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RespiraSense

  

Instructions For Use  

 

RespiraSense

   

 

PDS-801-007 Revision 2  

 

 

Page 

14

 of 

77

 

 

Table 2 List of Associated Mobile Medical Applications 

Name of Application 

Clinical Indication 

RespiraSense RS App 

Continuous and motion tolerant monitoring of 
respiratory rate  

Product Description 

The RS Device is a non-invasive, wireless, Respiratory Rate (RR) monitor that is worn on the body of 
the patient. It is internally powered and enables continuous RR monitoring from a single application. 
It is designed to enhance the ability of medical staff to reliably measure respiratory rate. 

The Lobe can emit an audible alert if a physiological alarm condition is met. This occurs if the measured 
respiratory  rate  exceeds  either  lower  or  upper  threshold  limits.  These  limits  are  defined  by  the 
operator during the setup of the RS Device and can be redefined by the user by connecting to a RS 
Device in use. 

The RespiraSense

 Respiratory Rate Monitor

 

is comprised of the RS Device and the RS App. The RS 

Device is assembled then placed on the left-

hand side of the patient’s torso. The RS App is used to 

communicate with the Lobe and Sensor during patient registration and while in use. This is supplied 
on a portable hand-held device that allows easy data retrieval and display. 

The  RS  App  is  compatible  with  mobile  computers  that  comply  with  EN  IEC  60950-1  and  have  the 
appropriate  software  and  hardware  specifications.  These  specifications  are  detailed  in 

Section  7 

 

Product Specification

 of this manual. 

Position of Users 

During normal use, the RS Device is attached using a medical grade adhesive patch to the Patient.  

The Operator, a trained medical professional, registers a RS Device to a patient using the RS App and 
subsequently monitors them using the app. The Operator comes into contact with the RS Device during 
registration and attachment to the patient, and during removal and disposal.  

 

Features and Benefits 

The following are the key features and benefits of the RR Monitor: 

 

Clinically proven technology 

 

Motion tolerant monitoring 

 

Continuous respiratory rate monitoring 

Indications for Use 

It is important to note the following: 

 

The  RS  Device  is  intended  to  act  as  a  short-term  continuous monitoring  device.  It  assesses 
respiratory  performance  over  time  by  continuously  recording,  storing,  and  periodically 
transmitting respiratory rate data.  

 

The  RS  Device  does  not  perform  a  diagnostic  function  as  the  data  that  it  collects  simply 

indicates  the  patient’s  respiratory  rate.  Clinicians  use  this  data  to  help  make  or  rule  out 

possible diagnoses. 

Содержание RespiraSense RS Device

Страница 1: ...ect operation of the RespiraSense Device General knowledge of respiratory rate patient vital monitoring and qualifications in healthcare are prerequisites for correct use of the RespiraSense Device by...

Страница 2: ...thout receiving training in its use from an authorised trainer The RS Device must only be installed and put into service in accordance with the information provided in this documentation and reference...

Страница 3: ...Emitting Diode Lobe The electronic component of the RS Device MAC Medicare Administrative Contractor MRN Medical Record Number QR code Square matrix type barcode for product identification RespiraSens...

Страница 4: ...inicians should assess additional physiological parameters or run additional tests before making a diagnosis and prescribing treatment The RS Device can be used in the home environment as instructed b...

Страница 5: ...authorised distributor if in doubt of any component Do not use RS Device on patients who are acutely ill or clinically unstable in the home healthcare environment Use in this way will lead to failure...

Страница 6: ...e the RS Device or any associated IT equipment where the controls or settings can be changed by the patient unless required to e g self care in community Do not place the RS Device on high powered ele...

Страница 7: ...able defines the symbols that are found on the packaging and labelling of the Device Symbol Caution Symbol Description NAME AND ADDRESS OF LEGAL MANUFACTURER DATE OF MANUFACTURE LOT OR BATCH NUMBER DO...

Страница 8: ...tructions For Use RespiraSense PDS 801 007 Revision 2 Page 7 of 77 Electronic instructions for use available on the software application Consult Instructions for Use Direct Current DC Input output Cau...

Страница 9: ...on 12 Product Description 14 Position of Users 14 Features and Benefits 14 Indications for Use 14 Principles of Operation 15 Respiratory Rate 15 Monitoring during Motion 16 Declaration of Essential Pe...

Страница 10: ...tory Rate Thresholds during Monitoring 39 Step 9 Alter LED and Sounder Settings 39 Step 10 Removal Disposal and Recharging 40 Using the RS Device in the Home Healthcare Setting 41 Limitations of Respi...

Страница 11: ...ding Respiratory Rate Data from Lobe 54 Alarm Scenario and Red LED 56 Section 7 Product Specification 58 Physical 58 Environmental 58 Battery 58 Sounder 58 Compliance 59 Respiratory Rate Measurement L...

Страница 12: ...IT Equipment 67 Section 11 Associated Mobile Medical Applications 69 Description of the RS App Air Mode 69 Air Dashboard 69 Section 12 Warranty and Agreements 72 PMD Solutions Limited Warranty 72 Sale...

Страница 13: ...pecial care needs to be exercised by the patient or operator to avoid patient injury or damage to the product Note Provided when additional general information is required Respiratory Rate Monitor Ove...

Страница 14: ...a tablet computer onto which the Associated Mobile Medical Applications are installed and operated The main Associated Mobile Medical Applications are show in Table 2 These Instructions for Use will...

Страница 15: ...e This is supplied on a portable hand held device that allows easy data retrieval and display The RS App is compatible with mobile computers that comply with EN IEC 60950 1 and have the appropriate so...

Страница 16: ...in the assessment of the health status of a patient Respiratory rates can change with fever illness or other medical conditions For ventilation to occur some sort of mechanical displacement of the th...

Страница 17: ...racy during patient movement In cases of extreme or prolonged motion the RS Monitor will refrain from providing a RR data point if the result is determined to be of insufficient certainty Declaration...

Страница 18: ...he main features of the RespiraSense Device and associated mobile medical applications available Detailed instructions on the use of the RS APP are found in Section 3 Patient Monitoring 1 RespiraSense...

Страница 19: ...ck Referenc e Name Description 1 Lobe charging slot The resting place of the Lobe during charging and storage 2 Power indicator Green LED to indicate power is supplied to the Charger 3 Micro suction P...

Страница 20: ...splays a list of all nearby RS Devices which are monitoring patients A summary of up to four RS Devices are shown with more available using a scroll interface when required The device list can then be...

Страница 21: ...patient Device Count Indicates number of devices detected Allows the operator to associate a Lobe with the Medical Record Number MRN or another identifying name of a patient See Section 3 Patient Mon...

Страница 22: ...t Displays SpO2 measurement of patient 7 Alarm Thresholds Upper and Lower Alarm Thresholds Set for patient In the event of an alarm scenario the Patient Information Panel will flash Red In Bluetooth m...

Страница 23: ...xpand Graphs Allows user to expand graph to full screen display 5 Suspend Button Allows operator to suspend measurement for 3 minutes before it disappears from the dashboard and app 6 RR measurement t...

Страница 24: ...Function Screen displays the Threshold Alteration Interface shown in Figure 8 This interface allows the user to change respiratory rate alarm thresholds Details on how to use this menu is provided in...

Страница 25: ...user to specify averaging window length 6 OK Button Prompts user to save new thresholds 7 Cancel Button Returns user to previous screen without changing thresholds 8 Sounder Setting Displays sounder s...

Страница 26: ...Settings when adding a patient or back to the Respiratory Rate Measurement Function Screen if accessory is being added to existing patient 4 Confirm Confirms the added accessory to be measured Alarm...

Страница 27: ...e operator should replace the patient worn Lobe with another fully charged Lobe and follow the appropriate setup and operation procedures Checking Battery Levels Always ensure that the Lobe and the ha...

Страница 28: ...oard 15 shows this screen All available nearby devices will be displayed as they are discovered The user can then select the correct device from the list by referencing the serial number on the back o...

Страница 29: ...Allows user to cancel current process Rename Confirmation Screen Before completion of the renaming process a confirmation screen is displayed This is studied by the practitioner to ensure the device i...

Страница 30: ...imits will trigger an alarm 4 RR Averaging Window Displays the currently configured RR Averaging Window 5 Confirmation Buttons Allows user to proceed with registration 6 Cancel Button Allows user to c...

Страница 31: ...lt settings RS App Icons Table 13 lists the icons used in the RS App Table 83 RS App Icons Icon Name Description Help Icon Brings user to RS App Help Menu which includes the IFU Back Icon Returns user...

Страница 32: ...d Displayed on Dashboard when the Sensor signal is not detected by the Lobe Lobe Settings Alert Displayed on the Dashboard when any Lobe settings have been changed from default Alarm Paused Icon Displ...

Страница 33: ...s The RS App will only scan or accept keyboard input from characters in the ASCII set Non ASCII characters will be rejected and a warning displayed The ASCII set consists of the following characters A...

Страница 34: ...R Monitor derives its readings See Section 1 Overview for more information Be familiar with the controls and operation of the RS Device Understand the alarms and status indicators of the RS Device See...

Страница 35: ...e s battery dies once the patient MRN name is identical the patient s information will be transferred to the new lobe and be seen on the RS app 5 Verify that alarm limits Lobe identifier averaging win...

Страница 36: ...when the RS Device is attached Once attached the RS Device can be repositioned to facilitate removal and reapplication between washing showering and tests WARNING Do not use RS Device on any patient...

Страница 37: ...n Find bottom rib using index four finger Place Sensor upper Finger below finger and in line with rib Find bottom rib with index finger and place Sensor upper leg on top of finger Figure 18 Summary of...

Страница 38: ...on Patient ID b MRN Available Select the Camera icon on the Dashboard and scan the MRN barcode of the patient using the camera interface provided c MRN Not Available Select the Camera icon on the Dash...

Страница 39: ...adverse events WARNING In cases where the Alarm LED and or Sounder have been disabled on the lobe the alarm system may be rendered useless This can lead to unnoticed adverse events and failure to ale...

Страница 40: ...nt the Threshold Settings Interface 3 Alter Lower and Upper Thresholds using the Plus and Minus Buttons Increment the threshold up or down by 1 bpm by pressing once Holding a button will increment the...

Страница 41: ...t attached 1 The Lobe and Sensor must be removed when any of the following occur a Patient is discharged b A period of 96 hours has elapsed since application c The patient is undergoing a procedure wh...

Страница 42: ...tions for Use containing contact information and any warnings and precautions to be taken while wearing the RS Device The operating healthcare practitioner shall remove the RS Device from the patient...

Страница 43: ...he FPC connection has come loose Inspect the RS Device to ascertain if this is the case Children and Pets Never leave any part of the RS Device in the reach of unsupervised children or pets Small part...

Страница 44: ...een detected Red LEDs indicate alarm or error status Table 9 describes in detail the different LED states LED states with higher Priority will supress those with lower priority CAUTION In scenarios wh...

Страница 45: ...hresholds for more information about changing default alarm limits See Section 3 Patient Monitoring for details on changing threshold limits on a device in use Alarm Pause If the Lobe is alarming the...

Страница 46: ...he alarm Inhibit During Movemen t Off On Off This setting allows the user to inhibit alarm generation when the algorithm determines that the patient is moving Averaging Window 2 5 or 15 minutes 15 min...

Страница 47: ...esult in patient injury The RS App displays alarm notifications on the Dashboard by alternating the colour of the corresponding patient panel If the patient dashboard is red there is a critical warnin...

Страница 48: ...2 Enter Password 3 Press OK Note In the event that the password is lost the application must be reinstalled to reset the password Set Default Thresholds Selecting the Set Thresholds Option from the S...

Страница 49: ...limits Ensure that these limits are correct prior to application of the device Changing Password Selecting the Change Password option from the Settings Menu allows the user to change the password on t...

Страница 50: ...supressed This includes the navigation button swipe up menu and the system settings swipe down menu on iOS systems Installing Application from Distribution Service Note When deployed on an Apple devic...

Страница 51: ...espiraSense PDS 801 007 Revision 2 Page 50 of 77 Result Screen Time Out 2 minutes 30 60 90 seconds Tablet Restrictions Off On Off System Sounder On On Off Configurable only once in use System LED On O...

Страница 52: ...connection has been selected by the user and the connection is progressing Wait for device to connect Connection to device failed Please attempt to connect again or contact biomedical department for...

Страница 53: ...each solution tree Troubleshooting is separated into the following use cases 1 Patient Registration 2 Assembly and Attachment 3 Reading Respiratory Rate Data from Lobe 4 Alarm and Red LED Status 5 Re...

Страница 54: ...nt from Authorised Distributor Unable to enter Patient MRN using keyboard See Tablet is unresponsive Default threshold limits are incorrect Press No on confirmation screen to cancel renaming Default t...

Страница 55: ...ill be available if there are more than 6 devices Option Scan patient MRN using camera Ensure MRN has not been filtered out using the selection tool Check that Lobe still has battery a Green or Amber...

Страница 56: ...device Ensure correct barcode is being scanned Ensure Lobe is in range Reconnect to Lobe Check that Lobe still has battery a Green or Amber LED should flash every 20s Alternately a Red LED or White LE...

Страница 57: ...urn to issuing organisation or department Flashing Red LED Alarm Scenario Check patient Check FPC cable has not become detached from unit Silence alarm by scanning patient barcode If alarm persists wi...

Страница 58: ...oblem Solution Tree Patient reports sounder is activated Instruct patient to place device in location where it is not causing disturbance When returned check that device is set up correctly Patient re...

Страница 59: ...bel Only use Lobes with this Part Number with this IFU PDS 101 000 Environmental The following table shows the environmental specifications Operating temperature 0 35 C Storage temperature 0 35 C Oper...

Страница 60: ...stics are based on a comparison against capnography using the Bland Altman technique and apply to the 2 5 and 15 minute averaging timeframe Table 13 Measurement Limits Measurement Bias bpm 1 Bias 1 Up...

Страница 61: ...cation Shelf life 2 years from the date of manufacturer Duration of Use 4 days Biocompatibility The adhesive based components are tested to Cytotoxicity ISO 10993 5 and Irritation and Sensitization IS...

Страница 62: ...rms specifications Table 16 Alarm Specification Alarm Function Specification Audible and visual alarm when respiratory rate goes outside of operator specified limits Lower threshold 6 59 breaths per m...

Страница 63: ...vision 2 Page 62 of 77 CE Notice Marking by the symbol indicates compliance of the RS Device to the Medical RS Device Directive of the European Community Such marking is indicative that the RespiraSen...

Страница 64: ...RespiraSense Instructions For Use RespiraSense PDS 801 007 Revision 2 Page 63 of 77...

Страница 65: ...radios amateur radio AM and FM radio broadcast and TV broadcast cannot be predicted theoretically with accuracy To assess the electromagnetic environment due to fixed RF transmitters an electromagneti...

Страница 66: ...or and apply new Sensor as per Instructions for Use CAUTION Do not autoclave pressure sterilise or gas sterilise the RS Device CAUTION Do not soak or immerse any part of the RS Device in any liquid CA...

Страница 67: ...Section 6 Service and Maintenance for information about cleaning procedures Ensure the RS Device is fully dry before packing it Note Follow the return procedure to return the RS Device for service See...

Страница 68: ...bove PDS 701 000 Approved Mobile device for RS Device Mobile Medical Applications Multi Charging Dock PDS 102 000 Charging Dock for RS Devices Power Supply 25 W 5 VDC 5 A Output 0 5A 5V x 6 ports 4A 5...

Страница 69: ...RespiraSense Instructions For Use RespiraSense PDS 801 007 Revision 2 Page 68 of 77 Nonin model 3150 wrist worn pulse oximeter...

Страница 70: ...available from the manufacturer upon request as they may not be included Description of the RS App Air Mode In this section a description of the main features of RespiraSense Air is provided Air Dashb...

Страница 71: ...taining the number of routers that have changed state Help Icon Brings user to Air App Help Menu which includes the IFU Settings Icon Brings user to Air App Settings Menu Priority Toggle Button Allows...

Страница 72: ...o relay data from the Lobe to the Air Dashboard for display Each row shows the current status of a configured router on site Each router item displays the location of the router as configured during s...

Страница 73: ...ENT BETWEEN PARTIES REGARDING YOUR PURCHASE OF THIS PRODUCT IF YOU DO NOT AGREE TO THE TERMS OF THIS AGREEMENT PROMPTLY RETURN THE ENTIRE PRODUCT INCLUDING ALL ACCESSORIES IN THEIR ORIGINAL PACKAGING...

Страница 74: ...forth in these Instructions for Use PMD Solutions reserves all rights not expressly granted to the purchaser 2 Ownership of Software Software is licensed not sold All rights and interests in the softw...

Страница 75: ...7 SECTION 13 REQUESTING IFU If for any reason a paper hard copy of this IFU is required one can be requested by emailing customerservice pmd solutions com A hard copy of the IFU will be provided withi...

Страница 76: ...RespiraSense Instructions For Use RespiraSense PDS 801 007 Revision 2 Page 75 of 77 Page Intentionally Left Blank...

Страница 77: ...RespiraSense Instructions For Use RespiraSense PDS 801 007 Revision 2 Page 76 of 77 Page Intentionally Left Blank...

Страница 78: ...r Use RespiraSense PDS 801 007 Revision 2 Page 77 of 77 Legal Manufacturer PMD Solutions Bishopstown House Model Farm Road Cork Ireland T12 T922 Tel 353 0 21 242 8760 customerservice pmd solutions com...

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