Bard Sherlock 3CG TCS Скачать руководство пользователя страница 7

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Sherlock 3CG™ Tip Confirmation System

Warnings

Warning:  

This product should only be operated by qualified medical personnel.

Warning:  

Do not power the Sherlock 3CG™ TCS in the presence of noncontained flammable anesthetic gases. Explosion may result.

Warning:  

Do not attempt to sterilize the sensor. Damage to the equipment may occur.

Warning:  

The following actions void the warranty of the Sherlock 3CG™ TCS and may result in injury or equipment damage.

 

  - Opening or servicing the 

Site~Rite™ 6 Ultrasound System with

 Sherlock 3CG™ TCS by anyone other than Bard Access Systems’   

    authorized service personnel.

 

  - Removing system labels by anyone other than Bard Access Systems’ authorized service personnel.

 

  - Connecting the sensor or applied patient components to any unauthorized system or accessory. Refer to Section 1.4 for complete components.

 

  - Installation of unauthorized software.

 

  - Modification of system software settings without authorization by Bard Access Systems.

Warning:  

If the 

Site~Rite™ 6 Ultrasound System with 

Sherlock 3CG™ TCS is visibly damaged, discontinue use immediately. Use of the damaged system 

may result in injury or equipment damage.

Warning:  

Do not submerge the sensor in liquid or allow fluid to enter the connectors. Damage to the equipment may occur.

Warning:  

Sherlock 3CG™ TCS is not intended to diagnose or treat disease.

Warning:  

Only Bard Access Systems’ authorized service personnel should attempt to service this equipment. 

Site~Rite™ 6 Ultrasound System 

contains static 

sensitive components and circuits. Failure to observe proper static control procedures may result in damage to the system.

Warning:  

Do not rely on ECG signal detection for catheter tip positioning when interpretation of the external or intravascular ECG P-wave is difficult.  

For example, when:

 

- P-wave is not present

 

- P-wave is not identifiable

 

- P-wave is intermittent

 

These conditions may be a result of heart rhythm abnormalities, atrial fibrillation, atrial flutter, severe tachycardia or presence of cardiac rhythm 

devices. In these cases, rely on magnetic navigation and external measurement for tip positioning and use chest x-ray or fluoroscopy to confirm 

catheter tip location, as indicated by institutional guidelines and clinical judgment.

Warning:

 Do not rely on ECG signal detection for catheter tip positioning when there are no observable changes in the intravascular P-wave. In this case, 

rely on magnetic navigation and external measurement for tip positioning and use chest X-ray or fluoroscopy to confirm catheter tip location, as 

indicated by institutional guidelines and clinical judgment.

Warning:

 Do not place and/or use the Sherlock 3CG™ TCS in the presence of strong magnetic fields such as Magnetic Resonance Imaging (MRI) devices. 

The high magnetic fields created by an MRI device will attract the equipment with a force sufficient to cause death or serious injury to persons 

between the equipment and the MRI device. This magnetic attraction may also damage the equipment. The magnetic and the RF fields associated 

with the MRI environment may interfere with the display of ECG waveforms. Consult the MRI manufacturer for more information.

Warning:

 Do not remove Sherlock 3CG™ TCS enclosures. To avoid electrical shock, use only the power cord supplied with the system and connect only to 

properly grounded wall outlets. Only Bard Access Systems qualified personnel should service the system

Warning:

 Ensure all connecting cables and connections are electrically insulated and do not come into contact with other electrical cables or metal surfaces.

Warning:

 Ensure that the patient does not directly or indirectly contact non-insulated metal surfaces.

Warning:

 Place skin electrodes carefully at locations indicated in these Instructions for Use and ensure good skin-electrode contact. Failure to do so may cause 

unstable ECG waveforms and/or ECG waveforms that are not described in these Instructions for Use. In such a case, rely on magnetic navigation 

and external measurement for tip positioning and use chest X-ray or fluoroscopy to confirm catheter tip location, as indicated by the institutional 

guidelines and clinical judgment.

Precautions
  Caution:

 Federal (U.S.A) law restricts this device to sale by or on the order of a physician.

Caution:

 Do not pull the cables to disconnect from the system. Pulling the cable may damage the cable or cable connection.

Caution:

 Excessive twisting or bending of the sensor cable may cause system failure.

Caution:

 Use only Bard Access Systems’ cleaning and disinfection procedures. Failure to do so may damage the device.

Caution:

 Do not use excessive force when connecting or disconnecting the Fin Assembly to or from the sensor or equipment damage may occur.

Caution:

 When the sensor is not in use, store in the holster, roll stand basket or other secure location to avoid damage. 

Caution:

 Do not allow any ferromagnetic objects, e.g., wired undergarments, metal instruments, watches, jewelry, electronics, metal bedrails, etc. to be 

within 12 in (30 cm) of the sensor once the calibration process is complete. These items may interfere with the sensor's ability to accurately locate 

the Sherlock

 Stylet tip.

Caution:

 Equipment operating in close proximity may emit strong electromagnetic or radio frequency interference which could affect the performance 

of this device. Avoid operating the device near pumps, cauterizers, diathermy equipment, cellular phones, or other portable and mobile radio 

frequency communications equipment. Maintain equipment separation of at least 5 ft (1.5 m).

Caution:

 Electrodes should be applied only to intact, clean skin (e.g., not over open wounds, lesions, infected or inflamed areas).

Содержание Sherlock 3CG TCS

Страница 1: ...on date March 2014 Bard Sherlock Sherlock 3CG and Site Rite are trademarks and or registered trademarks of C R Bard Inc All other trademarks are the property of their respective owners 2014 C R Bard I...

Страница 2: ...For use with Site Rite 6 Ultrasound System Instructions for Use...

Страница 3: ...Operating Temperature Parameters Do not dispose with ordinary municipal waste Operating Humidity Parameters Storage Humidity Parameters unpackaged Storage Humidity Parameters packaged Keep Dry Manufa...

Страница 4: ...Tracking Calibration Step 8 Prepare Catheter Sterile Field Step 9 Access the Vein Step 10 Attach Catheter Stylet to Fin Assembly Step 11 Perform Final Magnet Navigation Calibration Step 12 Insert Cat...

Страница 5: ...y positioning the tip of catheters in adult patients The primary endpoints were to assess the performance of the Sapiens technology with respect to 1 the accuracy of the Sapiens technology with regard...

Страница 6: ...m controls for using Sherlock 3CG TCS Mode on the Site Rite 6 Ultrasound System Authorized accessories include Site Rite 6 Ultrasound System Sherlock 3CG TCS Sensor Sherlock 3CG TPS Stylet included wi...

Страница 7: ...MRI devices The high magnetic fields created by an MRI device will attract the equipment with a force sufficient to cause death or serious injury to persons between the equipment and the MRI device T...

Страница 8: ...e roll stand see illustrations below Caution When the sensor is not in use store in the holster roll stand basket or other secure location to avoid damage 2 2 Connecting the Sherlock 3CG TCS Sensor to...

Страница 9: ...7 Sherlock 3CG Tip Confirmation System 3 2 Sherlock 3CG TCS Graphical Interface...

Страница 10: ...8 Instructions For Use...

Страница 11: ...9 Sherlock 3CG Tip Confirmation System...

Страница 12: ...dio On Select to mute the magnet navigation audio Audio Mute Select to turn the magnet navigation audio on Freeze Select to copy the current ECG waveforms from the Main Screen to the Reference Screen...

Страница 13: ...nu Window Patient Information Window Settings Window or quit Demonstration Mode Exit Site Marking Controls Increase Select to cycle through the exit site marking options in a positive progression Decr...

Страница 14: ...he Menu Window Settings Controls P wave Highlighting Select to enable or disable highlighting the P wave on the ECG signals ECG Color Select to enable or disable the intravascular yellow ECG waveforms...

Страница 15: ...ignals are only applicable to the magnetic navigation capability of the device Tone 4 is applicable to ECG in patients where there are no alterations to the cardiac rhythm that change the presentation...

Страница 16: ...Rite 6 Ultrasound System via USB cable Verify that the ECG flatline signal is scrolling Verify the battery charge is sufficient for the procedure Enter Patient Information as needed Step 2 Position P...

Страница 17: ...r to the umbilicus and laterally along the mid axillary line Caution Placement of red electrode outside of this region may result in reduced ECG performance Warning Place skin electrodes carefully at...

Страница 18: ...on As the stylet tip approaches the sensor an icon appears at the edge of the screen indicating the approach of the stylet tip When the stylet is under the sensor the stylet and depth icons will displ...

Страница 19: ...nnect the sensor to the Site Rite 6 Ultrasound System via USB cord Verify the battery charge is sufficient for the procedure Enter patient Information as needed Step 2 Position Patient and Perform Ult...

Страница 20: ...patient to remain still and do not reposition the patient Refer to Bard Access Systems catheter Instructions for Use for catheter insertion Step 10 Insert Catheter Refer to Bard Access Systems cathet...

Страница 21: ...ectrical outlet to run the system on battery power Sensor cannot be detected by the display Call the technical support hotline at 800 443 3385 Interference caused by magnetic field changes or by senso...

Страница 22: ...sor and ask the patient to remain still 5 Ensure catheter tip is at least 12 inches 30 cm away from the sensor 6 Calibrate 7 If the error continues discontinue use and call the technical support hotli...

Страница 23: ...y Patient movement Ask the patient to remain still Ensure the patient is warm and relaxed Extraneous noise Unplug the Site Rite 6 Ultrasound System from AC power Make Sure the Ultrasound probe is not...

Страница 24: ...y using tape If the vein is shallow lift the sensor away from the skin e g by using a folded blanket Too much time has passed since calibration Magnetic fields have changed Pull catheter tip back at l...

Страница 25: ...se Solution Cause Solution Cause Solution Cause Solution Stylet at edge of sensor s depth range 3 to 11 cm 1 Pull catheter back until stylet icon is stable 2 Verify catheter is moving in the correct d...

Страница 26: ...llowing actions void the warranty of the Sherlock 3CG TCS Sensor and may result in injury or equipment damage Opening or servicing the Sherlock 3CG TCS Sensor by anyone other than Bard Access Systems...

Страница 27: ...ures may result in damage to the system Warning Opening or servicing the Sherlock 3CG TCS Sensor by anyone other than Bard Access Systems authorized service personnel will void the warranty and may re...

Страница 28: ...26 Instructions For Use...

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