901060 Connex Devices

Product Information

Specifications

• Software Version: 2.4X

• Manufacturer: Welch Allyn, Inc.

• Trademarks: Connex, SureTemp, FlexiPort, SureBP, Vital Signs
  Monitor 6000 Series, PartnerConnect

• Other Trademarks: Oridion, Microstream, Radical-7R, Pulse
  CO-Oximeter, rainbow Acoustic Monitoring

• Registered Trademarks: SET, LNCS, SpHb, rainbow, Masimo,
  Nellcor SpO2 Patient Monitoring System

• Registered Trademarks: ThermoScan, Health o meter,
  EarlySense

Product Usage Instructions

Legal Statement

Welch Allyn assumes no responsibility for any injury resulting
from failure to use the product properly according to the
instructions provided.

Trademark Information

The product contains various trademarks and registered
trademarks of Welch Allyn and other companies. Possession or
purchase of the device does not imply a license to use it with
unauthorized products.

Software Information

The product may contain free or open-source software (FOSS) to
enhance robustness and security. Visit hillrom.com/opensource for
more information.

Patents

The product may be covered by one or more patents. Visit
hillrom.com/patents for more information on patents related to this
product.

Contact Information

For technical support or product information, contact Hillrom
Technical Support at hillrom.com/en-us/about-us/locations.

Revision Information

Revision Date: 2023-09

Manufacturing Details

Manufactured by Welch Allyn, Inc. in Skaneateles Falls, NY, USA.
A subsidiary of Hill-Rom Holdings, Inc.

Authorized Australian Sponsor

This manual is intended for use in Australia with authorized
sponsor Welch Allyn Australia Pty. Ltd.

Contact Information in Ireland

Welch Allyn Limited located in Navan Business Park Dublin Road
Navan, Co. Meath C15 AW22 Ireland.

Product Models Covered

• 901060 Vital Signs Monitor

• 901028 Connex Integrated Wall

Frequently Asked Questions (FAQ)

Q: Can I use unauthorized CO2 sampling products with this

device?

A: No, possession or purchase of this device does not imply a
license to use it with unauthorized CO2 sampling products.

Q: How can I obtain the source code for the free or open-source

software (FOSS) used in this product?

A: Visit hillrom.com/opensource for information on obtaining the
FOSS source code.

Q: Where can I find information about patents related to this

product?

A: Visit hillrom.com/patents for information on patents related
to this product.

Welch Allyn® Connex® Devices
Instructions for use
Software version 2.4X

© 2023 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.
Legal Statement. Welch Allyn, Inc. (“Welch Allyn”) assumes no responsibility for any injury to anyone that may result from (I) failure to properly use the product in accordance with the instructions, cautions, warnings, or statement of intended use published in this manual, or (ii) any illegal or improper use of the product.
Welch Allyn, Connex, SureTemp, FlexiPort, and SureBP are registered trademarks of Welch Allyn.
Vital Signs Monitor 6000 Series and PartnerConnect are trademarks of Welch Allyn.
Integrated Pulmonary Index and Oridion and Microstream are trademarks of a Medtronic company. No implied license. Possession or purchase of this device does not convey any express or implied license to use the device with unauthorized CO2 sampling products 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 products.
Radical-7R, Pulse CO-Oximeter, rainbow Acoustic Monitoring, RRa, and ReSposable are trademarks of, and SET, LNCS, SpHb, rainbow, and Masimo are registered trademarks of Masimo Corporation. Possession or purchase of a Masimo-equipped device does not convey any express or implied license to use the device with unauthorized sensors or cables which would, alone or in combination with this device, fall within the scope of one or more of the patents relating to this device.
Nellcor SpO2 Patient Monitoring System with OxiMax Technology and Nellcor SpO2 OxiMax Technology are trademarks of a Medtronic company.
Braun and ThermoScan are registered trademarks of Braun GmbH.
Health o meter is a registered trademark of Sunbeam Products, Inc., used under license.
EarlySense is a registered trademark of EarlySense Ltd.
Software in this product is Copyright 2023 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.
This product may contain software known as “free” or “open source” software (FOSS). Hill-Rom uses and supports the use of FOSS. We believe that FOSS makes our products more robust and secure, and gives us and our customers greater flexibility. To learn more about FOSS that may be used in this product, please visit our FOSS website at hillrom.com/opensource. Where required, a copy of FOSS source code is available on our FOSS website.
PATENTS / PATENT hillrom.com/patents May be covered by one or more patents. See above Internet address. The Hillrom companies are the proprietors of European, US, and other patents and pending patent applications.
For Masimo patent information, please visit www.masimo.com/company/masimo/patents.
For Nellcor patent information, please visit www.medtronic.com/patents.
For information about any product, contact Hillrom Technical Support: hillrom.com/en-us/about-us/locations.

108973, 80029736 Ver. B Revision date: 2023-09
Welch Allyn, Inc. 4341 State Street Road Skaneateles Falls, NY 13153 USA Welch Allyn, Inc. is a subsidiary of Hill-Rom Holdings, Inc. hillrom.com

This manual applies to System.
Welch Allyn Limited Navan Business Park Dublin Road Navan, Co. Meath C15 AW22 Ireland

901060 Vital Signs Monitor and

901028 Connex Integrated Wall

This IFU is intended for use in Australia. Authorized Australian Sponsor Welch Allyn Australia Pty. Ltd. 1 Baxter Drive Old Toongabbie NSW 2146 Australia

Authorized Representative for Kazakhstan TOO Orthodox Pharm Uly Dala Avenue 7/4, apt 136 Nur-Sultan 010000 Kazakhstan

iii
Contents
Introduction ………………………………………………………………………………………………………………… 1
Connex Vital Signs Monitor 6000 Series …………………………………………………………………………………………………. 1 Connex Integrated Wall System ………………………………………………………………………………………………………………… 1 Indications for use …………………………………………………………………………………………………………………………………………… 2 Contraindications …………………………………………………………………………………………………………………………………………….. 3
Symbols ……………………………………………………………………………………………………………………….. 5
Screen elements …………………………………………………………………………………………………………. 9
About warnings and cautions ………………………………………………………………………………… 15
General warnings and cautions ………………………………………………………………………………………………………………. 15
Physical design …………………………………………………………………………………………………………. 27
Vital Signs Monitor 6000 Series ……………………………………………………………………………………………………………….. 27 Integrated Wall System ………………………………………………………………………………………………………………………………. 31
Setup ………………………………………………………………………………………………………………………….. 35
Vital Signs Monitor 6000 Series ……………………………………………………………………………………………………………….. 35 Supplies and accessories ……………………………………………………………………………………………………………………………. 35 Insert the battery …………………………………………………………………………………………………………………………………………… 35 Mount the monitor ………………………………………………………………………………………………………………………………………. 36 Attach the probe well …………………………………………………………………………………………………………………………………. 37 Attach the temperature probe ………………………………………………………………………………………………………………… 38 Remove the temperature probe and well …………………………………………………………………………………………… 38 Connect the NIBP hose ………………………………………………………………………………………………………………………………. 39 Disconnect the NIBP hose …………………………………………………………………………………………………………………………. 39 Connect the SpO2 cable or the SpO2/RRa dual cable …………………………………………………………………… 39 Disconnect the SpO2 cable or the SpO2/RRa dual cable ……………………………………………………………… 41 Connect the patient movement cable …………………………………………………………………………………………………. 41 Disconnect the patient movement sensor and cable ……………………………………………………………………. 42 Attach a USB accessory ………………………………………………………………………………………………………………………………. 42 Detach a USB accessory ……………………………………………………………………………………………………………………………… 43 Insert a new roll of paper …………………………………………………………………………………………………………………………… 43 Connect AC power ……………………………………………………………………………………………………………………………………….. 44 Disconnect AC power …………………………………………………………………………………………………………………………………. 45 Integrated Wall System ………………………………………………………………………………………………………………………………. 45 Supplies and accessories ……………………………………………………………………………………………………………………………. 45 Unpack the wall system ……………………………………………………………………………………………………………………………… 45 Insert the battery …………………………………………………………………………………………………………………………………………… 46 Prepare for mounting ………………………………………………………………………………………………………………………………….. 47 Mounting location ………………………………………………………………………………………………………………………………………… 49 Mount the wall system ……………………………………………………………………………………………………………………………….. 49

iv Contents

Welch Allyn® Connex® Devices

Mount the accessory bin ……………………………………………………………………………………………………………………………. 53 Connect the blood pressure (NIBP) hose …………………………………………………………………………………………….. 55 Set up the physical assessment instrument handles and specula dispenser ………………………. 55 Set up the SureTemp® Plus thermometer …………………………………………………………………………………………… 56 Set up the Braun ThermoScan® PRO thermometer …………………………………………………………………………. 57 Connect AC power ……………………………………………………………………………………………………………………………………….. 58 Attach an accessory ……………………………………………………………………………………………………………………………………… 58
Startup ……………………………………………………………………………………………………………………….. 61
Power …………………………………………………………………………………………………………………………………………………………………. 61 Power up the monitor ………………………………………………………………………………………………………………………………… 62 Set the date and time ………………………………………………………………………………………………………………………………….. 63 Power down the monitor ………………………………………………………………………………………………………………………….. 63 Reset the monitor …………………………………………………………………………………………………………………………………………. 64 Single sign- on (SSO) …………………………………………………………………………………………………………………………………….. 64 Patient Protection mode ……………………………………………………………………………………………………………………………. 66
Navigation …………………………………………………………………………………………………………………. 67
Home tab …………………………………………………………………………………………………………………………………………………………. 67 Device Status area ………………………………………………………………………………………………………………………………………… 67 Content area …………………………………………………………………………………………………………………………………………………… 70 Navigation area ……………………………………………………………………………………………………………………………………………… 72
Using the keypad, keyboard, and barcode scanner ……………………………………………. 77
Open the numeric keypad ………………………………………………………………………………………………………………………… 77 Numeric keypad …………………………………………………………………………………………………………………………………………….. 77 Enter a number ………………………………………………………………………………………………………………………………………………. 78 Close the numeric keypad …………………………………………………………………………………………………………………………. 78 Open the keyboard ………………………………………………………………………………………………………………………………………. 78 Keyboard ………………………………………………………………………………………………………………………………………………………….. 79 Enter a letter or number …………………………………………………………………………………………………………………………….. 80 Enter a symbol or special character ……………………………………………………………………………………………………….. 80 Enter a diacritical mark ………………………………………………………………………………………………………………………………… 81 Close the keyboard ………………………………………………………………………………………………………………………………………. 81 Use a barcode scanner ……………………………………………………………………………………………………………………………….. 82
Host system ………………………………………………………………………………………………………………. 83
Overview …………………………………………………………………………………………………………………………………………………………… 83 Monitor tab ……………………………………………………………………………………………………………………………………………………… 84 Connect to the central station ………………………………………………………………………………………………………………… 85 Disconnect from the central station …………………………………………………………………………………………………….. 85 Continuous patient monitoring ………………………………………………………………………………………………………………. 85 Activate the Continuous Monitoring profile …………………………………………………………………………………….. 86 Pause continuous monitoring (Pause mode) …………………………………………………………………………………….. 87 Resume continuous monitoring ……………………………………………………………………………………………………………. 87 End continuous monitoring …………………………………………………………………………………………………………………….. 88 Assign a patient and location …………………………………………………………………………………………………………………… 88
Profiles ……………………………………………………………………………………………………………………….. 91
Continuous Monitoring profile ………………………………………………………………………………………………………………… 91 Saving vital sign measurements (Continuous Monitoring profile) ……………………………………………. 93 Manual episodic vital sign measurements (Continuous Monitoring profile) ………………………… 93 Intervals Monitoring profile ………………………………………………………………………………………………………………………. 97

Instructions for use

Contents v

Spot Check profile ………………………………………………………………………………………………………………………………………… 97 Office profile ……………………………………………………………………………………………………………………………………………………. 98 Saving vital sign measurements (Intervals Monitoring, Spot Check, and Office profiles) … 99 Profile feature comparison ……………………………………………………………………………………………………………………… 100 Changing profiles ……………………………………………………………………………………………………………………………………….. 101
Patient data management ……………………………………………………………………………………. 107
Add a patient to the patient list ……………………………………………………………………………………………………………. 107 Load patient data with a barcode scanner ………………………………………………………………………………………. 108 Select a patient ……………………………………………………………………………………………………………………………………………. 108 Office profile …………………………………………………………………………………………………………………………………………………. 110 Manage patient records (Continuous Monitoring profile) …………………………………………………………. 111 Manage patient records (Intervals Monitoring, Spot Check, and Office profiles) ……………… 113 Printer ……………………………………………………………………………………………………………………………………………………………… 115 Delete a patient from the list …………………………………………………………………………………………………………………. 117
Alarms ……………………………………………………………………………………………………………………… 119
Patient rest mode ……………………………………………………………………………………………………………………………………….. 124 Reset (pause or turn off) audio alarms ……………………………………………………………………………………………….. 125 Cancel a paused alarm ……………………………………………………………………………………………………………………………… 126 Adjust vital sign alarm limits …………………………………………………………………………………………………………………… 126 Adjust ECG and Impedance Respiration alarm limits …………………………………………………………………… 128 Modify audio alarm notification ……………………………………………………………………………………………………………. 129 Alarm messages and priorities ………………………………………………………………………………………………………………. 130 Nurse call ……………………………………………………………………………………………………………………………………………………….. 135
Patient monitoring ………………………………………………………………………………………………… 137
Configuration tool ……………………………………………………………………………………………………………………………………… 137 Standard and custom modifiers …………………………………………………………………………………………………………… 137 Custom scoring …………………………………………………………………………………………………………………………………………… 138 Manual overrides ………………………………………………………………………………………………………………………………………… 138 Patient movement ……………………………………………………………………………………………………………………………………… 138 Capnography (CO2) …………………………………………………………………………………………………………………………………… 144 Respiration rate ……………………………………………………………………………………………………………………………………………. 148 IPI ………………………………………………………………………………………………………………………………………………………………………. 150 Acoustic respiration rate (RRa) ………………………………………………………………………………………………………………. 153 NIBP ………………………………………………………………………………………………………………………………………………………………….. 156 Temperature …………………………………………………………………………………………………………………………………………………. 172 SpO2 ………………………………………………………………………………………………………………………………………………………………… 184 SpHb ………………………………………………………………………………………………………………………………………………………………… 190 ECG …………………………………………………………………………………………………………………………………………………………………… 194 Pulse rate frame …………………………………………………………………………………………………………………………………………… 203 Manual parameters frame ……………………………………………………………………………………………………………………….. 205 Physical assessment instrument handles ………………………………………………………………………………………….. 207
Maintenance and service ……………………………………………………………………………………… 209
Perform periodic checks ………………………………………………………………………………………………………………………….. 209 Replace the printer paper (Connex VSM) ………………………………………………………………………………………….. 209 Change the battery (Connex VSM) ………………………………………………………………………………………………………. 210 Remove the wall system from the wall (Connex IWS) …………………………………………………………………. 212 Change the battery (Connex IWS) ……………………………………………………………………………………………………….. 213 Clean the monitor ………………………………………………………………………………………………………………………………………. 214 Prepare to clean the equipment ………………………………………………………………………………………………………….. 215

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Welch Allyn® Connex® Devices

Clean the accessories ………………………………………………………………………………………………………………………………… 215
Advanced settings …………………………………………………………………………………………………. 217
General ……………………………………………………………………………………………………………………………………………………………. 217 Parameters …………………………………………………………………………………………………………………………………………………….. 223 Data management …………………………………………………………………………………………………………………………………….. 232 Network ………………………………………………………………………………………………………………………………………………………….. 236 Service …………………………………………………………………………………………………………………………………………………………….. 242
Troubleshooting …………………………………………………………………………………………………….. 243
Patient movement messages ………………………………………………………………………………………………………………… 243 CO2 messages ……………………………………………………………………………………………………………………………………………… 245 RRa messages ………………………………………………………………………………………………………………………………………………. 246 NIBP messages …………………………………………………………………………………………………………………………………………….. 247 SpO2 and SpHb messages ……………………………………………………………………………………………………………………… 248 Temperature messages ……………………………………………………………………………………………………………………………. 249 ECG messages ……………………………………………………………………………………………………………………………………………… 250 Weight scale messages ……………………………………………………………………………………………………………………………. 252 Physical assessment instrument handles ………………………………………………………………………………………….. 252 Patient data management messages …………………………………………………………………………………………………. 253 Communications module messages ………………………………………………………………………………………………….. 254 Radio messages …………………………………………………………………………………………………………………………………………… 254 Ethernet messages …………………………………………………………………………………………………………………………………….. 255 USB and USB flash drive messages ………………………………………………………………………………………………………. 255 System messages ……………………………………………………………………………………………………………………………………….. 255 Battery power manager messages ………………………………………………………………………………………………………. 256 Configuration Manager messages ………………………………………………………………………………………………………. 256 Printer messages …………………………………………………………………………………………………………………………………………. 257 Network messages …………………………………………………………………………………………………………………………………….. 258 Problems and solutions ……………………………………………………………………………………………………………………………. 258 Lead-quality problems ……………………………………………………………………………………………………………………………… 259 Analysis errors ………………………………………………………………………………………………………………………………………………. 261
Specifications ………………………………………………………………………………………………………….. 263
Physical specifications ………………………………………………………………………………………………………………………………. 263 Environmental specifications …………………………………………………………………………………………………………………. 283 Device radio ………………………………………………………………………………………………………………………………………………….. 283 Configuration options ………………………………………………………………………………………………………………………………. 285
Standards and compliance …………………………………………………………………………………… 287
General compliance and standards …………………………………………………………………………………………………….. 287 General radio compliance ……………………………………………………………………………………………………………………….. 288
Guidance and manufacturer’s declaration ………………………………………………………… 295
EMC compliance …………………………………………………………………………………………………………………………………………. 295 Emissions and immunity information ………………………………………………………………………………………………… 296
Appendix …………………………………………………………………………………………………………………. 297
Approved accessories ……………………………………………………………………………………………………………………………….. 297 Warranty …………………………………………………………………………………………………………………………………………………………. 311

1
Introduction

This instructions for use (IFU) covers the following devices: · the Connex® Vital Signs Monitor 6000 Series (Connex VSM or VSM 6000 series) · the Connex® Integrated Wall System (Connex IWS) Most of the content in this instructions for use applies to both Connex devices, but some sections present device- specific content. See section titles and parentheses throughout to identify the device-specific content. If your Connex device has an ECG module, see the ECG module IFU for additional instructions regarding its use.
Connex Vital Signs Monitor 6000 Series
This instructions 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 instructions for use that pertain to your use of the monitor. You must also familiarize yourself with all information that accompanies the accessories you use.
NOTE Some product features described in this publication might not be available in your country. For the latest information about products and features, contact Hillrom Technical Support.
Connex Integrated Wall System
The Welch Allyn Connex Integrated Wall System combines the advanced, easy-to- use monitor capabilities of the Welch Allyn Connex Vital Signs Monitor 6000 Series with the Welch Allyn 767 Power Handles. This manual (instructions for use) is designed to help you understand the capabilities and operation of the wall system. The information in this manual, including the illustrations, is based on a wall system configured with non-invasive blood pressure (NIBP), body temperature, pulse oximetry (SpO2), total hemoglobin concentration (SpHb), pulse rate, ECG, weight scale, and two power handles. If your wall system configuration lacks any of these options, some information in this manual may not apply. Before using the wall system, read the sections of the manual that pertain to your use of the system.
NOTE Throughout this instructions for use, the Integrated Wall System may be referred to as a wall system or monitor.

2 Introduction

Welch Allyn® Connex® Devices

NOTE Some product features described in this publication might not be available in your country. For the latest information about products and features, please contact Hillrom Technical Support.
Indications for use
The Connex VSM 6000 series of monitors is intended to be used by clinicians and medically qualified personnel for monitoring of neonatal, pediatric, and adult patients for
· noninvasive blood pressure (NIBP)
· pulse rate (PR)
· noninvasive functional oxygen saturation of arteriolar hemoglobin (SpO2)
· body temperature in normal and axillary modes
The most likely locations for patients to be monitored are general medical and surgical floors, general hospital, and alternate care environments. Monitoring can be accomplished on the VSM 6000 series bedside monitor itself, and the VSM 6000 series bedside monitor also can transmit data continuously for secondary remote viewing and alarming (e.g., at a central station). Secondary remote viewing and alarming features are intended to supplement and not replace any patient bedside monitoring procedures.
The optional Masimo rainbow® SET Pulse CO-OximeterTM and accessories are indicated for the continuous noninvasive monitoring of functional oxygen saturation of arterial hemoglobin (SpO2), pulse rate (PR), total hemoglobin concentration (SpHb®), and/or respiration rate (RRaTM). The Masimo rainbow SET Radical-7RTM Pulse CO-Oximeter and accessories are indicated for use with adult, pediatric, and neonatal patients during both motion and no-motion conditions, and for patients who are well or poorly perfused in hospitals and hospital-type facilities.
The optional Oridion®module and accessories are intended for the continuous noninvasive measurement and monitoring of carbon dioxide concentration of the expired 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 IndexTM (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). The IPI is a single index of an adult or pediatric patient’s ventilatory status displayed on a scale of 1­10, where 10 indicates optimal pulmonary status. IPI monitoring displays a single value that represents the patient’s pulmonary parameters and alerts clinicians to changes in the patient’s pulmonary status.
The IPI is an adjunct to, and is not intended to replace, vital signs monitoring.
Optional compatible weight scales (e.g., Health o meter®) can be used for height, weight, and BMI input.
The optional EarlySense® (Everon) System is intended for continuous measurement of respiration rate, heart rate, and movement in an automatic contact-less manner, in a hospital or clinic setting. The system is indicated for use in children, adolescents, and adults. The operation of the EarlySense has been studied in children (weight 10 Kg) and adults (weight <111 Kg) during sleep and resting condition.
The Welch Allyn ECG/Impedance Respiration module and associated software acquires and analyzes ECG signals from patients. Patients are people with coronary problems, suspected coronary problems, or recent medical procedures that require cardiac monitoring.

Instructions for use

Introduction 3

This ECG module can be used on adult and pediatric patients.
The ECG module is indicated for use by healthcare professionals whenever there is a need to monitor a patient’s physiological parameters for the following: · ECG · ECG with alarms for ventricular tachycardia, ventricular fibrillation, and asystole · Impedance respiration
This product is available for sale only upon the order of a physician or licensed healthcare professional.
Handle module assembly (Integrated Wall System only)
Handles supply power to Welch Allyn 3.5V instruments.
Contraindications
This system (all configurations) is not intended to be used: · on patients connected to heart/lung machines · on patients being transported outside a healthcare facility · within the controlled access area of MRI equipment · in a hyperbaric chamber · in the presence of flammable anesthetics · in the presence of electrocauterization devices
For contraindications of SpO2 and SpHb sensors, consult the sensor manufacturer’s instructions for use.
Systems configured with EarlySense are not intended to be used: · on patients for whom proper positioning cannot be achieved or maintained · on patients who do not meet the weight limits tested or specified

4 Introduction

Welch Allyn® Connex® Devices

5

Symbols

For information on the origin of these symbols, see the Welch Allyn symbols glossary: https:// www.hillrom.com/content/dam/hillrom-aem/us/en/sap- documents/LIT/80022/ 80022945LITPDF.pdf.
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.
WARNING Hot surface. Do not touch.

Follow the operating instructions for use (IFU) — mandatory action. A copy of the IFU is available on this website. A printed copy of the IFU can be ordered from Hillrom for delivery within 7 days.

Power symbols
Power on/Display power-saving [recent models] Power on/Display power-saving [older models]

Equipotential terminal

6 Symbols

(on the display) monitor is plugged into Alternating Current power
(on the monitor, green indicator) Alternating Current power present, battery fully charged
(on the monitor, amber indicator) Alternating Current power present, battery is charging
Alternating Current (AC)
Li-ion battery

Connectivity symbols
USB
Wireless signal strength · Best (4 bars) · Good (3 bars) · Fair (2 bars) · Weak (1 bar) · No signal (no bars) · No connection (blank)
Connected to central station

Miscellaneous symbols
CO2 sampling input
Manufacturer

Welch Allyn® Connex® Devices
Battery absent or faulty Battery charge level
Battery cover
Rechargeable battery AC input power
Ethernet RJ-45 Nurse call [recent models] Nurse call [older models] Disconnected from central station
CO2 sampling output/exhaust Limited rotation/Turn completely to right

Instructions for use

Reorder number
Do not reuse
Nonionizing electromagnetic radiation
Restrictions for use of wireless device in Europe. European Community’s Class 2 radio equipment. Defibrillation-proof Type BF applied parts
Atmospheric pressure limitation

Symbols 7
Serial number
China RoHS markings for control of pollution caused by electronic information products. XX indicates Environmentally Friendly Use Period in years. Recycle the product separate from other disposables
Call for maintenance
Defibrillation-proof Type CF applied parts
Not for injection

Transport and storage temperature range Recycle
Do not expose to open flame Stacking limit by number

Authorized Representative of the European Community

IPX2
(Vital Signs Monitor)

IP = International Protection Marking
X = No object ingress rating
2 = Protected against vertically falling water drops when enclosure tilted up to 15°

IPX0
(Integrated Wall System)

Degree of protection provided by the enclosure with respect to harmful ingress of liquids

Product Identifier

Keep dry

8 Symbols

Welch Allyn® Connex® Devices

Mobile stand symbols

Maximum safe working load limits
(specific values presented with symbol)

Mass in kilograms (kg)

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.

9

Screen elements
Global navigation, controls, and indicators Select option
Select item from list
Increase or decrease value
Monitoring and connectivity Connect to the central station and retain patient data (Monitor tab)
Connected to the central station (Device Status area)
Temporarily pause continuous monitoring but retain patient data

Process indicator for activities like acquiring measurements and connecting to a central station
Display lock/unlock
Disconnect from the central station but continue monitoring and retain patient data (Monitor tab) Disconnected from the central station (Device Status area)
End continuous monitoring session for current patient and clear patient data

10 Screen elements ECG, Heart rate/Pulse rate, and Impedance respiration

NIBP

Heart rate / Pulse rate
Saved waveform icon (Review tab) Waveform snapshot button
NIBP start

Welch Allyn® Connex® Devices
ECG lead selector
Beats per minute (to represent heart rate / pulse rate) Saved waveform icon, alarm condition (Review tab)
NIBP stop

Intervals status indicators

NIBP view toggle

Temperature

Temperature site control

SpO2 and Pulse rate Pulse amplitude bar

Direct mode selector
SatSeconds timer (Nellcor feature only)

Instructions for use SpO2 and Pulse rate SpO2 view toggle Beats per minute (to represent pulse rate) Total hemoglobin (SpHb) SpHb view toggle
Capnography (CO2) CO2 pump start etCO2 view toggle
RRa Respiration indicator
Patient movement Bed mode

Screen elements 11
Response mode selector (Fast mode selected)
Averaging mode selector (Long mode selected)
CO2 pump stop IPI view toggle IPI graphic indicators
Averaging mode selector (Fast mode selected)
Bed exit

12 Screen elements Patient movement Patient turn indicator and timer Patient turn indicator (Review tab)
Manual parameters
Alarm and information messages Alarm limit control
Multiple alarms toggle Alarm active Patient Rest Mode

Welch Allyn® Connex® Devices Bed exit (Review tab)
Exit sensitivity indicator Manual parameter selector Alarm On/Off toggle Alarm audio paused Information message

Instructions for use
Patient data management Diacritical marks key (available for languages that use diacritical marks; appearance differs based on language) Send patient data
View tabular trend data
Cancel action
Retrieve patient list from the network
Delete patient from List tab
Forward or backward in Review tab

Settings

Open keypad to enter Advanced settings password
Save configuration settings (must be enabled in Advanced settings)

Screen elements 13
Symbols key
Print patient data
View graphical trend data
Add patient identifiers
Select patient from List tab
Clear patient context from Summary tab Proceed to the next field to input patient information
Open Lost password dialog Close Advanced settings

14 Screen elements

Welch Allyn® Connex® Devices

15
About warnings and cautions

Warning and caution statements can appear on the monitor, on the packaging, on the shipping container, or in this document. The monitor is safe for patients and clinicians when used in accordance with the instructions and the warning and caution statements presented in this manual. Before using the monitor, you must familiarize yourself with all warnings and cautions, with the steps to power up the monitor, and with the sections of this instructions for use that pertain to your use of the monitor. In addition to reviewing the general warnings and cautions presented in the next section, you must also review the more specific warnings and cautions appear throughout the manual in conjunction with setup/startup, device operation, patient monitoring, and maintenance tasks. · Failure to understand and observe any warning statement in this manual could lead to patient
injury, illness, or death. · Failure to understand and observe any caution statement in this manual could lead to damage
to the equipment or other property, or loss of patient data.
General warnings and cautions
WARNING Many environmental variables, including patient physiology and clinical application, can affect the accuracy and performance of the monitor. Therefore, you must verify all vital signs information, especially NIBP and SpO2, before treating the patient. If there is any question about the accuracy of a measurement, verify the measurement using another clinically accepted method. WARNING Inaccurate measurement risk. Do not use the device or accessories in environments affected by extremes of temperature, humidity, or altitude. See “Environmental specifications” for acceptable operating conditions. WARNING Alarm limits are patient-specific. For alarms to function properly, you must set or verify alarm limits appropriate for each patient. Each time the monitor is powered on, you must check that the alarm settings are appropriate for your patient before you start monitoring. WARNING The monitor is not intended for use during patient transport outside of the medical facility. Do not use the monitor to take measurements on any patient in transit.

16 About warnings and cautions

Welch Allyn® Connex® Devices

WARNING Do not use the monitor as an apnea monitor. Neither the VSM 6000 series monitors, nor any of the integrated or accessory sensor systems used in conjunction with the VSM 6000 series monitors, are intended for use in apnea monitoring.
WARNING Use only Welch Allyn approved accessories, and use them according to the manufacturer’s instructions for use. Using unapproved accessories with the monitor can affect patient and operator safety and can compromise product performance and accuracy.
WARNING Inaccurate measurement risk. Do not connect more than one patient to a monitor.
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. Liquids and excessive moisture can damage patient sensors and cause them to perform inaccurately or fail.
WARNING Patient harm risk. Always remove sensors from patients and disconnect them completely from monitors before bathing.
WARNING Liquids can damage electronics inside the monitor. Prevent liquids from spilling on the monitor.
If liquids are spilled on the monitor:
1. Power down the monitor. 2. Disconnect the power plug. 3. Remove battery pack from the monitor. 4. Dry off excess liquid from the monitor.
NOTE If liquids possibly entered the monitor, remove the monitor from use until it has been properly dried, inspected, and tested by qualified service personnel.
5. Reinstall battery pack. 6. Power on the monitor and verify that the monitor functions normally before using it.
If liquids enter the printer housing:
1. Power down the monitor. 2. Disconnect the power plug. 3. Remove battery pack from the monitor. 4. Remove and discard the paper roll. 5. Clean and dry the inside of the printer housing.
NOTE The printer housing has a drain tube that directs liquids down and out the bottom of the monitor. If liquids possibly entered other openings in the monitor, remove the monitor from use until it has been properly dried, inspected, and tested by qualified service personnel.
6. Install a new roll of paper. 7. Power on the monitor and verify that the monitor functions normally before using it.

Instructions for use

About warnings and cautions 17
WARNING Safety risk and potential shock hazard. Cords, cables, and accessories damaged from prior misuse can affect patient and operator safety. Inspect all cords, cables, and accessories for strain relief wear, fraying, or other damage according to the recommendations presented in the Maintenance and service section of this manual. Replace as necessary. Inspect the AC cord for exposed copper before touching the cord. Unplug the AC cord only by pulling on the plug, never the cord. Never lift the monitor by the power cord or patient connections.
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 oxygenenriched environments; or in any other potentially explosive environment.
WARNING Fire and shock hazard. Only connect LAN cables contained within the perimeter of a single building. Conductive LAN cables spanning multiple buildings may introduce fire or shock hazards unless they are fitted with fiber optic cables, lightning arrestors, or other applicable safety features.
WARNING The monitor may not function properly if dropped or damaged. Protect it from severe impact and shock. Do not use the monitor if you notice any signs of damage. Qualified service personnel must check any monitor that is dropped or damaged for proper operation before putting the monitor back into use.
WARNING Defective batteries can damage the monitor. If the battery shows any signs of damage or cracking, it must be replaced immediately and only with a battery approved by Welch Allyn.
WARNING Improper disposal of batteries may create an explosion or contamination hazard. Never dispose of batteries in refuse containers. Always recycle batteries according to local regulations.
WARNING Electric shock hazard. Do not open the monitor or attempt repairs. The monitor has no user-serviceable internal parts. Only perform routine cleaning and maintenance procedures specifically described in this manual. Never perform maintenance or service tasks while the device is connected to a patient. Inspection and servicing of internal parts shall only be performed by qualified service personnel.
WARNING Electric shock hazard. Never perform maintenance or service tasks while the device is connected to a patient.
WARNING Inaccurate measurement risk. Do not expose to temperatures higher than 122 ºF (50 ºC).
WARNING Inaccurate measurement risk. Do not use the monitor on patients who are on heart-lung machines.
WARNING Inaccurate measurement risk. If using patient sensors during full body irradiation, keep the sensor out of the irradiation field. If the sensor is exposed to the irradiation, the reading might be inaccurate or the monitor might read zero during the active irradiation period.
WARNING Inaccurate measurement risk. Do not use the monitor on patients who are experiencing convulsions or tremors.
WARNING Use the monitor only as described in this instructions for use. Do not use the monitor on patients as described in the Contraindications.

18 About warnings and cautions

Welch Allyn® Connex® Devices

WARNING Personal/patient injury risk. Wall-mounted equipment and accessories must be installed in accordance with accompanying instructions. Improper installation can result in the monitor falling off the wall and injuring someone. Welch Allyn is not responsible for the integrity of any installation not performed by authorized Welch Allyn service personnel. Contact an authorized Welch Allyn service representative or other qualified service personnel to ensure professional installation for safety and reliability of any mounting accessory.
WARNING Do not place the monitor in any position that might cause it to fall on the patient.
WARNING Welch Allyn is not responsible for the integrity of a facility’s power. If the integrity of a facility’s power or protective earth conductor is in doubt, always operate the monitor on battery power alone when it is attached to a patient.
WARNING Avoid continuously monitoring a patient when the device is operating on battery power. If only battery power is available, you must remain in the room with any patient whose vital signs are being monitored continuously. Actively monitor both patient and battery status to ensure patient safety.
WARNING Patient harm and equipment damage risk. Carefully route patient cabling to reduce the possibility of patient entanglement or strangulation. When transporting the monitor on a mobile stand, properly secure all patient cables and cords to keep them clear of the wheels and to minimize trip hazards.
WARNING For operator and patient safety, peripheral equipment and accessories that can come in direct patient contact must comply with all applicable safety, EMC, and regulatory requirements.
WARNING All signal input and output (I/O) connectors are intended for connection of only devices complying with IEC 60601-1, or other IEC standards (for example, IEC 60950), as applicable to the monitor. Connecting additional devices to the monitor may increase chassis or patient leakage currents. To maintain operator and patient safety, consider the requirements of IEC 60601-1. Measure the leakage currents to confirm that no electric shock hazard exists.
WARNING Equipment failure and patient harm risk. Do not cover the air intake or exhaust vents on the rear and base of the monitor. Covering these vents could cause overheating of the monitor or muffling of alarms.
WARNING Cross-contamination or nosocomial infection risk. Clean and disinfect the monitor on a routine basis according to your facility’s protocols and standards or local regulations. Thorough hand-washing before and after contact with patients greatly reduces the risk of cross-contamination and nosocomial infection.
WARNING For patient safety, do not use the monitor or any accessory during MRI scanning. Induced current could cause burns.
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.
WARNING Patient safety risk. The EarlySense system is not intended for high- risk patients in coronary or respiratory distress who require continuous monitoring of heart function or CO2. For these patients, the most reliable method of patient monitoring involves close personal surveillance and/or equipment suited to that type of monitoring.

Instructions for use

About warnings and cautions 19
WARNING Patient injury risk. The decision to use the NIBP module on pregnant or pre-eclamptic patients is at the discretion of the trained clinician using the equipment.
WARNING Patient injury risk: The decision to use this device with children, or pregnant or nursing women is at the discretion of the trained clinician using the equipment.
WARNING Personal injury risk. The power cord is the disconnect device to isolate this equipment from supply mains. Position the equipment so that it is not difficult to reach to disconnect the cord.
WARNING Patient injury risk. This device is suitable for use with high- frequency surgical equipment but does not provide any additional means of protection.
WARNING Safety risk and potential shock hazard. For accessories that use a USB cable to connect to the monitor, disconnect the USB cable from the monitor when you disconnect the accessory.
WARNING Personal/patient injury risk. Wall Mount must be mounted using the appropriate hardware for the type of wall structure. Your facility may need to provide the appropriate hardware needed to install for your type of wall structure.
WARNING Personal/patient injury risk. Only authorized Welch Allyn service personnel or a Biomedical engineer should attach or remove the device from the wall mount.
WARNING Personal/patient injury risk. Any modification made to a Welch Allyn mounting solution removes Welch Allyn from responsibility or liability and voids the warranty.
WARNING Personal/patient injury risk. Welch Allyn is not responsible for the integrity of any installation not performed by authorized Welch Allyn service personnel.
WARNING Personal/patient injury risk. Welch Allyn is not responsible for the integrity of any wall structure or wall mounting interface. Welch Allyn recommends that you contact your Biomedical Engineering Department or maintenance service to ensure professional installation, safety, and reliability of any mounting accessory.
CAUTION Position the wall mount so that the screen, controls, and connectors are accessible and support optimal and ergonomic use of the device.
CAUTION United States Federal law restricts this monitor to sale, distribution, or use by or on the order of a physician or licensed healthcare professional.
CAUTION Electromagnetic interference risk. The monitor complies with applicable domestic and international standards for electromagnetic interference. These standards are intended to minimize medical equipment electromagnetic interference. Although this monitor is not expected to present problems to other compliant equipment or be affected by other compliant devices, interference issues still may occur. As a precaution, avoid using the monitor in close proximity to other equipment. In the event that equipment interference is observed, relocate the equipment as necessary or consult manufacturer’s instructions for use.
CAUTION Use only a Class I (grounded) AC power supply cord for powering this monitor.

20 About warnings and cautions

Welch Allyn® Connex® Devices

CAUTION Do not use a long press of to power down the monitor when it is functioning normally. You will lose patient data and configuration settings.
CAUTION Never move the monitor or mobile stand by pulling on any of the cords as this may cause the monitor to tip over or may damage the cord. Never pull on the power cord when removing it from the power outlet. When disconnecting the power cord, always grasp the attachment plug and not the cord. Keep the cord away from liquids, heat, and sharp edges. Replace the power cord if the strain relief or cord insulation is damaged or begins to separate from the attachment plug.
CAUTION Do not exceed the maximum weight limits for your mobile stand with basket or bins. See the “Specifications” section for the basket/bin and mobile stand maximum weight limits.
CAUTION Use only the Welch Allyn USB client cable to connect a laptop computer to the USB client port. Any laptop connected to the monitor must be running on a battery, a 60601-1-compliant power supply, or a 60601-1-compliant isolation transformer. While monitoring a patient, you can only charge the laptop battery if it is connected to 60601-1-compliant, isolated AC power.
CAUTION If the touchscreen is not responding properly, refer to the troubleshooting section. If the problem cannot be resolved, discontinue use of the monitor and contact an authorized Welch Allyn service center or qualified service personnel.
CAUTION Verify patient identity on the monitor after manual or barcode entry and before printing or transferring patient records.
CAUTION Keep the monitor outside of MRI suites and any areas marked for high magnetic or electric field strength.
CAUTION Do not use the Suretemp to take or monitor the patient’s temperature during defibrillation or electrosurgery. This may damage the temperature probe.
CAUTION Before weighing a patient on any weight scale connected to the monitor, disconnect all sensors from the patient. Doing so ensures an accurate weight measurement and significantly reduces electrostatic discharges that might disrupt the monitor.
Integrated Wall System warnings and cautions
In addition to the preceding warnings and cautions, consider the following when using the Integrated Wall System.

Instructions for use

About warnings and cautions 21

WARNING Liquids can damage electronics inside the Connex IWS. Prevent liquids from spilling on the wall system.
If liquids are spilled on the wall system:
1. Power down the wall system. 2. Disconnect the power plug. 3. Remove the wall system from the wall. 4. Remove battery pack from the wall system. 5. Dry off excess liquid from the wall system.
NOTE If liquids possibly entered the wall system, remove the wall system from use until it has been properly dried, inspected, and tested by qualified service personnel.
6. Reinstall battery pack. 7. Mount the wall system on the wall. 8. Power on the wall system and verify that it functions normally before using it.
WARNING The physical assessment instruments (handles) are designed for intermittent use. On-time should not exceed 2 minutes. Allow at least 10 minutes off-time between patients.
CAUTION Welch Allyn is not responsible for the integrity of any wall mounting interface. Welch Allyn recommends that you contact your Biomedical Engineering Department or maintenance service to ensure professional installation, safety, and reliability of any mounting accessory.
CAUTION Do not use the Suretemp to take or monitor the patient’s temperature during defibrillation or electrosurgery. This may damage the temperature probe.
ECG module warnings and cautions
In addition to the preceding warnings and cautions, consider the following when using the ECG module.
WARNING Liquids can damage electronics inside the ECG module. Prevent liquids from spilling on the ECG module. If liquids are spilled on the ECG module, remove it from service. The module provides no protection against liquid ingress.
WARNING Do not operate the Connex device and ECG module near equipment that emits strong electromagnetic or radio-frequency signals. Electronic equipment of this type can cause electrical interference with device operation, which can distort the ECG signal and prevent accurate rhythm analysis.
WARNING Patient safety risk. Life-threatening arrhythmias can trigger one of two optional high alarm tones for ventricular tachycardia (V-Tach), ventricular fibrillation (V-Fib), and asystole. If you are monitoring a patient for life-threatening arrhythmias, verify the alarm tone that your facility or floor has chosen.
WARNING Patient injury risk. Do not perform waveform analysis on the ECG acquisition display as these ECG representations are not true to scale. Make manual measurements of ECG intervals and magnitudes on printed ECG reports only.

22 About warnings and cautions

Welch Allyn® Connex® Devices

WARNING The arrhythmia analysis program is intended to detect V-Tach, V-Fib, and asystole. It is not intended to detect other arrhythmias. Occasionally it may incorrectly identify the presence or absence of an arrhythmia. Therefore a physician must analyze the arrhythmia information in conjunction with other clinical findings.
WARNING Arrhythmia detection (for V-Tach, V-Fib, and asystole) and impedance respiration are not intended for neonatal patients.
WARNING Computer-assisted ECG data acquisition and interpretation is a valuable tool when used properly. However, no automated interpretation is completely reliable and a qualified physician shall review the interpretations before treatment, or non-treatment, of any patient. The ECG module must be used in conjunction with clinical signs and symptoms. This device is only intended to be an adjunct in patient assessment. Certain arrhythmias or pacemaker signals could adversely affect heart rate indications or alarms.
WARNING Patient injury risk. The data captured from this device should not be used as a sole means for determining a patient’s diagnosis or prescribing treatment.
WARNING Physiological variations in the patient population generate a nearly infinite range of possible ECG waveform morphologies. In some cases, the Connex device occasionally may not alarm or alarm inappropriately for some arrhythmia (V-Tach, V-Fib and asystole) waveforms. It is the operator ‘s responsibility to set alarm limits as appropriate for each individual patient. High risk patients must be kept under close surveillance.
WARNING For patients with a pacemaker, maintain a minimum of 6 inches between the device and pacemaker. Power down the ECG module immediately and provide appropriate patient care if you suspect the ECG module has affected the pacemaker.
WARNING Patient safety risk. Use of impedance respiration monitoring can affect the operation of some pacemakers. Keep pacemaker patients under close observation. If pacemaker operation is affected, turn off impedance respiration.
WARNING Impedance respiration must be disabled when using ECG wrist clip electrodes.
WARNING Inaccurate measurement risk. Impedance respiration monitoring is not reliable when ECG electrodes are placed on the limbs.
WARNING Patient safety risk. Correctly set pacemaker detection and keep pacemaker patients under close observation. A pacemaker pulse can be counted as a QRS, which could result in an incorrect heart rate and failure to detect cardiac arrest and some life-threatening arrhythmias (V-Tach, V-Fib, and asystole). If your patient has a pacemaker, turn pacemaker detection ON to avoid this hazard.
WARNING Inaccurate measurement risk. When an external pacemaker is being used on a patient, arrhythmia monitoring (to detect V-Tach, V-Fib and asystole) is severely compromised due to the high energy level in the pacemaker pulse. This may result in the arrhythmia algorithm’s failure to detect pacemaker non- capture or asystole.

Instructions for use

About warnings and cautions 23
WARNING Patient safety risk. Implantable pacemakers, which are minuteventilation-rate adaptive, can occasionally interact with the impedance respiration measurement of cardiac monitors causing the pacemakers to pace at their maximum. Keep pacemaker patients under close observation.
WARNING Inspect device and accessories before each use. Use only Welch Allyn approved accessories. Peripheral equipment and accessories that touch the patient must comply with all appropriate safety, EMC, and regulatory requirements.
WARNING Frequently inspect–electrically and visually–all cables, sensors, and electrode wires. Replace any damaged cables, sensors, or wires. Failure to properly inspect and keep in excellent working order all cables, sensors, and electrode wires can result in hazards to patients and to equipment failure and damage.
WARNING Always keep patient motion to a minimum. Motion artifact can cause inaccurate measurement of patient vital signs.
WARNING The conductive parts of electrodes and associated connectors for type BF or CF applied parts, including neutral electrode, should not contact other conductive parts including earth.
WARNING Skin irritation may result from the continuous application of the ECG electrodes. Examine the skin for signs of irritation or inflammation and avoid placing the electrode in those areas. If you observe skin irritation, replace the electrodes or change the location of the electrodes every 24 hours.
WARNING Connect patient lead wires only to the patient electrodes.
WARNING Patient safety risk. The most important aspect of obtaining a quality electrocardiogram is a proper electrode hook-up. Failure to properly apply the electrodes and patient cable may result in noisy signal, false alarms, or sub- optimal electrocardiogram analysis, which could cause patient harm. Any of these events could potentially contribute to patient harm.
WARNING Patient injury risk. Use only accessories approved by Welch Allyn, including electrodes, lead wires, and patient cables. These approved accessories are required for electrical protection of the patient during cardiac defibrillation. Refer to the accessory list or parts.hillrom.com.
WARNING Patient injury risk. Use only ECG cables supplied or specified by Welch Allyn. Use of any other ECG cables can negate defibrillator protection and can create a risk of patient injury due to shock.
WARNING To avoid serious injury or death, take precautions consistent with good clinical practice during patient defibrillation: · Avoid contact with the electrocardiograph, patient cable, and patient. · Place defibrillator paddles properly in relation to electrodes.

24 About warnings and cautions

Welch Allyn® Connex® Devices

WARNING To avoid serious injury or death, take precautions consistent with good clinical practice during patient defibrillation:
· Before defibrillation, verify that patient leads are properly connected to the patient and the ECG module. Loose ECG leads can divert defibrillator current.
· After defibrillation, pull each patient lead out of the patient cable and inspect the tips for charring (black carbon marks). If there is any charring, the patient cable and individual leads must be replaced. If there is no charring, fully reinsert the leads into the patient cable. (Charring can occur only if a lead is not fully inserted into the patient cable before defibrillation.)
WARNING Electric shock hazard. Before cleaning the monitor, disconnect the AC power cord from the mains outlet and the power source.
WARNING This equipment must not be connected to any other equipment that is not compliant with EN60601-1. The combined leakage currents could exceed safe limits.
WARNING Use of accessories, transducers, and cables other than those specified may result in degraded electromagnetic compatibility performance of this device.
WARNING Do not operate this product with MRI (Magnetic Resonance Imaging) equipment.
WARNING When using ECG Wrist Clip electrodes, although a normal Lead I QRS waveform is produced on the monitor, this waveform should not be used for serious clinical interpretation because the electrodes are not properly triangulated around the patient ‘s heart.
WARNING Inaccurate measurement risk. To use ECG wrist clip electrodes effectively, consider the following:
· The size of ECG wrist clip electrodes is fixed; you cannot adjust it.
· Proper orientation of the clip with the monitor depends on repositioning the clip until you achieve a snug fit.
· The preferred position of the clip is the patient’s wrist, but you can move it up the patient’s arm toward the torso.
· The clip might not work with patients who have small wrists and arms.
· Exercise caution when placing the clip so that it doesn’t impede circulation along the patient’s wrist and arm.
· If you cannot achieve a snug fit with the wrist clip, use some other method to monitor ECG.
WARNING Do not pause or turn off an audible alarm if the patient safety might be compromised.
WARNING Always ensure that the appropriate electrode placement is employed for the lead configuration selected.
WARNING The ECG module should not be used on patients who are linked to heart lung machines.
WARNING If an electrosurgical unit is used, place the ECG cable and wires as far as possible from the site of the surgery and from the electrosurgical cables. This will minimize interference and the risk of burns to the patient. Ensure that the electrosurgical return cable (neutral) is well attached and making good contact with the patient.

Instructions for use

About warnings and cautions 25
WARNING Patient injury risk. To prevent cross-contamination and the spread of infection: · Dispose of single-patient use components (for example, electrodes) after use. · Regularly clean and disinfect all components that come in contact with patients. · Reprocess the device accessories (for example, patient cable, leads, and reusable
electrodes) between patients.
CAUTION Never use acetone, ether, freon, petroleum derivatives, or other solvents to clean the ECG Module. Never immerse the ECG module or the patient cable in liquid. Never autoclave or steam clean the ECG module or the patient cable. Never pour alcohol directly on the ECG module or the patient cable, and never soak any components in alcohol. If any liquid enters the ECG module, remove the ECG module from service, and have it inspected by a qualified service person before using it again.
CAUTION Verify that dates on applicable accessories have not expired.
CAUTION Connect the USB cable to the Connex device in a manner that minimizes entangling.
CAUTION To prevent accidental loosening of the USB cable and the potential loss of ECG connection to the device, you must close the door and tighten the screw on the Connex Vital Signs Monitor and tighten the cable retention screw on the Connex Integrated Wall System to secure the cable in place.

26 About warnings and cautions

Welch Allyn® Connex® Devices

27
Physical design

Vital Signs Monitor 6000 Series
Standard and extended monitors
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. The following image shows a standard monitor with pulse-oximetry and blood-pressure modules. Standard monitor left side

28 Physical design

Welch Allyn® Connex® Devices

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

If the extended monitor is configured with EarlySense, it has an additional module on the right side. Extended monitor right side

Equipment setup and basic monitor functions are the same for both models, unless otherwise noted in the instructions for use.
Controls, indicators, and connectors
The following diagrams show a full-featured monitor. Your monitor, based on size or configuration, might not contain all of these features.

Instructions for use Top-Left-Front view

Physical design 29

No. Feature

Description

1 Printer

Printer provides a printout of patient and device information.

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.

8 Blood pressure

Supports dual-lumen or single-lumen hoses.

9 Pulse oximetry

Nellcor or Masimo rainbow SET module.
The Nellcor module measures SpO2 and pulse rate.
The Masimo module measures SpO2, pulse rate, SpHb, and RRa.
NOTE SpHb and RRa are optional parameters but cannot be configured together.
NOTE Monitors configured with RRa cannot be configured with CO2.

10 CO2

CO2 sampling exhaust port.

30 Physical design
No. Feature 11 CO2 Right-Back-Bottom view
1

Welch Allyn® Connex® Devices
Description CO2 sampling input connector (behind cover).
2 3 4
5

13

6

12

11 10

9

87

No. Feature 1 Power switch and LED

Description
Power-on/Display power-saving button.
The LED indicates the charging status when the monitor is connected to AC power: · Green: The battery is charged. · Amber: The battery is charging.

2 Ethernet RJ-45
3 USB client
4 Nurse call 5 Fan exhaust 6 Ground lug (equipotential terminal)
7 Power connection 8 Mobile stand mounting hardware 9 Recess for mounting plate

Provides a hardwired connection to the computer network.
Provides a connection to an external computer for testing and software upgrades.
Provides a connection to the hospital nurse call system.
Exhaust vents cool the monitor.
Provided for electrical safety testing and as a means for connection of a potential-equalization conductor.
Provides an external AC power connection.
Secures the mounting plate to the monitor.
Secures the monitor when the monitor is mounted on the mobile stand or wall.

Instructions for use

Physical design 31

No. Feature 10 USB connector door
11 Fan intake 12 Speaker 13 Patient movement

Description
Provides access to host USB connections for optional accessories.
Fan intake vents draw in air to cool the monitor.
Provides tones.
The EarlySense module monitors patient movement, respiration (RR), and pulse rate.
NOTE Monitors configured with RRa and CO2 cannot be configured with EarlySense.

Integrated Wall System
Controls, indicators, and connectors
NOTE Your model might not contain all of these features. Front view

No. Feature 1 Physical assessment instruments Handles and handle cradles
2 Rheostat
3 Exhaust vents 4 LCD screen

Description
Handles will accept any 3.5V Welch Allyn instrument head. The handle cradles support using one handle at a time. A handle turns on automatically when you remove it from a cradle and turns off when you return it.
Located on each handle. Turn clockwise to increase light output; turn counterclockwise to decrease light output.
Exhaust vents cool the monitor.
1024 x 600 color touchscreen provides a graphical user interface.

32 Physical design

Welch Allyn® Connex® Devices

No. Feature

Description

5 Storage compartment

Provides covered storage for additional probe covers and other small accessories.

6 Expansion slots

Provide space to add modules.

7 SureTemp® Plus thermometer probe covers

Support temperature measurements from oral, axillary, and rectal sites.

8 SureTemp® Plus thermometer probe

Supports temperature measurements from oral, axillary, and rectal sites.

9 Braun ThermoScan® PRO thermometer Support temperature measurements from the ear. Dock

and dock

charges the thermometer battery.

10 SureTemp® Plus thermometer connector Secures the probe connection to the wall system.

11 Blood pressure and pulse oximetry

See front underside view for more detail.

12 Power switch and LED

Power-on/Standby switch.
The LED indicates the charging status when connected to AC power: · Green: The battery is charged. · Amber: The battery is charging.

13 USB/Comms cover
14 Light bar 15 Speaker 16 Specula dispenser

Houses light bar. Provides access to host USB connections for optional accessories and some routing for cords and cables.
Provides a visual alarm with red and amber LEDs.
Provides tones.
Dispenses KleenSpec® disposable specula in pediatric (2.75 mm) and adult (4.25 mm) sizes.

Front underside views (Left: USB/Comms cover attached; Right: USB/Comms cover removed)

1 Retention screws 2 Blood pressure

Supports removing and attaching USB/Comms cover.
Self-contained module for easy replacement. Supports dual-lumen or single- lumen hoses.

Instructions for use

Physical design 33

No. Feature 3 Pulse oximetry
4 USB-to-computer connector 5 Power connection 6 Ground lug (equipotential terminal) 7 USB connectors 8 USB cable retainer

Description
Optional Nellcor (SpO2) or Masimo Rainbow SET (SpO2 or combined SpO2/SpHb) in a self-contained module for easy replacement.
Provides a connection to an external computer for testing, data transfer, and software upgrades.
Provides an external AC power connection.
Supports electrical safety testing; terminal for connecting a potential equalization conductor.
Provides access to host USB connections for optional accessories.
Reduces strain on USB cables and connectors; helps prevent cables from disconnecting.

Back view

1 Recess for mounting bracket 2 Ethernet RJ-45 3 Li-ion battery 4 Nurse call
Accessory bin

Secures the monitor when mounted on the wall. Provides a hardwired connection to the computer network. Provides backup power to wall system. Provides a connection to the hospital nurse call system.

1 Accessory bin

Stores accessories and organizes cables.

34 Physical design
No. Feature 2 SpO2 holder
Mounting materials

Welch Allyn® Connex® Devices
Description Provides location to wrap SpO2 cable and attach SpO2 finger clip.

1 Wall mounting rail bracket and hardware Secures the wall system to the wall.

2 Accessory bin mounting bracket and hardware

Secures accessory bin to the wall and provides routing and strain relief for power cord.

35

Setup

Vital Signs Monitor 6000 Series

Supplies and accessories
For a list of all approved supplies and accessories, see Approved accessories in the Appendix.

Insert the battery

This procedure applies to first-time setup of the monitor.
WARNING Risk of fire, explosion, and burns. Do not short-circuit, crush, incinerate, or disassemble the battery pack.
1. Turn the monitor upside down to access the battery cover.

2. Locate the battery cover, indicated by

.

3. Insert a coin into the slot and push to open. Choose a coin that fits comfortably into the slot.

4. Slide in the battery.

36 Setup

Welch Allyn® Connex® Devices

NOTE Do not remove the tab label from the battery. This tab helps you remove the battery from the compartment when you need to replace it.
5. Replace the battery cover by inserting one end into the notched access and then pressing firmly on the opposite end.
NOTE New batteries are only 30 percent charged. Therefore, connect the monitor to AC power immediately after inserting a new battery.

Mount the monitor
You can install the monitor on a mobile stand or on an interior wall equipped with a Welch Allynapproved wall-mount fixture.

Check the mounting bracket

Before you mount the monitor, make sure the stand or wall-mount fixture has the mounting bracket designed for your monitor. Monitors with a standard housing require a small bracket. Monitors with an extended housing require a large bracket.

Small bracket for standard housing

Large bracket for extended housing

NOTE If your monitor has an extended housing but the small bracket is installed on your stand or wall-mount fixture, you must replace the small bracket with the large bracket. Follow the steps presented in the Mounting Bracket Replacement Install Guide shipped with the large bracket, and then proceed to mount the monitor.

Instructions for use

Setup 37

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. Tighten the screw on the bracket into the screw hole on the back of the monitor.

Mount the monitor on the wall
For mounting instructions, see the wall mount manufacturer’s assembly instructions.
Attach the probe well
1. Align the probe well with the tabs facing up and down and insert the probe well into the temperature module.
The probe well snaps into place when it is fully seated.

38 Setup

Welch Allyn® Connex® Devices

2. Insert the temperature probe into the probe well.
Attach the temperature probe
CAUTION The temperature module only operates with the probe well properly in place. 1. Remove the cover of the temperature module by pressing the tab 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. Hold the temperature probe cable connector with the spring tab on the right and insert it into the probe port of the temperature module.

3. Push it into place until it clicks. 4. Reattach the cover. Use the alignment tab and slide the cover to the left to click it back into
place.
Remove the temperature probe and well
Follow these steps to disconnect the probe cable and remove the probe well.

Instructions for use

Setup 39

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. 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. Insert the hose connector, pressing firmly until it clicks into place.
Disconnect the NIBP hose
1. Place your thumb and forefinger on the hose connector. NOTE Always grasp the hose by the connector. Do not pull on the hose itself.
2. Squeeze the side tabs until the connector releases. 3. Pull the connector away from the connector port.
Connect the SpO2 cable or the SpO2/RRa dual cable
WARNING Patient injury risk. Do not use a damaged sensor or pulse oximetry cable or a sensor with exposed electrical or optical components. Follow these steps to connect the SpO2 cable or the SpO2/RRa dual cable to the SpO2 port on the monitor. The location of the port on your monitor might differ from that shown in the images below.

40 Setup

Welch Allyn® Connex® Devices

NOTE For monitors configured with SpHb, the sensor used to monitor SpHb also measures SpO2. NOTE SpHb and RRa cannot be configured together.
Connect the SpO2 cable 1. Place your thumb and forefinger on the cable connector and squeeze the side tabs.

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 connects to the device with one connector but splits into two separate cables at the other end to support RRa and SpO2 measurement.
1. Connect the dual cable to the device as shown in the preceding steps. (The connector is the same as for the standard SpO2 cable.)

Instructions for use

Setup 41

2. Align the RRa dual cable connector and the RRa acoustic respiration sensor connector so that the arrow labels point toward each other. Insert the RRa dual cable connector into the RRa sensor connector until it locks into place.
3. Open the SpO2 dual cable connector’s protective cover and align the arrow on this connector with the arrow on the SpO2 sensor cable connector. Insert the SpO2 sensor cable connector into the SpO2 dual cable connector, and then close the protective cover.
NOTE Arrows appear on the dual connector as well as on the sensor connectors to ensure proper cable connections.
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 instructions for use for more information. Also see the Acoustic Respiration rate (RRa) section of this instructions for use.
Disconnect the SpO2 cable or the SpO2/RRa dual cable
1. Place your thumb and forefinger on the cable connector.
NOTE Always grasp the cable by the connector. Do not pull on the cable itself.
2. Squeeze the side tabs until the connector releases. 3. Pull the connector away from the connector port.
Connect the patient movement cable
1. Align the EarlySense cable connector with one of the EarlySense ports on the right side of the monitor.

42 Setup

Welch Allyn® Connex® Devices

2. Insert the cable connector until it clicks into place. Also check the stress relief connector on the cable to ensure that both parts of the cable are tightly connected.
3. When you are ready to monitor a patient, position the bed sensor (sensing unit) as follows: · horizontally under the patient’s mattress · the top surface of the sensing unit facing the mattress · the sensing unit under the patient’s chest area · the sensing unit cable extending toward the head of the bed
NOTE Typically, a clinician will connect the bed sensor and cable at the start of patient movement monitoring. See the Patient movement section of this instructions for use for more information.
Disconnect the patient movement sensor and cable
To disconnect the EarlySense bed sensor, pull the sensor cable connector out of the cable connector port on the device.
Attach a USB accessory
CAUTION Accessories attached to this monitor must run on battery power. Do not use any accessory’s external power supply when it is attached to the monitor.
1. On the rear of the monitor, loosen the screw on the USB door and open it.
NOTE On some monitor stands, the monitor mounting bracket partially overlaps the USB door. If you observe this overlap, loosen the screw on the monitor mounting bracket and shift the monitor forward just enough on the bracket to open the USB door, then slide the monitor back on the mounting bracket.
2. Attach each accessory’s USB cable into an unused USB port on the monitor. See the accessory’s instructions for use for any special instructions.

Instructions for use

Setup 43 CAUTION Connect cables in a manner that minimizes entangling.

3. Close the door and tighten the screw.
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. (See “Mount the monitor on a stand” in this section for more detail.)
NOTE Some accessories require a license to enable them for use. These accessories are packaged with an authorization code and instructions for activating the license using the Welch Allyn Service Tool. For more information, refer to the instructions and the service tool installation guide.
Detach a USB accessory
1. On the rear of the monitor, loosen the screw on the USB door and open it. 2. Detach the accessory’s USB cable from USB port on the monitor. 3. Close the door and tighten the screw.
Insert a new roll of paper
The printer is located on the top of the monitor. Follow these steps to insert the roll of printer paper:
1. Grasp the two tabs on the printer door and pull up to open. 2. Insert a new roll of paper.

44 Setup

Welch Allyn® Connex® Devices
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.

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. Inspect the AC cord for exposed copper before touching the cord. CAUTION During continuous monitoring, keep the monitor connected to AC power at all times. If only battery power is available, you must remain in the room with any patient whose vital signs are being monitored continuously. Actively monitor both patient and battery status to ensure patient safety.

Instructions for use

Setup 45

1. Insert the power cord into the AC power connector port on the back of the monitor.

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.
Integrated Wall System
CAUTION Welch Allyn is not responsible for the integrity of any wall mounting interface. Welch Allyn recommends that you contact your Biomedical Engineering Department or maintenance service to ensure professional installation, safety, and reliability of any mounting accessory.
Supplies and accessories
For a list of all approved supplies and accessories, see Approved Accessories in the Appendices.
Unpack the wall system
This procedure applies to first-time setup of the wall system. CAUTION You must follow these instructions exactly to ensure safety and ease of assembly. CAUTION Do not remove any packing materials around the wall system until the instructions tell you to do so.
1. Lift the wall system out of the box by the cardboard handles.

46 Setup

Welch Allyn® Connex® Devices

2. With the wall system still in its packing material, place it onto a table or flat work surface and remove it from the plastic bag.
3. Turn the wall system over so that back of the wall system faces up.

Insert the battery
This procedure applies to first-time setup of the wall system. Therefore, the wall system is assumed to be shut down.
WARNING Risk of fire, explosion, and burns. Do not short-circuit, crush, incinerate, or disassemble the battery pack.

1. Locate the battery compartment, indicated by

.

Instructions for use

Setup 47

2. Insert the battery. (The battery is in a pink anti-static bag in the accessory box.)

Prepare for mounting
1. Slide the mounting rail bracket out of the packing material and put it aside. Do not discard. Then flip the wall system onto its back.
2
1
2. Remove the cardboard end caps and all foam as shown and put aside for recycling.

48 Setup

Welch Allyn® Connex® Devices

CAUTION Do not remove the cardboard securing the handles on the left side of the wall system at this time. The cardboard prevents damage to those instruments during the mounting process.

Mounting hardware inventory
Use these items to mount the wall system.

· Mounting rail bracket · Accessory bin bracket · Screws

6 x

Tools list
Use these tools to mount the wall system. · #2 Phillips screwdriver · level · tape measure · stud finder · drill · 1/8-inch (3.17 mm) diameter drill bit

Instructions for use

Setup 49

Mounting location
Before mounting the wall system, consider the following recommendations to determine the best mounting location: · Mount the wall system to studs. · Mount the wall system within reach of the AC power outlet. The power cord is 8 ft. (2.44 m)
long. · Avoid brightly lit areas. · Blood pressure tubing is 8 ft. (2.44 m) long. · Position the wall system so that all instruments are accessible and in a location that allows for
ergonomic examinations.
Sample room layout

r
1 2

1. Connex Integrated Wall System 2. Examination table

Mount the wall system
1. On the selected wall, find and mark the studs, and choose the system height and corresponding height for the mounting rail bracket.
Recommendation: Place the mounting rail bracket 63 in. (1.6 m) from the floor, which places screen center height at approximately 63 in. (1.6 m) from the floor.

50 Setup

Welch Allyn® Connex® Devices
CAUTION This drawing shows the physical relationships of the mounting brackets to each other and to the wall system after you complete the mounting instructions. Do not place the wall system on the wall until you have completed all preliminary steps.

2. Affix the mounting rail bracket to three studs at the selected height using the available screws (anchors are provided for additional support).
CAUTION Ensure that the upper “lip” of the bracket sticks out from the wall and that the bracket is level.

3. Route the power cord through the channel in the back of the accessory bin bracket, then mount the bracket on the center stud at least 13 in. (33 cm) below the mounting rail bracket.

Instructions for use

Setup 51

4. Before mounting the wall system, remove the cover by loosening the captive retention screws.
5. Hang wall system on the mounting rail bracket. WARNING Ensure that the ribs on the back of the wall system fully engage the mounting rail bracket. The wall system should be level and flush to the wall.

52 Setup

Welch Allyn® Connex® Devices

6. Select one of the three available slots at the bottom of the unit that overlaps a stud, and secure the unit to the stud with the remaining screw.
WARNING Failure to install this security screw may result in personal injury and equipment damage.

7. If the wall unit is configured for SpO2 or SpHb, connect the sensor cable and route it through the channel above the security screw you just installed.

Instructions for use

Setup 53

8. Re-attach the cover. a. Thread the sensor cable through the cutouts on the top right and bottom left of the cover.
b. Tighten the two retention screws. 9. Attach the system power cord to the wall unit. Do not plug the cord into an outlet at this time.
Mount the accessory bin
1. Mount the accessory bin on the accessory bin bracket, then loosely wrap the excess power cord around the accessory bin bracket.

54 Setup

Welch Allyn® Connex® Devices

2. If your wall system is configured for SpO2 (or SpHb), attach the spool to the accessory bin by sliding the spool onto the retention clip.
3. Properly orient and insert the sensor cable into the patient cable connector. (You just connected the opposite end of the sensor cable to the wall system.) Ensure the sensor cable is inserted completely, then close the protective cover. (See the sensor manufacturer’s instructions for use.)
4. Wrap the excess patient cable around the spool, and place the finger clip in the holder. Also observe the maximum safe working load limit noted here when filling the bin.

Instructions for use

Setup 55

Connect the blood pressure (NIBP) hose
1. Align the hose connector with the hose connector port on the bottom of the monitor. 2. Insert the hose connector, pressing firmly until it clicks into place.

3. Attach a blood pressure cuff to the tubing (see the cuff manufacturer’s instructions for use), then store the cuff in the accessory bin.
Set up the physical assessment instrument handles and specula dispenser
1. Attach the specula dispenser. Ensure that the keyhole locking slots on the back of the dispenser engage the locking screws on the wall system, then push down firmly.

2. Remove cardboard securing instrument handles.

56 Setup

Welch Allyn® Connex® Devices

3. Attach Welch Allyn 3.5V instrument heads of your choice to the handles. See the instructions for use for each instrument head.
Set up the SureTemp® Plus thermometer
If your wall system is configured for a SureTemp Plus thermometer, follow these setup instructions. 1. Align the probe well with the tabs facing up and down and insert the probe well into the
temperature module. The probe well snaps into place when it is fully seated.

2. Hold the temperature probe cable connector with the spring tab on the right and insert it into the probe port of the temperature module. Push it into place until it clicks.

Instructions for use

Setup 57

3. Insert the temperature probe into the probe well. 4. Open a box of probe covers and place it in the probe cover box holder.
NOTE Spare boxes of probe covers can be stored in the compartment on the top of the wall system.
Set up the Braun ThermoScan® PRO thermometer
If your system is configured for the Braun ThermoScan thermometer, follow these setup instructions.
1. Remove the thermometer from the package. Then open a box of probe covers and place it in the dock.

2. Remove the thermometer cover, insert the battery, replace the thermometer cover, then place the thermometer in the dock.

1 2

1 2

3. Charge the Braun thermometer for 24 hours before first use. 4. To switch from Celsius to Fahrenheit, see the thermometer manufacturer’s instructions for use.

58 Setup

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NOTE The Braun ThermoScan PRO 6000 thermometer does not charge during ECG monitoring. When ECG monitoring stops, the thermometer automatically resumes charging.
NOTE In monitors with an older version of the Communication module (version 4 or earlier), the Braun ThermoScan PRO 6000 thermometer does not charge during ECG monitoring. When ECG monitoring stops, the thermometer automatically resumes charging. See the Settings > Advanced tab to display the Communication module version in your monitor.
Connect AC power
The wall system uses both battery and AC power. After completing all other setup activities, you can apply power to the wall system.
1. Insert the power plug into an outlet to power the monitor and to charge the battery.

NOTE New batteries are only 30 percent charged. You must plug the wall system into AC power to fully charge the battery. Do not plug in the power cord until completing all preliminary steps.
2. Proceed to Startup.
Attach an accessory
1. Shut down the wall system and detach the power cord. Then remove the cover from the wall system by loosening the captive retention screws.
2. Loosen the two screws on the cable retention clamp and remove it. Then connect the USB cable(s) to an available connector and thread the cable(s) through the cable guide(s).

3. Replace the cable retention clamp and tighten the two screws.

Instructions for use

Setup 59

4. Re-attach the cover. a. Thread the SpO2 (or SpHb) cable through the cutouts on the top right and bottom left of the cover.
b. Tighten the two retention screws. 5. Re-attach the system power cord and power up the wall system.
NOTE Some accessories require a license to enable them for use. These accessories are packaged with an authorization code and instructions for activating the license using the Welch Allyn Service Tool. For more information, refer to the instructions and the service tool installation guide.

60 Setup

Welch Allyn® Connex® Devices

61

Startup

Power

The device operates in one of two power states: · Device powered on. The device is operating on battery power or AC power. You can utilize the
device’s features, and the display is active. · Sleep (Display power-saving) mode. The device is operating on battery or AC power, but the
display is off to conserve power. Settings for this mode can be changed in the Display tab in Advanced settings.
NOTE Battery-powered accessories connected to the device continue to charge while the device is in this mode and connected to AC power. However, if you power down the device or disconnect the device from AC power, battery-powered accessories connected to the device do not charge.
The following actions return the display to the active state: · Touching the screen · Removing the temperature probe from the probe well · Attaching the SpO2 sensor to a patient · Connecting the patient movement cable and bed sensor (sensing unit) to the device · Attaching a sampling line to a patient
· Pressing

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Welch Allyn® Connex® Devices

Power on/Display power-saving button
The Power on/Display power-saving button , located on the device housing, performs the following functions:
· Powers up the device · Opens an onscreen Power-down dialog with options to Power down, Sleep, or Cancel (brief
press) · Sets the device into Display power-saving (Sleep) mode (brief press followed by 30 seconds of
inactivity)
NOTE The device will not enter the Sleep (Display power-saving) mode while an alarm condition is active or when NIBP intervals or continuous measurements are in progress. The device also exits this mode if an alarm occurs.
The LED in the center of the power plug symbol indicates the battery charging status: · Green indicates that AC power is present and that the device’s battery is fully charged. It does
not indicate the charge level of any accessories. · Amber indicates that AC power is present and that the device’s battery is charging. It does not
indicate the charge level of any accessories.
Power up the monitor
The monitor runs a brief diagnostic self-test each time it powers up.
WARNING Equipment failure risk. The monitor includes a fan that circulates air through the device. If the fan does not run when you power up the device, remove it from use and inform qualified service personnel immediately. Do not use the monitor until the problem is corrected.
WARNING To ensure patient safety, listen for an audible indicator and watch for visual alerts at power-up at least once daily. Correct any system errors before using the monitor. In addition to the audible indicator, the monitor LED light bar illuminates to alert you of alarms. Amber indicates a low-level alarm. Flashing amber indicates a medium-level alarm. Flashing red indicates a high-level alarm.
WARNING Always observe the monitor during power-up. If any display fails to illuminate properly, or if an error code displays, inform qualified service personnel immediately, or call your nearest Welch Allyn Customer Service or Technical Support facility. Do not use the monitor until the problem is corrected.
CAUTION Always use the monitor with an adequately charged and properly functioning battery.
CAUTION During continuous monitoring, keep the monitor connected to AC power at all times.
CAUTION Use only a Class I (grounded) AC power cord for powering this monitor.
1. Press to power up the monitor.
Following a successful self-test, the monitor displays the company logo, the LED light bar (located on the handle) flashes, and a power-up tone sounds.

Instructions for use

Startup 63

NOTE If patient data was saved during the most recent power down and the device was in the Continuous Monitoring profile, a Confirm patient and location dialog appears with the following options: · Same patient and location · Same patient, new location · New patient
NOTE If “Allow profile change” is enabled in Advanced settings and continuous sensors are attached to the device at startup, the device powers up in the Continuous Monitoring profile, overriding other default profile selections.
2. If the Confirm patient and location dialog appears, select the desired option and touch OK.
If a system error is detected, the monitor becomes inactive until you press or until the monitor shuts down automatically. The monitor displays a system fault message that contains a wrench icon and a system fault code to aid service and engineers in diagnosing the problem.
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. NOTE The date and time stamps on saved patient measurements will adjust in response to new date and time settings.
Power down the monitor
This power-down method, which places the monitor into Standby mode, ensures that patient measurements are retained in the monitor memory for a maximum of 24 hours. These saved measurements are available for recall or sending electronically to the network. This method also ensures that any configuration settings you have changed and saved will be maintained at the next startup.
1. Touch the Settings tab. 2. Touch the Device tab. 3. Touch Power down.
If there is a software update available, a system message asks if you want to upgrade the software. 4. If you want to upgrade the software, touch OK. The monitor continues to charge the battery when in Standby mode.

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Welch Allyn® Connex® Devices

Reset the monitor
If the monitor stops functioning, you can press and hold for approximately 6 seconds to allow the hardware to completely cycle off and to reset the monitor configuration settings to the last saved default power-up configuration. The button is located on the side of the monitor and on the front of the wall system.
CAUTION Do not use a long press of to power down the monitor or wall system when it is functioning normally. You will lose patient data and configuration settings.
Single sign-on (SSO)
Single sign-on (SSO) technology allows users to sign in just once to a network or server and have access to all of their authorized applications without maintaining or entering multiple passwords. If SSO has been implemented in your facility and extended to your Connex device, you can log on to the device quickly and securely with a simple scan or tap of your ID.
NOTE In the Continuous Monitoring profile, the single sign-on (SSO) feature is only available to confirm manual episodic save. The SSO feature is also available in the Spot Check and Intervals Monitoring profiles. If SSO is enabled, the Office profile is disabled.
NOTE You can capture patient vitals measurements in the Spot Check profile without a clinician login, but clinician login is required to save those vitals measurements.
NOTE The Intervals profile requires a clinician login to start intervals monitoring.
Follow the instructions below that apply to your situation to log on to your Connex device.
Enter clinician information (SSO implemented)
In facilities that have implemented SSO, you can use your badge to log on to the device on either the Home tab or the Clinician tab.
NOTE Badge-only login is only available to authorized users who are registered in the facility.
NOTE Badge-only login is only available during the established grace period.
NOTE Attempts to log on to the device anywhere but on the Home tab or Clinician tab will result in a “Badge not accepted” message.
NOTE Manually entering clinician information remains an option in all SSO environments.
NOTE After the established grace period expires, you must enter clinician passwords or PINs manually.
1. Touch either the Home tab or the Settings > Clinician tabs. 2. Using the attached scanner or RFID reader, scan or tap your badge.

Instructions for use

Startup 65

If the scan/tap is successful, the device authenticates you as an authorized user and displays your Clinician ID in the Device Status area of the Home tab.
NOTE If you started the login process on the Clinician tab, the device navigates back to Home tab after you authenticate.
3. If the grace period has expired and authentication is unsuccessful, manually enter your system password or PIN in the Authentication pane as prompted, then touch OK.
The device authenticates you as an authorized user and displays your Clinician ID in the Device Status area of the Home tab.
NOTE If another clinician is logged in and no unsaved vitals or patient data appear onscreen, scanning/tapping your badge logs out that clinician and logs you in.
NOTE If another clinician is logged in and unsaved vitals and/or patient data appear onscreen, scanning/tapping your badge opens a dialog stating that the patient data and vitals will be cleared. If you touch OK, you will clear the vitals and log out the other clinician. If you touch Cancel, the other clinician remains logged in with patient data and vitals intact.
NOTE If another clinician is logged in and unsaved vitals and/or patient data appear onscreen, manually entering your Clinician ID and password/PIN and then touching OK opens a dialog asking if you want to log out the current user. If you touch OK, the device clears the vitals and logs out the other clinician. If you touch Cancel, the other clinician remains logged in with patient data and vitals intact.
NOTE You can use your RFID badge to log out only if you used your RFID badge to log in. If you manually entered your clinician information to log in and then scan or tap your badge, the device treats the scan as a new clinician login.
NOTE During an active Intervals program, different clinicians can log in to the device. Both patient and vitals data persist when one clinician switches to another. Because patient and vitals data must be associated with a clinician ID in the Intervals profile, the device does not permit clinician logout when Intervals are running.
NOTE In the Continuous Monitoring profile, the single sign-on (SSO) feature is only available to confirm manual episodic save. If SSO was used when the device was in the Spot Check or Intervals Monitoring profile, applying a continuous monitoring sensor to a patient automatically logs out the current user if no patient or vitals information has been captured on the device. If you apply a continuous monitoring sensor to a patient and patient or vitals information has been captured, a dialog window opens, asking if you want to log out the current user. If you touch OK, the device clears the vitals, logs out the current user, and starts continuous monitoring. If you touch Cancel, the current user remains logged in with patient data and vitals intact, and with the same profile active on the device. You can then save the patient and vitals information before using the continuous monitoring sensor.
Enter clinician information (SSO not available)
1. Go to the Clinician tab using one of these methods: · On the Home tab, touch the Clinician ID section of the Device Status area (top left corner of the screen). · Touch the Settings > Clinician tab.

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Welch Allyn® Connex® Devices

2. To enter the clinician name, touch characters.

, located at the right of the text field, and enter

You can enter up to 32 characters for the clinician’s first and last name. Enter only 1 character for the middle initial.
3. To enter the clinician ID, use one of these methods:

· Touch

and enter the ID.

· Scan the clinician’s barcode with a barcode scanner.

NOTE If “Require clinician ID match to save measurements” is enabled in Advanced settings, a progress indicator appears in the Device Status area as the device queries an external host system for a matching ID. · An unsuccessful query results in the message, “Unable to identify clinician.” · A successful query results in clinician data replacing the progress indicator
according to preferences configured in Advanced settings.

4. If prompted, enter your system password in the Authentication pane. 5. Touch OK to save your entries and return to the Home tab.

Patient Protection mode
Patient Protection mode prevents access to the Review tab and Patient list without an authenticated clinician login. When Patient Protection is enabled, the Review tab is grayed out and inaccessible, but current patient information remains viewable on the Home tab. On the Patients tab, the List tab is grayed out and inaccessible, but the rest of the information accessed from the Patients tab (Summary and Manual tabs) remains viewable and editable based on the current device configuration.
An authorized person can access the Data Management > Clinician tab in Advanced settings to activate Patient Protection mode. (See Advanced settings.)
NOTE Patient Protection mode is available only in the Spot Check and Intervals Monitoring profiles.
NOTE You cannot change profiles while Patient Protection mode is active.

67
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 1 2 3

Area Device Status Content 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:

68 Navigation

Welch Allyn® Connex® Devices

· Clinician identification. The format can be a name, ID number, or icon. Touch this area to navigate to the Clinician login.
· Device location.
· 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.

Icon

Connection type or indicator

Ethernet

USB

Wireless

Wireless signal strength

Attempting to connect to the central station

Connected to central station

Not connected to central station

Blank

No connection

· Battery condition. Estimated battery capacity is displayed in hour(s):minute(s) format. Touch this area to navigate to the Device tab, where you can power down the device.
This area also provides interactive alarm and information messages, including a Demo mode active indicator.
Battery status
The battery status indicator displays the state of the battery.
NOTE Unplugging the power cord does not interrupt power to the device. Battery power runs the device, and AC power charges the battery. The battery status is represented by icons in the right corner of the Device Status area:

Instructions for use

Navigation 69

· The monitor is connected to a power outlet and the battery is charging or is fully charged. The estimated charge rate is displayed as a percentage of capacity.

· The monitor is not connected to a power outlet and is running on battery power. The estimated charge time remaining is displayed in the hour(s):minute(s) format. Each section of the battery status indicator represents a percentage of remaining charge.

NOTE When the battery switches from AC power to battery power, no charge time is displayed while the device calculates the remaining charge time.
· The monitor is connected to a power outlet but the battery does not maintain a charge or has been removed.

When the battery is not being recharged and power becomes low, a very low- priority alarm appears in the Device Status area.
NOTE Observe the remaining battery charge in the battery status indicator and plug the monitor into a power outlet as soon as you are able. If the very low- priority alarm is dismissed or if you take no action to charge the battery, a highpriority alarm appears when battery power is critically low. Plug the monitor into a power outlet immediately to prevent it from powering down.
Failure to plug in the monitor before the remaining charge runs out causes the monitor to power down and lose all unsaved data.
Alarm and information messages
The Device Status area provides alarm and information messages that are either temporary or exist as long as the condition to which the message applies remains. Alarm or information messages may also include controls and/or behavior that you can use to manage alarm and information messages.
When the monitor detects an alarm condition, an alarm message appears. When multiple alarms occur, the device provides options to manually toggle or autoscroll through a stack of messages. You can cycle through each alarm message in sequence of priority by touching the multiple alarm toggle. Alternatively, the autoscroll option displays messages in the stack for approximately 4 seconds. These messages are stacked in order of priority: the monitor displays the highest priority messages first followed by each successive alarm message in order of priority. After presenting the entire stack of alarm messages, the autoscroll feature loops back to the top priority message and repeats the entire stack unless specific alarms auto-dismiss or you reset or cancel specific alarms. In

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both the manual toggle and autoscroll options, 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. You can dismiss an information message by selecting the control associated with the message or waiting for the message to time out. Information messages rank the lowest in priority.
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.
The Content area includes the following:
· A frame for each available parameter
· The Patient frame
· The Manual parameters frame (height, weight, pain, temperature, respiration, and BMI, depending on configuration)
In the Office, Spot Check, and Intervals Monitoring profiles, the Content area also includes a Save button, which you use to manually save current measurements to the Review tab. If your monitor is connected to an external system, you can send these patient measurements to that external system as well. You can configure your monitor to automatically send these measurements any time you press Save, or you can navigate to the Review tab and then select specific records to send to the external system.

In the Continuous Monitoring profile, patient measurement data is automatically saved to the Review tab.

Instructions for use

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With the episodic save feature enabled, the workflow of a manual episodic save in the Continuous profile is initiated by use of a Save button on the Home tab. In the Continuous Monitoring profile, the Pause button appears in its place, however, with the episodic save feature enabled both buttons appear once the monitor determines the supported version of the Connex CS installed on the host server. See “Manual episodic vital sign measurements (Continuous Monitoring profile)” and “Host system” of this instructions for use. If the monitor is connected to the central station, the monitor automatically sends these patient measurements to the central station as well.

Office profile content area

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The Content area displays vital sign measurements. It also provides shortcuts to several controls.
The Content area of the Office profile includes the following frames: · NIBP · BMI (including weight and height) · Patient · Pulse rate · SpO2 · Temperature · Pain
The Content area also includes a Save button, which you use to manually save current measurements.
The Clear button deletes current measurements without saving them.
Save patient data
Patient data can be saved to the monitor.
After taking a patient reading, touch Save. A message appears indicating a successful save or a failed save.
NOTE During an NIBP averaging program, after acquiring an NIBP measurement, the monitor saves all measurements displayed on the Home tab and associated patient identification. To retain an NIBP average, touch Save upon completion of the averaging program.
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, alarm limit settings (available
only in the Intervals Monitoring and Continuous Monitoring profiles), and patient rest mode. · Review: Prints, deletes, and sends patient data. · Settings: Accesses device configuration settings.
To navigate to a tab, touch the tab in the Navigation area with the corresponding name. The active tab is highlighted.
NOTE If Patient Protection mode is active and no clinician has logged in to the device, the Review tab will be grayed out and inaccessible. The List tab, which you access from the Patients tab, also will not be accessible.

Instructions for use

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Display lock
The display lock feature blocks the display of patient information and also prevents both screen navigation and data input, which might be useful when cleaning the display. You can activate display lock manually or, depending on the device configuration, set the device to lock automatically after a specific idle period.
The display locks when any of the following occur: · You touch Lock display now on the Device tab. · No interaction with the monitor occurs for the period specified on the Display tab in Advanced
settings. (An authorized person can access the Display tab in Advanced settings and set or change the length of the idle period that triggers the display lock.)
Lock the display
Follow these steps to lock the display.
1. Touch the Settings tab. 2. Touch the Device tab. 3. Touch Lock display now.
The following occurs:

· The Home tab appears with a large lock icon on the lower left of the display. · The following information no longer appears on the screen:
Clinician ID Patient ID Manual parameters frame Navigation tabs · All controls on the display are locked. If you touch the display, you either unlock the display immediately (no security configuration implemented) or receive a prompt to enter credentials (security configuration implemented) to unlock the display.
Unlock the display
1. Touch anywhere on the locked display.
If no security configuration has been implemented, the display unlocks immediately.

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2. If a security configuration or single sign-on (SSO) has been implemented on the device, enter the requested credentials (ID number, access code, and/or password) based on your facility’s security policy. Where SSO has been implemented, scanning or tapping your badge overrides manual entry of your credentials if you haven’t exceeded the established grace period.
The display unlocks when the device authenticates your credentials.
3. If the SSO grace period has expired and authentication is unsuccessful, manually enter your system password or PIN as prompted, then touch OK.
The device authenticates you as an authorized user and displays your Clinician ID in the Device Status area of the Home tab.
NOTE An authorized person can adjust security configuration and SSO settings in Advanced settings.
4. If Patient Protection mode is active and “Continue without login” has been enabled in Advanced settings, select the condition(s) below that apply to you and follow that step.
a. No clinician logged in; Touch Continue without login, or scan or enter the requested credentials as prompted (ID number, access code, and/or password) and touch OK.
The display unlocks and displays patient information just as it appeared before the display was locked.
NOTE Using the device access code will clear the lock screen leaving the device in the state it was in before being locked.
NOTE Using “Continue without login” to clear the lock screen always engages Patient Protection mode.
b. Clinician logged in; Touch Continue without login, or scan or enter the requested credentials as prompted (ID number, access code, and/or password) and touch OK. Scan or enter additional credentials as prompted to authenticate and touch OK.
The display unlocks and displays patient information according to the level of authentication provided.
NOTE Using the device access code will clear the lock screen leaving the device in the state it was in before being locked.
NOTE If one clinician is logged in and the same clinician logs back in to unlock the display, then the patient information will appear just as it was before the display was locked.
NOTE If one clinician is logged in, a different clinician can log in and automatically log out the other clinician. The configuration of your device and the security policy of your facility determine whether the confirmation dialogs appear and whether patient information persists on the screen after logging out another clinician.
NOTE If a clinician is logged in, touching the Continue without login opens a dialog window asking if you want to log out the current user. If you touch OK, the device clears the vitals and logs out the other clinician. If you touch Cancel, the screen remains locked.
NOTE Using “Continue without login” to clear the lock screen always engages Patient Protection mode.
The display also unlocks when the following occur:

Instructions for use

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· A high- or medium-priority alarm.
· An externally initiated action, such as taking or stopping an NIBP measurement or upgrading software.

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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 include

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