VSM 52000 Monitor User Manual

VSM 52000 Monitor User Manual
Vital Signs Monitor
Operator’s Manual
CAUTION: United States Federal Law restricts this device to sale by or on the order of a licensed
health care practitioner.
Table of Contents
About the Operator’s Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Product Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Indications/Contraindications for Use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Safety Warnings & Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Special Features . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Blood Pressure Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Temperature Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
SpO2 Operating Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Pulse Rate Feature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Unpacking Checklist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Controls, Indicators and Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Front Panel Functions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Side & Rear Panel Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Set-Up Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
AC Power Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Charging the Battery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Power On/Off and System Check Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Setting the Date and Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Choosing Operating Modes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Blood Pressure Hose & Cuff Connections . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Temperature Probe Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
SpO2 Sensor Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Setting up the Printer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Setting the Programmable Alarms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Blood Pressure - High Systolic Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Blood Pressure - Low Systolic Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Blood Pressure - High Diastolic Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Blood Pressure - Low Diastolic Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Pulse Rate - High Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Pulse Rate - Low Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
SpO2 - Low Limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Temperature Measurement Range Indicators . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Alarm Indications and Interpretation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Measuring Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Setting the DEFAULT Inflation Pressure Preset Level . . . . . . . . . . . . . . . . . . . . . . . . . 26
Blood Pressure Cuff Selection Criteria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Positioning the Blood Pressure Cuff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Manual Mode Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Automatic Mode Blood Pressure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28
Reviewing Information From Prior Cycles . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
“Erase data” function . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Measuring Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Selecting the Temperature Scale . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30
Selecting Temperature Operation Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Taking An Oral Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Taking an Axillary Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Taking a Rectal Temperature . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Measuring SpO2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
SpO2 Operation Mode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Taking an SpO2 Measurement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36
Using the SpO2 Pulse Tone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Printer Operation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38
Printing Options: batch print or streaming print mode . . . . . . . . . . . . . . . . . . . . . . . . . 39
Using the RS232 Computer Interface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40
Mean Arterial Pressure (MAP)/Data Send Mode/Data Stream Mode . . . . . . . . . . . . . . . . 41
Troubleshooting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
Error Indications and Interpretation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 42
General Guide to Problems and Corrective Actions . . . . . . . . . . . . . . . . . . . . . . . . . . . 44
Quick Guide to Taking a Manual (Auscultatory) Blood Pressure . . . . . . . . . . . . . . . . . . 47
Maintenance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Cleaning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Storage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Battery Removal & Replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 48
Calibration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Blood Pressure Calibration Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50
Temperature Calibration Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51
SpO2 Calibration Check . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 52
Warranty Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Service Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Service Policy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Technical Assistance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 53
Service Manual/Spare Parts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Service Loaners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
APPENDIX A: Mounting Accessories & Assembly Instructions . . . . . . . . . . . . . . . . . . . . 57
APPENDIX B: Nurse Call Interface Wiring Diagram . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
APPENDIX C: Supplies and Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 64
APPENDIX D: Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66
Welch Allyn and Welch Allyn Vital Signs Monitor are registered trademarks of Welch Allyn, Inc.
Nellcor Puritan Bennett™ is a registered trademark of Nellcor Puritan Bennett, Inc.
About the Operator’s Manual
The operator manual is designed to help you understand the capabilities and operation of your
Welch Allyn Vital Signs Monitor.
The information included in this manual is inclusive of all options available with the Welch Allyn Vital
Signs Monitor (ie. SpO2, Temperature and Printer). The applicability of some sections of this
operator manual will depend on the configuration of your particular unit.
This information is intended as a comprehensive guide to the operation of the Welch Allyn Vital
Signs Monitor. To achieve satisfactory results, the operator should read this manual thoroughly
before attempting to use the monitor. A quick reference operator's guide is provided on the side of
the monitor as a convenient reference for experienced operators.
Product Overview
The Welch Allyn Vital Signs Monitor is designed to non-invasively and automatically measure systolic and diastolic blood pressure, pulse rate, temperature and oxygen saturation (SpO2) for adult
and pediatric patients. The Welch Allyn Vital Signs Monitor is not intended to be used on Neonatal
patients. All blood pressure, pulse, temperature and SpO2 values are displayed on large, easy-toread displays, and may be printed via an integrated thermal printer, as desired.
The rechargeable battery and wide variety of mounting accessories make the Welch Allyn Vital
Signs Monitor convenient for many locations. The operator may choose any combination of simultaneous measurement modalities. This flexibility, combined with features such as programmable
alarms and automatic blood pressure cycles, makes the Welch Allyn Vital Signs Monitor ideal for a
wide variety of patient monitoring needs.
The Welch Allyn Vital Signs Monitor is intended for use in a wide variety of health care settings. This
includes hospital departments, as well as patient transport within the hospital environment. The
Welch Allyn Vital Signs Monitor is also intended for use in alternate care settings, such as physician
offices, freestanding ambulatory care and surgery centers, health clinics and nursing homes. The
Welch Allyn Vital Signs Monitor may also be used during patient transport within any of these alternate care environments.
The Welch Allyn Vital Signs Monitor is not intended for the monitoring of patients during transport
external to the health care environment (eg. ambulance, helicopter transport). The Welch Allyn Vital
Signs Monitor is not intended for use in environments which are not supervised by a health care
practitioner.
Indications/Contraindications for Use
The Welch Allyn Vital Signs Monitor is intended for monitoring of blood pressure, pulse rate, temperature and oxygen saturation (SpO2) of adult and pediatric patients. The device is not designed,
sold or intended for use except as indicated.
Vital Signs Monitor
1
The Welch Allyn Vital Signs Monitor is not intended to be used on Neonatal patients.* To
ensure pediatric blood pressure accuracy and safety, note that the Welch Allyn Small Child cuffs are
the SMALLEST CUFFS approved for use with young children and infants. The circumference of the
child’s arm must fit within the range markings on the cuff.
* Welch Allyn defines neonates as children 28 days or less of age if born at term (37 weeks gestation or more); otherwise, up to 44 gestational weeks. This definition comes from the AAMI SP10
1992 standard.
The monitor should not be used on patients who are linked to heart/lung machines.
Safety Warnings & Cautions
All operating personnel should be familiarized with the general safety information in this summary.
Specific warnings and cautions will also be found throughout the operator's manual. Such specific
warnings and cautions may not appear here in this summary.
Conforms to
IEC60601-1
UL2601-1
CAN/CSA C22.2 No 601-1
Attention, Consult Accompanying Document
Approved to Australia AS 3200.1,
Appendix Z
IPXØ
Class II Equipment
Type BF Applied Part
+
Defibrillator-proof,
Not protected against the ingress of
water
Battery Operated Device
See “Battery Compartment” on
page 16 for Location
See “Charging the Battery” on
page 17
See “Battery Removal &
Replacement” on page 48
Transport Temperature
Storage Humidity
Handle with Care
2
Vital Signs Monitor
General Warnings
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THE WELCH ALLYN VITAL SIGNS MONITOR IS NOT INTENDED TO BE USED ON
NEONATAL PATIENTS. Welch Allyn defines neonates as children 28 days or less of age if born
at term (37 weeks gestation or more); otherwise, up to 44 gestational weeks. This definition
comes from the AAMI SP10 1992 standard.
To ensure pediatric blood pressure accuracy and safety, note that the Welch Allyn Small Child
cuffs are the SMALLEST CUFFS approved for use with young children and infants. The
circumference of the child’s arm must fit within the range markings on the cuff.
The Welch Allyn Vital Signs Monitor is designed for use by medical clinicians. Although this
manual may illustrate medical monitoring techniques, this system should only be used by a
trained clinician who knows how to take and interpret a patient's vital signs.
The information in this operator's manual is a comprehensive guide to the operation of the
Welch Allyn Vital Signs Monitor. To achieve satisfactory results the operator should read the
manual thoroughly before attempting to use the Monitor.
To ensure patient safety, use only accessories and supplies (i.e. cuffs, hoses, temperature
probes, SpO2 sensors etc.) recommended or supplied by Welch Allyn for the Welch Allyn Vital
Signs Monitor.
Do not operate the Welch Allyn Vital Signs Monitor in the presence of flammable anesthetics or
other explosive atmosphere. An explosion may result.
It is the operator’s responsibility to set alarm limits as appropriate for each individual patient.
Avoid compression of the pneumatic tubing of the Welch Allyn Vital Signs Monitor. Compression
of the tubing may cause system errors to occur in the Monitor.
The Welch Allyn Vital Signs Monitor is safe to use in the presence of high frequency surgical
equipment
Care should be taken to prevent water or other fluid from entering any connectors on the
Monitor. Should this occur, the connectors should be dried with warm air. All monitoring
functions should then be checked for proper operation.
Any Monitor which has been dropped or damaged should be checked by qualified service
personnel to ensure proper operation prior to use.
Cords should periodically be checked for fraying or other damage, and replaced as necessary.
There are no user serviceable parts inside the Monitor other than paper replacement and battery
replacement.
This Monitor should not be used on patients who are linked to heart/lung machines.
This Monitor will not operate effectively on patients who are experiencing convulsions or
tremors.
This device complies with current required standards for electromagnetic interference and
should not present problems to other equipment or be affected by other devices. As a
precaution, avoid using this device in close proximity to other equipment.
Do not autoclave.
Blood Pressure Warnings
•
To ensure pediatric blood pressure accuracy and safety, note that the Welch Allyn Small Child
cuffs are the SMALLEST CUFFS approved for use with young children and infants. The
circumference of the child’s arm must fit within the range markings on the cuff.
Vital Signs Monitor
3
•
Blood pressure measurements may be inaccurate if cuffs and/or hoses are used other than
those provided for the Welch Allyn Vital Signs Monitor by Welch Allyn.
Blood pressure measurements may not be accurate for patients experiencing moderate to
severe arrhythmias.
When monitoring over an extended period of time, or at frequent intervals, it is recommended to
check the cuff site and cuffed extremity regularly for possible ischemia, purpura and/or
neuropathy.
Do not fit the Blood Pressure system with Luer Lock adapters. There is a risk of user
misconnection with an IV line introducing air bubbles into a patient’s blood.
•
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SpO2 Warnings
•
The operation of the SpO2 sensor in MRI environments is specifically not recommended.
•
If pulse oximetry measurements are suspect, verify the reading using another clinically accepted
measurement method.
Prolonged use or the patient’s condition may require changing the SpO2 sensor site periodically.
•
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Change the sensor site and check skin integrity, circulatory status, and correct alignment at least
every 4 hours.
• When using the motion tolerant pulse oximetry channel, a very sudden and substantial change in
pulse rate can result in erroneous pulse rate radings. Be sure to validate the patient data and
patient condition before intervention or change in patient care.
• Use only SpO2 sensors and accessories which are compatible with the SpO2 configuration
purchased. Welch Allyn Vital Signs Monitor with the Nellcor Puritan Bennett pulse oximetry
option may only be used with Nellcor brand sensors and accessories.
• Do not use a damaged sensor or pulse oximetry cable. Do not use a sensor with exposed optical
components.
• Tissue damage is caused by incorrect application or duration of use of an SpO2 sensor. Inspect
the sensor site periodically as directed in the sensors direction for use.
• Pulse oximetry readings and pulse signal is affected by certain ambient environmental
conditions, sensor application errors, and certain patient conditions.
•
Do not immerse or wet the sensor.
Temperature Warnings
•
Single-use, disposable probe covers, available from Welch Allyn will limit patient crosscontamination. The use of any other probe cover or the failure to use a probe cover may
produce temperature errors and is specifically not indicated.
Oral probes (blue) are to be used for taking oral and axillary temperatures only. Rectal probes
(red) are to be used for taking rectal temperatures only. The use of the wrong probe may
produce temperature errors.
Do not allow the tip of the temperature probe to come into contact with any heat source (e.g.,
hands or fingers) prior to taking a temperature measurement. If this occurs, discard the probe
cover and start the temperature determination again.
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4
Vital Signs Monitor
General Cautions
•
If the accuracy of any measurement is in question, check the patient's vital sign(s) by an
alternate method and then check the Monitor for proper functioning.
• Ensure the Monitor is placed on a secure surface or use one of the optional mounting
accessories.
• Do not place fluids on the Monitor.
Blood Pressure Cautions
•
•
Extremity and cuff motion should be minimized during blood pressure determinations.
If the blood pressure cuff is not at heart level, the difference in reading due to the hydrostatic
effect should be noted. The value of 1.80 mmHg must be added to the displayed reading for
every inch (2.5cm) above heart level. The value of 1.80 mmHg must be subtracted from the
displayed reading for every inch (2.5cm) below heart level.
• Proper blood pressure cuff size and placement is essential to the accuracy of the BP
determination. See “Chart for Determining Cuff Size” on page 27.
• When measuring blood pressure on children younger than age 3 it is recommended that the
Pressure Preset (initial inflation pressure) be set at 160 mmHg or lower.
SpO2 Cautions
•
The pulse oximeter is calibrated to determine the percentage of arterial oxygen saturation of
functional hemoglobin. Significant levels of dysfunctional hemoglobins such as
carboxyhemoglobin or methemoglobin may affect the accuracy of the measurement.
• Some intravascular dyes, depending on the concentration, may affect the accuracy of the SpO2
measurement.
• Some sensors may not be appropriate for a particular patient. If at least 10 seconds of perfusion
pulses cannot be observed for a given sensor, change sensor location or sensor type until this
condition is achieved.
Temperature Cautions
•
Do not allow the tip of the temperature probe to come into contact with a heat source (i.e. hands
or fingers) prior to taking a temperature measurement. If this occurs discard the probe cover and
start the temperature determination process again.
• Normal mode (10 second) axillary temperatures are accurate only for children under the age of
four. Normal mode axillary temperatures will not be accurate on older children or adults. The
Welch Allyn Vital Signs Monitor is not intended to be used on Neonatal patients.
When taking rectal temperatures, extreme caution should be used to avoid risk of bowel perforation
in children.
Vital Signs Monitor
5
Special Features
The following special features enhance the use of the Welch Allyn Vital Signs Monitor:
• Choice of Measurement Modalities
• Non-invasive blood pressure, temperature, and SpO2 measurements may be made
independently or simultaneously.
• Operator Selectable BP Measurement Intervals
• Automatically takes BP measurements at intervals from 1 to 90 minutes. Special "STAT"
mode allows continuous blood pressure measurements for up to 15 minutes.
• Programmable Alarms
• Both visual and audible alarms indicate readings outside of operator programmable high/low
limits, and also indicate system hardware/software problems.
• Non-Invasive, Oscillometric BP
• Eliminates the risks associated with invasive monitoring, with no need for microphones or
external transducers.
• Prior Data Recall
• Measurement data from up to 99 previous determinations is available at the touch of a
button.
• Operator-Friendly Results
• Large, easy-to-read LED displays are complemented by an integrated thermal printer.
• AC or Self-Contained Battery Power
• The Welch Allyn Vital Signs Monitor is conveniently available in many locations, for a variety
of monitoring needs, including interdepartmental transport within the facility.
Blood Pressure Operating Modes
When a blood pressure measurement cycle is initiated, the cuff will automatically inflate to the
default pressure level.
The cuff will immediately begin to deflate in a stepped fashion and will determine systolic pressure
and diastolic pressure from the pulses sensed by the cuff at various pressure levels. This is the
oscillometric method of non-invasive blood pressure monitoring.
Blood pressure measurements may be initiated manually, or automatically at time intervals determined by the user.
At the completion of a measurement cycle the systolic and diastolic pressures are displayed. If the
Monitor is in Automatic Mode, the measured values are kept on display until the next BP measurement is initiated. When not in Automatic Mode, the measured values are displayed for two minutes, after which time the display screen is blanked. The most recent BP measurement may be
recalled by pressing the REVIEW button.
When in Automatic Mode, if the unit is unable to determine the systolic or diastolic value, the measurement will be automatically repeated once.
Blood Pressure Manual Mode
In the Manual Mode, a single blood pressure determination is made only when the START button is
pushed. The manual mode is the default mode of operation for blood pressure determinations.
6
Vital Signs Monitor
A measurement cycle may be cancelled at any time by pressing the CANCEL button. This action
immediately initiates a rapid cuff deflation.
The blood pressure measurement data will appear on the display immediately following the measurement. The display will blank after two minutes. If the display is blanked, pressing the REVIEW
button on the front panel will recall the measurement. Up to 99 prior measurements are available
for review or printing.
In Blood Pressure Manual Mode, the following alarm limits may be activated; SYSTOLIC HIGH
LIMIT, SYSTOLIC LOW LIMIT, DIASTOLIC HIGH LIMIT, DIASTOLIC LOW LIMIT, PULSE RATE
HIGH LIMIT and PULSE RATE LOW LIMIT. Blood pressure determinations which activate alarms
are indicated by flashing displays and a repetitive audible tone. If an alarm limit is violated, subsequent blood presssure determinations may be made only after the alarm condition is reset by pressing any button on the Monitor's display.
Blood Pressure Automatic Mode
The Automatic Blood Pressure Mode is entered by pressing the AUTO button. Pressing the AUTO
button displays a choice of 11 cycle interval times as follows: "St" (STAT mode), 1 minute, 3 minutes, 4 minutes, 5 minutes, 10 minutes, 15 minutes, 30 minutes, 45 minutes, 60 minutes and 90
minutes. These choices represent the time interval from the beginning of one cycle to the beginning of the next automatic cycle. STAT mode allows the monitor to take continuous blood pressure
measurements for 15 minutes. In addition, the operator may choose to disable the Auto Mode by
choosing "--" (two dashes).
NOTE:
In the STAT and 1-minute automatic cycle mode, the Welch Allyn Vital Signs Monitor
will automatically take blood pressure measurements in 1-minute intervals for up to 15
minutes.
A measurement cycle may be cancelled at any time by pressing the CANCEL button. This action
immediately initiates a rapid cuff deflation.
The blood pressure measurement data will appear on the display immediately following the measurement and will remain displayed until the next measurement cycle is initiated.
In Blood Pressure Auto Mode, the following alarm limits may be activated; SYSTOLIC HIGH LIMIT,
SYSTOLIC LOW LIMIT, DIASTOLIC HIGH LIMIT, DIASTOLIC LOW LIMIT, PULSE RATE HIGH
LIMIT and PULSE RATE LOW LIMIT. Blood pressure determinations which activate alarms are indicated by flashing displays and a repetitive audible tone. Any alarm limit violation must be reset to
continue automatically timed blood pressure determinations. The alarm may be reset by pressing
any button on the Monitor's display.
Temperature Operating Modes
Thermometry measurements are made with the integrated Welch Allyn SureTemp® thermometer.
Oral and rectal probes utilize single-use disposable probe covers which limit cross-contamination.
Oral, axillary or rectal temperatures are taken using 'Normal' or 'Monitor' operating modes. Axillary
temperatures are taken using the oral probe.
In Normal mode the thermometer's microprocessor "predicts" body temperature in about 4 seconds
for oral temperatures, about 10 seconds for axillary temperatures and in about 15 seconds for rectal
Vital Signs Monitor
7
temperatures. The Monitor mode displays the patient's actual temperature after 3 minutes for oral/
rectal mode and 5 minutes for axillary mode, and will continue to display an updated temperature as
long as the probe remains in place.
NOTE:
Normal mode axillary temperatures (10 seconds) are accurate only for children under
the age of four.
NOTE:
The Welch Allyn Vital Signs Monitor is not intended to be used on Neonatal patients.
Temperature readings may be displayed in Fahrenheit or Celsius scales.
Temperature Normal Mode
In Normal mode, the device will measure temperature at discrete intervals and then calculate the
rate of change according to a proven algorithm. This allows the thermometer to predict the end
point that the thermistor would reach if it were left in the mouth until it reached mouth temperature.
This predictive feature allows the thermometer to arrive at an accurate oral temperature reading in
approximately 4 seconds.
Normal mode is the default operating mode for temperature determinations.
Operator selectable patient alarm limits are not available in temperature Normal mode. However,
temperatures which are outside of the operating range of the device will be noted on the temperature display.
Temperature Monitor Mode
Continuous Monitor mode operation is normally used for longer term monitoring and when difficult
situations prevent accurate temperatures from being taken in the Normal mode. The probe must be
in contact with tissue for at least three (3) minutes for accurate oral/rectal temperature measurement and five (5) minutes for accurate axillary temperature measurement. Monitor mode temperatures may not be identical to predicted 'Normal' temperatures because of ambient temperature
influence and other factors. The trend in temperature is the important standard to be observed
when in the Monitor mode.
Operator selectable patient alarm limits are not available in temperature Monitor mode. However,
temperatures which are outside of the normal operating range of the device will be noted on the
temperature display.
SpO2 Operating Mode
The Welch Allyn Vital Signs Monitor incorporates the Nellcor Puritan Bennett™ pulse oximetry module which determines arterial oxyhemoglobin saturation (SpO2%) by measuring the absorption of
red and infrared light passed through the tissues. Changes in absorption caused by pulsation of
blood in the vascular bed are used to determine arterial saturation and pulse rate.
Oxygen saturation percent is calculated with each pulse detected, and thus the monitor display is
continually updated. The pulse signal bar graph is an indicator of the strength and quality of the
detected pulses.
8
Vital Signs Monitor
When SpO2 is measured, the patient's pulse rate is also measured and displayed. A pulse rate
measurement from the SpO2 determination overrides a pulse rate measurement derived from a
blood pressure measurement.
When measuring SpO2 the user may enable the SpO2 Pulse Tone feature. A short audible tone is
emitted with every patient heartbeat. The frequency of the tone is based on the patient’s SpO2
level. The lower the frequency of the tone, the lower the patients SpO2 level.
In SpO2 monitoring mode, operator selectable alarm limits for low SpO2 % may be activated. A
condition which violates the SpO2 low limit alarm is indicated by a flashing display and repetitive
audible tone. Should a patient alarm condition for SpO2 or pulse rate occur, the Monitor will indicate
an alarm condition (flashing & beeping) while continuing to monitor and display the patient's current
SpO2%. The alarm will automatically reset when the patient's condition returns to within the preset
alarm parameters.
Should a patient alarm condition for SpO2 or pulse rate occur, the operator may invoke "Silence
Mode" by pressing the SILENCE button. This will silence the audible tone (display will continue to
flash), while the practitioner attends to the patient and the monitor. Silence mode resets automatically after 30 seconds, or when the patient's condition returns to within the preset alarm parameters.
Removal of the SpO2 sensor from the patient will initiate an alarm, unless the SpO2 and pulse rate
alarms are turned off. To reset the sensor alarm, press any button on the Monitor's display.
SpO2 is generally measured via pulses detected using a finger sensor. However, for certain situations SpO2 may be measured at alternate sites including the earlobe, forehead and toes. Special
sensors must be employed in these situations.
SpO2 Monitor Mode
The SpO2 monitor performs most accurately with the fingerclip sensor, which may be used on all
fingers except the thumb. The finger clip sensor is recommended for spot checks or short term
continuous monitoring.
The device determines arterial oxyhemoglobin saturation (SpO2 %) by measuring the absorption of
red and infrared light passed through the tissue. Oxygen saturation and pulse rate are displayed on
the LED digital display. On each detected pulse, the pulse signal bar graph flashes. The intensity of
this signal is a simple visual indicator of waveform signal strength, and can identify situations where
the pulsatile nature of the tissue may not be adequate for an accurate SpO2 reading. The update
interval of the bar graph should correspond to the patient's pulse rate. This is an indication of the
quality of the SpO2 signal.
All Welch Allyn Vital Signs Monitors with pulse oximetry capability are equipped with a pulse tone.
This audible tone beeps in synchronization with each beat of the patient’s heart. In addition, the frequency of the tone will vary based on the patient’s oxygen saturation value. The higher the tone’s
frequency, the higher the patient’s oxygen saturation value. The user may change the pulse tone
volume, or turn this feature off as necessary.
Vital Signs Monitor
9
Pulse Rate Feature
The Welch Allyn Vital Signs Monitor is capable of determining pulse rate as an adjunct to the blood
pressure measurement and the SpO2 measurement.
The pulse rate, in beats per minute, will be determined primarily from the SpO2 measurement
methodology. In the case where SpO2 is not available, or is disabled, the pulse rate display will be
driven by data from the blood pressure measurement method.
There are two operator selectable alarm limits for the pulse rate. They are PULSE RATE HIGH
LIMIT and PULSE RATE LOW LIMIT. Pulse rates which activate alarm limits are indicated by a
flashing display and a repetitive audible tone.
Should a pulse rate alarm occur when the pulse rate measurement is derived from the blood pressure measurement, no subsequent blood pressure or pulse rate measurements may be made until
the alarm is reset. The alarm may be reset by pressing any button on the Monitor's display.
Should a pulse rate alarm occur when the pulse rate measurement is derived from the SpO2 measurement, the monitor will indicate an alarm condition (flashing & beeping) while continuing to monitor and display the patient's current SpO2% and pulse rate. The alarm will automatically reset
when the patient's condition returns to within the preset alarm parameters.
Should a patient alarm condition for pulse rate occur during SpO2 monitoring, the operator may
invoke "Silence Mode" by pressing the SILENCE button. This will silence the audible tone (display
will continue to flash), while the practitioner attends to the patient and Monitor. Silence mode
resets automatically after 30 seconds, or when the patient's condition returns to within the preset
alarm parameters. If an alarm limit is violated, subsequent determinations of any type may only be
made after the alarm condition is reset.
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Vital Signs Monitor
Unpacking Checklist
After you have unpacked the Welch Allyn Vital Signs Monitor and the components, identify each
item with the checklist that follows and inspect for missing items. Retain the shipping materials in
the event of shipping damage or for return, if necessary, to Welch Allyn/Tycos for repair or warranty
service.
All Welch Allyn Vital Signs Monitors include the following components (A-G):
A. Welch Allyn Vital Signs Monitor
This device is a portable, light weight device designed to automatically measure and display
blood pressure and pulse rate. Options available include pulse oximetry, temperature and integrated printer.
B. Operator Manual (This manual)
To achieve satisfactory results, the operator should read this manual thoroughly before attempting to use the monitor. Save this manual for helpful product reference.
C. Instrument Warranty Card
Fill this out today and return to Welch Allyn. This card validates your warranty.
D. Blood Pressure Cuffs
Includes one (1) Adult and one (1) Large Adult blood pressure cuff.
NOTE:
A full range of cuff sizes are available (as accessory items) however, the Large Adult
cuff will fit the majority of adults and give the most accurate blood pressure
measurement.
E. Blood Pressure Hose
With connector, connects a variety of blood pressure cuffs to the monitor.
F. AC Power Transformer and Line Cord
Operates the monitor and charges the internal battery.
G. Cuff Clip
Attaches to the rear of the monitor to hold the blood pressure cuff. Not used if mobile stand,
pole mount or wall mount accessories are purchased.
Certain Welch Allyn Vital Signs Monitors will include the following items, based on the options
purchased:
Printer Option
H. Box of Printer Paper
Six (6) rolls of thermal printer paper. One additional roll will be pre-loaded into the printer.
Pulse Oximetry (SpO2) Option
I. Finger Clip SpO2 Sensor and Cord
Other sensors are available separately.
Vital Signs Monitor
11
Temperature Option
J. Oral Temperature Probe
The blue oral probe is used for both oral and axillary temperature determinations.
A red rectal probe is available separately.
K. Temperature Probe Covers
One box of 25 single use, disposable probe covers for both oral and rectal temperature determinations.
NOTE:
Report any signs of shipping damage to the carrier. If an item is missing or damaged,
contact the Welch Allyn Service Center near you.
Controls, Indicators and Connections
NOTE:
In this section, all drawing and text are representative of the Welch Allyn Vital Signs
Monitor with all available options (i.e. Blood Pressure plus Pulse Oximetry (SpO2),
Temperature and Printer). Your Monitor may not include all functions, depending on
the options purchased.
M
P
N
I
R S
Pulse
Tone
J
Volume
K
G
Select
Alarm
Charging
H
Low Battery
L
O
Q
T
Power
Start
Cancel
Review
Auto
Silence
A
B
C
D
E
F
Front Panel Functions
A. POWER Button & Indicator Light
This on/off button controls the power to the Monitor. The indicator light will glow when the unit
is on. Battery power will be used unless the Monitor is powered through the AC power transformer.
B. START Button
Pressing this button initiates an on-demand blood pressure cycle.
12
Vital Signs Monitor
C. CANCEL Button
If a blood pressure cycle is in progress, pressing this button aborts the cycle and immediately
releases the cuff pressure. In "STAT" automatic blood pressure mode, pressing the cancel button
aborts the cycle in process, and cancels the "STAT" mode as well.
When pressed for 3 seconds, the cancel button erases all stored data in the Welch Allyn Vital
Signs Monitor.
D. REVIEW Button
Pressing this button will display the most current set of stored data including BP & pulse rate
and/or SpO2 and/or temperature. Subsequent presses will display the next most recent data
sets.
E. AUTO Button & Indicator
Pressing this button allows the operator to scroll through the automatic blood pressure interval
options. Time intervals are displayed in minutes on the CYCLE display (see below). Choosing
any time interval except "--" will cause the Auto indicator light to glow, and blood pressure determinations to be made according to the displayed time interval.
F. SILENCE Button & Indicator
During SpO2 monitoring, should an SpO2 or Pulse Rate alarm condition occur, pressing the
Silence button invokes 'Silence Mode'. This will silence the audible tone (display will continue to
flash), while the practitioner attends to the patient and Monitor. Silence mode resets automatically after 30 seconds, or when the patient's condition returns to within the preset alarm parameters. In Silence Mode, the silence indicator light will glow.
G. SELECT ALARM Button
Pressing this button allows the operator to select a specific parameter for which an alarm threshold will be set. The HIGH ("HI") or LOW ("LO") indicator will show in the CYCLE display, and the
current value will appear in the respective display.
H. SET Buttons (Arrow Up or Arrow Down)
These buttons increment or decrement the currently displayed alarm threshold.
The SET-Arrow Up button has additional functionality. See“Using the RS232 Computer Interface” on page 40
I. PULSE TONE Indicator
This indicator will be lit when the pulse tone function is enabled.
J. PULSE TONE Button
Pressing this button allows the operator to control the volume of the SpO2 pulse tone.
K. SYSTOLIC Display
This red LED display shows the systolic blood pressure.
Additionally, this display can show systolic alarm limits (see above).
Vital Signs Monitor
13
L. DIASTOLIC Display
This red LED display shows the diastolic blood pressure
Additionally, this display can show diastolic alarm limits (see above).
M. SpO2 Display
This red LED display shows the percent saturation of arterial hemoglobin (SpO2%).
Additionally, this display can show SpO2 low saturation alarm limits (see above).
N. PULSE SIGNAL BAR GRAPH
This bar graph gives a visual indication of the strength and quality of the pulses detected by the
SpO2 sensor. Additionally, this bar graph can indicate the volume level of the SpO2 pulse tone.
(see above).
O. PULSE Display
This yellow LED display shows the pulse rate.
Additionally, this display can show pulse rate alarm limits (see above).
P. TEMPERATURE Display and Indicator
The red LED display shows the temperature in degrees Fahrenheit or Celsius. The temperature
scale (°F or °C) will be shown by a green indicator. Also, temperature monitor mode is indicated
by a green indicator.
Q. CYCLE Display
This red LED display shows the time (in minutes) between automatically initiated blood pressure
measurements, or "St" for STAT mode (continuous blood pressure measurements for up to 15
minutes).
Additionally, this display identifies the high and low alarm limits for the various parameters, during alarm select mode, and the cycle number during review mode.
R. CHARGING Indicator
This flashing yellow indicator will signify that the internal battery is being charged when the
Monitor is powered through the AC power transformer. When the Monitor is fully charged, the
flashing will be replaced with a solid yellow indicator light.
S. LOW BATTERY Indicator
This yellow indicator light will remain on continuously as a visual indicator when the battery
charge is weak. The indicator will flash as a visual indicator that the battery charge is critically
low.
T. MEMORY Indicator
This green indicator will flash when the unit has reached its maximum capacity of 99 data sets in
storage. Also, it will remain on continuously when the operator is reviewing stored data sets.
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Vital Signs Monitor
Side & Rear Panel Connections
D
E
H I
G
F
A
J
B
K
C
A. SpO2 Sensor Connection
Nine pin connector for the SpO2 sensor.
B. Temperature Probe Connector
Connector for either oral/axillary (blue) or rectal (red) probe.
C. Temperature Probe Holder
Active temperature probe is inserted here when not in use. Removing and replacing the probe
turns the temperature on and off, respectively.
D. RS232 Data Interface Connector
Port for the connection of a cable to an external computer, network, or nurse call system.
E. Transformer Power Connector
AC power transformer connector.
F. Pressure Hose Connector
Connector for blood pressure hose.
G. Printer
Compartment and paper feed area for integrated thermal printer.
H. Print Button
Pressing this button initiates a print operation.
Vital Signs Monitor
15
I. Printer Feed Button
Pressing this button advances the paper in the printer.
J. Mounting Keyholes
Mounting accessories are attached via these keyholes.
K. Battery Compartment
Contains the internal battery. Removal of 4 screws allows changing battery without affecting
other internal parts.
Set-Up Procedure
AC Power Connection
The Welch Allyn Vital Signs Monitor may be powered by either AC power or battery power after the
battery has been charged.
To install the AC power transformer, insert the round transformer connector into the power port on
the side of the Monitor as shown. Insert the connector into the port until it is fully seated. Insert the
line cord into the line connector on the transformer.
To power the Welch Allyn Vital Signs Monitor, plug the line cord into the AC mains power source.
Inserting the AC power transformer connector into the Monitor port.
16
Vital Signs Monitor
Charging the Battery
The Welch Allyn Vital Signs Monitor may be powered by either AC power or battery power after the
battery has been charged.
UPON INITIALLY RECEIVING THE MONITOR, CHARGE THE BATTERY FOR SIXTEEN (16) HOURS
OR UNTIL THE CHARGING INDICATOR LIGHT NO LONGER FLASHES. The battery is charged by
attaching the AC power transformer to the Monitor, and plugging the AC power transformer into the
AC mains power source.
While charging, the charging indicator will flash a yellow light. When the Monitor is fully charged
the flashing light will be replaced with a solid yellow indicator light.
Power On/Off and System Check Procedure
Each time the Welch Allyn Vital Signs Monitor is turned on, the unit performs an internal self-diagnostic check.
To turn the unit on, press the POWER button.
Upon power up, note that all of the LED segments in each display turn on briefly. An audible tone
should also sound. If the internal self-check is successful, the displays will assume their normal
functions and the monitor is ready for operation. If the self-check fails, an error code will be shown
in the displays.
To turn the unit off, press POWER button.
Note that turning the unit off will erase all stored blood pressure, temperature, SpO2 and pulse rate
data.
Setting the Date and Time
1. Initiate the Monitor's internal configuration settings menu by powering up the unit while the
START button is depressed. Hold the START button down until all the LED display segments go
off. The first message displayed is the revision level of the internal software. This will be
displayed in the systolic and diastolic displays.
2. Press the review button four (4) times to advance to the Date Set Screen. The year, month and
day will appear in the systolic, diastolic and heart rate displays respectively.
3. Use the SELECT ALARM button to select the date item to be changed. When selected, the date
item will flash.
4. Use the SET buttons (arrow up or arrow down) to change the selected date item.
5. After making all the desired date changes, press the REVIEW button to save the changes and
advance to the Time Set Screen.
6. When in the Time Set Screen the hour (in 24 hour format) and minutes will appear in the systolic
and diastolic displays respectively. Use the SELECT ALARM and SET buttons to set the time (in
the same manner as described above).
7. When the time is set as desired, press the REVIEW button to save the time and advance to the
next screen.
8. Press the POWER button to turn the Monitor off.
Vital Signs Monitor
17
Choosing Operating Modes
For all Welch Allyn Vital Signs Monitors which are configured with blood pressure and pulse oximetry capability, the operator may choose to make either parameter non-functional. Having both blood
pressure and pulse oximetry operational is the default operating mode. To make either mode nonfunctional, the user must enter the Monitor’s configuration mode. This may be accomplished by following these instructions:
• Turn the Monitor off.
• Press both the POWER button and the START button simultaneously. The Monitor will enter
it’s internal configuration mode.
• Press the REVIEW button 9 times. “ON” will appear in both the Systolic and SpO2 displays.
• Press the SET (arrow up and arrow down) buttons to cycle through the three options
available:
Systolic Display
•
•
•
SpO2 Display
Monitor Functionality
On
On
Both blood pressure and pulse oximetry
modes are operational. This is the factorydefault mode.
OFF
On
Blood pressure mode is disabled. Pulse
oximetry mode is operational.
On
OFF
Blood pressure mode is operational.
Pulse oximetry mode is disabled.
When the desired functionality is displayed, press the REVIEW button once to save this
selection.
Turn the Monitor off.
When the Monitor is turned on, the new functionality setting will be established as the
default level. The Monitor will always revert to this setting on power up.
Blood Pressure Hose & Cuff Connections
Identify and have available each of the following items:
• The Welch Allyn Vital Signs Monitor
• Blood pressure cuff
• Blood pressure hose
Using the illustrations below for reference, perform the following set-up procedures:
1. Inspect the blood pressure hose and note that one end has a connector fitting and the other end
does not. Attach the end without the connector to the pressure hose connector on the monitor
18
Vital Signs Monitor
by fitting the pressure hose on to the connector as shown. Be sure that the pressure hose is
completely inserted over the connector and into the recess, and that the fit is snug.
Attaching pressure hose to
connector on monitor.
2. Join the other end of the blood pressure hose to the pneumatic tubing which is attached to the
cuff. Twist the connectors together until finger-tight. DO NOT OVER TIGHTEN.
Temperature Probe Connection
The Welch Allyn Vital Signs Monitor is available with two probes; one for oral/axillary temperatures
(blue), and one for rectal temperatures (red). The rectal probe is an accessory item and must be
ordered separately.
To install the temperature probe, press down on the tab on top of the connector and insert the connector into the temperature probe connector port on the side of the Monitor until the connector
clicks into place. The temperature connector port on the Monitor is clearly labeled "TEMP." The
probe connector can only be inserted one way, with the tab on top. The temperature probe should
be inserted into the probe holder on the side of the Monitor.
Inserting the probe connector into
the Monitor port.
Should removal of the temperature probe be necessary, press
down on the connector tab and
slide the connector out.
Placing the probe into the
probe holder.
Vital Signs Monitor
19
SpO2 Sensor Connection
The Welch Allyn Vital Signs Monitor is available with a wide variety of SpO2 sensors. The reusable
finger clip sensor is shipped with the Monitor. All other sensors may be ordered separately as
accessory items.
Attach the Nellcor SpO2 sensor to the pulse oximetry extension cable. Then insert the connector
end of the extension cable into the SpO2 connector port on the side of the Monitor as shown. The
SpO2 connector port on the Monitor is clearly labeled “SpO2”. The extension cable can only be
inserted one way; matching the shape and pin configuration of the connector to the port. Push the
connector in until it is fully seated on the port.
NOTE:
Only Nellcor SpO2 sensors and accessories may be used with this configuration of the
Welch Allyn Vital Signs Monitor.
Inserting the sensor connector into the
Monitor port.
Setting up the Printer
A fully integrated thermal printer is available as an option to the Welch Allyn Vital Signs Monitor.
To load paper into the printer follow these steps:
1. Grasp the printer cover as shown, and slide the cover off of the Monitor by sliding the cover
towards you.
Sliding off the printer cover
20
Vital Signs Monitor
2. Holding a new roll of paper as shown, feed approximately 1 inch of paper into the slot at the
bottom of the paper holder. Release the paper roll so that it sits in the bottom of the paper
holder.
Feeding the paper into the slot.
3. Press the paper "FEED" button to advance the paper 3 to 4 inches above the top paper slot.
Advancing the paper.
4. Thread the paper through the paper slot on the printer cover. Slide the cover on to the Monitor
and press down until it clicks into place as shown. The excess paper may be torn off if desired.
Replacing the printer cover.
NOTE:
The operator will notice a red stripe along the edge of the printer paper when the paper
roll is almost at the end. Replace the printer paper with a new roll when the red stripe
is observed.
Vital Signs Monitor
21
Setting the Programmable Alarms
The Welch Allyn Vital Signs Monitor has the ability to generate a visual and audible alarm when certain patient conditions are detected by the monitor. The following chart outliens the conditions,
ranges, programming intervals and default values for the alarm function.
Warning: It is the operator’s responsibility to set alarm limits as appropriate for each
individual patient.
Programmable
Alarm
Alarm Ranges
Programmable
Intervals
Factory Default
Values*
BP - High Systolic
245 - 65 mmHg
5 mmHg
200 mmHg
BP - Low Systolic
245 - 65 mmHg
5 mmHg
70 mmHg
BP - High Diastolic
35 - 155 mmHg
5 mmHg
155 mmHg
BP - Low Diastolic
35 - 155 mmHg
5 mmHg
50 mmHg
Pulse Rate - High
45 - 195 bpm
5 bpm
140 bpm
Pulse Rate - Low
45 - 195 bpm
5 bpm
45 bpm
SpO2 - Low
98 - 70%O2
1%O2
85%O2
NOTE:
Temperature default alarms are 108°F, 42.2°C (high) and 84.0°F, 28.9°C (low). The
temperature alarms are not programmable, they indicate that the patient's
temperature has exceeded the functional range of the thermometer.
*The unit will default to these factory settings only until the operator selects a different alarm limit.
When a new alarm limit is selected, the Monitor will retain this new limit setting in memory, even if
the Monitor is turned off.
Alarm limits may be reviewed or changed by using the SELECT ALARM and SET (arrow up and
arrow down) buttons, and viewing the CYCLE display and the display of the parameters being
changed.
Blood Pressure - High Systolic Limit
Press the SELECT ALARM button until the SYSTOLIC display is illuminated, and the CYCLE display
shows "HI." This indicates the high systolic alarm setting.
The systolic display will show the current alarm limit for high systolic blood pressure in mmHg or
three dashes ("---") if the alarm is turned off. Pressing the SET (arrow up and arrow down) buttons
will cycle through the options in 5 mmHg intervals. The operator may choose the high systolic
blood pressure limit within the range of 245mmHg through the current low systolic alarm limit. The
alarm may be turned off by choosing "---."
When the desired alarm limit is displayed, pressing SELECT ALARM again saves the displayed
alarm limit and changes the alarm parameter. Alternatively, pressing no buttons for approximately
10 seconds will cause the displayed value to be set as the alarm limit, and the Monitor will automatically revert to the current operating mode.
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Vital Signs Monitor
When the desired alarm limit is displayed, pressing SELECT ALARM again saves the displayed
alarm limit and changes the alarm parameter. Alternatively, pressing no buttons for approximately
10 seconds will cause the displayed value to be set as the alarm limit, and the Monitor will automatically revert to the current operating mode.
Blood Pressure - Low Systolic Limit
Press the SELECT ALARM button until the SYSTOLIC display is illuminated, and the CYCLE display
shows "LO." This indicates the low systolic alarm setting.
The systolic display will show the current alarm limit for low systolic blood pressure in mmHg or
three dashes ("- - -") if the alarm is turned off. Pressing the SET (arrow up and arrow down) buttons
will cycle through the options in 5 mmHg intervals. The operator may choose the low systolic blood
pressure limit within the range of the current high systolic alarm limit through 65 mmHg. The alarm
may be turned off by choosing "- - -."
When the desired alarm limit is displayed, pressing SELECT ALARM again saves the displayed
alarm limit and changes the alarm parameter. Alternatively, pressing no buttons for approximately
10 seconds will cause the displayed value to be set as the alarm limit, and the Monitor will automatically revert to the current operating mode.
Blood Pressure - High Diastolic Limit
Press the SELECT ALARM button until the DIASTOLIC display is illuminated, and the CYCLE display
shows "HI." This indicates the high diastolic alarm setting.
The diastolic display will show the current alarm limit for high diastolic blood pressure in mmHg or
three dashes ("- - -") if the alarm is turned off. Pressing the SET (arrow up and arrow down) buttons
will cycle through the options in 5 mmHg intervals. The operator may choose the high diastolic
blood pressure limit within the range of the current low diastolic alarm limit through 155 mmHg.
The alarm may be turned off by choosing "- - -."
When the desired alarm limit is displayed, pressing SELECT ALARM again saves the displayed
alarm limit and changes the alarm parameter. Alternatively, pressing no buttons for approximately
10 seconds will cause the displayed value to be set as the alarm limit, and the Monitor will automatically revert to the current operating mode.
Blood Pressure - Low Diastolic Limit
Press the SELECT ALARM button until the DIASTOLIC display is illuminated, and the CYCLE display
shows "LO." This indicates the low diastolic alarm setting.
The diastolic display will show the current alarm limit for low diastolic blood pressure in mmHg or
three dashes ("- - -") if the alarm is turned off. Pressing the SET (arrow up and arrow down) buttons
will cycle through the options in 5 mmHg intervals. The operator may choose the low diastolic
blood pressure limit within the range of 35mmHg through the current high diastolic alarm limit. The
alarm may be turned off by choosing "- - -."
When the desired alarm limit is displayed, pressing SELECT ALARM again saves the displayed
alarm limit and changes the alarm parameter. Alternatively, pressing no buttons for approximately
10 seconds will cause the displayed value to be set as the alarm limit, and the Monitor will automatically revert to the current operating mode.
Vital Signs Monitor
23
Pulse Rate - High Limit
Press the SELECT ALARM button until the PULSE display is illuminated, and the CYCLE display
shows "HI." This indicates the high pulse rate alarm setting.
The pulse display will show the current alarm limit for low pulse rate in bpm, or "- - -" if the alarm is
turned off. Pressing the SET (arrow up and arrow down) buttons will cycle through the options in 5
bpm intervals. The operator may choose the high pulse rate limit within the range of the current
low pulse rate limit through 195bpm. The alarm may be turned off by choosing "- - -."
When the desired alarm limit is displayed, pressing SELECT ALARM again saves the displayed
alarm limit and changes the alarm parameter. Alternatively, pressing no buttons for approximately
10 seconds will cause the displayed value to be set as the alarm limit, and the Monitor will automatically revert to the current operating mode.
Pulse Rate - Low Limit
Press the SELECT ALARM button until the PULSE display is illuminated, and the CYCLE display
shows "LO." This indicates the low pulse rate alarm setting.
The pulse display will show the current alarm limit for low pulse rate in bpm, or "- - -" if the alarm is
turned off. Pressing the SET (arrow up and arrow down) buttons will cycle through the options in 5
bpm intervals. The operator may choose the low pulse rate limit within the range of 45bpm through
the current high pulse rate alarm limit. The alarm may be turned off by choosing "- - -."
When the desired alarm limit is displayed, pressing SELECT ALARM again saves the displayed
alarm limit and changes the alarm parameter. Alternatively, pressing no buttons for approximately
10 seconds will cause the displayed value to be set as the alarm limit, and the Monitor will automatically revert to the current operating mode.
SpO2 - Low Limit
Press the SELECT ALARM button until the SpO2 display is illuminated, and the CYCLE display
shows "LO." This indicates the low SpO2 alarm setting.
The SpO2 display will show the current alarm limit for the SpO2% or "--" if the alarm is turned off.
Pressing the SET (arrow up and arrow down) buttons will cycle through the options in 1% intervals.
The operator may choose the low SpO2% limit within the range of 98-70%, or the alarm may be
turned off by choosing "--."
When the desired alarm limit is displayed, pressing SELECT ALARM again saves the displayed
alarm limit and changes the alarm parameter. Alternatively, pressing no buttons for approximately
10 seconds will cause the displayed value to be set as the alarm limit, and the Monitor will automatically revert to the current operating mode.
24
Vital Signs Monitor
Temperature Measurement Range Indicators
Temperatures which are outside of the measurement range of the Monitor will cause the following
to be displayed. Note the symbol shown in the tenths position of the display.
CONDITION
TEMPERATURE
DISPLAY
108 
Temperature is outside of
high measurement range
of the Monitor.
Fahrenheit
Celsius
42 
Temperature is outside of
low measurement range of
the Monitor.
Fahrenheit
84 
Celsius
28 
IMPORTANT: No audible tone will indicate that the temperature is outside of the measurement
range of the Monitor. This is a visual indicator only.
Alarm Indications and Interpretation
Patient alarms will be activated when the patient's systolic pressure, diastolic pressure, pulse rate
or SpO2% exceed the alarm limits programmed by the operator. Patient alarm conditions are visually indicated by flashing LED displays for the parameter in question, accompanied by a repetitive
audible alarm tone.
The Welch Allyn Vital Signs Monitor handles patient alarms in the following manner:
NOTE:
Pulse rate measurements from the SpO2 determination override pulse rate
measurements from the blood pressure determination.
During Blood Pressure Measurement
Should a blood pressure or pulse rate patient alarm condition occur, no additional measurements
may be initiated until the alarm is reset. Check the patient condition first, and then reset the patient
alarm by pressing the SILENCE button. Measurements may now be resumed.
During SpO2 Measurement
Should a patient alarm condition for SpO2 or pulse rate occur, the Monitor will indicate an alarm condition (flashing & beeping) while continuing to monitor and display the patient's current SpO2%.
The alarm will automatically reset when the patient's condition returns to within the preset alarm
parameters.
During SpO2 Measurement
Should a patient alarm condition for SpO2 or pulse rate occur, the operator may invoke "Silence
Mode" by pressing the SILENCE button. This will silence the audible tone (display will continue to
Vital Signs Monitor
25
flash), while the practitioner attends to the patient and Monitor. Silence mode resets automatically
after 30 seconds, or when the patient's condition returns to within the preset alarm parameters.
NOTE:
Certain alarms alert the operator to abnormal system conditions or internal system
failures. Alarm conditions, error codes and suggested operator action are reviewed in
the Troubleshooting section of this manual.
Measuring Blood Pressure
Setting the DEFAULT Inflation Pressure Preset Level
The default cuff inflation level for blood pressure measurements is set in the Monitor’s internal configuration menu. The factory default level is 160 mmHg. If desired, the default pressure preset can
be changed by following these instructions:
• Turn the monitor off.
• Press both the POWER button and the START button simultaneously. The Monitor will enter
it’s internal configuration mode.
• Press the REVIEW button 6 times. “PrP” will appear in the systolic display, and the default
pressure preset level will appear in the diastolic display.
• Press the SET (arrow up and arrow down) buttons to cycle through the seven options
available: 120, 140, 160, 180, 200, 240 and 280 mmHg.
• When the desired pressure preset level is illuminated, press the REVIEW button once to
save this change.
• Turn the Monitor off.
• When the Monitor is turned on, the new pressure preset will be established as the default
level. The Monitor will always revert to this pressure preset level, except in the
circumstances noted below.
NOTE:
In Manual Blood Pressure Operating Mode, the Monitor will inflate to the default
pressure preset level. However, if a BP measurement is initiated within one minute of
a prior BP measurement, the Monitor will inflate to a level which is 40 mmHg above
the previous systolic reading.
In Automatic Blood Pressure Operating Mode, the Monitor will inflate to default pressure preset
level for the initial BP determination only. After the initial measurement, the Monitor will inflate to a
level which is 40 mmHg above the previous systolic reading.
CAUTION:
When measuring blood pressure on children younger than age 3 it is recommended
that the Pressure Preset (initial inflation pressure) be set at 160 mmHg or lower.
Blood Pressure Cuff Selection Criteria
NOTE:
A large Adult size cuff is included with your Vital Signs Monitor. A full range of cuff
sizes are available (as accessory items) however, the Large Adult cuff will fit the
majority of adults and give the most accurate blood pressure measurement.
Research has shown that an undersized cuff will overestimate the true blood pressure by as much
as 10 to 30 mmHg. Please refer to the reference markings located inside the cuff for correct cuff
sizing. When there is an area of overlap whereby you could use a smaller or larger cuff, it is strongly
recommended that you use the larger size cuff.
26
Vital Signs Monitor
You may find that the bottom of the cuff extends to the antecubital fossa (bend in the elbow) on
many people, but because the Monitor uses oscillometric technology, not auscultation, this will
NOT result in an inaccurate blood pressure.
Careful sizing of the cuff is important to the accuracy of blood pressure readings. If the cuff is too
small, the readings could be falsely high.
There are two simple methods for determining the correct cuff size for the patient. Use either
method (A) or (B) below.
A. Determining Cuff Size with the Cuff Markings
One way to ensure proper cuff size is to wrap the cuff around the patient's upper arm and visually check it. The cuff is marked with a distinct white edge and two divisions that indicate
"range." When the cuff is properly fit, the edge will meet the cuff at some point within the range.
B. Chart for Determining Cuff Size
You can also determine cuff size by measuring the patient's arm circumference midway between
the elbow and shoulder, and then use the chart below to select the correct cuff.
Durable
One-Piece
Cuff
(Single
Unit)
Disposable
One-Piece
Cuffs (5
pack)
5082-203-3
5082-93-3
5082-204-3
Minimum
(cm)
Maximum
(cm)
Minimum
(inches)
Maximum
(inches)
Small Child
12.4
16.8
4.9
6.6
5082-94-3
Child
15.8
21.3
6.2
8.4
5082-205-3
5082-95-3
Small Adult
20.0
27.0
7.9
10.6
5082-206-3
5082-96-3
Adult
25.3
34.3
10.0
13.5
5082-207-3
5082-97-3
Large Adult
32.1
43.4
12.6
17.1
5082-208-3
5082-98-3
Thigh
40.7
55.0
16.0
21.7
Cuff Size
The Welch Allyn Vital Signs Monitor is not intended to be used on Neonatal patients. To
ensure pediatric blood pressure accuracy and safety, note that the Welch Allyn Small Child cuffs are
the SMALLEST CUFFS approved for use with young children and infants. The circumference of the
child’s arm must fit within the range markings on the cuff.
CAUTION:
When measuring blood pressure on children younger than age 3 it is recommended
that the Pressure Preset (initial inflation pressure) be set at 160 mmHg or lower.
Positioning the Blood Pressure Cuff
The preferred blood pressure measurement site for adults and children is the upper arm. The arm
must be relaxed and motion-free during measurement(s).
WARNING:
Do not place the cuff on any extremity being used for intravenous infusions, or any area where
circulation is or may be compromised.
Vital Signs Monitor
27
WARNING:
Do not place the cuff on any extremity being used for SpO2 monitoring. Cuff inflation during
an SpO2 measurement will cause inaccurate SpO2 results.
Wrap the cuff snugly with room between the cuff and the arm for not more than one or two fingers.
Excessive tightness may cause venous congestion and discoloration of the limb. If the cuff is
wrapped too loosely, it cannot be inflated properly and the measured values may be in error.
It is best to place the cuff on a bare arm. Clothing may interfere with measurement accuracy.
When wrapping the cuff, observe the mark on the cuff which must be placed over the brachial
artery. Ensure that the hose is not twisted, kinked or compressed, as this may cause measurement
errors.
Manual Mode Blood Pressure
Blood pressure measurement may be initiated on demand by the operator. This is the manual
mode of operation.
To operate the blood pressure monitor in manual mode, follow this procedure:
1. Ensure that the blood pressure cuff is properly sized and wrapped around the patient's upper
arm (or alternate site, as necessary).
2. With the Monitor powered up, press the START button. The Monitor will inflate the cuff to the
default pressure preset level.
NOTE:
If a BP measurement is initiated within one minute of a prior BP measurement, the
Monitor will inflate to a level which is 40 mmHg above the previous systolic reading.
3. The systolic display will show the pressure in the cuff as the blood pressure determination is
being made.
4. When the measurement cycle is complete an audible tone will sound and the systolic, diastolic
and pulse rate* display will show the values of the reading.
5. The reading will be displayed for two minutes, and then this display will be blanked. The reading
may be recalled at any time prior to the next BP determination by pressing the REVIEW button.
6. Pressing CANCEL at any time during a blood pressure determination will cause the
determination to be aborted, and the cuff to rapidly deflate.
*Pulse rate, as determined from the blood pressure measurement method, will be displayed with
the BP reading only if SpO2 option is absent or disabled. If the SpO2 function is operational, all
pulse rate determinations will come as a result of the SpO2 measurement method.
Automatic Mode Blood Pressure
Blood pressure measurements may be automatically initiated at operator programmed time intervals.
To operate the blood pressure monitor in automatic ("Auto") mode, follow this procedure:
1. Ensure that the blood pressure cuff is properly sized and wrapped around the patient's upper
arm (or alternate site, as necessary).
28
Vital Signs Monitor
2. Press the AUTO button and note two dashes "--" in the CYCLE display. This is the default setting
for AUTO mode and indicates that no time interval cycles have been selected.
3. Select one of the ten pre-programmed cycle interval times by pressing the AUTO button until the
desired interval time (in minutes) is displayed. The operator may choose from the following time
interval selections: 1, 3, 4, 5, 10, 15, 30, 45, 60 or 90 minutes. Note: These intervals represent
the time from the beginning of one cycle to the beginning of the next cycle. Note: In 1-minute
automatic cycle mode, the Monitor will automatically take BP measurements in 1 minute
intervals for up to 15 minutes.
The operator may also choose "St", STAT mode. In STAT mode the Monitor takes blood pressure readings repeatedly for up to 15 minutes. A new measurement cycle will be initiated when
the cuff pressure from the previous cycle drops below 10mmHg.
4. When the desired interval is displayed, the operator may select the interval by pressing any other
button or by refraining from pushing the AUTO button for 10 seconds. When the interval is
stored, the AUTO indicator light will glow green.
5. The unit will take its first automatic blood pressure determination 10 seconds after the time
interval is selected. Subsequent readings will be taken according to the time interval selected.
6. For the first automatic blood pressure determination, the Monitor will inflate the cuff to the
default pressure preset level. For all subsequent blood pressure determinations, the Monitor
will inflate the cuff to a pressure 40 mmHg above the prior systolic reading.
7. The systolic display will show the pressure in the cuff as the blood pressure determination is
being made.
Exception: In STAT mode, the systolic and diastolic displays will show the most current completed BP measurement.
8. When the measurement cycle is complete an audible tone will sound and the systolic, diastolic
and pulse rate* displays will show the values of the reading.
9. The measurement will be displayed until the next measurement cycle is initiated.
10. Pressing CANCEL at any time during a blood pressure determination will cause the
determination to be aborted, and the cuff to deflate. In STAT mode, pressing CANCEL will also
terminate the STAT mode of operation.
11. To end an AUTO blood pressure session, press the AUTO button until two dashes "--" appear in
the CYCLE display. Auto mode will then be terminated. STAT mode may be terminated in this
manner, or by pressing the CANCEL button.
*Pulse rate, as determined from the blood pressure measurement method, will be displayed with
the BP reading only if the SpO2 option is absent or disabled. If the SpO2 function is operational all
pulse determinations will come as a result of the SpO2 measurement method.
Reviewing Information From Prior Cycles
The Welch Allyn Vital Signs Monitor will hold in memory the previous 99 sets of vital signs data
which include blood pressure, pulse rate and/or temperature and/or SpO2. The information is held in
memory until the Monitor is turned off. When memory capacity (99 sets of data) has been reached,
Vital Signs Monitor
29
the MEMORY indicator will blink. After capacity is reached, the oldest stored reading will be
deleted to make room for the newest data set.
The following criteria are applied for saving data:
Blood Pressure Data: is saved for both MANUAL and AUTOMATIC cycles.
Predictive Temperature Data: is always saved.
Monitor Mode Temperature Data: is saved only if concurrent with a blood pressure cycle.
SpO2 Data: is saved if concurrent with a blood pressure cycle, or a predictive temperature measurement. Is saved if the START button is pressed while the BP mode is inactive. Is also saved
(one data set per minute) if a patient alarm condition occurs.
Pulse Rate Data: is saved with every blood pressure and SpO2 data set.
To review data from prior vital signs measurements, press the REVIEW button. The most recently
obtained data will appear in the appropriate displays, and the CYCLE display will show the total
number of data sets currently in memory. Also, the MEMORY indicator will be illuminated, indicating that stored data is being displayed.
Each subsequent press of the REVIEW button will display the next most recent data set. After the
earliest data set has been displayed (CYCLE display = 1) the next press of the REVIEW button will
return the display to the most recent set of measurements. At any time during REVIEW the operator may return to normal operating mode by pressing any other button or by refraining from pressing
the REVIEW button for 10 seconds.
“Erase data” function
The CANCEL button may be used to erase all stored blood pressure, pulse rate, oxygen saturation
and temperature data, without turning the Monitor off.
To erase all stored data in the Welch Allyn Vital Signs Monitor, press and hold the CANCEL button
for three (3) seconds until a confirmatory beep is heard. This beep indicates that all data stored in
the Monitor has been erased.
Data is also erased each time the Welch Allyn Vital Signs Monitor is turned off.
Measuring Temperature
Selecting the Temperature Scale
The temperature module option of the Welch Allyn Vital Signs Monitor is capable of displaying temperature in either degrees Fahrenheit (°F) or degrees Celsius (°C).
To determine the current temperature scale, remove the temperature probe from its holder and
view the TEMPERATURE display. A small green display will illuminate showing either "°F" or "°C."
To change the temperature scale, the user must enter the Monitor's internal configuration mode:
30
Vital Signs Monitor
1. While the Monitor is turned off, press both the POWER and START buttons simultaneously.
Hold the START button down until all of the LED display segments are illuminated.
2. The operator can now cycle through the Monitor's internal configuration menu by pressing the
REVIEW button. Pressing the REVIEW button three times will cycle to the temperature options
and three dashes (---) will appear in the TEMPERATURE display.
3. The first option illuminated on the TEMPERATURE display is "°F." Pressing the ADJUST button
twice will illuminate "°C." When the desired temperature scale is selected, press the REVIEW
button again and then turn the Monitor off. By following this procedure, the selected
temperature scale will be saved into memory.
Selecting Temperature Operation Mode
When configured with the temperature option the Welch Allyn Vital Signs Monitor has the capability
of taking a temperature in either Normal or Monitor mode.
In the Normal mode the thermometer's microprocessor "predicts" body temperature in about 4 seconds for oral temperatures, about 10 seconds for axillary temperatures and in about 15 seconds for
rectal temperatures.
Monitor mode is normally used for longer term monitoring and when difficult situations prevent
accurate temperature from being taken in the Normal mode. In Monitor mode, the probe must be in
contact with tissue for at least 3 minutes for accurate oral/rectal temperature measurement and five
(5) minutes for accurate axillary temperature measurement.
NOTE:
Normal mode axillary temperatures are only accurate on children under the age of four.
NOTE:
The Welch Allyn Vital Signs Monitor is not intended to be used on Neonatal patients.
The default setting for the Monitor is Normal mode.
To change the operating mode for temperature determinations, the user must enter the Monitor's
internal configuration mode:
1. While the Monitor is turned off, press both the POWER and START buttons simultaneously.
Hold the START button down until all of the LED display segments are illuminated.
2. The operator can now cycle through the Monitor's internal configuration menu by pressing the
REVIEW button. Pressing the REVIEW button three times will cycle to the temperature options,
and three dashes (---) will appear in the TEMPERATURE display.
3. Press the ADJUST button once to choose Monitor mode (°F), or three times to choose Monitor
mode (°C). When the desired selections are made, press the REVIEW button again and then
turn the Monitor off. These choices will be saved into memory.
NOTE:
If the temperature is in Normal mode, the user may easily switch to Monitor mode
without entering the Monitor's internal configuration mode. To do this, remove the
probe from the probe holder, attach a new probe cover, and wait one minute (do not
place probe in patients mouth, underarm or rectum at this time). After one minute the
Monitor will automatically switch to temperature Monitor mode, and the green
"Monitor Mode" display will be illuminated on the temperature display. The operator
may now proceed to take the patient's temperature. After the probe is replaced in the
holder, the Monitor will revert back to Normal temperature mode.
Vital Signs Monitor
31
Taking An Oral Temperature
To take an oral temperature (in either Normal or Monitor mode) follow this procedure:
1. Ensure that the oral probe is connected to the unit. The oral probe has a BLUE tip. Accurate oral
temperatures can only be obtained by using the blue temperature probe.
2. Remove the probe from the probe holder. A short self-test mode will be initiated where every
LED segment on the TEMPERATURE display is illuminated briefly. Following this self-test the
display will show "OrL". "OrL" = Oral Probe indicating that the oral probe is in use. The Monitor’s
display must show “OrL” prior to the initiation of a temperature measurement.
3. Load a probe cover onto the probe by holding the probe collar with the thumb and forefinger,
being careful not to hold or press the ejection button.
Loading the probe cover.
4. Insert the probe tip gently into the patient's slightly opened mouth. Carefully slide the probe
under the tongue on either side of the mouth to reach the sublingual pocket (see illustration
32
Vital Signs Monitor
below). Accurate temperatures can only be obtained in this location. Temperatures in other
mouth locations can vary by as much as 2°F or 1°C.
Location of the submlingual pockets.
5. The probe should be held by the clinician during the entire temperature measurement process to
ensure the probe tip maintains tissue contact.
6. During the temperature measurement cycle the TEMPERATURE display will show a series of
LED segments in a box - shaped formation. This indicates that the temperature measurement is
in process.
7. When the final temperature has been reached a tone will sound and the temperature will be
displayed on the Monitor.
8. After the temperature measurement is complete, remove the probe from the patient's mouth
and eject the probe cover by firmly pressing the ejection button on the probe. Properly dispose
of the used probe cover.
9. Insert the probe into the probe holder before attempting to take another temperature
measurement.
10. The current temperature is displayed for one minute after the probe is replaced in the holder,
after which time the display will go blank. The most recent temperature can be recalled by
pressing the REVIEW button once.
NOTE:
If a probe position error occurs during the temperature determination, the temperature
display will alternate between the final predicted temperature and the letter "P" in the
display.
Taking an Axillary Temperature
NOTE:
Normal mode axillary temperatures are accurate only for children under the age of four.
In Normal mode the Monitor cannot take accurate axillary temperatures for older
children or adults. If an axillary reading is desired for a patient age four and older, the
oral probe must be used in Monitor mode.
The Welch Allyn Vital Signs Monitor is not intended to be used on Neonatal patients.
To take a axillary temperature (in either Normal or Monitor mode) follow this procedure:
Vital Signs Monitor
33
1. Ensure that the oral probe is connected to the Monitor. The oral probe has a BLUE tip. Accurate
axillary temperatures can only be obtained by using the blue-tipped temperature probe.
2. Remove the probe from the probe holder. A short self-test mode will be initiated where every
LED segment on the TEMPERATURE display is illuminated briefly. Following this self-test, the
display will show “OrL”. OrL=Oral Probe indicating that the oral probe is in use.
3. Press the SET-Arrow Up button once. The display will now show “ALY” indicating that the
Monitor is ready to take an axillary temperature reading. Note that subsequent presses of the
SET-Arrow Up button allows the Monitor to toggle between the oral and axillary modes of
operation. The Monitor’s display must show “ALY” prior to the initiation of a temperature
measurement.
4. With the TEMPERATURE display showing “ALY”, load a probe cover onto the probe by holding
the probe collar with the thumb and forefinger, being careful not to hold or press the ejection
button.
5. Lift the patient’s arm so that the entire axilla is easily visualized. Place the probe as high as
possible in the axilla. Do not allow the probe tip to come into contact with the patient until it is
deliberately placed in the measurement site. Any tissue contact before this time will activate the
probe position error message and may cause inaccurate tempurature readings.
6. Be sure that the probe tip will be completely surrounded by axillary tissue. Clothing or other
material touching the probe tip may cause inaccurate readings.
7. Place the arm snugly at the patient’s side. Hold the arm in this position without movement of the
arm or probe during the measurement cycle. Movement of the arm may cause inaccurate
readings.
8. In Normal Mode the Monitor will produce an audible tone and display the temperature reading
when a final temperature has been reached. This generally takes about 10 seconds. In Monitor
Mode the operator must allow the temperature readout to stabilize for 5 minutes to accurately
display a final temperature reading.
9. After the temperature measurement is complete, remove the probe from the patient’s axilla and
eject the probe cover by firmly pressing the ejection button on the probe. Properly dispose of
the used probe cover.
10. Insert the probe into the probe holder before attempting to take another temperature
measurement.
When in Normal mode, the current temperature is displayed for one minute after the probe is
replaced in the holder, after which time the display will go blank. The most recent temperature can
be recalled by pressing the REVIEW button once.
NOTE:
If a probe position error occurs during the temperature determination, the temperature
display will alternate between the final predicted temperature and the letter “P” in the
display.
Taking a Rectal Temperature
To take a rectal temperature (in either Normal or Monitor mode) follow this procedure:
1. Ensure that the rectal probe is connected to the unit. The rectal probe has a RED tip. Accurate
rectal temperatures can only be obtained by using the red temperature probe.
34
Vital Signs Monitor
2. Remove the probe from the probe holder. A short self-test mode will be initiated where every
LED segment on the TEMPERATURE display is illuminated briefly. Following this self-test the
display will show "rEC". "rEC" = Rectal Probe indicating that the rectal probe is in use. The
Monitor’s display must show “rEC” prior to the initiation of a temperature measurement.
3. Load a probe cover onto the probe by holding the probe collar with the thumb and forefinger,
being careful not to press the ejection button.
Loading the probe cover.
4. Separate the buttocks with one hand. Apply a thin coat of water-based lubricant when
necessary. Using the other hand, gently insert the probe ONLY 1cm (3/8 inch ONLY) inside the
rectal sphincter. Extreme caution should be used to avoid risk of bowel perforation in children.
5. Tilt the probe to ensure good tissue contact and continue to keep the buttocks separated while
the measurement is in process.
6. During the temperature measurement cycle, the TEMPERATURE display will show a series of
LED segments in a box-shaped formation. This indicates that the temperature measurement is
in process.
7. When the final temperature has been reached, a tone will sound and the temperature will be
displayed on the Monitor.
8. After the temperature measurement is complete, remove the probe from the patient's rectum
and eject the probe cover by firmly pressing the ejection button on the probe.
Properly dispose of the used probe cover.
9. Insert the probe into the probe holder before attempting to take another temperature
measurement.
10. The current temperature is displayed for one minute after the probe is replaced in the holder,
after which time the display will go blank. The most recent temperature can be recalled by
pressing the REVIEW button once.
NOTE:
If a probe position error occurs during the temperature determination, the temperature
display will alternate between the final predicted temperature and the letter "P" in the
display.
Vital Signs Monitor
35
Measuring SpO2
SpO2 Operation Mode
The Welch Allyn Vital Signs Monitor incorporates the Nellcor Puritan Bennett™ pulse oximetry module. The pulse oximeter determines arterial oxyhemoglobin saturation (SpO2%) by measuring the
absorption of red and infrared light passed through the tissues. Changes in absorption caused by
pulsation of blood in the vascular bed are used to determine arterial saturation and pulse rate.
Oxygen saturation percent is calculated with each pulse detected, and thus the Monitor display is
continually updated. The pulse signal bar graph is an indicator of the strength and quality of the
detected pulses.
SpO2 is generally measured via pulses detected using a finger clip sensor. There are several sizes
of fingerclip sensors, and they come in both reusable and disposable styles. Sensors come in sizes
for adults and children. There are also sensors available that use the toes, forehead, ear or nose as
the measurement sites. To obtain optimal performance, use an appropriate sensor and apply it as
described in the sensor’s directions for use.
The Nellcor Finger Clip Sensor
WARNING:
Only Nellcor brand SpO2 sensors and accessories should be used with Welch Allyn Vital Signs
Monitors configured with the Nellcor pulse oximetry option.
Taking an SpO2 Measurement
Prior to taking an SpO2 measurement, ensure that the SpO2 mode of the Welch Allyn Vital Signs
Monitor is functional. See “Choosing Operating Modes” on page 18. The operator should follow
this procedure for taking an SpO2 measurement:
1. Properly attach the appropriate sensor to the patient. Verify the cable to the sensor is attached
properly to the SpO2 connector.
WARNING:
Do not place the fingerclip sensor on an arm that is also being used for blood pressure
monitoring. Blood pressure cuff inflation during SpO2 measurement will cause inaccurate
SpO2 results and false alarms.
NOTE:
Avoid excessive ambient light, which can affect sensor performance, by keeping the
fingerclip sensor and sensor site covered with an opaque material.
2. The pulse signal bar graph will illuminate, indicating the relative strength and quality of the
patient's pulses at the sensor site. The sensor takes approximately 10 seconds to determine the
36
Vital Signs Monitor
initial SpO2% value and pulse rate. When the initial values are determined they will be shown in
the SpO2 display and the Pulse Rate display respectively.
NOTE:
If you fail to see any SpO2 or pulse signal bargraph readings, check that you have
properly inserted the sensor into the Welch Allyn Vital Signs Monitor.
3. The SpO2% and pulse rate are updated approximately every second.
4. Removing the SpO2 sensor from the patient ends the monitoring period and immediately blanks
the pulse signal bar graph. The SpO2 display will flash 2 dashes "- -" and a repetitive audible
alarm will sound. To reset the sensor removal alarm, press the SILENCE button on the
Monitor's display.
NOTE:
If the programmable alarms for low SpO2%, high pulse rate and low pulse rate are
turned off, no sensor removal alarm will occur when the SpO2 sensor is removed from
the patient.
NOTE:
Prolonged use of the pulse oximetry probe may require you to change the location of
the probe. Move it to another finger every few hours. Monitor skin condition and
circulation in the finger. Refer to the directions for use provided with each sensor for
specific instructions on application and use.
NOTE:
Older style Nellcor sensors and extension cables are not compatible with the
connector on the Nellcor option with motion tolerance and must not be plugged into it.
However, new style Nellcor sensors and extension cables can be used with all Nellcor
options and can be plugged into either the old or new style connectors. The new style
sensor and connectors are illustrated below.
New Style
Connector
Key
New Style
Sensor
Notch
Notch
Many factors may degrade the performance of the pulse oximeter, as indicated by a lowered rise of
the Plethysmograph display. These include:
• Excessive ambient light, particularly fluorescent light
• Excessive patient movement
• Excessive duration on one finger
• Cold hands/digits or hypothermia
• Electrosurgical interference
• Arterial catheters, blood pressure and fusion lines
• Moisture in the sensor
• Improperly attached sensor
• Incorrect sensor for the patient
Vital Signs Monitor
37
•
•
•
•
•
•
•
•
•
•
Poor patient perfusion
Venous pulsations
Anemia or low hemoglobin concentrations
Cardiovascular dyes, such as methylene blue
Fingernail polish
Strongly pigmented skin
Arterial occlusion proximal to the sensor
Hypotension
Severe vasoconstriction
Cardiac arrest or shock
Using the SpO2 Pulse Tone
All Welch Allyn Vital Signs Monitors with pulse oximetry capability are equipped with a pulse tone.
This audible tone beeps in synchronization with each beat of the patient’s heart. In addition, the frequency of the tone will vary based on the patient’s oxygen saturation value. The higher the tone’s
frequency, the higher the patient’s oxygen saturation value.
The volume of the pulse tone may be adjusted to any of 5 volume settings, as well as a “volume
off” setting. To change the volume of the SpO2 pulse tone, follow these procedures:
When the SpO2 sensor is attached to a patient, press the VOLUME button. With each subsequent
press of the button the volume of the pulse tone will increase, until the “Off” setting is reached.
Subsequent presses of the VOLUME button will again cycle through the five volume settings.
When the desired volume setting is reached, refrain from pressing the button for three seconds and
the setting will be saved. In all settings except “volume off” the pulse tone indicator light will be illuminated. There is no visual indicator of the volume level.
When the SpO2 sensor is NOT attached to a patient, press the VOLUME button. With each press of
the button a sample pulse tone will sound, and the SpO2 Pulse Signal Bar Graph will provide a visual
indicator of the volume setting. Subsequent presses of the VOLUME button will cycle the unit
through each of the five volume settings until the “Off” setting is reached. Alternatively, the user
can press the SET (arrow up and arrow down) buttons to cycle through the volume choices. When
the desired volume setting is reached, refrain from pressing the button for three seconds and the
setting will be saved. In all settings except “volume off” the pulse tone indicator light will be illuminated.
Printer Operation
The Welch Allyn Vital Signs Monitor may be configured with an optional integrated thermal printer.
The operator may control the printer using the two buttons (FEED, PRINT) located on the top rear
face of the Monitor.
Pressing the FEED button advances the paper.
The PRINT button will generate the printout of all the stored blood pressure, temperature, pulse rate
and SpO2 data in the Monitor. The unit will store and print a maximum of 99 data sets.
38
Vital Signs Monitor
The following criteria are applied for saving and printing measurement data:
Blood Pressure Data: is saved for both MANUAL and AUTOMATIC cycles.
Predictive Temperature Data: is always saved.
Monitor Mode Temperature Data: is saved only if concurrent with a blood pressure cycle.
SpO2 Data: is saved only if concurrent with a blood pressure cycle, or a predictive temperature
measurement. Is saved if the START button is pressed and the BP mode has been disabled. Is
also saved (one data set per minute) if a patient alarm condition occurs.
Pulse Rate Data: Is saved with every blood pressure and SpO2 data set.
NOTE:
If no data is stored in the Monitor, pressing the PRINT button will cause only the
printout header to be printed.
NOTE:
The printer uses thermal paper, which has a tendancy to fade over time, especially
when exposed to heat and light. For more permanent records, it is recommended that
the printout be photocopied.
Feed
Print
Printing Options: batch print or streaming print mode
The operator may choose to print all stored data in either batch print mode (all stored data printed
simultaneously) or streaming print mode (data printed automatically at the time it is stored). Batch
print mode is the default setting for the Welch Allyn Vital Signs Monitor.
To change the print mode, press both the START button and the POWER button simultaneously.
This activates the Monitor’s internal configuration mode. After all of the current software versions
are displayed on the Monitor, press the REVIEW button 8 times. The current print mode will appear
in the systolic and diastolic displays as either “bAt Pr” (batch print mode) or “Str Pr” (streaming
print mode). Press the SET (arrow up and arrow down) buttons to toggle between the two print
mode choices. When the desired print mode is displayed, press the REVIEW button again, then turn
the Monitor off. Turn the Monitor on by pressing the POWER button. The desired printing mode will
now be operational.
If batch print mode is chosen, all data in the Monitor’s memory will be printed whenever the PRINT
button is pressed.
Vital Signs Monitor
39
If streaming print mode is chosen, the printer must be activated after the Monitor is turned on.
Press the PRINT button and “Pr Str On” will appear in the systolic, diastolic and pulse rate displays
as the print header is printed. Patient information will now automatically print whenever data is
stored into the memory of the Monitor. To turn the streaming print function off, press the PRINT
button again. “Pr Str Off” will appear in the systolic, diastolic and pulse rate displays.
A batch printout may be initiated while in streaming print mode. First turn the streaming print function off by pressing the PRINT button. “Pr Str Off” will appear in the systolic, diastolic, and pulse
rate displays. Next, press and hold the PRINT button for 3 seconds. A batch printout will be printed.
Using the RS232 Computer Interface
The Welch Allyn Vital Signs Monitor includes an external RS232 Computer Data Interface Connector. With this option the user has the ability to upload stored data from the Monitor to a computer,
network, or Nurse Call system. Also, any user programmable options may be programmed via the
computer.
For more detailed information on using the RS232 computer interface, contact Welch Allyn Customer Service.
“Nurse Call” Interface
All configurations of the Welch Allyn Vital Signs Monitor are capable of interfacing to a Nurse Call
system via two pins on the RS232 communications port. This allows alarm condtions to be recognized at a central monitoring location, as well as at the Monitor itself. Both patient alarm conditions
and system alarm conditions are communicated to the Nurse Call System. See “Alarm Indications
and Interpretation” on page 25 of the Operator Manual for information on patient alarm conditions
and interpretation.
WARNING:
It is the user’s responsibility to implement the interface between the Nurse Call system and
the Welch Allyn Vital Signs Monitor. It is also the user’s responsibility to adequately test the
interface between the Monitor and the Nurse Call system to ensure that the desired
functionality is operational.
WARNING:
It is the operator’s responsibility to set the Monitor’s programmable alarm limits as
appropriate for each individual patient. See “Setting the Programmable Alarms” on page 22
for complete information.
The interface between the Monitor and the Nurse Call system will always be active whenever an
alarm condition occurs. Canceling or resetting an alarm on the Monitor itself will also cancel the
alarm signal to the Nurse Call System. Note that while the alarm sound will “flash” on and off during an alarm condition, the Nurse Call output will be continuously ON until the alarm condition is
removed. Reference “APPENDIX B: Nurse Call Interface Wiring Diagram” on page 63.
40
Vital Signs Monitor
Mean Arterial Pressure (MAP)/Data Send Mode/Data
Stream Mode
The operator has the ability to activate the SET (Arrow Up) button to perform additional functions.
These functions are mutually exclusive, and include:
• The ability to display the Mean Arterial Pressure (MAP) when the SET- Arrow Up button is
pressed.
• The ability to send patient data to the Monitor’s serial port when the SET- Arrow Up button is
pressed.
• The ability to stream patient data to the Monitor’s serial port whenever patient data is stored into
the Monitor’s memory.
To activate the additional functionality of the SET- Arrow Up, press both the START button and the
POWER button simultaneously. This activates the Monitor’s internal configuration mode. After the
current software versions are displayed on the Monitor, press the REVIEW button 7 times. The current functionality of the SET- Arrow Up button will appear in the systolic and diastolic displays. Use
the SET- Arrow Up button to toggle through the four choices.
When the desired functionality is displayed, press the REVIEW button, then turn the Monitor off. To
turn the Monitor on, press the POWER button. The desired functionality of the SET- Arrow Up button will now be operational.
“ AP” (MAP-Mean Arterial Pressure) indicates that pressing the SET- Arrow Up button will cause the Mean
Arterial Pressure (in mmHg), to be displayed and printed while a valid blood pressure measurement is displayed. Mean Arterial Pressure data cannot be sent to the serial port. This is the default mode of the Welch
Allyn Vital Signs Monitor.
“nO Op” (no operation) indicates that the SET- Arrow Up button has no additional
functionality.
“SEn dAt” (Send data) indicates that pressing the SET- Arrow Up button sends patient data to the
Monitor’s serial port. In normal mode, the most recent data set is sent to the serial port when the
SET- Arrow Up button is pressed. In REVIEW mode, the currently displayed data set is sent to the
serial port when the SET- Arrow Up button is pressed.
“Str dAt” (Stream data) indicates that streaming data mode is functional. This mode allows patient
data to be sent to the serial port automatically whenever such data is stored into the Monitor’s
memory. To initiate streaming data mode during normal operation, press the SET- Arrow Up button.
“Str On” in the systolic and diastolic displays indicate that streaming data mode is operational. To
turn streaming data mode off, press the SET- Arrow Up button again. “Str Off” in the systolic and
diastolic displays indicates that streaming data mode is no longer operational.
Vital Signs Monitor
41
Troubleshooting
Error Indications and Interpretation
The following table of alarm conditions and error codes is intended to provide the operator with a
quick reference to the descriptions and probable causes of the error codes. For service level troubleshooting, refer to the service manual.
When responding to a Monitor alarm, always check the PATIENT FIRST and then proceed to check
the Monitor.
Press CANCEL to reset patient alarm conditions.
ERROR CODE
MEASUREMENT MODE
DESCRIPTION
CORRECTIVE ACTION
C01
Blood Pressure
Measurement cycle was
cancelled by operator
-------
C02
Blood Pressure
Autozero Failure
Check for air obstruction
limit patient movement
C03
Blood Pressure
Inflation too rapid
Check for kinked hose or
air obstruction
C04
Blood Pressure
Excessive inflation time
Check for air leaks
C05
Blood Pressure
Excessive noise
Check patient condition,
cuff placement, limit
patient movement
C06
Blood Pressure
Measurement was outside of Monitor's measurement range
Check patient condition
E10
Blood Pressure
Cuff overpressure condition
Check patient condition
C20
Temperature
Broken/missing probe
Replace probe
C21
Temperature
Probe not ready
Replace probe in holder,
wait 15 seconds, retry
E0.0 thru E9.9
Temperature
Internal malfunction
Contact customer service
“P”
Temperature
Loss of tissue contact
Ensure proper probe positioning
“--”
SpO2
Sensor Error
Check patient condition,
sensor position and connection
E7
SpO2
Internal Malfunction
Contact customer service
C8
SpO2
Bad sensor
Replace sensor
E11
General
Internal safety violation
Adjust temperature or
monitor location
42
Vital Signs Monitor
ERROR CODE
MEASUREMENT MODE
DESCRIPTION
CORRECTIVE ACTION
E12
General
Ambient temperature out
of range
Check patient, contact customer service
E13
General
Battery failure
Use wall transformer
E20 thru E50
General
Internal malfunction
Contact customer service
Vital Signs Monitor
43
General Guide to Problems and Corrective Actions
Symptom
Possible Cause
Incorrect cuff size
NOTE: Use Welch Allyn
approved cuffs only.
Explanations and Corrective Action
Determine correct cuff size:
• Use reference markings on cuff
• Measure patient’s arm circumference midway
between elbow and shoulder (see “Chart for
Determining Cuff Size” on page 27 of Operator’s Manual to select correct cuff size).
Patient’s arm position
Ensure patient’s arm is at heart level.
Arm movement during
blood pressure cycle
Keep arm still during blood pressure cycle:
• Movement may cause inaccuracies from artifact.
Blood pressure taken over
clothing
Blood pressure should be taken on a bare arm.
Arrhythmia
Check for regularity of heart rate:
(palpate pulse or check monitor)
•
1 Inaccurate Blood
Pressure Readings
Incorrect reference
Please Note:
Differences of up to 10mmHg is
considered normal and will occur
for a number of reasons including intrapatient BP variability,
observer hearing differences,
and ausultatory deflation rate.
Moderate to severe heart rate irregularities
may make blood pressure difficult to measure.
Use the correct Korotkoff sound to determine
diastolic blood pressure.
• Many listeners incorrectly equate diastolic
blood pressure with the disappearance of
sound only (phase 5). The Welch Allyn Vital
Signs Monitor was developed using the American Heart Association recommendations,
which state that phase 5 be used unless sound
continues to 0 mmHg, in which case the
change in the quality of sound (phase 4) is to
be used.
Deflate cuff no faster than 3 mmHg per second:
• One of the major sources of error in auscultatory blood pressure measurement is deflating
the cuff too quickly. The American Heart Association recommends deflation no faster than 3
mmHg per second.
Only use a sphygmomanometer that is known
to be in calibration:
• Blood pressure taken with an un-calibrated
sphygmomanometer may be very inaccurate.
44
Change in blood pressure
from auscultatory reading
to Welch Allyn Vital Signs
Monitor reading
Check blood pressure immediately prior to
Welch Allyn Vital Signs Monitor Reading.
Poor auscultatory sound
recognition by observer
Use higher quality stethoscope. Have a different observer check patient’s blood pressure.
Vital Signs Monitor
Symptom
Possible Cause
Leak in pneumatic system
2 CUFF INFLATION &
DEFLATION WITH
NO BLOOD PRESSURE READING DISPLAYED
(or error code in display)
Explanations and Corrective Action
Ensure all cuff attachments are tight.
Carefully check for tubing leaks in blood pressure cuff and tubing attachment to monitor.
Arm movement during
cycle
Keep arm still during blood pressure cycle:
• movement may cause inaccuracies from artifact
Tubing movement artifact
Do not contact tubing during blood pressure
cycle:
• movement may cause inaccuracies from artifact
Connections from monitor
Check all connections. (Do not over tighten).
Broken probe
Replace probe.
3 NO CUFF INFLATION to cuff loose
Consult Technical Manual.
Notify Biomedical department or Welch Allyn
Technical Support.
4 TEMPERATURE
MALFUNCTION
Wait for display window to read OrL before
placing probe.
Improper probe placement
Place probe in most posterior sublingual
pocket.
Notify Biomedical department or Welch Allyn
Technical Support.
Probe not replaced
Replace probe in holder prior to taking another
temperature.
Improperly attached sensor
Insert the patient’s finger completely into sensor
5 SpO2 MALFUNCTION
Cable incorrectly plugged
into monitor
Ensure sensor cable is correctly plugged into
monitor
•
Sp02 disabled
Ensure Sp02 is enabled (check Configuration
Mode)
Incorrect Sensor
Ensure that correct manufacturers sensor is in
use
• Nellcor sensors are not interchangeable
Paper will not advance
Consult Technical Manual
•
Sensor in Place but No
SpO2 on Display
Inaccurate SpO2 Reading
6 PRINTER MALFUNCTION
Vital Signs Monitor
Notify Biomedical department or Welch Allyn
Technical Support.
45
Symptom
Possible Cause
Explanations and Corrective Action
Low battery
Check connections between monitor and transformer, and transformer and wall receptacle.
Monitor not powering up
Unplug unit from wall receptacle and check for
breaks in cord. If connections secure, check
electrical outlet
• Charging light will be on if connections are OK
and the monitor is plugged into a working outlet
7 MONITOR WILL NOT
TURN ON
Notify Biomedical Department or Welch Allyn
Technical Support.
Pressure Preset too high
Check default Pressure Preset setting: (in Configuration Mode)
• Unless patient has underlying systolic hypertension, set pressure preset at 160 mmHg. (If
systolic blood pressure greater than pressure
preset, monitor will automatically increase an
additional 40 mmHg)
Inappropriate size cuff
Determine cuff size with the cuff markings or
refer to chart in Operator’s Manual for determining cuff size.
• If cuff continues to pop off, notify Biomedical
Department or Welch Allyn Technical Support.
Cuff applied inside out
Re- apply cuff:
8 CUFF TOO TIGHT
(Over inflation)
9 CUFF POPPING OFF
Make sure Welch Allyn label is facing away from
arm.
10 CUFF DEFLATING
TOO SLOWLY
Normal operation
Typical time to take a reading is 20 to 45 seconds.
165 seconds is the maximum.
Pressure Preset too high
Check default Pressure Preset setting. (in Configuration Mode)
Patient movement
Have patient sit still.
Do not have arm tight against chest wall as respirations may affect speed and accuracy of
blood pressure measurement.
Small leak in pneumatic
system
46
Check cuff and tubing for leaks.
Vital Signs Monitor
Quick Guide to Taking a Manual (Auscultatory) Blood Pressure
Action
1
Collect appropriate equipment.
•
•
Use a certified accurate sphygmomanometer
and quality stethoscope.
Select a blood pressure cuff of a suitable size.
Use a blood pressure cuff of the largest appropriate size for patient (see markings on inside of
cuff).
Explanation
Many sphygmomanometers are inaccurate. Low
quality stethoscopes do not transmit sound well
enough for blood pressure sounds to be heard
accurately. A cuff that is either too large or too
small will produce an inaccurate reading.
2
Have the patient assume a comfortable position
with the upper arm relaxed at heart level and
the lower arm passively supported.
If the arm is not at the proper level, inaccurate
readings will result.
3
Expose the area of the brachial artery by removing clothing, or move a sleeve, if not too tight,
above the area where the cuff will be placed.
Clothing over the artery hinders the ability to hear
and may cause inaccurate readings. Tight clothing may cause vessel congestion and inaccurate
readings.
4
Center the cuff bladder so that the lower edge
is at least 1 inch (2.5cm) above the bend of
inner arm of the elbow.
This places the cuff in the best position for
occluding the blood flow through the brachial
artery.
5
Palpate the brachial or radial pulse.
Determines the most accurate location for
assessment and approximation of systolic pressure.
6
Inflate the cuff until the pulsation disappears.
Then continue to inflate until the pressure reads
30 mmHg above the point where the pulse disappeared.
Facilitates identification of Phase One of Korotkoff sounds.
7
Listen carefully with stethoscope over brachial
artery while controlling the release of air at a
rate of 3 mmHg per second.
One of the major sources of error in auscultatory
blood pressure measurement is deflating the cuff
too quickly. It is a normal operation of the Welch
Allyn Vital Signs Monitor to deflate at the American Heart Association recommended 3 mmHg
per second.
8
Systolic is determined by reading the manometer gauge when the first faint but clear tapping
sound is heard with the stethoscope.
Follows AHA recommended standards.
9
Diastole, in adults, is determined by reading the
manometer gauge to the closest even number
when the last sound is heard.
Follows AHA recommended standards.
Diastolic blood pressure in children is the point at
which the sound becomes muffled.
10
Release the air quickly after at least 10 to 20
mmHg of silence.
Vital Signs Monitor
47
Maintenance
Cleaning
The Welch Allyn Vital Signs Monitor may be wiped clean with a cloth slightly dampened with warm
water and a mild detergent solution. Never immerse the monitor in any type of fluid.
Occasionally, as necessary, the unit may be cleaned with appropriately diluted non-staining disinfectant solution.
NOTE:
Care should be taken to prevent water or other fluids from entering any connectors.
Should this occur, the connectors should be dried with warm air. All monitoring
functions should then be checked for proper operation.
The reusable blood pressure cuff should be cleaned by sponging with a damp cloth.
Cabling and the pressure hose can be wiped with a damp cloth moistened in a mild detergent solution. Do not immerse hoses.
The temperature probe should periodically be cleaned by wiping with an alcohol-dampened cloth or
wipe, warm water, or properly diluted non-staining disinfectant. Do not immerse the probes.
The Nellcor reusable finger clip SpO2 sensor may be cleaned with 70% alcohol or 1:10 bleach.
Storage
Whenever possible, the Welch Allyn Vital Signs Monitor should be stored at room temperature in a
dry environment.
If it is necessary to store the monitor for an extended period of time, the unit should be packed in its
original shipping carton.
Ensure that the printer is loaded with paper prior to storage.
Battery Removal & Replacement
Occasionally it may be necessary for the internal battery to be replaced. When the battery will no
longer take a charge, remove it and replace it as outlined below, with a battery of the same part
number.
1. Ensure that the AC power transformer cord is disconnected from the Monitor, and that the
Monitor is turned off.
2. Use a Phillips-head screwdriver to remove the four (4) screws holding in the battery door.
Remove the battery door exposing the battery.
3. Tip the Monitor and slide the battery out. Disconnect each of the 2 connectors and discard the
old battery per local regulations.
48
Vital Signs Monitor
4. Attach the battery connectors to the new battery as shown below.
Attaching connectors to the new battery.
5. Slide the new battery into the battery compartment as far as it will go.
6. Replace the battery door, tightening each of the (4) screws.
7. Connect the AC power transformer to the monitor and allow the new battery to charge for
approximately 16 hours. The Monitor may be used during this charging period. While charging,
the charging indicator will flash a yellow light. When the Monitor is fully charged, the flashing
light will be replaced with a solid yellow light.
8. The battery is a non-spillable lead-acid battery. In the USA, call 1-800-SAV-LEAD for instructions
on how to recycle. For International users, contact your local authorities on recycling.
Vital Signs Monitor
49
Calibration
Blood Pressure Calibration Check
The Welch Allyn Vital Signs Monitor is manufactured to the highest industry standards for quality
and accuracy. The device is manufactured using calibrated pressure standards traceable to NIST
(National Institute of Standards and Technology). Welch Allyn recommends that blood pressure calibration for the Vital Signs Monitor is checked on an annual basis using the following procedure.
1. Put the Vital Signs Monitor into its blood pressure calibration check mode. In this mode, the
device will continuously display the measured pressure and the pressure release valve is closed.
1.1
Initiate the Vital Signs Monitor’s internal configuration settings menu by pressing the
Power button while continuously depressing the START button. Continue to depress
the START button until the unit software version information is displayed.
1.2
Press the REVIEW button repeatedly until “CAL” is shown in the systolic display. The
current pressure will be shown in the diastolic and pulse rate displays.
1.3
Press the START button to close the Monitor’s internal valve so that an external pressure may be applied.
2. Connect the Vital Signs Monitor as
Calibration Check Set-up
shown. Make sure the pressure
meter used to test the Vital Signs
Monitor is calibrated and that the
calibration certificate for the pressure meter is traceable to the
Vital Signs Monitor
National Institute of Standards and
Technology. The pressure meter
testing the Vital Signs Monitor
must have an accuracy of better
than ±3 mmHg. Use a fixed volume
or a cuff wrapped around a cylinder for
the stabilization volume.
3. Pressurize the Vital Signs Monitor to
slightly above 250 mmHg and bleed
Stabilization
Calibrated
Pressure Meter
down the pressure no faster than 10
Volume
(traceable to NIST)
mmHg per second, stopping to check
(150 - 500cc)
the pressure at 250, 150, and 50
mmHg. Record the readings of the
device and the pressure measurement
standard at each pressure.
Pressure Source
4. Calculate the difference between the
readings from the Vital Signs Monitor
and the pressure measurement standard at each of the specified pressures. Subtract the rated accuracy of the pressure measurement standard from the ±3 mmHg rated accuracy of the Vital Signs Monitor. This is the pass/
fail criteria to determine if the device is within calibration or not. If the differences between the
Vital Signs Monitor and the pressure measurement standard are within the pass/fail criteria at all
specified pressures, then the device is within calibration.
50
Vital Signs Monitor
If the Vital Signs Monitor is out of calibration, it needs re-calibration. Calibration procedures are
included in the Vital Signs Monitor Service Manual. Alternatively, send the device back to Welch
Allyn for calibration by contacting Technical Service.
NOTE: The pass/fail criteria for the blood pressure calibration check depends upon the accuracy of
the pressure measurement standard used. For example:
• If the pressure measurement standard used is rated with an accuracy of ±0.1 mmHg, the pass/
fail criteria is ±2.9 mmHg in order to guarantee that the instrument under test is within ±3
mmHg of NIST.
• If the pressure measurement standard used is rated with an accuracy of ±1.0 mmHg, the pass/
fail criteria is ±2.0 mmHg in order to guarantee that the instrument under test is within ±3
mmHg of NIST.
Welch Allyn recommends using a pressure meter that is as accurate as possible when performing
calibration checks. Welch Allyn offers two different pressure measurement standards for use:
• Setra Pressure Meter, calibrated accuracy of ±0.1 mmHg (part no. 2270-01)
• Netech Pressure Meter, calibrated accuracy of ±1.0 mmHg (part no. 200-2000IN)
Use of other pressure measurement standards is acceptable, provided they have an accuracy of better than ±3 mmHg, are traceable to NIST, and have a current calibration.
NOTE: Do not take more than 3 minutes to take the readings, as the Vital Signs Monitor will open
its pressure relief valve as a safety feature. If this occurs, turn the device off and start over.
NOTE: The Vital Signs Monitor has the option to measure pressure in kPa units. If the device is set
to kPa instead of mmHg, temporarily set the device to mmHg units or convert all pressures to kPa
units.
Temperature Calibration Check
The accuracy of the Welch Allyn Vital Signs Monitor temperature determinations can be verified
using the Temperature Calibration Key. The calibration check is a simple yet valuable test to determine that the unit is measuring temperature accurately.
1. Turn the Monitor on by pressing the POWER button.
NOTE:
The temperature function will automatically go into Monitor Mode as part of this
procedure.
2. Remove the temperature probe completely from the holder and detach the connector, then
insert the temperature calibration key.
3. Insert, then remove the probe from the probe holder to reset the thermometer.
4. Wait for the temperture display test to be complete. Observe and record the temperture noted
on the temperature display.
5. The recorded temperature should be 97.3°F ± 0.2°F (36.3°C +/- 0.1° C) if the Monitor is properly
calibrated. If the temperature displayed is out of this range, call your Welch Allyn Technical
Service center for assistance.
Vital Signs Monitor
51
SpO2 Calibration Check
The accuracy of the Welch Allyn Vital Signs Monitor’s SpO2 determinations can be verified using an
SpO2 simulator. The calibration check is a simple yet valuable test to determine that the unit is
measuring SpO2 accurately.
Welch Allyn recommends the use of the following simulators:
• NELLCOR PURITAN BENNETT™ Model SRC-MAX for Monitors incorporating the Nellcor
brand pulse oximetry module.
52
Vital Signs Monitor
Warranty Information
Welch Allyn warrants the Welch Allyn Vital Signs Monitor, when new, to be free of defects in material and workmanship and to perform in accordance with manufacturer's specifications for a period
of two years from the date of purchase from Welch Allyn or its authorized distributors or agents.
Welch Allyn will either repair or replace any components found to be defective or at variance from
manufacturer's specifications within this time at no cost to the customer. It shall be the purchaser's
responsibility to return the instrument to Welch Allyn or an authorized distributor, agent or service
representative. This warranty does not include breakage or failure due to tampering, misuse,
neglect, accidents, modification or shipping. This warranty is also void if the instrument is not used
in accordance with manufacturer's recommendations or if repaired by other than Welch Allyn or an
authorized agent. Purchase date determines warranty requirements. No other express warranty is
given.
Return the Instrument Registration Card
IMPORTANT!
Remember to submit the instrument registration card for warranty validation. Complete the
information and mail the pre-addressed card to Welch Allyn.
Service Information
Service Policy
All repairs on products under warranty must be performed or approved by a Welch Allyn Service
Center. Unauthorized repairs will void the warranty. Products out of warranty should be repaired by
qualified electronics personnel or a Welch Allyn Service Center.
Technical Assistance
If you have an equipment problem that you cannot resolve, call the Welch Allyn Service Center nearest you for assistance. Technical service support is available to you by telephone on normal business days at the phone numbers listed below.
If you are advised to return a product to Welch Allyn for service or repair, schedule the repair with
the service center nearest you.
Before returning a product for repair you must obtain authorization from Welch Allyn. An RMA
(Return Goods Authorization) number will be given to you by our service personnel. Be sure to note
this number on the outside of your shipping box. Returns without an RMA number will not be
accepted for delivery.
Vital Signs Monitor
53
Welch Allyn Service Centers
For Service or Repair
USA Customers
Welch Allyn Inc.
Technical Service Centers
4341 State Street Road
Skaneateles Falls, NY 13153
Tel: (800) 535-6663
Fax: (315) 685-4653
INTERNATIONAL Customers
European Customer Service Centre
Welch Allyn Limited
Navan Business Park
Dublin Road
Navan, Co Meath, Republic of Ireland
Tel: 00-353-4667700
Fax: 00-353-4627128
Speidel + Keller GmbH Co. + KG
Technical Service Centers
Zollerstrasse 2-4
D-72417 Jungingen
Germany
Tel: 011497477927173
Fax: 011497477927193
54
CANADA Customers
Welch Allyn Canada Limited
Technical Service Centers
160 Matheson Blvd., East
Mississauga, Ontario L4Z 1V4
Tel: (905) 890-0004 or 1 800-561-8797
Fax: (905) 890-0008
Welch Allyn Australia Pty. Ltd.
Technical Service Centers
38-46 South Street
Rydalmere NSW 2116
Tel: 01161296383000
Fax: 01161296383500
Welch Allyn Ltd. Singapore
#21-09 Golden Mile Tower
6001, Beach Road
Singapore 199589
Republic of Singapore
Tel: 011652910882
Fax: 011652915780
Welch Allyn UK Ltd.
Cublington Road
Aston Abbotts
Buckinghamshire HP22 4ND
Tel: 0207-365-6780
Fax: 0207-365-9694
LATIN AMERICA Customers
MDI International
Technical Service Centers
7324 S.W. 48th Street
Miami, FL 33155
USA
Tel: (305) 669-9003
Fax: (305) 669-8951
Welch Allyn China
Room 708
Central Plaza
227 Huangpi Bei Lu
Shanghai, 200003
P.R.C.
Tel: 8621-6327-9631
Fax: 8261-6327-9632
Vital Signs Monitor
The CE Mark on this product indicates it has been tested to and conforms with the provisions noted with the 93/42/EEC Medical Device Directive.
European contact for regulatory compliance:
European Regulatory Manager
Welch Allyn LTD.
Navan, Co. Meath
Republic of Ireland
Phone: 353-46-67700
FAX: 353-46-27128
Service Manual/Spare Parts
A service manual is available by request to qualified electronics personnel. The service manual is a
comprehensive guide to troubleshooting, service and repair of the Welch Allyn Vital Signs Monitor.
Also included with the service manual is a complete spare parts price list. Spare parts may be
ordered from your local Welch Allyn Service Center.
Service Loaners
Service loaners are provided, on request, when repair service is provided by a Welch Allyn Service
Center. Loaners for products repaired while under the original warranty, or while under extended
warranty or service contract, are provided free of charge and are shipped within 48 hours of notification of need. Shipment charges to the user are paid by Welch Allyn.
For service repairs outside of warranty or contract, loaners will be available for a nominal daily
charge and will be shipped subject to availability. Loaners will be shipped pre-paid, however this
charge will be added to the service charges.
Vital Signs Monitor
55
56
Vital Signs Monitor
APPENDIX A: Mounting Accessories & Assembly
Instructions
The Welch Allyn Vital Signs Monitor Basket
The mobile stand, IV pole mount and wall mount systems use the same basket.
Attaching the Monitor onto the Basket Assembly
Locate the two "keyhole" slots on the rear of the Monitor and the two circular lugs on the basket
assembly, just above the basket. Insert the lugs into the large openings in the keyhole slots and
slide the Monitor down until it is secured.
Removing the Monitor from the Mobile Stand
Locate the metal tab underneath and toward the back of the Monitor. With one hand in the handle
on top of the Monitor, push on the metal tab and pull up on the Monitor.
Using the Wall Transformer Cord Wrap
On the side of the basket are two hooks which allow the operator to manage the transformer cord.
To use the cord wrap, plug the transformer into the Monitor after installing the Monitor onto the basket assembly. Wrap the cord around the two hooks in a counter-clockwise motion until there is just
enough cord remaining to allow the transformer plug to rest within the basket.
The Accessory Pack
The accessory pack has the ability to be attached to the mobile stand, the wall mount, the IV pole
mount or on the rear of the Welch Allyn Vital Signs Monitor. The accessory pack is easily exchangable from one mounting accessory to another using the quick-release feature. The accessory pack
is designed to hold one box of temperature probe covers, a spare temperature probe or SpO2 sensor. The accessory pack has an integrated cuff clip which can secure any of the cuffs used with the
Monitor.
Attaching the Accessory Pack to the Basket
Locate the two keyhole slots on the plate on the side of the basket assembly, and the two circular
lugs on the back of the accessory pack. Insert the lugs into the large openings in the keyhole slots
and slide the accessory pack UP until it is secured.
Removing the Accessory Pack for the Basket
Locate the metal tab on the bottom of the accessory pack. Push the metal tab away from the basket and pull down on the accessory pack. The accessory pack will release from the basket.
Attaching and Removing the Accessory Pack from the Monitor
Use the preceeding instructions for attaching and removing the accessory pack from the basket.
Vital Signs Monitor
57
Inserting the Box of Temperature Probe Covers
Open the box of 25 probe covers as directed. Insert the box into the rectangular opening beside the
pocket on the Accessory Pack. The box will be tilted slightly to allow probe covers to be readily
accessible when the Accessory Pack is mounted either on the basket or the Monitor.
The Mobile Stand
The mobile stand is designed to be rugged and durable. An integrated handle allows the stand to be
easily wheeled wherever it is needed. Two of the five wheels on the mobile stand are equipped
with a brake. These wheels can be identified by a lever on the outside of the wheel. The brake is
engaged by pushing on one end of the lever. The brake may be released by pushing on the opposite end. For best results, use both brakes to ensure that the mobile stand remains stationary.
The IV Pole Mount
The IV Pole Mount kit allows the Welch Allyn Vital Signs Monitor to be attached to an IV pole with a
diameter range of 0.75 inches to 1.25 inches. It is recommended that the Monitor be detached
from the mounting hardware before attempting to attach or detach the pole mount to the pole.
When attaching the pole mounting hardware to the pole, ensure that the hardware is securely fastened to the pole before attaching the Monitor.
58
Vital Signs Monitor
Mounting Accessories Assembly Instructions
Mobile Stand Kit (Model #5200-60 & 5200-61)
(Refer to figure 1 for the following
instructions)
1. Lay BASE on floor with wheels down.
Assemble POLE into BASE by
inserting tapered end into hole in
center of BASE. Stabilize BASE. Push
down and twist on POLE until POLE
is tight and two holes in the top of
POLE are aligned between two
adjacent legs in the BASE. Check to
be sure POLE is secure. Tighten if it is
not.
2. Loosen HANDLE BRACKET screws
(tool provided) and slide HANDLE
over pole as shown. Position
approximately 10” from top fo POLE.
Lightly tighten screws.
“B”
Basket
Plate
Pole Cap
Basket
“D” 4X
Probe
Covers
“A”
4X
Accessory
Pack
Handle Bracket
Screws
“C”
Handle
3. Insert POLE CAP into the top of the
POLE.
4. Assemble BASKET to BASKET plate
by inserting (4) #8 x 3/16” long
phillips screws through four holes
designated “A”. Securely tighten
screws.
5. Assemble BASKET PLATE to POLE
CAP using (1) #8 x 1/2” long phillips
flat head screw inserted through top
hole “B” in BASKET PLATE and into
top threaded hole in POLE CAP. Do
not securely tighten screw.
Pole
Hardware
Included
Base
(1) #8 FLAT HEAD
SCREW, 1/2” LONG
(2) #8 PAN HEAD
SCREW, 1/2” LONG
(4) #8 PAN HEAD
SCREW, 3/16” LONG
FIGURE 1
6. Align two “C” holes in BASKET with
corresponding holes in POLE and insert (2) #8 x 1/2 long phillips screws. Securely tighten these
screws and screw assembled in step 5.
7. Loosen HANDLE BRACKET screws again and slide HANDLE up under basket to desired height
and location. Securely tighten screws.
8. For Model #5200-60 only, attach ACCESSORY PACK by orienting as shown in figure 1 and
inserting onto side plate of BASKET and pushing up. This will lock ACCESSORY PACK onto
BASKET.
Vital Signs Monitor
59
Wall Mount Kit (Model #5200-62 &
5200-63)
Refer to figure 2 for the following instructions)
1. Attach BASKET PLATE to wall by inserting
(5) #8 flat head screws (not provided)
through BASKET PLATE in four “D” holes
and one “B” hole. Securely tighten
screws.
NOTE:
Mounting hardware should be
selected according to the wall
surface that monitor is being
attached to. Welch Allyn is NOT
responsible for the integrity of the
mounting means. If there is any
indecision or uncertainty on what
hardware to use, contact a
professional service for installation.
“B”
BASKET
PLATE
“D”
4X
I.V.
BRACKET
“A”
4X
BASKET
ACCESSORY
PACK
HARDWARE
INCLUDED
(4) #8 flat head screw, 1/
4” long
(4) #8 pan head screw, 3/
16” long
Probe
Covers
FIGURE 2
2. Assemble BASKET to BASKET PLATE by inserting (4) #8 x 3/16” long phillips screws through
basket holes marked “A” and into four threaded holes in BASKET PLATE. Securely tighten
screws.
3. For Model #5200-62 only, attach ACCESSORY PACK by orienting as shown in figure 2 and
inserting onto side plate of BASKET and pushing up. This will lock ACCESSORY PACK onto
BASKET.
I.V. Pole Kit (Model #5200-64 & 5200-65)
Refer to figure 2 for the following instructions)
1. Attach BASKET PLATE to I.V. BRACKET by inserting (4) #8 x 1/4” long flat head phillips screws
through four countersunk holes, designated “D”, into four threaded holes in bracket. Securely
tighten screws.
2. Assemble BASKET to BASKET PLATE by inserting (4) #8 x 3/16” long phillips screws through
basket holes marked “A” and into four threaded holes in BASKET PLATE. Securely tighten
screws.
3. For Model #5200-64 only, attach ACCESSORY PACK by orienting as shown in figure 2 and
inserting onto side plate of BASKET and pushing up. This will lock ACCESSORY PACK onto
BASKET.
Bedrail Kit (Model #5200-66 & 5200-67)
Refer to figure 3 for the following instructions)
Monitor
Bedrail
1. Remove top two housing screws on one side of
MONITOR only.
2. Orient BEDRAIL as shown and attach using (2) #4 x 1 1/8”
long screws supplied. Securely tighten screws.
3. Repeat steps 1 & 2 on other side of MONITOR.
60
Vital Signs Monitor
Anti-theft Kit Installation Instructions
Anti-theft Kit (Model #5200-70)
1. With monitor detached, assemble ANTI-THEFT BLOCK onto tab on BASKET PLATE oriented as
shown below. Allow ANTI-THEFT BLOCK to rest freely as shown. Do not tighten SET SCREW.
2. Attach monitor to BASKET PLATE.
3. Slide ANTI-THEFT BLOCK up until it seats against bottom of monitor. With allen wrench
provided, tighten SET SCREW to secure ANTI-THEFT BLOCK to tab.
4. Retain allen wrench for future use.
Base Plate
Bracket
Vital Signs Monitor
Anti-Theft Block
61
Transformer Mounting Instructions
Transformer Mounting Kit (Model #5200-106)
1. Position PLATE in basket as shown.
2. Place TRANSFORMER in BRACKET. With transformer oriented as shown, secure bracket to
plate using (2) #6 x 5/16” long pan head phillips screws. Tighten screws to prevent transformer
movement.
3. Remove basket plate mounting screw indicated and replace with #8-32 x 1/2” long pan head
phillips screw. Tighten securely.
4. Place STRAP over basket plate mounting screw in basket plate with hook and loop side towards
basket. Secure with #8 LOCKNUT.
6-32 X 5/16 PAN
HEAD PHILLIPS
BASKET PLATE
MOUNTING SCREW
#8 LOCKNUT
PLATE
BASKET
STRAP
HOOK AND LOOP SIDE
TRANSFORMER
BRACKET
62
Vital Signs Monitor
APPENDIX B: Nurse Call Interface Wiring Diagram
NOTE:
See ““Nurse Call” Interface” on page 40 of the Operator’s Manual for complete
information on the Nurse Call interface.
The Welch Allyn Vital Signs Monitor provides a switch closure output between two pins of the serial
connector (pins 7 and 8). The output is “universal” in that it is compatible with a wide variety of different systems with no polarity dependence. The Nurse Call output is ohmically isolated from all circuitry. The output is rated for 1 Amp at 240 VAC or 30VDC. During an alarm condition the output is
closed, otherwise the output is open. During a power off or power failure condition the output is
open.
Vital Signs Monitor
63
APPENDIX C: Supplies and Accessories
Blood Pressure Accessories and Supplies - Latex Free
5200-01
5200-02
5200-03
5200-10
5200-04
5200-05
5200-06
5200-11
5082-59
5082-61
5082-63
5082-64
5082-203-3
5082-204-3
5082-205-3
5082-206-3
5082-207-3
5082-208-3
5082-93-3
5082-94-3
5082-94P-3
5082-95-3
5082-96-3
5082-97-3
5082-98-3
5200-19
5200-12
5200-08
Adult Cuff Assembly (cuff, latex-free bladder and connector)
Large Adult Cuff Assembly (cuff, latex-free bladder and connector)
Small Cuff Assembly (cuff, latex-free bladder and connector)
Extra-Large Cuff Assembly (cuff, latex-free bladder and connector)
Adult Bladder (latex-free, includes connector)
Large Adult Bladder (latex-free, includes connector)
Small Bladder (latex-free, includes connector)
Extra-Large Adult Bladder (latex-free, includes connector)
Adult Cuff
Large Adult Cuff
Small Cuff:
Extra-Large Adult Cuff
Small child size durable, one piece cuff (includes connectors)
Child size durable, one piece cuff (includes connectors)
Small adult size durable, one piece cuff (includes connectors)
Adult size durable, one piece cuff (includes connectors)
Large adult size durable, one piece cuff (includes connectors)
Extra-large adult size durable, one piece cuff (includes connectors)
Small child size disposable cuff (includes connectors) Box of 5 cuffs
Child size disposable cuff (includes connectors) Box of 5 cuffs
Child size disposable cuff (printed, includes connectors) Box of 5 cuffs
Small adult size disosable cuff (includes connectors) Box of 5 cuffs
Adult size disosable cuff (includes connectors) Box of 5 cuffs
Large adult size disposable cuff (includes connectors) Box of 5 cuffs
Extra-large adult size disposable cuff (includes connectors) Box of 5 cuffs
Straight Pressure Hose (5 feet, latex-free)
Straight Pressure Hose (8 feet, latex-free)
Calibration “T” Connector
Temperature Accessories and Supplies
5200-20
5200-22
05031-101
06137-000
01800-210
Oral Temperature Probe
Rectal Temperature Probe
Disposable Probe Covers (1000 covers, packaged 25 per box)
Temperature Calibration Key
Model 9600 Temperature Calibration Kit, 110v
Nellcor Puritan Bennett™ Pulse Oximetry Accessories And Supplies
DS-1OOA
DEC-8
D-YS
D-YSE
D-YSPD
MAX-A
MAX-P
64
DURASENSOR Adult Oxygen Transducer
Extension Cable (8 ft.)
DURA-Y Oxygen Transducer (1 sensor, 40 wraps)
Ear Clip, (use with Dura-Y sensor)
PediCheck Pediatric Spot-Check (use with Dura-Y sensor)
OxiMAX Adult (single use, case of 24)
OxiMAX Pediatric (single use, case of 24)
Vital Signs Monitor
MAX-R
MAX-I
OXICLIQ P
OC-3
OXI - A/N
OXI - P/I
SRC-MAX
OxiMAX Adult Nasal (case of 24)
OxiMAX Infant, (case of 24)
Pediatric Oxygen Transducer, use with OC-3 cable
OXICLIQ Sensor Cable
OXIBAND Adult/Neonatal Transducer (1 sensor, 50 wraps)
OXIBAND Pediatric/Infant Transducer (1 sensor, 50 wraps)
Portable Oximetry Tester
Power Transformer Accessories
5200-101A
5200-103A
5200-103Z
5200-110
5200-111
5200-112
5200-114
5200-115
5200-106
AC Power Transformer (desktop transformer, line cord not included) - 120V, 60
Hz
AC Power Transformer (desktop transformer, line cord not included) - 240V, 50
Hz
AC Power Transformer (Australian version, desktop transformer with line cord
included) - 240V, 60 Hz
Line Cord (US / Canada / Japan version)
Line Cord (European Version)
Line Cord (United Kingdom Version)
Line Cord (Swiss Version)
Line Cord (South American Version)
Transformer Mounting Kit (use with desktop transformer only)
Mounting Accessories
5200-60
5200-61
5200-62
5200-63
5200-64
5200-65
5200-66
5200-67
5200-68
5200-69
5200-70
5200-106
Mobile Stand with Accessory Pack
Mobile Stand without Accessory Pack
Wall Mount with Accessory Pack
Wall Mount without Accessory Pack
IV Pole Mount with Accessory Pack
IV Pole Mount without Accessory Pack
Bedrail Mounts with Accessory Pack
Bedrail Mounts without Accessory Pack
Cuff Clip
Accessory Pack
Anti-Theft Kit for Mounting Devices
Transformer Mounting Kit (use with desktop transformer only)
Miscellaneous Accessory Items
7052-25
5200-84
5200-85E
5200-86E
5200-88
5200-100
Printer Paper (box of 6 rolls)
Lead-Acid Battery (6 volt, rechargeable)
Operator Manual (English Version)
Technical Service Manual
Plastic Monitor Covers (pack of 5)
Monitor Carrying Case
Vital Signs Monitor
65
APPENDIX D: Specifications
Performance Specifications
The performance specifications of the Welch Allyn Vital Signs Monitor are as follows:
Patient Population
The Welch Allyn Vital Signs Monitor is designed for use with adult and pediatric patients. The monitor is not intended for use with neonates. Welch Allyn defines neonates as children 28 days or less
of age if born at term (37 weeks gestation or more); otherwise, up to 44 gestational weeks. This
definition comes from the AAMI SP10 1992 standard.
Cuff Pressure Range
0 - 300 mmHg
Initial Cuff Inflation
Default cuff inflation pressure is 160 mmHg. Operator may change this default in configuration
mode. Options are 120, 140, 160, 180, 200, 240 and 280 mmHg.
Systolic Range
60 - 250 mmHg
Diastolic Range
30 - 160 mmHg
Blood Pressure Accuracy
Blood pressure accuracy meets or exceeds SP10-1992 AAMI standards for non-invasive blood pressure accuracy (AAMI standard: ± 5 mmHg mean error; 8 mmHg standard deviation). Blood pressure accuracy is validated for pressure measurement using the upper arm only, with the patient in a
seated position. Blood pressure is validated against manual auscultatory readings for adults and children above the age of 3. For children under age 3 blood pressure is validated against intraarterial
readings. The monitor is not validated for use with neonates.
Blood Pressure Determination Time
20 seconds to 45 seconds typical, 165 seconds maximum.
Pulse Rate Range
40 - 200 bpm
Pulse Rate Accuracy (using Blood Pressure Determination)
± 5.0%
Pulse Rate Accuracy (using SpO2 Determination)
Without Motion: ± 3 digits***
With Motion: normal physiologic range (55 - 125 bpm) ± 5 digits
Low Perfusion: ± 3 digits***
*** Specification applies to monitor performance and was validated with Biotek and Nellcor simulators.
66
Vital Signs Monitor
Overpressure Cutoff
295 - 330 mmHg
Temperature Range
84.0 - 108.0°F (28.9 - 42.2°C)
Temperature Calibration Accuracy
Calibration Accuracy: ± 0.2° F (± 0.1° C)
Temperature Determination Time
Normal Mode: ORAL: 4 seconds typical, Axillary: 10 seconds typical
Rectal: 15 seconds typical
Monitor Mode: ORAL/Rectal: 3 minutes, Axillary: 5 Minutes
Oxygen Saturation Range (SpO2%)
40 - 99% oxygen saturation
SpO2 Accuracy
Without Motion - Adults: 70 - 99% ± 2 digits*
With Motion - Adults: 70 - 99% ± 3 digits**
Low Perfusion: 70 to 99% ± 2 digits***
<70% unspecified by the OEM
Biocompatibility testing has been conducted on Nellcor sensors in compliance with ISO10993-1,
Biological Evaluation of Medical Devices, Part 1: Evaluation and Testing. The sensors have passed
the recommended biocompatibility testing and are therefore in compliance with ISO 10993-1.
*
Adult specifications are shown for OxiMax MAX-A sensors. Saturation accuracy will vary by
sensor type. Refer to the following Sensor Accuracy Grid.
**
Applicability: OxiMax MAX-A, MAX-P, and MAX-I sensors.
***
Specification applies to monitor performance and was validated with Biotek and Nellcor
simulators.
Vital Signs Monitor
67
Sensor Accuracy Grid
SpO2 Range
70% - 99%
Sensor Models
OXIMAX Sensor Models Single Patient Use
MAX-A,* MAX-AL*
+2
MAX-P*
+2
MAX-I*
+2
MAX-R**
+ 3.5
OxiCliq Sensor Models Single Patient Use
OxiCliq A
+ 2.5
OxiCliq P
+ 2.5
Reusable Sensor Models
D-YS (Infant to Adult)
+3
D-YS & D-YSE
+ 3.5
DS-100A
+3
OXI-A/N (Adult)
+3
OXI-P/I
+3
* The accuracy specification under motion conditions is + 3. For a definition of motion, contact Nellcor Technical Services or your local Nellcor representative.
**The accuracy specification has been determined between saturations of 80% - 99%.
Accuracy Specifications: Accuracy specifications are based on controlled hypoxia studies with
healthy, non-smoking adult volunteers over the specified saturation SpO2 range. Pulse oximeter
SpO2 readings were compared to SaO2 values of drawn blood samples measured by hemoximetry.
All accuracies are expressed as + “X” digits. This variation equals + one standard deviation (+ 1 SD),
which encompasses 68% of the population.
Mechanical Specifications
Dimensions
Height
Length
Depth
6.5 inches
8.6 inches
5.0 inches
(16.5cm)
(21.8cm)
(12.7cm)
Weight
Approximately 6 pounds (2.8Kg)
68
Vital Signs Monitor
Color
Oral/Axillary Temperature Probe - Blue
Rectal Temperature Probe - Red
Mounting
Self-Supporting on rubber feet
IV Pole Mountable
Custom Mobile Stand
Wall Mountable
Attaches to Bed Rail
Portability
May be hand carried when held by the recessed handle.
When attached to an IV pole, or mounted on its custom mobile stand, the monitor and accessories
can be wheeled from patient to patient.
When attached to the bed rail may be transported with the patient within the hospital environment.
Electrical Specifications
Power Requirements
Patient-Rated isolation transformer is connected to AC mains:
North American Version:
120VAC, 60Hz. 0.20A Input, 8VDC, 0.75A Output
International Version:
Australian Version:
240VAC, 50Hz 0.10A Input, 8VDC, 0.75A Output
240VAC, 50Hz, 13VA Input, 8VDC, 0.75A Output
Battery
Lead acid, with external recharge capability.
Battery will fully charge to at least 90% capacity in 12 hours. Unit will operate and charge battery
simultaneously when connected to power source.
A fully charged battery will support 200 "typical" blood pressure determinations taken at 3 minute
intervals. Battery is 90-100% charged after 12 hours of charging. The battery automatically charges
when the monitor is powered through the AC power transformer. The battery will charge faster
when the instrument is not in operation.
Environmental Specifications
Operating Temperature
+10°C to +40°C
+50°F to +104°F
*Exception: Thermometry module will not maintain its performance characteristics below 60°F
(16°C).
Operating Altitude
-170m to +4877m
-557ft. to +16,000ft.
Vital Signs Monitor
69
Storage Temperature
-20°C to +50°C
-4°F to +122°F
Relative Humidity
15 to 90% (non-condensing)
70
Vital Signs Monitor
Welch Allyn Vital Signs Monitor Serial Number: _____________________________________________
Date of Purchase: ________________________________________________________________________
Dealer Name: ___________________________________________________________________________
Telephone: _____________________________________________________________________________
Dealer Representative Name:______________________________________________________________
Telephone: _____________________________________________________________________________
Welch Allyn Sales Representative: _________________________________________________________
Welch Allyn Vital Signs Monitor Operator’s Manual
Copyright 2003 Welch Allyn, Inc, All Rights Reserved.
4341 State Street Road
PO Box 220
Skaneateles Falls, NY 13153-0220
Telephone: 315-685-4100 or 1-800-535-6663
Fax: 315-685-3361
Printed in the U.S.A.
Part #95P517E Rev. A
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