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Welch Allyn Connex
®
Monitor 6000 Series™
Vital Signs
Directions for use
Software versions 1.0X–1.7X
© 2013 Welch Allyn. All rights are reserved. To support the intended use of the product described in this publication, the purchaser of the product is permitted to copy this publication, for internal distribution only, from the media provided by Welch Allyn. No other use, reproduction, or distribution of this publication, or any part of it, is permitted without written permission from Welch Allyn. Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the product, that may result from failure to use this product in accordance with the instructions, cautions, warnings, or statement of intended use published in this manual.
Welch Allyn, Connex, SureTemp, FlexiPort, and SureBP are registered trademarks of Welch Allyn.
Vital Signs Monitor 6000 Series is a trademark of Welch Allyn.
LNCS, SpHb, ReSposable , and Rainbow are trademarks of, and SET, LNOP, and Masimo are registered trademarks of, Masimo Corporation. Possession or purchase of a Masimo SpO2- or Masimo SpHb-equipped device does not convey any express or implied license to use the device with unauthorized sensors or cables which would, alone or in combination with this device, fall within the scope of one or more of the patents relating to this device.
Nellcor and OxiMax are registered trademarks of Nellcor Puritan Bennett Inc.
Braun and ThermoScan are registered trademarks of Braun GmbH.
Health o meter is a registered trademark of Sunbeam Products, Inc., used under license.
Software in this product is Copyright 2013 Welch Allyn or its vendors. All rights are reserved. The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide. Under such laws, the licensee is entitled to use the copy of the software incorporated with this instrument as intended in the operation of the product in which it is embedded. The software may not be copied, decompiled, reverseengineered, disassembled, or otherwise reduced to human-perceivable form. This is not a sale of the software or any copy of the software; all right, title, and ownership of the software remain with Welch Allyn or its vendors.
For information about any Welch Allyn product, call Welch Allyn Technical Support:
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103730 (CD)
DIR 80016590 Ver. D
103501 (printed copy)
Material Number 720727, 80016590 Ver. D
Welch Allyn, Inc.
4341 State Street Road
Skaneateles Falls, NY 13153-0220 USA www.welchallyn.com
Regulatory Affairs Representative
Welch Allyn Limited
Navan Business Park
Dublin Road
Navan, County Meath
Republic of Ireland
Contents
About warnings and cautions ................................................................ 9
Controls, indicators, and connectors ................................................... 15
Remove the temperature probe and well .......................................................... 22
iii
iv Contents Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Using the keypad, keyboard, and barcode scanner ........................... 41
Patient data management .................................................................... 47
Load patient data with the barcode scanner ...................................................... 47
Maintenance and service ...................................................................... 95
Directions for use Contents v
Standards and compliance ................................................................. 109
Guidance and manufacturer's declaration ........................................ 113
Patient data management messages .............................................................. 134
vi Contents Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Introduction
This manual describes the capabilities and operation of the monitor. The information, including the illustrations, pertains to a monitor configured with noninvasive blood pressure (NIBP), body temperature, pulse oximetry (SpO2), total hemoglobin concentration (SpHb), pulse rate, and weight scale options. If your monitor configuration lacks any of these options, some information in this manual might not apply.
Before using the monitor, read the sections of the manual that pertain to your use of the monitor.
Intended use
The VSM 6000 Series of monitors is intended to be used by clinicians and medically qualified personnel for monitoring of neonatal, pediatric, and adult patients for:
• noninvasive blood pressure,
• pulse rate,
• noninvasive functional oxygen saturation of arteriolar hemoglobin (SpO2), and
• body temperature in normal and axillary modes.
The most likely locations for patients to be monitored are general medical and surgical floors, general hospital, and alternate care environments.
The optional Masimo Rainbow SET® and accessories are indicated for the continuous noninvasive monitoring of total hemoglobin concentration of adult, pediatric, and neonatal patients during both motion and no motion conditions, and for patients who are well or poorly perfused in hospitals and hospital-type facilities.
Optional compatible weight scales (e.g., Health o meter®) can be used for height, weight, and BMI input.
This product is available for sale only upon the order of a physician or licensed health care professional.
Contraindications
This system is not intended to be used:
• on patients connected to heart/lung machines
• on patients being transported outside a healthcare facility
• near an MRI machine
• in a hyperbaric chamber
1
2 Introduction Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
• near flammable anesthetics
• near electro-cauterization devices
For contraindications of SpO2 and SpHb sensors, consult the sensor manufacturer's directions for use.
Symbols
Documentation symbols
WARNING The warning statements in this manual identify conditions or practices that could lead to illness, injury, or death.
Caution The caution statements in this manual identify conditions or practices that could result in damage to the equipment or other property, or loss of data. This definition applies to both yellow and black and white symbols.
WARNING Hot surface. Do not touch.
Consult operating instructions.
Power symbols
Power on/standby Equipotential terminal
(on the display) monitor is plugged into Alternating Current power
(on the monitor, green indicator)
Alternating Current power present, battery fully charged
(on the monitor, amber indicator)
Alternating Current power present, battery is charging
Alternating Current (AC)
Battery absent or faulty
Battery charge level
Battery cover
Rechargeable battery
3
4 Symbols
Li-ion battery
Connectivity symbols
USB
Wireless signal strength
• Best (4 bars)
• Good (3 bars)
• Fair (2 bars)
• Weak (1 bar)
• No signal (no bars)
• No connection (blank)
Miscellaneous symbols
Meets essential requirements of
European Medical Device
Directive 93/42/EEC
Manufacturer
Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
AC input power
Ethernet RJ-45
Nurse call
Reorder number
Do not reuse
Nonionizing electromagnetic radiation
Restrictions for use of wireless device in Europe. European
Community's Class 2 radio equipment.
European Community
Representative
Defibrillation-proof Type BF applied parts
Serial number
China RoHS markings for control of pollution caused by electronic information products. XX indicates Environmentally
Friendly Use Period in years.
Recycle the product separate from other disposables
Call for maintenance
Screen elements
Global navigation
Select option
NIBP
NIBP start
Intervals status indicators
Temperature
Temperature site control
Direct mode selector
NIBP stop
NIBP view toggle
Process indicator
5
6 Screen elements
SpO2 and Pulse rate
Pulse amplitude bar
Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
SatSeconds timer (Nellcor feature only)
Response mode selector
(touch for Fast mode)
SpO2 view toggle
Heart rate (in beats per minute)
Total hemoglobin (SpHb)
SpHb view toggle
Manual parameters
Averaging selector
Manual parameter selector
Alarm and information messages
Alarm limit button Alarm On/Off toggle
Multiple alarms toggle
Alarm active
Alarm audio paused
Directions for use
Patients list and review
Diacritical marks key
(available for languages that use diacritical marks; appearance differs based on language)
Send patient test reports
Cancel print request
Retrieve the patient list from the network
Settings
Advanced settings
Save to USB flash drive
Restore factory default settings
Screen elements 7
Symbols key
Print patient test reports
Add patient identifiers
Save configuration settings
Configure from USB flash drive
8 Screen elements Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
About warnings and cautions
Warning and caution statements can appear on the monitor, on the packaging, on the shipping container, or in this document.
The monitor is safe for patients and clinicians when used in accordance with the instructions and the warning and caution statements presented in this manual.
Before using the monitor, familiarize yourself with the sections of this directions for use that pertain to your use of the monitor.
• Failure to understand and observe any warning statement in this manual could lead to patient injury, illness, or death.
• Failure to understand and observe any caution statement in this manual could lead to damage to the equipment or other property, or loss of patient data.
General warnings and cautions
WARNING Many environmental variables, including patient physiology and clinical application, can affect the accuracy and performance of the monitor.
The clinician must verify all vital signs information before treating the patient. If there is any question about the accuracy of a measurement, verify the measurement using another clinically accepted method.
WARNING Alarm limits are patient- or facility-specific. The clinician must set or verify alarm limits appropriate for each patient. Each time the monitor is powered on, you must check that the alarm settings are appropriate for your patient before you start monitoring.
WARNING The monitor is not intended for use during patient transport outside of the medical facility. Do not use the monitor to take measurements on any patient in transit.
WARNING Use only Welch Allyn approved accessories, and use them according to the manufacturer’s directions for use. Using unapproved accessories with the monitor can affect patient and operator safety and can compromise product performance and accuracy.
WARNING Inaccurate measurement risk. Do not connect more than one patient to a monitor.
9
10 About warnings and cautions Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
WARNING Inaccurate measurement risk. Dust and particle ingress can affect the accuracy of blood pressure measurements. Use the monitor in clean environments to ensure measurement accuracy. If you notice dust or lint build-up on the monitor's vent openings, have the monitor inspected and cleaned by a qualified service technician.
WARNING Liquids can damage electronics inside the monitor. Prevent liquids from spilling on the monitor.
If liquids are spilled on the monitor:
1. Power down the monitor.
2. Disconnect the power plug.
3. Remove battery pack from the monitor.
4. Dry off excess liquid from the monitor.
Note If liquids possibly entered the monitor, remove the monitor from use until it has been properly dried, inspected, and tested by qualified service personnel.
5. Reinstall battery pack.
6. Power on the monitor and verify that the monitor functions normally before using it.
If liquids enter the printer housing:
1. Power down the monitor.
2. Disconnect the power plug.
3. Remove battery pack from the monitor.
4. Remove and discard the paper roll.
5. Clean and dry the inside of the printer housing.
Note The printer housing has a drain tube that directs liquids down and out the bottom of the monitor. If liquids possibly entered other openings in the monitor, remove the monitor from use until it has been properly dried, inspected, and tested by qualified service personnel.
6. Install a new roll of paper.
7. Power on the monitor and verify that the monitor functions normally before using it.
WARNING Safety risk. Damaged cords, cables, and accessories can affect patient and operator safety. Never lift the monitor by the power supply cord or patient connections. Routinely inspect the AC power cord, blood pressure cuff, SpO2 cable, and other accessories for strain relief wear, fraying, or other damage. Replace as necessary.
WARNING Fire and explosion hazard. Do not operate the monitor in the presence of a flammable anesthetic mixture with air, oxygen, or nitrous oxide; in oxygen-enriched environments; or in any other potentially explosive environment.
WARNING Fire and shock hazard. Only connect LAN cables contained within the perimeter of a single building. Conductive LAN cables spanning multiple buildings may introduce fire or shock hazards unless they are fitted with fiber optic cables, lightning arrestors, or other applicable safety features.
Directions for use About warnings and cautions 11
WARNING The monitor may not function properly if dropped or damaged.
Protect it from severe impact and shock. Do not use the monitor if you notice any signs of damage. Qualified service personnel must check any monitor that is dropped or damaged for proper operation before putting the monitor back into use.
WARNING Defective batteries can damage the monitor. If the battery shows any signs of damage or cracking, it must be replaced immediately and only with a battery approved by Welch Allyn.
WARNING Improper disposal of batteries may create an explosion or contamination hazard. Never dispose of batteries in refuse containers.
Always recycle batteries according to local regulations.
WARNING Electric shock hazard. Do not open the monitor or attempt repairs. The monitor has no user-serviceable internal parts. Only perform routine cleaning and maintenance procedures specifically described in this manual. Inspection and servicing of internal parts shall only be performed by qualified service personnel.
WARNING Inaccurate measurement risk. Do not expose to temperatures higher than 122º F (50º C).
WARNING Inaccurate measurement risk. Do not use the monitor on patients who are on heart-lung machines.
WARNING Use the monitor only as described in this directions for use. Do not use the monitor on patients as described in the Contraindications.
WARNING Inaccurate measurement risk. Do not use the monitor on patients who are experiencing convulsions or tremors.
WARNING Wall mounted equipment and accessories must be installed in accordance with accompanying instructions. Welch Allyn is not responsible for the integrity of any installation not performed by authorized Welch Allyn service personnel. Contact an authorized Welch Allyn service representative or other qualified service personnel to ensure professional installation for safety and reliability of any mounting accessory.
WARNING Do not place the monitor in any position that might cause it to fall on the patient.
WARNING Welch Allyn is not responsible for the integrity of a facility's power. If the integrity of a facility's power or protective earth conductor is in doubt, always operate the monitor on battery power alone when it is attached to a patient.
WARNING Equipment damage and personal injury risk. When transporting the monitor on a mobile stand, properly secure all patient cables and cords to keep them clear of the wheels and to minimize trip hazards.
WARNING For operator and patient safety, peripheral equipment and accessories that can come in direct patient contact must comply with all applicable safety, EMC, and regulatory requirements.
12 About warnings and cautions Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
WARNING All signal input and output (I/O) connectors are intended for connection of only devices complying with IEC 60601-1, or other IEC standards (for example, IEC 60950), as applicable to the monitor.
Connecting additional devices to the monitor may increase chassis or patient leakage currents. To maintain operator and patient safety, consider the requirements of IEC 60601-1-1. Measure the leakage currents to confirm that no electric shock hazard exists.
WARNING Equipment failure and patient harm risk. Do not cover the air intake or exhaust vents on the rear and base of the monitor. Covering these vents could cause overheating of the monitor or muffling of alarms.
WARNING This equipment is not suitable for use in the presence of electro-surgery.
WARNING Cross-contamination or nosocomial infection risk. Clean and disinfect the monitor on a routine basis according to your facility's protocols and standards or local regulations. Thorough hand-washing before and after contact with patients greatly reduces the risk of cross-contamination and nosocomial infection.
CAUTION United States Federal law restricts this monitor to sale, distribution, or use by or on the order of a physician or licensed healthcare professional.
CAUTION Electromagnetic interference risk. The monitor complies with applicable domestic and international standards for electromagnetic interference. These standards are intended to minimize medical equipment electromagnetic interference. Although this monitor is not expected to present problems to other compliant equipment or be affected by other compliant devices, interference issues still may occur. As a precaution, avoid using the monitor in close proximity to other equipment. In the event that equipment interference is observed, relocate the equipment as necessary or consult manufacturer's directions for use.
CAUTION Use only a Class I (grounded) AC power supply cord for powering this monitor.
CAUTION Do not use a long press of to power down the monitor when it is functioning normally. You will lose patient data and configuration settings.
CAUTION Never move the monitor or mobile stand by pulling on any of the cords as this may cause the monitor to tip over or may damage the cord. Never pull on the power cord when removing it from the power outlet. When disconnecting the power cord, always grasp the attachment plug and not the cord. Keep the cord away from liquids, heat, and sharp edges. Replace the power cord if the strain relief or cord insulation is damaged or begins to separate from the attachment plug.
CAUTION Use only the Welch Allyn USB client cable to connect a laptop computer to the USB client port. Any laptop connected to the monitor must be running on a battery, a 60601-1 compliant power supply, or a 60601-1 compliant isolation transformer.
Directions for use About warnings and cautions 13
CAUTION If the touchscreen is not responding properly, refer to the troubleshooting section. If the problem cannot be resolved, discontinue use of the monitor and contact an authorized Welch Allyn service center or qualified service personnel.
CAUTION Verify patient identity on the monitor after manual or barcode entry and before printing or transferring patient records.
14 About warnings and cautions Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Controls, indicators, and connectors
Note Your model might not contain all of these features.
15
No. Feature
1 Printer
2 Light bar
3 Thermometry
4 Thermometry
5 Thermometry (connector behind cover)
6 LCD screen
7 Battery compartment (behind cover)
Description
Optional. Printer provides a printout of patient and device information.
Provides a visual alarm with red and amber LEDs.
Optional. Temperature probe cover box.
Optional. Temperature probe.
Secures the probe connection to the monitor.
1024 x 600 pixels color touchscreen provides a graphical user interface.
Houses the Li-ion battery.
16 Controls, indicators, and connectors
No. Feature
8 Blood pressure
9 Pulse oximetry
Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Description
Self-contained module for easy replacement. Supports duallumen or single-lumen hoses.
Optional Nellcor (SpO2) or Masimo Rainbow SET (SpO2 or combined SpO2/SpHb) in a self-contained module for easy replacement.
No. Feature
1 Power switch and LED
2 Ethernet RJ-45
3 USB client
4 Nurse call
5 Fan exhaust
6 Ground lug (equipotential terminal)
7 Power connection
8 Mobile stand mounting hardware
9 Recess for mounting plate
Description
Power-on/Standby switch.
The LED indicates the charging status when connected to AC power:
• Green: The battery is charged.
• Amber: The battery is charging.
Provides a hardwired connection to the computer network.
Provides a connection to an external computer for testing and software upgrades.
Optional. Provides a connection to the hospital nurse call system. (Not available on the 6300 model.)
Provided for electrical safety testing and as a means for connection of a potential equalization conductor.
Provides an external AC power connection.
Secures the mounting plate to the monitor.
Secures the monitor when mounted on the mobile stand or wall.
Directions for use
No. Feature
10 USB connector door
11 Fan intake
12 Speaker
Controls, indicators, and connectors 17
Description
Provides access to host USB connections for optional accessories.
Provides tones. A piezo beeper inside the monitor provides backup.
18 Controls, indicators, and connectors Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Setup
Supplies and accessories
For a list of all approved supplies and accessories, see Approved Accessories in the
Appendix.
Insert the battery
This procedure applies to first-time setup of the monitor.
WARNING Risk of fire, explosion, and burns. Do not short-circuit, crush, incinerate, or disassemble the battery pack.
1. Turn the monitor upside down to access the battery cover.
2. Locate the battery cover, indicated by .
3. Insert a coin into the slot and push to open. Choose a coin that fits comfortably into the slot.
19
4. Slide in the battery.
20 Setup Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Note Do not remove the tab label from the battery. This tab helps you remove the battery from the compartment when you need to replace it.
5. Replace the battery cover by inserting one end into the notched access and then pressing firmly on the opposite end.
Note New batteries are only 30 percent charged. Therefore, connect the monitor to AC power immediately after inserting a new battery.
Mount the monitor on a stand
1. Align the monitor on the black plate in the center of the stand tray.
2. Tighten the screw on the plate into the screw hole on the back of the monitor.
Mount the monitor on the wall
For mounting instructions, see the wall mount manufacturer's directions for use.
Attach the probe well
1. Align the probe well with the tabs facing up and down and insert the probe well into the temperature module.
Directions for use Setup 21
The probe well snaps into place when it is fully seated.
2. Insert the temperature probe into the probe well.
Attach the temperature probe
CAUTION The temperature module only operates with the probe well properly in place.
1. Remove the cover of the temperature module by pressing the tab and sliding the cover to the right. The cover is located at the bottom-right of the monitor, below the probe well.
2. Hold the temperature probe cable connector with the spring tab on the right and insert it into the probe port of the temperature module.
22 Setup Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
3. Push it into place until it clicks.
4. Reattach the cover. Use the alignment tab and slide the cover to the left to click it back into place.
Remove the temperature probe and well
Follow these steps to disconnect the probe cable and remove the probe well.
1. Remove the cover of the temperature module by pressing the tab and sliding the cover to the right. The cover is located at the bottom-right of the monitor, below the probe well.
2. Depress the spring tab on the temperature probe cable connector and withdraw it from the probe port.
3. Reattach the cover. Use the alignment tab and slide the cover to the left to click it back into place.
Grasp the probe well and pull it up to remove it from the monitor.
Connect the NIBP hose
1. Place your thumb and forefinger on the hose connector and squeeze the side tabs.
2. Align the hose connector with the hose connector port on the side of the monitor.
Directions for use Setup 23
3. Insert the hose connector, pressing firmly until it clicks into place.
Disconnect the NIBP hose
1. Place your thumb and forefinger on the hose connector.
Note Always grasp the hose by the connector. Do not pull on the hose itself.
2. Squeeze the side tabs until the connector releases.
3. Pull the connector away from the connector port.
Connect the SpO2 cable
WARNING Patient injury risk. Do not use a damaged sensor or pulse oximetry cable or a sensor with exposed electrical or optical components.
1. Place your thumb and forefinger on the SpO2 cable connector and squeeze the side tabs.
2. Align the cable connector with cable connector port.
3. Insert the cable connector, pressing firmly until it clicks into place.
24 Setup Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Note For monitors configured with SpHb, the cable used to monitor SpHb uses the same port and also measures SpO2.
Disconnect the SpO2 cable
1. Place your thumb and forefinger on the cable connector.
Note Always grasp the cable by the connector. Do not pull on the cable itself.
2. Squeeze the side tabs until the connector releases.
3. Pull the connector away from the connector port.
Attach an accessory
CAUTION Accessories attached to this monitor must run on battery power. Do not use any accessory's external power supply when it is attached to the monitor.
1. On the rear of the monitor, loosen the screw on the USB door and open it.
2. Attach the accessory's USB cable into an unused USB port on the monitor. The example below shows how to attach cables for a barcode scanner and a mobile stand light.
For information about attaching any other accessory, refer to the instructions provided with the accessory.
CAUTION Connect cables in a manner that minimizes entangling.
3. Close the door and tighten the screw.
Note Some accessories require a license to enable them for use. These accessories are packaged with an authorization code and instructions for activating the license using the Welch Allyn Service Tool. For more information, refer to the instructions and the service tool installation guide.
Directions for use Setup 25
Detach an accessory
1. On the rear of the monitor, loosen the screw on the USB door and open it.
2. Detach the accessory's USB cable from USB port on the monitor.
3. Close the door and tighten the screw.
Insert a new roll of paper
The printer is located on the top of the monitor. Follow these steps to insert the roll of printer paper:
1. Grasp the two tabs and pull up to open the printer door.
2. Insert a new roll of paper.
Note The paper roll must be installed as illustrated. If the paper roll is not installed correctly, the printer will not print properly.
3. Advance the end of the roll past the roller so that it extends past the printer door, as shown.
4. With one hand, pull lightly on the paper to take up any slack. With the other hand, close the printer door by pushing it down and into place until it clicks.
26 Setup Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Be certain that the paper does not catch in the printer door.
Connect AC power
You can use the monitor with AC or battery power (after charging the battery).
1. Insert the power cord into the AC power connector port on the back of the monitor.
2. Insert the power plug into a power outlet to power the monitor and to charge the battery.
Disconnect AC power
Disconnect the power plug from the power outlet.
Startup
Power
The power button, located on the side of the monitor, performs the following functions:
• Powers up the monitor
• Sets the monitor into Display power saving mode, except when an alarm condition is active (brief press)
• Resets the monitor and sets the monitor into Standby mode (press and hold for 6 seconds)
CAUTION Do not use a long press of to power down the monitor when it is functioning normally. You will lose patient data and configuration settings.
27
The LED in the center of the power plug symbol indicates the battery charging status:
• Green indicates that AC power is present and that the battery is fully charged.
• Amber indicates that AC power is present and that the battery is charging.
The monitor has distinct power states.
Monitor on
The monitor is operating on battery power or AC power. You can utilize the monitor's features, and the display is active.
Display power saving
The monitor is operating on battery or AC power, but the display is off to conserve power. A brief press of the power button sets the monitor into Display power saving
28 Startup Welch Allyn Connex ® Vital Signs Monitor 6000 Series™ mode from the active state. Settings for this mode can be changed in the Advanced
Settings Display tab.
Battery-powered accessories connected to the monitor continue to charge while the monitor is in this mode and connected to AC power.
Note The monitor will not enter the Display power saving mode while an alarm condition is active or when NIBP intervals are in progress. In addition, the monitor will exit this mode if an alarm occurs.
The following actions will return the monitor display to the active state:
• Touch the screen
• Remove the temperature probe from the probe well
• Attach the SpO2 sensor to a patient
•
Press
Standby
The monitor is plugged into a power outlet, but the sensors and the display do not operate.
Note Because power is still available to charge the battery and power the monitor, the monitor is in Standby mode.
The monitor remains in Standby mode until you press . Settings for this mode can be changed in the Advanced Settings Display tab.
Power up the monitor
The monitor runs a brief diagnostic self-test each time it powers up.
WARNING Equipment failure risk. The monitor includes a fan that circulates air through the device. If the fan does not run when you power up the device, remove it from use and inform qualified service personnel immediately. Do not use the monitor until the problem is corrected.
WARNING To ensure patient safety, listen for two audible indicators (a piezo beeper and a speaker tone) and watch for visual alerts at power-up.
Correct any system errors before using the monitor. In addition to the audible indicators, the monitor LED light bar illuminates to alert you of alarms. Amber indicates a low-level alarm. Flashing amber indicates a medium-level alarm. Flashing red indicates a high-level alarm.
WARNING Always observe the monitor during power-up. If any display fails to illuminate properly, or if an error code displays, inform qualified service personnel immediately, or call your nearest Welch Allyn Customer
Service or Technical Support facility. Do not use the monitor until the problem is corrected.
CAUTION Always use the monitor with an adequately charged and properly functioning battery. For continuous monitoring, always connect to
AC power.
CAUTION Use only a Class I (grounded) AC power cord for powering this monitor.
Directions for use Startup 29
Press to power up the monitor.
Following a successful self-test, the monitor displays the Welch Allyn logo, the LED light bar (located on the handle) flashes, and a power-up tone sounds. The startup screen then appears with the following banner across the bottom.
If a system error is detected, the monitor becomes inactive until you press or until the monitor shuts down automatically. The monitor displays a system fault message that contains a wrench icon and a system fault code to aid service personnel and engineers in diagnosing the problem.
Power down the monitor
1. Touch the Settings tab.
2. Touch the Device tab.
3. Touch Power down.
This power-down method, which places the monitor into Standby mode, ensures that patient measurements are retained in the monitor memory for a maximum of 24 hours. (These saved measurements are available for recall, printing, or to send electronically to the network.) This method also ensures that any configuration settings you have changed and saved will be maintained at the next startup.
Note Because power is still available to charge the battery and power the monitor, the monitor is in Standby mode.
Reset the monitor
If the monitor stops functioning, you can press and hold for approximately 6 seconds to allow the hardware to completely cycle off and to reset the monitor configuration settings to the last saved default power-up configuration. The button is located on the side of the monitor.
Note
CAUTION Do not use a long press of to power down the monitor when it is functioning normally. You will lose patient data and configuration settings.
Because power is still available to charge the battery and power the monitor, the monitor is in Standby mode.
Set the date and time
1. Touch the Settings tab.
2. Touch the Device tab.
3. Touch the Date/Time vertical tab.
30 Startup Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
4. To change the date and time values: Touch the up and down arrow keys or touch and enter a value.
Repeat for each value you want to change.
Note The date and time stamps on saved patient measurements will adjust in response to new date and time settings.
Enter clinician information
1. Go to the Clinician tab using one of these methods:
• On the Home tab, touch the Clinician ID section of the Device Status area (top left corner of the screen).
• Touch the Settings > Clinician tab.
2. To enter the clinician name, touch enter characters.
, located at the right of the text field, and
You can enter up to 32 characters for the clinician's first and last name. Enter only 1 character for the middle initial.
3. To enter the clinician ID, use one of these methods:
• Touch and enter the ID.
• Scan the clinician's barcode with a barcode scanner. The scanned ID appears in the field.
4. If prompted, enter your system password in the Authentication pane.
5. Touch OK to save your entries and return to the Home tab.
Set the default configuration
1. Touch the Settings tab.
2. Touch the Device tab.
3. Enter or adjust the desired settings you want to add or change.
Note The new settings appear as they are completed but are temporary until they are saved.
4. Touch Save as default.
5. Touch OK to confirm that you want to overwrite your previous settings and replace them with your current settings in the startup default configuration. Or touch Cancel to retain the previous settings.
The new settings are stored as the default startup settings once you restart the monitor.
Note
Note
If your monitor is connected to the network, the date and time settings are synchronized with the network settings.
The date and time stamps on saved patient measurements will adjust in response to new date and time settings.
Navigation
Home tab
The monitor screen provides the interface that you use to complete your workflow. You access the monitor's features by touching the screen.
The Home tab includes the following areas:
31
Item
1
2
3
Device Status area
Area
Device Status
Content
Navigation
The Device Status area, located at the top of the Home screen, displays the following monitor information, from left to right:
• Clinician identification. The format can be a name, ID number, or icon. Touch this area to navigate to the Clinician login.
• Device location.
32 Navigation Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
• Time and date. Touch this area to navigate to date and time settings.
• Connection status (wired or wireless). The icons indicate which connection type, if any, is currently active.
Icon Connection type
Ethernet
USB
Wireless
Blank No connection
• Process indicator. This indicator appears when system or patient data is transferred between the monitor and the network.
• Battery condition. Estimated battery capacity is displayed in hour(s):minute(s) format.
This area also provides:
• Interactive alarm and information messages.
• Shortcuts to some setting controls. For example, touching the Alarm icon displays the Alarms tab.
Battery status
The battery status indicator displays the state of the battery.
The battery status is represented by icons in the right corner of the Device Status area:
• The monitor is connected to a power outlet and the battery is charging or is fully charged. The estimated charge rate is displayed as a percentage of capacity.
• The monitor is not connected to a power outlet and is running on battery power. The estimated charge time remaining is displayed in the hour(s):minute(s) format. Each section of the battery status indicator represents a percentage of remaining charge.
• The monitor is connected to a power outlet but the battery does not maintain a charge (or has been removed).
When the battery is not being recharged and power becomes low, a low-priority alarm appears in the Device Status area.
Directions for use Navigation 33
Note Observe the remaining battery charge in the battery status indicator and plug the monitor into a power outlet as soon as you are able.
If the low-priority alarm is dismissed or if you take no action to charge the battery, a highpriority alarm appears when battery power is critically low. Plug the monitor into a power outlet immediately to prevent it from shutting down.
Alarm and information messages
The Device Status area provides alarm and information messages that are either temporary or exist as long as the condition to which the message applies remains. Alarm or information messages may also include controls and/or behavior that you can use to manage alarm and information messages.
When the monitor detects an alarm condition, an alarm message appears. When multiple alarms occur, the highest priority message appears. You can cycle through each alarm message by touching the multiple alarm toggle.
Information messages instruct you to interact with the monitor in a specific way or provide information that does not require action. You can dismiss an information message by selecting the control associated with the message or waiting for the message to time out.
Content area
The Content area displays vital sign measurements. It also provides shortcuts to several controls.
The Content area includes the following frames:
• NIBP
• SpO2 with optional SpHb
• Pulse rate
• Temperature
• Patient
• Manual parameters (height, weight, pain, temperature, respiration, and BMI, depending on configuration)
34 Navigation Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
The Content area also includes a Save button, which you use to manually save current measurements.
Save patient data
Patient data can be saved to the monitor.
After taking a patient reading, touch Save.
A message will appear indicating a successful or failed save.
Note You can configure some profiles and settings to automatically save measurements.
Navigation area
The Navigation area includes the following tabs:
• Home: Displays vital-sign measurements and provides shortcuts to several controls.
• Patients: Accesses the patient list, patient summary, patient modifiers, and manual parameters.
• Alarms: Accesses global alarm response and settings controls, plus alarm limits settings (available only in Monitor mode).
• Review: Prints, deletes, and sends patient data.
• Settings: Accesses device configuration settings.
To navigate to a tab, touch the tab in the Navigation area with the corresponding name.
The active tab is highlighted.
Display lock
The display lock prevents clinician input, which may be useful when cleaning the display.
Note The lock feature is not a security mechanism.
The display locks when any of the following occur:
• You touch Lock display now.
• No interaction with the monitor occurs for the period specified in the Display tab.
Use the Advanced tab to set or change the time it takes for the display to lock. (This requires the Advanced settings access code.)
Lock the display
Follow these steps to touch the screen without activating the controls.
1. Touch the Settings tab.
2. Touch the Device tab.
3. Touch Lock display now.
The following occurs:
• The Home screen appears.
Directions for use Navigation 35
• A title bar with a lock icon ( ) replaces the Navigation area at the bottom of the screen.
• Patient information no longer appears at the bottom left of the screen.
• All controls on the screen are locked, except for on the title bar. If you select any area of the screen other than , a message appears.
Unlock the display
On the locked screen, touch and move Slide to unlock (located at the bottom right) to the rightmost position on the slidebar.
The following occurs:
• Patient information appears in the Patient frame.
• The Navigation area appears.
• Home tab controls are available for use.
The display also unlocks when any of the following occur:
• An alarm condition.
• An externally initiated action, such as taking or stopping an NIBP measurement or upgrading software.
• The monitor powers up.
36 Navigation Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Profiles
Profiles are variations of the Home tab. Each profile gives you access to a different set of features. Choose the profile that best suits your needs.
The monitor offers multiple profiles—including Monitor, Spot Check, and Triage—based on the model and any upgrade licenses you purchase.
Monitor profile
The Monitor profile enables you to use alarms and timed intervals. It is designed for continuous patient monitoring.
37
38 Profiles Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Spot Check profile
The Spot Check profile is optimized for clinicians who take spot-check vitals readings and do not need automatic reading or alarm features.
Triage profile
The Triage profile allows for vital signs capture without alarms or access to the Patients tab.
Directions for use Profiles 39
Profile feature comparison
The following table compares the features of the profiles.
Feature Monitor Spot Check Triage
Take NIBP, SpO2, temperature, and pulse rate readings
X
Take SpHb readings (Masimo only)
X
Configure and use interval timing setting
X
Observe and configure alarm limits
X
Observe and respond to physiological alarms
X
Change patient type (adult, pediatric, neonate)
X
View and enter manual parameters (height, weight, pain, respiration, temperature*, BMI**)
X
Save currently displayed data to device memory
X
X
X
X
X
X
X
X
Save and review patient data X
Access Patients tab X
Access Alarms tab
Access Review tab
X
X
X
X
X
X X
Access Settings tab X X X
* Braun IR thermometers configured to work with the monitor transfer temperature data automatically to the
Temperature frame. You can enter temperature manually if you take a patient temperature with a thermometer that is not connected to the monitor, and you have selected temperature as one of the four manual parameters to display.
** Body Mass Index (BMI) is calculated and transferred to the monitor only by an attached weight scale. You cannot enter or adjust BMI values. BMI displays on the Manual tab and in the Manual parameters frame if you have selected it as one of the four parameters to display.
40 Profiles Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Select a profile
Follow these steps to select a profile, which controls the appearance and functionality of the device.
1. Touch Settings.
2. Touch Profiles.
3. Touch the desired profile.
4. Touch Home to return to the Home tab.
Note Profiles cannot be changed while acquiring patient measurements or while unsaved patient measurements are on the display.
Using the keypad, keyboard, and barcode scanner
Open the numeric keypad
Touch any field that includes the numeric keypad icon .
The numeric keypad appears.
Numeric keypad
41
The numeric keypad includes the following components:
Component Name
Data field
Backspace key
Description
Displays the numbers you enter. The field name appears above and the range of values you can enter appears below this field.
When touched, removes the rightmost number from the data field.
42 Using the keypad, keyboard, and barcode scanner Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Component Name
Cancel button
OK button
Description
When touched, the numeric keypad disappears and the selected number does not change.
When touched, the numeric keypad disappears and the entered number appears in the associated frame or data field.
Enter a number
1. With the numeric keypad open, touch a number or numbers.
The value must be within the range that appears below the data field.
2. Touch OK.
• If the value is within the required range and format, the numeric keypad disappears and the entered numbers replace the previous numbers.
• If the number is not within the required range and format, OK remains inactive until you enter a valid number.
Close the numeric keypad
Touch one of the following:
• OK: Exits the numeric keypad and inserts the number.
• Cancel: Exits the numeric keypad without saving entered numbers.
Open the keyboard
Keyboard
Touch any field that includes the keyboard icon
The keyboard appears.
.
The keyboard includes the following components:
Directions for use
Component
Using the keypad, keyboard, and barcode scanner 43
Name
Data field
Description
Displays the characters you enter.
Backspace key
Space bar
When touched, removes the rightmost character from the data field.
When touched, enters a space in the data field.
Shift key When touched, enters the next letter as uppercase.
Letters key When touched, returns to the primary keyboard layout. The keyboard changes from normal layout when you touch one of these:
• The symbols key
• The diacritical marks key
Symbols key When touched, the keyboard displays symbols.
The keyboard returns to its normal layout when you touch one of these:
• Any symbol
• The letters key
• The symbols key
Note The symbols that display match the selected language.
Diacritical marks key
(appearance varies in some languages)
When touched, the keyboard displays letters with diacritical marks. The keyboard returns to its normal layout when you touch one of these:
• Any letter
• The letters key
• The diacritical marks key
Note This key appears only when the selected language uses diacritical marks.
Next button
Cancel button
OK button
When touched, accepts the entry for the current field, then clears the field to allow data entry for the next field.
When touched, the keyboard disappears and the content of the data field remains the same.
When touched, the keyboard disappears and the entered characters appear in the data field.
44 Using the keypad, keyboard, and barcode scanner Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Enter a letter or number
1. With the keyboard open, touch letters or numbers.
2. Do one of the following:
• Touch Next. This control accepts the entry for the current field, then clears the data field to allow data entry in the next field.
• Touch OK. The keyboard disappears and the entered characters appear in the data field.
Enter a symbol or special character
Note To return to the keyboard's normal layout, touch .
1. With the keyboard open, touch .
Symbols and special characters for the selected language appear.
2. Touch the appropriate symbol or special character.
The keyboard returns to its normal layout.
Enter a diacritical mark
Note
Note
Keyboards with diacritical marks are available only for languages that use diacritical marks.
To return to the keyboard's normal layout without saving changes, touch
Diacritical marks key
None (Not applicable)
.
Language(s)
Danish, English, Dutch, German, Italian
French
Finnish, Norwegian, Spanish, Swedish
Portuguese
Directions for use Using the keypad, keyboard, and barcode scanner 45
Diacritical marks key Language(s)
Polish
Greek
1. With the keyboard open, touch the diacritical marks key. This key varies based on the language, as noted above.
The keyboard displays diacritical marks for the selected language and therefore varies from one language to another. On each diacritical marks keyboard, the letters key in the top left corner returns you to the standard keyboard.
2. Touch a diacritical mark.
The keyboard returns to its normal layout.
Close the keyboard
Touch one of the following:
• Next: Accepts the entry for the current field, then clears the field to allow data entry for the next field.
• OK: Exits the keyboard and inserts the data.
• Cancel: Exits the keyboard without saving entered data.
Use a barcode scanner
The monitor enables the scanning of patients’ and clinicians’ barcodes to enter ID information. The barcode scanner supports linear and two-dimensional barcodes.
If you haven't done so already, attach the barcode scanner to the monitor. Use the instructions to attach an accessory.
Note Refer to the manufacturer's directions for use to ensure that the scanner is set to USB Com Emulation mode.
1. Remove the barcode scanner from its holder.
2. Hold the scanner approximately 6 inches (15.4 cm) from the barcode and squeeze the trigger so that the light from the scanner appears on the barcode.
Once the scanner completes a successful barcode reading, the ID appears in the targeted area (Patient frame, data field, or Device Status area). See additional notes below.
If the scanner has difficulty reading the barcode, slowly adjust the distance and the angle between the scanner and the barcode while squeezing the scanner trigger. If it continues to have difficulty, verify that the barcode is as flat as possible.
46 Using the keypad, keyboard, and barcode scanner Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Note
Note
Note
You can scan a patient's barcode from the Home tab or the Summary tab.
The scanned ID appears in the Patient frame on the Home tab and in the
Patient ID field on the Summary tab.
Before you scan a barcode on the Summary tab, touch the keyboard icon in the Patient ID field. To return to the Home tab and begin taking patient measurements, touch OK.
Scanning a clinician ID while the Clinician ID pane is open places the scanned ID into the Clinician ID section of the Device Status area. Touch
OK to return to the Home tab and to begin taking patient measurements.
Use the Advanced settings Data Management tab to change the appearance of the Clinician ID if you do not want your ID to appear in the
Device Status area. (This requires the Advanced settings access code.)
However, this information is still retained in the monitor memory for recall, printing, or to send measurements electronically to the network.
Patient data management
Patient data is managed through the Patients tab.
From this tab, you can do the following:
• Retrieve a patient list from the network or manually create a patient list.
• Select a patient from the list.
• Scan a patient ID with the barcode scanner and return an Admit/Discharge/Transfer
(ADT) patient name match.
• Enter additional patient information such as modifiers and manual parameters.
CAUTION Verify patient identity on the monitor after manual or barcode entry and before printing or transferring patient records.
Add a patient to the patient list
Note If the monitor is configured to retrieve the patient list from the network, you cannot manually add a patient to the patient list.
1. Touch the Patients tab.
2. Touch Add.
3. Touch and then enter patient information. Touch through the patient data fields.
Note You can use a barcode scanner to enter a patient ID in the
to cycle
Patient ID field. Touch the barcode, and touch OK.
4. Touch OK to return to the Home tab.
The information is saved.
in the Patient ID field, scan
CAUTION Verify patient identity on the monitor after manual or barcode entry and before printing or transferring patient records.
Load patient data with the barcode scanner
You can use a barcode scanner to query existing patient records and perform an ADT patient name match.
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48 Patient data management Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Note If the monitor is connected to the network, the monitor can receive a patient name from patient records associated with a scanned ID number.
1. Ensure that you are on the Home tab.
2. Scan the patient's barcode with the barcode scanner.
The Patient ID appears in the Patient frame.
CAUTION Verify patient identity on the monitor after manual or barcode entry and before printing or transferring patient records.
Select a patient
1. Touch the Patients tab.
2. If the monitor is connected to the network, touch Retrieve list on the List tab.
The monitor retrieves the patient list from the network.
3. From the patient list, touch the patient's identifier (name, ID number, or location).
The patient's identifier is determined in Advanced settings.
4. Touch Select.
Note In the Spot Check and Triage profiles, previous patient data will be overwritten by a new save. In the Monitor profile, selecting a new patient will clear the current patient data and readings.
Patient data can be sorted in ascending or descending order by selecting the heading row and touching ▲ or ▼.
Manage patient records
Patient records can be sent to the network, printed, or deleted.
1. Touch the Review tab.
Note Measurements that triggered a physiological alarm are highlighted on this tab.
2. Select patients by touching the check box next to their names.
Directions for use Patient data management 49
3. Touch Send to transmit the records to the network, Print to print the records, or
Delete to permanently remove the records as desired.
CAUTION Verify patient identity on the monitor after manual or barcode entry and before printing or transferring patient records.
CAUTION Always visually verify the printed patient records.
Note
Note
Note
Note
The network.
icon indicates the records have been sent to the
You can configure some profiles and settings to automatically send measurements to the network.
Patient measurements older than 24 hours are automatically deleted from the patient records list on the Review tab.
The date and time stamps on saved patient measurements will adjust in response to new date and time settings.
Print patient data
1. Touch Review from the Home tab.
2. Touch next to the names of the patients whose data you want to print.
Once selected, a check mark will be added to the box .
3. Touch Print.
4. Confirm the number of records you want to print and touch OK.
The data is sent to the printer.
CAUTION Verify patient identity on the monitor after manual or barcode entry and before printing or transferring patient records.
Printer
The monitor prints to a strip to create printouts of patient information and data.
Note The sample printouts below are English, but the language in the printouts is defined by the language selected on the monitor.
50 Patient data management Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Continuous monitoring report Spot Check report
Delete a patient from the list
1. Touch the Patients tab.
2. From the List tab, touch the patient record you want to delete.
3. Touch Delete.
At the Delete Confirmation window, touch OK to permanently delete the selected patient. Touch Cancel to cancel the deletion.
Note Deleting a patient from the Patients List does not delete saved records. Touch Review to see or delete saved records.
Note For monitors connected to the network, deleting a patient on the monitor does not affect data on the network.
Modifiers
The Modifiers tab enables you to enter additional information for current measurements.
Set modifiers
1. Touch the Patients tab.
Directions for use Patient data management 51
2. Touch the Modifiers tab.
3. Adjust the NIBP, O2, and Temperature settings as required.
4. Touch OK to accept the changes and return to the home screen, or touch Clear to delete all entries.
The Modifier settings clear after a power cycle, after you clear the Home tab, or after you select a new patient.
52 Patient data management Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Alarms
The monitor presents physiological alarms and technical alarms. Physiological alarms occur when vital sign measurements fall outside of set alarm limits, but they occur only in the Monitor profile. Technical alarms occur in all profiles.
Note The three modes of data communication—USB, Ethernet, and IEEE 802.11
—are not intended for real-time alarms.
Alarm types
Type
• NIBP, SpO2, or SpHb limit exceeded
• Some technical alarms
Priority
High
Color
Red
Alarm audio tone
10-pulse tone
• Pulse rate limit exceeded
• Some technical alarms
Medium Amber 3-pulse tone
• Temperature limit exceeded
• Some technical alarms
Low Amber 2-pulse tone or 1-pulse tone
Alarm notification locations
WARNING If you are relying on visual alarm notifications, maintain a clear line of sight with the monitor and/or Nurse Call. If you are relying on audio alarm notifications, ensure that you can hear audio alarms from where you are. Set the volume as needed considering the environment and ambient noise levels.
Nurse Call
When the Nurse Call cable is connected and Nurse Call has been enabled, the monitor immediately notifies the Nurse Call system when an alarm occurs. Nurse Call notification settings are specified in the Advanced settings.
LED light bar
The light bar on the handle of the monitor illuminates as follows:
• Flashing red for high priority alarms
53
54 Alarms Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
• Flashing amber for medium priority alarms
• Constant amber for low priority alarms
Home tab
Home tab notifications
Notification
Device Status area
Description
The area changes color and displays a message with an accompanying status icon or button. If the alarm tone is in a pause interval, a timer countdown appears.
If multiple alarms and information messages are active, the Device Status area shows the highest priority alarm. If the alarms are equal in priority, the most recent alarm message appears. You can cycle through the messages for each active alarm.
Parameter frame
Alarm Limit control
The background color changes. Touch this area to pause or turn off an alarm audio tone.
Visual indicators and Nurse Call notification will persist during an audio paused condition.
The icon in this control indicates the status of the alarm limit settings. Red and amber icons indicate measurements that have exceeded alarm limits.
Touch this control to navigate to a parameter-specific tab where you can modify alarm limit settings.
Icons on the Home tab
Icons in parameter frames
The icons in the parameter frames indicate alarm notification settings. When alarm limits are on, the icons will be black and white until an alarm occurs. Then, the icons will change color to indicate the priority of the alarm. Red icons represent high priority alarms, and amber icons represent medium or low priority alarms.
Directions for use Alarms 55
Icons in parameter frames
Icon Name and status
Alarm off.
No visual or audio alarms or Nurse Call notification will occur for this parameter.
Alarm on.
Audio and visual notifications and Nurse Call are enabled.
Alarm audio off.
Only visual notifications, including Nurse Call, will occur.
Alarm audio paused.
The audio tone is paused for a period ranging from 90 seconds to 15 minutes. The icon remains until the paused time counts down to 0.
Icons in the Device Status area
The icons in the Device Status area are black and white, but the background area changes colors to indicate the alarm priority. Messages accompany these icons. These icons can be controls or status indicators.
Icons in the Device Status area
Icon Name and status
Alarm active.
One or more alarms are active. Touch this icon to pause or turn off the audio tone.
Alarm audio off.
Audio signals are disabled, but alarm limits and visual alarm signals remain active.
Multiple alarms toggle.
Touch this icon to cycle through the messages for each active alarm.
Alarm audio paused.
The audio tone is paused for a period ranging from 90 seconds to 15 minutes. The icon remains until the paused time counts down to 0. Touch this icon to reset the pause interval. The pause interval is determined by settings in the Advanced tab.
56 Alarms Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Reset (pause or turn off) audio alarms
Audio alarm characteristics
• After you reset an audio alarm, some tones do not return, but others return after a pause interval if the condition that caused the alarm persists. Settings in the
Advanced tab determine the length of the pause interval.
• If a new alarm condition occurs during a pause interval, a new audio tone occurs.
• If an audio alarm is not paused or turned off after a period of time, a buzzer accompanies the tone.
Pause or turn off an audio alarm
1. In the Device Status area, touch .
• Visual indications remain in the parameter frame until the condition is corrected or until the next measurement is taken.
• In the Device Status area, if the icon changes to and the message remains, the timer counts down and the audio tone returns after a pause interval. You can touch again to restart the timer.
If you responded to an NIBP alarm and multiple NIBP limits have been exceeded, the first audio tone and message go away, but another NIBP limit message shows with a countdown timer. A new NIBP audio tone sounds after the countdown unless you touch message.
to dismiss each remaining NIBP limit
2. If multiple alarms are active, a multiple alarm toggle will appear in the Device Status area. Respond to multiple alarms as follows: a. Touch in the Device Status area. (See note below.) b. Read the alarm message for the second alarm.
c. Touch .
d. Continue to touch multiple alarm toggle buttons and to reset tones until you have read all of the messages.
Note The multiple alarm toggle button will display the number of active alarms inside the alarm icon. A set of dots indicating the display order of alarms from highest (left) to lowest (right) priority (as well as the most recent in the case of multiple alarms of the same priority) will appear below it.
Directions for use Alarms 57
Adjust vital sign alarm limits
You can adjust vital sign alarm limits or turn off alarm limit checking for individual parameters.
WARNING Alarm limits are user adjustable. All alarm limit settings should take into account the patient's condition and acute care needs. Appropriate alarm limits should be set accordingly for each patient.
CAUTION Loss of power will cause the monitor to return to default settings. Each time you power up the monitor, you must set alarm limits appropriate for your patient.
1. On the Home tab, touch the alarm limits control in the selected parameter frame. For example, to adjust the NIBP alarm limits, touch
2. Adjust vital sign alarm limits.
.
• To adjust a limit: Enter the desired upper and lower alarm limits using the up/ down arrow keys or the keypad.
• To turn alarm limits off or on for the vital sign: Touch button toggles to display the current alarm state.
or . This
If you turn off alarm limit checking for a vital sign, no visual or audio alarm signals will occur for those limits. If alarm limit checking is off, the icon changes to
on the Home tab in the parameter frame.
Modify audio alarm notification
You can modify the volume of all audio alarms.
Note If the Allow user to turn off general audio option has been selected in
Advanced settings, you can turn off audio alarms, but turning off alarms is not recommended in some circumstances, such as unattended monitoring.
WARNING The alarm volume should be loud enough for you to hear it from where you are. Set the volume considering the environment and ambient noise levels.
As you are working in the Alarms tab, parameter measurements appear across the top of the tab.
1. Touch the Alarms tab.
58 Alarms Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
2. On the General tab, modify audio alarm notification.
• To enable or disable audio alarms, select Alarm audio on or Alarm audio off.
If you turn off audio alarms, visual alarm signals still occur in the LED light bar,
Device Status area, and on the Home tab in parameter frames.
The in the Device Status area indicates alarm audio turned off, and a similar bell will appear in the parameter frames . If an alarm condition occurs, the bell will be red or amber in the alarming frame, according to the priority of the alarm, as shown here: or .
• To modify the volume of audio alarms: Select a volume level.
An audio tone sounds briefly to indicate the volume level.
Note Periodically test the speaker by selecting different speaker volumes and listening for the different tones.
Alarm messages and priorities
The following tables list the physiological and technical alarm messages and their priority.
Physiological alarms
Alarm messages
Alarm limit exceeded. NIBP systolic HIGH.
Alarm limit exceeded. NIBP systolic LOW.
Priority
High
High
Directions for use
Alarm messages
Alarm limit exceeded. NIBP diastolic HIGH.
Alarm limit exceeded. NIBP diastolic LOW.
Alarm limit exceeded. NIBP MAP HIGH.
Alarm limit exceeded. NIBP MAP LOW.
Alarm limit exceeded. Pulse rate HIGH.
Alarm limit exceeded. Pulse rate LOW.
Alarm limit exceeded. SpO2 HIGH.
Alarm limit exceeded. SpO2 LOW.
Alarm limit exceeded. SpHb HIGH.
Alarm limit exceeded. SpHb LOW.
Alarm limit exceeded. Temperature HIGH.
Alarm limit exceeded. Temperature LOW.
Technical alarms
Alarm messages
Low battery 5 minutes or less remaining.
Searching for pulse signal.
Communications module did not power on properly. Power down the device.
Network not found; check network cable connections.
Powering down. Call for service.
Battery is absent or faulty. Call for service.
NIBP air leak; check cuff and tubing connections.
NIBP not functional. Call for service.
Unable to determine NIBP; check connections and tubing for kinks.
Incorrect NIBP cuff size; check patient type.
Inflation too quick; check NIBP cuff and tubing connections.
Unable to determine NIBP; check inflation settings.
Alarms 59
Priority
High
High
Low
Low
High
High
High
High
Medium
Medium
High
High
Priority
Low
Low
Low
Low
High
High
High
Low
Low
Low
Low
Low
60 Alarms Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Alarm messages
SpO2 not functional.
Attach SpO2 sensor to monitor.
Replace the SpO2 sensor.
Set date and time.
Maximum number of patient records saved. Oldest record overwritten.
Unable to access patient information.
Connect temperature probe.
Insert correct color coded probe well.
Replace temperature probe.
Temperature not functional. Call for service.
Retry temperature measurement.
Temperature time limit exceeded. Retry temperature measurement.
Low battery; plug into outlet.
Printer door is open; close to continue.
Printer not functional. Call for service.
Out of paper.
Printer too hot; wait to retry.
Radio not functional. Call for service.
Radio error. Power down and restart.
Unable to establish network communications. Radio out of network range.
Unable to establish network communications. Call for Service.
Unable to establish network communications. Call for Service.
Radio software upgrade failed.
Unable to load configuration; using factory defaults.
Functional error. Call for service.
External device not recognized.
Incompatible Welch Allyn device.
Priority
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Low
Directions for use Alarms 61
Alarm messages
USB Communication failure.
Low battery 30 minutes or less remaining.
Low SpHb signal quality. Check sensor.
Low SpO2 signal quality. Check sensor.
Low perfusion. Check sensor.
Replace the SpO2 cable.
SpO2 mode only. Check sensor or cable.
SpO2 sensor expires in….
Priority
Low
Low
Low
Low
Low
Low
Low
Low
Unexpected restart occurred. Call for service.
Low
Weight scale not functional. Call for service.
Low
Nurse call
The monitor can be connected to a Nurse Call system through a cable that connects to the Nurse Call connector.
When the Nurse Call cable is connected and Nurse Call is enabled, the monitor immediately notifies the Nurse Call system when a physiological alarm that exceeds the preset threshold occurs. The Nurse Call system is also synchronized with the flashing
LED lightbar and audible alerts on the monitor.
Nurse Call thresholds are set in the Advanced Settings.
To connect the monitor to a Nurse Call system, you must have a cable that has been adapted to your Nurse Call system (REF 6000-NC), rated 25V AC or 60V DC maximum at
1A maximum. For ordering information, see Approved Accessories in the Appendix.
WARNING Do not rely exclusively on Nurse Call for patient monitoring.
Although the Nurse Call option enables remote notification of an alarm condition, it is not intended to replace appropriate bedside patient monitoring by trained clinicians.
Note When a patient alarm occurs, touching the alarm icon in the Device Status area pauses the alarm tone for a period ranging from 90 seconds to 15 minutes, as specified in Advanced settings, but the visual alarm indicator(s) on the monitor and Nurse Call continue.
62 Alarms Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Patient monitoring
NIBP
Noninvasive Blood Pressure (NIBP) frame
From the NIBP frame, you can measure blood pressure.
Located in the upper left corner of the Home tab, the NIBP frame contains data and features relevant to noninvasive blood pressure measurement. The frame provides different features based on the profile you are using.
NIBP frame in Monitor profile
NIBP frame in Spot Check and Triage profiles
NIBP measurement display
In all profiles, the frame can display systolic and diastolic measurements, and MAP calculations. You can configure the default view in Advanced settings.
View indicator
Touch the NIBP frame to toggle between views.
•
NIBP view 1 displays the SYS/DIA measurements as the primary content and the MAP calculation as secondary content.
63
64 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
•
NIBP view 2 displays the MAP calculation as the primary content and the
SYS/DIA as secondary content.
Buttons
The buttons on the right side of the frame enable you to do different tasks depending on the profile you are using. The availability of functions depends on which profile is selected. See the Profiles section for more information.
Button name
Start/Stop
Button image Description
The appearance and function of this button dynamically changes.
Touch to start a manual measurement or a cycle of automatic measurements.
Touch to stop a measurement that is in progress.
Interval
Alarm Limit control
Select a cuff
This button shows the status of automatic measurements.
Touch the button to display the Intervals tab, where you can configure automatic measurements.
Automatic measurements are off.
Automatic measurements are on.
This button displays alarm limits and status.
Touch the button to display the Alarms tab.
WARNING Use only blood pressure cuffs and hoses listed as approved accessories to ensure safe and accurate NIBP measurements.
Directions for use Patient monitoring 65
WARNING Never use an adult or pediatric monitor setting or cuff for an
NIBP measurement on a neonatal patient. Adult and pediatric inflation limits can be excessive for neonatal patients, even if a neonatal cuff is used. Neonates are defined in the AAMI SP10:2002 standard as children 28 days or less of age if born at term (37 weeks gestation or more); otherwise, up to 44 gestational weeks.
CAUTION Correct sizing of the blood pressure cuff is important for accurate blood pressure readings. A cuff that is too small might provide false high readings, while a cuff that is too large might provide false low readings.
The monitor uses the oscillometric method to determine blood pressure; therefore, if the cuff extends to the antecubital fossa (bend in the elbow), you can still acquire an accurate blood pressure reading.
Before taking an NIBP measurement, follow these steps to select the appropriate cuff for the patient.
1. Measure the circumference of the patient's bare upper arm, midway between the elbow and shoulder.
2. Choose the appropriate cuff size based on the circumference measurement. If the circumference of the patient's arm falls between two cuff sizes, use the larger cuff size.
3. Wrap the cuff around the patient's bare upper arm and verify that the artery index marker lies somewhere between the two range markings on the cuff.
Cuff measurements
The following tables provide measurements for Welch Allyn blood pressure cuffs.
One-piece cuff measurements
Cuff Size Circumference (cm) Circumference (in)
Infant
Small child
Child
Small adult
Adult
Large adult
Thigh
9.0 – 13.0
12.0 – 16.0
15.0 – 21.0
20.0 – 26.0
25.0 – 34.0
32.0 – 43.0
40.0 – 55.0
3.5 – 5.1
4.7 – 6.3
5.9 – 8.3
7.9 – 10.2
9.8 – 13.4
12.6 – 16.9
15.7 – 21.7
Neonatal soft disposable cuffs with male Luer slips
Cuff Size Circumference (cm)
NEO 1 3.3 – 5.6
Circumference (in)
1.3 – 2.2
66 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Cuff Size
NEO 2
NEO 3
NEO 4
NEO 5
Circumference (cm)
4.2 – 7.1
5.4 – 9.1
6.9 – 11.7
8.9 – 15.0
Circumference (in)
1.6 – 2.8
2.1 – 3.6
2.4 – 4.6
3.5 – 5.9
Multi-pack 1 of each 1 of each
For ordering information, see Approved Accessories in the Appendix.
Position the cuff
Note The monitor and cuffs were validated using the bare upper arm site.
WARNING Patient injury risk. Do not use the NIBP for continuous monitoring without frequently checking the patient's limb. When a patient is being monitored frequently or for a prolonged period, regularly remove the cuff to inspect it and to check the cuff site for ischemia, purpura, or neuropathy.
WARNING Inaccurate measurement risk. Do not place the cuff where it can disturb proper circulation. Do not place the cuff on any area where circulation is compromised or on any extremity used for intravenous infusions. Do not use an SpO2 finger clip sensor and a blood pressure cuff simultaneously on the same limb. Doing so may cause a temporary loss of pulsatile flow, resulting in either no reading or an inaccurate SpO2 or pulse rate until the flow returns.
WARNING The blood pressure cuff must be properly positioned to ensure blood pressure accuracy and patient safety. Wrapping the cuff too loosely
(preventing proper inflation) may result in inaccurate NIBP readings.
CAUTION If a site other than the bare upper arm is used, the blood pressure measurements may be different. It is important to document the alternate site on the patient record.
CAUTION To minimize inaccurate measurement, limit patient movement during an NIBP measurement cycle.
Before taking an NIBP measurement, follow these steps to properly attach the cuff to the patient.
1. Position the cuff on the patient's bare upper arm midway between the shoulder and the elbow.
2. Wrap the cuff snugly so that there is room for no more than two fingers between the cuff and the patient's bare upper arm.
3. Position the alignment mark on the cuff directly over the brachial artery.
4. Ensure that the blood pressure tubing has no kinks or twists.
Directions for use Patient monitoring 67
Note In situations where you cannot position the cuff level with the heart, you should adjust the measurements as follows for greater accuracy. For each inch (2.54 cm) that the cuff is above the level of the heart, add 1.8 mmHg to the displayed reading. For each inch (2.54 cm) that the cuff is below the level of the heart, subtract 1.8 mmHg from the displayed reading. It is important to document the adjustment on the patient record.
NIBP measurement
The monitor enables you to take manual and automatic NIBP measurements.
WARNING NIBP readings may be inaccurate for patients experiencing moderate to severe arrhythmia.
WARNING Do not allow a blood pressure cuff to remain on neonatal patients more than 90 seconds when inflated above 5 mmHg. Do not allow a blood pressure cuff to remain on the adult patients more than 3 minutes when inflated above 15 mmHg. Excessive cuff tightness may cause venous congestion, peripheral nerve injury, discoloration of the limb, and patient distress.
WARNING Inaccurate measurement risk. Pulse rate measurements generated through the blood pressure cuff or through SpO2 are subject to artifact and might not be as accurate as heart rate measurements generated through ECG or through manual palpation.
WARNING Use caution when measuring blood pressure using oscillometric blood pressure devices in severely ill neonates and pre-term infants because these devices tend to measure high in this patient population.
CAUTION Inaccurate measurement risk. Any external compression of the blood pressure hose or cuff may cause system errors or inaccurate measurements.
At the start of a measurement, the monitor inflates the cuff to the appropriate level. In the NIBP frame, the systolic display shows the cuff inflation pressure while the blood pressure measurement is in progress.
The monitor measures blood pressure as the cuff is inflating. If patient movement, excessive noise, or an arrhythmia prevent the monitor from determining the blood pressure while the cuff is inflating, the monitor attempts to measure the blood pressure while deflating the cuff.
When the measurement is complete, the NIBP frame displays the measurement until you save it to the patient's record or you start another NIBP measurement.
Note The Pediatric and Adult blood pressure modes are supported on patients 29 days and older. The Pediatric mode gives you the option of setting a lower initial inflation pressure when using the StepBP deflation and not SureBP.
68 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Note
Note
Use dual-lumen tubes for adult and pediatric blood pressure measurements and single-lumen tubes for neonate blood pressure measurements.
Mismatching tube types, patient types, and algorithms causes an information message to appear in the Device Status area. For neonate patients, set the NIBP settings as follows: Patient = Neonate, Tube type =
1 tube, Algorithm = Step.
Welch Allyn uses the following definition of Neonate: Children 28 days or less of age if born at term (37 gestation or more); otherwise, up to 44 gestational weeks.
Take a manual NIBP measurement
WARNING Patient injury risk. Never install Luer Lock connectors on Welch
Allyn blood pressure cuff tubing. Using these connectors on blood pressure cuff tubing creates the risk of mistakenly connecting this tubing to a patient's intravenous line and introducing air into the patient's circulatory system.
CAUTION Inaccurate measurement risk. Any external compression of the blood pressure hose or cuff may cause system errors or inaccurate measurements.
1. Properly size the blood pressure cuff and position it around the patient’s bare upper arm.
2. Touch Start to take a measurement.
Interval NIBP measurement
The monitor can take NIBP measurements automatically based on intervals you choose.
The Intervals tab provides all interval features.
From this tab, you can do the following:
• Configure intervals
• Turn off intervals
• Configure the monitor to print automatic measurements as they are completed
When the measurement is complete, the NIBP frame displays the measurement until the next measurement is complete.
Note During intervals, each automatic and manual save of patient measurements clears all measurements from Manual parameters frame.
The button changes to a timer ( automatic measurement.
), which counts down to the next
Automatic measurements continue until you turn off intervals.
WARNING Patient harm risk. Do not use intervals on neonates out of earshot. Verify that audio can be heard from where you intend to be.
Automatic print on interval
The printer can be set to automatically print patient data at each interval.
Directions for use Patient monitoring 69
1. Touch the Settings tab.
2. Touch the Intervals tab.
3. Touch the box next to Automatic print on interval.
Automatic intervals
You can configure the monitor to take automatic NIBP measurements at consistent intervals.
Note An alarm does not turn off intervals. Subsequent automatic measurements continue to occur as scheduled.
Start automatic intervals
Follow these steps to configure the monitor to take NIBP measurements at consistent intervals.
1. Properly size the blood pressure cuff and position it around the patient’s bare upper arm.
2. On the Home tab, touch
3. Select Automatic.
.
4. Use the numeric keypad to enter the length of time between NIBP measurements.
5. Touch Start intervals.
Note Intervals are not available in all profiles. See the Profiles section for more information.
Program intervals
You can configure the monitor to take automatic NIBP measurements at variable intervals. The monitor comes with preset interval programs that can be edited to meet your needs. The numbers below the program name indicate the length of time between each interval in the cycle.
70 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Start program intervals
Follow these steps to configure the monitor to take automatic NIBP measurements at variable intervals.
1. Properly size the blood pressure cuff and position it around the patient’s bare upper arm.
2. On the Home tab, touch
3. Select Program.
4. Touch the desired program.
5. Touch Start intervals.
.
Create a new program interval or edit an existing program
Follow these steps to create or edit a program interval.
1. On the Home tab, touch the interval button (
2. Select Program.
or
3. Touch the desired program.
4. Touch the keyboard icon and enter the desired program name.
5. Enter the desired duration and interval settings.
6. Touch Start Intervals.
).
The new intervals take effect at the start of the next NIBP measurement.
Stat intervals
You can configure the monitor to take NIBP measurements continuously.
Directions for use Patient monitoring 71
When you select the Stat option in the Intervals tab, the monitor takes repeated NIBP measurements for 5 minutes, starting a new cycle each time the cuff deflates below safe venous return pressure (SVRP) for 2 seconds.
WARNING Patient injury risk. If you use Stat mode repeatedly, periodically observe the patient's limb to ensure that circulation is not impaired and that the cuff remains in place. Prolonged impairment of circulation or improper cuff position can cause bruising.
Current cuff pressures are not dynamically displayed during a Stat reading. The Home tab displays the NIBP reading from the previous cycle until the current cycle finishes.
Note If you are in Stat intervals, you can stop intervals by touching you touch the button twice, you will restart Stat intervals. The control toggles between STOP and START with each touch.
. If
Start Stat intervals
Follow these steps to start Stat intervals.
1. Properly size the blood pressure cuff and position it around the patient’s bare upper arm.
2. Select Stat.
3. Touch Start intervals.
Stop automatic measurements
Follow these steps to turn off intervals.
1. On the Home tab, touch the interval timer button (
2. Touch Stop intervals.
).
Cancel a measurement that is in progress
Follow these steps to cancel any NIBP measurement that is in progress.
72 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
On the Home tab, touch .
The monitor rapidly deflates the cuff, and the screen displays the NIBP cancellation message.
If intervals are turned on, the button changes to a timer ( counts down to the next automatic measurement.
), which
Configure NIBP alarms
Follow these steps to set alarm limits for systolic and diastolic measurements, and MAP calculation.
1. Verify that you are using the Monitor profile, which contains the Alarms tab.
2. Touch the Alarms tab.
3. Touch the NIBP tab.
4. Enter the desired upper and lower alarm limits for systolic and diastolic measurements, and MAP calculation using the up/down arrow keys or the keypad.
5. Touch the Home tab.
The new alarm settings display in the Alarm Limit control button.
Temperature
Temperature frame
From the temperature frame you can measure patient temperature.
Located in the lower right corner of the Home tab, the temperature frame contains data and features relevant to temperature measurement. The frame provides different features based on the profile you are using.
Temperature frame in Monitor profile
Directions for use
Temperature frame in Spot Check and Triage profiles
Patient monitoring 73
Temperature measurement display
In all profiles, the frame can display temperature in Celsius or Fahrenheit. You can configure the default view in Advanced settings.
Site selection
Remove the temperature probe and touch the Temperature site control toggle between sites.
Pediatric axillary Adult axillary Oral
to
Note
Rectal
Monitors configured with the temperature module and the red rectal probe well and probe default to the rectal mode.
Note
Ear
The monitor displays the ear mode when it receives a temperature measurement from the ear thermometer.
74 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Temperature buttons
The buttons on the right side of the frame enable you to do different tasks depending on the profile you are using. The availability of functions depends on which profile is selected.
Button name
Temperature alarm
Button image Description
This button displays alarm limits and status.
Touch the button to display the Alarms tab.
Direct mode Touch the button to enter Direct mode.
Configure temperature alarms
Follow these steps to set alarm limits for temperature measurement.
1. Verify that you are using the Monitor profile, which contains the Alarms tab.
2. Touch the Alarms tab.
3. Touch the Temperature tab.
4. Enter the desired upper and lower alarm limits for temperature using the up/down arrow keys or the keypad.
5. Touch the Home tab.
The new alarm settings display in the Alarm Limit control button.
SureTemp
®
Plus temperature module
The temperature module uses a thermistor thermometer design and a predictive algorithm to calculate patient temperatures in the Predictive mode.
WARNING Patient injury risk. Prior to taking a temperature, instruct the patient not to bite down on the probe as patient injury and damage to the probe may result.
WARNING Patient injury risk. Do not exceed the recommended temperature measurement durations in Direct mode. Continuous measurement durations of 3 minutes at the oral and rectal sites and 5 minutes at the axillary site are recommended for accurate measurement.
Do not continuously measure beyond 10 minutes in any mode.
WARNING Probe covers are single-use only. Re-use of a probe cover may result in spread of bacteria and cross-contamination.
Directions for use Patient monitoring 75
WARNING Patient injury risk. Use only Welch Allyn single-use disposable probe covers. Never take a temperature measurement without a single-use probe cover securely attached. Failure to use a probe cover can cause patient discomfort from a heated probe, patient cross-contamination, and inaccurate temperature readings.
WARNING Patient illness may result from improper use of oral and rectal temperature probes. Using the incorrect probe may also produce inaccurate measurements.
• Use only oral probes, identified by a blue ejection button at the top of the probe, to take oral and axillary temperatures.
• Use only rectal probes, identified by a red ejection button at the top of the probe, to take rectal temperatures.
WARNING Patient illness or cross-contamination may result from improper placement of oral and rectal temperature probes in the probe wells.
• Place only oral probes, identified by a blue ejection button at the top of the probe, in the blue probe wells.
• Place only rectal probes, identified by a red ejection button at the top of the probe, in the red probe wells.
WARNING Inaccurate measurement risk. Never take an axillary temperature through the patient's clothing. Carefully place the probe in the axilla, avoiding contact with other objects or material. Always verify direct contact between the probe cover and skin.
WARNING Patient injury risk. When taking rectal temperatures, insert the probe tip only 5/8 inch (approximately 1.5 cm) inside the rectum of adults and only 3/8 inch (approximately 1 cm) inside the rectum of children to avoid the risk of bowel perforation.
WARNING Never use a damaged temperature probe. The thermometer consists of high-quality precision parts and should be protected from severe impact or shock. Do not use the thermometer if you notice any signs of damage to the probe or monitor. If the thermometer probe is dropped or damaged, remove it from use and have it inspected by qualified service personnel.
CAUTION Inaccurate measurement risk. Patient activities such as strenuous exercise, ingesting hot or cold liquids, eating, chewing gum or mints, brushing teeth, or smoking may affect oral temperature measurements for up to 20 minutes.
CAUTION Inaccurate measurement risk. Always use new probe covers taken from the monitor's probe cover box holder to ensure accurate temperature measurements. Probe covers taken from other places or that haven't stabilized in temperature may result in inaccurate temperature measurements.
Temperature mode selection
The monitor with the temperature module takes a patient temperature in either
Predictive (Normal) or Direct mode. The default setting is the Predictive mode.
76 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
WARNING Inaccurate measurement risk. To ensure optimal accuracy, always confirm that the correct mode and site are selected.
WARNING Patient injury risk. Do not exceed the recommended temperature measurement durations in Direct mode. Continuous measurement durations of 3 minutes at the oral and rectal sites and 5 minutes at the axillary site are recommended for accurate measurement.
Do not continuously measure beyond 10 minutes in any mode.
Directions for use Patient monitoring 77
Predictive mode
Is a one-time measurement that takes a temperature in approximately 6 to 15 seconds.
Removing the probe from the probe well, loading a probe cover, and holding the probe tip in place at the measurement site initiates a Predictive mode measurement. The monitor sounds a tone to indicate the end of a predictive measurement.
Direct mode
Provides continual temperature measurements. For oral and rectal measurements, it is recommended to measure temperature until the temperature stabilizes or for 3 minutes.
For axillary measurements, it is recommended to measure temperature until the temperature stabilizes or for 5 minutes. The monitor changes to Direct mode approximately 60 seconds after the probe is removed from the probe well.
CAUTION The monitor does not retain Direct mode temperatures in memory. Therefore, it is important to note the temperature before removing the thermometer probe from the measurement site and then manually record it in the patient record.
After 10 minutes of using the Direct mode, the monitor generates a technical alarm condition and clears the measurement.
Take a temperature in the Predictive mode
WARNING Inaccurate measurement risk. To ensure optimal accuracy, always confirm that the correct mode and site are selected.
WARNING Patient injury risk. Prior to taking a temperature, instruct the patient not to bite down on the probe as patient injury and damage to the probe may result.
CAUTION Probe covers are disposable, nonsterilized, and single-use.
Probes are also nonsterilized. Do not autoclave probes and probe covers.
Ensure that probe covers are disposed of according to facility requirements or local regulations.
1. Remove the temperature probe from the probe well.
The monitor sounds a tone as it enters the ready state.
2. Insert the probe into a new probe cover and press the probe handle down firmly.
3. Touch the Temperature site control to choose from these measurement sites: oral, pediatric axillary, or adult axillary.
4. Hold the probe tip in place at the measurement site.
For oral temperatures, place the probe tip under the patient’s tongue on either side of the mouth to reach the sublingual pocket and ask the patient to close his/her lips.
78 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Note Do not hand the probe to patients to place in their mouth.
For axillary temperatures, lift the patient’s arm so that the entire axilla is easily seen and place the probe tip as high as possible in the mid-axilla. Verify that axillary tissue completely surrounds the probe tip and place the arm snugly at the patient’s side.
While the measurement is taking place, the temperature frame displays the process indicator.
5. The monitor sounds a tone when the final temperature is reached (in approximately
6 to 15 seconds). The temperature frame continues to display the temperature in degrees Fahrenheit and degrees Celsius even after the probe is returned to the probe well.
Note To switch to the Direct mode, touch after you acquire the Predictive mode measurement. The temperature frame (in the lower-left corner) changes to "MODE: Direct..." as it switches to the Direct mode.
The monitor sounds a tone at the start of a Direct mode measurement.
6. Remove the probe after the temperature measurement is complete and firmly press the eject button on the top of the probe to release the probe cover.
Directions for use Patient monitoring 79
WARNING Patient injury risk. Do not exceed the recommended temperature measurement durations in Direct mode. Continuous measurement durations of 3 minutes at the oral and rectal sites and 5 minutes at the axillary site are recommended for accurate measurement. Do not continuously measure beyond 10 minutes in any mode.
Ensure that probe covers are disposed of according to facility requirements or local regulations.
7. Return the probe to the probe well.
8. Wash your hands to reduce the risk of cross-contamination.
Take a temperature in the Direct mode
Direct mode displays the temperature of the probe as long as the probe tip remains in place at the measurement site and remains within the operating patient temperature range. The patient’s temperature will reach final equilibrium in approximately 3 minutes at the oral and rectal measurement sites and approximately 5 minutes at the axillary site.
The monitor enters Direct mode by the following methods.
•
After you complete a Predictive mode measurement, touch to switch from
Predictive to Direct mode. The temperature frame (in the lower-left corner) changes to "MODE: Direct..." as it switches to the Direct mode.
• Remove the probe from the probe well, load a probe cover, select a temperature site, and expose the probe to ambient air for more than 60 seconds to switch the monitor to Direct mode. The temperature frame changes to "MODE: Direct...".
• If you have a patient whose body temperature is below the normal temperature range and you follow the previous step, the probe sensor identifies this condition and turns off the probe preheater in order to accommodate the lower body temperature measurement.
WARNING Patient injury risk. Do not exceed the recommended temperature measurement durations in Direct mode. Continuous measurement durations of 3 minutes at the oral and rectal sites and 5 minutes at the axillary site are recommended for accurate measurement.
Do not continuously measure beyond 10 minutes in any mode.
WARNING Inaccurate measurement risk. To ensure optimal accuracy, always confirm that the correct mode and site are selected.
WARNING Patient injury risk. Prior to taking a temperature, instruct the patient not to bite down on the probe as patient injury and damage to the probe may result.
CAUTION Probe covers are disposable, nonsterilized, and single-use.
Probes are also nonsterilized. Do not autoclave probes and probe covers.
Ensure that probe covers are disposed of according to facility requirements or local regulations.
1. Remove the temperature probe from the probe well.
The monitor sounds a tone as it enters the ready state.
2. Insert the probe into a new probe cover and press the probe handle down firmly.
80 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
3. Touch the Temperature site control sites: oral, pediatric axillary, or adult axillary.
to choose from these measurement
The temperature frame changes to Direct mode approximately 60 seconds after the probe is removed from the probe well.
The monitor sounds a tone to indicate the start of a Direct mode measurement.
4. Hold the probe tip in place at the oral or rectal measurement site for a total of 3 minutes and for 5 minutes at the axillary site.
5. While the measurements are taking place, the temperature frame displays the patient's continuous temperature measurements in degrees Fahrenheit and degrees
Celsius.
Note The monitor does not retain Direct mode temperatures in memory. Therefore, it is important to note the temperature before removing the probe from the measurement site and then manually record it in the patient record.
6. Remove the probe after the temperature measurement is complete and firmly press the eject button on the top of the probe to release the probe cover.
7. Return the probe to the probe well to continue taking temperatures in the Predictive mode.
8. Wash your hands to reduce the risk of cross-contamination.
Take a temperature at the rectal site
WARNING Patient injury risk. When taking rectal temperatures, insert the probe tip only 5/8 inch (approximately 1.5 cm) inside the rectum of adults and only 3/8 inch (approximately 1 cm) inside the rectum of children to avoid the risk of bowel perforation.
WARNING Cross-contamination or nosocomial infection risk. Thorough hand-washing greatly reduces the risk of cross-contamination and nosocomial infection.
WARNING Patient injury risk. Do not exceed the recommended temperature measurement durations in Direct mode. Continuous measurement durations of 3 minutes at the oral and rectal sites and 5 minutes at the axillary site are recommended for accurate measurement.
Do not continuously measure beyond 10 minutes in any mode.
WARNING Inaccurate measurement risk. To ensure optimal accuracy, always confirm that the correct mode and site are selected.
CAUTION Probe covers are disposable, nonsterilized, and single-use.
Probes are also nonsterilized. Do not autoclave probes and probe covers.
Ensure that probe covers are disposed of according to facility requirements or local regulations.
Directions for use Patient monitoring 81
1. Remove the rectal temperature probe from the rectal probe well.
The monitor sounds a tone as it enters the ready state. The Temperature Site
Control defaults to the rectal site.
2. Insert the rectal probe into a new probe cover and press the probe handle down firmly.
3. Separate the patient’s buttocks with one hand. Use the other hand to gently insert the probe tip only 5/8 inch (1.5 cm) inside the rectum of adults and only 3/8 inch
(approximately 1 cm) inside the rectum of children. The use of a lubricant is optional.
4. Insert the probe so that the tip is in contact with tissue. Continue to separate the buttocks and hold the probe in place throughout the measurement process. While the measurement is taking place, the temperature frame displays the process indicator.
5. The monitor sounds a tone when the final temperature is reached (in approximately
10 to 13 seconds). The temperature frame continues to display the temperature in degrees Fahrenheit and degrees Celsius even after the probe is returned to the probe well.
Note
Note
To switch to the Direct mode, touch after the
Predictive mode measurement is acquired. The temperature frame (in the lower-left corner) changes to "MODE: Direct..." as it switches to the Direct mode. The monitor sounds a tone to indicate the start of a Direct measurement. Once you are in the Direct mode, continue to separate the buttocks and hold the probe in place throughout the measurement process.
The monitor does not retain Direct mode temperatures in memory. Therefore, it is important to note the temperature before removing the probe from the measurement site and then manually record it in the patient record.
6. Remove the probe after the temperature measurement is complete and firmly press the eject button on the top of the probe to release the probe cover.
7. Return the probe to the probe well.
8. Wash your hands to reduce the risk of cross-contamination.
82 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Braun ThermoScan
®
PRO 4000 thermometer and accessory dock
The thermometer and accessory dock enable you to transfer an ear temperature measurement to the monitor. The dock also charges the thermometer battery.
Read the thermometer manufacturer's directions for use before attempting to configure, use, troubleshoot, or maintain the thermometer.
WARNING Liquids can damage electronics inside the thermometer.
Prevent liquids from spilling on the thermometer. If liquids are spilled on the thermometer, dry off the thermometer with a clean cloth. Check for proper operation and accuracy. If liquids possibly entered the thermometer, remove the thermometer from use until it has been properly dried, inspected, and tested by qualified service personnel.
CAUTION Probe covers are disposable, nonsterilized, and single-use. The thermometer is also nonsterilized. Do not autoclave the thermometer and probe covers. Ensure that probe covers are disposed of according to facility requirements or local regulations.
CAUTION The thermometer has no user-serviceable parts. If service is required, call your nearest Welch Allyn Customer Service or Technical
Support facility.
CAUTION Store the thermometer and probe covers in a dry location, free from dust and contamination and away from direct sunlight. Keep the ambient temperature at the storage location fairly constant and within the range of 50°F to 104°F (10°C to 40°C).
Take a temperature at the ear site
WARNING Probe covers are single-use only. Re-use of a probe cover may result in spread of bacteria and cross-contamination.
WARNING Inaccurate measurement risk. Use only Braun ThermoScan probe covers with this thermometer.
WARNING Inaccurate measurement risk. Frequently inspect the probe window and keep it clean, dry, and undamaged. Fingerprints, cerumen, dust, and other contaminants reduce the transparency of the window and result in lower temperature measurements. To protect the window, always keep the thermometer in the accessory dock when the thermometer is not in use.
CAUTION Inaccurate measurement risk. Before taking a temperature measurement, make sure that the ear is free from obstructions and excess cerumen build-up.
CAUTION Inaccurate measurement risk. The following factors can affect ear temperature measurements for up to 20 minutes:
• The patient was lying on his or her ear.
• The patient's ear was covered.
• The patient was exposed to very hot or very cold temperatures.
• The patient was swimming or bathing.
• The patient was wearing a hearing aid or an ear plug.
Directions for use Patient monitoring 83
CAUTION Inaccurate measurement risk. If ear drops or other ear medications have been placed in one ear canal, take the temperature in the untreated ear.
Note
Note
A temperature measurement taken in the right ear might differ from a measurement taken in the left ear. Therefore, always take the temperature in the same ear.
When the monitor receives an ear temperature measurement, it displays the measurement on the Home tab. If the Home tab already contains a temperature measurement, the new measurement overwrites it.
To take a measurement and transfer it to the monitor:
1. Make sure that the monitor is powered on.
2. Remove the ear thermometer from the accessory dock.
3. Locate the probe cover box in the accessory dock.
4. Firmly push the probe tip into the probe cover box.
When the probe cover is in place, the thermometer turns on automatically.
5. Wait for the ready beep and three dashes to appear on the thermometer display.
6. Fit the probe snugly into the ear canal and then push and release the Start button.
• If the probe is positioned correctly in the ear canal the ExacTemp light flashes.
When the thermometer detects an accurate measurement, the ExacTemp light is continuously on, a long beep signals the end of the measurement, and the display shows the result.
• If the probe is positioned incorrectly in the ear canal or is moved during the measuring process, the ExacTemp light goes out, a sequence of short beeps sounds, and the error message POS (position error) appears.
7. When you are finished taking the temperature, press the ejector button to eject the used probe cover.
8. Return the thermometer to the accessory dock.
The LED on the dock flashes while the measurement is being transferred.
After the transfer is complete, the temperature and the temperature scale appear on the Home tab according to the monitor settings.
Note
Note
Only the latest measurement is transferred to the monitor.
Measurements that have already been transferred to the monitor cannot be transferred again.
For more information about thermometer functionality, refer to the thermometer manufacturer's directions for use.
Change the temperature scale on the ear thermometer
To switch from Celsius to Fahrenheit, refer to the thermometer manufacturer's directions for use.
Charge the ear thermometer battery
To charge the battery pack:
• Place the thermometer in the accessory dock.
84 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
• Make sure that the monitor is connected to AC power.
• Make sure that the monitor is powered on.
The LED on the dock indicates the charging status of the battery pack:
• Orange: The battery pack is charging.
• Green: The battery pack is charged.
• Not illuminated: The battery pack is not charging.
Note
Note
The battery pack continues to charge while the monitor is in Display power saving mode.
It is strongly recommended that you use only the Welch Allyn rechargeable battery pack in the thermometer because the dock cannot charge other batteries.
SpO2
SpO2 and pulse rate monitoring continuously measures saturation level of oxygen in hemoglobin as well as the pulse rate in a patient through a pulse oximeter.
SpO2 frame
The SpO2 frame displays data and controls used in pulse oximetry measurements.
The frame provides a numeric view and a waveform view of SpO2 data. You can toggle between views by touching the left side of the frame.
SpO2 numeric view
The numeric view indicates the SpO2 saturation percentage and the pulse amplitude.
Features of this view differ based on the type of sensor enabled and the profile selected.
Nellcor sensor
Spot Check and Triage profiles Monitor profile
Masimo sensor
Monitor profile Spot Check and Triage profiles
Directions for use Patient monitoring 85
Pulse amplitude
The pulse amplitude bar indicates the pulse beat and shows the relative pulse strength.
More bars illuminate as the detected pulse gets stronger.
Response Mode Control
The Response Mode Control allows you to set the SpO2 measurement time to either
Normal or Fast.
Perfusion index
Perfusion Index (PI) is an SpO2 feature available only with Masimo-equipped monitors.
PI is a relative reading of pulse strength at the monitoring site. PI is a numerical value that indicates the strength of the IR (infrared) signal returning from the monitoring site.
PI display ranges from .02 percent (very weak pulse strength) to 20 percent (very strong pulse strength). PI is a relative number and varies between monitoring sites and from patient to patient, as physiological conditions vary.
During sensor placement, the PI can be used to evaluate the appropriateness of an application site, looking for the site with the highest PI number. Placing the sensor at the site with the strongest pulse amplitude (highest PI number) improves performance during motion. Monitor the trend of the PI for changes in physiological conditions.
SatSeconds™ alarm management
The SatSeconds feature is an SpO2 alarm management system available only with monitors that are equipped with Nellcor OxiMax Technology.
The SatSeconds feature is the product of the time and magnitude that a patient falls outside of the SpO2 alarm limits. For example, three points below the alarm limit for 10 seconds equals 30 SatSeconds. An alarm is triggered only when a desaturation event reaches the SatSeconds limit. The SatSeconds feature is clinician controlled and can be set to 0, 10, 25, 50, or 100 SatSeconds. If a desaturation event resolves on its own within the preset time, the clock will automatically reset and the monitor will not alarm.
86 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Note The SatSeconds feature has a built-in safety protocol that sounds an alarm whenever three SpO2 violations of any amount or duration occur within a
1-minute period.
SpO2 waveform view
The waveform view shows the real-time SpO2 plethysmograph waveform. You can select the waveform sweep speed in Advanced settings.
Measure SpO2 and pulse rate
WARNING Inaccurate measurement risk. Use only Masimo Rainbow SET sensors and accessories on Masimo-equipped monitors.
WARNING Inaccurate measurement risk. Use only Nellcor sensors and accessories on Nellcor-equipped monitors.
WARNING The pulsations from intra-aortic balloon support can increase the pulse rate displayed on the monitor. Verify the patient's pulse rate against the ECG heart rate.
WARNING Patient injury risk. Do not attempt to reprocess, recondition, or recycle any sensors or patient cables. Doing so might damage electrical components.
WARNING Pulse rate measurement might not detect certain arrhythmias because it is based on the optical detection of a peripheral flow pulse. Do not use the pulse oximeter as a replacement or substitute for ECG-based arrhythmia analysis.
WARNING Use the pulse co-oximeter as an early warning device. As you observe a trend toward patient hypoxemia, use laboratory instruments to analyze blood samples to better understand the patient's condition.
Directions for use Patient monitoring 87
WARNING The accuracy of SpO2 measurements can be affected by any of the following:
• elevated levels of total bilirubin
• elevated levels of Methemoglobin (MetHb)
• elevated levels of Carboxyhemoglobin (COHb)
• hemoglobin synthesis disorders
• low perfusion at the monitored site
• the presence of concentrations of some intravascular dyes, sufficient to change the patient's usual arterial pigmentation
• patient movement
• patient conditions such as shivering and smoke inhalation
• motion artifact
• painted nails
• poor oxygen perfusion
• hypotension or hypertension
• severe vasoconstriction
• shock or cardiac arrest
• venous pulsations or sudden and significant changes in pulse rate
• proximity to an MRI environment
• moisture in the sensor
• excessive ambient light, especially fluorescent
• the use of the wrong sensor
• a sensor applied too tightly
1. Verify that the sensor cable is connected to the monitor.
WARNING Patient injury risk. The sensor and extension cable are intended only for connection to pulse co-oximetry equipment. Do not attempt to connect these cables to a PC or any similar device. Always follow the sensor manufacturer's directions for care and use of the sensor.
2. Clean the application site. Remove anything, such as nail polish, that could interfere with sensor operation.
Note Do not use disposable sensors on patients who have allergic reactions to the adhesive.
3. Attach the sensor to the patient according to the manufacturer's directions for use, observing all warnings and cautions.
Note If a sterile sensor is required, select a sensor that has been validated for sterilization, and follow the sensor manufacturer's directions for sterilizing the sensor.
Place the sensor and the NIBP cuff on different limbs to reduce unnecessary alarms when you monitor these parameters at the same time.
88 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Note A range of sensors is available for different patient sizes and measurement sites. Consult the sensor manufacturer's instructions for selecting the correct sensor.
4. Confirm that the monitor displays SpO2 and pulse rate data within 15 seconds of connection to the patient.
WARNING Patient injury risk. Incorrect sensor application or excessive duration of sensor use can cause tissue damage.
Inspect the sensor site periodically as directed in the sensor manufacturer's instructions.
While SpO2 is being measured, the displayed pulse rate is derived from the sensor. If
SpO2 is not available, the pulse rate is derived from NIBP.
Detaching the sensor during a measurement in Monitor mode triggers an alarm.
If SpO2 is being measured continuously on a patient for an extended period, change the sensor location at least every three hours or as indicated by the sensor manufacturer's instructions.
Configure SpO2 alarms
Follow these steps to set alarm limits for SpO2 measurements.
1. Verify that you are using the Monitor profile, which contains the Alarms tab.
2. Touch the Alarms tab.
3. Touch the SpO2 tab.
4. Enter the desired upper and lower alarms limits for SpO2 using the up/down arrow keys or the keypad.
5. Touch the Home tab.
The new alarm settings display in the Alarm Limit control button.
Set SatSeconds limits
1. Touch the Alarm limit control of the SpO2 frame .
2. Touch the Alarms tab.
3. Touch to select a SatSeconds setting.
4. Touch Home to save your settings and return to the Home tab.
Set Response Mode
To set the Response Mode from the Home tab, the monitor must be in the Monitor profile.
Touch in the SpO2 frame.
The SpO2 frame displays MODE: Fast when Fast mode is selected.
Directions for use Patient monitoring 89
SpHb
Monitors configured with Masimo total hemoglobin can measure hemoglobin (SpHb),
SpO2, and pulse rate. SpHb monitoring continuously measures blood constituents and anemic status in a patient through a noninvasive SpHb pulse co-oximeter.
SpHb frame
The SpHb frame displays data and controls used in total hemoglobin measurements.
Note SpHb is available only in the Monitor profile.
In this frame, one of two labels appears:
• SpHbv indicates the venous calibrated reference for total hemoglobin measurement.
• SpHb indicates the arterial calibrated reference for total hemoglobin measurement.
You can specify the reference source in Advanced settings.
The frame provides a numeric view and a graphical trend view of total hemoglobin data.
You can toggle between views by touching the left side of the frame.
SpHb numeric view
The numeric view indicates the total hemoglobin level in either grams per deciliter (g/dL) or millimoles per liter (mmol/L). You can select the unit of measure in Advanced settings.
Averaging
The averaging button enables you to select the moving window of time used by the parameter to calculate the SpHb value and update the display: short (approximately 1 minute), medium (approximately 3 minutes), or long (approximately 6 minutes).
SpHb graphical trend view
The graphical trend view presents a trend of the real-time measurements over a userselected period. In Advanced settings, you can select the period displayed.
The graph shows total hemoglobin level on the y-axis and time on the x-axis (oldest measurements on the left to newest measurements on the right). The entire graph updates every 10 seconds.
To the right of the graph, the frame displays the current measurement in numeric format.
90 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Measure SpHb
WARNING Inaccurate measurement risk. Use only Masimo Rainbow SET sensors and accessories on Masimo-equipped monitors.
WARNING The pulsations from intra-aortic balloon support can increase the pulse rate displayed on the monitor. Verify the patient's pulse rate against the ECG heart rate.
WARNING Patient injury risk. Do not attempt to reprocess, recondition, or recycle any sensors or patient cables. Doing so might damage electrical components.
WARNING Pulse rate measurement might not detect certain arrhythmias because it is based on the optical detection of a peripheral flow pulse. Do not use the pulse oximeter as a replacement or substitute for ECG-based arrhythmia analysis.
WARNING Use the pulse co-oximeter as an early warning device. As you observe a trend toward patient hypoxemia, use laboratory instruments to analyze blood samples to better understand the patient's condition.
WARNING The accuracy of SpHb measurements can be affected by any of the following:
• elevated levels of total bilirubin
• elevated levels of Methemoglobin (MetHb)
• elevated levels of Carboxyhemoglobin (COHb)
• hemoglobin synthesis disorders
• low perfusion at the monitored site
• the presence of concentrations of some intravascular dyes, sufficient to change the patient's usual arterial pigmentation
• patient movement
• patient conditions such as shivering and smoke inhalation
• motion artifact
• painted nails
• poor oxygen perfusion
• hypotension or hypertension
• severe vasoconstriction
• shock or cardiac arrest
• venous pulsations or sudden and significant changes in pulse rate
• proximity to an MRI environment
• moisture in the sensor
• excessive ambient light, especially fluorescent
• the use of the wrong sensor
• a sensor applied too tightly
1. Verify that the sensor cable is connected to the monitor.
Directions for use Patient monitoring 91
WARNING Patient injury risk. The sensor and extension cable are intended only for connection to pulse co-oximetry equipment. Do not attempt to connect these cables to a PC or any similar device. Always follow the sensor manufacturer's directions for care and use of the sensor.
2. Verify that you are using the Monitor profile.
3. Clean the application site. Remove anything, such as nail polish, that could interfere with sensor operation.
Note Do not use disposable sensors on patients who have allergic reactions to the adhesive.
4. Attach the sensor to the patient according to the manufacturer's directions for use, observing all warnings and cautions.
Note If a sterile sensor is required, select a sensor that has been validated for sterilization, and follow the sensor manufacturer's directions for sterilizing the sensor.
Place the sensor and the NIBP cuff on different limbs to reduce unnecessary alarms when you monitor these parameters at the same time.
Note A range of sensors is available for different patient sizes and measurement sites. Consult the sensor manufacturer's instructions for selecting the correct sensor.
5. Confirm that the monitor displays SpHb or SpHbv data within 160 seconds of connection to the patient.
WARNING Patient injury risk. Incorrect sensor application or excessive duration of sensor use can cause tissue damage.
Inspect the sensor site periodically as directed in the sensor manufacturer's instructions.
While SpHb is being measured, the displayed SpO2 and pulse rate are derived from the same sensor. If SpO2 is not available, the pulse rate is derived from NIBP.
Detaching the sensor during a measurement triggers an alarm.
If SpHb is being measured continuously on a patient for an extended period, change the sensor location at least every three hours or as indicated by the sensor manufacturer's instructions.
Configure SpHb alarms
Follow these steps to set alarm limits for SpHb measurements.
1. Verify that you are using the Monitor profile, which contains the Alarms tab.
2. Touch the Alarms tab.
3. Touch the SpHb tab.
4. Enter the desired upper and lower alarm limits for SpHb using the up/down arrow keys or the keypad.
5. Touch the Home tab.
The new alarm settings appear in the Alarm Limit control button.
92 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Set SpHb averaging mode
Touch in the SpHb frame.
The SpHb frame displays the current mode.
Pulse rate frame
The pulse rate frame, located in the upper right of the Home tab, displays data, information, and controls used in reading pulse rates.
Typically, the displayed pulse rate is derived from the SpO2 sensor. If SpO2 is not available, the pulse rate is derived from NIBP.
WARNING Inaccurate measurement risk. Pulse rate measurements generated through the blood pressure cuff or through SpO2 are subject to artifact and might not be as accurate as heart rate measurements generated through ECG or through manual palpation.
Note You can specify pulse tone volume in the Pulse rate tab (located in the
Alarms tab).
Monitor profile
Spot Check and Triage profiles
Configure pulse rate alarms
Follow these steps to set alarm limits for pulse rate.
1. Verify that you are using the Monitor profile, which contains the Alarms tab.
2. Touch the Alarms tab.
3. Touch the Pulse rate tab.
4. Enter the desired upper and lower alarm limits for pulse rate using the up/down arrow keys or the keypad.
5. Touch the Home tab.
Directions for use Patient monitoring 93
The new alarm settings display in the Alarm Limit control button.
Manual parameters frame
The Manual parameters frame, located in the lower right of the Home tab, supports manual entry of parameters and displays measurements taken by some accessories.
Note
Note
Note
Note
Manual parameters are not available in the Triage profile.
Body mass index (BMI) is only available with an attached weight scale that calculates BMI.
When a measurement is transferred from an attached weight scale to the monitor, the measurement displayed on the monitor is within one decimal place (0.1) of the measurement displayed by the weight scale.
You cannot manually enter temperature on a monitor configured with a
SureTemp Plus temperature module.
Enter manual parameters
Note The Manual parameters frame enables you to enter measurements taken manually and displays measurements taken by some accessories. You can select and configure the parameters in Advanced settings. Only four parameters appear in the Manual parameters frame.
CAUTION Weight scales attached to this monitor must be running on battery power (battery type is specified in the weight scale manufacturer's directions for use). Do not use the weight scale's external power supply.
1. From the Home tab, touch anywhere within the Manual parameters frame.
The Manual tab appears. Two examples appear below.
94 Patient monitoring Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
2. Touch the up/down arrow keys or the keypad to manually adjust height, weight, pain level, temperature, respiration rate, or other parameters.
Note
Note
If an approved, battery-powered weight scale is attached to the monitor, measurements from the weight scale populate fields in the Manual tab. You can adjust weight and height measurements on this tab, but if you do, the read-only BMI field will clear.
Ensure that the current patient ID is correct before saving.
3. Touch to confirm settings and return to the Home tab.
Note During intervals, each automatic and manual save of patient measurements clears all measurements from the Manual parameters frame.
Maintenance and service
Perform periodic checks
Welch Allyn recommends that each facility conduct periodic checks of each monitor.
1. Check the following at least daily:
• Audio (speaker and piezo beeper tones), especially at startup
• Fan, especially at startup
• Touchscreen alignment
• Date
• Time
2. Visually inspect the following at least weekly:
• the monitor for any damage or contamination
• all cables, cords, and connector ends for damage or contamination
• all mechanical parts, including covers, for integrity
• all safety-related labeling for legibility and adhesion to the monitor
• all accessories (cuffs, tubing, probes, sensors) for wear or damage
• documentation for current revision of the monitor
3. Visually inspect the following at least monthly:
• Mobile stand wheels for wear and faulty operation
• Mounting screws on wall or cart for looseness and wear
Update settings, replace items, or call for service as necessary based on results of visual inspection. Do not use the monitor if you see any signs of damage. Qualified service personnel must check any monitor that is damaged for proper operation before putting the monitor back into use.
Replace the printer paper
The printer is located on the top of the monitor. Follow these steps to replace the roll of printer paper:
1. Grasp the two tabs and pull up to open the printer door.
2. Remove the empty core.
95
96 Maintenance and service Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
WARNING Hot surface. Do not touch the printer mechanism.
3. Insert a new roll of paper.
Note The paper roll must be installed as illustrated. If the paper roll is not installed correctly, the printer will not print properly.
4. Advance the end of the roll past the roller so that it extends past the printer door, as shown.
5. With one hand, pull lightly on the paper to take up any slack. With the other hand, close the printer door by pushing it down and into place until it clicks.
Be certain that the paper does not catch in the printer door.
Directions for use Maintenance and service 97
Change the battery
Before removing the battery, shut down the monitor.
1. Turn the monitor upside down to access the battery cover.
2. Locate the battery cover, indicated by .
3. Insert a coin into the slot and push to open. Choose a coin that fits comfortably in the slot.
4. Pull the battery out by pulling the battery label, which is visible when you open the battery cover.
5. Slide in the new battery. Ensure that you insert the new battery in the same orientation as the old battery.
6. Replace the battery cover by positioning the end below firmly on the opposite end.
and then pressing
98 Maintenance and service Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Note New batteries are approximately 30 percent charged. Therefore, connect the battery to AC power immediately after inserting a new a battery.
WARNING Risk of fire, explosion, and burns. Do not short-circuit, crush, incinerate, or disassemble the battery pack. Never dispose of batteries in refuse containers. Always recycle batteries according to local regulations.
Clean the monitor
WARNING Electric shock hazard. Before cleaning the monitor, disconnect the AC power cord from the power outlet and the monitor.
WARNING Electric shock hazard. DO NOT autoclave the monitor or accessories. The monitor and the accessories are not heat-resistant.
WARNING Liquids can damage electronics inside the monitor. Prevent liquids from spilling on the monitor.
If liquids are spilled on the monitor:
1. Power down the monitor.
2. Disconnect the power plug.
3. Remove battery pack from the monitor.
4. Dry off excess liquid from the monitor.
Note If liquids possibly entered the monitor, remove the monitor from use until it has been properly dried, inspected, and tested by qualified service personnel.
5. Reinstall battery pack.
6. Power on the monitor and verify monitor functions normally before using it.
If liquids enter the printer housing:
1. Power down the monitor.
2. Disconnect the power plug.
3. Remove battery pack from the monitor.
4. Remove and discard the paper roll.
5. Clean and dry the inside of the printer housing.
Note The printer housing has a drain tube that directs liquids down and out the bottom of the device. If liquids possibly entered other openings in the monitor, remove the monitor from service until it has been properly dried, inspected, and tested by qualified service personnel.
6. Install a new roll of paper.
7. Power on the monitor and verify that the monitor functions normally before using it.
Clean on a routine basis according to your facility's protocols and standards or local regulations. If the monitor is on, lock the display and disconnect the AC power cord.
The following agents are compatible with the monitor:
• 70 percent isopropyl alcohol
• 10 percent chlorine bleach solution
Directions for use Maintenance and service 99
Note Disinfect according to your facility's protocols and standards or local regulations.
70 percent isopropyl alcohol
Wipe the monitor with a clean cloth slightly dampened with 70 percent isopropyl alcohol.
10 percent chlorine bleach solution
1. Wipe the monitor with a clean cloth slightly dampened with a 10 percent bleach and water solution. Follow the cleaning agent manufacturer's guidelines.
2. Rinse with a clean cloth slightly dampened with water that meets EP and USP quality standards.
3. Allow the monitor surface to dry for a minimum of 10 minutes before using the monitor.
Clean the accessories
1. Wipe the NIBP hose and any reusable cuffs with a damp cloth moistened in a mild detergent solution.
2. Wipe the temperature probe with a cloth dampened with alcohol, warm water, or an appropriately diluted, nonstaining disinfectant solution.
3. Clean the pulse oximetry sensors with a cloth dampened with 70 percent isopropyl alcohol or 10 percent chlorine bleach solution.
4. Clean the ear thermometer according to the manufacturer's directions for use.
5. Clean the ear thermometer dock with the same cleaning agents used on the monitor.
CAUTION Never immerse any monitor accessories.
Clean the stand
The same cleaning agents used on the monitor can be used on the stand and accessory cable management system. Clean on a routine basis according to your facility's protocols and standards, or local regulations.
Note Disinfect according to your facility's protocols and standards, or local regulations.
100 Maintenance and service Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Specifications
Physical specifications
Protection classifications, all monitor configurations
Characteristic
Electrical rating
Specification
100 – 240 V AC, 50 – 60 Hz, 1.5 – 0.8 A
Duty cycle Continuous operation
Type of protection against electric shock Class I equipment (protectively earthed) with double insulation
Degree of protection against electric shock, for parts applied to patients
Type BF defibrillator proof
IEC EN 60601-1, 2nd Edition
Recovery time following defibrillator discharge
Less than or equal to 10 seconds
Flammable anesthetics
WARNING Not suitable for use with flammable anesthetics.
Degree of protection provided by the enclosure with respect to harmful ingress of liquids
IPX0
Non-protected according to EN/IEC 60529; Pulse oximeter equipment complies with ISO 9919 Cl. 44.6 Ingress of liquids tests and EN/IEC 60601-1,
60601-2-30, 60601-2-49 Cl. 44.3 Spillage tests
Height
Width
Depth
Weight (including battery)
Graphical display resolution
Display area
Pixels
10 in. (25.4 cm )
11 in. (29.2 cm)
6 in. (15.7 cm)
9.5 lb. (4.3 kg)
8 in. (H) x 4 in. (V) (19.5 [H] cm x 11.3 [V] cm)
1024 (H) x 600 (V)
101
102 Specifications Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Protection classifications, all monitor configurations
Pixel arrangement
Color depth
Speaker volume
Output sound pressure
Alarm and pulse tones
Pulse frequency (f
0
)
Number of harmonic components in the range 300 Hz to 4000 Hz
Effective pulse duration (t d
)
RGB (red, green, blue)
16 bits per pixel
67 dB at 1.0 meter per IEC 60601-1-8
150 – 1000 Hz minimum of 4 high priority: 75 –200 ms medium and low priority: 125 – 250 ms
Rise time (t r
)
Fall time a (t f
)
10 – 20% of t d t f
< t s
– t r
Note The relative sound pressure level of the harmonic components should be within 15 dB above or below the amplitude at the pulse frequency.
a Prevents overlap of pulses.
Battery specifications 6 cell 9 cell
Rating
Composition
Charge time to 80 percent capacity
11.1 V 3.80Ah (42Wh)
Lithium-ion
2hr 7m
10.8 V 6.75Ah (73Wh)
Lithium-ion
2hr 25m
Charge time to 100 percent capacity
Patient exams per charge 1
3hr
26
4hr
47
Age to 70 percent capacity 2 300 300
1 A patient exam includes NIBP, Temperature, and SpO2 measurements at the rate of one patient every 10 minutes with a 2-minute display time out setting and a new battery.
2 After this many full charge and discharge cycles, the battery has aged to where its total capacity has been reduced to
70 percent of its rating.
Nurse Call connection specifications
Nurse Call 25 V AC or 60 V DC maximum at 1A maximum
Directions for use Specifications 103
NIBP specifications
Cuff pressure range
Systolic range
Meets or exceeds ANSI/AAMI SP10:2002 standards for cuff pressure range
Adult: 30 to 260 mmHg (StepBP, SureBP)
Pediatric: 30 to 260 mmHg (StepBP, SureBP)
Neonate: 20 to 120 mmHg (StepBP)
Diastolic range Adult: 20 to 220 mmHg (StepBP, SureBP)
Pediatric: 20 to 220 mmHg (StepBP, SureBP)
Neonate: 10 to 110 mmHg (StepBP)
Cuff Inflation Target Adult:160 mmHg (StepBP)
Pediatric: 120 mmHg (StepBP)
Neonate: 90 mmHg (StepBP)
Maximum Target Pressure Adult: 280 mmHg (StepBP, SureBP)
Pediatric: 280 mmHg (StepBP, SureBP)
Neonate: 130 mmHg (StepBP)
Blood pressure determination time Typical: 15 seconds
Maximum: 150 seconds
Blood pressure accuracy Meets or exceeds ANSI.AAMI SP10:2002 standards for noninvasive blood pressure accuracy (±5 mmHg mean error, 8 mmHg standard deviation)
Mean Arterial Pressure (MAP) range
The formula used to calculate MAP yields an approximate value.
Adult: 23 to 230 mmHg (StepBP, SureBP)
Pediatric: 23 to 230 mmHg (StepBP, SureBP)
Neonate: 13 to 110 mmHg (StepBP)
Pulse rate range (using blood pressure determination)
Adult: 30 to 200 bpm (StepBP, SureBP)
Pediatric: 30 to 200 bpm (StepBP, SureBP)
Neonate: 35 to 220 bpm (StepBP)
Pulse rate accuracy (using blood pressure determination)
±5.0% (±3 bpm)
Overpressure cutoff Adult: 300 mmHg ±15 mmHg
Pediatric: 300 mmHg ±15 mmHg
Neonate: 150 mmHg maximum
SureTemp Plus temperature module specifications
Temperature range
Calibration accuracy
80°F to 110°F (26.7°C to 43.3°C)
±0.2°F (±0.1°C) (Direct mode)
104 Specifications Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Braun ThermoScan PRO 4000 thermometer specifications (refer to manufacturer's directions for use for additional information)
Temperature range
Calibration accuracy
68°F to 108°F (20°C to 42.2°C)
• ±0.4°F (±0.2°C) for temperatures ranging from 95.9°F to 107.6°F (35.
5°C to 42°C)
• ±0.5°F (±0.25°C) for temperatures outside of this range
Display resolution 0.1°F or °C
SpO2 specifications (refer to sensor manufacturer's directions for use for additional information)
SpO2 performance measurement range
Masimo SpO2 sensor accuracy guide
1 to 100%
Accuracy specified when used with Masimo SET pulse oximetry monitors or with licensed Masimo SET pulse oximetry modules using PC series patient cables, during no motion. Numbers present ± 1 standard deviation. Plus or minus one standard deviation represents 68% of the population.
Perfusion
Pulse rate
Saturation
Note
Perfusion
Pulse rate
Saturation
Note
Saturation accuracy varies by sensor type.
Nellcor sensor accuracy guide
Saturation accuracy varies by sensor type.
0.02 % to 20 %
25 to 240 beats per minute (bpm)
No motion: ± 3 digits
Motion: ± 5 digits
70% to 100%
Adults, Pediatrics (No motion): ± 2 digits
Neonates (No motion): ± 3 digits
Adults, Pediatrics, Neonates (Motion): ± 3 digits
Low Perfusion: 0.02 % to 20 % ± 2 digits
SpO2 measurement accuracy can only be evaluated in vivo by comparing pulse oximeter readings with SaO2 measurements obtained from simultaneously sampled arterial blood made using a laboratory CO-oximeter. SpO2 accuracy was validated through breathe-down-equivalent testing by Covidien using electronic measurements to prove equivalence to the Nellcor N600x predicate device. The
Nellcor N600x predicate device was validated by performing human-subject, “breathe-down” clinical trials.
0.03 % to 20 %
20 to 250 beats per minute (bpm) ± 3 digits
70% to 100%
Adult, Pediatrics: ± 2 digits
Neonate: ± 3 digits
Low Perfusion: 0.02 % to 20 % ± 2 digits
Directions for use Specifications 105
SpO2 specifications (refer to sensor manufacturer's directions for use for additional information)
Functional tester
WARNING Functional testers cannot be used to assess the accuracy of a pulse oximeter monitor.
1
1 Some models of commercially available bench-top functional testers and patient simulators can be used to verify the proper functionality of Nellcor pulse oximeter sensors, cables and monitors. See the individual testing device's operator's manual for the procedures specific to the model of tester being used.
While such devices may be useful for verifying that the pulse oximeter sensor, cabling, and monitor are functional, they are incapable of providing the data required to properly evaluate the accuracy of a system's SpO2 measurements. Fully evaluating the accuracy of the SpO2 measurements requires, at a minimum, accommodating the wavelength characteristics of the sensor and reproducing the complex optical interaction of the sensor and the patient’s tissue. These capabilities are beyond the scope of known bench-top testers. SpO2 measurement accuracy can only be evaluated in vivo by comparing pulse oximeter readings with SaO2 measurements obtained from simultaneously sampled arterial blood made using a laboratory CO-oximeter.
Many functional testers and patient simulators have been designed to interface with the pulse oximeter's expected calibration curves and may be suitable for use with Nellcor monitors and/or sensors. Not all such devices, however, are adapted for use with the Nellcor OXIMAX digital calibration system. While this will not affect use of the simulator for verifying system functionality, displayed SpO2 measurement values may differ from the setting of the test device. For a properly functioning monitor, this difference will be reproducible over time and from monitor to monitor within the performance specifications of the test device.
SpHb specifications (refer to sensor manufacturer's directions for use for additional information)
SpHb saturation range
Masimo SpHb sensor accuracy guide
0 to 25 g/dL
Adults, Pediatrics (no motion): 8 to 17 g/dL ± 1 g/dL.
SpHb accuracy has been validated on healthy adult male and female volunteers and on surgical patients with light to dark skin pigmentation in the range of 8 to 17 g/dL SpHb against a laboratory co-oximeter. This variation equals ± 1 standard deviation which encompasses 68% of the population. The
SpHb accuracy has not been validated with motion or low perfusion.
Environmental specifications
Operating temperature
Storage temperature
Operating altitude
Operating humidity
Storage humidity
50°F to 104°F (10°C to 40°C)
-4°F to 122°F (-20°C to 50°C)
-557 to 10,000 ft. (-170 m to 3,048 m)
15 to 95% noncondensing
15% to 95% noncondensing
Monitor radio
The monitor's radio operates on Welch Allyn FlexNet™ or other 802.11 networks.
106 Specifications Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Wireless network interface
Frequency
IEEE 802.11 b/g, 802.11a
802.11 b/g: 2.402 GHz to 2.4835 GHz
Channels
802.11a: 5.125 GHz to 5.875 GHz
Up to 14 in 802.11b/g, up to 24 in 802.11a; country-dependent
Security/encryption/authentication WPA2/AES (either EAP or PSK authentication)
Antenna Internal multiband PIFA
Wireless data rates 802.11b: 1Mbps or higher during vitals transmission only
Agency approvals
802.11a/g: 6Mbps or higher during vitals transmission only
(approximately 2 seconds per reading)
US: FCC Part 15, Class B; C/UL; CE; 47 CFR Part 2.1093, 15.207, 15.209, 15.247,
15.407; FCC OET Bulletin 65C
Europe: CE; EN 50371; EN/ETSI 300 328 V1.7.1, 301 489-1 V1.6.1, 301 489-17
V1.2.1, 301 893 V1.4.1
Protocols
Data transfer protocols
Modulation
Output power
Canada: RSS-210; RSS-GEN; RSS-102
Hong Kong: HKTA 1039
UDP, DHCP, TCP/IP
UDP/TCP/IP
OFDM (802.11a/g), DSSS/CCK (802.11b)
40mW typical, country-dependent
Ancillary IEEE standards 802.11e, 802.11h, 802.11i, 802.11X
Channel restrictions in the 5-GHz band are determined by country.
Marking by the symbol ( ! ) indicates that usage restrictions apply. To ensure compliance with local regulations, be sure the correct country in which the access point is installed is selected. This product can be used with the following restriction(s):
France - Outdoor use is limited to 10 mW EIRP within the band 2454 to 2483.5 MHz.
Note
Note
Effective Isotropic Radiated Power (EIRP).
Some countries restrict the use of 5-GHz bands. The 802.11a radio in the monitor uses only the channels indicated by the access point with which the radio associates. The hospital IT department must configure access points to operate with approved domains.
Configuration options
The monitor is available in multiple configurations.
Directions for use Specifications 107
Model
6300
6400
6500
Description
Basic. Includes USB connectivity. Ethernet connectivity is optional.
Standard. Includes nurse call, Ethernet, and USB connectivity. The radio is optional.
Wireless. Includes all Standard features plus an internal 802.11 a/b/g radio.
Patents
The monitor is covered under the following patents:
6,000,846; 6,036,361; 7,255,475; 7,429,245; D480,977; D632,397; and other patents pending.
For SureTemp Plus configured monitors, US patent 6,971,790 applies.
For Nellcor-equipped monitors, the following Nellcor US patents and foreign equivalents apply:
5,485,847; 5,676,141; 5,743,263; 6,035,223; 6,226,539; 6,411,833; 6,463,310; 6,591,
123; 6,708,049; 7,016,715; 7,039,538; 7,120,479; 7,120,480; 7,142,142; 7,162,288; 7,
190,985; 7,194,293; 7,209,774; 7,212,847; 7,400,919.
For Masimo-equipped monitors, the following Masimo US patents and foreign equivalents apply:
5,758,644; 5,823,950; 6,011,986; 6,157,850; 6,263,222; 6,501,975; 7,469,157; and others listed at www.masimo.com/patents.htm.
108 Specifications Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Standards and compliance
General compliance and standards
The monitor complies with the following standards:
21 CFR Subchapter H – Medical Devices – US Food and Drug Administration
2002 No. 236 – Australian Therapeutic Goods Act
93/42/EEC – European Economic Community Medical Devices Directive
2007/47/EC – European Economic Community Medical Devices Directive 2007
Amendment
94/62/EC – European Economic Community Packaging Directive
2002/96/EC – European Economic Community Waste Electrical and Electronic
Equipment Directive
2006/66/EC – European Economic Community Batteries and Accumulators Directive
SOR/98-282 – Canadian Medical Devices Regulation
IATA DGR – International Air Transport Association Dangerous Goods Regulation
United Nations ST/SG/AC.10/11 – Manual of Tests and Criteria, Part III, Sub-Section 38.3
ANSI/AAMI SP10
AS/NZS 3200.1.0
1
ASTM D 4332, E 1104
CAN/CSA C22.2 NO.601.1
EN 1060-1, 1060-3, 1060-4
1
2
CAN/CSA-C22.2 NO.60601-1-2, CSA Z9919
EN/IEC 60601-1, 60601-1-2, 60601-1-4, 60601-1-6, 60601-1-8, 60601-2-30, 60601-2-49,
62304
EN/ISO 9919, 13485, 14971
ISTA 2A
UL 60601-1 1
Directive 2002/96/EC-WEEE:
Disposal of noncontaminated electrical and electronic equipment
This product and its accessories must be disposed of according to local laws and regulations. Do not dispose of this product as unsorted municipal waste. Prepare this product for reuse or separate collection as specified by Directive 2002/96/EC of the
European Parliament and the Council of the European Union on Waste Electronic and
1 Standard is essentially the IEC 60601-1 General standard plus the listed country's National Deviations.
2 Non-Invasive Sphygmomanometers – Part 1: General Requirements, Part 3. Supplementary
Requirements for Electro-Mechanical Blood Pressure Measuring Systems, Part 4: Test Procedures to
Determine the Overall System Accuracy of Automated Non-Invasive Sphygmomanometers.
109
110 Standards and compliance Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Electrical Equipment (WEEE). If this product is contaminated, this directive does not apply.
For more specific disposal or compliance information, see www.welchallyn.com/weee, or contact Welch Allyn Customer Service at +44 207 365 6780.
General radio compliance
The wireless features of this monitor must be used in strict accordance with the manufacturer’s instructions as described in the user documentation that comes with the product.
This device complies with Part 15 of the FCC rules and with the rules of the Canadian
ICES-003 as described below.
Federal Communications Commission (FCC)
This device complies with part 15 of the FCC Rules. Operation is subject to the following two conditions:
• This device may not cause harmful interference.
• This device must accept any interference received, including interference that may cause undesired operation.
This equipment has been tested and found to comply with the limits for a Class B digital device, pursuant to Part 15 of FCC Rules. These limits are designed to provide reasonable protection against harmful interference in a residential installation. This equipment generates, uses, and can radiate radio frequency energy. If not installed and used in accordance with the instructions, it may cause harmful interference to radio communications. However, there is no guarantee that interference will not occur in a particular installation. If this equipment does cause harmful interference to radio or television reception, which can be determined by turning the equipment off and on, the user is encouraged to try and correct the interference by one or more of the following measures:
• Reorient or relocate the receiving antenna
• Increase the distance between the equipment and the receiver
• Connect the equipment to an outlet on a circuit different from that to which the receiver is connected
• Consult the dealer or an experienced radio/TV technician for help
The user may find the following booklet prepared by the Federal Communications
Commission helpful:
The Interference Handbook
This booklet is available from the U.S. Government Printing Office, Washington, D.C.
20402. Stock No. 004-000-0034504.
Welch Allyn is not responsible for any radio or television interference caused by unauthorized modification of the devices included with this Welch Allyn product, or the substitution or attachment of connecting cables and equipment other than specified by
Welch Allyn.
The correction of interference caused by such unauthorized modification, substitution, or attachment will be the responsibility of the user.
Directions for use Standards and compliance 111
Industry Canada (IC) emissions
This device complies with RSS 210 of Industry Canada.
Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of this device.
L’utilisation de ce dispositif est autorisée seulement aux conditions suivantes: (1) il ne doit pas produire de brouillage et (2) l’ utilisateur du dispositif doit étre prêt à accepter tout brouillage radioélectrique reçu, même si ce brouillage est susceptible de compromettre le fonctionnement du dispositif.
This Class B digital apparatus complies with Canadian ICES-003.
Cet appareil numérique de la classe B est conform à la norme NMB-003 du Canada.
European Union
Czech
Danish
Dutch
English
Estonian
Finnish
French
German
Greek
Hungarian
Italian
Latvian
Lithuanian
Welch Allyn tímto prohlašuje, ze tento RLAN device je ve shodě se základními požadavky a dalšími příslušnými ustanoveními směrnice 1999/5/ES.
Undertegnede Welch Allyn erklærer herved, at følgende udstyr RLAN device overholder de væsentlige krav og øvrige relevante krav i direktiv 1999/5/EF
Bij deze verklaart Welch Allyn dat deze RLAN device voldoet aan de essentiële eisen en aan de overige relevante bepalingen van Richtlijn 1999/5/EC.
Hereby, Welch Allyn, declares that this RLAN device is in compliance with the essential requirements and other relevant provisions of Directive 1999/5/EC.
Käesolevaga kinnitab Welch Allyn seadme RLAN device vastavust direktiivi 1999/5/EÜ põhinõuetele ja nimetatud direktiivist tulenevatele teistele asjakohastele sätetele.
Welch Allyn vakuuttaa täten että RLAN device tyyppinen laite on direktiivin 1999/5/EY oleellisten vaatimusten ja sitä koskevien direktiivin muiden ehtojen mukainen.
Par la présente, Welch Allyn déclare que ce RLAN device est conforme aux exigences essentielles et aux autres dispositions de la directive 1999/5/CE qui lui sont applicables
Hiermit erklärt Welch Allyn die Übereinstimmung des Gerätes RLAN device mit den grundlegenden
Anforderungen und den anderen relevanten Festlegungen der Richtlinie 1999/5/EG. (Wien)
ΜΕ ΤΗΝ ΠΑΡΟΥΣΑ Welch Allyn ΔΗΛΩΝΕΙ ΟΤΙ RLAN device ΣΥΜΜΟΡΦΩΝΕΤΑΙ
ΠΡΟΣ ΤΙΣ ΟΥΣΙΩΔΕΙΣ ΑΠΑΙΤΗΣΕΙΣ ΚΑΙ ΤΙΣ ΛΟΙΠΕΣ ΣΧΕΤΙΚΕΣ ΔΙΑΤΑΞΕΙΣ ΤΗΣ
ΟΔΗΓΙΑΣ 1999/5/ΕΚ
Alulírott, Welch Allyn nyilatkozom, hogy a RLAN device megfelel a vonatkozó alapvetõ követelményeknek és az 1999/5/EC irányelv egyéb elõírásainak.
Con la presente Welch Allyn dichiara che questo RLAN device è conforme ai requisiti essenziali ed alle altre disposizioni pertinenti stabilite dalla direttiva 1999/5/CE.
Ar šo Welch Allyn deklarē, ka RLAN device atbilst Direktīvas 1999/5/EK būtiskajām prasībām un citiem ar to saistītajiem noteikumiem.
Šiuo Welch Allyn deklaruoja, kad šis RLAN device atitinka esminius reikalavimus ir kitas 1999/5/EB
Direktyvos nuostatas.
112 Standards and compliance Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Malti
Portuguese
Slovak
Slovene
Spanish
Swedish
Hawnhekk, Welch Allyn, jiddikjara li dan RLAN device jikkonforma mal-htigijiet essenzjali u ma provvedimenti ohrajn relevanti li hemm fid-Dirrettiva 1999/5/EC
Welch Allyn declara que este RLAN device está conforme com os requisitos essenciais e outras disposições da Directiva 1999/5/CE.
Welch Allyn týmto vyhlasuje, ze RLAN device spĺňa základné požiadavky a všetky príslušné ustanovenia Smernice 1999/5/ES.
Šiuo Welch Allyn deklaruoja, kad šis RLAN device atitinka esminius reikalavimus ir kitas 1999/5/EB
Direktyvos nuostatas.
Por medio de la presente Welch Allyn declara que el RLAN device cumple con los requisitos esenciales y cualesquiera otras disposiciones aplicables o exigibles de la Directiva 1999/5/CE
Härmed intygar Welch Allyn att denna RLAN device står I överensstämmelse med de väsentliga egenskapskrav och övriga relevanta bestämmelser som framgår av direktiv 1999/5/EG.
113
Guidance and manufacturer's declaration
EMC compliance
Special precautions concerning electromagnetic compatibility (EMC) must be taken for all medical electrical equipment. This device complies with IEC EN 60601-1-2:2007.
• All medical electrical equipment must be installed and put into service in accordance with the EMC information provided in this document and the Welch Allyn Connex
Vital Signs Monitor 6000 Series Directions for Use.
• Portable and mobile RF communications equipment can affect the behavior of medical electrical equipment.
The monitor complies with all applicable and required standards for electromagnetic interference.
• It does not normally affect nearby equipment and devices.
• It is not normally affected by nearby equipment and devices.
• It is not safe to operate the monitor in the presence of high-frequency surgical equipment.
• However, it is good practice to avoid using the monitor in extremely close proximity to other equipment.
Emissions and immunity information
Electromagnetic emissions
The monitor is intended for use in the electromagnetic environment specified below. The customer or user of the monitor should assure that it is used in such an environment.
Emissions test
RF emissions
CISPR 11
Compliance
Group 1
Electromagnetic environment - guidance
The monitor uses RF energy only for its internal function. Therefore, its
RF emissions are very low and are not likely to cause any interference in nearby electronic equipment.
RF emissions
CISPR 11
Harmonic emissions
IEC 61000-3-2
Class A
Class A
The monitor is suitable for use in all establishments other than domestic establishments and those directly connected to the public low-voltage power supply network that supplies buildings used for domestic purposes, provided the following warning is heeded:
114 Guidance and manufacturer's declaration Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Voltage fluctuations/ flicker emissions
IEC 61000-3-3
Complies
Electromagnetic emissions
WARNING This equipment/system is intended for use by healthcare professionals only. This equipment/ system may cause radio interference or may disrupt the operation of nearby equipment a . It may be necessary to take mitigation measures, such as re-orienting or relocating the monitor or shielding the location.
a The monitor contains a 5-GHz orthogonal frequency-division multiplexing transmitter or a 2.4-GHz frequency hopping spread-spectrum transmitter for the purpose of wireless communication. The radio is operated according to the requirements of various agencies, including FCC 47 CFR 15.247 and R&TTE Directive (1995/5/EC). The transmitter is excluded from the EMC requirements of 60601-1-2, but should be considered when addressing possible interference issues between this and other devices.
Electromagnetic immunity
The monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance
Electrostatic discharge
(ESD)
IEC 61000-4-2
Electrical fast transient/burst
IEC 61000-4-4
±6 kV contact
± 8 kV air
± 6 kV contact
± 8 kV air
Floors should be wood, concrete or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.
±2 kV for power supply lines
±1 kV for input/output lines
±2 kV for power supply lines
±1 kV for input/output lines
Mains power quality should be that of a typical commercial or hospital environment.
Surge
IEC 61000-4-5
± 1 kV differential mode
± 2 kV common mode
± 1 kV differential mode
± 2 kV common mode
Mains power quality should be that of a typical commercial or hospital environment.
Voltage dips, short interruptions and voltage variations on power supply input lines
IEC 61000-4-11
>95% dip in 0.5 cycle
60% dip in 5 cycles
30% dip for 25 cycles
>95% dip in 5 seconds
>95% dip in 0.5 cycle
60% dip in 5 cycles
30% dip for 25 cycles
>95% dip in 5 seconds
Mains power quality should be that of a typical commercial or hospital environment. If the user of the monitor requires continued operation during power mains interruptions, it is recommended that the monitor be powered from an uninterruptible power supply or a battery.
Electromagnetic immunity
The monitor is intended for use in the electromagnetic environment specified below. The customer or the user of the monitor should assure that it is used in such an environment.
Immunity test IEC 60601 test level Compliance level Electromagnetic environment - guidance
Portable and mobile RF communications equipment should be used no closer to any part of the monitor, including cables, than the recommended separation distance calculated
Directions for use Guidance and manufacturer's declaration 115
Conducted RF
IEC 61000-4-6
Radiated RF
IEC 61000-4-3
3 Vrms
150 kHz to 80 MHz
Electromagnetic immunity from the equation applicable to the frequency of the transmitter.
Recommended separation distance
3 Vrms
d= (1.17)
3 V/m 80 MHz to 1 GHz 3 V/m
d= (1.17) 80 to 800 MHz
d= (2.33) 800 MHz to 2,5 GHz whereP is the maximum output power rating of the transmitter in watts (W) andd is the recommended separation distance in meters
(m). Field strengths from fixed RF transmitters, as determined by an electromagnetic site survey a , should be less than the compliance level in each frequency range may occur in the vicinity of equipment marked with the following symbol: b . Interference
Note1: At 80 MHz and 800 MHz, the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people.
a Field strengths from fixed transmitters, such as base stations for radio (cellular/cordless) telephones and land mobile radios, amateur radio, AM and FM radio broadcast, and TV broadcast cannot be predicted theoretically with accuracy. To assess the electromagnetic environment due to fixed RF transmitters, an electromagnetic site survey should be considered. If the measured field strength in the location in which the monitor is used exceeds the applicable RF compliance level above, the monitor should be observed to verify normal operation. If abnormal performance is observed, additional measures may be necessary, such as reorienting or relocating the monitor.
b Over the frequency range 150 kHz to 80 MHz, field strengths should be less than 3 V/m.
Recommended separation distances between portable and mobile RF communications equipment and the monitor
The monitor is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or user of the monitor can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the monitor as recommended below, according to the maximum output power of the communications equipment.
Separation distance according to frequency of transmitter (m)
Rated max. output power of transmitter
(W)
150 kHz to 80 MHz
d= (1.17)
80 MHz to 800 MHz
d= (1.17)
800 MHz to 2.5 GHz
d= (2.23)
0.01
0.11667
0.11667
0.23333
116 Guidance and manufacturer's declaration Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Recommended separation distances between portable and mobile RF communications equipment and the monitor
0.1
1
10
100
0.36894
1.1667
3.6894
11.667
0.36894
1.1667
3.6894
11.667
0.73785
2.3333
7.3785
23.3333
For transmitters rated at a maximum output power not listed above, the recommended separation distanced in meters
(m) can be estimated using the equation applicable to the frequency of the transmitter, where P is the maximum output power rating of the transmitter in watts (W) according to the transmitter manufacturer.
Note 1: At 80 MHz and 800 MHz, the separation distance for the higher frequency range applies.
Note 2: These guidelines may not apply in all situations. Electromagnetic propagation is affected by absorption and reflection from structures, objects, and people.
Advanced settings
The Advanced tab provides password-protected access to the monitor's Advanced settings (or Admin mode), enabling nurse administrators, biomedical engineers, and/or service engineers to configure specific features. The Advanced tab also presents readonly information about the monitor.
Note You cannot enter the Advanced settings if sensors or physiological alarms are active or if vital sign measurements are displayed.
117
General
Specify the language
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears, displaying the Language tab.
2. Select a language.
3. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
118 Advanced settings Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify date and time settings
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. On the General tab, touch the Date / Time tab.
3. Specify settings.
Setting Action/Description
Date format
Time zone
Automatically adjust clock for daylight saving time, reported by host
Allow users to change date and time
Display date and time
Select a date format for display.
Select your time zone offset from Coordinated Universal
Time (UTC).
Select this to adjust the displayed time by +/- one hour when the connected host reports daylight savings time.
Select this to allow clinicians to set the date and time from the Settings tab.
Select this to display the date and time on the Home tab in the Device Status area.
4. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify advanced alarm settings
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Alarms tab.
3. Specify settings.
Setting
Allow user to disable alarms
Allow user to turn off general audio
Action/Description
Select to allow clinicians to turn off or turn on all alarm limits for each vital sign. The control is on each parameter-specific tab on the Alarms tab.
Select to allow clinicians to turn off all audio notification for alarms. This control is on the Alarms tab (on the
General tab).
Directions for use Advanced settings 119
Minimum alarm volume
Nurse call threshold
Audio pause time
SpO2 alarm condition delay
SpHb alarm condition delay
Select the minimum alarm volume available. If you select
High , then Medium and Low are not available to the clinician.
These controls are on the Alarms tab (on the General tab).
Select the minimum priority alarm that activates a nurse call relay. If you select High activate a nurse call relay.
, only high-level alarms
Specify the amount of pause time that is added to the
60-second pause time. When a clinician pauses an audio alarm tone, the tone is paused for the combined amount of time.
Specify the minimum amount of time that an SpO2 alarm condition must be active before audio and visual signals occur.
SatSeconds is available with Nellcor SpO2 sensors. If you select 0 seconds or 10 seconds, SatSeconds is disabled, and it is removed from the SpO2 tab in the
Alarms tab.
Specify the minimum amount of time that an SpHb alarm condition must be active before audio and visual signals occur.
4. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify advanced display settings
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Display tab.
3. Specify settings.
Setting
Display lock
Display power saver
Device power down
Action/Description
Specify the required period of clinician inactivity before the touchscreen locks.
Specify the required period of monitor inactivity before the display turns off.
Clinician interactions, new vital sign measurements, or alarm conditions automatically turn on the display.
Specify the required period of monitor inactivity before the monitor turns off.
4. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
120 Advanced settings Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Specify a monitor location
You can associate the monitor with a specific location. The location appears in the
Device Status area.
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Other tab.
3. In the Location ID box, touch
4. Do one of the following:
and enter up to 20 alphanumeric characters.
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Enable monitor profile changes
You can allow clinicians to change the active profile on the monitor. Available profiles are
Monitor, Spot Check, and Triage. When this option is enabled, clinicians can change the name of the profile as well.
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Other tab.
3. Select Allow profile change.
4. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify power line frequency
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Other tab.
Directions for use Advanced settings 121
3. Select the power line frequency for AC power supplied to the monitor.
4. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Set and start the demo mode
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the General tab.
3. Touch the Demo tab.
4. Specify settings.
Setting
Type
Start
Action/Description
Select a type of demonstration mode.
Touch Start to put the monitor in demonstration mode.
Navigate to the Home tab to begin Demo mode.
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Demo mode, touch Exit on the Home tab. The monitor restarts automatically.
Parameters
Specify advanced NIBP settings
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Parameters tab.
3. Touch the NIBP tab.
4. Specify settings.
Setting
Default view
Action/Description
Select primary and secondary views.
Select Display MAP to display mean arterial pressure (MAP) in the NIBP frame on the Home tab.
122 Advanced settings Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Default patient type
Tube type
Unit of measure
Allow interval program changes
Algorithm and Cuff inflation target (CIT)
If Display MAP is selected, specify which numerics are primary in the NIBP frame. On the Home tab, clinicians can touch the NIBP frame to toggle between views.
Select a default patient type for this monitor. The patient type shows in the Patient frame on the Home tab.
In the Patients tab on the Summary tab, clinicians can change the displayed patient type from the default patient type that you set here.
Select the number of tubes that are connected to the
NIBP cuff that is used with this monitor. If you select tube , the only algorithm available for selection is
Step .
1
Select the NIBP unit of measure for display.
Enable clinicians to modify interval program settings from the Intervals tab.
Select the default algorithm used to determine NIBP measurements.
If you select the Step algorithm, touch and enter a default cuff inflation target for each type of patient. In the Patients tab on the Summary tab, clinicians can change the CITs from the default CITs that you set here.
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify advanced temperature settings
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab will appear.
2. Touch the Parameters tab.
3. Touch the Temperature tab.
4. Specify settings.
Setting
Unit of measure
Display temperature conversion
Default SureTemp Plus site
Action/Description
Select primary units of measure for the temperature display on the Home tab
Select this to display primary units of measure and secondary units of measure for the temperature display on the Home tab.
Select the default site for SureTemp measurements. The default site applies when clinicians power up the monitor and each time clinicians remove the temperature probe from the well.
Directions for use Advanced settings 123
Select Last site to set the default to the site selected for the last measurement.
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify advanced SpO2 settings
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Parameters tab.
3. Touch the SpO2 tab.
4. Specify settings.
Setting
Default view
Default response
Sweep speed
Action/Description
Select a numeric view or a waveform view as the primary SpO2 display on the Home tab.
Select the default speed of response to changes in SpO2 measurements.
Select the waveform sweep speed for the SpO2 display in the Home tab.
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced tabs and return to the Home tab, touch Exit.
Specify advanced SpHb settings
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Parameters tab.
3. Touch the SpHb tab.
4. Specify settings.
Setting
Reference
Unit of measure
Action/Description
Select arterial or venous as the calibrated reference source.
Select the primary unit of measure for the SpHb display on the Home tab.
124 Advanced settings Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Default averaging
Trend view time
Select the default moving window of time used by the parameter to calculate the SpHb value and update the display: short (approximately 1 minute), medium
(approximately 3 minutes), or long (approximately 6 minutes).
Select the period displayed in the SpHb trend graphic on the Home tab.
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced tabs and return to the Home tab, touch Exit.
Specify advanced pulse rate settings
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Parameters tab.
3. Touch the Pulse rate tab.
4. Specify settings.
Setting
Display source
Action/Description
Select this to show the source of pulse rate measurements (NIBP or SpO2) on the Home tab.
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify the manual parameters
The Manual Parameters frame is in the lower right corner of the Home tab. You can manually enter values for parameters in the frame. You also can specify which parameters appear in the frame.
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Parameters tab.
3. Touch the Manual tab.
Directions for use Advanced settings 125
4. Select up to four parameters and associated units of measure for display in the
Manual Parameters frame.
If the monitor has the SureTemp Plus temperature module, the Temperature parameter is not available here or in the Manual Parameters frame.
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Data management
Specify patient ID settings
Patient identification appears on the Home tab in the Patient frame, and it is listed in various tabs, such as the Patient tab and the Review tab.
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Data Management tab.
3. Touch the Patient IDs tab.
4. Specify settings.
Setting
Name format
Primary label
Secondary label
Action/Description
Select a format for all displayed patient names: Full
name or Abbreviation.
Select the primary identification label for all displayed patients.
Select a secondary identification label for patients. A secondary label displays only on the Home tab, after the primary label.
126 Advanced settings Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Require patient ID to save readings
Search by patient ID
Clear patient information on manual save
Retrieve list
Make entering a patient ID a prerequisite for saving measurements. If they fail to enter an identifier, the monitor prompts them when they try to save.
Enable clinicians to enter a patient ID to query for the patient's information. If clinicians scan the ID onto the
Home tab or the Summary tab, the monitor queries the patient list and the network. Returned patient information populates the Patient frame on the Home tab and fields on the Summary tab.
Specify that the monitor clears the selected patient after a clinician manually saves measurements from the Home tab. Patient information clears from the Patient frame and the Summary tab.
Note: This setting does not take effect when intervals are in progress.
Enable the monitor to retrieve the patient list from the network. When this option is selected, a Retrieve list button replaces the Add button on the List tab.
Information from the network populates the List tab when clinicians touch the Retrieve list
Since the add a patient to the patient list.
button.
Add button is not available, clinicians cannot
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify clinician ID settings
Clinician identification appears next to the medicine symbol in the Device Status area on the Home tab.
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Data Management tab.
3. Touch the Clinician IDs tab.
4. Specify settings.
Setting
Label
Require clinician ID to save readings
Search by clinician ID
Action/Description
Select a type of clinician identification label for display on the Home tab: Full name, Abbreviation, Clinician
ID, or Symbol only.
Make entering a clinician ID a prerequisite for saving measurements. If they fail to enter identification, the monitor prompts them when they try to save measurements. Clinicians can enter clinician identification on the Clinician tab.
Enable the monitor to query the network for clinician information based on ID. The monitor initiates the search when the clinician enters or scans the ID from the
Directions for use Advanced settings 127
Clear clinician information on manual save
Clinician tab. Returned clinician information populates the Device Status area and fields on the Clinician tab.
Select Require password to require clinicians to enter their password, in addition to ID, on the Clinician tab. The monitor uses the ID and password combination to query the network for clinician information.
Specify that the monitor clears the selected clinician after a clinician manually saves measurements from the
Home tab. Clinician information clears from the Clinician tab and the Device Status area.
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify clinical data settings
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Data Management tab.
3. Touch the Clinical Data tab.
4. Specify settings.
Setting
Automatically send on manual save
Delete readings after successful send
Emulate Spot Vital Signs LXi
Action/Description
Select this option to specify that measurements are sent to the network when a clinician saves measurements on the Home tab.
Select this option to specify that measurements are deleted from the monitor after they are successfully sent to the network. Sent measurements do not appear in the
Review tab.
Select this option to specify that clinical data sent to the network appears as Spot Vital Signs LXi data at the network.
5. Do one of the following:
• To continue in Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Network
View advanced monitor information
The Status tab shows the monitor's software version, MAC and IP addresses, network, server and access point information, session information, and more.
1. Access the Advanced Settings.
128 Advanced settings Welch Allyn Connex ® Vital Signs Monitor 6000 Series™ a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Network tab.
3. Touch the Status tab.
4. View the information.
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify radio settings
This task is applicable only to monitors that have a radio installed.
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Network tab.
3. Touch the Radio tab.
4. Specify settings.
Setting
Enable radio
Enable radio network alarms
Action/Description
Enable the radio for device communications. When disabled, the radio is not available.
Activate radio network alarms when an alarm condition occurs. When disabled, radio network alarms are not available.
SSID
Radio band
Authentication type
Touch and enter the service set identifier
(SSID). Enter a maximum of 16 characters.
Select the radio band.
Select an authentication scheme. Then specify any additional settings that appear.
Method
Security protocol
EAP type
Identity
Password
Select a method. Then touch and enter characters: Network key (64 characters), or
Passphrase (8 to 63 characters).
Select the security protocol.
Select the EAP type.
Enter the EAP identity (maximum of 32 characters).
Enter the EAP password (maximum of 32 characters).
Directions for use Advanced settings 129
Key number
Key
Configure radio
Select the WEP key number.
Enter the WEP key (10 characters for WEP 64, or 26 characters for WEP 128).
Touch Configure radio to activate all new radio settings not selected previously.
Touch OK in the confirmation popup telling you to power down the monitor.
Touch the Settings tab. Touch the Device tab. Touch
Power down.
The radio will reboot.
Note If you do not touch Configure radio, none of the changed radio settings will take effect.
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
Specify server settings
1. Access the Advanced Settings.
a. Touch the Settings tab.
b. Touch the Advanced tab.
c. Enter the Advanced settings code.
d. Touch OK.
The General tab appears.
2. Touch the Network tab.
3. Touch the Server tab.
4. Specify settings.
Setting
Obtain server IP information automatically
Action/Description
Enable the monitor to automatically obtain the server IP information via the network.
IP address
Port
Touch and enter the IP address of the server that is used for patient data communication. The range of entry for each field is 0 to 255.
Touch and enter the port number associated with the server IP address. The range of entry is 0 to 65535.
UDP broadcast port
Test
Touch and enter the port number that is used to automatically obtain server IP information. The range of entry is 0 to 65535.
Touch server.
Test to test the connection to the configured
5. Do one of the following:
• To continue in the Advanced Settings, touch another tab.
• To exit the Advanced Settings and return to the Home tab, touch Exit.
130 Advanced settings Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Service
For service-related advanced settings, see the service manual for this product.
131
Troubleshooting
This section presents tables of technical alarm and information messages, as well as problem descriptions that do not generate messages, to help you troubleshoot issues on the monitor.
Note Problem descriptions without messages appear at the end of this section.
When the monitor detects certain events, a message appears in the Device Status area at the top of the screen. Message types include the following:
• Information messages, which appear on a blue background.
• Very low-priority alarms, which appear on a cyan background.
• Low- and medium-priority alarms, which appear on an amber background.
• High-priority alarms, which appear on a red background.
Technical alarm messages are low or very low priority unless noted in the Message column.
You can dismiss a message by touching the message on the screen, or, for some messages, you can wait for the message to time out.
To use these tables, locate the message that displays on the monitor in the left column of the table. The remainder of the row explains possible causes and suggests actions that can resolve the issue.
Note
NIBP messages
Instructions to "Call for service" in the following tables mean that you should contact qualified service personnel in your facility to investigate the issue.
Message Possible cause
NIBP air leak; check cuff and tubing connections.
The NIBP module has an air leak
Suggested action
Check the cuff and tubing connections.
Clear the alarm and retry NIBP.
NIBP not functional. Call for service.
Unable to determine NIBP; check connections; limit patient movement.
A module error occurred Call for service.
The NIBP module experienced a motion artifact Check connections; limit patient movement.
Clear the alarm and retry NIBP.
132 Troubleshooting Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Message Possible cause
Unable to determine NIBP; check connections and tubing.
The NIBP tubing has a kink
Incorrect NIBP cuff size; check patient type.
The cuff size is not correct
Suggested action
Check the connections and tubing for kinks.
Clear the alarm and retry NIBP.
Check the patient type.
Clear the alarm and retry NIBP.
Inflation too quick; check NIBP cuff and tubing connections.
Unable to determine NIBP; check inflation settings.
NIBP inflation was too quick
NIBP check inflation settings message
Check the connections and tubing for kinks.
Clear the alarm and retry NIBP.
Check inflation settings and change as necessary.
Clear the alarm and retry NIBP.
Excessive patient movement.
Change the cuff inflation target
(CIT).
NIBP measurements are not accurate because of artifact
Limit patient movement during blood pressure measurement.
Tube type does not match device configuration.
(NIBP measurement is available)
The tube connected to the NIBP sensor does not match the monitor's configuration
Use the tube specified for the monitor.
Tube type does not match device configuration.
(NIBP measurement is not available)
User is using a single-lumen tube with the following Advanced settings:
1.
Patient type is Pediatric or Adult
2.
Tube type is 2
3.
Algorithm is SureBP
Clear message. Modify settings or tube use to match patient type.
SpO2 and SpHb messages
Message
SpO2 not functional. Call for service.
Possible cause
A module error has occurred
Suggested action
Try a new cable/sensor pair.
Call for service.
Searching for pulse signal. (Highpriority alarm)
The SpO2 sensor is not attached to the patient's finger
Touch the alarm icon or the SpO2 frame to dismiss the alarm.
Set SpO2 alarm limits to OFF.
Reattach the SpO2 sensor to the patient's finger.
Attach SpO2 sensor to monitor.
Replace the SpO2 sensor.
The sensor was not detected
The SpO2 sensor is faulty or expired
Check the sensor connection.
Replace the SpO2 sensor.
Replace the SpO2 sensor.
Directions for use Troubleshooting 133
Message Possible cause Suggested action
Replace the SpO2 cable.
Low SpO2 signal quality. Check sensor.
Low SpHb signal quality. Check sensor.
Low perfusion. Check sensor.
No SpO2 sensor is connected
The cable is faulty or expired
The cable is faulty or expired
Poor sensor placement on the patient
Poor sensor placement on the patient
Poor sensor placement on the patient
Connect an SpO2 sensor.
Replace the cable.
Replace the cable.
Remove the sensor from the patient and reapply.
Remove the sensor from the patient and reapply.
Remove the sensor from the patient and reapply.
SpO2 mode only. Check sensor or cable.
The sensor is operating as an SpO2-only sensor because it failed to calibrate properly
Reattach the cable to the monitor.
Remove the sensor from the patient and reapply.
Replace the SpO2 sensor.
SpO2 sensor expires in….
Temperature messages
The SpO2 sensor will expire soon
Message
Connect temperature probe.
Insert correct color-coded probe well.
Replace temperature probe.
Temperature not functional. Call for service.
Temperature time limit exceeded.
Tissue contact lost
Retry temperature measurement.
Possible cause Suggested action
No probe is connected Connect a temperature probe and retry.
The probe is faulty Replace the temperature probe.
The temperature module returned a connect probe message
Connect a temperature probe and retry. If a probe is already connected, replace the probe.
The probe well is missing
The probe is faulty
A module error occurred
The 10-minute timeout for temperature measurement has occurred
The probe has lost contact with the patient's tissue
Insert a temperature probe well.
Replace the temperature probe.
Call for service.
Remove the probe from the measurement site.
A probe heater or data error occurred
Reposition the probe to restore proper contact with the patient's tissue.
Retry the temperature measurement. If the problem persists, replace the probe.
User settings require adjustment Adjust the user settings and retry.
134 Troubleshooting Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Message
Note This message often accompanies other temperature messages.
Possible cause Suggested action
Weight scale messages
Message Possible cause
Weight scale not functional. Call for service.
The weight scale is not operating properly.
Patient data management messages
Suggested action
Call for service.
Message Possible cause Suggested action
Maximum number of patient records saved. Oldest record overwritten.
The maximum number of patient records in the monitor's memory has been exceeded
On the Review tab, delete old records to prevent the alarm from appearing when new records are saved.
Unable to access patient information.
No data to save.
An error occurred when reading the patient list or patient record during startup
Power down and restart the monitor. If the error persists, call for service.
No patient data is available Take or enter vital signs before saving.
Patient ID required to save data.
The configuration requires a patient ID to save data
Call for service.
Clinician ID required to save data. The configuration requires a clinician ID to save data
Call for service.
Patient ID required to send data.
The configuration requires a patient ID to send data
Patient list is full. Delete some patients to add more.
Add a patient ID.
The maximum number of patients was exceeded Delete a patient from the list to add a new patient.
Stop intervals to select new patient.
No connection for send.
The monitor is set to take interval readings Stop intervals before changing the patient.
No connectivity is available to support sending data manually or automatically sending data on manual save
Call for service.
Unable to retrieve list.
Unable to identify clinician.
The monitor is unable to retrieve a patient list from the network
The clinician ID or password is incorrect
Call for service.
Confirm the clinician ID and password (if applicable), and retry.
Directions for use Troubleshooting 135
Radio messages
Message Possible cause Suggested action
Radio not functional. Call for service.
A hardware failure occurred (not currently used) Call for service.
The radio has the wrong software
The radio is not connected
The monitor and the radio failed to establish communication with each other
Power down and restart. If problem persists, call for service.
Radio error. Power down and restart.
Unable to establish network communications. Radio out of network range.
The radio is no longer communicating with the access point
Call for service.
Unable to establish network communications. Call for service.
Unable to get an IP address from the DHCP server Call for service.
Communication failure.
Call for service.
Communications module did not power on properly. Power down the device. (High-priority alarm)
Ethernet messages
Message Possible cause
Network not found; check network cable connection.
A network cable is unplugged
A network connection is broken elsewhere
USB messages
Suggested action
Check the network cable connection. If problem persists, call for service.
Message Possible cause Suggested action
USB Communication failure. Call for service.
An internal or external device is connected but failed enumeration
Power down and restart.
Check USB connections.
If problem persists, call for service.
External device not licensed for use.
A license for an external device (e.g., barcode scanner) has not been activated
Disconnect the unlicensed device.
Call for service to obtain the authorization code from Welch
Allyn to activate the license.
External device not recognized.
An unrecognized external device is connected Disconnect the unrecognized device.
Incompatible Welch Allyn device. A communication protocol failure has occurred Call for service.
136 Troubleshooting Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Message
USB accessory disconnected.
Possible cause Suggested action
The USB cable between an external device and the monitor is disconnected
Confirm that the USB cable is connected to the device and the monitor.
System messages
Message
Set date and time.
Ambient temperature outside operating range. Retry measurement.
Possible cause
The date or time is not set
The date or time is not set properly
The ambient temperature is out of range
Suggested action
Set the date and time.
Reset the date or time.
Operate the monitor within the specified temperature range.
Retry patient temperature measurement. If the message persists, move the patient and the monitor to a cooler location.
Device shutdown is not available at this time.
Device cannot perform an immediate shutdown Touch OK , wait, and retry.
Advanced settings unavailable Sensors are taking measurements Stop continuous measurements.
Unable to load language.
A physiological alarm condition is active Respond to or reset the alarm.
Spot Check measurements have not been saved Save the measurements.
Chinese did not load Power down and restart the monitor.
Call for service.
Unexpected restart occurred. Call for service.
A system error caused the monitor to restart.
Battery power manager messages
Message Possible cause Suggested action
Low battery 5 minutes or less remaining. (High-priority alarm)
Low battery 30 minutes or less remaining.
Battery power is extremely low
Battery power is low
Connect the monitor to AC power. (If not connected to AC power, the monitor powers down when AC power is depleted.)
Touch the alarm icon to dismiss or connect the monitor to AC power.
Powering down. Call for service.
Power manager or battery faults have occurred Call for service.
Battery is absent or faulty.
There is no battery in the monitor Insert a battery.
The battery is faulty Replace the battery.
Directions for use Troubleshooting 137
Message Possible cause
Device is operating in battery mode.
The AC power cord has been disconnected
Configuration Manager messages
Suggested action
Touch OK to dismiss or connect the monitor to AC power.
Message Possible cause
Unable to load configuration; using factory defaults.
A configuration load error occurred
Functional error. Call for service.
A critical configuration load error occurred
No connection for send.
Printer messages
The monitor is not configured to the network
Message
Low battery; plug into outlet.
Possible cause
The monitor's battery voltage is too low to support printing
The printer door is open Printer door is open; close to continue
Out of paper.
Printer too hot; wait to retry.
Printer not functional. Call for service.
External device not recognized.
Printing records:
Suggested action
Call for service.
Call for service.
Call for service.
Suggested action
Connect the monitor to AC power.
Close the printer door.
The paper is not properly loaded
The paper sensor does not detect paper
Align the paper with the print head. If the problem persists, call for service.
Replace the paper. If the problem persists, call for service.
The print head overheated
The printer motor is broken
The detection switch malfunctioned
A hardware failure occurred in the power supply
Wait for the print head to cool down and retry. If the problem persists, call for service.
Call for service.
The printer does not identify itself correctly
The printer cannot communicate with the monitor
No printer; wrong printer
An external printer is plugged into a USB port
The monitor is printing the records selected on the Review tab
Unplug the external printer.
Acknowledge the number of records printing or touch
Cancel to interrupt printing.
138 Troubleshooting Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Message
Note The number of records requested appears in the message and counts down during printing.
Possible cause Suggested action
Printing report; please wait.
The printer needs more time to complete a print job when the Automatic print on interval control has been enabled
Wait for the print job to print completely.
Problems and solutions
The problems addressed in this table do not generate alarm or information messages on the monitor.
Problem
No SpHb value is displayed
Possible cause Suggested action
An SpO2-only cable is connected to the monitor Replace the SpO2-only cable with an SpO2/SpHb (Masimo
Rainbow) cable.
The SpHb cable has expired
Note A technical alarm appears.
Replace the SpHb cable.
No weight measurement is transferred from the scale to the monitor
Poor sensor placement on the patient
The monitor may have the SpHb license, but the
SpO2 module does not
Contact Welch Allyn to verify that the SpO2 module contains the SpHb license.
The scale is not connected Inspect the USB cables from the device to the adapter to the scale to ensure that they are connected properly.
The scale setting is incorrect
Remove the sensor from the patient and reapply.
Ensure that the scale settings are enabled for transfer.
Appendix
Approved accessories
The following tables list approved monitor accessories and documentation. For information about options, upgrades, and licenses, refer to the service manual.
FlexiPort cuffs (Latex-free)
Part Number
Soft-08
Soft-09
Soft-10
Soft-11
Soft-11L
Soft-12
Soft-12L
Soft-13
5082-101-1
Reuse-08
Reuse-09
Reuse-10
Reuse-11
Reuse-11L
Reuse-12
Reuse-12L
Reuse-13
Model
Disposable
Disposable
Disposable
Disposable
Disposable
Disposable
Disposable
Disposable
Disposable
Reusable
Reusable
Reusable
Reusable
Reusable
Reusable
Reusable
Reusable
Description
Cuff, reuse, SM CHILD, 2-tube
Cuff, reuse, CHILD, 2-tube
Cuff, reuse, SM AD, 2-tube
Cuff, reuse, ADULT, 2-tube
Cuff, reuse, AD LONG, 2-tube
Cuff, reuse, LG AD, 2-tube
Cuff, reuse, LG AD LONG, 2-tube
Cuff, reuse, THIGH, 2-tube
Cuff, soft, SM CHILD, 2-tube (box of 20)
Cuff, soft, CHILD, 2-tube (box of 20)
Cuff, soft, SM AD, 2-tube (box of 20)
Cuff, soft, ADULT, 2-tube (box of 20)
Cuff, soft, AD LONG, 2-tube (box of 20)
Cuff, soft, LG AD, 2-tube (box of 20)
Cuff, soft, LG AD LONG, 2-tube (box of 20)
Cuff, soft, THIGH, 2-tube (box of 20)
Neo-1 disposable cuff, male luer connector (box of 10 cuffs)
139
140 Appendix Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Part Number
5082-102-1
5082-103-1
5082-104-1
5082-105-1
008-0851-00
Model
Disposable
Disposable
Disposable
Disposable
Disposable
Description
Neo-2 disposable cuff, male luer connector (box of 10 cuffs)
Neo-3 disposable cuff, male luer connector (box of 10 cuffs)
Neo-4 disposable cuff, male luer connector (box of 10 cuffs)
Neo-5 disposable cuff, male luer connector (box of 10 cuffs)
Neonatal Cuff Kit, (1 each neo #1 — 5, reusable infant cuff, NIBP hose)
Blood pressure accessories (Latex-free)
Part Number
4500-30
4500-31
4500-32
6000-30
6000-31
6000-33
5200-08
Model
BP
BP
SureBP
SureBP
SureBP
BP
Description
Double tube blood pressure hose (5 ft)
Double tube blood pressure hose (10 ft)
Double tube blood pressure hose (8 ft)
Single tube blood pressure hose (5 ft)
Single tube blood pressure hose (10 ft)
Neonatal blood pressure hose (10 ft)
Calibration "T" connector
Masimo pulse oximetry (for use with devices with SpO2)
Part Number
LNCS-DCI
LNCS-DCIP
LNCS-ADTX
LNCS-PDTX
RED LNC-10
LNCS-YI
LNCS-TC-I
LNCS-Neo-L-3
Neo-Wrap-RP
LNCS-Inf-3
Model
LNCS
LNCS
LNCS
LNCS
LNCS
LNCS
LNCS
LNCS
LNCS
LNCS
Description
Reusable finger sensor - Adult
Reusable finger sensor - Pediatric
Disposable adhesive finger sensor - Adult (20 per case)
Disposable adhesive finger sensor - Pediatric (20 per case)
10-foot cable with sensor connector
Multisite reusable sensor (1 sensor, 6 adhesive wraps)
Reusable ear sensor
Disposable adhesive finger sensor - Neonate/Adult (20 per case)
Replacement wrap for neonatal adhesives (100 per case)
Disposable adhesive finger sensor - Infant (20 per case)
Directions for use Appendix 141
Part Number
Inf-Wrap-RP
YI-AD
YI-FM
Model
LNCS
LNCS
LNCS
Description
Replacement wrap for infant adhesives (100 per case)
Multisite adhesive wrap adult/pediatric/neonatal for YI sensor
(100 per case)
Multisite foam wrap adult/pediatric/neonatal for YI sensor (12 per case)
Masimo Rainbow SET (for use with devices with SpO2 and SpHb)
Part Number
104220
104360
104149
Model
Rainbow
Rainbow
Rainbow
Description
Adult reusable sensor and 3-foot cable
ReSposable R2-25 sample pack
Extension cable, 20 pin, 12 feet
Nellcor pulse oximetry
Part Number
DS-100A
DOC-10
DOC-8
DOC-4
D-YS
D-YSE
D-YSPD
MAX-AI
MAX-PI
MAX-II
OXI-A/N
OXI-P/I
Model
OxiMax
OxiMax
OxiMax
OxiMax
OxiMax
OxiMax
OxiMax
OxiMax
OxiMax
OxiMax
OxiMax
OxiMax
Description
Durasensor adult oxygen transducer
Extension cable (10 feet)
Extension cable (8 feet)
Extension cable (4 feet)
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 sensor (single use, case of 24)
OxiMax pediatric sensor (single use, case of 24)
OxiMax infant sensor (single use, case of 24)
Oxiband adult/neonatal transducer (1 sensor, 50 wraps)
Oxiband pediatric/infant transducer (1 sensor, 50 wraps)
142 Appendix Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
SureTemp Plus thermometry
Part Number
02895-000
02895-100
02894-0000
02894-1000
05031-101
05031-110
06138-000
Description
Oral probe and well kit (9ft., 2.7M)
Rectal probe and well kit (9ft., 2.7M)
Oral probe well (blue)
Rectal probe well (red)
Disposable probe covers (1,000 covers, packaged 25/box)
Disposable probe covers (10,000 covers, packaged 25/box)
Temperature calibration key
Braun ThermoScan PRO 4000 thermometer and accessory dock
Part Number
04000-900
36000
86100
86200
53020-0000
Description
Dock with thermometer
Dock without thermometer
Wall mount kit
Mobile stand kit
Rechargeable battery pack for the thermometer
Mounting options
Part Number
4800-60
4700-60
4701-62
008-0834-01
Description
Accessory Cable Management (ACM) — organized mobile stand with basket
Economy mobile stand with basket
Wall mount with basket
GCX wall mount with channel
Weight scales and connectivity kits
For a list of approved weight scales and connectivity kits, go to www.welchallyn.com
.
Directions for use
Miscellaneous items
Part Number
PWCD-4
PWCD-6
PWCD-66
PWCD-C
PWCD-G
PWCD-7
PWCD-N
PWCD-3
BATT69
BATT99
6000-100H
6000-100S
PWCD-B
PWCD-2
PWCD-A
PWCD-5
PWCD-Y
PWCD-K
PWCD-T
PWCD-P
PWCD-Z
6000-NC
6000-915
6000-915HS
6000-910
4500-925
660-0321-00
Appendix 143
Description
Lithium-ion battery 6 Cell
Lithium-ion battery 9 Cell — Extended Life
Carrying case, hard sided
Carrying case, soft sided
Line cord B, North America
Line cord 2, Europe
Line cord A, Denmark
Line cord 5, Switzerland
Line cord 4, United Kingdom
Line cord 6, Australia/New Zealand
Line cord 6, Australia/New Zealand —Orange
Line cord C, China
Line cord G, Argentina
Line cord 7, South Africa
Line cord N, India
Line cord 3, Israel
Line cord Y, Italy
Line cord K, South Korea
Line cord T, Taiwan
Line cord P, Thailand
Line cord Z, Brazil
Nurse Call Cable
2D Barcode scanner kit — scanner, mounting bracket, hardware
HS1-M 2D Barcode scanner with coiled USB
Mounting Arm for HS1-M Barcode Scanner (use with Economy mobile stand with basket only)
USB cable for wired connectivity
Patch cable, 50'
144 Appendix
Part Number
660-0320-00
660-0138-00
715270
6000-50
Service
Part Number
S1-6000
S1-6000-2
S2-6000
S2-6000-2
Literature/Documentation
Part Number
103607
103608
103609
103650
103651
103652
103730
4600-90E
6000-150E
Directions for Use
103501
103604
103605
103606
Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Description
Patch cable, 100'
Patch cable, 5'
Box set — packaging — empty
USB memory stick
Description
Comprehensive partnership program, 1 year
Comprehensive partnership program, 2 years
Biomed partnership program, 1 year
Biomed partnership program, 2 years
Description
CD, Directions for Use, Service Manual, Multi-lingual
Blood Pressure Accuracy and Variability Card, English
In-service CD
Directions for Use, Printed Copy, English
Directions for Use, Printed Copy, French
Directions for Use, Printed Copy, German
Directions for Use, Printed Copy, Dutch
Directions for Use, Printed Copy, Portuguese
Directions for Use, Printed Copy, Spanish
Directions for Use, Printed Copy, Simplified Chinese
Directions for Use, Printed Copy, Swedish
Directions for Use, Printed Copy, Italian
Directions for Use, Printed Copy, Danish
Directions for use
Part Number
103658
103659
103660
103661
103662
103663
103664
103665
103653
103654
103655
103656
104187
104188
Quick Reference Card
103502
103666
103667
103668
103669
103670
104330
104331
Startup Guide
103503
Service Manual (English only)
103500
Appendix 145
Description
Directions for Use, Printed Copy, Polish
Directions for Use, Printed Copy, Finnish
Directions for Use, Printed Copy, Greek
Directions for Use, Printed Copy, Norwegian
Directions for Use, Printed Copy, Traditional Chinese
Directions for Use, Printed Copy, Korean
Quick Reference Card, English
Quick Reference Card, French
Quick Reference Card, German
Quick Reference Card, Dutch
Quick Reference Card, Portuguese
Quick Reference Card, Spanish
Quick Reference Card, Simplified Chinese
Quick Reference Card, Swedish
Quick Reference Card, Italian
Quick Reference Card, Danish
Quick Reference Card, Polish
Quick Reference Card, Finnish
Quick Reference Card, Greek
Quick Reference Card, Norwegian
Quick Reference Card, Traditional Chinese
Quick Reference Card, Korean
Startup Guide
Service Manual, English
146 Appendix Welch Allyn Connex ® Vital Signs Monitor 6000 Series™
Part Number
Directions for Use, ACM Mobile Stand
4800-60
Description
Directions for Use, Accessory Cable Management (ACM) Mobile
Stand
Warranty
Welch Allyn warrants the product to be free of defects in material and workmanship and to perform in accordance with manufacturer's specifications for the period of two years from the date of purchase from Welch Allyn or its authorized distributors or agents.
The warranty period shall start on the date of purchase. The date of purchase is: 1) the invoiced ship date if the device was purchased directly from Welch Allyn, 2) the date specified during product registration, 3) the date of purchase of the product from a
Welch Allyn authorized distributor as documented from a receipt from said distributor.
This warranty does not cover damage caused by: 1) handling during shipping, 2) use or maintenance contrary to labeled instructions, 3) alteration or repair by anyone not authorized by Welch Allyn, and 4) accidents.
The product warranty is also subject to the following terms and limitations: Accessories are not covered by the warranty. Refer to the directions for use provided with individual accessories for warranty information.
Shipping cost to return a device to a Welch Allyn Service center is not included.
A service notification number must be obtained from Welch Allyn prior to returning any products or accessories to Welch Allyn's designated service centers for repair. To obtain a service notification number, contact Welch Allyn Technical Support.
THIS WARRANTY IS IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED,
INCLUDING BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF
MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE. WELCH ALLYN'S
OBLIGATION UNDER THIS WARRANTY IS LIMITED TO REPAIR OR REPLACEMENT
OF PRODUCTS CONTAINING A DEFECT. WELCH ALLYN IS NOT RESPONSIBLE FOR
ANY INDIRECT OR CONSEQUENTIAL DAMAGES RESULTING FROM A PRODUCT
DEFECT COVERED BY THE WARRANTY.
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Table of contents
- 3 Contents
- 7 Introduction
- 7 Intended use
- 7 Contraindications
- 9 Symbols
- 9 Documentation symbols
- 9 Power symbols
- 10 Connectivity symbols
- 10 Miscellaneous symbols
- 11 Screen elements
- 15 About warnings and cautions
- 15 General warnings and cautions
- 21 Controls, indicators, and connectors
- 25 Setup
- 25 Supplies and accessories
- 25 Insert the battery
- 26 Mount the monitor on a stand
- 26 Mount the monitor on the wall
- 26 Attach the probe well
- 27 Attach the temperature probe
- 28 Remove the temperature probe and well
- 28 Connect the NIBP hose
- 29 Disconnect the NIBP hose
- 29 Connect the SpO2 cable
- 30 Disconnect the SpO2 cable
- 30 Attach an accessory
- 31 Detach an accessory
- 31 Insert a new roll of paper
- 32 Connect AC power
- 32 Disconnect AC power
- 33 Startup
- 33 Power
- 34 Power up the monitor
- 35 Power down the monitor
- 35 Reset the monitor
- 35 Set the date and time
- 36 Enter clinician information
- 36 Set the default configuration
- 37 Navigation
- 37 Home tab
- 37 Device Status area
- 38 Battery status
- 39 Alarm and information messages
- 39 Content area
- 40 Save patient data
- 40 Navigation area
- 40 Display lock
- 40 Lock the display
- 41 Unlock the display
- 43 Profiles
- 43 Monitor profile
- 44 Spot Check profile
- 44 Triage profile
- 45 Profile feature comparison
- 46 Select a profile
- 47 Using the keypad, keyboard, and barcode scanner
- 47 Open the numeric keypad
- 47 Numeric keypad
- 48 Enter a number
- 48 Close the numeric keypad
- 48 Open the keyboard
- 48 Keyboard
- 50 Enter a letter or number
- 50 Enter a symbol or special character
- 50 Enter a diacritical mark
- 51 Close the keyboard
- 51 Use a barcode scanner
- 53 Patient data management
- 53 Add a patient to the patient list
- 53 Load patient data with the barcode scanner
- 54 Select a patient
- 54 Manage patient records
- 55 Print patient data
- 55 Printer
- 56 Delete a patient from the list
- 56 Modifiers
- 56 Set modifiers
- 59 Alarms
- 59 Alarm types
- 59 Alarm notification locations
- 60 Icons on the Home tab
- 62 Reset (pause or turn off) audio alarms
- 63 Adjust vital sign alarm limits
- 63 Modify audio alarm notification
- 64 Alarm messages and priorities
- 64 Physiological alarms
- 65 Technical alarms
- 67 Nurse call
- 69 Patient monitoring
- 69 NIBP
- 69 Noninvasive Blood Pressure (NIBP) frame
- 69 NIBP frame in Monitor profile
- 69 NIBP frame in Spot Check and Triage profiles
- 69 NIBP measurement display
- 69 View indicator
- 70 Buttons
- 70 Select a cuff
- 71 Cuff measurements
- 72 Position the cuff
- 73 NIBP measurement
- 74 Take a manual NIBP measurement
- 74 Interval NIBP measurement
- 77 Cancel a measurement that is in progress
- 78 Configure NIBP alarms
- 78 Temperature
- 78 Temperature frame
- 78 Temperature frame in Monitor profile
- 79 Temperature frame in Spot Check and Triage profiles
- 79 Temperature measurement display
- 79 Site selection
- 80 Temperature buttons
- 80 Configure temperature alarms
- 80 SureTemp® Plus temperature module
- 81 Temperature mode selection
- 83 Take a temperature in the Predictive mode
- 85 Take a temperature in the Direct mode
- 86 Take a temperature at the rectal site
- 88 Braun ThermoScan® PRO 4000 thermometer and accessory dock
- 88 Take a temperature at the ear site
- 89 Change the temperature scale on the ear thermometer
- 89 Charge the ear thermometer battery
- 90 SpO2
- 90 SpO2 frame
- 90 SpO2 numeric view
- 92 SpO2 waveform view
- 92 Measure SpO2 and pulse rate
- 94 Configure SpO2 alarms
- 94 Set SatSeconds limits
- 94 Set Response Mode
- 95 SpHb
- 95 SpHb frame
- 95 SpHb numeric view
- 95 SpHb graphical trend view
- 96 Measure SpHb
- 97 Configure SpHb alarms
- 98 Set SpHb averaging mode
- 98 Pulse rate frame
- 98 Monitor profile
- 98 Spot Check and Triage profiles
- 98 Configure pulse rate alarms
- 99 Manual parameters frame
- 99 Enter manual parameters
- 101 Maintenance and service
- 101 Perform periodic checks
- 101 Replace the printer paper
- 103 Change the battery
- 104 Clean the monitor
- 105 70 percent isopropyl alcohol
- 105 10 percent chlorine bleach solution
- 105 Clean the accessories
- 105 Clean the stand
- 107 Specifications
- 107 Physical specifications
- 111 Environmental specifications
- 111 Monitor radio
- 112 Configuration options
- 113 Patents
- 115 Standards and compliance
- 115 General compliance and standards
- 116 General radio compliance
- 116 Federal Communications Commission (FCC)
- 117 Industry Canada (IC) emissions
- 117 European Union
- 119 Guidance and manufacturer's declaration
- 119 EMC compliance
- 119 Emissions and immunity information
- 123 Advanced settings
- 123 General
- 123 Specify the language
- 124 Specify date and time settings
- 124 Specify advanced alarm settings
- 125 Specify advanced display settings
- 126 Specify a monitor location
- 126 Enable monitor profile changes
- 126 Specify power line frequency
- 127 Set and start the demo mode
- 127 Parameters
- 127 Specify advanced NIBP settings
- 128 Specify advanced temperature settings
- 129 Specify advanced SpO2 settings
- 129 Specify advanced SpHb settings
- 130 Specify advanced pulse rate settings
- 130 Specify the manual parameters
- 131 Data management
- 131 Specify patient ID settings
- 132 Specify clinician ID settings
- 133 Specify clinical data settings
- 133 Network
- 133 View advanced monitor information
- 134 Specify radio settings
- 135 Specify server settings
- 136 Service
- 137 Troubleshooting
- 137 NIBP messages
- 138 SpO2 and SpHb messages
- 139 Temperature messages
- 140 Weight scale messages
- 140 Patient data management messages
- 141 Radio messages
- 141 Ethernet messages
- 141 USB messages
- 142 System messages
- 142 Battery power manager messages
- 143 Configuration Manager messages
- 143 Printer messages
- 144 Problems and solutions
- 145 Appendix
- 145 Approved accessories
- 145 FlexiPort cuffs (Latex-free)
- 146 Blood pressure accessories (Latex-free)
- 146 Masimo pulse oximetry (for use with devices with SpO2)
- 147 Masimo Rainbow SET (for use with devices with SpO2 and SpHb)
- 147 Nellcor pulse oximetry
- 148 SureTemp Plus thermometry
- 148 Braun ThermoScan PRO 4000 thermometer and accessory dock
- 148 Mounting options
- 148 Weight scales and connectivity kits
- 149 Miscellaneous items
- 150 Service
- 150 Literature/Documentation
- 152 Warranty