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Respironics SmartMonitor2 Operator'S Manual Download Page 24

Getting to Know the Monitor 

 

 

18

Back Panel Features 

Remote Alarm 

(Optional)

 

The Remote Alarm allows you to 
hear the audible alarms from a 
different room. 

 

 

 

 

Modem (

Optional

) 

The SmartMonitor 2 may be equipped with a modem to transfer the SmartMonitor 2 memory to 
the physician. See the section on 

Transferring Monitor Memory

 for more information. See the 

sections on FCC Part 68 and IC CS-03 for information on connecting the modem to the 
telephone line. 

DC Power 

Use the DC Power connector with the power cord/battery charger. Whenever the SmartMonitor 2 
is not in portable use (on battery power only) it should be connected to the battery charger. 

I/O Connector 

This connector connects the SmartMonitor 2 with other devices. Ensure that the devices used do 
not exceed SELV (Safety Extra Low Voltage) levels as described in EN60601-1. 

 
 
.

Summary of Contents for SmartMonitor2

Page 1: ...Professional Operator s Manual ...

Page 2: ...H IMPLIED WARRANTY IMPOSED BY LAW SHALL BE LIMITED TO A PERIOD OF NINETY 90 DAYS FROM THE DATE OF THE INITIAL PURCHASE FROM RESPIRONICS User Owner Responsibility This Respironics equipment and the authorized accessories are designed to work as described in the operator s manual The user s of this equipment should not use parts that have failed exhibit excessive wear are contaminated or otherwise i...

Page 3: ...C Part 15 14 Getting to Know the Monitor 15 SmartMonitor 2 Features 15 Top Panel Features 15 POWER Button 15 RESET Button 15 Front Panel Features 16 Patient Input Connector 16 Respiration Lights 16 Heart Lights 16 Speaker 16 System Lights 16 Side Panel Features 17 Self Test Connector 17 Memory Card Optional 17 Back Panel Features 18 Remote Alarm Optional 18 Modem Optional 18 DC Power 18 I O Connec...

Page 4: ...ess and hold the POWER button Hold both buttons down for 5 seconds 45 Release POWER button continue to hold the RESET button until the monitor turns off 45 Monitoring the Baby s Breathing 46 Respiration Light 46 Apnea Light 46 Monitoring the Baby s Heart Activity 47 Heart Rate Light 47 High Heart Rate Light 47 Low Heart Rate Light 47 Portable Operation of the SmartMonitor 2 49 Charging the SmartMo...

Page 5: ...ontents Performing a Functional Self Test 60 Self Test Troubleshooting 61 Troubleshooting 63 Ordering Information 65 Glossary 67 Appendix A 69 Flow Chart of SmartMonitor 2 Parameters 69 Specifications 71 Index 73 ...

Page 6: ...Table of Contents ...

Page 7: ... of these activities exceeds the limits prescribed by the physician Patient alarm limits are set by the health care professional before the SmartMonitor 2 monitor is delivered to the patient During monitoring when the baby s breathing effort and heart activity are not within these set boundaries an indicator light comes on and an alarm sounds This manual explains how to set up the SmartMonitor 2 h...

Page 8: ...rate signals were recorded using infant electrocardiogram electrodes The Alice system was used to gather physiological signals and record signals for airflow breathing effort and movement All Alice System data were reviewed by a qualified credentialed clinician using an Alice polysomnograph system Waveforms were manually reviewed and scored on an electronic medium The beat breath detection and ala...

Page 9: ...al patient Demographic Summary Ethnicity Clinical Site Number of Patients Male Female Cauca sian African American Asian Hispanic Other Mean Birth Weight grams Mean Gesta tional Age Weeks Site 1 10 6 4 10 0 0 0 0 1779 70 31 10 Site 2 5 4 1 3 2 0 0 0 2340 40 32 80 Site 3 10 2 8 2 2 2 3 1 3746 90 39 20 Site 4 7 3 4 4 2 0 1 0 1387 00 30 00 Site 5 13 4 9 8 1 0 4 0 1504 46 29 77 Site 6 7 5 2 6 1 0 0 0 2...

Page 10: ...with Alarm Apnea without Alarm Site 1 25 21 20 28 21 17 Site 2 2 2 3 2 2 3 Site 3 3 12 6 3 13 6 Site 4 10 21 10 11 11 9 Site 5 21 19 25 18 19 28 Site 6 7 22 10 11 19 6 Totals 68 97 74 73 85 69 Analysis of Results SmartMonitor Apnea with Alarm SmartMonitor 2 Apnea with Alarm Difference SmartMonitor 2 SmartMonitor Difference 68 73 5 6 8 The sensitivity for SmartMonitor is 100 68 142 47 89 with 95 co...

Page 11: ...SmartMonitor 2 SmartMonitor Difference 97 85 12 12 3 The false apnea rate for SmartMonitor is 97 95 95 1 01 The false apnea rate for SmartMonitor 2 is 85 95 95 0 89 SmartMonitor Apnea with No Alarm Missed Event SmartMonitor 2 Apnea with No Alarm Missed Event Difference SmartMonitor 2 SmartMonitor Difference 74 69 5 6 8 ...

Page 12: ...Introduction 6 ...

Page 13: ... This could result in strangulation 11 Do not connect to an electrical outlet controlled by a wall switch to prevent inadvertently turning the power off to the monitor 12 Do not block the speaker or place items in front of the speaker located on the front of the unit This could prevent the monitor alarm from being heard 13 Never use the monitor on the baby while the baby is being bathed This could...

Page 14: ...nce 19 If monitoring two or more infants in the same area keep the monitors patient patient cables and lead wires at least three 3 feet apart Having the patient cables and lead wires close together may cause missed apneas due to interference 20 Do not connect the infant to the SmartMonitor 2 if the monitor is placed in the Communications Mode The apnea and heart alarms do not work when the SmartMo...

Page 15: ...age the electronic components inside the monitor Should liquid spill onto monitor shut monitor off and call Respironics to have it serviced 3 Do not send information via modem during electrical storms Information could be lost or equipment could be damaged 4 Handle the lead wires carefully to prevent them from breaking inside the insulation Always grasp the lead wire at the strain relief area to r...

Page 16: ...Warnings and Cautions 10 ...

Page 17: ...uced by the heart If the SmartMonitor 2 detects the heart rate limit outside the range ordered by the physician a light will come on and an alarm will sound How the Alarms Operate Whenever the patient s breathing effort and heart activity are not within the limits set by the physician an indicator light will come on and an alarm will sound The SmartMonitor 2 has two types of alarms patient and sys...

Page 18: ...y Charging Temperature 10ºC to 35ºC IEC Classification The SmartMonitor 2 is classified as Class II Internally Powered Type BF Applied Part Ordinary Protection against the ingress of liquids Not suitable for use in the presence of a flammable anesthetic mixture with air or with nitrous oxide Continuous Operation Symbols Table Symbol Definition Attention Important information that should be read At...

Page 19: ... of devices that may be connected to the line as determined by the total number of RENs contact the telephone company to determine the maximum RENs for the calling area If the SmartMonitor 2 causes harm to the telephone network the telephone company will notify you in advance that temporary discontinuance of the service may be required But if advance notice is not practical your telephone company ...

Page 20: ...nnections of the power utility telephone lines and internal metallic water pipe system if present are connected together This precaution may be particularly important in rural areas Caution Users should not attempt to make such connections themselves but should contact the appropriate electric inspection authority or electrician as appropriate The Ringer Equivalent Number REN assigned to the Smart...

Page 21: ...ray POWER button turns the SmartMonitor 2 on When you turn the monitor on all lights and the alarm come on briefly and the monitor performs a system test After a pause monitoring will begin To turn the monitor off do the following Press and hold the blue RESET button Press and release the gray POWER button Wait 2 seconds and then release the RESET button RESET Button The blue RESET button resets t...

Page 22: ...et by the physician The red low light comes on when SmartMonitor 2 detects a heart rate lower than the limit set by the physician Speaker The SmartMonitor 2 speaker allows you to hear any alarm that sounds during monitoring System Lights The lights across the bottom of the front panel indicate if the SmartMonitor 2 is working properly Light Indicates Power The power to the SmartMonitor 2 is on Cha...

Page 23: ...nt cable and SmartMonitor 2 are working properly See the section Performing a Functional Self Test for more information Memory Card Optional The Memory Card transfers monitor data out of the monitor to give to the physician See the section on Transferring Monitor Memory for more information Memory Card Push button to remove Memory Card Memory Card LA Connection RA Connection ...

Page 24: ... Memory for more information See the sections on FCC Part 68 and IC CS 03 for information on connecting the modem to the telephone line DC Power Use the DC Power connector with the power cord battery charger Whenever the SmartMonitor 2 is not in portable use on battery power only it should be connected to the battery charger I O Connector This connector connects the SmartMonitor 2 with other devic...

Page 25: ...onitor 2 is in Menu mode The SmartMonitor 2 will beep once every 10 seconds to signal that it is powered on and in Menu mode To Set or Modify Parameters Manually Enter Menu Mode Press the POWER button to turn the monitor ON After a short delay the display will read INITIALIZING PLEASE WAIT Then MENU MODE ENTER PROPER KEY SEQUENCE Press the keys in the following sequence within 10 seconds Down arro...

Page 26: ...ATIENT NAME To enter the Patient Name Press Enter to begin entering patient name Press t or u to browse through the alphabet and select the letter you need When the letter you want appears press Enter Press Enter twice to place a space in between the first and last name When you have finished the name press t or u until the appears Then press Enter The is just before the letter a Press t to procee...

Page 27: ...t based on frequency of detected respiratory effort Values OFF 4 5 6 7 8 9 10 12 14 16 18 20 25 30 breaths per minute Standard value OFF All Menus Alarm Menu Bradycardia Alarm BRADYCARDIA ALARM BPM Establishes the LOW heart rate alarm set point based on the average detected ECG signal Values 40 50 60 70 80 90 100 beats per minute Standard value 80 bpm All Menus Alarm Menu Bradycardia Alarm Delay B...

Page 28: ...s violated and an entry is made into the Patient Events Log EVENT LOG Patient alarms are acknowledged by an entry in the Patient Events Log but no waveforms are recorded CONTINUOUS Active waveforms are recorded continuously regardless of alarm conditions All equipment related events are entered in the Equipment Events Log All Menus Record Menu Apnea for Record APNEA RECORD LIMIT in seconds Allows ...

Page 29: ...the number of seconds that waveforms are recorded prior to the occurrence of a physiologic event and after the event has terminated PRE defines the number of seconds that waveforms will be recorded prior to the event POST defines the number of seconds that waveforms will be recorded after the event has terminated Values 30 15 30 60 45 45 60 30 30 30 75 15 60 15 45 15 seconds Standard value 30 15 s...

Page 30: ...lect whether or not waveforms will be recorded on Auxiliary 3 Standard value OFF For additional information refer to the Auxiliary Signal Interface section of this manual All Menus Record Menu Auxiliary 4 Record RECORD AUXILIARY 4 This parameter allows the user to select whether or not waveforms will be recorded on Auxiliary 4 Standard value OFF For additional information refer to the Auxiliary Si...

Page 31: ... the date the display will stop flashing Press t to proceed to the next menu or u to move to the previous menu All Menus System Menu Time TIME To enter the Time Press Enter to begin Press t or u until the number required is displayed Press Enter to select Once you have entered the time the display will stop flashing Press t to proceed to the next menu or u to move to the previous menu All Menus Sy...

Page 32: ...ssible messages Insert Card Retry Transferring Data Data Transferred This menu is used to down load the recorded data to the PCMCIA card To move data to the PCMCIA card Press the ENTER button The word NO will begin to blink To select YES press either arrow button Should a PCMCIA card not be inserted the monitor will ask for the card Place card in slot located just below the display Press the ENTER...

Page 33: ...ss the ENTER button 3 times Scroll to MENU OPTIONS and press ENTER Scroll to SYSTEM MENU and press ENTER The following table lists the additional options available from the System menu Menu Option LCD Display Description of Option or Instructions Date Format DATE FORMAT Permits the selection of two formats for displaying the DATE MONTH DAY YEAR or DAY MONTH YEAR Standard value Month Day Year Memor...

Page 34: ...BLK SW REVISION Display only menu Displays the revision of the Boot Block Code Serial Number SERIAL NUMBER Display only menu Displays the Serial Number View Menu Mode Should there be a need the SmartMonitor 2 also allows you to use a View Only option of the Menu Selections The caregiver can download monitor data to a PCMCIA card using the View Menu but cannot make any changes to the settings in th...

Page 35: ... cable to the number 1 slot on the AIB The other end of the cable should be connected to the auxiliary device Insert into the I O connector on the back of the SmartMonitor 2 Connect device interface cable into the 1 slot on the AIB and the other end into the external device Before turning on the SmartMonitor 2 insure that the external devices are connected For every signal you want to record you w...

Page 36: ...Using Auxiliary Equipment 30 ...

Page 37: ... cables extended out rather than coiled up Set the simulator to output respiration and heart beats at rates and amplitudes that are appropriate and in the normal range with respect to the patients age Determine that the monitor detects respiration and heartbeats at the rates to which the simulator is set Place the simulator in the apnea mode for two 2 minutes Determine that the monitor continues t...

Page 38: ...Dealer Preparation for Home Setup 32 ...

Page 39: ...eave your emergency phone number s and procedures with the caregiver s Step 1 Set the SmartMonitor 2 on a Clean Flat Surface Be sure the speaker is not blocked To avoid interference be sure that no other electrical appliances are within three feet of the monitor patient and patient leads Make sure the monitor is close enough to connect to the baby comfortably Step 2 Connect the Patient Cable to th...

Page 40: ...et snaps into place When you need to remove a lead wire grasp and pull at the strain relief area located near the connecting tip Do not grasp the wire Use of the third green RL electrode and lead wire is normally not required but may help reduce excessive false low heart rate alarms Step 4 Connect the Lead Wires to the Electrodes Insert the black LA lead wire into one electrode Insert the white RA...

Page 41: ...ocated along the mid line of the side just below or lined up with the nipples Be sure the lead wires and patient cable are leading down and away from the baby s face and neck see illustration Baby s right side Baby s left side The white lead wire location is illustrated with a white electrode Step 6 Wrap the Electrode Belt around the Baby Wrap the belt around the baby s chest and fasten it with th...

Page 42: ...Home Setup 36 Baby s right side Baby s left side ...

Page 43: ...wo finger widths below or lined up with nipples Place the electrode with the black lead wire on the baby s left side along the mid line of the side two finger widths below or lined up with nipples An electrode belt is not needed when using disposable electrodes Use of the third green RL electrode and lead wire is normally not required but may help reduce EMI interference Place the green electrode ...

Page 44: ...he monitor will now come on When the SmartMonitor 2 is not operating portably keep the power cord battery charger connected and plugged into an AC outlet at all times Insure that the AC outlet has been installed to conform to the National Electrical Code NEC The batteries cannot be overcharged The green charger light stays on as long as the charger is connected The Power Cord Connector must be plu...

Page 45: ...device will allow you to hear the alarm from a different room from where the monitor is located If an Alarm Sounds If an alarm sounds while the baby is being monitored check the baby first Then follow the instructions below to respond to lights and alarms Always check the baby s skin color Is it normal Always check to see if the baby is breathing If the baby is not breathing follow the Respond Lik...

Page 46: ...eck the connections between the electrodes lead wires patient cable and the monitor If something has come loose reconnect it and press the RESET button The alarm should stop If alarm continues to sound see section Performing a Functional Self Test Red Loose Lead Continuous Baby is breathing and is responsive Color is good If the monitor passed the Functional Self Test turn off the monitor Then che...

Page 47: ...minutes if the monitor has not been plugged in The yellow light will continue to flash This is a warning that the battery is too low for the SmartMonitor 2 to operate properly The SmartMonitor 2 must be recharged Turn the monitor off Then recharge the battery See Charging the Battery in this manual If you do not recharge the battery the system will automatically shut down Memory Full Flashing yell...

Page 48: ...stop However the yellow light remains on until you press the RESET button Power Continuous green light continuous alarm with no other lights lit Check the display for error messages If no error messages are displayed the SmartMonitor 2 was turned off improperly causing a sibling alarm To resolve Press and hold the blue RESET button Press and release the gray POWER button Wait 2 seconds then releas...

Page 49: ...finger widths below or lined up with the nipples The skin should be clean and dry If the skin is unusually dry you may add a few drops of moisture water to the baby s skin prior to electrode belt placement When using the black reusable electrodes ensure that the electrode surface is clean The optional green RL electrode and lead wire may help reduce EMI interference Place the green electrode along...

Page 50: ...Reducing False Alarms 44 ...

Page 51: ...rtMonitor 2 section in this manual and be sure you have followed all instructions Turning the Monitor off Sibling Alarm The SmartMonitor 2 has a built in safety feature called a sibling alarm If the monitor is not turned off in a specific sequence the green power light will remain on and the alarm will sound continuously This safety feature makes sure the power is not accidentally turned off To tu...

Page 52: ...SmartMonitor 2 detects breathing again the beeping alarm stops The red light will stay on until you press the RESET button Low Breath Rate You the health care professional may have set the SmartMonitor 2 to signal Low Breath Rate If so the following will occur Breath rate falls below the setting but pauses are short and do not cause an apnea alarm The apnea light will blink twice each second and t...

Page 53: ...ked high heart rate will come on and the alarm beeps twice each second The beeping alarm stops when the condition no longer exists The red light stays on until you press the blue RESET button Low Heart Rate Light When the SmartMonitor 2 determines that the baby s heart rate is lower than the limit set by the physician the following will happen The red light marked low heart rate will come on The a...

Page 54: ...Monitoring the Baby 48 ...

Page 55: ...ing on the level of use number of alarms and other factors When the low battery light comes on you should recharge the battery immediately A fully drained battery should be recharged for 6 hours When you need to recharge the SmartMonitor 2 battery follow the steps below Connect the power cord battery charger to the back panel of the SmartMonitor 2 Plug the power cord battery charger into a power o...

Page 56: ...tery pack or batteries The batteries contain electrolytes which can cause injury to eyes skin and clothing Do not dispose of the old battery in fire or incinerator The battery pack contains ingredients that could be explosive and cause serious personal injury Cautions A caution indicates a condition that may lead to equipment damage malfunction or inaccurate operation The battery pack has a lockin...

Page 57: ...Safely dispose of all old battery packs in accordance with your area s environmental laws 4 Insert the connector of the new battery pack into the plug located in the upper left corner It can only be inserted one way See figure 2 Place the battery pack in the battery compartment Secure the battery pack in the proper position by aligning the Velcro on the battery pack to the Velcro in the battery co...

Page 58: ...Transferring SmartMonitor 2 Information 52 ...

Page 59: ...ta and needs the space occupied by the old data To recover the old data using a PCMCIA card Transfer the data to the card using the SmartMonitor 2 Now import the card into Synergy E When prompted with Only obtain data not previously retrieved answer NO to obtain all data Synergy E will then display all the data that was in the SmartMonitor 2 To recover the old data by downloading using Synergy E C...

Page 60: ... is programmed to call at 7am but fails to make a connection after 8 attempts it will stop trying The next day at 7am it will try again This will continue until a connection is made Modem Auto Answer in Communications Mode The SmartMonitor 2 must be connected to AC power during modem download 1 Connect a phone cord from the wall jack to the modem connector on the back of the SmartMonitor 2 2 To al...

Page 61: ...n emergency and access to the telephone is required while the modem is in use remove phone cord from modem slot and use a working phone 2 To allow the SmartMonitor 2 to work with the modem when the monitor is in monitor mode the baby is being monitored When the Home Care Dealer calls for a download and the phone rings the caregiver should press and hold down the blue RESET button Hold down the RES...

Page 62: ...lay will read 4 INITIALIZING PLEASE WAIT 5 Then 6 MENU MODE ENTER PROPER KEY SEQUENCE 7 Press the keys in the following sequence within 10 seconds 8 Press the ENTER button 9 The display will read SMARTMONITOR 2 MENU SELECTION 10 Press the u arrow until you see Move Data To Card 11 Press the ENTER button The word NO will begin to blink To select YES press either arrow button 12 Press the ENTER butt...

Page 63: ...ort on the monitor and the COM Port on the computer The monitor can be placed in Communications Mode Press and release the POWER button to turn the SmartMontior 2 on Press and hold the blue RESET button Wait until the monitor alarms constantly Release the RESET button Briefly press and release the RESET button again The SmartMonitor 2 display will read Monitor is in Communication Mode The SmartMon...

Page 64: ...Transferring SmartMonitor 2 Information 58 ...

Page 65: ...ust be rinsed well to remove any traces of soap film Soap film can prevent heart and breathing signals from being picked up clearly by the monitor Insure that the electrodes are completely dry before using Soft Carrying Case Although the care label in the carrying case suggests machine washing in warm water the appearance of the carrying case will change noticeably after washing Respironics recomm...

Page 66: ...according to the instructions given by the health care professional You should also perform the test After a lead wire is changed After the patient cable is changed To perform the functional self test follow the steps listed below Insert the patient cable into the socket located on the front of the monitor Connect the lead wires to the patient cable Insert the white lead wire into the opening labe...

Page 67: ...han half a minute the batteries are completely discharged Turn the monitor off using the correct Power Off procedure described in the Turning the Monitor Off Sibling Alarm section in this manual Make sure the power cord battery charger is plugged into a live power outlet and is properly connected to the monitor See Charging the Battery for more information Allow the battery to charge approximately...

Page 68: ...Caring for the SmartMonitor 2 62 ...

Page 69: ...ts Pressing RESET will not silence alarm Internal error condition detected by SmartMonitor 2 Reduce likelihood of electrostatic discharge around SmartMonitor 2 Contact your dealer If an Error number is displayed on the LCD the LCD is located on the bottom of the monitor record this information Contact your dealer If there is an internal software error a special power off procedure is required Pres...

Page 70: ...nections between electrodes lead wires and patient cable are not properly made Defective lead wires Defective patient cable Defective electrodes Internal part failure Verify that a baby s skin underneath electrodes is clean b electrodes are clean and c lead wires are fully inserted into the electrodes and patient cable Replace lead wires and perform Functional Self Test Replace patient cable and p...

Page 71: ...30VAC 50HZ 5000 SmartMonitor 2 Simulator ECG Respiration 9510 Small Disposable Sticky Electrodes 3 electrodes per set Pkg of 5 sets 9515 Large Disposable Sticky Electrodes 3 electrodes per set Pkg of 5 sets 9520 1 Safety Lead Wires Pin to Socket 24 in 080 in socket 9521 1 Safety Lead Wires Pin to Socket 40 in 080in Socket 5 pair per package 9916 12 Start up Accessory Kit 6 pair electrode belts 6 p...

Page 72: ...Ordering Information 66 ...

Page 73: ...s are working properly Heart rate The number of heart beats per minute Impedance The opposition offered by an electrical circuit to the flow of an alternating current measured by the ratio of the effective applied voltage to the effective current This is the method used by SmartMonitor 2 to detect respiration LA Connection The opening on the patient cable marked LA is the connector for the black l...

Page 74: ...Appendices 68 ...

Page 75: ... Time Record Impedance Memory Status Clear Memory Dial if Memory Full Record Resp Rate Record Heart Rate Record ECG Record Auxiliary 1 Record Auxiliary 2 Record Auxiliary 3 Record Auxiliary 4 Date Time Rate Display Computer Phone When to Call Move Data to Card Dial if Memory Full Ext Physio Trigger Ext Equip Trigger Record Resp Rate Ext Physio Trigger Ext Equip Trigger System Setup Menus Patient N...

Page 76: ...Appendices 70 ...

Page 77: ...hours of continuous HR trend and impedance Oximetry or other signals can be recorded with reduced capacity Signal Channels Internal QRS heart rate trend and impedance Oximeter Saturation and pulse or pulse rate External Input Airflow pH strain gauge or other low frequency physiological signals 1 25 V maximum Event Parameters Internal Apnea Record Apnea Alarm Low Breath Rate Bradycardia for Record ...

Page 78: ...Specifications 72 ...

Page 79: ...ient alarms 11 S setting up the SmartMonitor 2 steps 33 sibling alarm 45 SmartMonitor 2 contents 15 SmartMonitor 2 features back panel 18 front panel 16 side panel 17 top panel 15 SmartMonitor 2 turning it off 45 SmartMonitor 2 turning it on 45 system alarms 11 system alarms responding to 41 T transferring information 53 using a memory card 56 troubleshooting 63 W warnings and cautions 7 ...

Page 80: ...H577 4000 10 KK 5 3 06 ...

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