
193
Problem
Possible cause
Suggested action
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.
194
Troubleshooting
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
195
Specifications
Physical specifications
Protection classifications, all monitor configurations
Characteristic
Specification
Electrical rating
100 – 240 V AC, 50 – 60 Hz, 0.8 –1.5 A
Duty cycle
Continuous operation
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, 2nd Edition
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
Standard chassis: 10 in. (25.4 cm)
Extended chassis: 10 in. (25.4 cm)
Width
Standard chassis: 11 in. (27.9 cm)
Extended chassis: 11.38 in. (28.9 cm)
Depth
Standard chassis: 6 in. (15.3 cm)
Extended chassis: 7.5 in. (19.1 cm)
Weight (including battery)
Standard chassis: 9.5 lb (4.3 kg)
Extended chassis: 10.4 lb (4.7 kg)
196
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Specifications
Protection classifications, all monitor 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
67 dB at 1.0 meter
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
6 cell
9 cell
Rating
11.1 V 3.80Ah (42Wh)
10.8 V 6.75Ah (73Wh)
Composition
Lithium-ion
Lithium-ion
Charge time to 80 percent capacity
2hr 7m
2hr 25m
Charge time to 100 percent capacity
3hr
4hr
Patient exams per charge1
26
47
Age to 70 percent capacity2
300
300
Operating time per charge for continuous
monitoring 3, 4
Do not use
2hr (only if clinician remains in the
room)
Directions for use
Specifications
Battery specifications
6 cell
197
9 cell
1A patient exam includes NIBP, Temperature, and SpO2 measurements at the rate of one patient every 10 minutes with
a 2-minute display time out setting and a new battery.
2After this many full charge and discharge cycles, the battery has aged to where its total capacity has been reduced to
70 percent of its rating.
3 This specification is based on a monitor with the following characteristics:
•
•
•
•
A new, fully charged 9-cell battery
CO2, SpO2, SpHb and the radio operating continuously
One blood pressure measurement every 10 minutes
One printout every 10 minutes
As batteries age, their capacity diminishes. Replace the battery when a noticeable decrease in operating time is
observed or when total capacity is below 70% (as described in Note 2 above).
4 If battery power supplied to the monitor falls below the specified lower limit, the monitor powers down. There is no
impact on monitor performance or accuracy as the battery charge runs down. A high-priority alarm occurs when a charge
of 5 minutes or less remains on the battery. Plugging the monitor into a power outlet starts recharging the battery
immediately and prevents the monitor from powering down.
Ethernet connection specifications
Ethernet
Communicates using 10base-T and 100-base T
Nurse Call connection specifications
Nurse Call
25 V AC or 60 V DC maximum at 1A maximum
NIBP specifications
Units of measure
Systolic, diastolic, MAP: mmHg, kPa; user-selectable
Pulse rate: beats per minute
Cuff pressure range
Meets or exceeds ANSI/AAMI SP10:2002 standards for cuff pressure range
Systolic range
Adult: 30 to 260 mmHg (4.0 to 34.7 kPa) (StepBP, SureBP)
Pediatric: 30 to 260 mmHg (4.0 to 34.7 kPa) (StepBP, SureBP)
Neonate: 20 to 120 mmHg (2.7 to 16.0 kPa) (StepBP)
Diastolic range
Adult: 20 to 220 mmHg (2.7 to 29.3 kPa) (StepBP, SureBP)
Pediatric: 20 to 220 mmHg (2.7 to 29.3 kPa) (StepBP, SureBP)
Neonate: 10 to 110 mmHg (1.3 to 14.7 kPa) (StepBP)
Cuff Inflation Target
Adult: 160 mmHg (21.3 kPa) (StepBP)
Pediatric: 120 mmHg (16.0 kPa) (StepBP)
Neonate: 90 mmHg (12.0 kPa) (StepBP)
Maximum Target Pressure
Adult: 280 mmHg (37.3 kPa) (StepBP, SureBP)
198
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Specifications
NIBP specifications
Pediatric: 280 mmHg (37.3 kPa) (StepBP, SureBP)
Neonate: 130 mmHg (17.3 kPa) (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 (0.7 kPa) mean error, 8 mmHg (1.1 kPa)
standard deviation
Mean Arterial Pressure (MAP) range
Adult: 23 to 230 mmHg (3.1 to 30.7 kPa) (StepBP, SureBP)
The formula used to calculate MAP yields Pediatric: 23 to 230 mmHg (3.1 to 30.7 kPa) (StepBP, SureBP)
an approximate value.
Neonate: 13 to 110 mmHg (1.7 to 14.7 kPa) (StepBP)
Pulse rate range (using blood pressure
determination)
Adult: 30 to 200 beats per minute (StepBP, SureBP)
Pediatric: 30 to 200 beats per minute (StepBP, SureBP)
Neonate: 35 to 220 beats per minute (StepBP)
Pulse rate accuracy (using blood pressure
determination)
±5.0% (±3 beats per minute)
Overpressure cutoff
Adult: 300 mmHg ±15 mmHg (40.0 kPa ±2.0 kPa)
Pediatric: 300 mmHg ±15 mmHg (40.0 kPa ±2.0 kPa)
Neonate: 150 mmHg (20.0 kPa) maximum
SureTemp Plus temperature module specifications
Units of measure
°F, °C; user-selectable
Temperature range
80°F to 110°F (26.7°C to 43.3°C)
Calibration accuracy
±0.2°F (±0.1°C) (Direct mode)
Braun ThermoScan PRO 4000 thermometer specifications (refer to manufacturer's directions for
use for additional information)
Units of measure
°F, °C; user-selectable
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
Directions for use
Specifications
199
Nellcor specifications (for additional information, refer to the directions for use that
accompanies each accessory)
SpO2
Unit of measure
%
Measurement range
1% to 100%
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-down-equivalent
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.
Accuracy
Saturation accuracy (module)
Note
Saturation accuracy varies by sensor type.
The worst case accuracy range of the
module or the attached sensor will apply.
±3 digits
70% to 100%
Adult, Pediatrics: ± 2 digits
Neonate: ± 3 digits
Low Perfusion: 0.02 % to 20 % ± 2 digits
Saturation accuracy (sensors)
Sensor
Accuracy
60% to 80%
MAX-AI, MAX- ±3 digits
PI, MAX-II
70% to 100%
DS-100A
±3 digits
D-YS
Infants, Pediatrics, Adults: ±3 digits
Neonates: ±4 digits
D-YSE
±4 digits
D-YSPD
±4 digits
MAX-AI, MAX- ±2 digits
PI, MAX-II
OXI-A/N
Adults: ±3 digits
Neonates: ±4 digits
OXI-P/I
±3 digits
Pulse rate
Unit of measure
beats per minute
200
Specifications
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Nellcor specifications (for additional information, refer to the directions for use that
accompanies each accessory)
Measurement range
20 to 250 beats per minute
Accuracy
±3 digits
Functional tester
WARNING Functional testers 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.
Masimo specifications (for additional information, refer to the directions for use that
accompanies each accessory)
SpO2
Unit of measure
%
Measurement range
0% to 100%
Masimo SpO2 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.
Accuracy1
70% to 100%
Note
Saturation accuracy varies by sensor type.
For additional sensor accuracy
information, refer to the DFU that
accompanies the sensor.
Adults, Infants, Pediatrics (no motion2): ±2%
Neonates (no motion2): ±3%
Adults, Infants, Pediatrics, Neonates (motion3): ±3%
Directions for use
Specifications
201
Masimo specifications (for additional information, refer to the directions for use that
accompanies each accessory)
Adults, Infants, Pediatrics, Neonates (low perfusion4): ±2%
Resolution
1%
Perfusion Index
Measurement range
0.1% to 20.0%
Pulse rate
Unit of measure
beats per minute
Measurement range
25 to 240 beats per minute
Accuracy5
Adults, Infants, Pediatrics, Neonates (no motion): ±3 beats
per minute
Adults, Infants, Pediatrics, Neonates (motion): ±5 beats per
minute
Adults, Infants, Pediatrics, Neonates (low perfusion4): ±3
beats per minute
Resolution
1 beat per minute
SpHb
Units of measure
g/dL, mmol/L; user-selectable
Measurement range
0.0 to 25.0 g/dL (0.0 to 15.5 mmol/L)
Accuracy6
Adults, Pediatrics (no motion): 8 to 17 g/dL ±1 g/dL
Resolution
0.1 g/dL or mmol/L
RRa
Unit of measure
breaths per minute
Body weight
Adult >66 pounds (30 kilograms)
Measurement range
0 to 70 breaths per minute
Accuracy7
Adults: 4 to 70 ±1 breath per minute
Resolution
1 breath per minute
1 SpO2 accuracy was determined by testing on healthy adult volunteers in the range of 60% to 100% SpO2 against a
laboratory CO-Oximeter. SpO2 accuracy was determined on 16 neonatal NICU patients ranging in age from 7 to 135 days
old and weighing between 0.5 and 4.25 kg. Seventy-nine (79) data samples were collected over a range of 70% to 100%
SaO2 with a resultant accuracy of 2.9% SpO2. Contact Masimo for testing specifications.
2 The Masimo sensors have been validated for no-motion accuracy in human blood studies on healthy adult male and
female volunteers with light to dark skin pigmentation in induced hypoxia studies in the range of 70% to 100% SpO2
202
Specifications
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Masimo specifications (for additional information, refer to the directions for use that
accompanies each accessory)
against a laboratory CO-Oximeter and ECG monitor. This variation equals ±1 standard deviation which encompasses
68% of the population.
3 The Masimo sensors have been validated for motion accuracy in human blood studies on healthy adult male and
female volunteers with light to dark skin pigmentation in induced hypoxia studies while performing rubbing and tapping
motions, at 2 to 4 Hz at an amplitude of 1 to 2 cm and a non-repetitive motion between 1 to 5 Hz at an amplitude of 2 to
3 cm in induced hypoxia studies in the range of 70% to 100% SpO2 against a laboratory CO-Oximeter and ECG monitor.
This variation equals ±1 standard deviation which encompasses 68% of the population.
4 The Masimo rainbow SET CO-Oximeter module has been validated for low-perfusion accuracy in bench-top testing
against a Fluke Biotek Index 2 simulator and Masimo's simulator with signal strengths of greater than 0.02% and
transmission of greater than 5% for saturations and pulse rates within the stated accuracy specifications. This variation
equals ±1 standard deviation which encompasses 68% of the population.
5 The Masimo sensors have been validated for pulse rate accuracy for the range of 25 to 240 beats per minute in bench-
top testing against a Biotek Index 2 simulator. This variation equals ±1 standard deviation which encompasses 68% of
the population.
6 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 g/dL to 17 g/dL SpHb against a laboratory CO-Oximeter. The variation equals ±1
standard deviation which encompasses 68% of the population. The SpHb accuracy has not been validated with motion
or low perfusion.
7 Respiration rate accuracy for the RRa sensor and instrument has been validated for the range of 4 to 70 breaths per
minute in bench-top testing. Clinical validation for up to 30 breaths per minute was also performed with the RRa sensor
and instrument.
CO2 specifications (for additional information, refer to the directions for use that accompanies
each accessory)
CO2 accuracy1, 2, 3
0 to 38 mmHg: ±2 mmHg
39 to 150 mmHg: ±(5% of reading + 0.08% for every 1 mmHg
above 38 mmHg)
Flow rate
50 (42.5 ≤ flow ≤ 65) ml/min, flow measured by volume
Initialization time
40 seconds (typical, includes power-up and initialization
time)
System response time
3.2 seconds (typical, includes module response time and
host monitor system response time)
Compensation
The CO2 module is equipped with a barometric pressure
transducer and compensation is triggered at startup or
during other events (significant changes in temperature,
ambient pressure, etc.).
BTPS (standard correction used by Microstream capnography
during all measurement procedures for body temperature,
pressure, and saturation).
Cyclical pressure
≤ 10 kPa (100 cmH2O); module operates within specification
with overpressure up to 100 cmH2O
Directions for use
Specifications
203
CO2 specifications (for additional information, refer to the directions for use that accompanies
each accessory)
Sampled gas return/disposal
Sampled gases are not returned to the breathing circuit.
Exhaled gas is exhausted from the monitor's exhaust port.
Dispose of sampled gases according to facility requirements
or local regulations.
Calibration interval
Initial: After 1200 operating hours
Subsequent: After 4000 operating hours or annually
(whichever comes first)
Periodic service
After 30,000 operating hours
etCO2
Units of measure
mmHg, kPa; user-selectable
Display range
0 to 150 mmHg (0.0 to 20.0 kPa)
Resolution
1 mmHg, 0.1 kPa
FiCO2
Units of measure
mmHg, kPa; user-selectable
Display range
0 to 150 mmHg (0.0 to 20.0 kPa)
Resolution
1 mmHg, 0.1 kPa
IPI
Display range
1 to 10
RR
Unit of measure
breaths per minute
Display range
0 to 150 breaths per minute
Accuracy
0 to 70 breaths per minute: ±1 breath per minute
71 to 120 breaths per minute: ±2 breaths per minute
121 to 150 breaths per minute: ±3 breaths per minute
Resolution
1 breath per minute
1 The accuracy specification is maintained to within 4% of the values indicated in the presence of interfering gases in
accordance with ISO 21647, clauses 51.101.3 and 101.1.
2 The accuracy specification is maintained to within 4% of the values indicated in the presence of up to 80% helium
with up to 15% oxygen when tested in accordance with ISO 21647.
3 The accuracy specification is maintained when tested for drift in accordance with ISO 21647, clause 51.101.2.
204
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Specifications
Alarm limits
Upper limit range of entry
Systolic
Adult: 30 to 258 mmHg (4.0 to 34.4 kPa). Factory Adult: 28 to 256 mmHg (3.7 to 34.1 kPa). Factory
default: 220 mmHg (29.3 kPa).
default: 75 mmHg (10.0 kPa).
Diastolic
MAP
Lower limit range of entry
Pediatric: 32 to 160 mmHg (4.3 to 21.3 kPa).
Factory default: 145 mmHg (19.3 kPa).
Pediatric: 30 to 158 mmHg (4.0 to 21.1 kPa).
Factory default: 75 mmHg (10.0 kPa).
Neonate: 27 to 120 mmHg (3.6 to 16.0 kPa).
Factory default: 100 mmHg (13.3 kPa).
Neonate: 25 to 118 mmHg (3.3 to 15.7 kPa).
Factory default: 50 mmHg (6.7 kPa).
Adult: 22 to 235 mmHg (2.9 to 31.3 kPa). Factory Adult: 20 to 233 mmHg (2.7 to 31.1 kPa). Factory
default: 110 mmHg (14.7 kPa).
default: 35 mmHg (4.7 kPa).
Pediatric: 17 to 130 mmHg (2.3 to 17.3 kPa).
Factory default: 100 mmHg (13.3 kPa).
Pediatric: 15 to 128 mmHg (2.0 to 17.1 kPa).
Factory default: 35 mmHg (4.7 kPa).
Neonate: 12 to 105 mmHg (1.6 to 14.0 kPa).
Factory default: 70 mmHg (9.3 kPa).
Neonate: 10 to 103 mmHg (1.3 to 13.7 kPa).
Factory default: 30 mmHg (4.0 kPa).
Adult: 22 to 255 mmHg (2.9 to 34.0 kPa). Factory Adult: 20 to 253 mmHg (2.7 to 33.7 kPa). Factory
default: 120 mmHg (16.0 kPa).
default: 50 mmHg (6.7 kPa).
Pediatric: 17 to 140 mmHg (2.3 to 18.7 kPa).
Factory default: 110 mmHg (14.7 kPa).
Pediatric: 15 to 138 mmHg (2.0 to 18.4 kPa).
Factory default: 50 mmHg (6.7 kPa).
Neonate: 12 to 110 mmHg (1.6 to 14.7 kPa).
Factory default: 80 mmHg (10.7 kPa).
Neonate: 10 to 108 mmHg (1.3 to 14.4 kPa).
Factory default: 35 mmHg (4.7 kPa).
SpO2
Adult, Pediatric, Neonate: 52% to 100%. Factory Adult, Pediatric, Neonate: 50% to 98%. Factory
default: 100%.
default: 90%.
SpHb
Adult, Pediatric, Neonate: 1.5 to 24.5 g/dL (1.5 Adult, Pediatric, Neonate: 1.0 to 24.0 g/dL (1.0
to 15.0 mmol/L). Factory default: 17.0 g/dL (11.0 to 14.5 mmol/L). Factory default: 7.0 g/dL (4.0
mmol/L).
mmol/L).
Pulse rate
Adult: 27 to 300 beats per minute. Factory
default: 120 beats per minute.
Adult: 25 to 298 beats per minute. Factory
default: 50 beats per minute.
Pediatric: 27 to 300 beats per minute. Factory
default: 150 beats per minute.
Pediatric: 25 to 298 beats per minute. Factory
default: 50 beats per minute.
Neonate: 27 to 300 beats per minute. Factory
default: 200 beats per minute.
Neonate: 25 to 298 beats per minute. Factory
default: 100 beats per minute.
Temperature
Adult, Pediatric, Neonate: 87.1 to 110.0°F (30.6 Adult, Pediatric, Neonate: 85.1 to 108.0°F (29.5
to 43.3°C). Factory default: 101.0°F (38.3°C).
to 42.2°C). Factory default: 94.0°F (34.4°C).
etCO2
Adult: 2 to 150 mmHg (0.3 to 20.0 kPa). Factory
default: 60 mmHg (8.0 kPa).
Adult: 0 to 148 mmHg (0.0 to 19.7 kPa). Factory
default: 15 mmHg (2.0 kPa).
Pediatric: 2 to 150 mmHg (0.3 to 20.0 kPa).
Factory default: 60 mmHg (8.0 kPa).
Pediatric: 0 to 148 mmHg (0.0 to 19.7 kPa).
Factory default: 15 mmHg (2.0 kPa).
Neonate: 2 to 150 mmHg (0.3 to 20.0 kPa).
Factory default: 50 mmHg (6.7 kPa).
Neonate: 0 to 148 mmHg (0.0 to 19.7 kPa).
Factory default: 20 mmHg (2.7 kPa).
Adult: 0 to 150 mmHg (0.0 to 20.0 kPa). Factory
default: 8 mmHg (1.1 kPa).
None
FiCO2
Pediatric: 0 to 150 mmHg (0.0 to 20.0 kPa).
Factory default: 8 mmHg (1.1 kPa).
Neonate: 0 to 150 mmHg (0.0 to 20.0 kPa).
Factory default: 5 mmHg (0.7 kPa).
Directions for use
Specifications
Alarm limits
Upper limit range of entry
Lower limit range of entry
IPI
None
Adult, Pediatric: 1 to 10. Factory default: 4.
RR
Adult: 5 to 150 breaths per minute. Factory
default: 50 breaths per minute.
Adult: 0 to 145 breaths per minute. Factory
default: 3 breaths per minute.
Pediatric: 5 to 150 breaths per minute. Factory
default: 50 breaths per minute.
Pediatric: 0 to 145 breaths per minute. Factory
default: 3 breaths per minute.
Neonate: 5 to 150 breaths per minute. Factory
default: 80 breaths per minute.
Neonate: 0 to 145 breaths per minute. Factory
default: 12 breaths per minute.
Adult: 5 to 150 breaths per minute. Factory
default: 50 breaths per minute.
Adult: 0 to 145 breaths per minute. Factory
default: 3 breaths per minute.
RRa
205
Physical specifications
Protection classifications, all monitor configurations
Characteristic
Specification
Electrical rating
100 – 240 V AC, 50 – 60 Hz, 0.8 –1.5 A
Duty cycle
Continuous operation
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, 2nd Edition
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
Standard chassis: 10 in. (25.4 cm)
Extended chassis: 10 in. (25.4 cm)
Width
Standard chassis: 11 in. (27.9 cm)
Extended chassis: 11.38 in. (28.9 cm)
Depth
Standard chassis: 6 in. (15.3 cm)
Extended chassis: 7.5 in. (19.1 cm)
Weight (including battery)
Standard chassis: 9.5 lb (4.3 kg)
Extended chassis: 10.4 lb (4.7 kg)
206
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Specifications
Protection classifications, all monitor 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
67 dB at 1.0 meter
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
6 cell
9 cell
Rating
11.1 V 3.80Ah (42Wh)
10.8 V 6.75Ah (73Wh)
Composition
Lithium-ion
Lithium-ion
Charge time to 80% capacity
2hr 7m
2hr 25m
Charge time to 100% capacity
3hr
4hr
Patient exams per charge1
26
47
Age to 70% capacity2
300
300
Operating time per charge for continuous
monitoring 3, 4
Do not use
2hr (only if clinician remains in the
room)
Directions for use
Specifications
Battery specifications
6 cell
207
9 cell
1A patient exam includes NIBP, Temperature, and SpO2 measurements at the rate of one patient every 10 minutes with
a 2-minute display time out setting and a new battery.
2After this many full charge and discharge cycles, the battery has aged to where its total capacity has been reduced to
70% of its rating.
3 This specification is based on a monitor with the following characteristics:
• A new, fully charged 9-cell battery
• CO2, SpO2, SpHb and the radio operating continuously
• One blood pressure measurement every 10 minutes
• One printout every 10 minutes
As batteries age, their capacity diminishes. Replace the battery when a noticeable decrease in operating time is
observed or when total capacity is below 70% (as described in Note 2 above).
4 If battery power supplied to the monitor falls below the specified lower limit, the monitor powers down. There is no
impact on monitor performance or accuracy as the battery charge runs down. A high-priority alarm occurs when a charge
of 5 minutes or less remains on the battery. Plugging the monitor into a power outlet starts recharging the battery
immediately and prevents the monitor from powering down.
Ethernet connection specifications
Ethernet
Communicates using 10base-T and 100-base T
Nurse Call connection specifications
Nurse Call
25 V AC or 60 V DC maximum at 1A maximum
NIBP specifications
Units of measure
Systolic, diastolic, MAP: mmHg, kPa; user-selectable
Pulse rate: beats per minute
Cuff pressure range
Meets or exceeds ANSI/AAMI SP10:2002 standards for cuff pressure range
Systolic range
Adult: 30 to 260 mmHg (4.0 to 34.7 kPa) (StepBP, SureBP)
Pediatric: 30 to 260 mmHg (4.0 to 34.7 kPa) (StepBP, SureBP)
Neonate: 20 to 120 mmHg (2.7 to 16.0 kPa) (StepBP)
Diastolic range
Adult: 20 to 220 mmHg (2.7 to 29.3 kPa) (StepBP, SureBP)
Pediatric: 20 to 220 mmHg (2.7 to 29.3 kPa) (StepBP, SureBP)
Neonate: 10 to 110 mmHg (1.3 to 14.7 kPa) (StepBP)
Cuff Inflation Target
Adult: 160 mmHg (21.3 kPa) (StepBP)
Pediatric: 120 mmHg (16.0 kPa) (StepBP)
Neonate: 90 mmHg (12.0 kPa) (StepBP)
Maximum Target Pressure
Adult: 280 mmHg (37.3 kPa) (StepBP, SureBP)
208
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Specifications
NIBP specifications
Pediatric: 280 mmHg (37.3 kPa) (StepBP, SureBP)
Neonate: 130 mmHg (17.3 kPa) (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 (0.7 kPa) mean error, 8 mmHg (1.1 kPa)
standard deviation
Mean Arterial Pressure (MAP) range
Adult: 23 to 230 mmHg (3.1 to 30.7 kPa) (StepBP, SureBP)
The formula used to calculate MAP yields Pediatric: 23 to 230 mmHg (3.1 to 30.7 kPa) (StepBP, SureBP)
an approximate value.
Neonate: 13 to 110 mmHg (1.7 to 14.7 kPa) (StepBP)
Pulse rate range (using blood pressure
determination)
Adult: 30 to 200 beats per minute (StepBP, SureBP)
Pediatric: 30 to 200 beats per minute (StepBP, SureBP)
Neonate: 35 to 220 beats per minute (StepBP)
Pulse rate accuracy (using blood pressure
determination)
±5.0% (±3 beats per minute)
Overpressure cutoff
Adult: 300 mmHg ±15 mmHg (40.0 kPa ±2.0 kPa)
Pediatric: 300 mmHg ±15 mmHg (40.0 kPa ±2.0 kPa)
Neonate: 150 mmHg (20.0 kPa) maximum
SureTemp Plus temperature module specifications
Units of measure
°F, °C; user-selectable
Temperature range
80°F to 110°F (26.7°C to 43.3°C)
Calibration accuracy
±0.2°F (±0.1°C) (Direct mode)
Braun ThermoScan PRO 4000 thermometer specifications (refer to manufacturer's directions for
use for additional information)
Units of measure
°F, °C; user-selectable
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
Directions for use
Specifications
209
Nellcor specifications (for additional information, refer to the directions for use that
accompanies each accessory)
SpO2
Unit of measure
%
Measurement range
1% to 100%
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-down-equivalent
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.
Accuracy
Saturation accuracy (module)
Note
Saturation accuracy varies by sensor type.
The worst case accuracy range of the
module or the attached sensor will apply.
±3 digits
70% to 100%
Adult, Pediatrics: ± 2 digits
Neonate: ± 3 digits
Low Perfusion: 0.02% to 20% ± 2 digits
Saturation accuracy (sensors)
Sensor
Accuracy
60% to 80%
MAX-AI, MAX- ±3 digits
PI, MAX-II
70% to 100%
DS-100A
±3 digits
D-YS
Infants, Pediatrics, Adults: ±3 digits
Neonates: ±4 digits
D-YSE
±4 digits
D-YSPD
±4 digits
MAX-AI, MAX- ±2 digits
PI, MAX-II
Electrical/Optical Specifications
OXI-A/N
Adults: ±3 digits
Neonates: ±4 digits
OXI-P/I
±3 digits
Nellcor pulse oximetry sensors contain light-emitting diodes
(LEDs) that emit red light at a wavelength of approximately
660 nm, and infrared light at a wavelength of approximately
900 nm. The total optical output power of the sensor LEDs is
210
Specifications
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Nellcor specifications (for additional information, refer to the directions for use that
accompanies each accessory)
less than 15 mW. This information might be useful to
clinicians, such as those performing photodynamic therapy.
Pulse rate
Unit of measure
beats per minute
Measurement range
20 to 250 beats per minute
Accuracy
±3 digits
Functional tester
WARNING Functional testers 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.
Masimo specifications (for additional information, refer to the directions for use that
accompanies each accessory)
SpO2
Unit of measure
%
Measurement range
0% to 100%
Masimo SpO2 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.
Directions for use
Specifications
211
Masimo specifications (for additional information, refer to the directions for use that
accompanies each accessory)
Accuracy1
70% to 100%
Note
Saturation accuracy varies by sensor type.
For additional sensor accuracy
information, refer to the DFU that
accompanies the sensor.
Adults, Infants, Pediatrics (no motion2): ±2%
Neonates (no motion2): ±3%
Adults, Infants, Pediatrics, Neonates (motion3): ±3%
Adults, Infants, Pediatrics, Neonates (low perfusion4): ±2%
Resolution
1%
Electrical/Optical Specifications
Masimo pulse oximetry uses multi-wavelength sensors that
contain light-emitting diodes (LEDs) that emit visible light
and infrared light at wavelengths from approximately 500
nm to approximately 1000 nm. The maximum radiant power
of the strongest light is less than or equal to 25 mW. This
information might be useful to clinicians, such as those
performing photodynamic therapy.
Perfusion Index
Measurement range
0.1% to 20.0%
Pulse rate
Unit of measure
beats per minute
Measurement range
25 to 240 beats per minute
Accuracy5
Adults, Infants, Pediatrics, Neonates (no motion): ±3 beats
per minute
Adults, Infants, Pediatrics, Neonates (motion): ±5 beats per
minute
Adults, Infants, Pediatrics, Neonates (low perfusion4): ±3
beats per minute
Resolution
1 beat per minute
SpHb
Units of measure
g/dL, mmol/L; user-selectable
Measurement range
0.0 to 25.0 g/dL (0.0 to 15.5 mmol/L)
Accuracy6
Adults, Pediatrics (no motion): 8 to 17 g/dL ±1 g/dL
Resolution
0.1 g/dL or mmol/L
RRa
212
Specifications
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Masimo specifications (for additional information, refer to the directions for use that
accompanies each accessory)
Unit of measure
breaths per minute
Body weight
Adult >66 pounds (30 kilograms)
Measurement range
0 to 70 breaths per minute
Accuracy7
Adults: 4 to 70 ±1 breath per minute
Resolution
1 breath per minute
1 SpO2 accuracy was determined by testing on healthy adult volunteers in the range of 60% to 100% SpO2 against a
laboratory CO-Oximeter. SpO2 accuracy was determined on 16 neonatal NICU patients ranging in age from 7 to 135 days
old and weighing between 0.5 and 4.25 kg. Seventy-nine (79) data samples were collected over a range of 70% to 100%
SaO2 with a resultant accuracy of 2.9% SpO2. Contact Masimo for testing specifications.
2 The Masimo sensors have been validated for no-motion accuracy in human blood studies on healthy adult male and
female volunteers with light to dark skin pigmentation in induced hypoxia studies in the range of 70% to 100% SpO2
against a laboratory CO-Oximeter and ECG monitor. This variation equals ±1 standard deviation which encompasses
68% of the population.
3 The Masimo sensors have been validated for motion accuracy in human blood studies on healthy adult male and
female volunteers with light to dark skin pigmentation in induced hypoxia studies while performing rubbing and tapping
motions, at 2 to 4 Hz at an amplitude of 1 to 2 cm and a non-repetitive motion between 1 to 5 Hz at an amplitude of 2 to
3 cm in induced hypoxia studies in the range of 70% to 100% SpO2 against a laboratory CO-Oximeter and ECG monitor.
This variation equals ±1 standard deviation which encompasses 68% of the population.
4 The Masimo rainbow SET CO-Oximeter module has been validated for low-perfusion accuracy in bench-top testing
against a Fluke Biotek Index 2 simulator and Masimo's simulator with signal strengths of greater than 0.02% and
transmission of greater than 5% for saturations and pulse rates within the stated accuracy specifications. This variation
equals ±1 standard deviation which encompasses 68% of the population.
5 The Masimo sensors have been validated for pulse rate accuracy for the range of 25 to 240 beats per minute in bench-
top testing against a Biotek Index 2 simulator. This variation equals ±1 standard deviation which encompasses 68% of
the population.
6 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 g/dL to 17 g/dL SpHb against a laboratory CO-Oximeter. The variation equals ±1
standard deviation which encompasses 68% of the population. The SpHb accuracy has not been validated with motion
or low perfusion.
7 Respiration rate accuracy for the RRa sensor and instrument has been validated for the range of 4 to 70 breaths per
minute in bench-top testing. Clinical validation for up to 30 breaths per minute was also performed with the RRa sensor
and instrument.
CO2 specifications (for additional information, refer to the directions for use that accompanies
each accessory)
CO2 accuracy1, 2, 3
0 to 38 mmHg: ±2 mmHg
39 to 150 mmHg: ±(5% of reading + 0.08% for every 1 mmHg
above 38 mmHg)
Flow rate
50 (42.5 ≤ flow ≤ 65) ml/min, flow measured by volume
Directions for use
Specifications
213
CO2 specifications (for additional information, refer to the directions for use that accompanies
each accessory)
Initialization time
40 seconds (typical, includes power-up and initialization
time)
System response time
3.2 seconds (typical, includes module response time and
host monitor system response time)
Compensation
The CO2 module is equipped with a barometric pressure
transducer and compensation is triggered at startup or
during other events (significant changes in temperature,
ambient pressure, etc.).
BTPS (standard correction used by Microstream capnography
during all measurement procedures for body temperature,
pressure, and saturation).
Cyclical pressure
≤ 10 kPa (100 cmH2O); module operates within specification
with overpressure up to 100 cmH2O
Sampled gas return/disposal
Sampled gases are not returned to the breathing circuit.
Exhaled gas is exhausted from the monitor's exhaust port.
Dispose of sampled gases according to facility requirements
or local regulations.
Calibration interval
Initial: After 1200 operating hours
Subsequent: After 4000 operating hours or annually
(whichever comes first)
Periodic service
After 30,000 operating hours
etCO2
Units of measure
mmHg, kPa; user-selectable
Display range
0 to 150 mmHg (0.0 to 20.0 kPa)
Resolution
1 mmHg, 0.1 kPa
FiCO2
Units of measure
mmHg, kPa; user-selectable
Display range
0 to 150 mmHg (0.0 to 20.0 kPa)
Resolution
1 mmHg, 0.1 kPa
IPI
Display range
1 to 10
RR
Unit of measure
breaths per minute
Display range
0 to 150 breaths per minute
214
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Specifications
CO2 specifications (for additional information, refer to the directions for use that accompanies
each accessory)
Accuracy
0 to 70 breaths per minute: ±1 breath per minute
71 to 120 breaths per minute: ±2 breaths per minute
121 to 150 breaths per minute: ±3 breaths per minute
Resolution
1 breath per minute
1 The accuracy specification is maintained to within 4% of the values indicated in the presence of interfering gases in
accordance with ISO 21647, clauses 51.101.3 and 101.1.
2 The accuracy specification is maintained to within 4% of the values indicated in the presence of up to 80% helium
with up to 15% oxygen when tested in accordance with ISO 21647.
3 The accuracy specification is maintained when tested for drift in accordance with ISO 21647, clause 51.101.2.
EarlySense specifications
Sensor
Dimensions
300mm x 210mm x 2.5mm
Weight
160 g
Material
Polycarbonate + ABS
Connector
RS232 (S11M03-P04M500-5260(ODU))
Sensor power supply
Electrical absolute maximum current, DC in Minimum: –0.3V
Maximum: 5.5V
Operating current
Minimum: 4.9V
Typical: 5.0V
Maximum: 5.2V
Power consumption at 5V operating current Minimum: 1mA
Maximum: 4mA
Module
Dimensions
135mm x 75mm x 10mm
Weight
800 g
Host connection
USB Mini-B
Module power supply
Electrical absolute maximum current, DC in Minimum: –0.3V
Maximum: 5.5V
Directions for use
Specifications
EarlySense specifications
Operating current
Main power supply:
Minimum: 4.9V
Typical: 5.0V
RTC backup battery voltage:
Minimum: 2.5V
Typical: 3.0V
Maximum: 3.2V
Power consumption at 5V operating current Minimum: 4mA
Maximum: 400mA
Patient movement
Movement during defined period (1.5
minutes)
0 = 0%
L = Up to 40%
M = 40% to 60%
H = 60% to 80%
EH = 80% to 100%
Accuracy
Adult:
0 = 100%, L = 100%, M = 81%, H = 100%, EH = 96%
Pediatric:
0 = 100%, L = 100%, M = 81%, H = 86%, EH = 94%
Averaging period
15 seconds
Respiration rate
Unit of measure
breaths per minute
Measurement range
6 to 45 breaths per minute1
Accuracy2
±4% or ±1.5 breaths per minute, whichever is greater
Averaging period
1 minute
Pulse rate
Unit of measure
beats per minute
Measurement range
30 to 170 beats per minute1
Accuracy2
±4% or ±5 beats per minute, whichever is greater
Averaging period
1 minute
1 The system detects pulse rate that is > 1.8 times the respiration rate.
2 Total system accuracy including undetected signals equals 90%.
215
216
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Specifications
Alarm limits
Upper limit range of entry
Systolic
Adult: 30 to 258 mmHg (4.0 to 34.4 kPa). Factory Adult: 28 to 256 mmHg (3.7 to 34.1 kPa). Factory
default: 220 mmHg (29.3 kPa).
default: 75 mmHg (10.0 kPa).
Diastolic
MAP
Lower limit range of entry
Pediatric: 32 to 160 mmHg (4.3 to 21.3 kPa).
Factory default: 145 mmHg (19.3 kPa).
Pediatric: 30 to 158 mmHg (4.0 to 21.1 kPa).
Factory default: 75 mmHg (10.0 kPa).
Neonate: 27 to 120 mmHg (3.6 to 16.0 kPa).
Factory default: 100 mmHg (13.3 kPa).
Neonate: 25 to 118 mmHg (3.3 to 15.7 kPa).
Factory default: 50 mmHg (6.7 kPa).
Adult: 22 to 235 mmHg (2.9 to 31.3 kPa). Factory Adult: 20 to 233 mmHg (2.7 to 31.1 kPa). Factory
default: 110 mmHg (14.7 kPa).
default: 35 mmHg (4.7 kPa).
Pediatric: 17 to 130 mmHg (2.3 to 17.3 kPa).
Factory default: 100 mmHg (13.3 kPa).
Pediatric: 15 to 128 mmHg (2.0 to 17.1 kPa).
Factory default: 35 mmHg (4.7 kPa).
Neonate: 12 to 105 mmHg (1.6 to 14.0 kPa).
Factory default: 70 mmHg (9.3 kPa).
Neonate: 10 to 103 mmHg (1.3 to 13.7 kPa).
Factory default: 30 mmHg (4.0 kPa).
Adult: 22 to 255 mmHg (2.9 to 34.0 kPa). Factory Adult: 20 to 253 mmHg (2.7 to 33.7 kPa). Factory
default: 120 mmHg (16.0 kPa).
default: 50 mmHg (6.7 kPa).
Pediatric: 17 to 140 mmHg (2.3 to 18.7 kPa).
Factory default: 110 mmHg (14.7 kPa).
Pediatric: 15 to 138 mmHg (2.0 to 18.4 kPa).
Factory default: 50 mmHg (6.7 kPa).
Neonate: 12 to 110 mmHg (1.6 to 14.7 kPa).
Factory default: 80 mmHg (10.7 kPa).
Neonate: 10 to 108 mmHg (1.3 to 14.4 kPa).
Factory default: 35 mmHg (4.7 kPa).
SpO2
Adult, Pediatric, Neonate: 52% to 100%. Factory Adult, Pediatric, Neonate: 50% to 98%. Factory
default: 100%.
default: 90%.
SpHb
Adult, Pediatric, Neonate: 1.5 to 24.5 g/dL (1.5 Adult, Pediatric, Neonate: 1.0 to 24.0 g/dL (1.0
to 15.0 mmol/L). Factory default: 17.0 g/dL (11.0 to 14.5 mmol/L). Factory default: 7.0 g/dL (4.0
mmol/L).
mmol/L).
Pulse rate (NIBP,
SpO2)
Adult: 27 to 300 beats per minute. Factory
default: 120 beats per minute.
Adult: 25 to 298 beats per minute. Factory
default: 50 beats per minute.
Pediatric: 27 to 300 beats per minute. Factory
default: 150 beats per minute.
Pediatric: 25 to 298 beats per minute. Factory
default: 50 beats per minute.
Neonate: 27 to 300 beats per minute. Factory
default: 200 beats per minute.
Neonate: 25 to 298 beats per minute. Factory
default: 100 beats per minute.
Pulse rate
(EarlySense)
Adult, Pediatric: 37 to 150 beats per minute.
Factory default: 130 beats per minute.
Adult: 35 to 148 beats per minute. Factory
default: 40 beats per minute.
Temperature
Adult, Pediatric, Neonate: 87.1 to 110.0°F (30.6 Adult, Pediatric, Neonate: 85.1 to 108.0°F (29.5
to 43.3°C). Factory default: 101.0°F (38.3°C).
to 42.2°C). Factory default: 94.0°F (34.4°C).
etCO2
Adult: 2 to 150 mmHg (0.3 to 20.0 kPa). Factory
default: 60 mmHg (8.0 kPa).
Adult: 0 to 148 mmHg (0.0 to 19.7 kPa). Factory
default: 15 mmHg (2.0 kPa).
Pediatric: 2 to 150 mmHg (0.3 to 20.0 kPa).
Factory default: 60 mmHg (8.0 kPa).
Pediatric: 0 to 148 mmHg (0.0 to 19.7 kPa).
Factory default: 15 mmHg (2.0 kPa).
Neonate: 2 to 150 mmHg (0.3 to 20.0 kPa).
Factory default: 50 mmHg (6.7 kPa).
Neonate: 0 to 148 mmHg (0.0 to 19.7 kPa).
Factory default: 20 mmHg (2.7 kPa).
Adult: 0 to 150 mmHg (0.0 to 20.0 kPa). Factory
default: 8 mmHg (1.1 kPa).
None
FiCO2
Pediatric: 0 to 150 mmHg (0.0 to 20.0 kPa).
Factory default: 8 mmHg (1.1 kPa).
Directions for use
Specifications
Alarm limits
Upper limit range of entry
Lower limit range of entry
Neonate: 0 to 150 mmHg (0.0 to 20.0 kPa).
Factory default: 5 mmHg (0.7 kPa).
IPI
None
Adult, Pediatric: 1 to 10. Factory default: 4.
RR (CO2)
Adult: 5 to 150 breaths per minute. Factory
default: 50 breaths per minute.
Adult: 0 to 145 breaths per minute. Factory
default: 3 breaths per minute.
Pediatric: 5 to 150 breaths per minute. Factory
default: 50 breaths per minute.
Pediatric: 0 to 145 breaths per minute. Factory
default: 3 breaths per minute.
Neonate: 5 to 150 breaths per minute. Factory
default: 80 breaths per minute.
Neonate: 0 to 145 breaths per minute. Factory
default: 12 breaths per minute.
RR (EarlySense)
Adult, Pediatric: 9 to 44 breaths per minute.
Factory default: 32 breaths per minute.
Adult, Pediatric: 8 to 43 breaths per minute.
Factory default: 8 breaths per minute.
RRa
Adult: 5 to 150 breaths per minute. Factory
default: 50 breaths per minute.
Adult: 0 to 145 breaths per minute. Factory
default: 3 breaths per minute.
Patient movement
Exit sensitivity: 1 to 6. Factory default: 3
EH > 1 minute
Off
Environmental specifications
Operating temperature
50°F to 104°F (10°C to 40°C)
Transport/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
Transport/storage humidity
15% to 95% noncondensing
Monitor radio
The monitor's radio operates on Welch Allyn FlexNet™ or other 802.11 networks. For
information regarding the configuration of network connections and recommended
settings, see the best practices documents at www.welchallyn.com/promotions/
Network_Installation_Best_Practices.htm.
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)
217
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
218 Specifications
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; FIPS 140-2 Level 1 (Connex VSM 6500 and 6800
series, and Connex IWS 8500 series)
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
Configuration options
The monitor is available in multiple configurations.
Monitors capable of supporting a combination of NIBP, SpO2, SpHb, pulse rate,
and temperature
Model
Description
6300
Basic. Includes USB and Ethernet connectivity.
6400
Standard. Includes nurse call, Ethernet, and USB connectivity. The radio is optional.
6500
Wireless. Includes all Standard features plus an internal 802.11 a/b/g radio.
Monitors capable of supporting a combination of CO2/RR or RRa or EarlySense
(patient movement), NIBP, SpO2, SpHb, pulse rate, and temperature
Model
Description
6700
Standard. Includes nurse call, Ethernet, and USB connectivity. The radio is optional.
6800
Wireless. Includes all Standard features plus an internal 802.11 a/b/g radio.
219
220
Specifications
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
221
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
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.
222 Standards and compliance
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Electrical Equipment (WEEE). If this product is contaminated, this directive does not
apply.
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
223
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.
Lithuanian
Šiuo Welch Allyn deklaruoja, kad šis RLAN device atitinka esminius reikalavimus ir kitas 1999/5/EB
Direktyvos nuostatas.
224
Standards and compliance
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
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.
225
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 60601-1-2:2007.
•
All medical electrical equipment must be installed and put into service in accordance
with the EMC information provided in this document and the Welch Allyn Connex
Vital Signs Monitor 6000 Series Directions for Use.
•
Portable and mobile RF communications equipment can affect the behavior of
medical electrical equipment.
The monitor 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
For information about electromagnetic compatibility (EMC), see the Welch Allyn website:
http://www.welchallyn.com/apps/products/product_category.jsp?catcode=PMS
226
Guidance and manufacturer's declaration
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
227
Appendix
Approved accessories
The following tables list approved monitor accessories and documentation. For
information about options, upgrades, and licenses, refer to the service manual.
FlexiPort cuffs (not made with natural rubber latex)
Part Number
Model
Description
Reuse-08-2MQ
Reusable
Cuff, reuse, SM CHILD, 2-tube, MQ
Reuse-09-2MQ
Reusable
Cuff, reuse, CHILD, 2-tube, MQ
Reuse-10-2MQ
Reusable
Cuff, reuse, SM AD, 2-tube, MQ
Reuse-11-2MQ
Reusable
Cuff, reuse, ADULT, 2-tube, MQ
Reuse-11L-2MQ
Reusable
Cuff, reuse, AD LONG, 2-tube, MQ
Reuse-12-2MQ
Reusable
Cuff, reuse, LG AD, 2-tube, MQ
Reuse-12L-2MQ
Reusable
Cuff, reuse, LG AD LONG, 2-tube, MQ
Reuse-13-2MQ
Reusable
Cuff, reuse, THIGH, 2-tube, MQ
Soft-07-2MQ
Disposable
Cuff, soft, INFANT, 2-tube, MQ (box of 20)
Soft-08-2MQ
Disposable
Cuff, soft, SM CHILD, 2-tube, MQ (box of 20)
Soft-09-2MQ
Disposable
Cuff, soft, CHILD, 2-tube, MQ (box of 20)
Soft-10-2MQ
Disposable
Cuff, soft, SM AD, 2-tube, MQ (box of 20)
Soft-11-2MQ
Disposable
Cuff, soft, ADULT, 2-tube, MQ (box of 20)
Soft-11L-2MQ
Disposable
Cuff, soft, AD LONG, 2-tube, MQ (box of 20)
Soft-12-2MQ
Disposable
Cuff, soft, LG AD, 2-tube, MQ (box of 20)
Soft-12L-2MQ
Disposable
Cuff, soft, LG AD LONG, 2-tube, MQ (box of 20)
Soft-13-2MQ
Disposable
Cuff, soft, THIGH, 2-tube, MQ (box of 20)
228
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Appendix
Part Number
Model
Description
5082-101-1
Disposable
Neo-1 disposable cuff, male luer connector (box of 10 cuffs)
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)
Blood pressure accessories (not made with natural rubber latex)
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)
Masimo pulse oximetry (for use with devices with SpO2)
Part Number
Model
Description
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)
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)
Directions for use
Appendix
Part Number
Model
Description
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
DCI SC-360 Adult SpHb sensor and 3-foot cable
104360
rainbow
ReSposable R2-25 sample pack
104149
rainbow
RC-12, 12-foot extension cable, 20 pin, for M-LNCS sensors
Part Number
Model
Description
104770
rainbow
Dual cable
104771
rainbow
RAS-125 sensor (box of 10)
104772
rainbow
Patient cable
104850
rainbow
RRa accessories kit
Part Number
Model
Description
DS-100A
OxiMax
Durasensor adult oxygen transducer
DOC-10
OxiMax
Extension cable (10 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)
Masimo RRa
Nellcor pulse oximetry
229
230
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
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)
01802-110
9600 Plus calibration tester
06138-000
Temperature calibration key
Braun ThermoScan PRO 4000 thermometer and accessory dock
Part Number
Description
04000-900
Dock with thermometer
36000
Dock without thermometer
86100
Wall mount kit
86200
Mobile stand kit
EarlySense RR, pulse rate, and patient movement
Part Number
Description
105481
Contact-free sensor
MSH-00033
Metallic plate for beds
MSH-00033A
Metallic plate for beds with .78" length hooks for spring pan bed
frames
MSH-00033B
Metallic plate for beds with 1.18" length hooks for spring pan bed
frames
AME-00970
Bed sensor wall mount hanger
Directions for use
Appendix
Part Number
Description
105637
Pigtail cable
231
Oridion CO2
Oridion Microstream etCO2 filter lines (sampling lines) are the only accessories approved
by Welch Allyn for CO2 monitoring. They are available only from Oridion. To find an
Oridion distributor, please refer to www.oridion.com.
Mounting options
Part Number
Description
4800-60
Accessory Cable Management (ACM) stand — organized mobile
stand with bin, standard housing
4900-60
Accessory Cable Management (ACM) stand — organized mobile
stand with bin, extended housing
104645
Mounting plate (bracket), ACM mobile stand, extended housing
4700-60
Economy mobile stand with basket, standard housing
4701-62
Wall mount with basket, standard housing
008-0834-01
GCX wall mount with channel, standard housing
4900-62
GCX wall mount with channel, extended housing
104644
Mounting plate (bracket), GCX wall mount, extended housing
Weight scales and connectivity kits
For a list of approved weight scales and connectivity kits, go to www.welchallyn.com.
Miscellaneous items
Part Number
Description
BATT99
Lithium-ion battery 9 cell — Extended life
6000-101H
Carrying case, hard sided
6000-100S
Carrying case, soft sided
6000-40
Printer paper (10 per pack)
PWCD-B
Line cord B, North America
6000-NC
Nurse Call cable
232
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Appendix
Part Number
Description
6000-916
1900 2D barcode scanner
6000-915HS
HS1-M 2D barcode scanner with coiled USB
6000-910
Mounting arm for HS1-M Barcode scanner (use with Economy
mobile stand with basket only)
4500-925
Cable for wired connectivity
660-0320-00
Patch cable, 100', RJ45 M/M CAT5E
660-0321-00
Patch cable, 50', RJ45 M/M CAT5E
104384
Patch cable, 25', green
660-0138-00
Patch cable, 5', RJ45 T568B
715270
Box set — packaging — empty
6000-50
USB configuration memory stick
Part Number
Description
S1-6000
Comprehensive partnership program, 1 year
S1-6000-C
Comprehensive partnership program, 1 year, with calibration
S1-6000-2
Comprehensive partnership program, 2 years
S1-6000-2C
Comprehensive partnership program, 2 years, with calibration
S1-6000-5
Comprehensive partnership program, 5 years
S1-6000-5C
Comprehensive partnership program, 5 years, with calibration
S1-6000-O2
Comprehensive partnership program, 1 year, with CO2
S1-6000-O2-2
Comprehensive partnership program, 2 years, with CO2
S1-6000-O2-5
Comprehensive partnership program, 5 years, with CO2
S1-6000-O2-C
Comprehensive partnership program, 1 year, with CO2, with
calibration
S1-6000-O2-2C
Comprehensive partnership program, 2 years, with CO2, with
calibration
S1-6000-O2-5C
Comprehensive partnership program, 5 years, with CO2, with
calibration
S1-6000-ES
Comprehensive partnership program, 1 year, with EarlySense
S1-6000-ES-2
Comprehensive partnership program, 2 years, with EarlySense
Service
Directions for use
Appendix
233
Part Number
Description
S1-6000-ES-5
Comprehensive partnership program, 5 years, with EarlySense
S1-6000-ES-C
Comprehensive partnership program, 1 year, with EarlySense and
calibration
S1-6000-ES-2C
Comprehensive partnership program, 2 years, with EarlySense
and calibration
S1-6000-ES-5C
Comprehensive partnership program, 5 years, with EarlySense
and calibration
S2-6000
Biomed partnership program, 1 year
S2-6000-2
Biomed partnership program, 2 years
S2-6000-5
Biomed partnership program, 5 years
S2-6000-O2
Biomed partnership program, 1 year, with CO2
S2-6000-O2-2
Biomed partnership program, 2 years, with CO2
S2-6000-O2-5
Biomed partnership program, 5 years, with CO2
S2-6000-ES
Biomed partnership program, 1 year, with ES
S2-6000-ES-2
Biomed partnership program, 2 years, with ES
S2-6000-ES-5
Biomed partnership program, 5 years, with ES
PRV-ESS
Preventive annual sensor replacement program (selected
countries)
PRV-001
Preventive Welch Allyn bench service, per unit (selected
countries)
PRV-002
Preventive onsite service, per unit (selected countries)
S4-6000
CVSM, Warranty extension, 1 year (selected countries)
S4-6000-2
CVSM, Warranty extension, 2 years (selected countries)
S4-6000-5
CVSM, Warranty extension, 5 years (selected countries)
S4-6000-O2
CVSM with CO2, Warranty extension, 1 year (selected countries)
S4-6000-O2-2
CVSM with CO2, Warranty extension, 2 years (selected countries)
S4-6000-O2-5
CVSM with CO2, Warranty extension, 5 years (selected countries)
S4-6000-ES
CVSM with EarlySense, Warranty extension, 1 year (selected
countries)
S4-6000-ES-2
CVSM with EarlySense, Warranty extension, 2 years (selected
countries)
S4-6000-ES-5
CVSM with EarlySense, Warranty extension, 5 years (selected
countries)
234
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Appendix
Literature/Documentation
Part Number
Description
105534
CD, Directions for Use, Service Manual, Approved accessories,
Multi-lingual
4600-90E
Blood Pressure Accuracy and Variability Card, English
6000-150E
In-service CD
Directions for Use
105532
Directions for Use, printed copy, English
104732
Directions for Use, printed copy, French
104733
Directions for Use, printed copy, German
104734
Directions for Use, printed copy, Dutch
104735
Directions for Use, printed copy, Portuguese
104736
Directions for Use, printed copy, Spanish
104737
Directions for Use, printed copy, Simplified Chinese
104738
Directions for Use, printed copy, Swedish
104739
Directions for Use, printed copy, Italian
104740
Directions for Use, printed copy, Danish
104741
Directions for Use, printed copy, Polish
104742
Directions for Use, printed copy, Finnish
104743
Directions for Use, printed copy, Greek
104744
Directions for Use, printed copy, Norwegian
104745
Directions for Use, printed copy, Korean
104746
Directions for Use, printed copy, Traditional Chinese
Quick Reference Cards
5 configuration-specific sets: Base set, CO2, RRa, Connectivity, EarlySense
104703
Quick Reference Card, Base set, English
104704
Quick Reference Card, Base set, French
104705
Quick Reference Card, Base set, German
104706
Quick Reference Card, Base set, Dutch
Directions for use
Appendix
Part Number
Description
104707
Quick Reference Card, Base set, Portuguese
104708
Quick Reference Card, Base set, Spanish
104709
Quick Reference Card, Base set, Simplified Chinese
104720
Quick Reference Card, Base set, Swedish
104721
Quick Reference Card, Base set, Italian
104722
Quick Reference Card, Base set, Danish
104723
Quick Reference Card, Base set, Polish
104724
Quick Reference Card, Base set, Finnish
104726
Quick Reference Card, Base set, Greek
104727
Quick Reference Card, Base set, Norwegian
104728
Quick Reference Card, Base set, Traditional Chinese
104729
Quick Reference Card, Base set, Korean
105347
Quick Reference Card, CO2, English
105671
Quick Reference Card, CO2, French
105672
Quick Reference Card, CO2, German
105673
Quick Reference Card, CO2, Dutch
105674
Quick Reference Card, CO2, Portuguese
105675
Quick Reference Card, CO2, Spanish
105676
Quick Reference Card, CO2, Simplified Chinese
105677
Quick Reference Card, CO2, Swedish
105678
Quick Reference Card, CO2, Italian
105679
Quick Reference Card, CO2, Danish
105680
Quick Reference Card, CO2, Polish
105681
Quick Reference Card, CO2, Finnish
105682
Quick Reference Card, CO2, Greek
105683
Quick Reference Card, CO2, Norwegian
105684
Quick Reference Card, CO2, Traditional Chinese
105685
Quick Reference Card, CO2, Korean
105348
Quick Reference Card, RRa, English
235
236
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
Appendix
Part Number
Description
105686
Quick Reference Card, RRa, French
105687
Quick Reference Card, RRa, German
105688
Quick Reference Card, RRa, Dutch
105689
Quick Reference Card, RRa, Portuguese
105690
Quick Reference Card, RRa, Spanish
105691
Quick Reference Card, RRa, Simplified Chinese
105692
Quick Reference Card, RRa, Swedish
105693
Quick Reference Card, RRa, Italian
105694
Quick Reference Card, RRa, Danish
105695
Quick Reference Card, RRa, Polish
105696
Quick Reference Card, RRa, Finnish
105697
Quick Reference Card, RRa, Greek
105698
Quick Reference Card, RRa, Norwegian
105699
Quick Reference Card, RRa, Traditional Chinese
105700
Quick Reference Card, RRa, Korean
105349
Quick Reference Card, Connectivity, English
105701
Quick Reference Card, Connectivity, French
105702
Quick Reference Card, Connectivity, German
105703
Quick Reference Card, Connectivity, Dutch
105704
Quick Reference Card, Connectivity, Portuguese
105705
Quick Reference Card, Connectivity, Spanish
105706
Quick Reference Card, Connectivity, Simplified Chinese
105707
Quick Reference Card, Connectivity, Swedish
105708
Quick Reference Card, Connectivity, Italian
105709
Quick Reference Card, Connectivity, Danish
105710
Quick Reference Card, Connectivity, Polish
105711
Quick Reference Card, Connectivity, Finnish
105712
Quick Reference Card, Connectivity, Greek
105713
Quick Reference Card, Connectivity, Norwegian
Directions for use
Appendix
Part Number
Description
105714
Quick Reference Card, Connectivity, Traditional Chinese
105715
Quick Reference Card, Connectivity, Korean
105640
Quick Reference Card, EarlySense, English
105716
Quick Reference Card, EarlySense, French
105717
Quick Reference Card, EarlySense, German
105718
Quick Reference Card, EarlySense, Dutch
105719
Quick Reference Card, EarlySense, Portuguese
105720
Quick Reference Card, EarlySense, Spanish
105721
Quick Reference Card, EarlySense, Simplified Chinese
105722
Quick Reference Card, EarlySense, Swedish
105723
Quick Reference Card, EarlySense, Italian
105724
Quick Reference Card, EarlySense, Danish
105725
Quick Reference Card, EarlySense, Polish
105726
Quick Reference Card, EarlySense, Finnish
105727
Quick Reference Card, EarlySense, Greek
105728
Quick Reference Card, EarlySense, Norwegian
105729
Quick Reference Card, EarlySense, Traditional Chinese
105730
Quick Reference Card, EarlySense, Korean
237
Service Manual (English only)
105533
Service Manual, English
Directions for Use, ACM Mobile Stand
4800-60
Directions for Use, Accessory Cable Management (ACM) Mobile
Stand
Welch Allyn Connex® Vital Signs Monitor 6000 Series™
238 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 two years
from the date of purchase from Welch Allyn or its authorized distributors or agents.
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.
Shipping cost to return a device to a Welch Allyn Service center is not included.
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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