Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Directions for use
© 2012 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.
iii Contents Introduction ............................................................................................. 1 Indications for use ................................................................................................ 1 Contraindications ................................................................................................. 2 Symbols ................................................................................................... 3 Screen elements ........................
iv Contents Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Device Status area ............................................................................................. 37 Content area ...................................................................................................... 40 Navigation area .................................................................................................. 41 Using the keypad, keyboard, and barcode scanner ...........................
Directions for use Contents v Adjust vital sign alarm limits .............................................................................. 74 Modify audio alarm notification .......................................................................... 75 Alarm messages and priorities ........................................................................... 76 Nurse call ........................................................................................................... 79 Patient monitoring .....
vi Contents Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Environmental specifications ........................................................................... 173 Monitor radio .................................................................................................... 173 Configuration options ....................................................................................... 174 Standards and compliance .................................................................
1 Introduction This directions for use describes the capabilities and operation of the monitor. The information, including the illustrations, covers all configuration options. If your monitor configuration lacks any of these options, some information in this manual might not apply. Before using the monitor, you must familiarize yourself with all warnings and cautions, with the steps to power up the monitor, and with the sections of this directions for use that pertain to your use of the monitor.
2 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Introduction and inspired breath (etCO2 and FiCO2) and respiration rate (RR). It is intended for use with neonatal, pediatric, and adult patients in hospitals and hospital-type facilities. The optional Oridion module also provides the clinician with an Integrated Pulmonary Index™ (IPI). The IPI is based on four parameters provided by the monitor: end-tidal carbon dioxide (etCO2), respiration rate (RR), oxygen saturation (SpO2), and pulse rate (PR).
3 Symbols Documentation symbols WARNING The warning statements in this manual identify conditions or practices that could lead to illness, injury, or death. CAUTION The caution statements in this manual identify conditions or practices that could result in damage to the equipment or other property, or loss of data. This definition applies to both yellow and black and white symbols. WARNING Hot surface. Do not touch. Follow instructions for use — mandatory action. Consult operating instructions.
4 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Symbols (on the monitor, amber indicator) Alternating Current power present, battery is charging Battery cover Alternating Current (AC) Rechargeable battery Li-ion battery Connectivity symbols USB Ethernet RJ-45 Wireless signal strength • Best (4 bars) • Good (3 bars) • Fair (2 bars) • Weak (1 bar) • No signal (no bars) • No connection (blank) Nurse call Miscellaneous symbols CO2 sampling input CO2 sampling output/exhaust Manufacturer Lim
Directions for use Symbols Defibrillation-proof Type BF applied parts Do not expose to open flame Altitude range Not for injection Transport and storage temperature range Authorized Representative of the European Community 5
6 Symbols Welch Allyn Connex® Vital Signs Monitor 6000 Series™
7 Screen elements Global navigation, controls, and indicators Select option Process indicator for activities like acquiring measurements and connecting to a central station Select item from list Display lock/unlock Increase or decrease value Monitoring and connectivity Connect to central station and retain patient data Disconnect from central station but continue monitoring and retain patient data Temporarily pause continuous monitoring but retain patient data End continuous monitoring session for
8 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Screen elements NIBP NIBP start NIBP stop Intervals status indicators NIBP view toggle Temperature site control Direct mode selector Temperature SpO2 and Pulse rate Pulse amplitude bar SatSeconds timer (Nellcor feature only) SpO2 view toggle Response mode selector (Fast mode selected) Pulse rate (in beats per minute) Total hemoglobin (SpHb) SpHb view toggle Averaging mode selector (Long mode selected) CO2 pump start CO2 pump stop Capn
Directions for use Screen elements Capnography (CO2) etCO2 view toggle IPI view toggle IPI graphic indicators RRa Respiration indicator Averaging mode selector (Fast mode selected) Manual parameters Manual parameter selector Alarm and information messages Alarm limit control Alarm On/Off toggle Multiple alarms toggle Alarm audio paused Alarm active Information message Patient data management Diacritical marks key (available for languages that use diacritical marks; appearance differs based on
10 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Screen elements Patient data management Send patient data Print patient data/patient trend data Cancel action Add patient identifiers Retrieve patient list from the network Select patient from List tab Delete patient from List tab Clear patient context from Summary tab Forward or backward in Review tab Proceed to the next field to input patient information Settings Save configuration settings Select state or view Save to USB flash drive
11 About warnings and cautions Warning and caution statements can appear on the monitor, on the packaging, on the shipping container, or in this document. The monitor is safe for patients and clinicians when used in accordance with the instructions and the warning and caution statements presented in this manual.
12 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ About warnings and cautions WARNING Inaccurate measurement risk. Dust and particle ingress can affect the accuracy of blood pressure measurements. Use the monitor in clean environments to ensure measurement accuracy. If you notice dust or lint build-up on the monitor's vent openings, have the monitor inspected and cleaned by a qualified service technician. WARNING Inaccurate measurement risk.
Directions for use About warnings and cautions 13 WARNING Fire and explosion hazard. Do not operate the monitor in the presence of a flammable anesthetic mixture with air, oxygen, or nitrous oxide; in oxygen-enriched environments; or in any other potentially explosive environment. WARNING Fire and shock hazard. Only connect LAN cables contained within the perimeter of a single building.
14 About warnings and cautions Welch Allyn Connex® Vital Signs Monitor 6000 Series™ WARNING Do not place the monitor in any position that might cause it to fall on the patient. WARNING Welch Allyn is not responsible for the integrity of a facility's power. If the integrity of a facility's power or protective earth conductor is in doubt, always operate the monitor on battery power alone when it is attached to a patient.
Directions for use About warnings and cautions 15 CAUTION Electromagnetic interference risk. The monitor complies with applicable domestic and international standards for electromagnetic interference. These standards are intended to minimize medical equipment electromagnetic interference. Although this monitor is not expected to present problems to other compliant equipment or be affected by other compliant devices, interference issues still may occur.
16 About warnings and cautions Welch Allyn Connex® Vital Signs Monitor 6000 Series™
17 Physical design The monitor is available in two sizes: standard and extended. The primary difference between these models is the number of parameters they support. Note Your monitor, based on size or configuration, might not contain all parameters or features illustrated in this section. In a standard monitor, up to two parameter modules are installed on the left side. You can tell which modules are installed based on the connectors visible on the outside of the device.
18 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Physical design The extended version can have a maximum of three modules (such as CO2, pulse oximetry, and blood pressure) on the left side. Extended monitor left side Equipment setup and basic monitor functions are the same for both models, unless otherwise noted in the directions for use. Controls, indicators, and connectors The following diagrams show a full-featured monitor.
Directions for use Physical design No. Feature 19 Description 2 Light bar Provides a visual alarm with red and amber LEDs. 3 Thermometry Temperature probe cover box. 4 Thermometry Temperature probe. 5 Thermometry (connector behind cover) Secures the probe connection to the monitor. 6 LCD screen 1024 x 600 pixels color touchscreen provides a graphical user interface. 7 Battery compartment (behind cover) Houses the lithium-ion battery.
20 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Physical design No. Feature Description • • Green: The battery is charged. Amber: The battery is charging. 2 Ethernet RJ-45 Provides a hardwired connection to the computer network. 3 USB client Provides a connection to an external computer for testing and software upgrades. 4 Nurse call Provides a connection to the hospital nurse call system. (Not available on the 6300 model.
21 Setup Supplies and accessories For a list of all approved supplies and accessories, see Approved Accessories on your CD. Insert the battery This procedure applies to first-time setup of the monitor. WARNING Risk of fire, explosion, and burns. Do not short-circuit, crush, incinerate, or disassemble the battery pack. 1. Turn the monitor upside down to access the battery cover. 2. Locate the battery cover, indicated by . 3. Insert a coin into the slot and push to open.
22 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Setup Do not remove the tab label from the battery. This tab helps you remove the battery from the compartment when you need to replace it. Note 5. Replace the battery cover by inserting one end into the notched access and then pressing firmly on the opposite end. Note New batteries are only 30 percent charged. Therefore, connect the monitor to AC power immediately after inserting a new battery.
Directions for use Setup 23 Mount the monitor on a stand 1. Align the monitor on the mounting bracket in the center of the stand tray. Slide the monitor into place, catching the bracket in the guides on the bottom of the monitor. 2. Ensure that the monitor is properly seated on the bracket. If you can raise either side of the monitor off the stand, it is not seated properly. Repeat step 1 until the monitor is mounted correctly. 3.
24 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Setup Attach the temperature probe CAUTION The temperature module only operates with the probe well properly in place. 1. Remove the cover of the temperature module by pressing the tab on the bottom and sliding the cover to the right. The cover is located at the bottom-right of the monitor, below the probe well. 2.
Directions for use Setup 25 2. Depress the spring tab on the temperature probe cable connector and withdraw it from the probe port. 3. Reattach the cover. Use the alignment tab and slide the cover to the left to click it back into place. Grasp the probe well and pull it up to remove it from the monitor. Connect the NIBP hose 1. Place your thumb and forefinger on the hose connector and squeeze the side tabs. 2. Align the hose connector with the hose connector port on the side of the monitor. 3.
26 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Setup 2. Align the cable connector with the cable connector port. 3. Insert the cable connector, pressing firmly until it clicks into place. Connect the SpO2/RRa dual cable Note Monitors configured to measure acoustic respiration (RRa) require a dual cable as shown below. The dual cable has two ports, one for the SpO2 cable and the other for the RRa cable. 1. Connect the dual cable to the device as shown in the preceding steps.
Directions for use Setup 27 Note Labels appear on both the top and bottom of the dual connector as well as on the patient cables to help ensure proper connection of the patient cables to the dual cable. Note Typically, a clinician will connect the single-use RRa sensor to the RRa patient cable at the start of acoustic respiration monitoring. See the sensor manufacturer’s directions for use for more information. Also see the Acoustic Respiration rate (RRa) section of this directions for use.
28 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Setup 3. Close the door and tighten the screw. Note Note If you loosened the monitor mounting bracket in order to open the USB door, shift the monitor forward on the bracket as you did in step 1, close the door, and then slide the monitor back into its mounted position. Ensure that the monitor is seated firmly on the bracket, then tighten the screw on the bracket into the screw hole on the back of the monitor.
Directions for use Setup 29 3. Advance the end of the roll past the roller so that it extends past the printer door, as shown. 4. With one hand, pull lightly on the paper to take up any slack. With the other hand, close the printer door by pushing it down and into place until it clicks. Be certain that the paper does not catch in the printer door. Connect AC power You can use the monitor with AC or battery power (after fully charging the battery). WARNING Shock hazard.
30 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Setup 2. Insert the power plug into an electrical outlet to power the monitor and to charge the battery. Disconnect AC power Carefully grasp the power plug and disconnect it from the power outlet. To avoid damaging the power cord, do not pull on the cord itself.
31 Startup Power The power button, located on the side of the monitor, performs the following functions: • Powers up the monitor • Sets the monitor into Display power-saving mode, except when an alarm condition is active (brief press) • Resets the monitor (press and hold for 6 seconds) CAUTION Do not use a long press of to power down the monitor when it is functioning normally. You will lose patient data and configuration settings.
32 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Startup mode from the active state. Settings for this mode can be changed in the Advanced Settings Display tab. Battery-powered accessories connected to the monitor continue to charge while the monitor is in this mode and connected to AC power. Note The monitor will not enter the Display power-saving mode while an alarm condition is active or when NIBP intervals are in progress. In addition, the monitor will exit this mode if an alarm occurs.
Directions for use Startup 33 If a system error is detected, the monitor becomes inactive until you press or until the monitor shuts down automatically. The monitor displays a system fault and a system fault code to aid service message that contains a wrench icon personnel and engineers in diagnosing the problem.
34 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Startup CAUTION Do not use a long press of to power down the monitor when it is functioning normally. You will lose patient data and configuration settings. Set the date and time 1. Touch the Settings tab. 2. Touch the Device tab. 3. Touch the Date/Time vertical tab. 4. To change the date and time values: Touch the up and down arrow keys or touch and enter a value. Repeat for each value you want to change.
Directions for use Startup 35 6. Touch OK to confirm that you want to overwrite your previous settings and replace them with your current settings in the default startup configuration. Or touch Cancel to retain the previous settings. The new settings are stored as the default startup settings once you restart the monitor. Note To enable or disable this control, navigate to the Device tab in Advanced settings and select or deselect Enable save as default. (This requires the Advanced settings access code.
36 Startup Welch Allyn Connex® Vital Signs Monitor 6000 Series™
37 Navigation The monitor screen provides the interface that you use to complete your workflow. You access the monitor's features by touching the screen. Home tab The Home tab includes the following areas: Item Area 1 Device Status 2 Content 3 Navigation Device Status area The Device Status area, located at the top of the Home screen, displays the following monitor information, from left to right: • Clinician identification. The format can be a name, ID number, or icon.
38 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Navigation • Time and date. Touch this area to navigate to date and time settings. • Current profile. Touch this area to navigate to the Profiles vertical tab (on the Device tab), which displays available profiles. • Connection status (wired or wireless, and central station). The icons indicate which connections, if any, are currently attempted or active.
Directions for use Navigation 39 • The monitor is not connected to a power outlet and is running on battery power. The estimated charge time remaining is displayed in the hour(s):minute(s) format. Each section of the battery status indicator represents a percentage of remaining charge. • The monitor is connected to a power outlet but the battery does not maintain a charge or has been removed.
40 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Navigation When the monitor is operating in Demo mode, which requires access to Advanced settings, the Device Status area displays an information message indicating that the Demo mode is active, as shown below. Any alarm messages that occur in Demo mode include a clear "DEMO MODE:" prefix as well. Content area The Content area displays current vital sign measurements and patient identification. It also provides relevant controls.
Directions for use Navigation 41 Navigation area The Navigation area includes the following tabs: • Home: Displays vital-sign measurements and provides shortcuts to several controls. • Patients: Accesses the patient list, patient summary, and manual parameters. • Alarms: Accesses global alarm response and settings controls, plus alarm limit settings (available only in the Intervals Monitoring and Continuous Monitoring profiles). • Review: Prints, deletes, and sends patient data.
42 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Navigation • A title bar with a lock icon ( screen. • Patient information no longer appears at the bottom left of the screen. • All controls on the screen are locked, except for ) replaces the Navigation area at the bottom of the any area of the screen other than on the title bar. If you select , a message appears. Unlock the display On the locked screen, touch in the title bar (located at the bottom of the screen).
43 Using the keypad, keyboard, and barcode scanner Open the numeric keypad Touch any field that includes the numeric keypad icon . The numeric keypad appears. Numeric keypad The numeric keypad includes the following components: Component Name Description Data field Displays the numbers you enter. The field name appears above and the range of values you can enter appears below this field. Backspace key When touched, removes the rightmost number from the data field.
44 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Using the keypad, keyboard, and barcode scanner Component Name Description Cancel button When touched, the numeric keypad disappears and the selected number does not change. OK button When touched, the numeric keypad disappears and the entered number appears in the associated frame or data field. Enter a number 1. With the numeric keypad open, touch a number or numbers. The value must be within the range that appears below the data field. 2.
Directions for use Using the keypad, keyboard, and barcode scanner 45 Component Name Description Data field Displays the characters you enter. Backspace key When touched, removes the rightmost character from the data field. Space bar When touched, enters a space in the data field. Shift key When touched, enters the next letter as uppercase. Letters key When touched, returns to the primary keyboard layout.
46 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Using the keypad, keyboard, and barcode scanner Enter a letter or number 1. With the keyboard open, touch letters or numbers. 2. Do one of the following: • Touch Next. This control accepts the entry for the current field, then clears the data field to allow data entry in the next field. • Touch OK. The keyboard disappears and the entered characters appear in the data field.
Directions for use Using the keypad, keyboard, and barcode scanner 47 Diacritical marks key Language(s) Polish Greek 1. With the keyboard open, touch the diacritical marks key. This key varies based on the language, as noted above. The keyboard displays diacritical marks for the selected language and therefore varies from one language to another. On each diacritical marks keyboard, the letters key in the top left corner returns you to the standard keyboard. 2. Touch a diacritical mark.
48 Using the keypad, keyboard, and barcode scanner Note Welch Allyn Connex® Vital Signs Monitor 6000 Series™ You can scan a patient's barcode from the Home tab or the Summary tab. The scanned ID appears in the Patient frame on the Home tab and in the Patient ID field on the Summary tab. Before you scan a barcode on the Summary tab, touch the keyboard icon in the Patient ID field. To return to the Home tab and begin taking patient measurements, touch OK.
49 Connex CS Overview A monitor can be used as standalone device or be networked to a central station (Connex CS). This section describes communication between the monitor and the central station. Monitors communicate with the central station through hardwired Ethernet and wireless networks. The diagram below shows monitors connected to the central station. 1. Wired monitors (Ethernet connection) 2. Wireless monitors 3. Wireless access point 4. Network 5.
50 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Connex CS central station in Advanced settings. Furthermore, in all profiles but Triage (see Note), patients can be added to a patient list on the monitor and then sent to the central station, and patient lists also can be retrieved from a central station. In the Intervals Monitoring and Spot Check profiles, retrieving the patient list requires user action.
Directions for use Connex CS Note 51 The Continuous Monitoring profile is available only on devices with a Continuous Monitoring profile license. Connect to the central station To connect the monitor to a central station over a wireless or Ethernet network connection while in the Continuous Monitoring profile, you must first enable the Connect to CS option in Advanced setttings.
52 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Connex CS Continuous patient monitoring Your device must be configured with the Continuous Monitoring profile to perform continuous patient monitoring. Key terms Patient context Condition in which a patient ID and patient type have been selected on a device. Location context Condition in which a room or a room and bed have been selected on a device.
Directions for use Connex CS 53 2. Touch Standby. A "Standby" dialog appears, indicating that you have paused continuous monitoring. Controls on this screen provide options to resume or end monitoring. A countdown timer displays the time remaining before continuous monitoring resumes. Note You can configure the Standby Mode timeout in Advanced settings. Resume continuous monitoring You can resume continuous monitoring after a standby when patient sensors are connected to a patient.
54 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Connex CS • Power down – Clears patient and location context and review data, and powers down the device • Cancel – Retains patient data and returns to Home tab 3. Select the desired option. Note After approximately 20 seconds of inactivity, the "End monitoring" dialog disappears. If you do not respond to this dialog and continuous monitoring is interrupted, the "Confirm patient and location" dialog appears.
Directions for use Connex CS Note 55 The Location list only presents locations that are not already assigned to a continuous monitoring device. "No location assigned" appears in the list box until you select a room and bed. 6. Touch OK to return to the Home tab. The information is saved. Note You have the option to leave some fields blank on the Patient > Summary tab.
56 Connex CS Welch Allyn Connex® Vital Signs Monitor 6000 Series™
57 Profiles Profiles are variations of the Home tab. Each profile gives you access to a different set of features. Choose the profile that best suits your needs. The monitor offers multiple profiles—including Continuous Monitoring, Intervals Monitoring, Spot Check, and Triage—based on the configuration and any upgrade licenses you purchase. Continuous Monitoring profile The Continuous Monitoring profile is designed for continuous patient monitoring.
58 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Profiles Masimo RRa-based Home tab Saving vital sign measurements (Continuous Monitoring profile) In the Continuous Monitoring profile, measurements are automatically saved as follows: • Continuous measurements (SpO2, SpHb, pulse rate, etCO2, FiCO2, IPI, and respiration rate) are saved once per minute. • When any measurements fall outside of alarm limits, all continuous measurements are saved.
Directions for use Profiles 59 Intervals Monitoring profile The Intervals Monitoring profile enables you to use alarms and timed NIBP intervals for patient monitoring. Note Patient vital signs data streams to a central station only in the Continuous Monitoring profile. Spot Check profile The Spot Check profile is optimized for clinicians who take spot-check vitals readings and do not need automatic reading or alarm features.
60 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Profiles Triage profile The Triage profile allows for vital signs capture without alarms or access to the Patients tab. Saving vital sign measurements (Intervals Monitoring, Spot Check, and Triage profiles) In the Intervals Monitoring, Spot Check, and Triage profiles, you can manually save vital sign measurements to the monitor. This procedure saves measurements displayed on the Home tab, along with associated patient identification and modifiers.
Directions for use Profiles 61 Profile feature comparison The following table compares the features of the profiles.
62 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Profiles Note When the device is in the Continuous Monitoring profile, and episodic or continuous trend data has been stored on the device, the profile control is disabled. Note You cannot change profiles while acquiring patient measurements or while unsaved patient measurements are on the device. 2. To change from the Continuous Monitoring profile to any other profile, complete the following steps: a. Touch End monitoring.
63 Patient data management Patient demographic data is managed on the Patients tab. From this tab, you can do the following: • Retrieve a patient list from the network (for example, electronic medical records (EMR) or a central station). • Select a patient from the list. • Manually create patient entries and a patient list. • Scan a patient ID with the barcode scanner and return a patient name match from your host system. The patient name match could come from EMR or a central station.
64 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient data management Note You can use a barcode scanner to enter a patient ID in the Patient ID field. Touch the barcode, and touch OK. in the Patient ID field, scan 4. Touch OK to return to the Home tab. The information is saved. CAUTION Verify patient identity on the monitor after manual or barcode entry and before printing or transferring patient records.
Directions for use Patient data management 65 Manage patient records (Continuous Monitoring profile) In the Continuous Monitoring profile, the Review tab enables access to a trend table of all readings for the currently selected patient. You can configure the time intervals displayed, and you can scroll through the last 24 hours of patient measurements. Trend data can be printed from this tab. 1. Touch the Review tab. Note Measurements that triggered a physiological alarm are highlighted on this tab.
66 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient data management Note The date and time stamps on saved patient measurements will adjust in response to new date and time settings. Note In the Continuous Monitoring profile, the Send option is not available on the Review tab. Manage patient records (Intervals Monitoring, Spot Check, and Triage profiles) Patient records can be sent to the network, printed, or deleted in these profiles.
Directions for use Patient data management Note Patient measurements older than 24 hours are automatically deleted from the Review tab. Note The date and time stamps on saved patient measurements adjust in response to new date and time settings. 67 Printer The monitor prints to a strip to create printouts of patient information and data. Note The sample printouts below are English, but the language in the printouts is defined by the language selected on the monitor.
68 Patient data management Note Welch Allyn Connex® Vital Signs Monitor 6000 Series™ For monitors connected to the network, deleting a patient on the monitor does not affect data on the network.
69 Alarms The monitor presents physiological alarms and technical alarms. Physiological alarms occur when vital sign measurements fall outside of set alarm limits, but they occur only in the Continuous Monitoring and Intervals Monitoring profiles. Technical alarms occur when there is a problem with the monitor, an accessory connected to the monitor, or the network. Technical alarms occur in all profiles.
70 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Alarms Type Priority Color Alarm audio tone • Very low Cyan 2-pulse tone or 1-pulse tone at 5-minute intervals • Technical alarms that don't impact patient safety Some calibration information messages Alarm notification locations on the monitor WARNING Whenever possible, do not rely on visual alarm notifications alone while monitoring patients. If you must rely on visual alarm notifications, maintain a clear line of sight with the monitor.
Directions for use Alarms 71 Home tab notifications Notification Description to the top priority message. In either option, when multiple alarm messages of the same priority exist at the same time, the device displays the most recent of those alarm messages first. Information messages instruct you to interact with the monitor in a specific way or provide information that does not require action.
72 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Alarms Icons in parameter frames Icon Name and status Alarm audio paused. The audio tone is paused. The icon remains until the paused time counts down to 0. Icons in the Device Status area The icons in the Device Status area are black and white, but the background area changes colors to indicate the alarm priority. Messages accompany these icons. These icons can be controls or status indicators.
Directions for use Alarms 1. In the Device Status area, touch 73 . • Visual indications remain in the parameter frame until the condition is corrected, the next measurement is taken, or the alarm is cancelled. • In the Device Status area, if the icon changes to and the message remains, the timer counts down a fixed pause interval of 60 seconds. The alarm tone returns after the pause interval. A longer pause interval can be configured in the Advanced tab.
74 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Alarms Cancel a paused alarm You can clear a paused alarm from the Home tab. If the condition that caused the alarm persists, a new alarm appears with visual and audio notification. 1. On the Home tab, touch the alarm limits control in the selected parameter frame. The Alarms tab for that parameter appears. 2. Touch . The alarm clears. 3. Touch . 4. Touch the Home tab and confirm that appears in the parameter frame.
Directions for use Alarms 75 Modify audio alarm notification You can modify the volume of all audio alarms. If the Allow user to turn off general audio option is selected in Advanced settings, you can turn off audio alarms. Whenever possible, however, do not rely on visual alarm notifications alone while monitoring patients. If the patient is being monitored continuously, maintain a clear line of sight with the monitor while audio alarms are disabled.
76 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Alarms • To modify the volume of audio alarms: Select a volume level. An audio tone sounds briefly to indicate the volume level. Alarm messages and priorities The following tables list the physiological and technical alarm messages and their priority. Physiological alarms Alarm messages Priority Alarm limit exceeded. etCO2 HIGH. High Alarm limit exceeded. etCO2 LOW. High Alarm limit exceeded. FiCO2 HIGH. Medium Alarm limit exceeded.
Directions for use Alarms Technical alarms Alarm messages Priority Low battery 5 minutes or less remaining. High Searching for pulse signal. High Communications module did not power on properly. Power down the device. High Occlusion in gas line. High Network not found; check network cable connection. Very low Battery is absent or faulty. Very low Battery is absent or faulty. Call for service. Very low NIBP air leak; check cuff and tubing connections. Very low NIBP not functional.
78 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Alarms Alarm messages Priority Printer door is open; close to continue. Very low Printer not functional. Call for service. Very low Out of paper. Very low Printer too hot; wait to retry. Very low Radio not functional. Call for service. Very low Radio error. Power down and restart. Very low Radio error. The radio has restarted. Very low Unable to establish network communications. Radio out of network range.
Directions for use Alarms Alarm messages Priority CO2 is not calibrated. Very low Check exhaust port for occlusion. Very low Check for occlusion in gas line. Very low Connect or clear filter line. Very low Purging filter line. Very low Check calibration gas concentration. Very low Check calibration gas flow. Very low Calibration is overdue. CO2 might not be accurate. Very low Factory service is overdue. CO2 might not be accurate. Very low Calibration failed.
80 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Alarms • The alarm clears. • You reset (pause or turn off) the alarm tone. For paused alarms, Nurse Call notification returns after the pause interval if the condition that caused the alarm persists. Nurse Call thresholds are set in the Advanced Settings. To connect the monitor to a Nurse Call system, you must have a cable that has been adapted to your Nurse Call system (REF 6000-NC), rated 25V AC or 60V DC maximum at 1A maximum.
81 Patient monitoring WARNING When the monitor is not conected to a secondary alarm system during continuous monitoring, check the monitor regularly to receive patient data, alarms, and alerts.
82 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring CO2 waveform view The CO2 capnogram waveform view displays the CO2 waveform, enabling you to observe a patient's breathing patterns and to determine adequate, hyperventilation, or hypoventilation conditions. The size of the etCO2 frame and displayed measurements varies based on your configuration. Set up etCO2 Follow these steps to configure etCO2 parameter options. 1. Touch the Settings tab. 2. Touch the Setup tab. 3.
Directions for use Patient monitoring 83 5. Adjust the following settings as desired: • etCO2 limits. Enter upper and lower alarm limits for etCO2 using the up/down arrow keys or the keypad next to the Limits control. • FiCO2. Enter the desired upper alarm limit for FiCO2, if activated, using the up/ down arrow keys or the keypad next to the FiCO2 control. • High alarm delay. Select the duration using the list box.
84 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring 4. Select the appropriate sampling line based on the following considerations: • Whether the patient is intubated or non-intubated • Whether the patient is on mechanical ventilation • Duration of use • Patient's size and weight 5. Connect the sampling line to the monitor. a. Slide open the door that protects the sampling line port on the monitor. b. Connect the sampling line. Note c.
Directions for use Patient monitoring 85 d. Toggle to the waveform view to ensure that a complete waveform appears. Note When the cannula is not on the patient, the etCO2 value is 0. Note After you connect the sampling line, the monitor immediately searches for breaths, but it does not indicate a No Breath condition before any valid breaths have been detected.
86 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Set up RR Default settings for the RR parameter can be changed only in Advanced settings. Configure RR alarms Follow these steps to set alarm limits for RR measurements. 1. Verify that you are using the Continuous Monitoring profile. 2. Touch the Alarms tab. 3. Touch the RR vertical tab. 4. Ensure that the RR alarm limit control is set to ON.
Patient monitoring Directions for use 87 The range of IPI is 1–10. These values can be interpreted as indicated in the following table. Index range Patient status 10 Normal 8–9 Within normal range 7 Close to normal range; requires attention 5–6 Requires attention and may require intervention 3–4 Requires intervention 1–2 Requires immediate intervention Source: The microMediCO2 Module - OEM Manufacturers' Integration Guide (p. 13), Oridion Medical 1987 Ltd.
88 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring IPI trend graph view This view presents a graph of the IPI numeric values over a user-selected period and thus can alert you to changes in the patient's respiratory status. In Advanced settings, you can select the period displayed. The size of the IPI frame and displayed trend data varies based on your configuration.
Patient monitoring Directions for use Note 89 As shown here, an information message prompts you to select a pediatric age range when you monitor IPI on pediatric patients. 8. Touch OK. The Home tab appears. Note Pediatric patient subtypes appear on the Patient Summary tab and on the Home tab as a label in the IPI frame, but they do not appear in the Patient frame. Configure IPI alarms Follow these steps to set alarm limits for IPI. 1. Verify that you are using the Continuous Monitoring profile. 2.
90 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Note RRa is available only in the Continuous Monitoring profile. Note Masimo SpO2 monitoring is required when monitoring RRa. Note RRa monitoring is only for adult patients who weigh more than 66 pounds (30 kilograms). Note Monitors configured with RRa cannot be configured with CO2.
Directions for use Patient monitoring 91 You can set the RRa averaging default in Advanced settings. Averaging is set to default settings when any of the following occurs: • The device starts up • You change or clear patient context Set up RRa Default settings for the RRa parameter can be changed only in Advanced settings. Configure RRa alarms Follow these steps to set alarm limits for RRa measurements. 1. Verify that you are using the Continuous Monitoring profile. 2.
92 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring WARNING Masimo SpO2 monitoring is required when monitoring RRa. WARNING Patient injury risk. Do not attempt to reprocess, recondition, or recycle any sensors or patient cables. Doing so might damage electrical components. WARNING Patient injury risk. The sensor and extension cable are intended only for connection to pulse co-oximetry equipment. Do not attempt to connect these cables to a PC or any similar device.
Directions for use Patient monitoring 93 The NIBP frame contains data and features relevant to noninvasive blood pressure measurement. The frame provides different features based on the profile you are using. NIBP frame in Continuous Monitoring profile The size of the NIBP frame and displayed measurements varies based on your configuration.
94 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Buttons The buttons on the right side of the frame enable you to do different tasks depending on the profile you are using. The availability of functions depends on which profile is selected. See the Profiles section for more information. Button name Button image Description Start/Stop The appearance and function of this button dynamically changes. Touch to start a manual measurement or a cycle of automatic measurements.
Directions for use Patient monitoring 95 CAUTION Correct sizing of the blood pressure cuff is important for accurate blood pressure readings. A cuff that is too small might provide false high readings, while a cuff that is too large might provide false low readings. The monitor uses the oscillometric method to determine blood pressure; therefore, if the cuff extends to the antecubital fossa (bend in the elbow), you can still acquire an accurate blood pressure reading.
96 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Cuff Size Circumference (cm) Circumference (in) NEO 5 8.9 – 15.0 3.5 – 5.9 Multi-pack 1 of each 1 of each For ordering information, see Approved Accessories on the CD. Position the cuff Note The monitor and cuffs were validated using the bare upper arm site. WARNING Patient injury risk. Do not use the NIBP for continuous monitoring without frequently checking the patient's limb.
Directions for use Patient monitoring Note 97 In situations where you cannot position the cuff level with the heart, you should adjust the measurements as follows for greater accuracy. For each inch (2.54 cm) that the cuff is above the level of the heart, add 1.8 mmHg to the displayed reading. For each inch (2.54 cm) that the cuff is below the level of the heart, subtract 1.8 mmHg from the displayed reading. It is important to document the adjustment on the patient record.
98 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring The new alarm settings take effect immediately. NIBP measurement The monitor enables you to take manual and automatic NIBP measurements. WARNING NIBP readings may be inaccurate for patients experiencing moderate to severe arrhythmia. WARNING Do not allow a blood pressure cuff to remain on neonatal patients more than 90 seconds when inflated above 5 mmHg.
Directions for use Patient monitoring 99 Take a manual NIBP measurement WARNING Patient injury risk. Never install Luer Lock connectors on Welch Allyn blood pressure cuff tubing. Using these connectors on blood pressure cuff tubing creates the risk of mistakenly connecting this tubing to a patient's intravenous line and introducing air into the patient's circulatory system. CAUTION Inaccurate measurement risk.
100 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Set up NIBP intervals Follow these steps to configure NIBP intervals. 1. Touch the Settings tab. 2. Touch the Setup tab. 3. Touch the Intervals vertical tab. 4. Select Automatic, Program, or Stat, and follow the steps presented in the associated topics that follow. 5. To automatically print patient data at each interval, touch the Automatic print on interval checkbox. 6. To start intervals immediately, touch Start intervals.
Directions for use Patient monitoring 101 Note Intervals are not available in all profiles. See the Profiles section for more information. Program intervals You can configure the monitor to take automatic NIBP measurements at variable intervals. The monitor comes with preset interval programs that can be edited to meet your needs. You can rename selected programs using the keyboard feature.
102 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring The new intervals take effect at the start of the next NIBP measurement. Stat intervals You can configure the monitor to take NIBP measurements continuously. When you select the Stat option, the monitor takes repeated NIBP measurements for 5 minutes, starting a new cycle each time the cuff deflates below safe venous return pressure (SVRP) for 2 seconds. WARNING Patient injury risk.
Patient monitoring Directions for use 103 Stop intervals measurements Follow these steps to turn off intervals. 1. On the Home tab, touch the interval timer button ( Note ). The actual time remaining varies based on the length of the selected interval and the time expired. 2. Touch Stop intervals. Note If you are in Stat intervals, you can also stop intervals on the Home tab by touching . Temperature Temperature frame From the temperature frame you can measure patient temperature.
104 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Temperature frame in Spot Check and Triage profiles Temperature measurement display In all profiles, the frame can display temperature in Celsius or Fahrenheit. You can configure the default view in Advanced settings. Site selection Remove the temperature probe and touch the Temperature site control to toggle between sites.
Directions for use Patient monitoring 105 Temperature buttons The buttons on the right side of the frame enable you to do different tasks depending on the profile you are using. The availability of functions depends on which profile is selected. Button name Button image Description Temperature alarm This button displays alarm status. It also displays alarm limits in some device configurations. Touch the button to display the Alarms tab. Direct mode Touch the button to enter Direct mode.
106 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring SureTemp® Plus temperature module The temperature module uses a thermistor thermometer design and a predictive algorithm to calculate patient temperatures in the Predictive mode. WARNING Patient injury risk. Prior to taking a temperature, instruct the patient not to bite down on the probe as patient injury and damage to the probe may result. WARNING Patient injury risk.
Patient monitoring Directions for use 107 WARNING Never use a damaged temperature probe. The thermometer consists of high-quality precision parts and should be protected from severe impact or shock. Do not use the thermometer if you notice any signs of damage to the probe or monitor. If the thermometer probe is dropped or damaged, remove it from use and have it inspected by qualified service personnel. CAUTION Inaccurate measurement risk.
108 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Take a temperature in the Predictive mode WARNING Inaccurate measurement risk. To ensure optimal accuracy, always confirm that the correct mode and site are selected. WARNING Patient injury risk. Prior to taking a temperature, instruct the patient not to bite down on the probe as patient injury and damage to the probe may result. CAUTION Probe covers are disposable, nonsterilized, and single-use. Probes are also nonsterilized.
Directions for use Patient monitoring 109 5. The monitor sounds a tone when the final temperature is reached (in approximately 6 to 15 seconds). The temperature frame continues to display the temperature even after the probe is returned to the probe well. Note To switch to the Direct mode, touch after you acquire the Predictive mode measurement. The temperature frame displays text indicating that the Direct mode is active. The monitor sounds a tone at the start of a Direct mode measurement. 6.
110 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring WARNING Patient injury risk. Do not exceed the recommended temperature measurement durations in Direct mode. Continuous measurement durations of 3 minutes at the oral and rectal sites and 5 minutes at the axillary site are recommended for accurate measurement. Do not continuously measure beyond 10 minutes in any mode. WARNING Inaccurate measurement risk.
Directions for use Patient monitoring 111 Take a temperature at the rectal site WARNING Patient injury risk. When taking rectal temperatures, insert the probe tip only 5/8 inch (approximately 1.5 cm) inside the rectum of adults and only 3/8 inch (approximately 1 cm) inside the rectum of children to avoid the risk of bowel perforation. WARNING Cross-contamination or nosocomial infection risk. Thorough hand-washing greatly reduces the risk of cross-contamination and nosocomial infection.
112 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Note To switch to the Direct mode, touch after the Predictive mode measurement is acquired. The temperature frame displays text indicating that the Direct mode is active. The monitor sounds a tone to indicate the start of a Direct measurement. Once you are in the Direct mode, continue to separate the buttocks and hold the probe in place throughout the measurement process.
Directions for use Patient monitoring 113 WARNING Inaccurate measurement risk. Use only Braun ThermoScan probe covers with this thermometer. WARNING Inaccurate measurement risk. Frequently inspect the probe window and keep it clean, dry, and undamaged. Fingerprints, cerumen, dust, and other contaminants reduce the transparency of the window and result in lower temperature measurements. To protect the window, always keep the thermometer in the accessory dock when the thermometer is not in use.
114 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring 8. Return the thermometer to the accessory dock. The LED on the dock flashes while the measurement is being transferred. After the transfer is complete, the temperature and the temperature scale appear on the Home tab according to the monitor settings. Note Only the latest measurement is transferred to the monitor. Note Measurements that have already been transferred to the monitor cannot be transferred again.
Directions for use Patient monitoring 115 The size of the SpO2 frame and displayed measurements varies based on your configuration.
116 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Response Mode Control The Response Mode Control allows you to set the SpO2 measurement time to either Normal or Fast. Perfusion Index Perfusion Index (PI) is an SpO2 feature available only with Masimo-equipped monitors. PI is a relative reading of pulse strength at the monitoring site. PI display ranges from 0.1 percent (very weak pulse strength) to 20.0 percent (very strong pulse strength).
Directions for use Patient monitoring 117 SpO2 waveform view The waveform view shows the real-time SpO2 plethysmograph waveform. You can select the waveform sweep speed in Advanced settings. Set up SpO2 Follow these steps to configure SpO2 parameter settings. 1. Touch the Settings tab. 2. Touch the Setup tab. 3. Touch the SpO2 vertical tab. 4. Select the desired SpO2 measurement site using the list box. 5. Select the desired O2 flow rate and O2 concentration using the keypad. 6.
118 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Set Response Mode To set the Response Mode from the Home tab, the monitor must be in the Intervals Monitoring or Continuous Monitoring profile. Touch in the SpO2 frame. The SpO2 frame displays MODE: Fast when Fast mode is selected. Measure SpO2 and pulse rate WARNING Inaccurate measurement risk. Use only Masimo rainbow SET sensors and accessories on Masimo-equipped monitors. WARNING Inaccurate measurement risk.
Directions for use Patient monitoring 119 WARNING The accuracy of SpO2 measurements can be affected by any of the following: • elevated levels of total bilirubin • elevated levels of Methemoglobin (MetHb) • elevated levels of Carboxyhemoglobin (COHb) • hemoglobin synthesis disorders • low perfusion at the monitored site • the presence of concentrations of some intravascular dyes, sufficient to change the patient's usual arterial pigmentation • patient movement • patient conditions such as
120 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring WARNING Patient injury risk. Exercise caution whe applying a sensor to a patient with compromised skin integrity. Applying tape or pressure to compromised sites can reduce circulation and cause additional skin damage. Note If a sterile sensor is required, select a sensor that has been validated for sterilization, and follow the sensor manufacturer's directions for sterilizing the sensor.
Directions for use Patient monitoring 121 SpHb numeric view The numeric view indicates the total hemoglobin level in either grams per deciliter (g/dL) or millimoles per liter (mmol/L). You can select the unit of measure in Advanced settings. The size of the SpHb frame and displayed measurements varies based on your configuration.
122 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring 3. Touch the SpHb vertical tab. 4. Ensure that the SpHb alarm limit control is set to ON. Note If any parameter's alarm limit control is set to OFF, you cannot adjust alarm limits on the Alarm tab, and no visual or audio signals will occur for that specific parameter. 5. Enter the desired upper and lower alarm limits for SpHb using the up/down arrow keys or the keypad. 6. Touch the Home tab.
Directions for use Patient monitoring 123 WARNING The accuracy of SpHb measurements can be affected by any of the following: • elevated levels of total bilirubin • elevated levels of Methemoglobin (MetHb) • elevated levels of Carboxyhemoglobin (COHb) • hemoglobin synthesis disorders • low perfusion at the monitored site • the presence of concentrations of some intravascular dyes, sufficient to change the patient's usual arterial pigmentation • patient movement • patient conditions such as
124 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring WARNING Patient injury risk. Exercise caution whe applying a sensor to a patient with compromised skin integrity. Applying tape or pressure to compromised sites can reduce circulation and cause additional skin damage. If a sterile sensor is required, select a sensor that has been validated for sterilization, and follow the sensor manufacturer's directions for sterilizing the sensor.
Directions for use Patient monitoring 125 Continuous Monitoring profile The size of the pulse rate frame and displayed measurements varies based on your configuration. Intervals Monitoring profile Spot Check and Triage profiles Set up pulse rate Follow these steps to configure pulse rate parameter settings. 1. Touch the Settings tab. 2. Touch the Setup tab. 3. Touch the Pulse rate vertical tab. 4. Select the desired Tone volume. 5. Touch the Home tab. The new settings take effect immediately.
126 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Patient monitoring Note If any parameter's alarm limit control is set to OFF, you cannot adjust alarm limits on the Alarm tab, and no visual or audio signals will occur for that specific parameter. 5. Enter the desired upper and lower alarm limits for pulse rate using the up/down arrow keys or the keypad. 6. Touch the Home tab. The new alarm settings take effect immediately.
Directions for use Patient monitoring 127 2. Touch the up/down arrow keys or the keypad to manually adjust height, weight, pain level, temperature, respiration rate, or other parameters. Note If an approved, battery-powered weight scale is attached to the monitor, measurements from the weight scale populate fields in the Manual tab. You can adjust weight and height measurements on this tab, but if you do, the read-only BMI field will clear.
128 Patient monitoring Welch Allyn Connex® Vital Signs Monitor 6000 Series™
129 Maintenance and service Perform periodic checks Welch Allyn recommends that each facility conduct periodic checks of each monitor. 1. Check the following at least daily: • Audible indicators (a piezo beeper and a speaker tone) at power-up • Fan, especially at startup • Touchscreen alignment • Date • Time 2.
130 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Maintenance and service 2. Remove the empty core. WARNING Hot surface. Do not touch the printer mechanism. 3. Insert a new roll of paper. Note The paper roll must be installed so that it unwinds from the bottom of the roll, as illustrated. If the paper roll is not installed correctly, the printer will not print properly. 4. Advance the end of the roll past the roller so that it extends past the printer door, as shown. 5.
Directions for use Maintenance and service 131 2. Locate the battery cover, indicated by . 3. Insert a coin into the slot and push to open. Choose a coin that fits comfortably in the slot. 4. Pull the battery out by pulling the battery label, which is visible when you open the battery cover. 5. Slide in the new battery. Ensure that you insert the new battery in the same orientation as the old battery. 6. Replace the battery cover by positioning the end below firmly on the opposite end.
132 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Maintenance and service Clean the monitor WARNING Electric shock hazard. Before cleaning the monitor, disconnect the AC power cord from the power outlet and the monitor. WARNING Electric shock hazard. DO NOT autoclave the monitor or accessories. The monitor and the accessories are not heat-resistant. WARNING Liquids can damage electronics inside the monitor. Prevent liquids from spilling on the monitor. If liquids are spilled on the monitor: 1. 2.
Directions for use Maintenance and service 133 CaviWipes or Sani-Cloth Plus 1. Using CaviWipes or Sani-Cloth Plus, wipe the surface of the monitor to remove all debris. 2. Allow the monitor surface to dry for a minimum of 10 minutes before using the monitor. 70 percent isopropyl alcohol Wipe the monitor with a clean cloth slightly dampened with 70 percent isopropyl alcohol. 10 percent chlorine bleach solution 1.
134 Maintenance and service Welch Allyn Connex® Vital Signs Monitor 6000 Series™
135 Advanced settings The Advanced tab provides password-protected access to the monitor's Advanced settings (or Admin mode), enabling nurse administrators, biomedical engineers, and/or service engineers to configure specific features. The Advanced tab also presents readonly information about the monitor. Note You cannot enter the Advanced settings if sensors or physiological alarms are active or if vital sign measurements are displayed. General Specify the language 1. Access the Advanced Settings. a.
136 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Advanced settings • To exit the Advanced Settings and return to the Home tab, touch Exit. Specify date and time settings 1. Access the Advanced Settings. a. Touch the Settings tab. b. Touch the Advanced tab. c. Enter the Advanced settings code. d. Touch OK. The General tab appears. 2. On the General tab, touch the Date / Time tab. 3. Specify settings. Setting Action/Description Date format Select a date format for display.
Directions for use Advanced settings 137 These controls are on the Alarms tab (on the General tab). Audio pause time Specify the amount of pause time that is added to the 60-second pause time. When a clinician pauses an audio alarm tone, the tone is paused for the combined amount of time. Nurse call threshold Select the minimum priority alarm that activates a nurse call relay. If you select High, only high-level alarms activate a nurse call relay.
138 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Advanced settings Display power saver Specify the required period of monitor inactivity before the display turns off. Clinician interactions, new vital sign measurements, or alarm conditions automatically turn on the display. Device power down Specify the required period of monitor inactivity before the monitor turns off. 4. Do one of the following: • To continue in the Advanced Settings, touch another tab.
Directions for use Advanced settings 139 b. Touch the Advanced tab. c. Enter the Advanced settings code. d. Touch OK. The General tab appears. 2. Touch the General tab. 3. Touch the Demo tab. 4. Specify settings. Setting Action/Description Type Select a type of demonstration mode. Start Touch Start to put the monitor in demonstration mode. Navigate to the Home tab to begin Demo mode. 5. Do one of the following: • To continue in the Advanced Settings, touch another tab.
140 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Advanced settings b. Touch the Advanced tab. c. Enter the Advanced settings code. d. Touch OK. The General tab appears. 2. Touch the Parameters tab. 3. Touch the RRa tab. 4. Specify settings. Setting Action/Description RRa averaging Select the default averaging option that provides the desired visibility of subtle variations in RRa measurements.
Directions for use Advanced settings c. 141 Enter the Advanced settings code. d. Touch OK. The General tab appears. 2. Touch the Parameters tab. 3. Touch the Pulse rate tab. 4. Specify settings. Setting Display source Action/Description Select this to show the source of pulse rate measurements (NIBP or SpO2) on the Home tab. 5. Do one of the following: • To continue in the Advanced Settings, touch another tab. • To exit the Advanced Settings and return to the Home tab, touch Exit.
142 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Advanced settings Last calibration Displays date (XX/XX/XXXX) and time (00:00:00) of last calibration. Annual calibration Displays anniversary date (XX/XX) of annual calibration. • For more calibration information, see the Service manual. 5. Do one of the following: • To continue in the Advanced Settings, touch another tab. • To exit the Advanced tabs and return to the Home tab, touch Exit. Specify advanced SpHb settings 1.
Directions for use Advanced settings 4. Specify settings. Setting Default view 143 Action/Description Select primary and secondary views. Select Display MAP to display mean arterial pressure (MAP) in the NIBP frame on the Home tab. If Display MAP is selected, specify which numerics are primary in the NIBP frame. On the Home tab, clinicians can touch the NIBP frame to toggle between views. Unit of measure Select the NIBP unit of measure for display.
144 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Advanced settings 5. Do one of the following: • To continue in the Advanced Settings, touch another tab. • To exit the Advanced Settings and return to the Home tab, touch Exit. Specify the manual parameters The Manual Parameters frame is in the lower right corner of the Home tab. You can manually enter values for parameters in the frame. You also can specify which parameters appear in the frame. 1. Access the Advanced Settings. a.
Directions for use Advanced settings 145 Data management Specify patient settings Patient identification appears on the Home tab in the Patient frame, and it is listed in various tabs, such as the Patient tab and the Review tab. 1. Access the Advanced Settings. a. Touch the Settings tab. b. Touch the Advanced tab. c. Enter the Advanced settings code. d. Touch OK. The General tab appears. 2. Touch the Data Management tab. 3. Touch the Patient tab. 4. Specify settings.
146 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Advanced settings 5. Do one of the following: • To continue in the Advanced Settings, touch another tab. • To exit the Advanced Settings and return to the Home tab, touch Exit. Specify clinician settings Clinician identification appears next to the medicine symbol in the Device Status area on the Home tab. 1. Access the Advanced Settings. a. Touch the Settings tab. b. Touch the Advanced tab. c. Enter the Advanced settings code. d. Touch OK.
Directions for use Advanced settings c. 147 Enter the Advanced settings code. d. Touch OK. The General tab appears. 2. Touch the Data Management tab. 3. Touch the Clinical Data tab. 4. Specify settings. Setting Automatically send on manual save Action/Description Select this option to specify that measurements are sent to the network when a clinician saves measurements on the Home tab.
148 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Advanced settings Specify radio settings This task is applicable only to monitors that have a radio installed. 1. Access the Advanced Settings. a. Touch the Settings tab. b. Touch the Advanced tab. c. Enter the Advanced settings code. d. Touch OK. The General tab appears. 2. Touch the Network tab. 3. Touch the Radio tab. 4. Specify settings. Setting Action/Description Enable radio Enable the radio for device communications.
Advanced settings Directions for use • 149 To exit the Advanced Settings and return to the Home tab, touch Exit. Specify server settings 1. Access the Advanced Settings. a. Touch the Settings tab. b. Touch the Advanced tab. c. Enter the Advanced settings code. d. Touch OK. The General tab appears. 2. Touch the Network tab. 3. Touch the Server tab. 4. Specify settings.
150 Advanced settings Welch Allyn Connex® Vital Signs Monitor 6000 Series™
151 Troubleshooting This section presents tables of technical alarm and information messages, as well as problem descriptions that do not generate messages, to help you troubleshoot issues on the monitor. Note Problem descriptions without messages appear at the end of this section. When the monitor detects certain events, a message appears in the Device Status area at the top of the screen. Message types include the following: • Information messages, which appear on a blue background.
152 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Troubleshooting Message Possible cause CO2 temperature out of range. CO2 CO2 module temperature is out of range is not calibrated. Suggested action Wait for the module temperature to return to normal and the module to reset before calibrating CO2. Move to a location where the ambient temperature enables the module temperature to return to normal and the module to reset before calibrating CO2. Connect or clear filter line.
Directions for use Troubleshooting 153 RRa messages Message Possible cause Suggested action Respiratory freshness timeout expired. Excessive ambient or environmental noise Reduce the level of noise in the room. Poor sensor placement on the patient Remove the sensor from the patient and reapply. The patient cable or sensor is defective Replace the patient cable or sensor. The sensor is faulty Replace the sensor. No sensor is connected Connect the sensor.
154 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Troubleshooting Message Possible cause Unable to determine NIBP; check connections and tubing for kinks. The NIBP tubing on the outside of the device has Check the connections and tubing a kink for kinks. Clear the alarm and retry NIBP. Incorrect NIBP cuff size; check patient type. Suggested action The NIBP module needs to be calibrated Call for service to calibrate the NIBP module.
Directions for use Troubleshooting Message Possible cause 155 Suggested action Reattach the SpO2 sensor to the patient's finger. Attach SpO2 sensor to monitor. The sensor was not detected Check the sensor connection. Replace the SpO2 sensor. Replace the SpO2 sensor. The SpO2 sensor is faulty or expired Replace the SpO2 sensor. No SpO2 sensor is connected Connect an SpO2 sensor. The cable is faulty or expired Replace the cable. Replace the SpO2 cable.
156 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Troubleshooting Message Possible cause Suggested action Temperature time limit exceeded. Retry temperature measurement. The direct mode timed out Remove the probe from the measurement site. Tissue contact lost. The probe has lost contact with the patient's tissue Touch OK to dismiss the message. Return the probe to the probe well and retry patient temperature measurement. Ensure that the probe makes proper contact with the patient's tissue.
Directions for use Troubleshooting 157 Message Possible cause Suggested action Patient list is full. Delete some patients to add more. The maximum number of patients was exceeded Delete a patient from the list to add a new patient. Stop intervals to select new patient. The monitor is set to take interval readings Stop intervals before changing the patient. No connection for send.
158 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Troubleshooting Ethernet messages Message Possible cause Network not found; check network A network cable is unplugged cable connection. A network connection is broken elsewhere Suggested action Check the network cable connection. If problem persists, call for service. USB messages Message Possible cause Suggested action USB Communication failure. Call for service.
Directions for use Troubleshooting 159 Battery power manager messages Message Possible cause Suggested action Low battery 5 minutes or less remaining. (High-priority alarm) Battery power is extremely low Connect the monitor to AC power. (If not connected to AC power, the monitor powers down when battery power is depleted.) Low battery 30 minutes or less remaining. Battery power is low Touch the alarm icon to dismiss or connect the monitor to AC power. Battery is absent or faulty.
160 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Troubleshooting Message Possible cause Suggested action Printer not functional. Call for service. The printer motor is broken Call for service. The detection switch malfunctioned A hardware failure occurred in the power supply The printer does not identify itself correctly The printer does not enumerate Printing records: Note The number of records requested appears in the message and counts down during printing. Printing report; please wait.
Directions for use Troubleshooting 161 Problem Possible cause Suggested action No weight measurement is transferred from the scale to the monitor The scale is not connected Inspect the USB cables from the device to the adapter to the scale to ensure that they are connected properly. The scale setting is incorrect Ensure that the scale settings are enabled for transfer.
162 Troubleshooting Welch Allyn Connex® Vital Signs Monitor 6000 Series™
163 Specifications Physical specifications Protection classifications, all monitor configurations Characteristic Specification Electrical rating 100 – 240 V AC, 50 – 60 Hz, 0.8 –1.
164 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Specifications Protection classifications, all monitor configurations Graphical display resolution Display area 8 in. (H) x 4 in. (V) (19.5 [H] cm x 11.3 [V] cm) Pixels 1024 (H) x 600 (V) Pixel arrangement RGB (red, green, blue) Color depth 16 bits per pixel Speaker volume Output sound pressure 67 dB at 1.
Directions for use Specifications 165 Battery specifications 6 cell 9 cell 1A patient exam includes NIBP, Temperature, and SpO2 measurements at the rate of one patient every 10 minutes with a 2-minute display time out setting and a new battery. 2After this many full charge and discharge cycles, the battery has aged to where its total capacity has been reduced to 70 percent of its rating.
166 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Specifications NIBP specifications Pediatric: 280 mmHg (37.3 kPa) (StepBP, SureBP) Neonate: 130 mmHg (17.3 kPa) (StepBP) Blood pressure determination time Typical: 15 seconds Maximum: 150 seconds Blood pressure accuracy Meets or exceeds ANSI/AAMI SP10:2002 standards for noninvasive blood pressure accuracy, ±5 mmHg (0.7 kPa) mean error, 8 mmHg (1.1 kPa) standard deviation Mean Arterial Pressure (MAP) range Adult: 23 to 230 mmHg (3.1 to 30.
Directions for use Specifications 167 Nellcor specifications (for additional information, refer to the directions for use that accompanies each accessory) SpO2 Unit of measure % Measurement range 1% to 100% Nellcor sensor accuracy guide SpO2 measurement accuracy can only be evaluated in vivo by comparing pulse oximeter readings with SaO2 measurements obtained from simultaneously sampled arterial blood made using a laboratory CO-oximeter.
168 Specifications Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Nellcor specifications (for additional information, refer to the directions for use that accompanies each accessory) Measurement range 20 to 250 beats per minute Accuracy ±3 digits Functional tester WARNING Functional testers cannot be used to assess the accuracy of a pulse oximeter monitor.
Directions for use Specifications 169 Masimo specifications (for additional information, refer to the directions for use that accompanies each accessory) Adults, Infants, Pediatrics, Neonates (low perfusion4): ±2% Resolution 1% Perfusion Index Measurement range 0.1% to 20.
170 Specifications Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Masimo specifications (for additional information, refer to the directions for use that accompanies each accessory) against a laboratory CO-Oximeter and ECG monitor. This variation equals ±1 standard deviation which encompasses 68% of the population.
Directions for use Specifications 171 CO2 specifications (for additional information, refer to the directions for use that accompanies each accessory) Sampled gas return/disposal Sampled gases are not returned to the breathing circuit. Exhaled gas is exhausted from the monitor's exhaust port. Dispose of sampled gases according to facility requirements or local regulations.
172 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Specifications Alarm limits Upper limit range of entry Systolic Adult: 30 to 258 mmHg (4.0 to 34.4 kPa). Factory Adult: 28 to 256 mmHg (3.7 to 34.1 kPa). Factory default: 220 mmHg (29.3 kPa). default: 75 mmHg (10.0 kPa). Diastolic MAP Lower limit range of entry Pediatric: 32 to 160 mmHg (4.3 to 21.3 kPa). Factory default: 145 mmHg (19.3 kPa). Pediatric: 30 to 158 mmHg (4.0 to 21.1 kPa). Factory default: 75 mmHg (10.0 kPa).
Directions for use Specifications 173 Alarm limits Upper limit range of entry Lower limit range of entry IPI None Adult, Pediatric: 1 to 10. Factory default: 4. RR Adult: 5 to 150 breaths per minute. Factory default: 50 breaths per minute. Adult: 0 to 145 breaths per minute. Factory default: 3 breaths per minute. Pediatric: 5 to 150 breaths per minute. Factory default: 50 breaths per minute. Pediatric: 0 to 145 breaths per minute. Factory default: 3 breaths per minute.
174 Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Specifications Canada: RSS-210; RSS-GEN; RSS-102 Hong Kong: HKTA 1039 Protocols UDP, DHCP, TCP/IP Data transfer protocols UDP, TCP/IP Modulation OFDM (802.11a/g), DSSS/CCK (802.11b) Output power 40mW typical, country-dependent Ancillary IEEE standards 802.11e, 802.11h, 802.11i, 802.11X Channel restrictions in the 5-GHz band are determined by country. Marking by the symbol ( ! ) indicates that usage restrictions apply.
175 Standards and compliance General compliance and standards The monitor complies with the following standards: 21 CFR Subchapter H – Medical Devices – US Food and Drug Administration 2002 No.
176 Standards and compliance Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Electrical Equipment (WEEE). If this product is contaminated, this directive does not apply. For more specific disposal or compliance information, see www.welchallyn.com/weee, or contact Welch Allyn Customer Service at +44 207 365 6780.
Directions for use Standards and compliance 177 Industry Canada (IC) emissions This device complies with RSS 210 of Industry Canada. Operation is subject to the following two conditions: (1) this device may not cause interference, and (2) this device must accept any interference, including interference that may cause undesired operation of this device.
178 Standards and compliance Welch Allyn Connex® Vital Signs Monitor 6000 Series™ Malti Hawnhekk, Welch Allyn, jiddikjara li dan RLAN device jikkonforma mal-htigijiet essenzjali u ma provvedimenti ohrajn relevanti li hemm fid-Dirrettiva 1999/5/EC Portuguese Welch Allyn declara que este RLAN device está conforme com os requisitos essenciais e outras disposições da Directiva 1999/5/CE.
179 Guidance and manufacturer's declaration EMC compliance Special precautions concerning electromagnetic compatibility (EMC) must be taken for all medical electrical equipment. This device complies with IEC EN 60601-1-2:2007. • All medical electrical equipment must be installed and put into service in accordance with the EMC information provided in this document and the Welch Allyn Connex Vital Signs Monitor 6000 Series Directions for Use.
180 Guidance and manufacturer's declaration Welch Allyn Connex® Vital Signs Monitor 6000 Series™
181 Warranty Welch Allyn warrants the product to be free of defects in material and workmanship and to perform in accordance with manufacturer's specifications for the period of two years from the date of purchase from Welch Allyn or its authorized distributors or agents. The warranty period shall start on the date of purchase.
