Manual for Monitor, Vetvisor - Advisor High End Multi-Parameter

157 Pages·2003·4.9 MB·English

Table of Contents
Chapter 1: Introduction 1-1
Proprietary Notice..........................................................................................................................................1-1
WARRANTY...................................................................................................................................................1-1
Limited Warranty...........................................................................................................................................1-1
Disclaimer of Warranties...............................................................................................................................1-1
Conditions of Warranty..................................................................................................................................1-1
Limitation of Remedies..................................................................................................................................1-2
Warranty Procedure.......................................................................................................................................1-2
About This Manual...........................................................................................................................................1-3
Conventions...................................................................................................................................................1-3
Using the Manual...........................................................................................................................................1-3
Definition of Symbols.......................................................................................................................................1-4
2 Warnings, Cautions & Notes.......................................................................................................................1-5
General Warnings, Cautions and Notes.........................................................................................................1-5
Chapter 2: General Description 2-1
Intended Use..................................................................................................................................................2-1
Features..........................................................................................................................................................2-1
Measurement Capabilities..............................................................................................................................2-2
Chapter 3: Setting Up the Monitor 3-1
Connect the AC Power Cord..........................................................................................................................3-1
Selecting Patient Mode..................................................................................................................................3-1
Setup.................................................................................................................................................................3-2
Using the Internal Battery..............................................................................................................................3-3
Starting...........................................................................................................................................................3-3
High, Medium, and Low Priority Alarm Tones................................................................................................3-4
Time and Date...................................................................................................................................................3-5
New Patient.......................................................................................................................................................3-5
Chapter 4: Description of Controls and Features 4-1
Front Panel........................................................................................................................................................4-1
Indicators...........................................................................................................................................................4-2
Patient Connectors............................................................................................................................................4-2
Printer................................................................................................................................................................4-3
Display..............................................................................................................................................................4-4
Parameter Colors...............................................................................................................................................4-7
Keys..................................................................................................................................................................4-8
Rear Panel.........................................................................................................................................................4-9
Chapter 5: High, Medium, and Low Priority Alarms 5-1
Alarms...............................................................................................................................................................5-1
Momentary Sounds........................................................................................................................................5-2
Alarm Volume Adjust....................................................................................................................................5-2
Setting Alarm Limits......................................................................................................................................5-3
QUICKSET Alarms..........................................................................................................................................5-5
Alarm Tones......................................................................................................................................................5-6
Chapter 6: Pulse/Heart Rate Detection 6-1
Determining Measurement for Rate..................................................................................................................6-1
Rate Source.......................................................................................................................................................6-1
Chapter 7: ECG 7-1
ECG Warnings, Cautions, and Notes.............................................................................................................7-1
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Table of Contents
Theory of Operation..........................................................................................................................................7-1
Using the ECG Parameter..................................................................................................................................7-2
Setting Up ECG Monitoring..............................................................................................................................7-2
Attaching the Patient..........................................................................................................................................7-2
ECG Display......................................................................................................................................................7-5
ECG Parameter Menu........................................................................................................................................7-7
HR ALARMS.................................................................................................................................................7-7
WAVEFORM DISPLAY...............................................................................................................................7-7
SPEED............................................................................................................................................................7-7
RATE SRC (source).......................................................................................................................................7-7
PULSE VOL...................................................................................................................................................7-8
ECG MONITOR.............................................................................................................................................7-8
PRINT ALL LEADS SNAPSHOT (Available for 5 lead ECG only).............................................................7-8
ECG Waveform Menu.......................................................................................................................................7-9
ECG Alarms....................................................................................................................................................7-11
ECG Messages.................................................................................................................................................7-12
Correcting Lead Fail or Lead Overload Alarms..............................................................................................7-13
ECG Technical Data........................................................................................................................................7-13
Chapter 8: Oximeter 8-1
Oximetry Warnings, Cautions, and Notes.......................................................................................................8-1
Theory of Operation..........................................................................................................................................8-2
Using the Oximeter Parameter...........................................................................................................................8-2
Setting Up Oximeter Monitoring.......................................................................................................................8-3
Attaching the Sensor to the Patient....................................................................................................................8-4
Choosing the Sensor.......................................................................................................................................8-4
Checking the Sensor and Patient Cable..........................................................................................................8-5
Application Guide...........................................................................................................................................8-6
Mini Clip.........................................................................................................................................................8-7
Universal C-sensor..........................................................................................................................................8-7
Reflectance (Rectal) Sensor............................................................................................................................8-8
Cleaning or Disinfecting the Sensor...............................................................................................................8-9
Oximeter Display.............................................................................................................................................8-10
Oximeter Alarms.............................................................................................................................................8-11
Oximeter Messages..........................................................................................................................................8-11
Chapter 9: NIBP 9-1
Non-Invasive Blood Pressure Warnings, Cautions and Notes........................................................................9-1
Theory of Operation..........................................................................................................................................9-1
Using the NIBP Parameter.................................................................................................................................9-2
Setting Up NIBP Measurement.........................................................................................................................9-2
Connecting the Cuff and Hose...........................................................................................................................9-3
NIBP Display.....................................................................................................................................................9-4
NIBP Measurement Modes.............................................................................................................................9-5
NIBP Parameter Menu.......................................................................................................................................9-5
MEASUREMENT MODE.............................................................................................................................9-6
Taking NIBP Measurements..............................................................................................................................9-7
NIBP Alarms.....................................................................................................................................................9-9
NIBP Messages................................................................................................................................................9-10
Application Note: NIBP Cuff Inflation Method..............................................................................................9-11
Non-Invasive Blood Pressure Calibration Verification...................................................................................9-11
Chapter 10: Invasive Pressure 10-1
Invasive BP Warnings, Cautions and Notes....................................................................................................10-1
General Description.........................................................................................................................................10-1
Invasive Pressure Transducers and Interface Cables....................................................................................10-1
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Table of Contents
Medical Supplies Vendors (U.S.A.)..............................................................................................................10-3
Using the Invasive Pressure Parameter............................................................................................................10-4
Setting Up Invasive Pressure Monitoring........................................................................................................10-4
Setting Up the Invasive Pressure Transducer...................................................................................................10-5
Invasive Pressure Display................................................................................................................................10-6
Invasive Pressure Parameter and Waveform Menus........................................................................................10-8
Invasive Pressure Alarms...............................................................................................................................10-11
Invasive Pressure Messages...........................................................................................................................10-12
Calibrating (Zeroing) the Invasive Pressure Transducers..............................................................................10-13
Chapter 11: Capnography 11-1
CO2 Warnings, Cautions, and Notes...............................................................................................................11-1
Theory of Operation.........................................................................................................................................11-1
Measuring CO ..............................................................................................................................................11-1
2
Measuring Respiration Rate..........................................................................................................................11-2
N O Compensation........................................................................................................................................11-2
2
Using the CapnographParameter.....................................................................................................................11-3

Connecting a Non-Recirculating Scavenging System......................................................................................11-4
Checking for Leaks..........................................................................................................................................11-4
Calibrating the Capnograph.............................................................................................................................11-4
Low Calibration............................................................................................................................................11-5
Auto-Zero Calibration......................................................................................................................................11-5
Low/High Calibration...................................................................................................................................11-6
Attaching the Patient........................................................................................................................................11-7
Capnograph Display.........................................................................................................................................11-8
Capnograph Parameter and Waveform Menus................................................................................................11-9
Parameter Menu............................................................................................................................................11-9
Capnograph Alarms.......................................................................................................................................11-10
Capnograph Messages....................................................................................................................................11-11
Chapter 12: Temperature 12-1
Temperature Warnings, Cautions and Notes.................................................................................................12-1
Description.......................................................................................................................................................12-1
Temperature Sensors and Interface Cables...................................................................................................12-1
Using the Temperature Parameter....................................................................................................................12-1
Setting Up Temperature Monitoring................................................................................................................12-1
Setting Up the Temperature Sensor.................................................................................................................12-2
Temperature Display........................................................................................................................................12-3
Temperature Parameter Menu..........................................................................................................................12-4
Temperature Alarms, and Messages................................................................................................................12-5
Temperature Messages.....................................................................................................................................12-5
Chapter 13: Trends 13-1
Description.......................................................................................................................................................13-1
Displaying and Printing Trends.......................................................................................................................13-1
Chapter 14: Printer 14-1
Features............................................................................................................................................................14-1
Sample Printouts..............................................................................................................................................14-4
Snapshot........................................................................................................................................................14-4
Strip Chart.....................................................................................................................................................14-5
NIBP History Print Window.........................................................................................................................14-6
NIBP History Print All..................................................................................................................................14-7
Tabular Trend PRINT ALL...........................................................................................................................14-8
Choosing the Printer Options...........................................................................................................................14-9
Replacing the Printer Paper............................................................................................................................14-11
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Table of Contents
Chapter 15: Serial Data I/O 15-1
Description.......................................................................................................................................................15-1
Serial Data I/O Connector Signal Description..............................................................................................15-4
Chapter 16: Operator’s Maintenance 16-1
Cleaning the Monitor’s Surfaces.....................................................................................................................16-2
Long Term Storage..........................................................................................................................................16-2
Chapter 17: Operator’s Troubleshooting Chart 17-1
Troubleshooting the Occlusion Low Priority Alarm/Alert...........................................................................17-2
Chapter 18: Optional Supplies and Accessories 18-1
Ordering Information.......................................................................................................................................18-2
Chapter 19: Specifications 19-1
Capnograph...................................................................................................................................................19-1
Respiration Rate (CO2).................................................................................................................................19-2
Equipment Classification..............................................................................................................................19-6
APPENDIX A: SERVICE MENU Appendix-1
Accessing the Service Menu................................................................................................................Appendix-1
PARAMETER DEFAULTS.............................................................................................................Appendix-1
DEFAULT PARAMETER ALARM LIMITS..................................................................................Appendix-1
CHANGE PASSWORD......................................................................................................................Appendix-3
SYSTEM LOG....................................................................................................................................Appendix-4
PURCHASED OPTIONS....................................................................................................................Appendix-4
APPENDIX B: ALARM LIMIT DEFAULTS Appendix-5
Heart Rate.........................................................................................................................................Appendix-5
Oximetry...........................................................................................................................................Appendix-5
NIBP.................................................................................................................................................Appendix-5
Invasive Pressure..............................................................................................................................Appendix-6
Temperature T1/T2...........................................................................................................................Appendix-6
Capnography (CO2)..........................................................................................................................Appendix-7
APPENDIX C: IEC 60601-1-2 REQUIREMENTS Appendix-8
iv
Chapter 1: Introduction
Chapter 1: Introduction
Proprietary Notice
Information contained in this document is copyrighted by SurgiVet and may not be duplicated
in full or part by any person without prior written approval of SurgiVet. Its purpose is to
provide the user with adequately detailed documentation to efficiently install, operate,
maintain and order spare parts for the device supplied. Every effort has been made to keep the
information contained in this document current and accurate as of the date of publication or
revision. However, no guarantee is given or implied that the document is error free or that it is
accurate regarding any specification.

WARRANTY
Limited Warranty
Seller warrants to the original purchaser that the Product, not including accessories, shall be
free from defects in materials and workmanship under normal use, if used in accordance with
its labeling for one year from the date of shipment to the original purchaser.
Seller warrants to the original purchaser that the reusable oximeter sensors supplied as
accessories, shall be free from defects in materials and workmanship under normal use, if used
in accordance with its labeling for one year from the date of shipment to the original purchaser
(USA).
Disclaimer of Warranties
THE FOREGOING EXPRESS WARRANTY, AS CONDITIONED AND LIMITED, IS
IN LIEU OF AND EXCLUDES ALL OTHER WARRANTIES WHETHER EXPRESS
OR IMPLIED, BY OPERATION OF LAW OR OTHERWISE, INCLUDING BUT NOT
LIMITED TO, ANY IMPLIED WARRANTIES OF MERCHANTABILITY OR
FITNESS FOR A PARTICULAR PURPOSE.
Seller disclaims responsibility for the suitability of the Product for any particular medical
treatment or for any medical complications resulting from the use of the Product. This
disclaimer is dictated by the many elements which are beyond Seller’s control, such as
diagnosis of patient, conditions under which the Product may be used, handling of the Product
after it leaves Seller’s possession, execution of recommended instructions for use and others.
Conditions of Warranty
This warranty is void if the Product has been altered, misused, damaged by neglect or
accident, not properly maintained or recharged, or repaired by persons not authorized by
Seller. Misuse includes, but is not limited to, use not in compliance with the labeling or use
with accessories not manufactured by Seller. This warranty does not cover normal wear and
tear and maintenance items.
1-1
Chapter 1: Introduction
Limitation of Remedies
The original purchaser’s exclusive remedy shall be, at Seller’s sole option, the repair or
replacement of the Product. THIS IS THE EXCLUSIVE REMEDY. In no event will
Seller’s liability arising out of any cause whatsoever (whether such cause is based in
contract, negligence, strict liability, tort or otherwise) exceed the price of the Product
and in no event shall Seller be responsible for consequential, incidental or special
damages of any kind or nature whatsoever, including but not limited to, lost business,
revenues and profits.

1-2
Chapter 1: Introduction
About This Manual
This manual provides installation, operation, and maintenance instructions for the equipment
supplied. This manual is intended for health-care professionals trained in monitoring
respiratory and cardiovascular activity.
Conventions
This manual uses visual clues to help convey messages. The following examples show the
conventions used throughout the manual. Words that are defined in context, or defined in the
next sentence, are shown in italics, like this. References to other sections in the manual are
shown in italics, like this: See Alarms in Chapter 5: High, Medium, and Low Priority Alarms
for a description of alarms. When menus are shown, the monitor’s default settings are shown.
2
WARNINGS! Are shown like this.
CAUTIONS! Are shown like this.
NOTES! Are shown like this.
Using the Manual
The monitor allows you to choose the measurement capabilities you need. A measurement
refers to a derived or calculated value; a parameter refers to one or more specific
measurements. For example, the pulse rate value and the %SpO value are measurements; the
2
Oximeter parameter consists of both these measurements. Operation of the monitor is the
same regardless of the number of parameters utilized.
If the monitor just arrived, or if you’re not familiar with the operation of this monitor, then
follow each chapter in the manual in order. Each chapter builds on the information from the
previous chapter. If the monitor is already set up, or you are familiar with its operation, then
turn to the chapter that describes the features you will use.
1-3
Chapter 1: Introduction
Definition of Symbols
Figure 1.1: Definition of Symbols
SYMBOL DEFINITION
q
Defibrillator-proof type CF equipment
s
Defibrillator-proof type BF equipment
2
Attention, consult accompanying documents
1
Dangerous voltage
7
Refer servicing to qualified service personnel
9
Output
0
Loudspeaker
w Fuse
x On/Off
→O← BP Zero All
h NIBP Start/Stop
F Print Start/Stop
y Date of Manufacture
B Alarm Silence
REF Catalog Number
SN Serial Number
IPX1 Drip Proof
1 Non AP Device
X AC Power LED
M Low Battery LED

1-4
Chapter 1: Introduction
2
Warnings, Cautions & Notes
Figure 1.2: Definition of Hazard Keywords
KEYWORD DEFINITION
WARNING Tells you about something that could hurt the patient or hurt the operator.
CAUTION Tells you about something that could damage the monitor.
NOTE Tells you other important information.
General Warnings, Cautions and Notes
WARNING! Federal law (USA) restricts the use or sale of this device by, or on the order
of, a physician.
WARNING! Do not use this device in the presence of flammable anesthetics.
WARNING! ELECTRICAL SHOCK HAZARD when covers are removed. Do not remove
covers. Refer servicing to qualified personnel.
WARNING! Do not plug the monitor into an outlet controlled by a wall switch.
WARNING! Do not use this device in the presence of magnetic resonance imaging (MR
or MRI) equipment.
WARNING! This device must be used in conjunction with clinical signs and symptoms.
This device is only intended to be an adjunct in patient assessment.
WARNING! Do not autoclave, ethylene oxide sterilize, or immerse the monitor and
other accessories in liquid. Evidence that liquid has been allowed to enter the monitor
voids the warranty.
WARNING! In the event that earth ground integrity is lost, the performance of this
device and/or other devices nearby may be affected due to excessive RF emissions.
WARNING! Where HF (diathermy) is used there is no danger of burning to the patient
provided recommended components are used. Rate meters may be temporarily
affected. The 9210 electrocautery filter is necessary for proper monitoring during
electrocautery.
WARNING! Equipment is protected against defibrillator discharge. Rate meters and
displays may be temporarily affected during defibrillation, but will rapidly recover.
WARNING: The vital signs monitor is suitable for use within the patient environment.
IEC 60950 approved equipment must by placed outside of the patient environment. The
patient environment is defined as any volume in which intentional or unintentional
contact can occur between the patient and parts of the system or between the patient
and other persons touching parts of the system.

1-5
Chapter 1: Introduction
EXAMPLE OF THE PATIENT ENVIRONMENT. THE DIMENSIONS ARE NOT PRESCRIPTIVE.

WARNING! When connecting this monitor to any instrument, verify proper operation
before clinical use. Use only equipment meeting specifications given in this manual.
Refer to the instrument’s user manual for full instructions. Accessory equipment
connected to the monitor’s data interface must be certified according to the respective
IEC standards, i.e., IEC 60950 for data-processing equipment or IEC 60601-1 for
electromedical equipment. All combinations of equipment must be in compliance with
IEC 60601-1-1 systems requirements. Anyone connecting additional equipment to the
signal input port or signal output port configures a medical system, and, therefore, is
responsible that the system complies with the requirements of the system standard IEC
60601-1-1.
WARNING! Any monitor that has been dropped or damaged should be checked by
qualified service personnel to insure proper operation prior to use.
WARNING! Use only original manufacturer or recommended patient cables. Use of
accessories other than those specified may result in increased electro-magnetic (EM)
emissions or decreased EM immunity of the device. To avoid potential electro-static
discharge interference, do not use cables which incorporate metal or metal coated
connectors.
WARNING! Medical electrical equipment, including this device, needs special
precautions regarding electro-magnetic compatibility (EMC) and needs to be installed
and put into service according to the EMC information provided in this manual.
WARNING! There is no defibrillator synchronization output on the monitor. Make no
connections between the monitor and a defibrillator.
WARNING! This monitor will not operate effectively on patients who are experiencing
convulsions or tremors.
WARNING! This monitor is not for home use.
WARNING! The monitor should not be used adjacent to or stacked with other
equipment. If adjacent or stacked use is necessary, the monitor should be observed to
verify normal operation in the configuration in which it will be used.
WARNING! This monitor is not for apnea detection. The monitor has not been tested
or validated for use in apnea detection.
WARNING! Verify proper operating mode before attaching patient. Refer to Chapter 3:
1-6