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Arcos Burn Navigator Active, User Manual

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Arcos Burn Navigator Active User Manual Download Page 51

 

Burn Navigator® User’s Manual 

Page 51 

Index 

Battery 

Information, 44 

Inserting and About, 8 

Precautions, 47 

Spare, carrying, 6 

Specifications, 49 

Troubleshooting, 38 

Burn Nav Web, 32, 34 

Checklist, 15 

Frequently Asked Questions (FAQ), 36 

Handoff, 33 

Hourly Update 

Button, 20 

Process, 16 

Intended Use, 3 

Myoglobinuria 

Question, 11 

Warning, 39 

Pump Setting, Updating, 22 

Security, 35 

Software updates, 34 

Time 

Calculated Time of Burn, 13 

Elapsed Time Since Burn, 13 

First time use, 8 

From and To (Hourly Updates), 16 

Hours Post Burn (HPB), 19 

I/O Table, Hourly Averages and Actual Times, 25 

Training Mode, 10, 15 

Updating Pump Setting, 22 

Use Warnings, 3 

 

 

 

 

Summary of Contents for Burn Navigator Active

Page 1: ...February 2021 Burn Navigator Active Manual 1153 Version 6 4 2 Revision A Burn Navigator Active User s Manual ...

Page 2: ... Screen Tabs 19 Functional Buttons 20 Hourly Update 20 Stop Burn Navigator 20 Enter Notes 21 Enter Checklist 21 Next Update 21 Home 22 Updating Pump Rate 22 Notes 24 I O Table 25 Volume 27 24 hour fluid projection 27 I O Graph 28 Safety Features 29 Settings 31 Burn Nav Web integration 32 Handoff 33 Bluetooth Handoff 33 Manual Handoff 33 Web Handoff 34 Software Updates 34 Security and Privacy Safeg...

Page 3: ...st burn The Burn Navigator is not intended for use in the care of patients weighing over 400kg Users are expected to have clinical training in emergency or critical care at a physician or nurse level The Burn Navigator can be used after Foley catheter insertion until the fluid resuscitation phase is complete The Burn Navigator is intended to be used in Burn Intensive Care Units during patient tran...

Page 4: ...me room or an adjacent room to the room where an MRI procedure is being performed Consult the MRI device manual to determine the appropriate safe distance of use Essential Performance The Burn Navigator provides fluid therapy recommendations for serious burn patients If the Burn Navigator fails to generate a recommendation clinicians will use an alternative guide to fluid resuscitation e g Parklan...

Page 5: ...atient care Disinfect the device and screen with a disinfectant wipe such as an alcohol swab CaviCide wipe Clorox Bleach wipe or other germicidal wipe as needed After each patient Disinfect the device and screen with a disinfectant wipe such as an alcohol swab or CaviCide wipe If the tablet has crossed time zones during patient care connect to the internet via Wi Fi to synchronize the date time an...

Page 6: ...d peripheral devices and cables o Do not drop or hit the tablet against solid objects When traveling by aircraft take the tablet in your carry on bag rather than checked luggage When using the device aboard an airplane follow all airline policies and instructions from crew When in a moving vehicle keep the tablet inside a protective bag or case while not in use When the tablet is in use ensure it ...

Page 7: ...y Tab Active Pro tablet Front 1 Display 2 Back key 3 Home key 4 Menu key Back 5 Camera 6 Stylus receptacle Top 7 Power key 8 Volume Up Down keys 9 Active key 10 Microphone Bottom 11 Docking connector Right 12 3 5mm audio jack 13 USB 3 1 Type C port 14 Microphone 15 Speaker 1 4 3 2 5 6 10 9 8 7 11 12 13 14 15 ...

Page 8: ...t cover and protective cover CAUTION Make sure the battery compartment cover is securely snapped in place when carrying the device Do not expose the battery to water or any other liquid Do not attempt to charge the battery using methods other than specified Do not short the battery terminals Do not attempt to overcharge the battery Do not touch the terminals on the battery pack or the tablet Doing...

Page 9: ...terruptible power source UPS is highly recommended unless running from the battery pack alone Turn on the tablet Press and hold the Power button item 6 on page 7 of this manual until the boot screen is displayed and wait for the device to boot The Burn Navigator software will launch automatically Powering off the tablet Press and hold the Power button for 1 second to display the shut down menu Acc...

Page 10: ...imum number of inactive patient records To switch between the lists of active and inactive patients press the Review Records Active Patients button Select a patient record in the list to view it If an active patient has a pending alert an alert icon will be displayed next to it To delete an inactive patient record press the delete icon next to it You will be asked to confirm If you are sure you wa...

Page 11: ...tifying information PII as the patient ID 2 Next enter the patient weight a You can enter weight in kilograms kg or pounds lbs b A number pad will appear for you to enter the weight c The Burn Navigator will display the weight in kg for the rest of the resuscitation After you enter the weight press Next to go to the next screen You will be asked if the patient has any confounders Special considera...

Page 12: ...tocol is recommended for most adult patients without resuscitation confounders Consult with the attending physician before using this protocol on a patient with a confounder b Custom protocol The custom protocol allows clinicians to set a target Urine Output range in mL or mL kg each hour The other unit either mL kg or mL is calculated in gray below If the patient s UO is not in target then the Cu...

Page 13: ...Haycock algorithm 6 Enter elapsed time since burn occurred How long ago did the burn happen Note There are two separate number fields one for hours and one for minutes The software will calculate the time of burn using your local time and the number of hours and minutes elapsed since the burn occurred 7 Next enter how much fluid the patient has received from the time of burn until now a Then enter...

Page 14: ...a doctor s order and patient condition you may select the formula for the initial rate The recommended rate will be the value calculated by the initial formula but only as high as 2 000 mL hr or as low as 100 mL hr or 20 mL hr based on Adult predictive or Weight based protocols The recommendation is shown with a gray background a Note the minimum rate can be changed on the Patient screen after you...

Page 15: ...t when you start resuscitation and every 6 hours later You can enter checklist data when you want by pressing the Enter Checklist button on the Home screen If you don t know some data for the checklist you can leave that field blank Note If a pulse is detectable by Doppler only select weak Training Mode In Training Mode you can advance time to the next hourly update by pressing the Next Update but...

Page 16: ...nd display the urine output in mL kg hr d The To time will be frozen after the urine output is entered Before this it will continue to increment with the current time 2 On the Fluids Given screen verify the primary fluid and the infusion volume for this time period a The gray boxes on top show the From and To times from the last screen as well as the time duration b The second row shows the primar...

Page 17: ...ional Fluid options b Check the Repeat box to have that fluid type and volume show up for the next update Repeated additional fluids are included in the 24 hour projection c You can press the X to delete the fluid type d If you don t see the fluid you gave on this screen then choose the bottom option Any Other Fluids and write a note to identify the fluid type Note Provide all additional fluids as...

Page 18: ...or Only mode Press the white box to enter the new rate 6 If you enter a rate different from the recommendation the Burn Navigator will ask you to enter the rationale the attending physician s name and your own name The Burn Navigator will create a note on the Status screen with the rationale you select The rationale screen does not show up in Monitor Only mode a Note In Monitor Only mode there is ...

Page 19: ...s burned is considered HPB 0 For example if a patient s burn occurred at 07 20 the HPBs would be numbered 07 00 07 59 HBP 0 08 00 08 59 HBP 1 09 00 09 59 HBP 2 and so on Android System Status Bar The Android system status bar is normally hidden during the resuscitation screens It can be revealed by pressing the Menu key on the device to show the running apps list This displays the current time bat...

Page 20: ... an hourly update is not due and it has been more than 10 minutes from your last hourly update when you press this button then you will see a message saying it is not yet time for a new hourly update and more than 10 minutes have passed since the last hourly update Note To edit past hourly fluid updates go to the I O Table and touch the column representing the time period you want to edit Stop Bur...

Page 21: ...screen ALERT To protect the patient s privacy we recommend you avoid entering personally identifying information into notes Enter Checklist Pressing the Enter Checklist button will take you to the checklist screen See the Checklist section above Next Update In Training Mode press Next Update to advance the clock to the next hourly update If an update is currently due pressing Next Update will not ...

Page 22: ...n rate field The software will calculate the total volume for the next hourly update based on how long the pump was at each rate Note The Burn Navigator does not communicate with any pumps Patient The Patient screen shows the Information you entered in the New Patient Setup You may change the data in the white fields except for the Protocol The Burn Navigator start time BurnNav started is time sta...

Page 23: ...g TBSA formula b After 8 HPB you can choose either a formula or choose Manual and type in the minimum rate The formulas are i The 4 2 1 weight formula is 4 mL kg hr for the first 10 kg 2 mL kg hr for the next 10 kg 1 mL kg hr for weight above 20 kg ii Burn Surface Area formula is 3750 mL m Burn Surface Area per day burn related losses 1500 mL m Body Surface Area per day maintenance fluids NOTE The...

Page 24: ...n the options chosen in the new patient setup The most recent note will always be at the top of the section Scroll down to see progressively older notes The Checklist section on the right displays checklist data provided through the Enter Checklist button and screen Note that any item not addressed in the checklist screen will be displayed blank as in the Checklist section The most recent checklis...

Page 25: ...urly fluid updates should happen at the top of each hour when the clock reads __ 00 but you may be a few minutes late The Burn Navigator will accept data even if it the data is not at the top of the hour We generate two views of the I O Table 1 Hourly Averages on the right indicates where the software averages the data you provide to fit into the fixed 60 minute hour post burn periods e g from 02 ...

Page 26: ... Times edit view Press the column representing the time period you want to edit The first column records the pre Burn Nav fluid measurements as entered during patient setup This column cannot be edited from the I O table It should be edited from the Patient tab The last column represents the current time period and cannot be edited from the table Data for this column should be entered at the next ...

Page 27: ...The two radio buttons at the top allow you to turn these two lines on or off The total volumes for 200 mL kg 24 hours and 250 mL kg 24 hours are calculated and shown next to the line representing that volume When the cumulative volume passes the orange and red lines the graph will change from green to orange then to red at the times when each alert level is passed 24 hour fluid projection By 10 HP...

Page 28: ...ays be on the far left of the graph The Fluids In graph shows the primary resuscitation fluids in blue Adjunct Fluids in different colors based on type crystalloids colloids or blood products and Other Fluids The last recommendation is shown as a gray bar after all the other columns The Urine Out graph colors the urine bars based on whether the urinary output is on target or not Green bars mean th...

Page 29: ...or 28 6 weight kg whichever is lower and the recommendation after that will not go above 1 500mL hr or 28 6 weight kg whichever is lower During the first 8 hours post burn HPB the minimum rate is determined by the 2mL kg TBSA formula After 8 HPB Burn Navigator will not make a recommendation lower than the Minimum rate shown on the Patient tab Between 9 and 24 HPB Burn Navigator will not recommend ...

Page 30: ...dary indicators for adequate or excessive fluid resuscitation One checklist item bladder pressure provides a check to see if a low urine output may be caused by some other reason than inadequate fluid resuscitation The Notes screen allows the user to see how the patient s checklist values such as vital signs and lab results have improved or decreased over time CAUTION Periodic communication with t...

Page 31: ...atients If Manual is chosen the default manual rate can also be set This setting can be overridden for individual patients via the Patient tab Custom protocol UO targets Sets the default weight based targets for the custom protocol This setting affects new patients only and can be overridden for individual patients during new patient setup Admin settings The Admin settings tab contains settings re...

Page 32: ...av Web subscription and mobile enterprise license are required to use this feature Sold separately contact sales arcosmedical com or call 1 877 542 8025 for more information Use of a Burn Nav Web account is subject to our Terms of Service and Privacy Policy visit https arcosmedical com for more information NOTE Burn Nav Web integration is currently available only for subscribers based in the USA N...

Page 33: ...nt more than once In order to transfer a new copy of a patient record the earlier copy must first be deleted from the recipient s device ALERT Bluetooth data transfer is unencrypted Users are expected to have appropriate security safeguards in place to protect patient data during Bluetooth handoff Manual Handoff Manual handoff is intended to be used only in uncommon situations where Bluetooth comm...

Page 34: ...ce after uploading to the web subsequent updates will not be visible on the web Software Updates Arcos will from time to time release updated versions of the Burn Navigator software in order to add new features improve existing features or fix problems according to feedback from customers In most cases updates will be downloaded automatically when the tablet is not in use and is connected to the i...

Page 35: ...ged to Cite ID to emphasize this The software will automatically record the dates and times of various events during resuscitation however dates are kept for internal purposes only and are not displayed to the user 6 It is possible to permanently delete patient records after resuscitation has ended 7 The device can optionally be configured to require a PIN or password to access the software We bel...

Page 36: ... effect on patient urine output then the algorithm will adapt to the new amount and projected amount of urine output and the primary resuscitation fluid recommendations will be lower c On the other hand if you anticipate a one time large volume of additional fluid for a particular hour then you should discuss with the attending physician about lowering the primary resuscitation fluid below the rec...

Page 37: ...ed use of CaviCide wipes Clorox Bleach wipes or similar disinfectant wipes After the CaviCide dries there tends to be a residue visible on the screen You can remove the residue with a clean moist paper towel 15 Can I use Bluetooth to hand off a patient to my personal device a Yes this device can exchange patient data with the Burn Nav app available on the Google Play and Apple app stores 16 Can Bu...

Page 38: ... location permission Move the devices closer together Move away from any sources of radio interference Ensure that both apps are up to date App updates may occasionally cause incompatibility with previous app versions Reboot one or both devices Shutting Down The device does not shut down Wait one or two minutes It is not a malfunction Remove and reinsert the battery Display Interface The screen is...

Page 39: ...ted to determine the appropriate fluid infusion rate Cause of Alert or Message Alert or Message Text User selects Training Mode or New Patient when there are 6 active patients The maximum number of patients are being resuscitated User attempts to delete an inactive patient record PLEASE CONFIRM Are you sure you want to delete this patient record A fluid update comes due or an alert is raised for a...

Page 40: ... physician has given approval When Monitor Only protocol is selected The protocol cannot be switched during resuscitation It has been over 24 hours post burn and the patient has been at minimum fluid rate for at least 6 hours Patient has been on minimum fluid rate for 6 or more hours and it is past 24 hours post burn If all other parameters of adequate tissue perfusion are normal you may end decis...

Page 41: ...an one hour after ruling out mechanical obstruction When using Weight based protocol and the user enters a urine output that is less than the target UO range Flush Foley w 10mL sterile water Check UO next hour When using Weight based protocol and the user enters a urine output that is greater than 4 0 mL kg hr UO was 4 mL kg hr Notify attending and assess patient s blood glucose BP HR CVP and Hb b...

Page 42: ...ommendation of 2 000 mL hr Alert The adjusted rate is above 2 000 mL hr Consult with attending physician regarding this rate 24 hour projection is or exceeds 200 mL kg Alert 24 hour projection is 200 mL kg Review the Volume and I O graphs Consult with attending physician Consider albumin or other intervention The patient has received a cumulative volume of 200mL kg within 24 hours Alert The patien...

Page 43: ...djusted to correct for the difference Go ahead with this transfer When user selects yes for presence of gross myoglobinuria This message shows on the recommendation screen ABLS guidelines recommend starting at 4mL kg TBSA for adults with electrical injuries On the new patient setup recommendation screen When the initial formula exceeds 2 000 mL hr Initial formula exceeds 2 000 mL hr Recommending 2...

Page 44: ...er is connected Warning To assure continued compliance use only shielded interface cables when connecting to a computer or peripheral Also any changes or modifications not expressly approved by the party responsible for compliance could void the user s authority to operate this equipment This device complies with Part 15 of the FCC Rules Operation is subject to the following two conditions 1 This ...

Page 45: ...uit or electric shock Do Not Pull or Insert the AC Plug If Your Hands Are Wet Electric shock may result Clean Dust and Other Debris of the AC Plug Regularly If dust or other debris accumulates on the plug humidity etc may cause a defect in the insulation which may result in a fire Pull the plug and wipe it with a dry cloth Pull the plug if the computer is not being used for a long period of time I...

Page 46: ...g the AC adaptor after a strong impact such as being dropped may result in electric shock short circuit or fire Take a Break of 10 15 Minutes Every Hour Using this product for long periods of time may have detrimental health effects on the eyes or hands Do Not Use with Exposing the Skin to This Product for a Long Period of Time Using this product with exposing the skin to the heat source of this p...

Page 47: ...r hairpins when carrying or storing Do Not Use This Product with a Battery Pack Other Than the One Specified Use only the specified battery pack with your product Use of battery packs other than those manufactured by Getac or supplied by Arcos may present a safety hazard generation of heat ignition or rupture When the battery pack has deteriorated replace it with a new one Continued use of a damag...

Page 48: ...time may be shorter Only use the computer within the allowable temperature range The battery pack is a consumable item If the amount of time the computer can be run by using a particular battery pack becomes dramatically shorter and repeated recharging does not restore its performance the battery pack should be replaced with a new one When transporting a spare battery inside a package briefcase et...

Page 49: ... Time 5 Approx 3 hours Dimensions 6 6 70 x 9 59 x 0 38 170 2 x 243 5 x 9 9 mm Weight 6 1 44lbs 653g Installed OS 7 Android Certifications IP68 8 MIL STD 810G 9 EPEAT 10 Energy Star 10 RoHS 10 Notes 1 1 KB 1 024 bytes 1 MB 1 048 576 bytes 1 GB 1 073 741 824 bytes 2 Some space is reserved for internal use by the operating system and application software 3 1 Mbit 1 000 000 bits 4 Average time under t...

Page 50: ...eir respective owners Burn Navigator Burn Nav and the Arcos logo are trademarks of Arcos Inc Android is a trademark of Google LLC Samsung Galaxy Galaxy Tab Active Pro are trademarks of Samsung Electronics Co Ltd Adobe the Adobe logo and Adobe Reader are either registered trademarks or trademarks of Adobe Systems Incorporated in the United States and or other countries Any use of marks owned by oth...

Page 51: ... Questions FAQ 36 Handoff 33 Hourly Update Button 20 Process 16 Intended Use 3 Myoglobinuria Question 11 Warning 39 Pump Setting Updating 22 Security 35 Software updates 34 Time Calculated Time of Burn 13 Elapsed Time Since Burn 13 First time use 8 From and To Hourly Updates 16 Hours Post Burn HPB 19 I O Table Hourly Averages and Actual Times 25 Training Mode 10 15 Updating Pump Setting 22 Use War...

Page 52: ...Burn Navigator User s Manual Page 52 Arcos Inc 4714 Riverstone Blvd Ste 200 Missouri City TX 77459 USA support arcosmedical com 877 542 8025 Copyright 2021 Arcos Inc All rights reserved ...

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