Acuity LT Hardwired Central Monitoring System

Acuity LT Hardwired Central Monitoring System Installation Guide Acuity LT System software version 7.0x

ii Welch Allyn Hardwired Acuity LT Central Monitoring System Copyright 2007, Welch Allyn. All rights are reserved. No one is permitted to reproduce or duplicate, in any form, this manual or any part thereof without permission from Welch Allyn. Welch Allyn assumes no responsibility for any injury to anyone, or for any illegal or improper use of the product, that may result from failure to use this product in accordance with the instructions, cautions, warnings, or statement of intended use published in this manual. Welch Allyn, Propaq, Acuity, FlexNet and Flexible Monitoring are registered trademarks of Welch Allyn. Link To Acuity is a trademark of Welch Allyn. Software in this product is Copyright 2007, 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 remains with Welch Allyn or its vendors. For information about any Welch Allyn product, call the nearest Welch Allyn representative: USA 1 800 535 6663 +1 315 685 4560 Australia +61 2 9638 3000 1 800 074 793 Canada 1 800 561 8797 China +86 216 327 9631 European Call Center +353 46 906 7790 France +33 1 55 69 58 49 Germany +49 7477 9271 86 Japan +81 3 3219 0071 Latin America +1 305 669 9003 Netherlands +31 157 505 000 Singapore +65 6419 8100 South Africa +27 11 777 7555 United Kingdom +44 207 365 6780 Sweden +46 85 853 6551 Reorder Part Number 810-2395-XX Manual Part Number 810-2395-00 Rev A, 03/2007 Welch Allyn 8500 SW Creekside Place Beaverton, Oregon 97008-7107 www.welchallyn.com Printed in USA

iii Contents 1 - Introduction............................................. 1 About this manual................................................. 1 Conventions used in this manual.................................. 1 Safety and compliance information................................... 2 Related documents................................................ 3 2 - Plan the installation....................................... 5 System overview................................................. 5 Plan equipment location............................................ 6 Installation plan example........................................ 7 Optional equipment closet....................................... 7 Installation worksheet.......................................... 8 3 - Install Acuity LT System wiring............................. 9 Power requirements............................................... 9 Install wiring.................................................... 10 4 - Install the system....................................... 13 Unpack and identify Acuity LT System components...................... 13 Perform a preliminary system operation check.......................... 16 Install the Acuity LT System equipment............................... 22 Perform a final system operation check............................... 25 5 - Troubleshooting & support............................... 31 Troubleshooting................................................. 31 Technical support................................................ 32 6 - Specifications.......................................... 33 Network....................................................... 33 System components.............................................. 33 Patient monitors................................................. 35

iv Contents Welch Allyn Hardwired Acuity LT Central Monitoring System

1 1 Introduction About this manual This guide provides information for planning and performing the installation of your hardwired Acuity LT System. This information describes how to do the following: Plan the installation Install the wiring Install the system Troubleshoot the system In order to be sure that your equipment is installed properly, read and follow all of the steps provided in this manual. For information about how to operate the hardwired Acuity LT System, refer to the Acuity LT and Mobile Acuity LT Central Monitoring Systems Directions For Use (810-2401-XX). Conventions used in this manual WARNING Indicates conditions or practices that could lead to illness, injury, or death. Caution In this manual, indicates conditions or practices that could damage the equipment or other property. Note Provides additional important information.

2 Chapter 1 Introduction Welch Allyn Hardwired Acuity LT Central Monitoring System Safety and compliance information The CE Mark and Notified Body Registration Number signify that the product meets all essential requirements of European Medical Device Directive 93/42/EEC. Acuity LT System component(s) Product category Organization and standard Propaq 100 Series, Propaq Encore, Propaq CS monitors Medical Equipment EN 60 601-1:1990 A1:1992, A2:1995 All components operating together as a system Electromagnetic compatibility IEC 60 601-1-2:2001 for Medical Equipment All components operating together as a system Medical Systems IEC 60 601-1-1:2001 All information systems components Information Technology Equipment EN 60 950:1994 WARNING The hardwired Acuity LT System must be installed by technical personnel qualified by training and experience in compliance with the safety standards listed above, in compliance with local and state regulations, and according to the instructions provided in this guide. Improper installation could result in improper operation of the hardwired Acuity LT System, prevent patient monitoring at the Central Station, and cause equipment damage or failure. WARNING After making any changes to Acuity LT System hardware or software, make sure that system performance is validated by qualified personnel according to instructions in this guide. WARNING Although the printer is optional with the Acuity LT System, be aware that there is no physical record available for Acuity LT System events (such as alarms) without a printed paper copy. WARNING Make sure that the network name of any Propaq CS monitor with hardwired and wireless capability does not match the network name of any nearby wireless Acuity System. When a Propaq CS monitor is unplugged from a hardwired Acuity System, it attempts to make a wireless connection with any nearby wireless Acuity System.

Directions for Use Chapter 1 Introduction 3 Related documents Document Acuity Central Monitoring System: Acuity Central Monitoring System Directions for Use CD-ROM (multilanguage) Acuity Central Monitoring System Directions for Use (English, printed) Reorder number 810-2403-XX 810-2400-XX Acuity LT Central Monitoring System: Acuity LT Central Monitoring System CD-ROM (multilanguage): Acuity LT and Mobile Acuity LT Central Monitoring Systems Directions for Use (multilanguage) Acuity LT Wireless System Installation Guide (English) Acuity LT Hardwired System Installation Guide (English) Acuity LT and Mobile Acuity LT Central Monitoring Systems Directions for Use (English, printed) Installation guides (printed): Acuity LT Wireless System Installation Guide (English) Acuity LT Hardwired System Installation Guide (English) Mobile Acuity LT Wireless System Installation Guide (En, Fr, Ger, Sp, It, Pol) Mobile Acuity LT Hardwired System Installation Guide (En, Fr, Ger, Sp, It, Pol) 810-2401-XX 810-2404-XX 810-2377-XX 810-2395-XX 810-2411-XX to 810-2416-XX 810-2417-XX to 910-2422-XX Welch Allyn Connectivity Server (WACS): Welch Allyn Connectivity Server (WACS) CD-ROM (English): Welch Allyn Connectivity Server Directions for Use Welch Allyn Connectivity Server Programmer s Guide Link To Acuity TM --Clinician Notifier Directions for Use Link To Acuity--Clinician Notifier Directions for Use (English, printed) 810-2398-XX 810-2405-XX Welch Allyn monitors: Micropaq Monitor Directions for Use CD-ROM (multilanguage) Propaq LTR Monitor Directions for Use CD-ROM (multilanguage) Propaq CS Monitor Directions for Use CD-ROM (multilanguage) Propaq Encore Monitor Directions for Use CD-ROM (multilanguage) 810-1464-XX 810-1828-XX 810-1441-XX 810-1719-XX

4 Chapter 1 Introduction Welch Allyn Hardwired Acuity LT Central Monitoring System

5 2 Plan the installation System overview Welch Allyn Connectivity Server (WACS) Terminal server Mobile device running Clinician Notifier software within the hospital network Propaq monitors Modem Laser Printer Acuity LT Central Station Uninterruptible Power Supply (UPS) Hardwired Acuity LT Central Monitoring System The Acuity LT Central Station receives, displays and analyzes information from various hardwired monitoring devices. The Acuity LT System CPU operates with Welch Allyn Acuity LT System software. Patient data, alarms and equipment alerts are presented on the display. Network components included with the system enable connections to the patient monitors and a laser printer. An external modem facilitates remote technical support. The Welch Allyn Connectivity Server (WACS) is an option to the Hardwired Acuity LT Central Monitoring System. WACS consists of a server platform on which Welch Allyn software options are installed. Link To Acuity TM is a WACS option that delivers Acuity System patient information to mobile devices running Welch Allyn Clinician Notifier software. A hospital network can carry information to the Acuity System and carry patient data to the hospital information system (HIS/CIS). The system stores patient data and trend information for up to 96 hours, through the Full Disclosure feature. The system can be expanded to support up to 28 patients: this type of system includes a larger terminal server, a second display, and a trackball.

6 Chapter 2 Plan the installation Welch Allyn Hardwired Acuity LT Central Monitoring System Plan equipment location The following illustration shows typical locations for installation of hardwired Acuity LT Central Monitoring System components. Acuity System bedside jacks are installed in the walls in patient rooms. Data cables are routed from Acuity System bedside jacks to a terminal server and the Acuity Central Station CPU, typically up through the wall and overhead through ceiling access. Display and CPU are on a desk at the nurse s station. Printer is located near the CPU. UPS provides temporary power to components at the nurse s station. Modem connects to the CPU and to a dedicated analog phone line to allow remote access for technical support. Terminal server and wiring terminals are typically located in an equipment closet. UPS provides temporary power to the terminal server. Patch panel terminates data cables.

Directions for Use Chapter 2 Plan the installation 7 Installation plan example The following example shows a typical hardwired Acuity LT System layout. Room 1 Room 2 Room 3 Room 4 Equipment closet (for terminal server and a UPS) Acuity LT Central Station Acuity System bedside jacks are installed in each patient room Room 5 Room 6 Room 7 Room 8 10 feet Room 9 Room 10 Optional equipment closet Note that although the example above shows the recommended use of an equipment closet for placement of the terminal server and a UPS, the equipment closet is optional. The terminal server and UPS can be placed together in either of the following places: Near the Acuity LT Central Station at the nurse s station, if there is adequate space for the terminal server and wiring. For 28-patient systems, there is too much wiring to locate the terminal server at the nurse s station. As far as 300 feet away from the Acuity LT Central Station. 300 feet is the maximum length of wiring allowed between the terminal server and the CPU, and between the terminal server and the Acuity LT System jacks.

8 Chapter 2 Plan the installation Welch Allyn Hardwired Acuity LT Central Monitoring System Installation worksheet Use this worksheet to identify Acuity LT System equipment locations for your facility. Be sure to consider the following: 300 feet is the maximum length of wiring between the terminal server and CPU. 300 feet is the maximum length of wiring between the terminal server and Acuity LT System bedside jacks. Although the 28-patient system only supports the connection of 28 monitors at one time, you can install wiring into 31 rooms. The Acuity LT System supports the first 28 monitors that are connected in any of those rooms. If you try to connect more than 28 monitors at the same time, the Acuity LT Central Station display indicates that connection of additional monitors is not allowed. 10 ft.

9 3 Install Acuity LT System wiring After the installation is planned, qualified personnel can install the wiring for the hardwired Acuity LT System. Power requirements The following power requirements are required at the nurses station and the equipment closet (or wherever the terminal server and UPS are located). Table 1. Acuity LT System power requirements Location Equipment AC power outlets Minimum power Central nurses station Equipment closet (or area near nurses station) Each display (2 displays for 28-patient system) CPU External modem Uninterruptible power supply (UPS) 1 power cord plugs into UPS Plug into UPS 1 outlet 500 VA 750 VA for 28-patient system Printer 1 outlet (does not plug into UPS) 16-port terminal server (12-patient system) OR 32-port terminal server (28-patient system) Uninterruptible power supply (UPS) 1 power adapter plugs into UPS Refer to printer specifications (printer model might vary) Plug into UPS 1 outlet 500 VA

10 Chapter 3 Install Acuity LT System wiring Welch Allyn Hardwired Acuity LT Central Monitoring System Install wiring Caution All wiring must be installed in compliance with local and state safety guidelines and the following instructions and specifications. To install serial cable Serial cabling is intended for high speed communications between the terminal server and Acuity System bedside ports. 1. Install TIA/EIA-568-compliant unshielded twisted-pair cabling (Category 5 or 5E) between the terminal server and patient rooms. The maximum allowable wiring length between the terminal server and Acuity System bedside ports is 300 feet. 2. In patient rooms at bedside, terminate cabling into plate-mounted RJ45 jacks, located as follows: 3 to 5 feet (1 to 1.6 m) from the floor Within easy reach for clinicians: do not locate jacks behind the headboards of beds 3. In the equipment room (or wherever the patch panel is located), terminate cabling into a multi-port patch panel with RJ45 jacks per TIA/EIA-568 standards. To aid in troubleshooting, label all data cables that terminate at the patch panel.

Directions for Use Chapter 3 Install Acuity LT System wiring 11 To install local area network (LAN) ethernet cable LAN ethernet cabling is intended for high-speed communications between the CPU and the terminal server. Take one of the following steps: If the CPU and terminal server are located within six feet of each other, connect them with the supplied crossover data cable. If the CPU and terminal server are not located within six feet of each other, proceed as follows: a. Install a maximum of 300 feet of unshielded twisted-pair (4 pair) cabling (category 5 or 5E) between the CPU and the terminal server. A patch panel is required. b. Install a network terminal for the CPU. c. Install the supplied crossover data cable at the CPU or terminal server network port. Terminate cabling per TIA/EIA-568 standards. To install telephone/data cabling Telephone/data cabling is intended for serial communication between the CPU and the Welch Allyn Technical Support department, via an external modem. 1. Install dedicated, analog, stand-alone direct inward dial (DID) telephone line. The line must not be controlled by the local PBX or switchboard or routed through the telephone switchboard. 2. Terminate cabling with a standard telephone jack.

12 Chapter 3 Install Acuity LT System wiring Welch Allyn Hardwired Acuity LT Central Monitoring System

13 4 Install the system Unpack and identify Acuity LT System components Components and optional components that are not shown in the illustration are listed in the table on page 14. A C B B1 B2 D4 D1 D3 E F3 E1 F F1 F2 F4 D F5 Carefully unpack and identify all of the Acuity LT System components.

14 Chapter 4 Install the system Welch Allyn Hardwired Acuity LT Central Monitoring System Table 2. Hardwired Acuity LT System equipment Equipment Item Description Typical installation location a Display A Flat panel display AC power cord (not shown) Data cable for connection to the CPU, HD15-HD15 (not shown) External audio cable (not shown; allows adjustment of display speaker volume) A 28-patient system also includes (not shown): Second flat panel display AC power cord Second data cable for connection to the CPU (HD15-DVI) Two video extension cables (to extend the distance between the CPU and the displays) CPU B B1 B2 Sun Microsystems SunBlade 150 CPU Keyboard (with USB connector) Mouse (with USB connector) OR Trackball with USB connector for 28-patient system (not shown) AC power cord (not shown) Printer C Parallel printer (model might vary) AC power cord (not shown) Parallel printer cable for connection to the CPU (not shown) Terminal server D Latronix 16-port terminal server (shown on page 13). OR Latronix 32-port terminal server (shown below). Desk at the nurses station Desk at the nurses station Desk at the nurses station Equipment closet near the nurses station 2 uninterruptible power supplies (UPSs) D1 Power cord D2 Crossover data cable, for connection in the data path between the terminal server and the CPU (not shown) D3 Data cables (for connection between Acuity LT System bedside ports and the terminal server) D4 Ground cable (connects to the terminal server and the building ground) E Uninterruptible power supplies (UPSs) provide emergency power to system components (model might vary) For a 28-patient system, the addition of the second display necessitates a 750 VA UPS. E1 Ground cables (connect to back of UPS and to building ground) One UPS near the desk at the nurses station, one UPS in the equipment closet

Directions for Use Chapter 4 Install the system 15 Table 2. Hardwired Acuity LT System equipment Equipment Item Description Typical installation location a Modem F Modem for connection to the CPU and dedicated analog phone line to allow remote technical support (model might vary) Near the desk at the nurses station F1 Power adapter F2 AC power cord F3 Data cable (for connection to the modem and the CPU F4 Phone cord (for connection to the modem LINE connector and a dedicated phone line) F5 Noise suppressor (attaches around the phone cord) a. Contact Welch Allyn for current part numbers and model numbers. WARNING Before setup, inspect all equipment for any signs of damage, cracks, improper mechanical function, exposed wires, or bent connectors. Replace any damaged equipment.

16 Chapter 4 Install the system Welch Allyn Hardwired Acuity LT Central Monitoring System Perform a preliminary system operation check A preliminary check enables you to see how all of the components work together, and to confirm that all components work properly in your facility. Before you install the equipment, it is strongly recommended that you connect all of the Acuity LT System components in the order specified in this section. To connect the Acuity LT System components 1. Choose a suitable location with available power and a large desk or table, such as a conference room or office. 2. Assemble the Acuity LT System equipment, including a Propaq CS or Propaq Encore patient monitor. It is not necessary to assemble the following equipment for this preliminary check: 3 Ground cables (Items D4 and E1) Modem and accessories (Items F and F1 through F5) 3. Connect the components as shown in the illustration on page 17. The photograph on page 13 and the table on page 14 provide further detail. Note Do not apply power to the components or plug the UPSs into AC power until you are instructed to do so on page 18.

Directions for Use Chapter 4 Install the system 17 UPS 2 Do not plug UPS 2 into AC power until instructed on page 18. DISPLAY Connect video to analog HD-15 connector. PRINTER (Model might vary) Do not plug the printer into a UPS. Plug it directly into an AC power outlet. CPU UPS 1 Do not plug UPS 1 into AC power until instructed on page 18. CROSSOVER CABLE (Not straight-through data cable) Port 1 not used Port 2 ACUITY LT SYSTEM CABLE TERMINAL SERVER For 28-Patient System: 1. Set up second display (connect power, and connect data cable to CPU). 2. Connect trackball. 3. Set up 32-port terminal server: PROPAQ MONITOR Connect ACUITY CABLE to Port 2 Connect CROSSOVER CABLE 32-PORT TERMINAL SERVER Preliminary wiring connections for the hardwired Acuity LT System

18 Chapter 4 Install the system Welch Allyn Hardwired Acuity LT Central Monitoring System To apply power to Acuity LT System components 1. Apply power in this order: a. Printer Insert the toner cartridge and add paper. Plug into AC power. Do not plug the printer into a UPS. Turn on the printer power. b. UPS 1 and terminal server Plug the UPS 1 power cord into an AC power outlet. Turn on the terminal server power. Press the UPS 1 power buttons to apply power to the terminal server. c. UPS 2, CPU and Acuity LT Central Station display(s) Plug the UPS 2 power cord into an AC power outlet. Press both UPS 2 power buttons to apply power. If the CPU does not start up, press the front-panel power switch. Press the Acuity LT Central Station display power button to apply power. For a 28-patient system, also turn on the second display. 2. Verify that LEDs are active on the following devices: UPSs CPU Terminal server

Directions for Use Chapter 4 Install the system 19 To check information on the Acuity LT Central Station display 1. Confirm that information appears on the Acuity LT Central Station display. For a 28-patient system, additionally do the following: a. Confirm that information is displayed on the second display. b. Using the Acuity LT System trackball, confirm that the displayed arrow moves left and right between the displays. If it does not, reverse the cable connections at the rear of the displays, and test again. 2. Within two or three minutes, confirm that the Acuity LT Central Station display shows a window similar to the following: If a CHECK NETWORK message is displayed, check all of the power and data cable connections to the CPU, terminal server and patch panel where cables connect from the Acuity LT System bedside ports. If the message is still displayed, refer to Troubleshooting on Troubleshooting on page 31. For a 28-patient system, additionally confirm that the map in the lower left corner shows room icons numbered from 1 to 31. 3. Apply power to a Propaq monitor. Verify that no patient cables are connected to the monitor, such as ECG or SpO 2 cables. 4. Confirm that within one minute, the Acuity LT Central Station display shows a Waveform Window that corresponds with the Propaq monitor, similar to the following:

20 Chapter 4 Install the system Welch Allyn Hardwired Acuity LT Central Monitoring System To simulate patient monitoring 1. Press these Propaq monitor keys: SETUP, WAVE SELECT, INSERVICE to set the Propaq monitor to the patient simulation mode. Confirm that within one minute, the Acuity LT Central Station display shows simulated patient data in the Waveform Window. 2. Press SETUP, WAVE SELECT, INSERVICE to set the monitor to the alternate internal simulation mode. Confirm that within a few seconds, the Acuity LT Central Station display emits an audible alarm and shows patient windows with red alarm borders. 3. Use the left button on the Acuity LT System mouse/trackball to click anywhere in the numerics area of the Waveform Window. The alarm tone is suspended for 90 seconds. Suspend area 4. Press SETUP, WAVE SELECT, INSERVICE to set the monitor to the alternate patient simulation mode and remove the patient alarm state. Confirm that the Waveform Window border changes from red (patient alarm state) to yellow (equipment alert state). 5. Click in the waveform area of the Waveform Window to print data from this simulated patient. Print area Confirm that within two minutes, the printer prints the data. If it does not, verify that the printer is online and properly connected.

Directions for Use Chapter 4 Install the system 21 To simulate a shutdown 1. Unplug both UPS units from AC power. The UPS units might emit alarm tones. 2. Confirm that the system continues to operate without disruption, and then plug in both UPS units to AC power. 3. Apply power to each of the patient monitors that will be used with the Acuity LT System. 4. Connect each monitor cable to one of the terminal server ports 2-13 (or ports 2-32 for the 28-patient system). Confirm that within one minute, the Acuity LT Central Station display shows a Waveform Window for each patient monitor. 5. Disconnect all patient monitor cables from the terminal server ports, and then turn off power to each monitor. 6. Shut down the Acuity LT System as follows: a. On the Acuity LT Central Station screen, move the pointer into the gray area in the upper right hand corner of the screen. b. Hold down the key on the keyboard, and press the right mouse/trackball key. c. When the System Menu appears in the upper right corner, click Shutdown Workstation, and then click Confirm. d. After the system shuts down, turn off system power to all Acuity components and disassemble the system. If any part of the system is not operating properly, refer to Troubleshooting on page 31.

22 Chapter 4 Install the system Welch Allyn Hardwired Acuity LT Central Monitoring System Install the Acuity LT System equipment If the wiring has been installed in your facility and you have performed a preliminary system operation check, you can proceed to install the Acuity LT System equipment. To install the Acuity LT System equipment 1. Place all of the equipment in the locations identified during the planning process. 2. Refer to one of the following illustrations to connect all of the Acuity LT System components with appropriate data cables and power connections: 12-patient system: see page 23 28-patient system: see page 24 The photograph on page 13 and the table on page 14 provide further detail. Caution Do not apply power to any components or plug the UPSs into AC power until you perform a final system check as described on page 25. 3. Connect the ground cables (not illustrated): a. Connect a ground cable from the terminal server to the building ground. b. Connect ground cable(s) from the UPS(s) to the building ground. 4. Connect the external audio cable to the CPU and the Acuity LT Central Station display: a. On the CPU, connect the cable to the headphone jack. Caution Do not connect the external audio cable to the CPU line-out jack. b. On the Acuity LT Central Station display, connect the cable to the Input 1 Audio jack. For 28-monitor system, connect the cable to the left display, which shows the Acuity System map.

Directions for Use Chapter 4 Install the system 23 UPS 2 Do not plug UPS 2 into AC power until final system check DISPLAY Connect video to analog HD-15 connector. PRINTER (Model might vary) Do not plug the printer into a UPS. Plug it directly into an AC outlet. CPU To analog phone line UPS 1 Do not plug UPS 1 into AC power until final system check ROOM 1 ROOM 2 ROOM 3 ROOM 4 ROOM 5 ROOM 6 ROOM 7 MODEM Port 2 Port 3 Port 4 Port 5 Port 6 Port 7 Port 8 Port 1 not used CROSSOVER CABLE (Not straight-through data cable) TERMINAL SERVER Port 16 not used Port 15 not used Port 14 not used Port 13 Port 14 Port 15 Port 16 Port 17 ROOM 12 ROOM 11 ROOM 10 ROOM 9 ROOM 8 Equipment closet Patient rooms (Closet is optional) Nurses station Final wiring connections for the hardwired Acuity LT System (12-patient system)

24 Chapter 4 Install the system Welch Allyn Hardwired Acuity LT Central Monitoring System UPS 2 Do not plug UPS 2 into AC power until final system check RIGHT-SIDE DISPLAY Connect video to digital DVI connector. LEFT-SIDE DISPLAY Connect video to analog HD-15 connector. PRINTER (Model might vary) Do not plug the printer into a UPS. Plug it directly into an AC outlet. CPU To analog phone line UPS 1 Do not plug UPS 1 into AC power until final system check MODEM CROSSOVER CABLE (Not straight-through data cable) TERMINAL SERVER Port 1 Not Used Port 32 ROOM 31 Port 2 ROOM 1 Port 31 ROOM 30 Port 3 ROOM 2 Port 30 ROOM 29 Port 4 ROOM 3 Port 29 ROOM 28 Port 5 ROOM 4 Port 28 ROOM 27 Port 6 ROOM 5 Port 27 ROOM 26................................ Port 15 ROOM 14 Port 16 ROOM 15 Install wiring Equipment closet Patient rooms (Closet is optional) Nurses station Final wiring connections for the hardwired Acuity LT System (28-patient system)

Directions for Use Chapter 4 Install the system 25 Perform a final system operation check Perform all of the steps in the following table to make sure that the hardwired Acuity LT System is operating properly. This system check can require two to three hours to complete, depending on your facility. Use one of the following patient monitors: Propaq CS monitor Propaq Encore monitor If any part of the system is not working, refer to Troubleshooting on page 31. Table 3. Final system check for the hardwired Acuity LT System Step Activity Pass/fail (circle one) Comments 1. Make sure that all power is off to Acuity LT System components, including all patient monitors. Apply power as follows: a. Printer: Make sure that the printer is online and has paper. b. UPS 1 (in equipment room) c. UPS 2 (at nurses station) CPU should start up when UPS 2 power is applied. If it does not, press CPU front panel power switch. d. Acuity LT Central Station display(s) Confirm that activity begins on the display screen(s). Pass Fail 2. Confirm that the following device LEDs are active. Both UPSs CPU Pass 3. Confirm that the terminal server LED is active. Pass Fail Fail

26 Chapter 4 Install the system Welch Allyn Hardwired Acuity LT Central Monitoring System Table 3. Final system check for the hardwired Acuity LT System (continued) Step Activity Pass/fail (circle one) Comments 4. Confirm that Acuity LT Central Station display shows a window similar to the following, and that a CHECK NETWORK message is not displayed. Pass Fail 4a. For 28-patient systems only: a. Confirm that both Acuity LT Central Station displays present information. b. Confirm that the map in the lower left corner of the screen shown in Step 4 is on the left display. If the map is on the right display, go to the rear of both displays and switch the display cable connections between them. Confirm that the map is now on the left display. c. Confirm that you can use the trackball to move the arrow left and right between the displays. d. Confirm that the map shows icons for rooms 1 to 31. 5. a. Plug a Propaq CS or Propaq Encore monitor into an Acuity LT System bedside port in one of the patient rooms. b. Apply power to the monitor. c. Press SETUP, WAVE SELECT, INSERVICE to place it in inservice mode: d. Confirm that within one minute, the Acuity LT Central Station display shows simulated patient data from the monitor. Pass Fail Pass Fail 6.. Pass Fail Print area a. At the Acuity LT Central Station display, click in the waveform area of the Waveform Window. b. Confirm that within two minutes, the printer prints simulated patient data

Directions for Use Chapter 4 Install the system 27 Table 3. Final system check for the hardwired Acuity LT System (continued) Step Activity Pass/fail (circle one) Comments 7. Pass Click Fail a. In the Waveform Window, click the status icon. b. Confirm that an ID Not Confirmed message is shown in the yellow border of the Virtual Monitor.. 8. a. In the blue Patient Identification window, click Close. b. In the Virtual Monitor, click Setup, and then Alarms to display the Alarms Setup window. : Pass Fail c. Click and hold down the slider for the HR/PR lower alarm limit, and move it to the right to 90 or greater. d. Confirm that within a few seconds, the following occurs: The patient s windows show red HR patient alarm borders. The Acuity LT Central Station emits an audible alarm.

28 Chapter 4 Install the system Welch Allyn Hardwired Acuity LT Central Monitoring System Table 3. Final system check for the hardwired Acuity LT System (continued) Step Activity Pass/fail (circle one) Comments 9. a. Confirm that you can hear the alarm from the Acuity LT Central Station display speakers. b. Confirm that the speaker volume buttons on the display allow you to increase and decrease the volume. Set the volume to an appropriate level. Note: this adjusts only the volume of the display speakers; it does not affect the CPU speaker volume, which is controlled by the Acuity LT System software. 10. a. In the red-bordered Alarms Setup window, move the HR/PR lower alarm limit slider back down to below 80. b. Confirm that the red borders are removed and the audible alarm stops. 11. a. Disconnect the monitor from the Acuity LT System by taking one of the following steps: On a Propaq CS patient monitor: Press NET OFF. On a Propaq Encore patient monitor: From the main menu, press SETUP, ACUITY, NET OFF. b. Within 10 seconds, disconnect the patient monitor s Acuity cable from the Acuity LT System bedside port. Leave the monitor powered on and in the inservice mode. c. Take the monitor to another Acuity LT System bedside port, and plug in the Acuity cable to the port. 12. a. Confirm that within a minute, the Acuity LT Central Station display shows a Waveform Window with simulated patient data. b. In the Waveform Window, confirm that the room number in the upper left corner corresponds to the room in which the monitor is plugged in. NOTE: Room numbers on the Acuity LT Central Station display are always in the range 1-12 for 12-patient systems. 13. a. Repeat Steps 11 and 12 for every Acuity LT System bedside port. Pass Fail Pass Fail Pass Fail Pass Fail Pass Fail 13a. For 28-patient systems only: a. Repeat Steps 11 and 12 for every Acuity LT System bedside port. b. In the Waveform Window, confirm that the patient room number in the upper left corner corresponds to the room in which the monitor is plugged in. NOTE: Room numbers on the Acuity LT Central Station display are always in the range 1-31 for 28-patient systems. 14. a. Unplug UPS 1 (in the equipment closet) from AC power b. Confirm that the Acuity LT Central Station display shows patient data with no yellow alert messages. The UPS might emit an audible alarm. c. Plug in UPS 1 to AC power. Pass Fail Pass Fail

Directions for Use Chapter 4 Install the system 29 Table 3. Final system check for the hardwired Acuity LT System (continued) Step Activity Pass/fail (circle one) Comments 15. a. Unplug UPS 2 (at the nurses station) from AC power b. Confirm that the Acuity LT Central Station display shows patient data with no yellow alert messages. The UPS might emit an audible alarm. c. Plug in UPS 2 to AC power. 16. a. To check the modem, call Welch Allyn Technical Support (1-800-289-2501 or +1 503-530-7500). b. Provide the telephone number of the modem, and ask the technician to check the modem operation. Pass Fail Pass Fail Test performed by Date Facility

30 Chapter 4 Install the system Welch Allyn Hardwired Acuity LT Central Monitoring System

31 5 Troubleshooting & support Troubleshooting If your hardwired Acuity LT System does not work properly, use this table as a guide to help identify and solve problems. Table 4. Hardwired Acuity LT System troubleshooting Symptom A CHECK NETWORK message appears on the Acuity LT Central Station screen. There is no display on the Acuity LT Central Station screen. There is no sound from the Acuity LT Central Station display speakers. Room numbers on the Acuity LT Central Station display do not correspond with room numbers for the Acuity LT System bedside ports. Possible cause and suggested response The Acuity LT System detects a problem in the connection with an Acuity LT System bedside port. 1. Confirm that all data cables are properly connected between the CPU, the terminal server and the patch panel where wiring to the Acuity LT System bedside ports is terminated. 2. Confirm that the data cable between the CPU and the terminal server is plugged into the 10/100 port on the far right side of the terminal server front panel (near the power switch). 3. Confirm that the crossover data cable is connected somewhere in the data path between the CPU and the terminal server. 4. Shut down and restart the entire Acuity LT System (see page 21 and page 18). 1. Check power to the UPS, CPU and Acuity LT Central Station display(s); make sure all power switches are turned on. 2. Check the video cable between the CPU and the display(s). 3. Shut down and restart the entire Acuity LT System (see page 21 and page 18). 1. Check the connections of the external audio cable between the CPU and the Acuity LT Central Station display: At the CPU, connect to the headphone jack. At the display, connect to the Input 1 audio jack. 2. Make sure that the speaker volume control on the display is turned up. Refer to the wiring diagram on page 23 (or page 24), and make sure that the data cables are connected to the correct ports on the terminal server.

32 Chapter 5 Troubleshooting & support Welch Allyn Hardwired Acuity LT Central Monitoring System Technical support For technical assistance, contact Welch Allyn Technical Support: Phone (within the U.S.A.): 1-800-289-2501 Phone (worldwide): +1 503-530-7500, ask for Technical Service Fax: +1 503-526-4970 e-mail: solutions@monitoring.welchallyn.com Internet http://www.monitoring.welchallyn.com/service

33 6 Specifications Software compatibility Table 5. Patient monitor/hardwired Acuity LT Central Monitoring System compatibility Patient monitor Propaq CS monitor, 3.42.01 software or higher Propaq Encore monitor, 2.5 software or higher Acuity System Hardwired Acuity LT Central Monitoring System System software version 7.0x Propaq 100 Series monitor with CO 2 option, 8.3 software or higher Propaq 100 Series monitor with EL display all models, 6.2 software or higher Propaq 100 Series monitor with LCD display all models, 7.0 software or higher Network Table 6. Hardwired Acuity LT System network specifications Characteristic Network type Patient monitor capabilities 12-Patient System 28-Patient System Specification 10/100 base-t ethernet network Any combination of Propaq CS, Propaq Encore, or Propaq 100 series patient monitors 12 maximum monitors at one time 28 maximum monitors at one time System components The following table lists all of the hardwired Acuity LT System components. All components have been validated and approved for use within the hardwired Acuity LT System. Except for the printer and UPS, all replacement devices must be ordered from Welch Allyn to make sure that they meet system performance requirements and are configured as required.

34 Appendix 6 Specifications Welch Allyn Hardwired Acuity LT Central Monitoring System Table 7. Hardwired Acuity LT System equipment specifications Equipment Display 19-inch viewable display Data cable connects to CPU Second display (and data cable) for 28- patient system Audio cable connects to CPU to enable display speakers Central processing unit (CPU) Sun Microsystems SunBlade 150 Supports 12 or 28 patient monitors Includes mouse and country-specific keyboard (trackball with 28-patient system) 16-port terminal server Supports up to 12 patient monitors 32-Port terminal server Supports up to 28 patient monitors Parallel printer (model might vary) 2 uninterruptible power supplies (UPSs) Model might vary outside of the U.S. Each provides temporary power for up to 4 devices Typical run time 5 min. at max. load 28-patient system requires larger capacity UPS (minimum 750 VA) for the nurse s station location Modem Model might vary outside of the U.S. Connects to CPU to enable access by remote Welch Allyn Technical Support. Typical dimensions and power requirements a Width: 16.9 in (43.30 cm) Height: 18.0 in (45.6 cm) Depth: 8.4 in (21.4 cm) Weight: 15.4 lb. (7.0 kg) Power: 100 to 120/220 to 240 VAC auto sense Width: 18.0 in. (45.7 cm) Height: 4.6 in. (11.8 cm) Depth: 17.6 in. (44.6 cm) Weight: 26.9 lb. (12.2 kg) Power: 100 to 120/220 to 240 VAC Width: 17.0 in. (43.2 cm) Height: 1.75 in. (4.45 cm) Depth: 12.0 in. (30.5 cm) Weight: 5.2 lb. (2.6 kg) Power: 95 to 250 VAC Width: 17.0 in. (43.2 cm) Height: 3.5 in. (8.9 cm) Depth: 12.0 in. (30.5 cm) Weight: 8.0 lb. (3.6 kg) Power: 95 to 250 VAC See printer manual for specifications Power: 100 to 120/220 to 240 VAC Power: DC (AC/DC adapter plugs into UPS) a. Contact Welch Allyn for current part numbers and model numbers.

Directions for Use Appendix 6 Specifications 35 Patient monitors Table 8. Patient monitors for the hardwired Acuity LT System a Monitor Description Propaq CS portable patient monitor Heart rate/pulse rate 5 or 3 lead ECG and motion-tolerant SpO 2 Motion-tolerant noninvasive blood pressure Temperature (2 channels) Invasive blood pressure (up to 2 channels) Capnography (mainstream and/or sidestream) Impedance respiration/apnea Thermal strip printer Communicates data to Acuity System Operates stand-alone with continuous monitoring and alarms when not connected to Acuity Adult, pediatric, and neonatal mode With all options: Size: 11.4 x 9.6 x 7.7 in (28.8 x 24.4 x 19.7 cm) Weight: 114.4 lbs (6.5 kg) Power: Rechargeable sealed lead acid internal battery Propaq Encore portable patient monitor Heart rate/pulse rate 5 or 3 lead ECG and motion-tolerant SpO 2 Motion-tolerant noninvasive blood pressure Temperature (2 channels) Invasive blood pressure (up to 2 channels) Capnography (mainstream and/or sidestream) Impedance respiration/apnea Thermal strip printer Communicates data to Acuity System Operates stand-alone with continuous monitoring and alarms when not connected to Acuity Adult, pediatric, and neonatal mode With all options: Size: 9.65 x 8.25 x 7.65 in (24.5 x 20.9 x 19.2 cm) Weight: 113.5 lb (6.1 kg) Power: Rechargeable sealed lead acid internal battery a. Although the Propaq 100 series monitors are no longer available from Welch Allyn, the Propaq 100 series monitors can be used with the hardwired Acuity LT System if already owned by the customer (provided the Propaq 100 series monitor has an Acuity port and software version 7.X/8.X or higher).

36 Appendix 6 Specifications Welch Allyn Hardwired Acuity LT Central Monitoring System