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Pulse Rate Feature
The Welch Allyn Vital Signs Monitor is capable of determining pulse rate as an adjunct to the blood pressure measurement and the SpO
2
measurement.
The pulse rate, in beats per minute, will be determined primarily from the SpO
2
measurement methodology. In the case where SpO
2
is not available, or is disabled, the pulse rate display will be driven by data from the blood pressure measurement method.
There are two operator selectable alarm limits for the pulse rate. They are PULSE RATE HIGH
LIMIT and PULSE RATE LOW LIMIT. Pulse rates which activate alarm limits are indicated by a flashing display and a repetitive audible tone.
Should a pulse rate alarm occur when the pulse rate measurement is derived from the blood pressure measurement, no subsequent blood pressure or pulse rate measurements may be made until the alarm is reset. The alarm may be reset by pressing any button on the Monitor's display.
Should a pulse rate alarm occur when the pulse rate measurement is derived from the SpO
2
measurement, the monitor will indicate an alarm condition (flashing & beeping) while continuing to monitor and display the patient's current SpO
2
% and pulse rate. The alarm will automatically reset when the patient's condition returns to within the preset alarm parameters.
Should a patient alarm condition for pulse rate occur during SpO
2
monitoring, the operator may invoke "Silence Mode" by pressing the SILENCE button. This will silence the audible tone (display will continue to flash), while the practitioner attends to the patient and Monitor. Silence mode resets automatically after 30 seconds, or when the patient's condition returns to within the preset alarm parameters. If an alarm limit is violated, subsequent determinations of any type may only be made after the alarm condition is reset.
10 Vital Signs Monitor
Unpacking Checklist
After you have unpacked the Welch Allyn Vital Signs Monitor and the components, identify each item with the checklist that follows and inspect for missing items. Retain the shipping materials in the event of shipping damage or for return, if necessary, to Welch Allyn/Tycos for repair or warranty service.
All Welch Allyn Vital Signs Monitors include the following components (A-G):
A. Welch Allyn Vital Signs Monitor
This device is a portable, light weight device designed to automatically measure and display blood pressure and pulse rate. Options available include pulse oximetry, temperature and integrated printer.
B. Operator Manual (This manual)
To achieve satisfactory results, the operator should read this manual thoroughly before attempting to use the monitor. Save this manual for helpful product reference.
C. Instrument Warranty Card
Fill this out today and return to Welch Allyn. This card validates your warranty.
D. Blood Pressure Cuffs
Includes one (1) Adult and one (1) Large Adult blood pressure cuff.
NOTE:
A full range of cuff sizes are available (as accessory items) however, the Large Adult cuff will fit the majority of adults and give the most accurate blood pressure measurement.
E. Blood Pressure Hose
With connector, connects a variety of blood pressure cuffs to the monitor.
F. AC Power Transformer and Line Cord
Operates the monitor and charges the internal battery.
G. Cuff Clip
Attaches to the rear of the monitor to hold the blood pressure cuff. Not used if mobile stand, pole mount or wall mount accessories are purchased.
Certain Welch Allyn Vital Signs Monitors will include the following items, based on the options purchased:
Printer Option
H. Box of Printer Paper
Six (6) rolls of thermal printer paper. One additional roll will be pre-loaded into the printer.
Pulse Oximetry (SpO
2
) Option
I.
Finger Clip SpO2 Sensor and Cord
Other sensors are available separately.
Vital Signs Monitor 11
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Table of contents
- 7 About the Operator’s Manual
- 7 Product Overview
- 7 Indications/Contraindications for Use
- 8 Safety Warnings & Cautions
- 9 General Warnings
- 9 Blood Pressure Warnings
- 10 SpO2 Warnings
- 10 Temperature Warnings
- 11 General Cautions
- 11 Blood Pressure Cautions
- 11 SpO2 Cautions
- 11 Temperature Cautions
- 12 Special Features
- 12 Blood Pressure Operating Modes
- 12 Blood Pressure Manual Mode
- 13 Blood Pressure Automatic Mode
- 13 Temperature Operating Modes
- 14 Temperature Normal Mode
- 14 Temperature Monitor Mode
- 14 SpO2 Operating Mode
- 15 SpO2 Monitor Mode
- 16 Pulse Rate Feature
- 17 Unpacking Checklist
- 17 Printer Option
- 17 Pulse Oximetry (SpO2) Option
- 18 Temperature Option
- 18 Controls, Indicators and Connections
- 18 Front Panel Functions
- 21 Side & Rear Panel Connections
- 22 Set-Up Procedure
- 22 AC Power Connection
- 23 Charging the Battery
- 23 Power On/Off and System Check Procedure
- 23 To turn the unit on, press the POWER button.
- 23 To turn the unit off, press POWER button.
- 23 Setting the Date and Time
- 23 1. Initiate the Monitor's internal configuration settings menu by powering up the unit while the ...
- 23 2. Press the review button four (4) times to advance to the Date Set Screen. The year, month and ...
- 23 3. Use the SELECT ALARM button to select the date item to be changed. When selected, the date ite...
- 23 4. Use the SET buttons (arrow up or arrow down) to change the selected date item.
- 23 5. After making all the desired date changes, press the REVIEW button to save the changes and adv...
- 23 6. When in the Time Set Screen the hour (in 24 hour format) and minutes will appear in the systol...
- 23 7. When the time is set as desired, press the REVIEW button to save the time and advance to the n...
- 23 8. Press the POWER button to turn the Monitor off.
- 24 Choosing Operating Modes
- 24 Blood Pressure Hose & Cuff Connections
- 24 1. Inspect the blood pressure hose and note that one end has a connector fitting and the other en...
- 25 2. Join the other end of the blood pressure hose to the pneumatic tubing which is attached to the...
- 25 Temperature Probe Connection
- 26 SpO2 Sensor Connection
- 26 Setting up the Printer
- 26 1. Grasp the printer cover as shown, and slide the cover off of the Monitor by sliding the cover ...
- 27 2. Holding a new roll of paper as shown, feed approximately 1 inch of paper into the slot at the ...
- 27 3. Press the paper "FEED" button to advance the paper 3 to 4 inches above the top paper slot.
- 27 4. Thread the paper through the paper slot on the printer cover. Slide the cover on to the Monito...
- 28 Setting the Programmable Alarms
- 28 Blood Pressure - High Systolic Limit
- 29 Blood Pressure - Low Systolic Limit
- 29 Blood Pressure - High Diastolic Limit
- 29 Blood Pressure - Low Diastolic Limit
- 30 Pulse Rate - High Limit
- 30 Pulse Rate - Low Limit
- 30 SpO2 - Low Limit
- 31 Temperature Measurement Range Indicators
- 31 Alarm Indications and Interpretation
- 31 During Blood Pressure Measurement
- 31 During SpO2 Measurement
- 31 During SpO2 Measurement
- 32 Measuring Blood Pressure
- 32 Setting the DEFAULT Inflation Pressure Preset Level
- 32 Blood Pressure Cuff Selection Criteria
- 33 Positioning the Blood Pressure Cuff
- 34 Manual Mode Blood Pressure
- 34 1. Ensure that the blood pressure cuff is properly sized and wrapped around the patient's upper a...
- 34 2. With the Monitor powered up, press the START button. The Monitor will inflate the cuff to the ...
- 34 3. The systolic display will show the pressure in the cuff as the blood pressure determination is...
- 34 4. When the measurement cycle is complete an audible tone will sound and the systolic, diastolic ...
- 34 5. The reading will be displayed for two minutes, and then this display will be blanked. The read...
- 34 6. Pressing CANCEL at any time during a blood pressure determination will cause the determination...
- 34 Automatic Mode Blood Pressure
- 34 1. Ensure that the blood pressure cuff is properly sized and wrapped around the patient's upper a...
- 35 2. Press the AUTO button and note two dashes "--" in the CYCLE display. This is the default setti...
- 35 3. Select one of the ten pre-programmed cycle interval times by pressing the AUTO button until th...
- 35 4. When the desired interval is displayed, the operator may select the interval by pressing any o...
- 35 5. The unit will take its first automatic blood pressure determination 10 seconds after the time ...
- 35 6. For the first automatic blood pressure determination, the Monitor will inflate the cuff to the...
- 35 7. The systolic display will show the pressure in the cuff as the blood pressure determination is...
- 35 8. When the measurement cycle is complete an audible tone will sound and the systolic, diastolic ...
- 35 9. The measurement will be displayed until the next measurement cycle is initiated.
- 35 10. Pressing CANCEL at any time during a blood pressure determination will cause the determinatio...
- 35 11. To end an AUTO blood pressure session, press the AUTO button until two dashes "--" appear in ...
- 35 Reviewing Information From Prior Cycles
- 36 “Erase data” function
- 36 Measuring Temperature
- 36 Selecting the Temperature Scale
- 37 1. While the Monitor is turned off, press both the POWER and START buttons simultaneously. Hold t...
- 37 2. The operator can now cycle through the Monitor's internal configuration menu by pressing the R...
- 37 3. The first option illuminated on the TEMPERATURE display is "˚F." Pressing the ADJUST button tw...
- 37 Selecting Temperature Operation Mode
- 37 1. While the Monitor is turned off, press both the POWER and START buttons simultaneously. Hold t...
- 37 2. The operator can now cycle through the Monitor's internal configuration menu by pressing the R...
- 37 3. Press the ADJUST button once to choose Monitor mode (˚F), or three times to choose Monitor mod...
- 38 Taking An Oral Temperature
- 38 1. Ensure that the oral probe is connected to the unit. The oral probe has a BLUE tip. Accurate o...
- 38 2. Remove the probe from the probe holder. A short self-test mode will be initiated where every L...
- 38 3. Load a probe cover onto the probe by holding the probe collar with the thumb and forefinger, b...
- 38 4. Insert the probe tip gently into the patient's slightly opened mouth. Carefully slide the prob...
- 39 5. The probe should be held by the clinician during the entire temperature measurement process to...
- 39 6. During the temperature measurement cycle the TEMPERATURE display will show a series of LED seg...
- 39 7. When the final temperature has been reached a tone will sound and the temperature will be disp...
- 39 8. After the temperature measurement is complete, remove the probe from the patient's mouth and e...
- 39 9. Insert the probe into the probe holder before attempting to take another temperature measurement.
- 39 10. The current temperature is displayed for one minute after the probe is replaced in the holder...
- 39 Taking an Axillary Temperature
- 40 1. Ensure that the oral probe is connected to the Monitor. The oral probe has a BLUE tip. Accurat...
- 40 2. Remove the probe from the probe holder. A short self-test mode will be initiated where every L...
- 40 3. Press the SET-Arrow Up button once. The display will now show “ALY” indicating that the Monito...
- 40 4. With the TEMPERATURE display showing “ALY”, load a probe cover onto the probe by holding the p...
- 40 5. Lift the patient’s arm so that the entire axilla is easily visualized. Place the probe as high...
- 40 6. Be sure that the probe tip will be completely surrounded by axillary tissue. Clothing or other...
- 40 7. Place the arm snugly at the patient’s side. Hold the arm in this position without movement of ...
- 40 8. In Normal Mode the Monitor will produce an audible tone and display the temperature reading wh...
- 40 9. After the temperature measurement is complete, remove the probe from the patient’s axilla and ...
- 40 10. Insert the probe into the probe holder before attempting to take another temperature measurem...
- 40 Taking a Rectal Temperature
- 40 1. Ensure that the rectal probe is connected to the unit. The rectal probe has a RED tip. Accurat...
- 41 2. Remove the probe from the probe holder. A short self-test mode will be initiated where every L...
- 41 3. Load a probe cover onto the probe by holding the probe collar with the thumb and forefinger, b...
- 41 4. Separate the buttocks with one hand. Apply a thin coat of water-based lubricant when necessary...
- 41 5. Tilt the probe to ensure good tissue contact and continue to keep the buttocks separated while...
- 41 6. During the temperature measurement cycle, the TEMPERATURE display will show a series of LED se...
- 41 7. When the final temperature has been reached, a tone will sound and the temperature will be dis...
- 41 8. After the temperature measurement is complete, remove the probe from the patient's rectum and ...
- 41 9. Insert the probe into the probe holder before attempting to take another temperature measurement.
- 41 10. The current temperature is displayed for one minute after the probe is replaced in the holder...
- 42 Measuring SpO2
- 42 SpO2 Operation Mode
- 42 Taking an SpO2 Measurement
- 42 1. Properly attach the appropriate sensor to the patient. Verify the cable to the sensor is attac...
- 42 2. The pulse signal bar graph will illuminate, indicating the relative strength and quality of th...
- 43 3. The SpO2% and pulse rate are updated approximately every second.
- 43 4. Removing the SpO2 sensor from the patient ends the monitoring period and immediately blanks th...
- 44 Using the SpO2 Pulse Tone
- 44 Printer Operation
- 45 Printing Options: batch print or streaming print mode
- 46 Using the RS232 Computer Interface
- 46 “Nurse Call” Interface
- 47 Mean Arterial Pressure (MAP)/Data Send Mode/Data Stream Mode
- 48 Troubleshooting
- 48 Error Indications and Interpretation
- 50 General Guide to Problems and Corrective Actions
- 53 Quick Guide to Taking a Manual (Auscultatory) Blood Pressure
- 54 Maintenance
- 54 Cleaning
- 54 Storage
- 54 Battery Removal & Replacement
- 54 1. Ensure that the AC power transformer cord is disconnected from the Monitor, and that the Monit...
- 54 2. Use a Phillips-head screwdriver to remove the four (4) screws holding in the battery door. Rem...
- 54 3. Tip the Monitor and slide the battery out. Disconnect each of the 2 connectors and discard the...
- 55 4. Attach the battery connectors to the new battery as shown below.
- 55 5. Slide the new battery into the battery compartment as far as it will go.
- 55 6. Replace the battery door, tightening each of the (4) screws.
- 55 7. Connect the AC power transformer to the monitor and allow the new battery to charge for approx...
- 55 8. The battery is a non-spillable lead-acid battery. In the USA, call 1-800-SAV-LEAD for instruct...
- 56 Calibration
- 56 Blood Pressure Calibration Check
- 56 1. Put the Vital Signs Monitor into its blood pressure calibration check mode. In this mode, the ...
- 56 2. Connect the Vital Signs Monitor as shown. Make sure the pressure meter used to test the Vital ...
- 56 3. Pressurize the Vital Signs Monitor to slightly above 250 mmHg and bleed down the pressure no f...
- 56 4. Calculate the difference between the readings from the Vital Signs Monitor and the pressure me...
- 57 Temperature Calibration Check
- 57 1. Turn the Monitor on by pressing the POWER button.
- 57 2. Remove the temperature probe completely from the holder and detach the connector, then insert ...
- 57 3. Insert, then remove the probe from the probe holder to reset the thermometer.
- 57 4. Wait for the temperture display test to be complete. Observe and record the temperture noted o...
- 57 5. The recorded temperature should be 97.3˚F ± 0.2˚F (36.3˚C +/- 0.1˚ C) if the Monitor is proper...
- 58 SpO2 Calibration Check
- 59 Warranty Information
- 59 Return the Instrument Registration Card
- 59 Service Information
- 59 Service Policy
- 59 Technical Assistance
- 60 Welch Allyn Service Centers