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1500 Patient Monitor User Manual

1. Nellcor SpO ECG IBP Part number Description 103460 Ground cable 6 mm MC PLUG 715316 Ethernet cable 3 ft 715317 Ethernet cable 7 ft 715318 Ethernet cable 14 ft 103632 Mains cable TYPE G 103633 Mains cable TYPE E F 103634 Mains cable TYPE 103635 Mains cable TYPE J 103636 Mains cable TYPE A 103638 Mains cable TYPE B Part number Description 103490 Nellcor SpO cable DOC 10 008 0054 01 DS 100A DURASENSOR reusable Part number Description 103801 12 Lead AHA ECG shielded cable 103802 12 Lead IEC ECG shielded cable 008 0316 00 3 Lead ECG cable 008 0323 00 3 Lead ECG wire set 008 0313 00 5 Lead 10 ft ECG cable with lead wires AHA 008 0313 01 5 Lead 10 ft ECG cable with lead wires IEC Part number Description 008 0226 01 IBP cable F MX900 amp MX860 008 0233 00 IBP transducer DISP MX950 10 008 0224 00 IBP domes MX848 Directions for use Temperature NIBP Accessories 85 Part number Description 008 0230 00 Temperature sensor Part number Description 008 0238 00 Adult Ped NIBP hose for bladderless cuff 008 1024 00 Reusable cuff 11 1MQ ADULT 1 TUBE MO 5084 87L 3MQ Reusable cuff LG AD LONG 1 TUBE MO 5082 83 3MQ Reusable cuff SM CHILD 1 TUBE MO 5082 84 3MQ Reusable cuff CHILD 1 TUBE MO 5082 85 3MQ Reusable cuff SM AD 1 TUBE MO 5082 87 3MQ Reusable cuff LG AD 1 TUBE
2. Directions for use Monitoring 55 Preparing IBP measurement Refer to the manufacturer s directions for use for operating information for the IBP sensor IBP settings The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 22 Parameter Description Zero Set IBP1 IBP2 Label P1 P2 ART PA RA LA CVP IPC Size 10 to 20 mmHg 10 to 60 mmHg 0 to 150 mmHg 0 to 200 mmHg 0 to 250 mmHg 0 to 300 mmHg Format Sys Dia or Mean This defines the main measurement to be displayed that is the larger measurement displayed in the IBP box The secondary measurement is displayed smaller below the main measurement Note that the mean measurement is shown in brackets IBP1s or IBP2s lower and upper alarm limits for systolic pressure 30 to 76 77 to 300 75 220 IBP1m or IBP2m lower and upper alarm limits for mean pressure 30 to 35 52 to 300 35 110 IBP1d or IBP2d lower and upper alarm limits for diastolic pressure 30 to 35 37 to 300 50 120 56 Monitoring IBP zero set Welch Allyn 1500 Patient Monitor e Zero Set must be carried out before every application e To prevent incorrect measurement readings due to the sensor s physical null drift calibrate the sensor every 24 hours Note Ensure the sensor is kept still during zero se
3. Patient has moved Calm the patient Interferences by other devices Remove source of the interference Bad electrode Check replace electrodes RR gt upper limit RR lt lower limit RR AF is higher or lower than alarm limit Check the patient 42 Monitoring Welch Allyn 1500 Patient Monitor etC0 measurement If the etCO measurement field is not displayed it means that it is not enabled in the parameter settings Press the Setup button a enter the menu Setup Parameters and activate etCO Introduction Setup Parameters IBP Enabled Yes Cancel The Oridion sensor is the only approved sensor for etCO monitoring A A WARNING Carefully route the filter line to reduce the possibility of patient entanglement or strangulation WARNING The filter line may ignite in the presence of oxygen when directly exposed to laser ESU devices or high heat When performing head and neck procedures involving laser electrosurgical devices or high heat use with caution to prevent flammability of the filter line or surrounding surgical drapes WARNING When using a sampling line for intubated patients with a closed suction system do not place the airway adapter between the suction catheter and endotracheal tube This is to ensure that the airway adapter does not interfere with the functioning of the suction catheter WARNING Loose or damaged connections may compromise ventilation or cause an ina
4. The device is intended for the monitoring of one patient at a time The device is not designed for sterile use nor is it designed for outdoor use Do not use this monitor in areas where there is any danger of explosion or in the presence of flammable gases JW The device is classified CF It is defibrillation protected when the original accessories are used However as a safety precaution when possible remove the electrodes before defibrillation This product is not designed for direct cardiac application The arrhythmia module is not intended for use with neonatal patients The ST analysis module is not intended for use with neonatal patients 2 Safety Welch Allyn 1500 Patient Monitor Organizational measures e Before using the monitor ensure that an introduction regarding the monitor functions and the safety precautions has been provided by a medical product representative Safety e Observe the operating instructions and maintenance instructions e These operating instructions do not override any statutory or local regulations or procedures for the prevention of accidents and environmental protection bb Pb gt gt gt gt bb WARNING Mount the monitor securely so that there is no possibility of it falling on the patient or floor WARNING If uncertain about the accuracy of any measurement first check the patient s vital signs by alternate means and then make sure the monitor is functioning cor
5. The peak wavelength and maximum optical power of the light emitted by the pulse oximeter probes can be especially useful to clinicians e g performing photodynamic therapy They are as follows Range of peak wavelengths 600 nm to 900 nm Maximum light power output lt 15 mW A WARNING Only use sensors recommended from Welch Allyn for SpO measurement with the monitor Other oxygen transducers sensors can impact the performance and give incorrect measurement readings WARNING The information in this manual does not overrule any instructions given in the SpO sensor directions for use Before using the sensor carefully read the sensor directions for use resonance image scanning Induced current could potentially cause burns and the pulse oximetry may affect the image and the accuracy of the measurements WARNING Do not use the pulse oximeter or sensors in or near the presence of A WARNING Do not use the pulse oximeters or sensors during magnetic MRI equipment or in an MRI suite Directions for use gt bb gt Monitoring 51 WARNING Tissue damage can be caused by incorrect application or use of a sensor Inspect the sensor site as described in the sensor directions for use to ensure skin integrity and correct positioning and adhesion of the sensor WARNING Do not use damaged patient cables damaged sensors or a sensor with exposed optical components WARNING Substances causing disturbances Carboxyhemoglobin can lead
6. MO 5082 88 3MQ Reusable cuff THIGH 1 TUBE MQ 5082 86 3MQ Reusable cuff ADULT 1 TUBE MO 5082 93 4MQ Soft cuff SM CHILD 2 TUBE MO 5082 94 4MQ Soft cuff CHILD 2 TUBE MO 5082 95 4MQ Soft cuff SM AD 2 TUBE MO 5082 96 4MQ Soft cuff ADULT 2 TUBE MO 5082 97 0MO Soft cuff LG AD 2 TUBE MO 5082 98 4MQ Soft cuff THIGH 2 TUBE MO 5082 96L 4MO Soft cuff AD LONG 2 TUBE MO 5082 97L 4MO Soft cuff LG AD LONG 2 TUBE MO 5082 93 3MO Soft cuff SM CHILD 1 TUBE MO 5082 94 3MQ Soft cuff CHILD 1 TUBE MO 5082 95 3MQ Soft cuff SM AD 1 TUBE MO 5082 96 3MQ Soft cuff ADULT 1 TUBE MO 5082 97 3MQ Soft cuff LG AD 1 TUBE MO 5082 98 3M0 Soft cuff THIGH 1 TUBE MO 86 Accessories Welch Allyn 1500 Patient Monitor 87 Technical data System data Manufacturer SCHILLER AG for Welch Allyn Monitor name Welch Allyn 1500 Patient Monitor Dimensions 396 x 284 x 81 mm 15 6 x 11 2 x 3 2 inches Weight 5 0 kg 11 Ibs with lead acid battery 4 5 kg 9 9 Ibs with Li lon battery Mode of operation Continuous Power supply Voltage Power consumption Typical battery operating time Fuses Internal Charger 100 240 V 50 60 Hz max 70 VA With the battery fully charged 25 C display on NIBP measurement every 15 minutes and with all paramters ECG RESP NIBP Temp SpO IBP x2 CO Lead Acid approx 1 hour Li lon approx 2 hours 2x
7. P1 Mean 30 300 50 120 P2 Sys 30 300 15 50 P2 Dia 30 300 5 20 P2 Mean 30 300 10 25 NIBP Sys 30 260 75 220 NIBP Dia 20 235 35 110 NIBP Mean 20 255 50 120 Temp F 59 113 95 0 100 0 Temp C 15 45 35 0 37 8 Directions for use Settings 81 Pediatric settings Parameter Acuity range limit Acuity lower limit Acuity upper limit default default HR 25 250 50 150 PR NIBP 25 250 50 150 PR IBP 25 250 50 150 PR SpO 25 250 50 150 SpO SAT 9 50 100 90 100 RR ECG 2 150 10 45 RR CO 2 150 10 45 Apnea Delay s 6 30 N A 20 etCO mmhg 0 99 25 60 etCO kPa 0 13 2 3 0 8 0 inCO mmhg 2 25 N A 5 inCO kPa 0 2 5 0 N A 0 7 P1 Sys 30 300 75 145 P1 Dia 30 300 35 100 P1 Mean 30 300 50 110 P2 Sys 30 300 15 50 P2 Dia 30 300 5 20 P2 Mean 30 300 10 25 NIBP Sys 30 260 75 220 NIBP Dia 20 235 35 110 NIBP Mean 20 255 50 120 Temp F 59 113 95 0 100 0 Temp C 5 45 35 0 37 8 82 Settings Welch Allyn 1500 Patient Monitor Neonatal settings Parameter Acuity range limit Acuity lower limit Acuity upper limit default default HR 25 250 100 200 PR NIBP 25 250 100 200 PR IBP 25 250 100 200 PR Sp0 25 250 100 200 Sp0 SAT 50 100 85 95 RR ECG 3 150 10 75 RR CO 3 150 10 75
8. Y I IR RF Y Y a 18 Aital Settings po ub aeu sed cena O re NU into y FRO 19 tandbymodec ea A E Y a iaa YN 20 TONG data in Lu me Yn ee hese y Ddu Bn yd y BW NE Sd woke YY do 21 Defining display waveforms o 22 Settings via a parameter field VI Y ua 22 Es Al A SD EF A e ee ea ek 23 Display Of alarm tees I eog dn eles Fd dn y YD DD FI WD WW ON 23 Sllencinasanialatim een a EER A a toda A a il did ca ONA 24 gt uspendrallaiarmS cn lies nes ysyd A ode dydw od dee DN FIn nodd 24 Turning off an individual parameter alarm LLY ee 25 Alarm limits etting eni a AR ote etd GY Pot als A ne EF Dd ES DYMA i 25 Physiological Alarms FFF A A GG LL LL ya 26 5 uu raices rra rra arre ais 27 Generals nis is aaNet ale Nat lhe eel okt a Oe 27 EC Goce aed sR teen tei AS O AN YM te ate YD AS Y sear at 28 ANAVAA ien era oda OS elo Gau dl i de do a Ee fad ata cel a Ik nn rag 38 Respiration raten ueu ose dedi TAR ad ped deh GY yd gg DAS aed 40 SICOs MEASULEMENE eu eu dt IU MS IU deh 42 NIBP MONO Nidia RR A dr dd GR WY A te RW RW baat 46 Start a single NIBP measurement Y ee eee 47 SPOFMONITONNG ia aha aeb pta e td o rat snl hance Ma dU hues dyo Co 50 IBPIMONMOLN Greases sc OAs ee hoe ei aay Seeded A ais EN 54 Preparing IBP measurement o o ooooococo eee 55 Temperaturemonitoring a aed chee ee hed w n ee ee we Lok WAD Bobb pane BVA 57 iv Contents Welch Allyn 1500 patient monitor 6 Acuity Central Stat
9. 12 lead resting ECG is an option and only appears when enabled Taking a resting ECG 1 Press the Setup button 2 2 Select 12 lead ECG 12 Lead Resting ECG Electrode Status Start 12 Lead Resting ECG LA RA LL RL vi v2 v3 v4 v5 V6 Print 12 Lead Resting ECG Cancel Check electrode status Ensure the green On is displayed for all electrodes this indicates that the electrode resistance is within acceptable range to obtain a valid reading Select Start 12 lead Resting ECG The message Rest ECG Analysis in Progress is displayed while the resting ECG is being taken This is followed by Rest ECG Complete The resting ECG remains in memory until a new patient is defined or the ECG is overwritten with a new recording 36 Monitoring ECG menu settings Welch Allyn 1500 Patient Monitor Note The parameter settings are selected with the trim knob See Settings via a parameter field on page 22 The default settings are in bold Main menu Parameter Description Setup HR ECG Lead Lead selection I Il Ill V AVL AVR AVF Size 2 5 5 10 20 mm mV HR PR source ECG Sp0 P1 ART HR PR Tone Off on ECG Filter Select Diagnostic or Monitor Two predefined filter settings can be selected These defined filter options define the cut off frequency for the Myogram Baseline and Mains filters The filter definitions and the corresponding filter cut offs are de
10. 1x per second Measurement range 15 C to 45 C 59 F to 113 F Resolution 0 1 C 0 1 F Accuracy 0 1 C 0 1 F Directions for use NIBP IBP Sp0 Technicaldata 93 Measurement Quick action start stop button Automatic or manual Measuring intervals 3 to 60 minutes Measuring method Oscillometric Measurement range 15 to 270mmHg Deflation rate 3 to 9 mmHg second Cuff Adult Pediatric and Neonate Pulse rate measurement range 25 to 250 bpm Protection Overpressure protection Channels Two channels Measurement range 30 to 300 mmHg Accuracy 1 mmHg or 1 whichever is greater Sampling Freguency 500 Hz Amplifier Fully isolated defibrillation protected gt 5kV Calibration Manual or automatic Pulse rate measurement range 25 to 250 bpm Sensors Nellcor OxiMax sensors Amplifier Fully isolated defibrillation protected gt 5kV Sampling Frequency 62 5 Hz Display update interval 1 second Measurement range Sp0 1 to 100 PR 20 to 250 min Accuracy Probe 7096 to 100 96 28 C to 42 C Sp0 PR no motion Adult pediatric 2 digits Neonate 3 digits 20 to 250 min 3 digits Calibration range 70 to 100 calibration is fixed no calibration required PR Calculation Averaged over 4 8 16 beats 94 Technical da
11. Adult 220 75 upper lower limit Pediatric 145 75 Neonate 100 50 NIBPd diastolic blood pressure upper lower limit Adult 110 35 Pediatric 100 35 Neonate 70 30 NIBPm mean pressure upper lower limit Adult 120 50 Pediatric 110 50 Neonate 80 35 Directions for use NIBP alarms Monitoring 49 Alarm Cause Remedy NIBP needs service No NIBP module detected Switch off and restart Replace monitor NIBP artifact cannot measure Patient has moved Calm the patient Max required pressure is higher than the initial pressure of 160 mmHg Repeat measurement The monitor will automatically increase the initial pressure Cannot measure NIBP Patient has moved Check and calm patient Very unsteady pulse Apply cuff to another extremity with less movement or more steady pulse Air tube plugged or leaking Check tube and cuff NIBP cuff leak No cuff connected or cuff or Check cuff position insufficiently fitted or defective i Check cuff for tightness Check if the cuff is connected to the monitor NIBP signal low Blocked tube kink in the tube Check and replace the tube if required Cuff not applied correctly Reposition check the cuff Pulse too low for good measurement Apply the cuff to another extremity where the pulse measurement is easier NIBP time too long Inflation time exceeded max 135 sec due to interferen
12. Apnea Delay s 6 20 N A 15 etC0 mmhg 0 99 25 60 etCO kPa 0 13 2 3 0 8 0 inCO mmhg 2 25 N A 5 inCO kPa 0 2 5 0 N A 0 7 P1 Sys 30 300 50 100 P1 Dia 30 300 30 70 P1 Mean 30 300 35 80 P2 Sys 30 300 15 50 P2 Dia 30 300 5 20 P2 Mean 30 300 10 25 NIBP Sys 25 120 50 100 NIBP Dia 15 105 30 70 NIBP Mean 15 110 35 80 Temp F 59 113 95 0 100 0 Temp C 15 45 35 0 37 8 83 Accessories A WARNING Use only accessories supplied or recommended by Welch Allyn Use accessories according to your facility s standards and manufacturer s recommendations Always refer to the manufacturer s directions for use To order accessories contact your local Welch Allyn representative see page ii Miscellaneous Part number Description 103700 Welch Allyn 1500 Patient Monitor multi language directions for use 103601 3 pack thermal Z fold paper 103610 10 pack thermal Z fold paper 103611 100 pack thermal Z fold paper Mounting Part number Description 103440 Welch Allyn 1500 Patient Monitor pivot arm wall mount 103441 Welch Allyn 1500 Patient Monitor flush to wall mount 103442 Welch Allyn 1500 Patient Monitor rollstand 103443 Welch Allyn 1500 Patient Monitor drop on Mfg plate Batteries Part number Description 103461 Lead acid 103462 Lithium Ion 84 Accessories Cables Welch Allyn 1500 Patient Monitor
13. Input output connectors undamaged Button check Buttons work Speaker check Switch the monitor on by pressing the On button Switch on beeps sounded The standard screen is displayed LED check Mains LED on when mains connected Battery LED on when battery charging Alarm Check Connect SpO sensor to volunteer Measurement within range Set Sp0 limit to lowest setting Measurement out of range and visual and audible alarm activated po10 10 10 10 0 050 Recurrent test Confirm the date of last factory inspections and test If the monitor is due for a yearly test have a qualified technician perform the test gAgmaiaiaiaiaiaia Date of Inspection Inspector Directions for use Maintenance 67 Every 2 to 5 years Inspection Result Checked Internal battery Replace battery if Replace battery o o o o o operation falls substantially under two hours Lithium ion battery or one hour lead acid battery Date of Inspection Inspector 68 Maintenance Welch Allyn 1500 Patient Monitor Replacing the fuses A WARNING Disconnect the monitor from the mains before changing the fuses WARNING Blown fuses must only be replaced with the fuse types indicated in the below table Fuse types Voltage range Number Fuse type 2
14. LL White C Brown V Directions for use Monitoring 33 Activating the pacer display 1 Select the HR measurement field using the trim knob A white frame appears around the measurement field 2 Press the trim knob to display the menu 3 Scroll down to the pacer display option and select yes ECG Lead i Size 1 mVicm HR PR Source ECG HR PR Tone OFF ECG Filter MONITOR Pacer Display No Analyze Pacers No Upper Limit 100 Lower Limit 50 Cal OK Cancel Pacemaker spikes are presented as vertical lines a on the ECG trace These vertical lines represent neither magnitude nor duration of the pacemaker pulse but are purely time relative Note The Analyze Pacer setting is not applicable 34 Monitoring Welch Allyn 1500 Patient Monitor ECG display A maximum of five leads can be displayed on the monitor ECG 1 2 and 3 are the ECG waveforms set up in the Waveform Display menu See Defining display waveforms on page 22 1 Press the Setup button 2 Select Waveforms Setup Waveforms 1 mV cm Auto Auto 0 to 200 mmHg 0 to 200 mmHg Sweep Speed 26 mm sec OK Directions for use Monitoring 35 12 lead resting ECG option With this option it is possible to record a 12 lead resting ECG One resting ECG can be stored at a time The resting ECG cannot be viewed on the monitor but can be exported to Acuity and can be printed on the internal printer at any time Note The
15. M 1 6A E 250V Environmental conditions for operating Temperature Atmospheric pressure 10 C to 40 C 50 F to 104 F at relative humidity of 30 to 80 non condensing 700 to 1060 hPa Environmental conditions for transport and storage Temperature Atmospheric pressure 10 C to 50 C 14 F to 122 F at relative humidity of 10 to 95 non condensing 572 to 1060 hPa Monitor display Resolution Dimensions Speed Color TFT LCD 1024 x 768 pixels 30 7 x 23 cm 12 x 9 ins 15 in diagonal 6 25 12 5 25 mm s 88 Technical data Welch Allyn 1500 Patient Monitor Printer Resolution Paper Print speed Printout length Recording tracks High resolution thermal printer 8 dots mm amplitude axis 40 dots mm time axis at 25 mm s Thermoreactive Z folded Width 80 mm Length 20 m approx 25 mm s 10 second ECG recording on 4 pages 3 channel display with optimal width of 72 mm automatic baseline adjustment Printout Curves trend and saved values Battery Battery type Lead acid battery 12 V Capacity 2600 mAh Recharging time Battery life Battery type Capacity Recharging time Battery life or 80 capacity 2 8 hours 100 capacity 3 5 hours monitor switched off up to 1000 cycles Lithium lon battery 10 8V 7200 mAh 80 capacity 2 5 hours 100 capacity 6 5 hours monitor switched off min 500 cycles Connections ECG
16. PR source the pitch of the beep corresponds to the SpO saturation A high pitched beep indicates a high saturation Directions for use SpO alarms Monitoring 53 Alarm Cause Remedy Sp0 check sensor Defective SpO sensor Replace the sensor Incorrect settings in the monitor Check the monitor settings Sp0 check sensor placement Poor sensor contact or sensor fallen off Check the contact between the sensor and the patient Sensor is disturbed by ambient light Cover the sensor Sensor defective red light on the sensor is not lit Replace the sensor SpO0 Low Perfusion Sensor not properly applied Check the sensor and reapply Fingernail varnish on the finger Remove fingernail varnish Thick skin Change finger Sensor failed Change sensor Sp0 unplugged Sp0 not connected to the Connect sensor monitor SpO0 artifact Patient has moved Calm the patient Hemodynamic interference Apply sensor to another extremity Too thin skin Apply sensor to a larger finger SpO0 lt lower limit SpO too low Check the patient and alarm limits SpO gt upperlimit SpO too high Check the patient and alarm limits PR lt lower limit Pulse rate too low Check the patient and alarm limits PR gt upper limit Pulse rate too high Check the patient and alarm limits 54 Monitoring Welch Allyn 1
17. Press the NIBP start stop button 2 The measurement can be stopped at any time by pressing the button again Automatic blood pressure measurement 1 Press the NIBP measurement interval button O 2 Select the interval between 3 minutes and 60 minutes and confirm your selection with OK 3 The message NIBP interval xx minutes is displayed 4 The first measurement is started after the interval is selected or can immediately be initiated by pressing the NIBP start stop button cs Note After exiting the standby mode ensure that the NIBP intervals are re armed by manually starting an NIBP measurement Note These settings are reset when the monitor is switched off and automatic measurement must again be defined when the monitor is switched on 48 Monitoring NIBP settings Welch Allyn 1500 Patient Monitor The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 22 The default settings are in bold Parameter Description NIBP Interval Off 3 5 10 15 30 60 120 Format Sys Dia or Mean This defines the main measurement to be displayed that is the larger measurement displayed in the NIBP box The secondary measurement is displayed smaller by the side of the defined measurement Note that the mean measurement is shown in brackets Initial Inflation Pressure Adult 160 Pediatric 120 Neonate 90 NIBPs systolic blood pressure
18. Red Chest C1 White Red V1 Brown Red C2 White Yellow V2 Brown Yellow C3 White Green V3 Brown Green C4 White Brown V4 Brown Blue C5 White Black V5 Brown Orange C6 White Violet V6 Brown Violet Neutral N Black RL right leg Green 32 Monitoring Welch Allyn 1500 Patient Monitor Pacemaker monitoring A A A WARNING Patients with a pacemaker must be observed continuously because the heart rate from the pacemaker might still be registered in case of a cardiac arrest or some arrhythmias See specification Technical data on page 87 for disclosure of the pacemaker pulse rejection capability of this monitor WARNING Pacemaker monitoring is not possible with ECG cables that have un shielded lead wires Ensure that only shielded lead wire ECG cables are used when monitoring patients that have a pacemaker WARNING Welch Allyn recommends to apply an SpO gt sensor in addition to the ECG measurement and to set the alarm range for the peripheral pulse PP in the range of the heart rate HR or to set the HR source in the SpO5 menu to SpO5 see SpO gt settings on page 52 3 and 5 lead cables for pacemaker patients The following illustration shows the electrode placement with a 5 lead patient cable for optimum results for patients with an implanted pacemaker With a 3 lead patient cable only R L and F are connected AHA Black N Green RL Red R White RA Yellow L Black LA Green F Red
19. and cleaning solutions on page 65 2 Thoroughly wipe off any excess cleaning solution Do not let the cleaning solution run into or accumulate in connector openings latches or crevices If liquid gets into connectors dry the area with warm air and then check the equipment to confirm that it operates properly A A A Caution Use only a cleaning solution recommended by Welch Allyn for this equipment Use of any other cleaning solutions which have a high acid content or are otherwise inappropriate can cause damage to the equipment including cracking and deterioration of the plastic case Caution Always follow the mixing diluting instructions provided by the manufacturer of the cleaning solution Caution Never use any of the following solutions or similar products to clean the equipment ethyl alcohol ethanol acetone hexane abrasive or scouring powder or material any cleaning material that damages plastic Directions for use Cleaning instructions and cleaning solutions Maintenance 65 Equipment Cleaning instructions Approved cleaning solutions Monitor Wipe with a nearly dry cloth moistened with cleaning solution Thoroughly wipe off any excess cleaning solution Do not let cleaning solution run into connector openings or crevices ECG cable extension Consult manufacturer s instructions cable Sp0 cable extension Consult manufacturer s instructions cable Other accessories Consult manufacturer s i
20. identification and color code IEC AHA 31 etCO settings 44 F Function buttons 12 IBP settings 55 IBP zero set 56 Initial settings 19 Inspecting and cleaning the monitor and accessories 64 Intended use 1 Invasive blood pressure monitoring 54 M Maintenance 61 Menu overview 13 Monitoring 27 N Networks and internet 4 O Options 9 P Pacemaker monitoring 32 Parameter settings 73 Patient information 76 Patient mode 76 Physiological Alarms 26 Power supply 16 R Recharging the battery 63 Replacing the fuses 68 Respiration 40 Respiration rate alarms 41 Restoring user defaults 76 96 Index S Safety standards 90 Settings 73 Setting via a parameter field 22 Silencing an alarm 24 SpO monitoring 50 Standard features 9 Standby and Discharge modes 20 Startup and initial preparation 15 Suspend all alarms 24 System data 87 T Taking a single NIBP measurement 47 Technical data 87 Temperature monitoring 57 Terms of warranty 7 Trend Data 21 Troubleshooting 69 Turn the monitor on or off 16 U User responsibility 1 V Visual inspection 62 Welch Allyn 1500 Patient Monitor
21. settings options and service information for service personnel only Factory This menu is for factory use only Directions for use Settings 79 Event log screen and CO calibration The event log screen provides software versions module status and provides an event log Full details are provided in the service handbook This screen also provides a counter for CO calibration The event log screen is displayed as follows a Setup Menu gt Administrator gt System gt Event log The following is a typical screen The CO Hours Until Cal Due is a counter that gives the operating time of the CO3 module until calibration is necessary If the counter is O when a CO probe is connected an alert message is displayed CO calibration due or CO service due Please contact a Welch Allyn service center 80 Settings Welch Allyn 1500 Patient Monitor Acuity alarm default settings Adult settings Parameter Acuity range limit Acuity lower limit Acuity upper limit default default HR 25 250 50 20 PR NIBP 25 250 50 20 PR IBP 25 250 50 20 PR SpO 25 250 50 20 SpO SAT 9 50 100 90 00 RR ECG 2 150 5 30 RR CO 2 150 5 30 Apnea Delay s 6 30 N A 15 etC0 mmhg 0 99 25 60 etC0 kPa 0 13 2 3 0 8 0 inCO mmhg 2 25 N A 5 inCO kPa 0 2 5 0 N A 0 7 P1 Sys 30 300 75 220 P1 Dia 30 300 35 110
22. to 1EC60601 1 2005 incl corrections 1 2006 and 2 2007 General reguirements for basic safety and essential performance Protection Class I Type CF IEC 60601 1 4 A1 1999 General reguirements for collateral standard programmable electrical medical systems IEC 62366 2007 Application of usability engineering to medical devices IEC 60601 2 27 2005 Particular reguirements for the safety of electrocardiographic monitoring eguipment IEC 60601 2 30 1999 Particular reguirements for the safety including essential performance of automatic cycling non invasive blood pressure monitoring eguipment IEC 60601 2 34 2000 Particular reguirements for the safety including essential performance of invasive blood pressure monitoring eguipment IEC 60601 2 49 2001 Particular reguirements for the safety of multifunction patient monitoring equipment ISO 9919 Particular requirements for the basic safety and essential performance of pulse oximeter equipment for medical use ISO 21647 Particular requirements for the basic safety and essential performance of respiratory gas monitors Protection class Protection against electric shocks Class according to IEC EN 60601 1 with internal power Protection This monitor is not designed for outdoor use IPX0 EMC IEC EN 60601 1 2 2007 class A Additional reguirements EN 1060 1 and EN 1060 3 noninvasive blood pressure recorders part 1 EN
23. 00 240 VAC 2 M 1 6A E 250V M Medium time lag E Enhanced breaking capacity Changing the fuse 1 Disconnect the monitor from the mains 2 Release the fuse holder by gently squeezing the side retaining clips and remove the fuse holder E LA 3 Replace both fuses Re insert the fuse holder until the two side clips snap in place Directions for use Maintenance 69 Troubleshooting General Alarm Condition Cause Remedy Recorder out of paper Paper tray empty Insert new paper Check paper Paper jammed Check paper Recorder needs Printer error paper not Check printer check paper wrong paper service transported correctly wrong paper not inserted correctly have printer paper replaced Battery low Battery capacity too low Connect to the mains and recharge battery No HR PR tone HR PR tone source setting Set tone source to on 70 Maintenance Welch Allyn 1500 Patient Monitor EMC compliance The monitor is designed for use in an electromagnetic environment in accordance with IEC EN 60601 1 2 tables 201 202 and 204 If the monitor is used in the vicinity of equipment labelled with the symbol Non ionic electromagnetic radiation check the recommended minimum distance according to IEC EN 60101 1 2 table 206 For further details please refer to the service manual The following table lists devices and their typical frequency ranges and transmitting power and the resulting minimum dist
24. 12470 4 Performance of electrical thermometers for continuous measurement Conformity CE according to directive 93 42 EEC class IIb Directions for use Measured values ECG Technicaldata 91 Patient cable 3 lead 5 lead 10 lead cable Automatic 3 5 and 10 lead detection Lead fault detection AAMI 6 pin and 12 pin connectors Leads Simultaneous synchronous recording of up to nine active electrodes giving 12 leads Filters Mains 50 Hz 60 Hz off Bandwidth 0 05 Hz 0 5 Hz 35 Hz 150 Hz Input impedance gt 2 58 MQ Heart rate range 15 to 300 beats min QRS tone on off Protection ESU and defibrillator protected Lead display Selectable leads Selection of 1 to 5 simultaneous leads Display update interval 1 second Lead fail sense current lt 0 5 pA Tall T wave rejection max amplitude of the T wave according to IEC 60601 2 27 chapter 50 102 17 4 mV HR averaging method The average of the last 16 beats is used when RR interval corresponds to a HR of lt 48 bpm The average of the last 4 beats is used when RR interval corresponds to a HR of gt 48 bpm HR accuracy 5 or 5 bpm whichever is greater HR meter response time Change from 80 to 120 bpm 11s Change from 80 to 40 bpm 11s Response to Irregular A1 80 min rhythm A2 60 min A3 120 min A4 90 min according to IEC specification 60601 2 27 6 8 2 bb Time to Alarm for B1 and B2 3
25. 341 Baar Switzerland CH 6341 Baar Switzerland www welchallyn com Heartof Mortara Oridion CE 0123 WelchAllyn Directions for use Contents iii Contents Te Safety noirir eaa E AAA Y RW 1 Userresponsibility eu eg eg wi AA AA GEI Y alee es 1 intended use cc ue eh eu Y eh EN Peo DG DN A A EG O ACA ER 1 Organizational measures ee eae 2 A A CA A O A DN TNS 2 Safety eaguipment use bu y Gen daa A y A GW ae WA RA WY 3 AI oc ten hla an E dg dn uh da A we MT wn Yb YR er Ua A 3 Operation with other deVic8S eee 4 Networks and internet 0000 I I FFF eee 4 Maintenance 24 ae nia Pe tae Y pha ee oe hhh REY Rees 5 SVIMDOIS ug aed ate a y te Ke toe ors e A o GYS fo Ydy Sone has ate Fe A 5 Additional terms ases aa tee y A arth la acted bydd ate GADO FI aa I st nen y RO 7 2 Introduction ie 25 iare AA e 9 Standard US soc ves goes wea sf Se EA YR GU BORE Dad Y YN 9 OPTIONS c amp n FAD Sess meet Yd Dn SE Md CG YW AB Og anne ETA i 9 The Welch Allyn 1500 Patient Monitor LL FY Y uy 10 FUnctHOD Button GM Le ge es EE AN DE I EG dn 12 SetUp menu oVeTVIew ae en nw A WW RG ach 13 Display overview A aa hi Se dden Mn gd Mn kad Ab abe ks eed A a A E 14 3 Operations 12 ra AAA AAA A 15 Startup and initial preparation 2 2 ee eee 15 t ra thes MONItOrON OF OTs es a i EF aaa was aa Oe 16 POWER SUDDIV Las yu hee ted e atl hi eee dies wee a On eke ween Dy 16 Inserting recorder paper
26. 500 Patient Monitor IBP monitoring A gt gt D Note Note Note WARNING Carefully read the manufacturer s instructions before using the invasive blood pressure kit WARNING When applying the kit to the patient make sure that absolutely no air penetrates the system WARNING To achieve correct arterial pressure measurement the pressure sensor must be installed on the level of the right atrium WARNING If the pressure sensor s position is moved after calibration this may give inaccurate values WARNING f an invasive catheter for blood pressure measurement is introduced into an arterial vessel the circulation in the terminal vessels must be checked in regular intervals WARNING Single use accessories must not be reused WARNING For patient safety ensure that neither the electrodes nor the patient or persons touching the patient come into contact with conducting objects even if these are grounded WARNING Precautions must be observed when using high frequency devices To prevent the incorrect IBP measurements only use sensors that are protected against high frequency radiation The kit and operating procedure vary according to manufacturer Please consult the manufacturer s documentation for connection For warm up time ready for measurement and displacement for invasive transducers refer to the documentation of the transducer manufacturer P1 is the only connection that can determine the HR PR source
27. Bradycardia 20 to 100 45 Alarm Level High Medium Low Off Print on alarm Yes No Directions for use Monitoring 39 Setup Arrhythmia Pause Alarm Level High Medium Low Off Print on alarm Yes No Irregular irregular rhythm Alarm Level High Medium Low Off Print on alarm Yes No This is an irregularity in the R to R interval over a series of at least 16 non ventricular beats The number of beats analyzed is given in options Non capture pacemaker non capture Alarm Level High Medium Low Off Print on alarm Yes No This is for pacemaker patients with the analyze pacers option enabled see options below a beat does not directly follow a pacer Options Irregular Limit Single ECG Yes No set limit between 45 and 120 45 Yes No select lead I Il Ill or V Select this option to analyze one ECG lead Pacer Display Yes No displays pacer pulses relative to time but not representative of either amplitude duration or polarity Analyze Pacers Yes No not applicable Arrhythmia OFF Sets all alarms to off except VFib Asystole and VTach which remain set at the highest alarm level Presets Resets all arrhythmia settings to the factory default ST ARR Relearn Approximately 15 20 complexes are used to set the parameters duration amplitude etc for Arrhythmia analysis Select this option to redefine the template used 40 Monitoring Welc
28. Maintenance interval This software controlled monitor has undergone a software risk analysis to minimize any hazards associated with software defects The regular system maintenance must include a functional test according to the manufacturer s instructions The test results should be recorded see Inspection and checklist report on page 66 Maintenance work not described in this section e g battery replacement may only be accomplished by a aualified technician The following table indicates the intervals and responsibilities of the maintenance work required Local regulations in your country may stipulate additional or different inspection intervals and tests Interval Maintenance Responsible Before use Visual inspection of the monitor User and cables Every 6 months Visual inspection of the monitor User and cables Button check Speaker check LED check Alarm check Every 12 months Yearly test and test after repair Qualified technician according to IEC EN 62353 CO Calibration 1 The need for calibration is based upon physical component changes that occur during use The module requires its first calibration after 1200 operating hours or one calendar year whichever comes sooner and then after each 4000 operating hours or once a year whichever comes sooner The message Calibration Due appears when the hourly limit is reached It is advisable to calibrate in the one year maintenance pr
29. Sp0 NIBP etC0 Temperature Invasive blood pressure x2 Interfaces Ethernet via RJ45 Nurse call Alarm delay at the signal output component lt 0 5 s Plug type 1 8 in 3 5 mm mini phone jack stereo connector Tip Normally closed Ring Normally open Maximum switch current 1A Maximum switch voltage 30 V AC DC Isolation 1 000 Vrms for 1 min USB 1 1 Demo Mode Simulated patient data including waveforms for training and education Directions for use Technicaldata 89 Trend Entries All recorded parameters are saved Up to 1728 trend records can be saved updated every minute NIBP trends entered after each reading Format The values displayed in tabular numeric format in intervals of 1 5 15 60 and 240 minutes Page up down trend view Alarms Alarm limits The upper and lower limits can be selected for all parameters Mode All parameters Adult Pediatric Neonate patient mode specific limits Factory default or programmable settings for all patient modes Alarm indicators Red yellow blue numeric Red yellow blue LED indicator Alarm s off indicator Alarm status message Audible alarm tone high med low Alarm suspend Suspend time user programmable 1 1 5 and 2 minutes Technical alarm Alert blue 90 Technical data Safety standards Welch Allyn 1500 Patient Monitor Safety standard IEC 60601 1 A2 1995 Delta consideration related
30. Waveform 1 ECG1 ECG2 ECG3 RESP SpO P1 P2 NIBP Waveform 2 ECG1 ECG2 ECG3 RESP SpO P1 P2 NIBP OFF Waveform 3 ECG1 ECG2 ECG3 RESP SpO P1 P2 NIBP OFF Recording time 5 10 16 Seconds Recording Delay 0 6 10 Seconds This defines the duration of data thatis printed before the print key is pressed For example if a delay of six seconds with a recording time of 10 seconds is defined default six seconds of data recorded before the print key is pressed is printed followed by the subseguent 4 seconds 76 Settings Welch Allyn 1500 Patient Monitor Parameters Enables or disables ST etCO and invasive blood pressure measurements 12 lead resting ECG Note This menu entry is only available when the resting ECG option is enabled Take a resting ECG and option to print Patient information Note The patient information menu option is not available when an Acuity enabled monitor is not connected to Acuity Allows the entry of the patient name and ID including gender date of birth ethnicity height weight and drug categories Patient Information Date of Birth Year Ll Height in Month E Weight lb Day E Medications Anti arrhythmic Beta blocker Digitalis Cancel Space Delete Backspace Cancel Patient mode Define the patient select adult pediatric or neonatal Restore user defaults The saved user settings are enabled The userdefined settings
31. Welch Allyne 1500 Patient Monitor Directions for use Software version 1 0 X WelchAllyn Advancing Frontline Care ii Welch Allyn 1500 Patient Monitor 2010 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 precautions warnings or statement of intended use published in this manual Welch Allyn Acuity Smartcuf FlexNet and Flexible Monitoring are registered trademarks of Welch Allyn Nellcor and Oximax are trademarks of Nellcor Puritan Bennett NOTICE Purchase of this instrument confers no express or implied license under any Nellcor Puritan Bennett patent to use this instrument with any oximetry sensor that is not manufactured or licensed by Nellcor Puritan Bennett Microstream is a registered trademark of Oridion NO IMPLIED LICENSE Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized consumable CO sampling consumable pro
32. aced Caution Electrical safety devices such as fuses must not be modified Caution Blown fuses must only be replaced with the same type and rating as the original gt gt gt WARNING Do not silence the audible alarm if patient safety may be compromised WARNING Always respond immediately to an equipment alert because the patient may not be monitored during certain alarm conditions WARNING Before each use verify that the alarm limits are appropriate for the patient being monitored WARNING Check the audible alarm silence duration before temporarily silencing the audible alarms gt b b 3 4 Safety Welch Allyn 1500 Patient Monitor Operation with other devices A Caution Do not use the monitor in or near an MRI suite Only use accessories and other parts recommended or supplied by Welch Allyn Use of other than recommended or supplied parts may result in injury inaccurate information and or damage to the monitor Accessory equipment connected to the analogue and digital interfaces must be certified according to the respective IEC standards e g IEC EN 60950 for data processing equipment and IEC EN 60601 1 for medical equipment Furthermore all configurations shall comply with the valid version of the system standard IEC EN 60601 1 1 Anyone who connects additional equipment to the signal input part or signal output part configures a medical system and is therefore responsible that the system complies with th
33. an alarm limit Check the patient HR lead off Electrode lose defective Check and reapply replace electrodes Patient cable defective Replace the patient cable 38 Monitoring Arrhythmia Arrhythmia settings Welch Allyn 1500 Patient Monitor Note The arrhythmia menu entry is only displayed when the full arrhythmia option is enabled 1 Press the Setup button 2 Select Arrhythmia Setup Arrhythmia Limit LETHAL LETHAL LETHAL The default settings are in bold Main menu Parameter Description Setup Arrhythmia VFib Alarm Level Lethal cannot be changed Print on alarm Yes No Asystol Alarm Level Lethal cannot be changed Print on alarm Yes No VTach VTach Limit 100 to 200 125 Alarm Level Lethal cannot be changed Print on alarm Yes No PVC run PVC run 3 to 6 3 Alarm Level High Medium Low Off Print on alarm Yes No VRyhthm Alarm Level High Medium Low Off Print on alarm Yes No Couplet Alarm Level High Medium Low Off Print on alarm Yes No PVC min PVC min 1to 30 30 Alarm Level High Medium Low Off Print on alarm Yes No Bigeminy Alarm Level High Medium Low Off Print on alarm Yes No Trigeminy Alarm Level High Medium Low Off Print on alarm Yes No Tachycardia Tachycardia 150 to 250 180 Alarm Level High Medium Low Off Print on alarm Yes No Bradycardia
34. ances HF source Transmitter Power Distance frequency P d MHz W m Radio telephone micro cellular CT1 CT2 CT3 885 887 0 010 0 23 Cordless DECT telephone WLAN UMTS handy 1880 2500 0 25 1 17 Mobile phone handy USA 850 1900 0 6 1 8 Mobile phone handy e GSM900 900 2 3 3 e GSM850 NMT900 DCS 1800 850 900 1 800 1 2 3 Walkie talkie rescue service police fire 81 470 5 2 6 brigade service Mobile telephone system rescue service police 81 470 100 11 7 fire brigade For transmitters not included in the above table the recommended distance d in meters can be calculated using the following formulas Frequency range 0 15 80 MHz e d 3 5 3VxyP Frequency range 80 800 MHz e d 3 5 3V mx JP Frequency range 800 MHz 2 5 GHz e d 7 3V mx P d z recommended distance in meters P transmitting power in watts V volts m meters Directions for use Maintenance 71 Mounting on a wall or stand Follow the instructions given with the mount or stand The mounting accessories are detailed in the Accessories section see Mounting on page 83 WARNING Always use Welch Allyn replacement parts and disposables or products approved by Welch Allyn Failure to do so may cause patient injury and invalidate the warranty Recycling monitor components Dy E ad This monitor must be disposed of in a municipally approved collection point or recycling center when no longer used If no s
35. are saved in the Setup System menu see Saving the userdefined settings as default on page 19 Directions for use Settings 11 Administrator The administrator and service screens provide system information and option settings The Administrator screens are entered from the settings menu Setup Menu gt Administrator Administrator sub menus can only be accessed with a password The passwords are divided into clinical service and factory passwords and only clinical settings are available for the user The other menu options on this menu are for Welch Allyn service personnel Options are enabled in the service menu please contact Welch Allyn The passwords for the alarms and system sub menus are as follows e Setup gt Administrator gt Alarms 49 48 46 Clinical Password e Setup gt Administrator gt System 49 48 46 Clinical Password e No password is needed to view the Configuration Other sub menus are intended for service personnel only The Administrator menu is as follows Sub menu Parameter Description Configuration Monitor data such as serial number software version etc This is provided for information only and no settings can be made Communications This provides the communication settings for service personnel only Alarms Alarm Silence Time 1 1 5 or 2 minutes Time for which an audible alarm is silenced password protected see above Alarm Suspend Time 1 1 5 or 2 minutes Time for
36. ble alarms are activated Directions for use Maintenance 63 Battery maintenance The battery is maintenance free during its normal life e No maintenance is necessary during normal operation e _ f the monitor is not used check and recharge the batteries every three months The battery should not be allowed to fully discharge during storage e Replace the battery every 2 to 5 years depending upon application When the running time falls substantially under two hours lithium ion battery or one hour lead acid battery replace the battery Recharging the battery Totally discharged batteries reguire the following times to charge e Lead acid battery 80 capacity 2 8 hours 100 capacity 3 5 hours e Li lon battery 80 capacity 2 5 hours 100 capacity 6 5 hours It is possible to use the monitor when the battery is being charged however the charging time of the battery will be extended 1 Connect the monitor to the mains but do not switch it on 2 The LEDs for both mains and battery are illuminated 3 The battery LED is extinguished when the battery is fully charged Battery disposal A WARNING Explosion warning The battery must not be burned or disposed of in domestic trash A WARNING Flammability and chemical danger Do not open the battery A WARNING Protect the contacts from shorting when disposing of the battery Apply non conducting tape to the contacts Batteries must be disposed of in municipally ap
37. ccurate measurement of respiratory gases Securely connect all components and check connections for leaks according to standard clinical procedures WARNING Do not cut remove any part kink or crush the sampling line This could lead to erroneous readings WARNING If too much moisture enters the sampling line i e from ambient humidity or breathing of unusually humid air and the sampling line cannot be cleared the message Filter Line Blockage appears in the message area Replace the sampling line once the filter line blockage message appears Directions for use gt P gt gt gt gt p gt gt Monitoring 43 Caution n high altitude environments EtCO values may be lower than values observed at sea level as described by Dalton s law of partial pressures When using the monitor in high altitude environments it is advisable to consider adjusting EtCO alarm settings accordingly Caution Microstream EtCO sampling lines are designed for single patient use and are not to be reprocessed Do not attempt to clean disinfect sterilize or flush any part of the sampling line as this can cause damage to the monitor Caution Dispose of sampling lines according to standard operating procedures or local regulations for the disposal of contaminated medical waste Caution Before use carefully read the Microstream EtCO sampling lines Directions for Use Caution Only use Microstream EtCO sampling lines to ensure the monitor functi
38. ces because the patient has moved Check the patient see also message cannot measure Repeat the measurement NIBPs lt lower limit Systolic pressure too low Check the patient and alarm limits NIBPs gt upper limit Systolic pressure too high Check the patient and alarm limits NIBPd lt lower limit Diastolic pressure too low Check the patient and alarm limits NIBPd gt upper limit Diastolic pressure too high Check the patient and alarm limits NIBPm lt lower limit Mean pressure too low Check the patient and alarm limits NIBPm gt upper limit Mean pressure too high Check the patient and alarm limits 1 If the initial pressure is too low the measurement is immediately restarted and the pressure is increased by 60 mmHg 50 Monitoring Welch Allyn 1500 Patient Monitor Sp0 monitoring Pulse oximetry enables the continuous non invasive monitoring of the functional oxygen saturation of the arterial hemoglobin and the peripheral pulse rate The display shows the continuous progress of the numeric SpO pulse rate plethysmographic waveform and signal quality values The displayed plethysmographic waveform is not proportional to the pulse volume The update period of the measurement readings on the display is approximately 2 seconds According to the relevant standards the temporary alarm silence period can be set to a maximum of 2 minutes
39. connector when the cover is opened 16 Operation Welch Allyn 1500 Patient Monitor Turn the monitor on or off To turn the monitor on press the On Off button To turn the monitor off press the On Off button e for approximately 4 seconds The following message is displayed when the monitor is shutting down Monitor is shutting down please wait Power supply Mains connected When the mains supply is connected the mains LED is illuminated a When the mains supply is connected and the battery is recharging both mains LED a and the battery LED b are illuminated For battery recharging see Recharging the battery on page 63 e KO Mains interrupted Note Ifthe mains supply is interrupted the monitor automatically switches over to battery operation The user settings are maintained Disconnect from the mains To isolate the monitor from the mains disconnect the mains cable Directions for use Operation 17 Battery operation Two batteries are available for the monitor e Lithium lon battery This type of battery will provide power for approximately two hours when fully charged e Lead acid battery This type of battery will provide power for approximately one hour when fully charged When running on battery power the battery symbol is displayed next to the time The battery indicator gives an approximate guide to the capacity of the battery Full between 87 596 and 100 capacity 3 4 full b
40. ducts which would alone or in combination with this device fall within the scope of one or more of the patents relating to this device and or CO2 sampling consumable products Software in this product is copyrighted by Welch Allyn or its vendors All rights are reserved The software is protected by United States of America copyright laws and international treaty provisions applicable worldwide Under such laws the licensee is entitled to use the copy of the software incorporated with this instrument as intended in the operation of the product in which it is embedded The software may not be copied decompiled reverse engineered disassembled or otherwise reduced to human perceivable form This is not a sale of the software or any copy of the software all right title and ownership of the software remain with Welch Allyn or its vendors For information about any Welch Allyn product call the nearest Welch Allyn representative USA 1315 685 4560 Australia 61 2 9638 3000 800 535 6663 800 074 793 Canada 800 561 8797 China 86 216 327 9631 European Call 35 3 46 906 7790 France 33 1 60 09 33 66 Center Germany 49 7477 9271 86 Japan 81 33219 0071 Latin America 1 305 669 9003 Netherlands 31 15 750 5000 Singapore 65 6419 8100 South Africa 27 11777 7555 United Kingdom 44 20 7365 6780 Sweden 46 8 58 53 65 51 REF 103700 CD Manual 2 510865 Ver A 2010 10 ual LEC REP SCHILLER AG SCHILLER AG Altgasse 68 Altgasse 68 CH 6
41. e requirements of the valid version of the system standard IEC EN 60601 1 1 If in doubt consult the technical service department or your local representative Any other eguipment used with the patient must use the same common earth as the monitor Precautions must be observed when using high freguency devices Operating high freguency electro surgical eguipment in the vicinity of the monitor can produce interference in the monitor and cause incorrect measurements Use patient cables recommended by Welch Allyn to avoid possible signal interference during ECG acquisition There is no danger when using the ECG monitor simultaneously with electrical stimulation equipment However during defibrillation keep discharge paddles away from the monitor ECG lead wires electrodes any other monitor sensors and other conductive parts in contact with the patient If the patient cable should become defective after defibrillation a lead off indication is displayed and an audible alarm is issued Portable communication equipment HF two way radios and devices marked with the i symbol can affect this monitor see EMC compliance on page 70 Networks and internet When the monitor is part of a network LAN HIS etc transmitting over a telephone network or any other transmission reception medium or if exposed to the Internet or other networks that are not secure appropriate security measures must be provided to protect the patient data sto
42. ee teh hoes ed be YNE BAR AEE At bata 84 Caner A A DU ecto RE ORY See aes 84 Temperatures ed A Ell tele Laie tl 85 NT ue RR FN A oe ATT 85 A Technical datd ee ee Re O AAA 87 E E e EARE E EIE EE td dd pA MON ANO Ydd nigel SN 87 SONS an Te E ie Gn Un Y I NA YN ceil 90 Measures Valles eL hee ieee a Let a DW ii 91 Safety User responsibility The numerical and graphical results and any interpretation given must be examined with respect to the overall clinical condition of the patient and the general recorded data quality The indications given by this equipment are not a substitute for regular checking of vital functions This monitor is only to be used by those trained in its operation or repair Ensure that the personnel have read and understood these operating instructions and in particular this chapter Safety Damaged or missing components must be replaced immediately It is the owner s responsibility that the valid regulations for safety and prevention of accidents are observed Intended use The Welch Allyn 1500 Patient Monitor patient monitoring unit is designed for the monitoring of vital parameters such as ECG SpO etCO non invasive blood pressure NIBP invasive blood pressure IBP temperature and respiration of a patient The device is intended to be used by qualified doctors or trained medical personnel The device is not suitable for transport There is no danger for patients with pacemaker
43. ence button This alarm is not reactivated Suspend all alarms The Alarm suspend is used to deactivate all alarms caused by for example disconnecting patient cables loose electrodes or relocation of the patient The alarm is suspended for a duration of 1 1 5 or 2 minutes During this time the message Alarms Suspended is displayed The alarm suspension time is defined in the menu Setup gt Administrator gt Alarms gt Alarm Suspend Time see Administrator on page 77 1 Press the Setup button 2 Select Alarm Suspend A message is given in the message bar indicating that the alarms have been suspended NT IES JAMES WHITE 10 21 50 If you wish to reactivate the alarms before the set duration press the Setup button again HI The menu entry is changed to Alarm Resume Select this option to reactivate Directions for use Alarms 25 Turning off an individual parameter alarm WARNING The audible alarm is silenced permanently The settings are not reset Physiological alarms of the patient are silenced Use this function only if disconnecting a sensor from the patient for a long period of time 1 Individual alarms can be inhibited via the Alarms menu see below and in any parameter measurement field by using the trim knob to select a parameter a white frame appears around the selected field and pressing the trim knob to display the menu for that parameter 2 Switch off an individual limits by selecting t
44. etween 62 5 and 875 capacity Half full between 375 and 62 5 capacity 1 4 full between 12 5 and 375 capacity Empty between 0 and 12 5 capacity When the battery capacity is close to depletion e the alarm message Battery low appears e the battery symbol flashes e an audible alarm beep is heard e the visual alarm indicator flashes blue Visual Alarm Indicator e After a few minutes if the monitor is not connected to the mains supply the message Battery nearly depleted is displayed and a continuous beep is heard the monitor switches off If mains is connected during this period the monitor remains on Connect the monitor to the mains supply For battery recharging see Recharging the battery on page 63 18 Operation Welch Allyn 1500 Patient Monitor Inserting recorder paper Note The monitor is delivered without printing paper installed Only use original Welch Allyn printing paper The thermal paper is sensitive to heat humidity and chemical vapors Store the paper in a cool dry and chemical free area a 1 Pull the locking catch a to the front The paper tray is unlocked 2 Pull the paper tray out 3 Insert paper and pull the beginning of the paper out Make sure that the paper mark b is facing to the top 4 Reinsert and close the tray Be sure that the paper lies exactly between the rails c Directions for use Operation 19 Initial settings Savin
45. field or value A white frame appears around the field 2 Press the trim knob to open the menu of the selected parameter field or value 3 Turning the trim knob to the left or right to select the desired value 4 Press the trim knob to apply the changed value Directions for use Setup menu overview Introduction 13 Press a to enter the Setup menu and adjust the following settings and options Parameter Settings Submenus Alarm Suspend Silences all alarms for a set period The silence time is defined in the Administrator menu alarms Arrhythmia Arrhythmia limits and alarm levels Pacer Display and analysis on off Alarms Alarm overview All alarm limits and Print on Alarm settings Speaker Volume Speaker volume HR PR Tone Volume Heart beat volume Waveforms Defines the wave forms to be displayed and the size and sweep speed Recorder Defines the data on the printout Parameters Enable disable ETCO and invasive blood pressure 12 lead Resting ECG View electrode status and take a resting ECG After the resting ECG has been taken the option to obtain a printout is given Patient Information Enter edit patient ID and patient data Patient Mode Adult Pediatric Neonatal Restore User Defaults Reset all setting to user defaults see next entry Administrator Configuration Display of monitor ID network settings options etc This is for informa
46. fined as follows Baseline Myogram Mains Diagnostic 0 05 Hz 150 Hz as set Monitor 0 50 35 Hz as set Single ECG Yes No select lead I Il Ill or V Select this option to analyze one ECG lead Pacer Display Yes No displays pacer pulses relative to time but not representative of either amplitude duration or polarity Analyzer Pacer Yes No not applicable HR lower limit 25 118 50 HR upper limit 52 250 120 Cal Generates a simulated 1 mV calibration impulse on the curve Note This can also be set in the Setup Sp0 menu If SpO is selected the pitch of the beep corresponds to the SpO saturation A high pitched beep indicates a high saturation A setting is available in the administrator menu that prevents the HR PR alarm upper lower limit from being switched off see Administrator on page 77 Directions for use ECG alarms Monitoring 37 Alarm Cause Remedy HR asystole ASY No ORS detected for 4 seconds Check the patient ECG signal lower than 0 5 mV HR ventricular fibrillation VF No organized ventricular rhythm detected Check the patient ECG signal lower than 0 5 mV HR artifact Patient has moved Calm the patient Bad electrode Checking the electrode pads Interferences by other devices Remove source of the interference HR gt upper limit HR lt lower limit Heart rate higher lower th
47. g the Caution Only authorized personnel trained in the operation of this monitor are qualified to do the setups in the following menu 1 Press the Setup button 2 Use the trim knob to enter password the clinical password for the Alarm and the system sub menus is 49 48 46 see Administrator on page 77 3 Select parameters and change values Press to confirm the setting 4 The general alarm settings including silence time and alarm delay time are given in the menu Administrator gt Alarm The general settings including height and weight units time and date and the setting to connect to Acuity are given in the menu Administrator gt System Note Details of the settings in the Administrator menu and the passwords are given in the settings section see Administrator on page 77 user defined settings as default All monitor settings including alarms settings are remembered until the monitor is switched off To save the user defined settings as default select Administrator gt System gt Save User Defaults You are prompted to confirm Save user default setup NOK Cancel Restoring the user settings 1 Press the Setup button 2 Select Restore User Defaults You are prompted to confirm Restore user default setup SOK Cancel 20 Operation Welch Allyn 1500 Patient Monitor Standby mode This mode is selected to temporarily interrupt the monitoring of the patient until ready to resu
48. h Allyn 1500 Patient Monitor Respiration rate The RR measurement field is not displayed if the etCO field is active If the RR should be measured via the ECG instead of etCO the etCO measurement field must be deactivated as follows Setup Parameters IBP Enabled Yes Cancel Press the Setup button select Parameters and deactivate etCO No Note The RR signal is measured via the R RA and F LL electrodes of the ECG cable impedance measurement After the patient is connected about 30 seconds can elapse before a reliable value is displayed Respiration rate settings The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 22 The default settings are in bold Main menu Parameter Description Apnea Apnea time 6 10 15 20 25 30 seconds Setup RR RR Upper Limit 30 to 159 30 RR Lower Limit 2 to 29 5 Directions for use Respiration rate alarms Alarm Cause Monitoring 41 Remedy RR out of range too high The patient s RR is too high for accurate measurement Check the patient Electrical interferences from other devices Remove source of the interference Signal disturbed due to frequent artefacts caused by bad electrode contact Check and reapply replace electrodes if required RR lead off Electrode loose defective Check and reapply replace electrodes RR artifact
49. h the reguirements of the system standard IEC 60601 1 1 If in doubt consult your Administrator Engineering Department 60 Acuity Central Station Welch Allyn 1500 Patient Monitor Introduction The Acuity Central Station provides central patient monitoring for monitoring devices connected to the network The monitor communicates through a hardwired Acuity connection While connected to the network the monitor sends patient data to Acuity Acuity continuously analyzes the data and provides appropriate alarm or alert messages at the Central Station and other network devices such as a hallway message panel or the monitor itself Acuity also stores the patient data for viewing or report printing If the monitor loses communication with Acuity it continues to monitor the patient and display patient data While not communicating with Acuity the monitor continues to generate local patient alarms or alert messages When connection is restored it automatically reconnects to Acuity and uploads trend information Connect to the Acuity Central Station The ethernet connector RJ45 is positioned on the back of the monitor m Ethernet connector w J A Caution Ensure that only a Welch Allyn approved RJ45 cable assembly is used Use of any other cable assembly may damage the monitor Note The network settings are defined by administrator Acuity operating instructions are given in the Acuity directions for use 61 Maintenance
50. he limit setting and rotating the trim knob to the maximum limit until off is selected 3 The alarm off symbol y is displayed in the respective measurement field Note A setting is available in the administrator menu that prevents the HR PR alarm from being switched off see Administrator on page 77 Alarm limit setting Note All alarm limits are reset to the default system settings after confirming a new patient if they have not been stored as user defaults see Saving the user defined settings as default on page 19 1 Press the Setup button 2 Select the menu item Alarms 3 Use the trim knob to scroll through the alarm settings and select the limits Setup Alarms Lower Limit Upper Limit Print On Alarm Note The Alarm settings for arrhythmia are detailed in the Arrhythmia menu option in the setup menu 26 Alarms Physiological Alarms Welch Allyn 1500 Patient Monitor Alarm abbreviation Description Priority Sp0 low high Oxygen saturation of the blood Medium PP low high Peripheral pulse of Sp0 Medium RRECG low high Respiration rate impedance Medium Apnea limit Apnea time limit exceeded Medium CO low high Inspiratory C0 Medium RRCO low high Capnographic respiration rate Medium etC0 low high End tidal expiratory C0 Medium NIBPs low high Systolic blood pressure Medium NIBPm low high Mean average blood pressure Medium NIBPd low high Diastolic blood p
51. ide may cause harmful interference to radio communications Operation of this equipment in a residential area is likely to cause harmful interference in which case the user will be required to correct the interference at his own expense WHEN USED IN CANADA To prevent radio interference to the licensed service this device is intended to be operated indoors and away from windows to provide maximum shielding Equipment or its transmit antenna that is installed outdoors is subject to licensing 8 Safety Welch Allyn 1500 Patient Monitor Introduction The monitor is designed for adult pediatric and neonatal use It has a 15 inch screen for comprehensive vital data monitoring The monitor can be used with mains power 100 240 VAC or with an internal battery Standard features e Function buttons and trim knob for easy operation Options e 15 inch color screen e Measuring results and trends can be printed automatically or manually e Vital parameters such as ECG 3 5 or 12 lead Heart rate Respiration SpO Invasive blood pressure Temperature Non Invasive Blood Pressure Printer e etCO e Central Station via Ethernet Welch Allyn Acuity e Resting ECG with interpretation e Resting ECG with interpretation and measurements e Arrhythmia analysis e ST analysis 10 Introduction Welch Allyn 1500 Patient Monitor The Welch Allyn 1500 Patient Monitor Front panel Visual alarm indicator Patient connec
52. ion ua 59 St CS Se EE har a ARO OE S 59 O Sd Y he eet BR We ae WN EU 60 Connect to the Acuity Central Station Y IL ee 60 7 Maintenance LG es 61 Maintenance interval s srid I LL FF FF yd 61 Visual inspectionae o oh My dy Sh ddd ymd cn rta WA DY Se yin 62 Burton check M ln eo ba da o de Ry E LD nn A ea ani a Ro 62 Speakericheck T ss Se heeled wd png ae YDD Go Pde fh eb Dn GYD DF RL Fn OO 62 a BAE ete 2 1 A A esate aioe 62 AlarmiehecKeuonoeu du o Y LG Yd ly 62 Battery maintenance FFY ee 63 Inspecting and cleaning the monitor and accessories 64 Inspection and checklist report YYY Y RR Y ad 66 Replacing the tuses een a Y Yd OG a ee ee DES 68 Troubleshootin G i cs ue es DA TI a TEI Gow YF HWD nerd GOR y nwydd 69 EMC compliance ne ue iy ae WW eae Ge IY eee Ge 70 Maountingon awall or stand va er Geis UR DAU DN pee es 71 Recycling monitor components LFFF Y eee eee 71 ui 2 stan wets eas ia ieee uaa RYN 73 Parameter Settings yi kao a a Sig tin eh Y ee ae US 73 General and alarm settingS 0 0 0 000 eens 74 9 AGCESSONES Y UD ee ey eee de he mae ie PS 83 Miscellaneous ee cub ken oe Ay ee ae do ee O 83 MOUNTING veo idad Dai ee pee a Gilet a bes eee nals R ees 83 Batterie Shuar O huh we FR ade citi A AWN Mears 2 BAe Made Abreu 83 CaDbleSu su O AAA 84 Nell6or SP 95 pno Fate eek oe O OS EG LR eG Y Y wg 84 ECG en su Yd aa I Ake che Eh h
53. limits IBPd lt lower limit Diastolic pressure too low Check the patient and alarm limits IBPd gt upper limit Diastolic pressure too high Check the patient and alarm limits Directions for use Monitoring 57 Temperature monitoring e Depending on the sensor type the sensor can be applied to the ear the skin or to rectum e To achieve a reliable measured value independent of the measuring site the measurement duration must be at least 2 minutes Temperature settings The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 22 The default settings are in bold Parameter Description Temp Units C or F Temp Lower Limit Range 15 C and 35 1 C 59 F and 95 F Default 35 C 95 F Temp Upper Limit Range 15 1 C and 45 C 92 5 F and 113 F Default 37 8 C 100 F Temperature alarms Alarm Cause Remedy TEMP unplugged TEMP not connected to the Connect sensor monitor TEMP needs service The monitor has detected an Switch monitor Off On or replace monitor error TEMP out of range The temperature is outside the Check the patient or alarm limits measuring range of the monitor Sensor or monitor problem Check the sensor and monitor Switch the monitor off on TEMP lt lower limit Temperature too low Check the patient and alarm limits TEMP gt upper limit Temperat
54. m is issued e Color code the colors shown here are according to IEC requirements The AHA color configuration is shown in Electrode identification and color code IEC AHA on page 31 WARNING Danger of destroying the monitor during defibrillation The monitor is type CF YY protected only when the original Welch Allyn patient cables are used Directions for use Monitoring 29 3 lead e Yellow N 5 SUN Green 5 lead Yellow White 30 Monitoring 12 lead Welch Allyn 1500 Patient Monitor Note The electrode placement shown here is based on diagnostic ECG In monitoring the extremity leads are often placed on the torso as shown C3 Green C4 Brown C1 Red C5 Black C2 Yellow C6 Violet Right arm Red Left Arm Yellow Right Leg Black Left Leg Green LS Note This graphic shows the IEC color configuration The AHA U S color configuration is shown in Electrode identification and color code IEC AHA on page 31 Directions for use Monitoring 31 Electrode identification and color code IEC AHA The electrode placements shown in this manual are labelled with the colors according to IEC requirements The equivalent AHA colors are given below IEC Europe AHA U S System Electrode Color Electrode Color identifier identifier Limb R Red RA right arm White L Yellow LA leftarm Black F Green LL left leg
55. me All patient data is saved When the Standby button is pressed the following screen is displayed Standby Mode Press any key to resume monitoring Note If a patient has not been confirmed all patient data is lost when standby mode is entered Note When the monitor is connected to Acuity different options are given e The message Standby Mode Press any key to resume monitoring is displayed on the monitor until any button is pressed WARNING In standby mode vital signs data and alarms are no longer displayed or collected You are prompted to confirm the same patient Confirm Same Patient Is this monitor still connected to ID Name J If no is selected patient data is deleted Note After exiting standby mode ensure that the NIBP intervals are re armed by manually starting an NIBP measurement Directions for use Operation 21 Trend data The measured values are entered in the set intervals and additionally after every manual NIBP measurement The monitor can store 24 hours of trends at 1 minute intervals e Trend data is deleted when a new patient is entered e When the memory is full the oldest trend data is overwritten e The display interval for the table can be selected using the Trend button E e 1 minute 5 minute 15 minute 1 hour and 4 hour intervals can be selected Displaying trend data Press the Trend button Interval Clear e Previous measurements are displayed using the u
56. mpromised When the Caution message Blockage appears on the screen indicating that the filter line which is attached to the handheld monitor is blocked the monitor s CO pump will stop pumping the patient s breath into the monitor for testing First disconnect and reconnect the filter line If the message still appears disconnect and replace the filter line Once a working filter line is attached to the handheld monitor the pump will automatically resume operation etCO settings The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 22 The default settings are in bold Parameter Description Size 0 to 40 mmHg 0 to 60mmHg 0 to 80mmHg Units mmHg kPa Apnea time 6 10 15 20 25 30 seconds EtCO lower limit 25 mmHg 3 kPa EtCO upper limit 60 mmHg 8 kPa RR Lower Limit 5 min RR Upper Limit 30 min FiCO upper limit 5 mmHg 0 7 kPa Directions for use etCO alarms Alarm Cause Monitoring 45 Remedy etCO gt upper limit etCO lt lower limit etCO is higher lower than alarm limit Check the patient RR gt upper limit RR lt lower limit RR is higher lower than alarm limit Check the patient FICO gt upper limit FICO has exceeded alarm limit Check the patient and ventilator CO needs calibration displayed when CO 0 mmHg CO measurement reading t
57. ngs on page 74 NIBP measurement interval Interval setup for non invasive blood pressure measurement or switch off of the interval measurement see Automatic blood pressure measurement on page 47 Saves patient data NIBP measurement Start or stop of the non invasive blood pressure measurement see Start a single NIBP measurement on page 47 Standby In standby mode patient monitoring is interrupted and the screen is blank Monitoring is resumed when any button is pressed Note when the monitor is connected to Acuity different options are given Setup Display of the Setup menu The required menu item can be selected by turning the trim knob and pressing Saves patient data Trend Displays trend data see Trend data on page 21 Saves patient data Home Pressing this button closes opened dialogues and returns to the monitoring screen Any settings that were changed in the opened dialogue screen are saved Pressing this button is the same as selecting OK on the opened dialogue screen ON OFF Press to switch the monitor on Press and hold for 4 seconds to switch the monitor off The LEDs below this button indicate e Le t LED mains power is connected to the monitor e Right LED mains connected to the monitor and internal battery being charged Trim knob The trim knob is used for navigation value selection and value change Use as follows 1 Turn the trim knob to the left or right to select a
58. nstructions 70 solution isopropyl alcohol neutral mild detergent solution all products designed for cleaning plastic Mild detergent solution also consult manufacturer s instructions Consult manufacturer s instructions Consult manufacturer s instructions 1 The equipment can be disinfected to comply with OSHA requirements for cleaning and decontaminating spills of blood and other body fluids Federal OSHA blood borne pathogens standard 29 CFR 1910 1030 12 6 91 2 If liquid gets into the connectors dry the area with warm air and then verify all monitoring functions 66 Maintenance Inspection and checklist report In accordance with the maintenance interval detailed previously the following check list should be copied and followed Monitor Serial Number Welch Allyn 1500 Patient Monitor Every six months Inspection Result Checked General examination Visual inspection of the monitor monitor casing not broken or cracked Visual inspection of the LCD LCD screen undamaged Visual inspection of all cable assemblies and sensors and accessories Electrode cable sheathing and connectors undamaged p10 10 10 180 0 590 No kinks abrasion or wear in any cable assembly po10 10 10 10 0 009 All transducers and accessories are within their expiratory date po10 10 10 80 0 059 Plug and socket connectors
59. ogram especially if the monitor is used for intermittent short term use typical of patient monitors 62 Maintenance Welch Allyn 1500 Patient Monitor Visual inspection Defective monitors or damaged cables must be removed from service until repaired or replaced Visually inspect the monitor and cables for the following e Monitor casing damaged or cracked excessively scratched etc e Damage to the LCD screen e Damage to sensor sheathing mains and potential equalization cables e Damage to connection panels or connectors e Legibility of the labels on the rear of the monitor Legibility of the annotation on the function button panel Button check Press all buttons and trim knob and check that they work properly Speaker check On switch on beeps must be audible see Mains connected on page 16 LED check Connect mains to the monitor and ensure the Mains LED is illuminated e mua Disconnect the mains supply and leave the monitor on for 10 minutes Reconnect the mains supply and ensure both the mains LED and the battery charge LED are illuminated Alarm check The alarm check is performed with the SpO sensor Proceed as follows 1 Connect the SpO sensor to a volunteer and check that the measurement is within normal range 2 Set the SpO alarm to on and set the limit to the lowest setting see SpO settings on page 52 so that the alarm activates 3 Check that the visual and audi
60. ons properly Caution Dispose of Microstream EtCO sampling lines according to standard operating procedures or local regulations for the disposal of contaminated medical waste Caution During nebulization or suction for Intubated patients in order to avoid moisture buildup and sampling line occlusion remove the sampling line luer connector from the monitor Caution Replace the sampling line according to hospital protocol or when a blockage is indicated by the monitor Excessive patient secretions or a build up of liquids in the airway tubing may occlude the sampling line requiring more frequent replacement 44 Monitoring Welch Allyn 1500 Patient Monitor Preparing the Oridion sensor During nebulization or suction for Intubated patients in order to avoid moisture buildup and sampling line occlusion remove the sampling line luer connector from the monitor Replace the sampling line according to hospital protocol or when a blockage is indicated by the monitor Excessive patient secretions or a build up of liquids in the airway tubing may occlude the sampling line requiring more frequent replacement When connecting a sampling line to the monitor screw the sampling line connecter clockwise into the monitor CO port until it can no longer be turned to ensure that it is connected securely to the monitor This will assure that there is no leak of gases during measurement at the connection point and that measurement accuracy is not co
61. oo low due to Soiled airway adapter e Incorrect calibration Change the adapter carry out zeroing if required Carry out zeroing 46 Monitoring Welch Allyn 1500 Patient Monitor NIBP monitoring A gt bb gt WARNING To prevent extensive pressure on the extremity it is very important to Choose the correct cuff size e Check the initial pressure in the NIBP menu The correct initial pressure for adults is 160 mmHg for pediatric patients 120 mmHg and for neonates 90 mmHg WARNING In case of long term monitoring or automatic operation the connected body areas of the patient and the extremity to which the cuff is attached must be checked regularly for signs of ischaemia purpuras and or neuropathy WARNING The cuff must not be attached to a limb that is already used for interventions such as infusions or SpO measurement WARNING To prevent incorrect measurement results make sure that the tube is not compressed WARNING To achieve correct arterial pressure measurement the cuff must always be installed on the level of the right atrium e Ensure that the cuff is attached to the left or right upper arm e Note the cuff size for the respective patient type e Check the initial pressure in the NIBP menu Note The monitor sets the maximum pressure as follows e Adults 270 mmHg e Pediatric 180 mmHg Neonate 150 mmHg Directions for use Monitoring 47 Start a single NIBP measurement 1
62. or Adult indicated by the highlighted icon The right box indicates the monitor s network connection Connected to Acuity PE Acuity enabled but no connection When the Acuity option is not installed this box remains blank Middle line Displays the patient name If the monitor is connected to the Acuity the patient name Is taken from Acuity Bottom line Displays the current time When mains is not connected a battery symbol is also displayed to the left of the time see Battery operation on page 17 Operation Startup and initial preparation WARNING Danger of electrical shock Do not operate the monitor if the ground connection is suspect or if the mains lead is damaged or suspected of being damaged Connect and power up DY 1 Connect the mains cable to the rear of the monitor a 2 Connect the potential equalization ground cable to the central potential equalization lug b 3 Press the On Off button e confirmed by a beep 4 Confirm the New Patient dialogue with Yes or No e Yes Previous patient data is deleted The patient data can be entered via the setup menu Setup gt Patient data see Patient information on page 76 e No Previous patient data if any is used 5 Check the settings Caution Ensure that the patient or any person with simultaneous patient contact does not come in contact with conductive parts of any connectors including the RJ45 connector and the USB
63. p down icons e Use the trim knob to select the trend display interval with the pull down menu in the Interval setting e The Clear option deletes all trend data e _ The Print option prints all displayed trend data 22 Operation Welch Allyn 1500 Patient Monitor Defining display waveforms Note Only ECG leads are available for waveform 1 1 Press the Setup button 2 Select Waveforms Setup Waveforms TmViem Auto Auto 0 to 200 mmHg 0 to 200 mmHg Sweep Speed 25 mm sec OK Cancel 3 The waveforms 1 through 5 are configured through the pull down menus 4 Set the amplitude for each waveform according to preference and signal strength Set the sweep speed for all waveforms according to preference and patient Note The RESP and CO sweep speed values are not configurable 5 Select OK to save Settings via a parameter field 1 Select the desired parameter measurement field using the trim knob A white frame appears around the selected field 2 Press the trim knob to display the menu The following example is displayed when the Heart Rate settings screen is selected Other setting screens are similar i 1 mV cm HR PR Source ECG HRIPR Tone OFF ECG Filter MONITOR Pacer Display No Analyze Pacers No Upper Limit 100 Lower Limit 50 Cal OK Cancel 3 See Saving the userdefined settings as default on page 19 to save the settings as your user defaults 23 Alarms Display of ala
64. proved areas or sent back to Welch Allyn See Recycling monitor components on page 71 64 Maintenance Welch Allyn 1500 Patient Monitor Inspecting and cleaning the monitor and accessories A A A WARNING Do not autoclave the monitor or any accessories WARNING Do not immerse the monitor in liquid when cleaning Do not immerse accessories in liquid when cleaning unless the accessory manufacturer s cleaning instructions explicitly instruct you to do so WARNING Fire and electrical shock hazard Always unplug the monitor from the electrical power outlet before inspecting or cleaning the monitor and accessories Exposing any of these to liquids such as cleaning solutions while they are connected to electrical power could result in electrical shock or fire Before cleaning the monitor or any accessories thoroughly inspect them Look for any signs of damage and any improper mechanical function of buttons or connectors Gently bend and flex cables inspecting them for damage or extreme wear exposed wires or bent connectors Confirm that all connectors engage securely Ensure all transducers and accessories are within their expiratory date Immediately report any sign of damage or malfunction to your service department To clean the monitor or any accessories follow these steps 1 Wipe the equipment with a cloth slightly moistened not wet with one of the approved cleaning solutions listed in Cleaning instructions
65. rectly WARNING Do not touch the monitor during defibrillation WARNING To ensure patient safety none of the ECG electrodes including the neutral electrode nor the patient or any person with simultaneous patient contact must come in contact with conductive parts even when these are earthed WARNING Immediately report any changes that impair safety including operating behavior to the person responsible for servicing the monitor WARNING Do not place any liquids on the monitor If liquid is spilled over the monitor immediately disconnect the monitor from the mains and dry The monitor must be serviced before reusing Caution This manual and especially these safety notes must be read and observed Caution Electrical installation of the room or the building in which the monitor is to be used must comply with regulations specified by the country in which the equipment is to be used Caution Ensure the monitor is always mounted on a Welch Allyn approved bracket or stand The monitor is unstable at angles greater than 5 degrees when not secured Directions for use Safety Safety equipment Alarms Operating the monitor without the correctly rated fuse or with defective cables constitutes a danger to patient safety Therefore A Caution Do not operate the monitor if the ground connection is suspect or if the mains lead is damaged or suspected of being damaged Caution Damaged cables and connections must immediately be repl
66. red Patient security and security of the network is the sole responsibility of the user Directions for use Safety 5 Maintenance A WARNING Danger of electric shock Do not open the monitor case There are no user serviceable parts inside Servicing may only be carried out by a qualified technician authorized by Welch Allyn WARNING Before cleaning and to isolate the mains power supply switch the monitor off and disconnect it from the mains by removing the plug Caution Do not use high temperature sterilization processes such as autoclaving Do not use E beam or gamma radiation sterilization Caution Do not use solvent or abrasive cleaners on either the monitor or cable assemblies Caution Do not immerse the monitor or cable assemblies in liquid gt gt gt be Symbols These symbols appear in this user guide WARNING Warning statements in this user guide identify conditions or A practices that could result in personal injury Caution Caution statements in this user guide identify conditions or practices A that could result in damage to the equipment or other property 6 Safety Welch Allyn 1500 Patient Monitor The following symbols appear on the monitor or accessories Symbol Definition Symbol Definition T Potential equalization earth ground Y F CF symbol This monitor is classified safe for NO internal and external use However it is only defibrillation protected when u
67. ressure Medium HR low high Heart rate Medium Pxs Art low high Invasive systolic blood pressure Medium Pxm Art low high Invasive mean blood pressure Medium Pxd low high Invasive diastolic blood pressure Medium Temp low high Temperature in degrees Fahrenheit or degrees centigrade Medium Note All technical alarms are low priority General 27 Monitoring Note Values are only displayed when the ECG cable or at least one sensor is connected If a sensor is disconnected a technical alarm is issued The measured value will no longer be displayed if the sensor is disconnected and the alarm is acknowledged e Connect the ECG electrodes the NIBP cuff the SpO sensor the CO sensor and the temperature sensor to the patient as required e As soon as the sensors are connected the corresponding indication appears on the display e Check or set the alarm limits see Alarms on page 23 Note This section gives a general overview of the parameters that can be measured with the monitor It is aimed at medical professionals only and no specific medical direction is given or implied any instructions given here do not overrule local medical directives The individual parameter menu settings are selected with the trim knob described previously see Settings via a parameter field on page 22 28 Monitoring ECG A Welch Allyn 1500 Patient Monitor WARNING In order to minimize interference and the danger of burns to the pa
68. rms During initial powerup No alarms are displayed if no patient is being monitored During monitoring There are three alarm priorities Alarm type Priority LED visual alarm Audible signal Display indicator Technical Low Blue Single deep tone Text display in the alarm status field at the every2seconds bottom Parameter Medium Yellow flashes with Two tone high low Text display in the alarm status field at the parameter field every second bottom Yellow flashing parameter field Parameter High Red flashes with Three high tones Text display in the alarm status field at the bottom parameter field every second I Red flashing parameter field Lethal High Red flashes with Three high tones Text display in the alarm status field at the bottom parameter field every second Red flashing parameter field Parameter Field Visual alarm indicator Text Display 24 Alarms Welch Allyn 1500 Patient Monitor Silencing an alarm Acknowledging an alarm Alarm Limit Press the Alarm Silence button ES The audible alarm is silenced for 1 1 5 or 2 minutes The visual parameter alarm continues to be displayed After the defined silence time the audible alarm is reactivated The silence time is defined in Setup gt Setup Administrator gt Alarms gt Alarm Silence Time see Administrator on page 77 Technical Alarm A technical alarm can be acknowledged by pressing the Alarm Sil
69. roper handling The warranty entitles free replacement and labor of the defective part Any liability for subsequent damage is excluded The warranty is void if unauthorized or unqualified persons attempt to make repairs In case of a defect send the apparatus to your dealer or an authorized Welch Allyn service center The manufacturer can only be held responsible for the safety reliability and performance of the apparatus if e assembly operations extensions readjustments modifications or repairs are carried out by persons authorized by the manufacturer e the monitor and approved attached equipment is used in accordance with the manufacturer s instructions Note There are no express or implied warranties which extend beyond the warranties hereinabove set forth Welch Allyn makes no warranty of merchantability or fitness for a particular purpose with respect to the product or parts thereof Note This equipment has been tested and found to comply with the limits for a class A digital device pursuant to both Part 15 of the FCC Federal Communications Commission rules and the radio interference regulations of the Canadian Department of Communications These limits are designed to provide reasonable protection against harmful interference when the equipment is operated in a commercial environment This equipment generates uses and can radiate radio frequency energy and If not installed and used in accordance with this instruction user gu
70. s tachycardia according to IEC specification 60601 2 27 6 8 2 bb Sensitivity According to ANSI AAMI EC13 IEC60601 2 27 92 Technical data Respiration Temperature Welch Allyn 1500 Patient Monitor ECG amplifier Sampling frequency 1000 Hz Pacemaker detection 2to 700 mV 0 1 to 2 ms Pacemaker rejection 2to 700 mV 0 1 to 2 ms Note Pacemaker signals can differ from one pacemaker to the next Rate meters may continue to count the pacemaker rate during occurrences of cardiac arrest or some arrhythmias mainly with pacemakers generating high amplitudes gt 20 mV or those generating overshoot Pacemaker patients should be kept under close or constant observation Protection Fully isolated defibrillation protected gt 5 kV Line frequency filter 50 or 60 Hz sinusoidal interferences filtered by means of adaptive digital filtering Respiration rate range 0 to 200 breaths min pediatric 0 to 120 breaths per minute Connector Shared with ECG Signal 28 kHz square wave 2 5 V Patient current max 80 pA Dynamic impedance range 1 kto1 5 KQ variation of 0 1 to 3 O Sampling Rate 250 Hz Respiration rate accuracy 1 digit RR display update interval max 2s Sensor YSI 401 rectal skin or ear Amplifier Fully isolated defibrillation protected gt 5kV Sampling Frequency 125 Hz Measurement interval
71. sed with the original Welch Allyn patient cable O The monitor can be recycled Recycle the monitor and battery Go E separately from other waste Refer to www welchallyn com weee for collection point and additional information Notified body of the CE certification TUV Note accompanying documents CE 0123 A PS omer Altitude limits 150008 7354 cm m min gt 1000 f 15 Humidity limits el 1050 hPa Aly Keep away from sunlight Stacking limit eZ IN ON scm Temperature limits Keep away from rain y 0 C min 32 F 80 a This way up U Fragile CO in CO out L4 E Temperature NIBP The following symbols appear on the screen Symbol Definition Symbol Definition Alarm off Patient mode symbols neonate pediatric UN it adult G if Acuity connected a Acuity not connected Directions for use Safety 7 Additional terms Implied authorization Possession or purchase of this monitor does not convey any express or implied license to use the monitor with replacement parts which would alone or in combination with this monitor fall within the scope of one or more patents relating to this monitor Terms of warranty Your monitor is warranted against defects in material and manufacture for the duration of one year from date of purchase Excluded from this guarantee is damage caused by an accident or as a result of imp
72. t If the pressure sensor s position is moved during zero set this can lead to incorrect values 1 Move to the desired IBP measurement field P1 P2 using the trim knob B o N Press the trim knob to display the IBP menu Select Zero Set with the trim knob and press to carry out the zeroing The message P1 Zeroing appears followed briefly by P1 Zero OK Alarm Cause Remedy IBP needs service No IBP module detected Switch off on Replace monitor IBP needs calibration Zero point sensor too high low by more than 30 mmHg or unsteady pressure Check tube system sensor and valves Re calibrate the sensor IBP artifact Loose sensor contact Inspect the sensor and cable connection A manipulation at the sensor such as rinsing has caused variation peaks of 150 mmHg After rinsing calibrate the sensor Incorrect IBP value displayed Constant pressure 30 mmHg during the calibration in the system Check tube system sensor and valves Set three way valve to ambient pressure Re calibrate the sensor IBPs lt lower limit Systolic pressure too low Check the patient and alarm limits IBPs gt upper limit Systolic pressure too high Check the patient and alarm limits IBPm lt lower limit Mean pressure too low Check the patient and alarm limits IBPm gt upper limit Mean pressure too high Check the patient and alarm
73. ta etC0 Note Welch Allyn 1500 Patient Monitor Module Mini Medi CO Measuring method Non dispersive Infrared Spectroscopy CO range 0 to 99 mmHg CO mmHg l Environment pressure x 100 CO 96 Curve Resolution 0 1 mmHg etCO inCO Resolution 1 mmHg CO Accuracy 0 to 38 mmHg 2 mmHg 39 to 150 mmHg 5 of reading and 0 08 for every 1 mmHg above 38 mmHg Respiration 0 to 150 Resp min Respiration Accuracy 0 to 70 1 Resp min 71 to 120 2 Resp min 121 to 150 3 Resp min Flow rate 50 ml min flow measured by volume Waveform sampling 20 samples s Initialization Time 40 s typical System Response Time 5 6 s typical combined response time The capnography component of this product is covered by one or more of the following US patents 6 428 483 6 997 880 5 300 859 6 437 316 7 488 229 and their foreign equivalents Additional patent applications pending Index 95 A Accessories 83 Activating the pacer display 33 Acuity Central Station 59 Alarm limit setting 25 Alarms 23 Arrhythmia settings 38 Back panel 10 Battery disposal 63 Battery Operation 17 Button test 62 Cc Changing recorder paper 18 CO measurement 42 Connecting the ECG patient cable 28 Connection panel 11 D Defining display waveforms 22 Display overview 14 E ECG alarms 37 ECG display 34 ECG menu settings 36 Electrodes
74. tient only use Welch Allyn ECG cables Keep the ECG cable as far away as possible from any electrosurgical cables Make sure that the electrosurgical return conductor neutral is properly attached to the patient and that a good contact is made Patient preparation Caution The guidelines in this section are given as an overview only They are not a substitute for nor do they overrule manufacturers documentation and instructions or departmental procedures The quality of the ECG trace is dependent on the degree of contact resistance between the electrode and the skin To ensure the lowest resistance the following points must be observed 1 Shave the areas where the electrodes are to be placed 2 Use alcohol to thoroughly clean the areas where the electrodes are to be placed 3 When applying the electrodes make sure that there is a layer of gel between the electrode and the skin Note To maintain the quality of signals during long term monitoring the electrodes should be replaced at least every 48 hours Over longer periods the electrode gel may dry out and the patient s skin can be irritated by the gel or adhesive When replacing electrodes do not position the new electrodes on exactly the same locations but a little to the side of the original positions Connecting the ECG patient cable Note e When an electrode falls off or the resistance of an electrode is too high a lead off indication is displayed and an audible alar
75. tion only Alarms Alarm settings silence time suspend time etc This requires a password to enter see Settings on page 73 System Time date settings volume units cm in kg lb etc and also the event log and CO calibration timer This screen requires a password to enter see Settings on page 73 Communications Service and Factory These menu options are for service and factory personnel and can only be accessed by password only Details are given in the service handbook Close Exits the setup menu BON gt The arrhythmia option is only viewable when the arrhythmia option is installed The recorder option is only viewable when the printer is installed The 12 lead resting ECG option is only viewable when the resting ECG option is installed The patient Information menu option is not available when an Acuity enabled monitor is not connected to Acuity 14 Introduction Welch Allyn 1500 Patient Monitor Display overview Waveform fields Parameter fields AS 04 5 JAMES WHITE 10 21 50 Time of last Alarm and system Information field blood pressure messages See Information measurement field below Blood pressure Temperature Information field Top line The left box displays the patient s room number entered in the patient data screen If the monitor is connected to the Acuity the room number is taken from Acuity The middle box displays the patient mode Neonatal Pediatric
76. tion panel Function button panel Trim knob Back panel Ethernet RJ45 connector Potential equalization ground Nurse call connector Mains connector 100 240 VAC Printer USB connector lift door The nurse call can be used to give an external indication of a parameter alarm Directions for use Introduction 11 Connection panel K amp jn Temperature 1 etCO sampling input sue gt ___ 2 etC0 sampling exhaust service only y o EKG ECG A Qa SpO2 E PO IBP 1 A o Note The connection panel layout will vary according to the options installed Patient connection panel options Two connection panels for the monitor are available depending on the options specified The panels are as follows Sp0 NIBP IBP x2 ECG Temp CO Nellcor Oridion Panel 1 Panel 2 12 Introduction Function buttons to Welch Allyn 1500 Patient Monitor Print Printout of three waveforms and all parameters The waveforms and print settings are defined in the Printer menu see Recorder on page 75 Note that an auto printout can also be obtained when a limit is violated This is also defined in system setup Alarm silence Silence Icon of an audible alarm or confirmation of displayed messages The silence icon time is defined in the Setup Administrator menu see General and alarm setti
77. to falsely high measurement readings Colors or substances containing colors that influence the natural blood pigments can also lead to incorrect measurement readings WARNING Exposure to excessive illumination such as surgical lamps especially those with xenon light source bilirubin lamps fluorescent lights infrared heating lamps or direct sunlight can affect the performance of an SpO sensor To prevent exposure to excessive illumination ensure that the sensor is correctly applied and that it is covered with an opaque material if required If these measures are neglected excessive illumination can lead to incorrect measurements WARNING _Change the sensor s position at least every 4 hours 52 Monitoring Welch Allyn 1500 Patient Monitor SpO settings The parameter settings are selected with the trim knob described previously see Settings via a parameter field on page 22 The default settings are in bold Parameter Description SpO alarm pause When the alarm is paused the message SpO gt z Alarms Paused appears in the message line The alarm is paused until the sensor is reinstalled HR PR source ECG Sp0 P1 ART selection of the heart rate source The source is displayed in brackets next to the HR parameter HR PR tone Off on SpO lower upper limit 90 100 lower upper alarm limit for the oxygen saturation of the blood 1 This can also be set in the Setup HR menu 2 lf SpOyisthe HR
78. try is only available when the option is enabled Sets the Arrhythmia alarm settings print on alarm and other options see Arrhythmia on page 38 Alarms Sets the upper and lower alarm limits for all parameters If a recorder is installed a printout can be initiated when an alarm limit is violated Speaker Volume Sets the speaker volume on a scale of 1 to 10 The volume is heard when scrolling through the values HR PR Tone Volume Sets the HR from ECG PR from SpO or P1 beep volume on a scale of 1 to 10 The volume is heard when scrolling through the values Directions for use Waveforms The default settings are in bold Settings 75 Main menu Parameter Description Waveform Waveform 1 1 HL V AVL AVR AVF Waveform 2 I 11 111 V AVL AVR AVF RESP CO Waveform 3 I 11 111 V AVL AVR AVF SpO Waveform 4 I 11 111 V AVL AVR AVF P1 Waveform 5 I 11 111 V AVL AVR AVF P2 Amplitude For ECG waveforms 2 5 5 10 20 mm mV For P1 and P2 10 to 20 10 to 60 0 to 150 O to 200 0 to 250 and 0 to 300 mmHg For CO 0 to 40 0 to 60 and 0 to 80 mmHg The setting for RESP and SpO is Auto Sweep Speed 6 25 12 5 25 mm sec Recorder Note This is only available when the recorder option is installed This defines the information to be printed The default settings are in bold Main menu Parameter Description SetUp Recorder
79. uch collection point or recycling center is available you can return the monitor to your distributor or the manufacturer for proper disposal Refer to www welchallyn com weee for collection points and additional information 72 Maintenance Welch Allyn 1500 Patient Monitor 73 Settings Parameter settings 1 2 Move to the desired parameter measurement field using the trim knob A white frame appears around the selected measurement field The selected menu is displayed by pressing the trim knob The settings available and default settings are given in the Monitoring section see Monitoring on page 27 ECG Heart rate Pacemaker see ECG on page 28 RR see Respiration rate on page 40 etCO Respiration see etCO gt measurement on page 42 NIBP see NIBP monitoring on page 46 SpO gt see SpO monitoring on page 50 IBP see IBP monitoring on page 54 Temperature see Temperature monitoring on page 57 74 Settings Welch Allyn 1500 Patient Monitor General and alarm settings The Setup menu is displayed as follows 1 Press the Setup button 2 With the trim knob select the menu option 3 Press the trim knob to display the menu The menu options are as follows Alarm suspend Suspend all alarms for the period specified under the Alarm settings in the Administrator menu see Administrator on page 77 Arrhythmia Note This menu en
80. ure too high Check the patient and alarm limits 58 _ Monitoring Welch Allyn 1500 Patient Monitor 59 Acuity Central Station Safety Note gt gt gt Pp gt Acuity connectivity is a licensable feature To order this feature contact your Welch Allyn sales representative see page ii WARNING _Connect the monitor to an Acuity system only Connecting to other networks could damage the monitor or injure the patient If in doubt about the network jacks or devices consult your facility s Administrator Engineering Department Caution Make sure the Acuity network cable is not damaged The Acuity network cable is the sole link between the monitor and the Acuity Central Station Caution When the monitor is not connected to the network there are no patient alarms or alerts at the Acuity Central Station Caution f you don t set alarm limits the Acuity system uses preset settings for arrhythmia test limits and the power up default settings for the monitor Caution Accessory equipment connected to the analog and digital interfaces must be certified according to the respective IEC standards e g EN 60950 for data processing eguipment and EN 60601 1 for medical eguipment Furthermore all configurations shall comply with the system standard IEC 60601 1 1 Anyone connecting additional eguipment to the signal input or output connectors is configuring a medical system and is therefore responsible that the system complies wit
81. which all alarms are suspended Can disable HR PR Enabled Disabled The menu item can prevent users from Alarms being able to turn off HR or PR alarms When the setting is Disabled a user cannot turn off the HR or PR alarms Alarm Delay On Off If the alarm validation is enabled alarm limits must be exceeded for at least 6 seconds for an alarm to be issued Second Speaker Time 0 to 3 minutes 2 minutes Time after which the secondary speaker is enabled For lethal and high level alarms the secondary speaker is activated in 30 seconds 78 Settings Welch Allyn 1500 Patient Monitor Sub menu Parameter Description System Height units Select Inches in or centimeters cm sets the monitor s password measurement units protected see i i previous page Weight units Select pounds Ibs or kilograms kg sets the monitor s measurement units In neonate mode the units are automatically switched to grams Acuity Enabled Yes No Connects to Acuity Note that Acuity can only be enabled when Enable Acuity connection in the service setup is set Set Date and Time Entry of the year month day hour minute Save User Defaults With this function values changed by the user can be saved see Saving the user defined settings as default on page 19 Show Event Log Display of the monitor event log see Event log screen and CO2 calibration on page 79 Service This provides

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