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Troubleshooting

élance

Vital Signs Monitor Operations Manual

Page 19-2

Trouble Symptom

Possible Causes

Things to Try

The

élance

Vital Signs

Monitor touchscreen is not
wo

Touchscreen failure

Connect the

élance

Vital Signs

Monitor to a mouse, contact
Spacelabs Healthcare to request

rking right

a repair or replacement

The

élance

Vital Signs

s not working right

s lays an error

Operating system failure

Power cycle the

élance

Vital

Signs Monitor – if condition
persi

Monitor i
and di
messa

sts, stop using the

élance

Vital Signs Monitor, contact

Support to request a repair or
replacement

Spacelabs Healthcare Technica

The

élance

Vital Signs

Mo
me
dis

The

élance

Vital Signs

Monitor’s disk is too full

Stop using the

élance

Vital Signs

Monitor, contact Spacelabs

nitor displays a
ssage stating that the

k is too full.

and needs to be cleaned
up.

Healthcare Technical Support to
request a repair or replacement

Th
Mo
me
CPU is too busy.

l Support to

request a repair or replacement

élance

Vital Signs

nitor displays a
ssage stating that the

Internal system failure

Stop using the

élance

Vital Sign

Monitor, contact Spacelabs
Healthcare Technica

Recorder needs service
(Recorder option only)

Monitor has sensed an
error condition in the
recorder.

Check to be sure the recorder is
still connected. If this does not
help, stop using the recorder,

labs

repair or replacement

and contact Space
Healthcare Technical Support
request a

19.1 Electromagnetic Interference (EMI):

Warning:



Keep patients under close surveillance when monitoring. It is
possible that radiated electromagnetic signals from sources
external to the

patient a

nd élance mo itor

can cause inaccurate

measurement r

y ent

onitor

eadings. Do not rel

irely on the

élance m

readings for patient assessment.



It is possible that any radio frequency transmitting equipment and
other nearby so

oise

urces of electrical n

may result in disruption in

the

élance monitor

’s operation.



It is possible th

sin

at large equipment u

g a switching relay for its

power may affect monitor operation. Do not operate the

élance

monitor

in such environments.

This device has been tested

the IEC60601-1-2, and the

are

designed to provide reason

medical installation.

and found to comply wit
Medical Device Directiv

able protection against h

the limits for medical devices to

93/42/EEC. These limits

armful interference in a typica

Содержание 93300

Страница 1: ...Vital Signs Monitor 93300 Operations Manual 070 1963 00 Rev M...

Страница 2: ...diagrams or component part lists descriptions calibrating instructions or other information which will assist appropriately qualified technical personnel to repair those parts of the equipment which...

Страница 3: ...ion Area 2 5 2 2 4 The Main Menu Area 2 6 2 2 5 Monitor Display Symbols 2 7 2 2 6 Colors 2 8 2 3 Monitor Controls 2 9 2 3 1 Setup Menu 2 10 2 3 2 Main Menu Control Windows 2 11 2 3 3 Numerical Area Co...

Страница 4: ...essage 6 11 6 7 Alarm Validation 6 12 6 8 Set Additional Alarm Time 6 13 6 9 Alarm Conditions 6 14 6 10 Factory Default Parameter Ranges and Settings 6 20 6 11 Alarm System Verification 6 23 7 ECG and...

Страница 5: ...8 3 Nellcor OxiMax 12 14 12 8 3 1 SatSeconds Indicator and numeric settings 12 14 12 8 3 2 Response Mode Setting 12 16 12 8 3 3 No Pulse Alarm Setting 12 17 12 8 3 4 Perfusion Index PI 12 17 12 9 Time...

Страница 6: ...16 3 Strip Chart Recordings 16 3 16 4 Trend Recordings 16 4 16 5 Recorder Messages 16 4 17 Battery Operation 17 1 17 1 Operating On Battery Power 17 2 17 2 Battery Status 17 2 17 3 Charging the Batter...

Страница 7: ...r adult and pediatric patients The monitor also supports printing as well as audible and visual alarms for the parameters listed Electrocardiograph ECG Heart rate pulse rate HR PR Noninvasive blood pr...

Страница 8: ...G Respiration Non invasive blood pressures Invasive blood pressures Body temperature Functional arterial oxygen saturation Expired and or inspired CO2 The lance Vital Signs Monitor is a prescription d...

Страница 9: ...10 2 display Black with ECG SpO2 NIBP respiration dual temperature dual IBP 5 waveforms lance 5 5c c elite 93300 05ICE 10 2 display Black with ECG SpO2 NIBP respiration dual temperature dual IBP EtCO...

Страница 10: ...different applications Refer to Service Manual P N 070 1949 00 and datasheets for more information 1 5 2 Electrical The lance Vital Signs monitor is powered by either of the following options Alterna...

Страница 11: ...amaged This equipment is not to be used on neonates or infants under 1 year old Do not apply excessive tension to any cable Electrical Shock Hazard no user serviceable parts inside unit To avoid an ex...

Страница 12: ...device meets the restricted level of leakage current required for medical devices Therefore this device cannot be connected to a device that would give a combined total of leakage current beyond the...

Страница 13: ...Use only ECG monitoring cables and safety lead wires designed to protect against accidental connection to electrical power cords or outlets Failure to do so may result in adverse health consequences...

Страница 14: ...owing measures Reorient or relocate the receiving device Increase the separation between the equipment Connect the equipment into an outlet on a circuit different from that to which the other device s...

Страница 15: ...ay symbols and colors used on the display to indicate the different functions and messages The monitor also provides an external interface to support an alarm relay connection 2 1 Physical Monitor Des...

Страница 16: ...tions Manual Page 2 2 Side Views lance Vital Signs Monitor external connections are located on the right side of the monitor NIBP ECG SpO2 T1 T2 IBP1 optional IBP2 optional CO2 optional lance Vital Si...

Страница 17: ...ure Canadian Standards Association Approved NIBP Connector CO2 EtCO2 Connector Altitude CO2 Gas In Out Moisture T1 Temperature 1 Temperature Range Not for use on neonat T2 Temperature 2 es or infants...

Страница 18: ...lance Vital Signs Monitor shown below is made up of four distinct areas The Waveform Area The Numerical Area The Patient Information Area The Main Menu Area 2 2 1 The Waveform Area The lance Vital Si...

Страница 19: ...Page 2 5 ending n options purchased 2 2 2 The Numerical Area The lance Vital Signs Monitor has six or seven numerical reading controls dep o ECG HR RR Respiration SpO2 IBP1 IBP2 NIBP Temperature 2 2 3...

Страница 20: ...ram c display p Menu NIBP measurement AUDIO Silence activated alarms STANDBY Puts the lance Vital Signs Monitor on standby mode RECORD prints measured data to a printer if installed TRENDS Display cle...

Страница 21: ...1 BPM Beats Per Minute T2 Temperature Channel 2 P1 P2 Invasive Blood Pressure C Temperature Unit Celsius ART Pressure IBP Label Arterial Blood F Temperature Unit Fahrenheit Mean M Mean value of Systol...

Страница 22: ...ART Red CVP Blue L Blue AP RAP Blue PRS Red T r emperatu e White Ge Ba ack neral ckground Bl Informative Message Black Background White Font Low Priority ssage Alarm Me Yellow Background Black Font M...

Страница 23: ...re located along the right side of the screen They are always visible and each key performs a specific function regardless of the parameter being monitored When you touch the keys on the Main Menu or...

Страница 24: ...to the lance Vital Signs Monitor The Setup Menu appears when you touch the Monitor Setup key as indicated above Suspends all alarms Admit Edit patient information discharge a patient ious waveform dis...

Страница 25: ...Monitor lance Vital Signs Monitor Operations Manual Page 2 11 ontrol Windows 2 3 2 Main Menu C Trends Display 2 3 3 Numerical Area Control Windows Setup ECG Control Setup RR Control Setup SpO2 Contro...

Страница 26: ...rations Manual Page 2 12 Setup ETCO2 Control NIBP Control Setup Temperature Control 2 3 4 Standby Mode When the lance Vital Signs Monitor is set on Standby Mode all monitoring arameters are temporaril...

Страница 27: ...clinical signs and symptoms are the primary sources for notifying medical personnel that an alarm condition exists Caution The alarm relay connection is no functional if you disable or silence the lan...

Страница 28: ...our lance Vital Signs Monitor to monitor patient vital signs It also includes a general overview of the monitor s basic setup 3 1 Powering on the Monitor A power ON self test POST is initiated to test...

Страница 29: ...ate and Time ill appear Caution eral Monitor Settings re are various settings for the lance Vital Signs Monitor to be set The lance Vital Signs Monitor allows the setting of date and time STEPS 1 Touc...

Страница 30: ...the Year keys to set the current year as required 6 Touch the Month keys to set the current month as required 7 Touch the Day keys to set the current day as required 8 Touch the Hour keys to set the...

Страница 31: ...o the bedside monitor 3 2 2 ate and Time Format The date and time display format can be set by user STEPS 1 Touch the Monitor Setup key located on the right side of the screen A Setup menu will appear...

Страница 32: ...key to quit The monitor date and time will be displayed in selected format at the lower right of the screen 3 2 3 The monitor setup can be saved as user defaults STEPS 1 Touch the Monitor Setup key l...

Страница 33: ...tor Operations Manual Page 3 6 4 ouch the Save User Defaults key A Save User Defaults window as shown T below will appear 5 Touch the OK key to save the current monitor setup as the user defaults h th...

Страница 34: ...setup STEPS 1 Touch the Monitor Setup key located on the right side of the screen A Setup menu will appear Touch the Clinical from the Setup menu A Setup Clinical window will appear Touch the System...

Страница 35: ...Number Color The numbers to as labeled in the figure below represents the waveforms in the Setup Waveform Window described in this section 6 Touch the Cancel key Note The user default saved in the lan...

Страница 36: ...can set the source of all the waveforms from this control S 1 Touch the Monitor Setup 2 Touch the Waveforms fr 3 Touch the Waveform 1 key A dropdown list will appear Note The options available from th...

Страница 37: ...om the dropdown list will differ for different waveforms 4 Touch the required Size Selection 5 Repeat Steps 3 4 for the other waveforms as required 6 Touch the OK key to confirm setting 3 3 3 Set Swee...

Страница 38: ...tor Setup icon from the Main Menu A Setup menu will appear 2 Touch t appear 3 Touch the key A dropdown list as shown below will appear 4 Touch the required waveform number Touch OK key to confirm or C...

Страница 39: ...3 3 6 Set Waveform and Parameter Color Color of waveforms and parameters can be user configured from this control STEPS 1 Touch the Monitor Setup icon from the Main Menu A Set p menu will appear 2 To...

Страница 40: ...Large Numeric Screen mode does not respond to any other operations except returning the monitor to Normal Screen mode Steps 1 Touch the Large Numeric icon from main menu The following window will app...

Страница 41: ...Signs Monitor Operations Manual Page 3 14 Note Refer to Chapter 2 2 5 Monitor Display Symbols for the meaning of displayed symbols meric icon or Normal Screen icon 2 To return to normal screen touch t...

Страница 42: ...formation in the lance Vital Signs Monitor provides some basic information about the patient You can admit a new patient or edit existing patient ation in the lance Vital Signs Monitor 1 Touch the Mon...

Страница 43: ...t Management 3 Touch Admit key An Admit window as shown below will appear 4 Touch OK key to confirm A Patient Info Edit window as shown below will appear lance Vital Signs Monitor Operations Manual Pa...

Страница 44: ...The Patient Info Edit window will appear 6 Touch Display Name key A Display Name window as shown below will appear 7 Enter the patient s name via the screen keyboard 8 Touch the OK key to confirm ent...

Страница 45: ...A Year window as shown below will appear 12 Enter the year via the screen keyboard 13 Touch the OK key to confirm 14 Repeat steps 11 to 13 to complete the date 15 Touch Sex dropdown list to select th...

Страница 46: ...lance Vital Signs Monitor all the patient information and trends will be removed When a patient is discharged the patient s details should also be discharged from the lance Vital Signs Monitor Setup m...

Страница 47: ...Patient Management lance Vital Signs Monitor Operations Manual Page 4 6 4 Touch OK key to confirm the discharge of patient or touch Cancel key to quit...

Страница 48: ...1 View and Print Tabular Trends Tabular trends in the lance Vital Signs Monitor can be tracked and printed at specified interval and with limit violation indicators STEPS 1 Touch the Trends icon from...

Страница 49: ...o the previous or next page respectively 6 Touch the Print key to print the on screen trends if required Note Data in the Trend window is sent as a Trend Report and prints immediately to the strip cha...

Страница 50: ...nd data that are stored in the monitor memory pear 5 1 1 View Tabular Trends at user selectable period Steps 1 Touch the Trends icon from the Main Menu A Trends window will appear 2 Touch the Start ke...

Страница 51: ...lor and bold style The scale numbers of each parameter show up above and below the 3 Touch the Time Span respective parameter labels key to change the graphical trend display scope if required Note Th...

Страница 52: ...parameter selection key A dropdown shown as below will appear 9 Touch the desired parameter 10 Repeat step 8 to 9 to set up the four parameters 11 Touch the OK key to confirm 12 Touch the Print key to...

Страница 53: ...e condition is indicated by a visual alarm a yellow red or white flashing light on the lance Vital Signs Monitor and an audible alarm This chapter discusses the alarm fun ality of the lance Vital Sign...

Страница 54: ...1 1 Default Alarm Activation and Limits Setting r a new patient you might want to et the alarm limits for parameters from the Setup Menu This saves you time from having to go to each parameter screen...

Страница 55: ...se or decrease the value er to set Touch the OK key to confirm 6 1 2 hen you need to change the alarm activation or alarm limits you can do it directly enu meter as illustrated below by the 7 Repeat s...

Страница 56: ...Limit keys to increase or decrease the value 6 ouch the OK key to confirm e alarm of the screen is as shown below T Note The alarm limit range will display in the Numeric Area in the event that th re...

Страница 57: ...the right side of the screen The alarm will be silenced however the alarm violated parameter numeric will stay with the alarm level color Ca Touching Audio icon is an operator a Th n in main menu has...

Страница 58: ...mode it will automatically revert to the alarm mode after the set time has elapsed Touc 1 h the Monitor Setup icon from the Main 2 3 Touch 4 Touch the Alarm Silence Time keys to increase or decrease...

Страница 59: ...will appear 2 Touch the Alarm Suspend key A flashing bar with an All Alarms Suspended message as shown below will appear at the bottom of the screen The suspend mode is activated and deactivated in t...

Страница 60: ...vat a STEPS 1 Touch the Monitor Setup icon from the Main Menu A Setup men Touch the Clinical from the Setup menu A Setup Clinical window 2 3 4 Touch the Alarm Suspend Time keys to increase or decrease...

Страница 61: ...m The speaker alarm volume in the lance Vital Signs Monitor can be set between the range of 1 softest and 10 loudest STEPS 2 Touch the Clinical from the Setup menu A Setup Clinical window will appear...

Страница 62: ...Touch the System key A Setup System window as shown below will appear 6 5 Set Pulse Tone Volume The pulse tone enables audible tones for each detected beat When the Pulse Tone Source is SpO2 the tone...

Страница 63: ...a message whenever SpO2 alarms are turned off You can activate or deactivate it S 1 2 Touch the Clinical from the Setup menu A Setup clinical window will appear 3 Touch the Alarms key A Setup Alarms...

Страница 64: ...alarm limits for Limit Violation Alarm Validation Time RR High Limit 10 seconds SpO2 High Limit 10 seconds SpO2 Low Limit 10 seconds PR High Limit 10 seconds TEMP High Limit 10 seconds TEMP Low Limit...

Страница 65: ...he S Setup Clinical window will appear 3 Touch y A Set ndow as shown below will appear 6 8 Set Additional Ala The additional alarm in the lance Vital Signs Monitor enhances the alarm tone functionalit...

Страница 66: ...arm characteristics of the General Monitor Conditions The table M conditions Condition Display Value Alarm Message Priority Monitor needs N A Monitor needs service Low service Central Connection Condi...

Страница 67: ...ARR ventricular ta ia PVC MINUTE PVC Min ARR PVC MINUTE Medium Pause Pause ARR Pause Medium Couplet Couplet ARR ventricular couplet Medium Pacer Non capture Pacer ptu PACEMAKER PACER URE non ca re NON...

Страница 68: ...R N R within limits umber None None R N R Low Limit umber RR lower than Low Limit Medium R N R High Limit umber RR higher than High Limit Medium R s min e too high m R 120 breath RR out of rang Mediu...

Страница 69: ...nk None None Cannot reg intensity after finger in probe ulate LED eck sensor placeme Low SpO2 ch nt Pulsations Too Weak eak signal Low SpO2 w Probe unplugged after startup standby Blank None None Prob...

Страница 70: ...edium NIBPd within limits Number Non ne e No NIBPd Low Limit Number NIBPd lower than Low Limit Medium NIBPd High Limit Number NIBPd higher Medium than High Limit NIBP Pulsations Too Small signal Low N...

Страница 71: ...s service Low IBP Conditions Condition Display Value Alarm Message Priority IBPs within limits Number None None IBPs Low Limit Number IBPs lower than Low Limit Medium IBPs High Limit Number IBPs highe...

Страница 72: ...m state The alarm will not be r m or 6 10 ault P r Ra T Signs shipp ettin default setting for mode is Adult Authorized personnel can use res d ervice manual to change default settings Parameter The te...

Страница 73: ...Display Format Sys Dia Sys Dia Mean P1s P1 ARTs P1 PRSs low alarm limit 100 mmHg 10 to 185 mmHg P1s P1 ARTs P1 PRSs high 180 mmHg 190 to 250 m alarm limit mHg P1s P1 ARTs P1 PRSs Off On Off alarms on...

Страница 74: ...g 5 to 230mmHg P2 CVPm P2 LAPm P2 Off On Off RAPm alarms on TEMP high alarm limit Note for 39 0 C 0 F 32 1 42 0 degrees C 6 degrees F depends on user setting TEMP units 102 89 7 107 TEMP low alarm lim...

Страница 75: ...Minute Abnormals p Ventricular Tach Alarm On On Off Pause On On Off Couplet Off On Off PVC Off On Off Pacer Non capture Off On Off 6 11 A ca A s d at a reg fore each use The a is ally valida including...

Страница 76: ...any of alarm indicat to work nected t entral statio e following actions STEPS 1 Disconnect the monitor from the wall box r 30 seconds The monitor should sound a low the message area in yellow The SpO...

Страница 77: ...ey are connected to a patient during defibrillation Place the ECG cable and electrodes as far as possible away from the site of the electrosurgical unit and from the electrosurgical cables This will m...

Страница 78: ...larm Vital Signs Monitor is protected from damage during electrosurgi interference The waveforms should recover within 5 seconds of the interferenc n Numeric displays should recover within 10 seconds...

Страница 79: ...gns Monitor e below placeme 8 Connect the ECG cable to the ECG connector using the color code guide in the tabl AAMI Electrode Identifier AAMI Color Code Electrode Placement IEC Electrode Identifier I...

Страница 80: ...The Numerical area ECG Zone u c Yo an access the ECG setup by touching the ECG Numerical area 7 3 Getting into the ECG Setup You need to access into ECG windo make any setting changes to the ECG moni...

Страница 81: ...l Area A Setup ECG window will appear Touch the ECG Lead 2 key A dropdown list as shown below will appear ECG Cables number is set to be 5 manually in Setup Waveforms Window the above 7 waveform items...

Страница 82: ...on the lance bedside monitor as with a 3 Lead Cable Multi ECG lead capture can be enabled with any lead combination in which one or more leads are displayed on the lance bedside monitor 7 5 Set Wavefo...

Страница 83: ...namely ART and SpO The lance Vital Signs Monitor pro R source whenever HR from the p H the altern ECG P1 ART P2 ART SpO2 If the primary source is ECG 15s after HR artifact or HR lead off message where...

Страница 84: ...frequent source of false alarm The pulse tone enables ital Signs Monitor The audible signal can be V STEPS 1 Touch the ECG Numerical Area A Setup ECG window will appear Touch the Pulse Tone Source 2...

Страница 85: ...rom lance Vital Signs Monitor key Only Yes will be shown HR alarm cannot be turned OFF T 3 ouch the required Alarm Selection 4 Touch the Low Limit k 5 Touch the High Limit eys to increase or decrease...

Страница 86: ...tablished at any time during monitoring During the relearning phase all ECG alarms are suspended Steps 1 Touch the first ECG Numerical Area at the top of the screen A Setup ECG window as shown below w...

Страница 87: ...e ST mon monitor and provide ST alarm Only a clinician can determine the significance of S changes The ST isplay S d the screen Question marks will be displayed when ST value is not available When a 3...

Страница 88: ...is ST with frequency range from 0 05 Hz to 40Hz Touch OK to confirm 8 1 ST The ST Alarm Settings controls the activation deactivation of the ST alarm and the single lead ST alarm threshold ow will ap...

Страница 89: ...the ST Alarm Settings A Setup ST Alarms window as shown below will appear key 4 Touch the ST Alarm key A dropdown list as shown below will appear 5 Touch the required selection to turn on or off the...

Страница 90: ...in steps of 0 25mm 7 Touch OK to confirm 8 2 ST Trends The ST trends can be viewed and printed in both tabular and graphical formats when the ST option is enabled 8 2 1 View and Print Tabular ST Trend...

Страница 91: ...of the trend function keys 3 the Normal Screen icon from the main menu to retu Graphical ST Trends Steps first ECG Numerical Area at the top of the screen A Setup ECG appear Touch s rn to normal wavef...

Страница 92: ...ge 8 6 Note The time span number here indicates the displayed trend scope in hours Refer to section 5 2 View and Print Graphical Trends for operation of the trend function keys Touch the Normal Screen...

Страница 93: ...cessive beats over 60bpm Pause No beat detected for more than set pause threshold Couplets Two consecutive beat of abnormal morphology PVC Minute Number of PVCs detected within the last minute Pacer N...

Страница 94: ...2 Ar T ctio view and printing capability of arrhythmia event occurrences S 1 first ECG Num ECG window as shown below w ssociated arrh Touch OK t rhythmia Review he arrhythmia review fun n provides re...

Страница 95: ...review A window as shown below will appear 4 Touch the keys to scroll up and down the list as required h the PgUp or PgDn key to scroll to the previous or next page respectively h the Print key to pr...

Страница 96: ...tor uses to measure the patient s thoracic impedance to determine respiration rate When this occurs these pacemakers may begin pacing at their maximum programmed rate Turning the RESP channel OFF can...

Страница 97: ...form area The Numerical area T 10 3 et RR Alarm ou need to access into the RR Setup window to make changes to set the alarm activation and alarm limits TEPS You can access the RR menu by touching the...

Страница 98: ...keys to increase or decrease the value 6 Touch the OK key to confirm 10 4 Time to Respiration Alarm Alarms Time to Alarm Time to Alarm without Alarm with Alarm Validation Validation Respiration Rate...

Страница 99: ...Signs Monitor Capnography is designed to be safely and effectively used with the Oridion Microstream EtCO2 Accessories Refer to the lance Vital Signs Monitor Supplies and Accessories data sheet P N 06...

Страница 100: ...shown below wiil appear T the ETCO2 Enabled 4 Touch key A dropdown list as shown below will ar appe 5 Touch the Yes option to activate or No option to deactivate the EtCO2 Waveform 6 Touch the OK key...

Страница 101: ...replaced by the EtCO2 monitoring on the lance Vital Signs Monitor Warning The EtCO2 should be reset or restored from user default manually when required after the monitor is discharged from lance Cent...

Страница 102: ...onitoring STEPS 1 Touch the EtCO2 as illustrated below by the Y icon A Setup ETCO2 window as shown below will appear 2 Set the required parameters Touch the OK key to confirm 11 4 Set Waveform Size Th...

Страница 103: ...K key to confirm Set EtC You can change the EtCO2 display units on the lance Vital T Touch the Units key A dropdown list as shown below will appear 3 Touch the required Unit Selection 4 Touch the OK k...

Страница 104: ...as shown below will appear 3 Touch the required Alarm Selection it 4 Touch the Low Lim keys to increase or decrease the value Touch the High Limit 5 keys to increase or decrease the value 11 7 o EtCO...

Страница 105: ...sensor manufacturer Check the sensor site frequently and do not allow the sensor to remain on one site for too long Refer to the instructions from the sensor manufacturer for more information Masimo...

Страница 106: ...oximeter function is designed to follow a Masimo calibration curve and the Nellcor OxiMAX oximeter function is designed to follow the Nellcor OxiMAX calibration curve All may be produced on a variety...

Страница 107: ...e monitor Lock the cable in place Connect the sensor to the extension cable Lock the cable in place Carefully apply the sensor to the patient Sensor connect to patient 12 2 asurements and may result i...

Страница 108: ...eased arterial oxygen contents this condition occurs because less functional hemoglobin oxygen C Hemoglobin levels below 5 g dl may prevent the lance p O loss of signal condition during opera Low perf...

Страница 109: ...Use an adhesive sensor that tolerates some patient motion r with fresh adhesive backing Use a new senso Note Periodically check to ensure that the sensor is properly positioned o table that the skin i...

Страница 110: ...window to make any setting changes to the STEPS 1 Touch the SpO2 Numerical Area as illustrated below by the Getting into the SpO2 Setup You need to access into SpO2 monitoring icon A Setup SpO2 windo...

Страница 111: ...urce he lance ital Signs Monitor The audible signal can be generated from the ECG or SpO2 ECG The pulse rate tone does not change pitch with the SpO2 saturation if ECG is selected as the HR source Set...

Страница 112: ...hnology options provide a complete range of performance options for SpO2 m Spacelabs Masimo SET Nellcor OxiMax Advanced SpO2 Features Spacelabs SpO2 technology optio OxiMax technology option N ar onit...

Страница 113: ...erations Manual Page 12 9 At Large Numberic screen Perfusion Index Indicator dex indicator expands up proportionally to The shaded area in the Perfusion In signal strength No shading corresponds to no...

Страница 114: ...responsiveness to sensor detachment The APOD sensitivity setting is used to protect against erroneous pulse rate and SpO2 readings that can occur when a sensor becomes detached from the patient It is...

Страница 115: ...ires the most rapid response for either treatment or assessment It is not recommended for routine use as the increased fidelity will also increase the frequency of alarms Data averaging feature smooth...

Страница 116: ...en the detected perfusion index falls below 0 25 12 8 2 4 Perfusion Index PI s can Normal screen 3 Signal IQ SIQ The Signal IQ was developed to be sure that valid oxygen saturation and pulse rate read...

Страница 117: ...SpO2 Monitoring lance Vital Signs Monitor Operations Manual Page 12 13 Perfusion Index Indicator eric screen Perfusion Index shown in the Large Num Perfusion Index Indicator...

Страница 118: ...nds Indicator and numeric settings The SatSeconds feature helps eliminate nuisance alarms when patient s SpO2 level fluctuates near an alarm limit If the SatSeconds feature is enabled the alarm limit...

Страница 119: ...to the SatSeconds count When the SatSeconds count meets or exceeds the SatSeconds setting the SatSeconds indicator is completely filled and the SpO2 alarm will be triggered When the saturation value i...

Страница 120: ...s controlled by the Response Mode setting en econds When the Response Mode is set to FAST the averaging interval is ur seconds TEPS 2 the Advanced SpO2 Setting key A new Setup SpO2 window will appear...

Страница 121: ...on is indicated always check on the patient STEP window will appear 2 O2 window will appear 12 8 3 3 No Pulse Alarm Setting S 1 Touch the SpO2 Numerical Area A Setup SpO2 2 Touch the Advanced SpO Sett...

Страница 122: ...inue to be displayed If saturation values can no longer be calculated an alarm tone will be triggered Perfusion Index Indicator as shown in the Normal screen Perfusion Index shown in the Large Numeric...

Страница 123: ...on Less than 9 seconds Less than 19 seconds SpO2 Low Limit Violation Less than 11 seconds Less than 22 seconds Nellcor Oximax SpO2 SpO2 High Limit Violation Less than 9 seconds Less than 19 seconds Sp...

Страница 124: ...V V mmHg at an excit and ation voltage of 5 VDC a measurement range of 50 to 300 mmHg Do not reuse disposable single use transducers Ensure that reusable transducers are sufficiently sterilized Make...

Страница 125: ...onitor 13 2 IBP Zone Th The Waveform area STEPS 1 Connect the cable en e IBP zone consists of two areas The Numerical area You can access the IBP menu by touching the IBP Numerical area 13 3 tup windo...

Страница 126: ...ey to confirm 13 4 Zero Set You must zero the system before you can begin monitoring Zeroing will Establish atmospheric pressure at zero Compensate for hydrostatic effects of any fluids in the cathete...

Страница 127: ...5 Set IBP Label nce Vital Signs Monitor if the IBP is set to ART or Touch the IBP Numerical Area A Setup IBP window will appear manufacturer s directions to correct the prob Refer to the catheter tubi...

Страница 128: ...ystolic Diastolic and Mean are displayed in the al Area It is also dependent on the IBP Label chosen d on the Label Check and adjust t Set IBP Format T Numeric The table below shows what is displayed...

Страница 129: ...he required Size Selection 4 Touch the OK key to confirm 13 8 Set Systolic Alarm You can set the Systolic alarm activation and alarm limits This setting is only available to ART and PRS lab STEPS 1 To...

Страница 130: ...w Limit keys to increase or decrease the value 5 ouch the High Limit T keys to increase or decrease the value 13 10 Set Mean Alarm tion and alarm limits This setting is available to TEPS h the IBP Num...

Страница 131: ...me to Alarm IBP Systolic High Limit Violation Less than 5 seconds IBP Systolic Low Limit Violation Less than 5 seconds IBP Diastolic High Limit Violation Less than 5 seconds IBP Diastolic Low Limit Vi...

Страница 132: ...ssure devices continual cuff measurements may cause injury to the patient being monitored Weigh the advantages of frequent measurement against the risk of injury Never use an adult monitor setting or...

Страница 133: ...obtained by a trained observer using the cuff stethoscope auscultation method within the limits prescribed by the American National Standard Electronic or automated sphygmomanometers Th or inc dif 14...

Страница 134: ...inch Small Adult arm 18 to 26 cm 7 1 to 10 2 inch Adult arm 26 to 35 cm 10 2 to 13 8 inch Adult Long arm 29 to 38 cm 11 4 to 15 0 inch Large Adult arm 32 to 42 cm 12 6 to 16 5 inch Large Adult Long ar...

Страница 135: ...con ndow as shown below w A Setup NIBP wi ill appear 2 Set the required parameters 3 Touch the OK key to confirm 14 4 Set NIBP Interval The NIBP Interval setting is to turn off the automatic NIBP meas...

Страница 136: ...NIBP interval means absolute time For example if you set NIBP interval to be 5 asurement will be started every 5 minutes at 05 10 15 and so 14 5 et NIBP Format ines how the Systolic Diastolic and Mea...

Страница 137: ...appear h the Initial Inflation Pressure set to 160 mmHg Follow the steps belo 1 2 Touc keys to increase or decrease the 14 7 set the Systolic alarm activation and alarm limits Touch the NIBP Numerical...

Страница 138: ...Touch the Low Limit keys to increase or decrease the value 5 Touch the High Limit keys to increase or decrease the value 6 Touch the OK key to confirm 14 9 Set Mean Alarm The Mean alarm can be activa...

Страница 139: ...tion Less than 1 second NIBP Mean High Limit Violation Less than 1 second NIBP Mean Low Limit Violation Less than 1 second 14 11 The lance Vital Signs monitor allows NIBP measurement manual mode and 1...

Страница 140: ...11 2 The NIBP measurement can be activated automatically at user set interval This can be done by setting the NIBP interval to any The Off selection eans turning down NIBP automatic measurement efer t...

Страница 141: ...perature probe directions for on left side of the monitor 2 Attach the temperature probe to the patient according to the manufacturer s directions for your specific temperature probe Note 2 minutes wi...

Страница 142: ...ters Touch the OK key to confirm 3 15 4 et Units You can set the temperature units of measurement to C or F from the Setup Temp window STEPS 1 Touch the Temperature Numerical Area A Setup TEMP window...

Страница 143: ...Alarm and Limits Y STEPS 1 key A dropdown list as shown below will appear 3 Touch the required Alarm Selection 4 Touch the Low Limit keys to increase or decrease the value 5 Touch the High Limit keys...

Страница 144: ...Monitor wit 16 1 tch to release the door Remove the old spool and place with a new roll The paper should come out from under the roll as shown in e picture Loading Printer Paper Press down on the rec...

Страница 145: ...rt recording is initiated whenever a HR alarm occurs When the Alarm Recording value is set to ALL a strip chart recording is initiated whenever any alarm occurs The Recording Time setting controls the...

Страница 146: ...m is printed 16 3 Strip Chart Recordi Strip chart recordings contain a waveform area that includes a 40 mm wide grid with descriptive text above and below the grid The waveform g m The descriptive tex...

Страница 147: ...can print out a Trend Report This report contains the same information that is presented in the trends display with the following additions A header that includes a Trend Re The date is displayed alo...

Страница 148: ...P N 070 1949 00 for more details Spacelabs healthcare recommends that the lance Vital Signs Monitor remain connected to an AC power source when not in use This will ensure a fully charged battery As...

Страница 149: ...splay e battery charging indicat When the or shows on the screen Note Usi ries will extend battery operation Bef r into 17 2 Battery Wh ng Li Ion batte ore using the lance Vital Signs Monitor on batte...

Страница 150: ...reen 17 4 Battery 17 3 Charging the Battery When the lance Vital Signs Monitor is reconnected to the wall outlet it will begin recharging regardless of whether the lance Vital Signs Monitor is powered...

Страница 151: ...nitoring equipment Do not use the equipment that has been compromised by liquid ingress Do not immerse the equipment or cables in water or cleaning solutions Do not autoclave Do not allow any liquid t...

Страница 152: ...rns about cleaning issues should be directed to a Spacelabs Hea 18 1 2 Tou Clean the touchscreen with a soft cloth moistened with either 70 isopropyl alcohol olution or soapy water 18 1 1 Cleaning Dis...

Страница 153: ...re provided follow the manufacturers instructions con reusable supplies As applicable follow your hospital protocol concerning cleaning dis and or sterilization of reusable supplies Use of patient cab...

Страница 154: ...witch to the On position p Internal system error Power cycle the lance Vital if condition Spacelabs Healthcare Technical Support to request a repair or replacement Signs Monitor persists stop using th...

Страница 155: ...ce Vital Sign Monitor contact Spacelabs Healthcare Technica Recorder needs service Recorder option only Monitor has sensed an error condition in the recorder Check to be sure the recorder is still con...

Страница 156: ...ive The lance Vital Signs Monitor Service Manual P N 070 1949 00 pro e owever because of t ther sources of electrical cellular cy transmitting equipment an ments such as electrosurgic ay radios electr...

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Spacelabs Healthcare 93300, Руководство по эксплуатации

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