D 22 R Ju A ne F 20 T 12 Telemetry Transmitter 96281-A, 96281-B, 96281-C Operations Manual 070-2407-00 Rev.
©2012Spacelabs Healthcare All rights reserved. Contents of this publication may not be reproduced in any form without the written permission of Spacelabs Healthcare. Products of Spacelabs Healthcare are covered by U.S. and foreign patents and/or pending patents. Printed in U.S.A. Specifications and price change privileges are reserved.
Table of Contents 1 Introduction 2 D 22 R Ju A ne F 20 T 12 About This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Conventions Used in This Manual . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Overview of the Telemetry Transmitter (96281-A/96281-B/96281-C) . . . . . . . . . . . . . . . . . . . . Manufacturer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
D 22 R Ju A ne F 20 T 12 Electrodes, Leadwires, Sensors and Sensor Cables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8 Setting Up SpO2 Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-8 Ensuring Accurate SpO2 Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3-9 SpO2 and Pulse Rate Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cleaning and Disinfecting the 96281Telemetry Transmitters and Cables . . . . . . . . . . . . . . . . . Basic Cleaning and Low-level Disinfection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cleaning ECG Leadwires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cleaning Buttons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Introduction Spacelabs Healthcare patient monitoring systems demonstrate an ongoing commitment to innovation that supports decision-making and enhances patient care. Spacelabs Healthcare networking features support seamless data acquisition and data exchange across the medical enterprise, addressing the need for continuous information management. These powerful tools help you care for patients more efficiently by providing both local and remote access to patient data.
INTRODUCTION • Warnings, cautions, and notes are listed in the priority of the information and formatted specifically as shown below. Warnings are of the highest priority and notes are not as serious as the warnings and cautions. Warnings: Warnings indicate potentially harmful conditions that may lead to injury or death. Cautions: Cautions indicate conditions that may lead to damage to or malfunction of the device. Notes: Notes alert the user to relevant facts and conditions.
INTRODUCTION Relationship to Other Systems The 96281 telemetry transmitter is related only to Spacelabs Healthcare monitoring systems. Data collected by the transmitter may be interfaced from the monitoring system to a hospital clinical information system.
INTRODUCTION Warnings, Cautions, and Notes This chapter includes warnings, cautions, and notes specifically related to digital telemetry. Refer to the ECG chapter in the Clinical Parameters Operations Manual, P/N 070-2113-xx, for warnings and cautions and cautionary disclosures related to ECG.
INTRODUCTION • The Spacelabs Healthcare digital telemetry transmitters are contra indicated for use with other medical instrumentation (e.g., respiration monitors using impedance pneumography, electrocautery) that source electrical current through the patient. Further, telemetry monitoring is contra indicated for the operating room environment. • The device should only ever be used for one patient at a time.
INTRODUCTION - The installer/user of a transmitter operating in the band of 608-614 MHz shall ensure that it is at least 80 km from the Dominion Radio Astrophysical Observatory (DRAO) near Pentiction, British Columbia. The coordinates of DRAO are: latitude N 49° 19’ 15”, longitude W 119°37’ 12”. For medical telemetry systems not meeting this 80 km separation (e.g.
INTRODUCTION Potential Users The potential users of the 96281 telemetry transmitter are classified into the groups that follow. Nurses Nurses attach the transmitter to the patient, maintain the ECG electrodes, SpO2 sensor, and generally care for the patient. They may also admit the patient to the monitoring system and monitor the patient. Monitor Technicians Monitor technicians may surveil patients at a central station or monitoring room configuration.
INTRODUCTION Environmental Considerations The hospital environment where this product is used could contain environmental conditions that may affect the product. Since this is a wireless radio frequency (RF) device, outside interference can come from multiple sources. Even while operating within the WMTS band in North America, interference and coexistence issues may occur with other products. The device shall be sent to a separate collection facility for recovery and recycling.
INTRODUCTION Repairs D 22 R Ju A ne F 20 T 12 Transmitters that are damaged and need repair should be sent to an authorized Spacelabs Healthcare repair depot for recovery or recycling. Check with your Spacelabs Healthcare representative for locations.
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About the Transmitters Telemetry Transmitters (96281-A, 96281-B, 96281-C) The telemetry transmitters function as part of a digital telemetry system. This system consists of transmitters, diversity antennas, receiver modules, and either a receiver housing and/or a monitor. Typically a request comes from a central host monitor to obtain data from electrodes and/or remote sensors attached to a patient which are connected to the transmitter.
A BOUT THE TRANSMITTERS All transmitters are assigned a channel number at the factory. When using telemetry, the receiver must be assigned the appropriate channel for a patient at the bedside or central monitor. Admission of the patient is done at the monitor. Lead Fault Indicators The 96281 transmitter has amber indicators on the front of the transmitter case.
A BOUT THE TRANSMITTERS D 22 R Ju A ne F 20 T 12 Optional Leadwire Grouper Figure 2-2: Leadwire grouper (front view including ECG connectors and color codes label) Figure 2-3: Leadwire grouper (rear view including clip and ECG connectors) TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) O P E R A T I O N S M A N U A L 2-3
A BOUT THE TRANSMITTERS Labeling Leadwire Color Codes Both AHA/AAMI or IEC color codes are used on the leadwires and the transmitter labeling. The color codes for your transmitter and leadwires are based on the preference in your locale. These color variations are shown on the back label of the transmitter, front of the leadwire grouper, and on the individual ECG connectors and leadwires. This is to assist in connecting the leadwires to the correct input.
A BOUT THE TRANSMITTERS IEC Leadwire Labels D 22 R Ju A ne F 20 T 12 Figure 2-6: 5-lead IEC color codes label on rear of transmitter Figure 2-7: 5-way IEC color codes label on front of grouper Telemetry Channel Label Note: “Ch.” refers to the channel. The label includes a barcode on the 96281 devices. Table 1: Labels for Radio Frequency Channels Radio Frequency (RF) Channel Label Border Color 608-614 MHz 433-434 MHz 1395-1431.
A BOUT THE TRANSMITTERS Lead Availability ECG lead availability depends on which electrodes are connected to a transmitter, and whether the transmitter is a Narrowband device (option N), or a Wideband device (option W). Table 2 and Table 3 detail lead availability for narrowband and wideband transmitters, respectively, based on which electrodes are connected. Note: Augmented leads aVR, aVL and aVF are only available at the monitor when leads I, II, and III are all available.
A BOUT THE TRANSMITTERS Table 2: Lead Availability with Narrowband transmitters (96281-xxxNx) Connected Electrodes (X) RA (R) LA (L) LL (F) RL (N) X X X X X X X V (C) X X X X X X X X X X X X Shown leads at the transmitter II II II II II II I I I I I I I I D 22 R Ju A ne F 20 T 12 X Available leads at the monitor Table 3: Lead Availability with Wideband transmitters (96281-xxxWx) Connected Electrodes (X) Available leads at the monitor Shown leads at the transmit
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ECG and SpO 2 ECG Overview ECG monitoring begins when the system detects a signal through the connection of ECG electrodes or by installation of a battery into a telemetry transmitter. Please refer to the operations manual for your patient monitor for complete information on ECG and SpO2 setup. Telemetry ECG monitoring requires the minimum conditions from the list that follows: ECG electrodes must be properly attached to the leadwires.
E C G AND SPO 2 To Set Up ECG Monitoring When attaching leadwires to the telemetry transmitter, use the color coding and/or leadwire identifier code to ensure that the correct connections are made. ECG electrodes have a column of conductive gel that is surrounded by an adhesive surface. The condition of the electrode’s gel column directly affects the quality of the ECG signal.
E C G AND SPO 2 Table 1: Leadwire Color and Identifier Codes AAMI Electrode Identifier AAMI Color Code Electrode Placement IEC Electrode Identifier IEC Color Code RA White Right Arm R Red LA Black Left Arm L Yellow LL Red Left Leg F Green RL Green Right Leg N Black V Brown Chest C White D 22 R Ju A ne F 20 T 12 Adult Electrode Placement 2 3 6 7 8 8 9 5 4 1 5 Electrodes I, II, III, aVR, aVL, aVF, V1 - V6 With 5-electrodes, one precordial lead is selected by appropriate
E C G AND SPO 2 ECG Problem Solving If ECG signal quality is poor (indicated by wandering baseline, excessive noise, or muscle or respiration artifact), try the solutions from the list that follows: • Make sure that silver/silver-chloride electrodes are being used. • Make sure that the patient's skin is properly prepared. • Make sure that all electrodes are firmly attached and in good condition. • Make sure that the electrodes are positioned on a flat, non-muscular area.
E C G AND SPO 2 False Alarms Careful attention to skin preparation and electrode application, especially during setup, will reduce false alarms. If false alarms occur, check for the issues from the list that follows: • Excessive noise on the signal (the most common cause of false alarms). Electrodes that are placed incorrectly over muscles, or a poor lead connection, can cause significant noise when the patient moves. • Heart rate limits set too close to patient's heart rate.
E C G AND SPO 2 Note: • Because SpO2 measurements depend upon light from a sensor, excessive ambient light can interfere with the pulse oximeter’s measurements. • This pulse oximeter measures functional saturation, which is essentially the percentage of hemoglobin that can transport oxygen (oxyhemoglobin). Pulse oximeters do not detect significant amounts of dysfunctional hemoglobins, such as carboxyhemoglobin or methemoglobin, which cannot carry oxygen.
E C G AND SPO 2 - Exposure to excessive illumination, such as surgical lamps (especially ones with a xenon light source), bilirubin lamps, fluorescent lights, infrared heating lamps, or direct sunlight (exposure to excessive illumination can be corrected by covering the sensor with a dark or opaque material). - Venous pulsations. - Placement of a sensor on an extremity with a blood pressure cuff, arterial catheter, or intravascular line. Do not use the oximetry sensors during MRI scanning.
E C G AND SPO 2 Electrodes, Leadwires, Sensors and Sensor Cables Cautions: Visually inspect each leadwire for obvious damage and replace as needed. • Use only patient cables and leadwires specified by Spacelabs Healthcare. Other cables and leadwires may damage the monitor during defibrillation and may also change the required input impedance and DC offset voltage, affecting performance. • Do not use stainless steel electrodes.
E C G AND SPO 2 Ensuring Accurate SpO2 Monitoring Each sensor requires site-specific application procedures. The quality of the patient’s pulse oximetry measurements and pulse signals may be adversely affected by certain environmental factors, by oximetry sensor application errors, and by patient conditions. Any of these factors can interfere with the monitor’s ability to detect and show measurements and may result in a loss-of-pulse condition.
E C G AND SPO 2 Caution: Sources of high ambient light such as direct sunlight, surgical lights (especially those with a xenon light source), bilirubin lamps, fluorescent lights, and infrared heating lamps can interfere with an SpO2 sensor’s performance and result in inaccurate measurements. When using SpO2 under such conditions, this interference can be reduced by covering the application site with an opaque material and by ensuring that the sensor is properly applied.
E C G AND SPO 2 SpO 2 and Pulse Rate Specifications Displayed Range SpO2 (functional) 0% - 100% Pulse Rate (bpm) 30- 240 bpm Resolution SpO2 (functional) 1% Pulse Rate (bpm) 1 bpm Table 2: Pediatric or Adult SpO2 and Pulse Rate Accuracy Patient Type Signal Condition Range SpO2 (functional) Pediatric or Adult No motion and normal perfusion 70-100 0-69 +/- 2% unspecified Pulse Rate (bpm) Pediatric or Adult No motion and normal perfusion 30-240 +/- 3 bpm D 22 R Ju A ne F 20 T 12 Parameter Acc
E C G AND SPO 2 Using the Sensorwatch Feature The Sensorwatch feature provides a graphical presentation of the amplitude of the signal received from the sensor. It can be used to determine the best sensor site and application. D 22 R Ju A ne F 20 T 12 Figure 3-3: SpO2 Sensorwatch bar on the 91387-38 central monitor Figure 3-4: SpO2 Sensorwatch symbol on the 96281-C telemetry transmitter.
E C G AND SPO 2 Enabling and Adjusting Alarms Spacelabs Healthcare Technology Pulse oximetry alarm limits and delays are set internally based upon defined default values. Refer to the user manuals for your patient monitor for details on operating system alarms. To enable and adjust SpO2 alarms (telemetry) 1 Touch ECG. 2 Touch ALARM LIMITS. 3 Touch SPO2 ALARM LIMITS. 4 Select SPO2 ALM / ON. 5 Select HI=, LO=, ALM DELAY, or MSG ALARM DELAY (if present).
E C G AND SPO 2 The on-transmitter heart rate display has been tested according to IEC 60601-2-27:2011 for: • Tall T-wave rejection: It rejects T-waves up to 150% of the QRS complex amplitude, • Maximum response times, to the nearest second, to step changes in heart rates: • - 5 seconds when the heart rate changes from 80 beats per minute to 120 beats per minute. - 5 seconds when the heart rate changes from 80 beats per minute to 40 beats per minute.
E C G AND SPO 2 Display Details at the Host Monitor Signal detection is indicated on your monitor when an ECG signal appears next to the ECG parameter key in the zone assigned to receive the transmitted telemetry channel. The transmitter's channel number is always identified above the waveform, to the left of the ECG key.
E C G AND SPO 2 Printing SpO2 Waveforms This feature is not supported in telemetry products. SpO 2 Messages at the Host Monitor Caution: Status messages indicate problems or conditions that may affect accurate monitoring values. Do not ignore these messages. Correct any fault before continuing. When a status message appears, the saturation value and pulse rate immediately change to ???. An alarm may occur if your module is configured to do so.
E C G AND SPO 2 Table 5: Telemetry Message Equivalents (continued) Telemetry SpO2 Message SPO2 SENSOR OFF PATIENT SPO2 INSUFFICIENT SIGNAL SPO2 AMBIENT LIGHT INTF. SPO2 NOISY SIGNAL SPO2 INSUFFICIENT SIGNAL SENSOR DISCONNECTED — Check connection at adapter cable This message and alarm indicate that the sensor is either disconnected or the wiring is faulty. • Check for proper sensor connection to the adapter cable. • If the message persists, replace the sensor and/or the adapter cable.
E C G AND SPO 2 AMBIENT LIGHT INTERFERENCE — Cover sensor area • The sensor is receiving external light interference from a bright light source near the sensor. Shield the sensor from the external light source. • The sensor photodiode and LED are misaligned on flexible sensors, allowing light to enter. Realign the sensor photodiode with the LED. • If the message persists, then replace the sensor. NOISY SIGNAL • The sensor signal is disturbed by motion or other interference.
E C G AND SPO 2 SpO2 Alarm Delays Table 6: SpO2 Alarms Alarm Setting Range Alarm Delay Spacelabs Healthcare 50 to 99% • Less than (15 seconds + user selected alarm delay) • Alarm delay is user selected from 0 to 30 seconds in 5 second increments. Sat High 51 to 100% • Less than (20 seconds + user selected alarm delay) • Alarm delay is user selected from 0 to 30 seconds in 5 second increments.
E C G AND SPO 2 SpO 2 Troubleshooting Guide Clinical Situation Possible Cause Solution • SpO2 is not enabled at the 90478 receiver. • Enable multiparameter telemetry in the Module Configuration Manager or enable the SpO2 display in the Channel Format menu. SpO2 value shows as ??? • Sensor is not connected to the patient. • Reattach the sensor. • There is excessive patient motion. • Request patient to remain still while reading is in progress.
E C G AND SPO 2 Clinical Situation No SpO2 alarms are shown FAULTY SENSOR Replace Sensor Solution • Presence of dysfunctional hemoglobins (COHb, MetHb). • Follow hospital procedure for determining oxygenation in these patients. • Presence of intravascular dyes (indocyamine green, methylene blue) in the blood stream. • Follow hospital procedure for determining oxygenation in these patients. • High ambient light level. • Reduce light levels near the patient. • Electrosurgical interference.
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Basic Operations Getting Started Device setup must be performed before patient application and, on appropriate units, the LCD should be visually verified to function before use on a patient. Transmitter Batteries D 22 R Ju A ne F 20 T 12 When batteries are installed, the transmitter is continuously ON. If no batteries are installed, the transmitter is OFF. To extend battery life, insert batteries only to use the transmitter with a patient. Remove the batteries when the transmitter is not in use.
B ASIC O PERATIONS • Clean the transmitter case with the battery door closed. • Inspect and check the transmitter for damage prior to every procedure. • Use either new alkaline batteries or fully-charged 2400 mAH NiMH rechargeable batteries for each and every new procedure. • Clean the transmitter after each use.
B ASIC O PERATIONS Warning: All system connections (except for those related to moving receivers from one monitor or housing to another) must be made by trained or qualified personnel only. Changes or modifications not expressly approved by Spacelabs Healthcare may void the user’s authority to operate the equipment. Cautions: • Telemetry transmitters have preassigned channel numbers (frequencies) that cannot be changed. The channel number is identified on the back cover of the transmitter.
B ASIC O PERATIONS Top, Front and Bottom View (96281-C) 1 2 D 22 R Ju A ne F 20 T 12 3 7 4 5 6 Figure 4-1: Top, front, and bottom views (96281-C) 1 Top view showing lead inputs and SPO2 connector cap (SPO2 cap on 96281-C only) 2 Front view of SPO2 connector cap (96281-C only) 3 Location on display where lead fault indicators show (96281-B, 96281-C) 4 Action button Note: The nurse may instruct the patient to press the Action button if he or she experiences any discomfort.
B ASIC O PERATIONS 6 Bottom view of the battery compartment latch 7 Up/down buttons for LCD configuration (96281-B and 96281-C only) Rear View (96281-C) 1 2 3 4 D 22 R Ju A ne F 20 T 12 5 6 Figure 4-2: Rear view (96281-C) 1 Grouper (includes a clip) 2 “Do not modify” symbol (repairs and modifications must be done by Spacelabs Healthcare, or the warranty is void) 3 ECG label (includes lead legend and leads placement diagram) 4 Channel identifier 5 Manufacturing technical label 6 Battery
B ASIC O PERATIONS Front View (96281-A) 1 3 D 22 R Ju A ne F 20 T 12 2 Figure 4-3: 96281-A Telemetry Transmitter 1 Lead fault indicators on 96281-A (up to five triangular shapes may illuminate when activated by a lead off condition) 2 Action button 3 Low battery indicator TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) O P E R A T I O N S M A N U A L 4-6
B ASIC O PERATIONS Battery Compartment (96281-A, 96281-B, 96281-C) 1 D 22 R Ju A ne F 20 T 12 2 3 Figure 4-4: Details of battery compartment (cover open) 1 Battery type label affixed to underside of open battery compartment cover 2 Battery polarity label 3 Battery compartment latch (on bottomside) TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) O P E R A T I O N S M A N U A L 4-7
B ASIC O PERATIONS Selecting Options for Leads Up to five standard, disposable, silver/silver chloride chest electrodes are connected to the patient. The ECG leadwires are attached to these electrodes and connected to the transmitter. Refer to Figure 4-5 on page 4-8 for leads placement and SpO2 connections.
B ASIC O PERATIONS Notes: • If one of the leads fails, a lead fault message shows on the host monitor. • If there is no valid lead vector, the message CHAN 1 & 2 - LEADS OFF shows and an alarm tone sounds only at the host monitor. Basic User Actions The up and down arrow buttons (refer to 6 in Figure 4-1 on page 4-4) provide navigational control, such as moving through ECG and SpO2 displays. These up/down buttons are only included on the 96281-B and 96281-C models.
B ASIC O PERATIONS To send a recording to the central monitor or station To unlock the user interface on the 96281 telemetry transmitter • • From either the view or non-view mode, firmly push the action button for 2 seconds. Refer to Basic Modes of Operation on page 4-11 for more Push and hold the up and down buttons simultaneously for at least three seconds. Note: When the user interface is locked, the LCD appears blank, even though the transmitter is in a non-view mode and still transmitting.
B ASIC O PERATIONS Basic Modes of Operation There are three basic operating modes to the telemetry transmitter. 1 Off 2 View 3 Non-View Table 1: Basic Modes of Operation Operating Mode Off Description The device is off and is not in use if there are no batteries installed. 96281-B, 96281-C View User can view patient vital signs on the host monitor or transmitter LCD. D 22 R Ju A ne F 20 T 12 1 2 User can initiate printing. 3 Patient vital signs are transmitted to the central station.
B ASIC O PERATIONS View Mode View Mode is available only with transmitters that include a display (96281-B or 96281-C), so it is not applicable to the 96281-A telemetry transmitter. ECG ECG data is obtained directly from the patient connection and shows on the transmitter LCD as shown in Figure 4-6, depending on configuration of leads and available parameters.
B ASIC O PERATIONS • It sends a notification to the receiving system, indicating that the ECG sample contained a pacing pulse. • It marks the location of the pacing pulse, on its optional display, using purple pacing markers as shown. The receiver system uses the information it receives to mark corresponding purple pacing pulses on the ECG waveform that it receives. Note: • ECG leads show in the order that follows: Lead II, V, Lead I, Lead III.
B ASIC O PERATIONS SpO 2 SpO2 is only available with the 96281-C. SpO2 data is obtained directly from the patient and may show as in Figure 4-7, depending on configuration of leads and available parameters. The 96281-C auto-detects a sensor connection and activates or deactivates the SpO2 option accordingly. Note: SpO2 view does not show if a SpO2 adapter cable is not connected.
B ASIC O PERATIONS Status Messages at the Host Monitor Various status messages related to the telemetry transmitter may show at the host monitor when there is a problem with the signal or when the battery is low. The host monitor may be either the central station or bedside monitor. Caution: • Do not ignore status messages. • SpO2 data may not show when the INTERMITTENT SIGNAL LOSS message appears. • Status messages indicate a problem or condition which may affect accurate monitoring values.
B ASIC O PERATIONS Telemetry Transmitter with ECG Only Troubleshooting Guide Clinical Situation Possible Cause Solution • The batteries are low. • Replace batteries. All leads off LEDs lit • Self test failure. • Contact Spacelabs Healthcare. Any or all leads off LEDs flashing • Check ECG leads. ECG is not shown at Central Station • Check if batteries are low. • Replace batteries.
B ASIC O PERATIONS Telemetry Transmitter with Display and SpO 2 Troubleshooting Guide Clinical Situation Possible Cause Solution • The batteries are low. • Replace batteries. All leads off LEDs lit • Self test failure. • Contact Spacelabs Healthcare. Any or all leads off LEDs flashing • Check ECG leads. ECG is not shown at Central Station • Check if batteries are low. • Replace batteries. SpO2 data is not shown on transmitter display • SpO2 cable and/or sensor is faulty.
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Cleaning, Disinfecting, and Sterilization Cleaning Products Not Recommended for Use Warnings: Do not use Accelerated Hydrogen Peroxide (AHP) and quaternary ammonia-based products to clean the transmitter, leadwires, cables, or sensors. Common quaternary ammonia germicidal products include Cavicide, Virex, Virex 256, SaniCloth, and Sanicloth Plus.
C LEANING, D ISINFECTING, AND STERILIZATION • Do not immerse the equipment or cables in water or cleaning solutions. • Do not autoclave. Recommended Cleaning Solutions Use only the recommended cleaning solutions that follow: • Mild soap and water solution • U.S.
C LEANING, D ISINFECTING, AND STERILIZATION Basic Cleaning and Low-level Disinfection 1 Remove the batteries and close the battery cover. 7 Wet a clean cloth with the selected cleaning solution. 2 Remove the ECG leadwires, grouper, and SPO2 cable (if fitted). 8 Remove excess liquid from the cloth and squeeze dry. 3 Inspect the transmitter for contamination. If required and carry out steps 4 and 5 to clean the transmitter. 9 Wipe all exposed surfaces of the equipment and cables.
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Appendix A — Guidance and Manufacturer’s Declaration Electromagnetic Environment The 96281 telemetry transmitter is intended for use in the electromagnetic environment specified in the reference tables in this chapter. The customer or user of the 96281 should make sure that it is used in such an environment.
APPENDIX A — GUIDANCE AND MANUFACTURER ’S DECLARATION Electromagnetic Immunity Table 2—Electromagnetic Immunity Immunity Test Electrostatic discharge (ESD) IEC 61000-4-2 IEC 60601 Test Level Compliance Level Electromagnetic Environment Floors should be wood, concrete, or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.
APPENDIX A — GUIDANCE AND MANUFACTURER ’S DECLARATION Table 2—Electromagnetic Immunity (continued) Immunity Test IEC 60601 Test Level Compliance Level Conducted RF IEC 61000-4-6 N/A N/A Electromagnetic Environment Portable and mobile RF communications equipment should be used no closer to any part of the monitoring device, including cables, than the recommended separation distance calculated from the equation applicable to the frequency of the transmitter. Recommended separation distance: d = 1.
APPENDIX A — GUIDANCE AND MANUFACTURER ’S DECLARATION Separation Distances The 96281 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled. The customer or user of the 96281 telemetry transmitter can help prevent electromagnetic interference by maintaining a minimum distance between portable and mobile RF communications equipment (transmitters) and the 96281 as recommended below, according to the maximum output power of the communications equipment.
Appendix B — Symbols The following list of international and safety symbols describes all symbols used on Spacelabs Healthcare products. No one product contains every symbol. Note: Graphic elements of certain keys and symbols may vary between product lines.
Appendix B — Symbols No Network Connection Network Connection Do Not Connect to Network No Connection to Intesys® Clinical Suite (ICS) Compression D 22 R Ju A ne F 20 T 12 Magnifying Glass File Cabinet List of Rooms Printer Service Message PREVIOUS MENU Key HOME Key Arrows On Direction ON — Power Connection to Mains Telemetry Transmitter (96281) Operations Manual B-2
Appendix B — Symbols ON — Part of the Instrument Only ON Position for Push Button Power Switch OFF — Power Disconnection from Mains OFF Position for Push Button Power Switch OFF — Part of the Instrument Only D 22 R Ju A ne F 20 T 12 Partial ON/OFF ON/OFF Standby STANDBY Key Power ON/OFF Key Keyboard Connection Mouse Connection PAUSE or INTERRUPT START/STOP Key START/STOP STOP or CANCEL Key CONTINUE Key ENTER Key Telemetry Transmitter (96281) Operations Manual B-3
Appendix B — Symbols x Delete Nurse Alert Interface ALARM SUSPEND/TONE RESET Key ALARMS Key Alarm, General D 22 R Ju A ne F 20 T 12 Alarm Reset Alarm Audio ON Alarm Audio OFF Alarm Audio Paused Low Priority Alarm Medium Priority Alarm High Priority Alarm Alarms Paused Alarm OFF --- Parameter below measurement range +++ Parameter above measurement range Telemetry Transmitter (96281) Operations Manual B-4
Appendix B — Symbols ??? Parameter measurement indeterminate Indicator — Remote Control PRINT REPORT Key Normal Screen Clock/Time Setting Key D 22 R Ju A ne F 20 T 12 Slow Run Activate Recorder for Graphics Reset START (NIBP) Key Power Indicator LED Activate Telemetry Recorder Output (Non-terminated) Data Input/Output Input No Output (Terminated) Indicator — Local Control Telemetry Transmitter (96281) Operations Manual B-5
Appendix B — Symbols Indicator — Out of Paper Recorder Paper Menu Keys Waveform/Parameter Keys 1 2 3 Return to Prior Menu Monitor Setup Select Program Options 1 2 3 1 2 3 1 2 3 A B 1 2 3 D 22 R Ju A ne F 20 T 12 1 2 3 Set Initial Conditions Menu Access Special Function Menu Return Unit to Monitor Mode Keypad 1 2 Serial Port 1 Serial Port 2 Serial Port Auto Mode (NIBP) External Marker Push Button Connection Telemetry Transmitter (96281) Operations Manual B-6
Appendix B — Symbols Arterial Pulse Gas Exhaust Video Output Television; Video Display Video Output, Primary D 22 R Ju A ne F 20 T 12 Video Output, Secondary Enlarge, Zoom Input/Output PCMCIA Card Touchscreen, External Universal Serial Bus SDLC SDLC Port Hard Drive Antenna Electrocardiograph or Defibrillator Synchronization Telemetry Transmitter (96281) Operations Manual B-7
Appendix B — Symbols Microphone Foot Switch Audio Output, Speaker Event Gas Sampling Port D 22 R Ju A ne F 20 T 12 Gas Return Port Battery Replace only with the appropriate battery. Battery Status Battery Replace only with the appropriate battery. Low Battery Replace only with the appropriate battery. (+ / - signs may be reversed) All batteries should be disposed of properly to protect the environment. Lithium batteries should be fully discharged before disposal.
Appendix B — Symbols Replace Fuse Only as Marked Power supply jack polarity. (+ / - signs may be reversed) Alternating Current Both Direct and Alternating Current Functional Earth Ground D 22 R Ju A ne F 20 T 12 Fuse Equipotentiality Terminal Direct Current Input Power. Use only Spacelabs Power Supply (P/N 119-0527-xx). AC/DC Input Loop Filter Audio Output, Speaker IEC 60601-1 Type B equipment. The unit displaying this symbol contains an adequate degree of protection against electric shock.
Appendix B — Symbols IEC 60601-1 Type CF equipment. The unit displaying this symbol is an F-type isolated (floating) patient-applied part providing a high degree of protection against electric shock, and is defibrillator-proof. IEC 60601-1 Type CF equipment. The unit displaying this symbol is an F-type isolated (floating) patient-applied part providing a high degree of protection against electric shock. IEC 60601-1 Class II equipment, double-isolated.
Appendix B — Symbols NIBP Cuff, Neonatal 4 NIBP Cuff, Neonatal 5 NIBP Cuff, Single Hose NIBP Cuff, Dual Hose CHILD CHILD, LONG SMALL ADULT, LONG SMALL ADULT ADULT, LONG LARGE ADULT, LONG LARGE ADULT NIBP Cuff, Surface Applied to Patient NIBP Cuff, Child Size (12 to 19 cm) D 22 R Ju A ne F 20 T 12 THIS SIDE TO PATIENT NIBP Cuff, Child Size, Long (12 to 19 cm) NIBP Cuff, Small Adult Size, Long (17 to 25 cm) NIBP Cuff, Small Adult Size (17 to 25 cm) NIBP Cuff, Adult Size, Long (23 to 33 cm) N
Appendix B — Symbols NEONATAL 2 NIBP Cuff, Neonatal 2 Size (4 to 8 cm) NEONATAL 3 NIBP Cuff, Neonatal 3 Size (6 to 11 cm) NEONATAL 4 NIBP Cuff, Neonatal 4 Size (7 to 13 cm) NEONATAL 5 NIBP Cuff, Neonatal 5 Size (8 to 15 cm) NIBP Cuff, Thigh Size (38-50 cm) NYLON NIBP Cuff, Nylon Material SOFT VINYL QTY ARTERY D 22 R Ju A ne F 20 T 12 THIGH NIBP Cuff, Soft Material NIBP Cuff, Vinyl Material Quantity Place Artery Symbol and Arrow over Brachial or Femoral Artery Follow Instructions For Us
Appendix B — Symbols Indoor Use Only 12,200 m Environmental Shipping/Storage Altitude Limitations Environmental Shipping/Storage Temperature Limitations Fragile; Handle with Care This Way Up D 22 R Ju A ne F 20 T 12 Up Arrow Down Arrow Environmental Shipping/Storage Humidity Limitations Open Padlock Closed Padlock Happy Face Sad Face PVC 2 PVC-Free (Polyvinyl Chloride) Do Not Reuse; Single Use Only Reusable Telemetry Transmitter (96281) Operations Manual B-13
Appendix B — Symbols Drip-Proof IPX7 REF Unit can withstand accidental immersion in one meter of water for up to 30 minutes Reference Number or Order Number Use by date [YYYY-MM-DD] Recycle D 22 R Ju A ne F 20 T 12 Non Sterile Latex-Free Date of Manufacture Manufacturer Radio transmitting device; elevated levels of non-ionizing radiation A CE mark certifies that a product has met EU health, safety, and environmental requirements, which ensure consumer safety.
Appendix B — Symbols NV X Novametrix Compatible R Spacelabs TruLink Compatible Nellcor OxiMax Compatible Spacelabs Compatible UL recognized component in Canada and United States D 22 R Ju A ne F 20 T 12 Nellcor OxiMax Compatible Masimo SET Compatible Abbreviations used as symbols are shown below.
Appendix B — Symbols DIA dia Diastolic ECG ecg Electrocardiogram EEG eeg Electroencephalogram EMG emg Electromyogram ESIS Electrosurgical Interference Suppression EXT External Fetal Electrocardiogram FHR1 FHR2 Fetal Heart Rate, Channel 1 Fetal Heart Rate, Channel 2 GND gnd Hz Hgb HLO hlo Multiview N 2O NIBP nibp O2AV O2 PaO2 PRESS press PRS D 22 R Ju A ne F 20 T 12 FECG Ground Hertz Hemoglobin High-Level Output Multi-Lead Electrocardiogram Nitrous Oxide Noninvasive Blood Pressure Oxyge
Appendix B — Symbols SPO2 SpO2 SpO2 SaO2 Arterial Oxygen Saturation as Measured by Pulse Oximetry SVO2 SvO2 SvO2 Mixed Venous Oxygen Saturation T1 T2 T3 T4 TEMP temp UA UV VAC VO2 V W Systolic Temperature 1 Temperature 2 Temperature 3 Temperature 4 Temperature Uterine Activity or Umbilical Artery D 22 R Ju A ne F 20 T 12 SYS sys Umbilical Venous Vacuum Connection Oxygen Consumption Volts Watts Telemetry Transmitter (96281) Operations Manual B-17
