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Portable Bedside Capnograph/Pulse Oximeter 

3 

 

Chapter 5 

53

 

Capnography with the Capnostream Monitor 

53

 

Microstream

®

 EtCO

2

 Consumables ............................................................................... 53

 

Basic Principles .......................................................................................................................... 53

 

Microstream

®

 EtCO

2

 Consumables ........................................................................................... 54

 

Connecting a FilterLine ................................................................................................. 54

 

CO

2

 Data Displayed by the Capnostream Monitor ........................................................ 54

 

Adjustable CO

2

 Parameters .......................................................................................... 55

 

Monitoring CO

2

 during MRI Scanning ........................................................................... 56

 

Chapter 6 

57

 

Pulse Oximetry with the Capnostream Monitor 

57

 

Nellcor SpO

2

 Sensors ................................................................................................... 57

 

Data Update Period, Data Averaging, and Signal Processing .................................................. 58

 

Selecting Nellcor SpO

2

 Sensors ................................................................................................ 58

 

Performance Considerations ..................................................................................................... 59

 

Connecting an SpO

2

 Sensor to the Monitor................................................................... 60

 

SpO

2

 Data Displayed by the Capnostream Monitor ...................................................... 60

 

Adjustable SpO

2

 Parameters......................................................................................... 62

 

SPO

2

 Alarm Limit Message ........................................................................................... 62

 

Chapter 7 

63

 

Integrated Pulmonary Index™ 

63

 

Introduction ................................................................................................................... 63

 

Warnings ....................................................................................................................... 64

 

IPI Display ..................................................................................................................... 64

 

IPI Options .................................................................................................................... 64

 

Chapter 8 

65

 

Apneas per Hour and the Oxygen Desaturation Index 

65

 

Introduction ................................................................................................................... 65

 

Apneas per Hour ........................................................................................................... 65

 

The Capnostream Apneas per Hour .......................................................................................... 65

 

A/hr Visual Alert ......................................................................................................................... 66

 

Oxygen Desaturation Index (ODI) ................................................................................. 66

 

Apnea and O2 Desaturation Report .............................................................................. 66

 

Monitoring with A/hr and ODI ........................................................................................ 66

 

Smart A/hr and ODI Home Screen Display ................................................................... 67

 

A/hr and ODI Option ...................................................................................................... 67

 

A/hr and ODI Demo Mode ............................................................................................. 67

 

Содержание Capnostream 20p

Страница 1: ...Capnostream 20p Portable Bedside Monitor Capnograph Pulse Oximeter Operator s Manual PN 012194C 0482...

Страница 2: ...al 1987 Ltd Nellcor Puritan Bennett LLC is a Covidien company The following are trademarks of Nellcor Puritan Bennett LLC Oxiband Durasensor OxiCliq Dura Y Max Fast and OXIMAX The capnography componen...

Страница 3: ...13 Electro magnetic Interference 13 Definitions 14 Chapter 1 15 About this Manual 15 Overview 15 Intended Use 15 Specific Indications for Use 16 Who Should Read This Manual 16 Contacting Technical Sup...

Страница 4: ...ard Display 32 Home Screen Numeric Display 36 Terminating Operation of the Monitor 37 Screen Navigation 37 Configuration Changes 38 Setting Date Time Language and Other Options 38 Screen Timeouts 39 S...

Страница 5: ...58 Selecting Nellcor SpO2 Sensors 58 Performance Considerations 59 Connecting an SpO2 Sensor to the Monitor 60 SpO2 Data Displayed by the Capnostream Monitor 60 Adjustable SpO2 Parameters 62 SPO2 Ala...

Страница 6: ...aults 82 Chapter 10 83 Using Trends 83 Introduction 83 The Trend Display Screens 84 Graphical Trend Display Screen 84 Graphical Trend Display 84 Using SCROLL and ZOOM 85 Tabular Trend Display Screen 8...

Страница 7: ...07 Types of Nurse Call Systems 108 The Nurse Call Cable 108 Activating Nurse Call 109 Testing Nurse Call 109 Operation with Hospital Patient Data Systems 110 Operation with Nuvon VEGA Systems 110 Chap...

Страница 8: ...play 123 Events 124 How to Change Event Defaults 124 Monitor Settings 124 CO2 Parameters 126 SpO2 Parameters 126 Appendix 2 127 Specifications 127 Power Supply 127 Battery 127 Controls 127 Display 128...

Страница 9: ...Portable Bedside Capnograph Pulse Oximeter 7 Appendix 4 139 Capnostream Service Password 139 Capnostream Service Password 139...

Страница 10: ...tream Monitor 54 Figure 23 CO2 Section of Numeric Home Screen 55 Figure 24 SpO2 Data on the Capnostream Monitor Standard Screen 61 Figure 25 SpO2 Data on the Capnostream Monitor Standard Screen with I...

Страница 11: ...75 Table 19 Message and Alarm Status during Different Parameter Standby Situations 78 Table 20 Tabular Display Example 88 Table 21 Detailed Tabular Display Example 88 Table 22 Monitor Parameters 90 Ta...

Страница 12: ...GRATED PULMONARY INDEX AND FUTURE AND RELATED INDICES AND CONFIGURATIONS AND SIGNAL ALARM NOTIFICATIONS WHICH APPEAR ON ORIDION S PATIENT MONITORING DEVICES AND OR ORIDION S COMMUNICATION PROTOCOL AND...

Страница 13: ...that might cause it to fall on the patient WARNING Carefully route patient cabling SpO2 sensor and FilterLine to reduce the possibility of patient entanglement or strangulation WARNING Do not lift the...

Страница 14: ...in its name indicating that it is for use in humidified environments during MRI scanning may cause interference The use of non H sampling lines is advised For a list of H sampling lines see Microstre...

Страница 15: ...rolled by a wall switch or a dimmer WARNING Measure the device s leakage current whenever an external device is connected to the serial port Leakage current must not exceed 100 microamperes WARNING To...

Страница 16: ...mography MRT NMR NMT as the function of the monitor may be disturbed Definitions Note A Note is inserted to point out procedures or conditions which may otherwise be misinterpreted or overlooked and t...

Страница 17: ...cation and quantification of apnea and oxygen desaturation events for patients over age 22 as follows A hr a count of the number of pauses in breathing of at least 10 seconds which the patient experie...

Страница 18: ...rough the reporting of these events and calculation of the associated apnea per hour A hr and oxygen desaturation index ODI Who Should Read This Manual This manual should be read by Health Care Profes...

Страница 19: ...f Temporarily silence alarms Type BF Defibrillator Proof Protection General warning sign Gas inlet Gas outlet Equipotential ground USB flash memory connection port CE Mark For prescription use only Di...

Страница 20: ......

Страница 21: ...Routine functions are accessed with 2 clicks 72 hour trends to review patient history One click alarm review SARA Smart Alarm for Respiratory Analysis an embedded Smart Capnography alarm management te...

Страница 22: ...R that passes through the micro sample cell and the IR that passes through the reference cell are measured by the IR detectors The microprocessor in the monitor calculates the CO2 concentration by com...

Страница 23: ...the end of this chapter to simplify the installation setup and getting started processes Photocopy the Check Sheet from the manual and check off the steps on the Check Sheet as you set up the monitor...

Страница 24: ...es on the battery compartment door inward and open the battery compartment door 2 While holding the battery pack with the wires on the right rotate the restraining lever up to the horizontal position...

Страница 25: ...ge level and AC power connections should be confirmed before each use TO TEST THE BATTERY 1 Press the ON OFF button to turn on the monitor 2 Observe the battery icon level in the bottom left hand corn...

Страница 26: ...er The duration of this backup power usage based onbattery capacity is up to 2 5 hours The monitor maintains its settings including alarm settings while on battery operation If settings have been set...

Страница 27: ...maintenance database log the monitor in this database for its periodic calibration procedure Calibration is required after the first 1 200 hours of use or 12 months whichever comes first and thereafte...

Страница 28: ...VESA Mounting Adapter 100 x 100mm to 75 x 75mm which can be affixed to the bottom of the monitor as described above This allows the monitor to be mounted on a wide range of GCX stands and mounts inclu...

Страница 29: ...nograph Pulse Oximeter 27 Monitor Front View The front panel of the monitor contains the display screen action buttons and the control knob Figure 5 Capnostream Front View Table 4 Capnostream Front Vi...

Страница 30: ...tarts the process of placing either a Quick or Detailed Event marker in the trend data 10 Control knob Rotary knob used to navigate the screen and select a function when pressed 5 Patient Admit Discha...

Страница 31: ...on Description Label Function Description 1 Mains fuse holder Two 3 15A fast blow fuses 6 Analog output 15 pin female D type connector for 7 channel analog output 2 Mains plug Connection for AC power...

Страница 32: ...ubing 3 SpO2 To connect SpO2 sensor to the monitor with an extension cable 4 Battery housing Where the battery pack is installed 5 Barcode label Barcode of the Serial Number and Model Number of monito...

Страница 33: ...ower on indicator lights up showing that the monitor is turned on An hourglass figure appears on the screen for a few seconds followed by the blue monitor salutation screen for about 5 seconds as the...

Страница 34: ...display described below The numeric format provides a larger and easier to read numeric display without the distraction of the graphical waveform display To learn about the numeric display read Home...

Страница 35: ...nitor will always display the Header Menu Bar real time CO2 Numeric Data and real time SpO2 Numeric Data sections The continuous display of the real time CO2 and SpO2 Numeric Data on the right allows...

Страница 36: ...ptions are ADULT PEDIATRIC 1 3 YRS PEDIATRIC 3 6 YRS PEDIATRIC 6 12 YRS and INFANT NEONATAL for infants under 1 year 3 Screen name Displays the current screen name 4 Message area Messages explaining a...

Страница 37: ...old is crossed the device will alarm the affected numeric will flash the numeric will appear with a red or yellow background depending on whether it is a high priority patient urgent alarm or a cautio...

Страница 38: ...2 Data on page 35 A hr and ODI Data on page 35 if available Header Area The Header section is identical to the Header area seen with the standard Home screen Menu Bar The menu bar is identical to the...

Страница 39: ...hat the A hr and O2 Desat screen should be viewed The A hr and O2 Desat screen is reached with the REPORTS menu button For more information about the A hr Visual Alert see A hr Visual Alert on page 66...

Страница 40: ...setting is reached 4 To set the setting push the control knob in until it clicks 5 Continue to select settings or turn the control knob to select BACK or HOME Configuration Changes On most selection...

Страница 41: ...dside Capnograph Pulse Oximeter 39 Figure 15 System Setup Screen Screen Timeouts Screen Timeouts All setup and system screens will timeout after 60 seconds of no activity with the control knob and rev...

Страница 42: ...r 4 Change the date time or language Use the control knob to select SYSTEM in the Menu Bar Change each setting on that screen if desired 5 Set the Patient Type and Mode Use the control knob to select...

Страница 43: ...ution s requirements Check that all cables are connected and tightened Enable Nurse Call on the monitor as described in Nurse Call Operation on page 107 Verify communication between the monitor and th...

Страница 44: ......

Страница 45: ...or on page 30 4 The red alarm and yellow alarm lights will briefly light up and the speaker will beep CAUTION If the red and yellow alarm lights do not light up or there is no sound from the speaker t...

Страница 46: ...particular patient This allows stored trend data to be associated with a patient ID and avoids the possibility of confusing data from several patients in one trend printout or download TO BEGIN A NEW...

Страница 47: ...s powered up again in such a case a warning will suggest that the user clear trend data and close the case to clear patient ID before beginning a new monitoring session This screen is seen in Figure 3...

Страница 48: ...e below will appear on the display Use the control knob to click on an event 3 Click the control knob again to store the event and return to the HOME screen The table below shows the factory default s...

Страница 49: ...e can be set to zero Turning the Pulse Tone On Off TO TURN THE PULSE TONE VOLUME ON 1 Use the control knob to select the SpO2 display area Click the control knob to go to the SpO2 Setup screen 2 Turn...

Страница 50: ...own below in Figure 19 below Disposal of sampled gases should be carried out according to according to standard operating procedures or local regulations for the disposal of gases Figure 19 Scavenger...

Страница 51: ...ndard measurement conditions The Demo Mode permits clinicians and technicians to understand what the screen will show when monitoring patients and is useful to them as a guide before attaching the mon...

Страница 52: ...Monitor Screen Menu Reference Chart 50 Portable Bedside Capnograph Pulse Oximeter Figure 20 Screen Menu Reference Chart when A hr and ODI are available...

Страница 53: ...Monitor Screen Menu Reference Chart Portable Bedside Capnograph Pulse Oximeter 51 Figure 21 Screen Menu Reference Chart when A hr and ODI are not available...

Страница 54: ......

Страница 55: ...terLine will appear in the Capnostream message area If the FilterLine cannot be cleared the message FilterLine Blockage will appear in the CO2 waveform display section on the Home screen and in the Ca...

Страница 56: ...he appropriate FilterLine Screw the FilterLine connector into the monitor clockwise until it can no longer be turned 2 Connect the FilterLine to the patient as described in the Directions for Use supp...

Страница 57: ...h altitude environments it is advisable to consider adjusting EtCO2 alarm settings accordingly Note Measuring mode corrects the CO2 value for BTPS setting Body Temperature Pressure Saturation which as...

Страница 58: ...ging MRI scanning Using the FilterLine H Set Infant Neonatal during MRI scanning could harm the patient CAUTION During MRI scanning the monitor must be placed outside the MRI suite When the monitor is...

Страница 59: ...d current could cause burns The sensors may affect the MRI image and the MRI unit may affect the accuracy of oximetry measurements WARNING Tissue damage can be caused by incorrect application or use o...

Страница 60: ...easurements requires at a minimum accommodating the wavelength characteristics of the sensor and reproducing the complex optical interaction of the sensor and the patient s tissue These capabilities a...

Страница 61: ...d by certain ambient environmental conditions sensor application errors and patient conditions WARNING Tissue damage can be caused by incorrect application or inappropriate duration of use of an SpO2...

Страница 62: ...esence of low perfusion detected IR pulse modulation amplitude between 0 03 and 1 5 was validated using signals supplied by a patient simulator SpO2 and pulse rate values were varied across the monito...

Страница 63: ...onitor Standard Screen with IPI Disabled below The plethsysmographic waveform is non normalized using real time sensor signal to reflect relative pulsatile strength Figure 25 SpO2 Data on the Capnostr...

Страница 64: ...e parameter that you wish to change and click to select that parameter Move the control knob to select the desired setting and click to select the setting A list of the settings that can be changed ap...

Страница 65: ...rend graph seen on the Capnostream home screen is particularly valuable as it displays the patient ventilatory status trend in one easy to use graph and thus can alert caregivers to changes in patient...

Страница 66: ...IPI OPTION SETTINGS 1 On the Home screen click the SYSTEM button in the menu bar at the bottom of the screen 2 The System Setup screen will appear Move the control knob to the parameter that you wish...

Страница 67: ...nitored during their hospital stay with Capnostream A hr and ODI are for adult patients only age 22 and older A hr and ODI are displayed in real time on the home screen and on an easy to read Apnea an...

Страница 68: ...ed time period of 2 4 8 and 12 hours ODI is currently available for adult patients only and is intended for patients age 22 and older It is not available for infants age 0 1 or for patients under age...

Страница 69: ...a central station or another means of surveillance so that patient alarms are noted by caregivers while the alarm sound is turned off on the bedside Capnostream device Smart A hr and ODI Home Screen D...

Страница 70: ......

Страница 71: ...and or visual indications High Priority Alarms Medium Priority Alarms Advisories Silent Advisories High Priority Alarms are provided with the option of setting red urgent alarms for each alarm issue a...

Страница 72: ...m limit threshold and flash yellow if the value crosses the caution alarm limit threshold The latter is relevant only if caution alarm limits which are optional have been enabled Alarm occurrences are...

Страница 73: ...ay on page 123 for more information The Alarm Review screen displays the absolute number of alarms that occurred in the last hour Each type of alarm is indicated by a horizontal bar of a different col...

Страница 74: ...2 RR and PR High Alarms and SpO2 and PR Low Alarms can be delayed by 10 15 20 or 30 seconds or not at all Alarm Delay disabled The default option is Alarm Delay disabled This option is available for a...

Страница 75: ...hing red and the red arrow pointing down The message IPI LOW ALARM will also appear on the screen header alternately with RR HIGH ALARM The yellow background on the SpO2 value together with the yellow...

Страница 76: ...should be evaluated Medium Priority Alarms Table 16 Medium Priority Alarms Message Description Corrective Action CO2 ERROR Failure has occurred which prohibits the operation of the CO2 function Contac...

Страница 77: ...EAR SENSOR SPO2 WEAK TRY NASAL SENSOR SPO2 WEAK TRY ADHESIVE SENSOR SPO2 WEAK TRY USING HEADBAND SPO2 WEAK SENSOR TOO COLD SPO2 WEAK CHECK BANDAGE SPO2 WEAK NAIL POLISH SPO2 WEAK SENSOR TOO TIGHT SPO2...

Страница 78: ...FILE FOUND Displayed during transfer of institutional defaults A hr REQUIRES 1 HOUR OF DATA if available A hr does not appear since one hour of data is required to compute this value and one full hou...

Страница 79: ...ts to use the Parameter Standby Mode but does not want these alarms to sound for either a disconnected FilterLine or an SpO2 sensor because they have authorized the disconnection For these situations...

Страница 80: ...taching a FilterLine to the monitor or SpO2 sensor to the patient will cause the monitor to exit the Parameter Standby mode and monitoring to resume Table 19 Message and Alarm Status during Different...

Страница 81: ...ton does not affect alarm silence it will emit a wrong key beep when pressed When permanent alarm silence is set the bell icon will flash periodically WARNING Do not silence the audible alarms until y...

Страница 82: ...s the value Alarm limits will reset to their factory default when the power is turned off To make the changes permanent use the Service Mode to change the Institutional Settings for the alarm limits s...

Страница 83: ...s 2 x 2 4 4 x 3 12 6 x 6 36 Total SatSeconds 52 After approximately 10 9 seconds the SpO2 alarm would sound because 50 SatSeconds had been exceeded note the arrow in the figure below Saturation levels...

Страница 84: ...le Bedside Capnograph Pulse Oximeter Alarm Limits Factory Defaults The factory defaults for the Adult and Neonatal alarm limits are given in Table 29 Factory Default Alarm Indicator Limits on page 122...

Страница 85: ...Time Date EtCO2 RR SpO2 PR IPI where relevant High priority red urgent alarms and yellow caution alarms Equipment caused events such as CLEARING FILTERLINE or other monitor related messages Event mark...

Страница 86: ...u bar at the bottom of the screen The Graphical Trend screen seen in Figure 31 Graphical Trend Display below is shown Figure 31 Graphical Trend Display 2 Please note that the Trend screens display bot...

Страница 87: ...en described in Tabular Trend Display Screen seen on page 87 Event indicator the small vertical pink line along the bottom of the graph shows when an event was registered The actual event can be viewe...

Страница 88: ...ontrol knob to select and click on ZOOM on the Menu Bar The box around ZOOM will turn from blue to yellow and the title area showing the display resolution will also turn yellow Turn the control knob...

Страница 89: ...rend with detailed historic patient data 3 Click ZOOM on the Menu bar to change the time resolution from the current display to 60 15 3 or 1 5 minutes or the MINIMUM setting The MINIMUM setting is def...

Страница 90: ...the Scroll option to scroll up and down the table The table below gives a sample of the tabular display at the MINIMUM resolution in this case the minimum resolution is set at 5 seconds Table 21 Detai...

Страница 91: ...ther physiological values are held at their values prior to the CO2 self maintenance Specific Events as seen in Trend Data TO SEARCH FOR SPECIFIC EVENTS IN TREND DATA 1 Use the cursor in the graphical...

Страница 92: ...se the trend memory turn the knob to the left or right to cancel 4 When the machine is turned on a message appears suggesting that you erase the trend memory in order to start a new patient without in...

Страница 93: ...you can enter a specific description of the event from a table of 30 user definable values see the section Entering Patient Events on page 46 Quick Event Marking Marks that an event occurred when the...

Страница 94: ......

Страница 95: ...ly for adult patients since A hr and ODI are available only for adult patients In situations in which part of the information for the set period is missing for example SpO2 was not measured during a p...

Страница 96: ...d average A hr and ODI scores Patient Readings EtCO2 RR SpO2 PR IPI Patient Urgent Alarm Occurrences EtCO2 HIGH EtCO2 LOW RR HIGH RR LOW NO BREATH SpO2 HIGH SpO2 LOW PR HIGH PR LOW IPI LOW Equipment A...

Страница 97: ...rs on the screen SUM Apnea sum Number of instances of no breath apnea in each time category 10 seconds 10 19 seconds 20 29 seconds in each of the intervals within the relevant time period in this case...

Страница 98: ...Printed Report Options 96 Portable Bedside Capnograph Pulse Oximeter Figure 36 Apnea and Desat Printed Report...

Страница 99: ...lar data is printed at the same interval that the numerics on the screen are updated The Real Time Continuous Waveform graph s are printed as displayed on the screen Please note that all Trend and Cas...

Страница 100: ...BACK on the Menu bar at the bottom of the screen to return to the Print screen 7 Click START PRINTER on the Print screen to begin printing To stop printing in order to stop continuous printing or abo...

Страница 101: ...points will be printed Thus the ZOOM level on the trend screen choices are 2 4 and 12 hours will determine the number of minutes hours of data seen in the printout Once trend is erased data is not av...

Страница 102: ...TOP PRINTER is pressed Real Time Continuous Tabular Tabular presentation of EtCO2 RR and PR with a data line every 2 seconds Patient Readings at start of recording period EtCO2 FiCO2 RR SpO2 PR IPI Th...

Страница 103: ...orts Portable Bedside Capnograph Pulse Oximeter 101 Sample Reports Sample Case Reports The following are examples of tabular and graphical case reports as described above Figure 38 Sample Case Reports...

Страница 104: ...Sample Reports 102 Portable Bedside Capnograph Pulse Oximeter Sample Trend Reports The following are examples of tabular and graphical trend reports as described above Figure 39 Printed Trend Reports...

Страница 105: ...ns such as Microsoft Excel The two binary data report types are for advanced programming applications In addition the Apnea and O2 Desat Report if A hr and ODI are available can be downloaded to a USB...

Страница 106: ...ional rows DATE TIME Patient Readings at trend storage resolution EtCO2 FiCO2 RR SpO2 PR IPI A hr ODI Patient Urgent and Caution Alarm Occurrences Equipment Advisory Message Occurrences Events EVENT 1...

Страница 107: ...ppear to the right of the Tabular Case option when that option is selected 7 Turn the control knob to select START USB on the Menu Bar and click to begin data transfer Data output can be aborted by cl...

Страница 108: ...is replaced with a hyphen for file names The character is used by the monitor to indicate multiple files with the same Patient ID e g Smith 1 Smith 2 Smith 3 File Name Examples For different reports t...

Страница 109: ...sfer rate for the RS 232 interface is set in the Institutional Defaults Monitor screen The factory default is automatic detection of the data transfer speed See Changing Institutional Defaults on page...

Страница 110: ...alarm to be silenced while there is an active alarm from a connected device such as the Capnostream monitor The Nurse Call Cable The monitor has a built in relay that can be connected to a hospital nu...

Страница 111: ...CK BACK and HOME to exit the Service mode The new setting is now stored 5 Test the Nurse Call system as described in Testing Nurse Call below 6 Please note that Nurse Call data will not be transferred...

Страница 112: ...equired The following measurement data is transferred Instantaneous CO2 EtCO2 FiCO2 Resp rate SpO2 Pulse In addition information regarding patient type alarm data and device settings alarm limits etc...

Страница 113: ...O2 detection mechanism should be periodically calibrated as detailed below in CO2 Calibration on page 112 CO2 calibration can be checked at any time to ensure the calibration is within proper operatin...

Страница 114: ...ed on see Figure 9 Salutation Screen on page 31 After the operating hour limit has been exceeded the message will change to CALIBRATION OVERDUE The number of operating hours before calibration can als...

Страница 115: ...te Prior to checking the calibration verify that the Calibration Line supplied with the Calibration Kit is firmly attached Calibration Check Procedure Note At any stage in the Calibration Check proced...

Страница 116: ...CO2 Pump should be replaced every 30 000 operating hours A calibration should be performed after the initial 1 200 hours of use and following that calibration once a year or every 4 000 operating hou...

Страница 117: ...ightly dampen a cloth with a 70 alcohol solution and wipe all surfaces Alcohol wipes may also be used Frequency of the cleaning procedure should be in keeping with hospital policy To clean the screen...

Страница 118: ...o power and internal battery is not charged Check connections and correct problem Blown fuses Replace the fuses Contact your representative to determine the reason for the electrical problem AC mains...

Страница 119: ...from the cable Detach and reattach the SpO2 sensor and try again If the message still appears replace the cable or sensor Loss of pulse or SpO2 signal Zero display appears for oxygen saturation and p...

Страница 120: ...RATION REQUIRED message appears on the monitor but salutation screen shows there are still hours remaining before next calibration It has been more than one year since the last CO2 calibration Perform...

Страница 121: ...nstitutional Defaults below Changing Institutional Defaults From the Home screen use the control knob to select the SYSTEM button and then select the SERVICE button on the menu to open the Service scr...

Страница 122: ...ts can be downloaded to the other Capnostream devices in the section institution using this procedure TO UPLOAD OR DOWNLOAD DEFAULTS 1 For upload insert a USB Flash Memory drive with at least 2 KB in...

Страница 123: ...ional Defaults screen Select ALARM LIMITS and then use the control knob to select SET INFANT NEONATAL or SET ADULT PEDIATRIC or SET ALARM DELAY as required You will then be presented with the Institut...

Страница 124: ...llow Caution Alarm Infant Neonatal Red Urgent Alarm Infant Neonatal Yellow Caution Alarm Range EtCO2 High 60 55 50 45 5 150 mmHg EtCO2 Low 15 17 20 22 0 145 mmHg FiCO2 High 8 8 5 5 2 98 mmHg RR High 3...

Страница 125: ...64 also appears in the Trend Settings defaults screen The default Trend Recording Resolution determines how many hours of patient information can be recorded The Tabular Increment Display enables the...

Страница 126: ...icine at the time of monitoring The default medicines are FENTANYL VERSED MIDAZOLAM MORPHINE DEMEROL PROPOFOL SURFACTANT and OTHER The last three settings are blank All settings are changeable To rese...

Страница 127: ...AILED RS 232 Baud Rate AUTO 9600 19 2K 57 6K 115 2K AUTO Nurse Call Enabled Disabled DISABLED Home Screen Standard Numeric STANDARD IPI Display on HOME trend and alarm review screens Enabled Disabled...

Страница 128: ...6 3 BTPS denotes the standard correction used during measurement for body temperature pressure and saturation BTPS should be set to ON during all measurement procedures The device automatically turns...

Страница 129: ...puts Internal Thermal Printer optional General Characteristics Equipment Classification Compliance Power Supply Item Value Input Voltage 100 240VAC 50 60Hz Fuses Two F3 15A 250 Volt Input Power 90 VA...

Страница 130: ...s mmHg or kPa or Vol CO2 EtCO2 FiCO2 Range 0 150 mmHg CO2 Waveform Resolution 0 1 mmHg EtCO2 FiCO2 Resolution 1 mmHg CO2 Accuracy 0 38 mmHg 2 mmHg 39 150 mmHg 5 of reading 0 08 x expected reading in m...

Страница 131: ...ator SpO2 and pulse rate values were varied across the monitoring range over a range of weak signal conditions and compared to the known true saturation and pulse rate of the input signals Alarms Item...

Страница 132: ...l 12 Ground 5 Ground 13 Ch 6 Signal 6 Ch 3 Signal 14 Ground 7 Ground 15 Ch 7 Signal 8 Ch 4 Signal Nurse Call Normally Open Normally Closed Relay Rated Carrying current 2A Max Allowable Current 2A Max...

Страница 133: ...round 6 7 5V 8 9 USB USB Type A Host connector female For use only with flash memory drives Pinout Pin Assignment 1 VBUS 2 Data 3 Data 4 Ground Internal Thermal Printer optional Item Value Type Two Ch...

Страница 134: ...lassification Item Value Types of Protection against Electric Shock Class 1 Degree of Protection against Electric Shock Type BF defibrillation proof applied parts Mode of Operation Continuous Degree o...

Страница 135: ...ansient burst EN 61000 4 4 2 kV for power supply lines 1 kV for input output lines 2 kV for power supply lines Mains power quality should be that of a typical commercial or hospital environment Surge...

Страница 136: ...TE These guidelines may not apply in all situations Electronmagnetic propogation is affected by absorption and reflections from structures objects and people a Field strengths from fixed transmitters...

Страница 137: ...1 2 2 3 10 3 8 3 8 7 27 100 12 12 23 For transmitters rated at a maximum output power not listed above the recommended separation distance d in metres m can be estimated using the equation applicable...

Страница 138: ......

Страница 139: ...atal 010807 Non intubated Consumables Smart CapnoLine Plus O2 connector 009818 Smart CapnoLine Plus O2 connector 100 unit 010209 Smart CapnoLine Plus Long O2 connector 010340 Smart CapnoLine Plus Long...

Страница 140: ...O2 long O2 tubing 012530 Smart CapnoLine Guardian O2 long O2 tubing 100 unit 012539 Hook and Loop Strap 012542 O2 CO2 Nasal FilterLine Adult O2 tubing 006912 O2 CO2 Nasal FilterLine Adult O2 tubing 10...

Страница 141: ...Pulse Oximeter 139 Do not touch this field it is invisible and does not appear in the final document Appendix 4 Capnostream Service Password Capnostream Service Password Capnostream Service Password T...

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