Telemetry Transmitter 96281-A, 96281-B, 96281-C 070-2407-02 Rev. A | www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) OPERATIONS MANUAL ©2013 Spacelabs 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 About This Manual ........................................................................................................... 1-1 Conventions Used in This Manual ....................................................................... 1-1 Overview of the Telemetry Transmitter (96281-A/96281-B/96281-C)....................................................................................... 1-2 Manufacturer .......................................................................
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) Using the Sensorwatch Feature ............................................................................. 3-14 Enabling and Adjusting Alarms ...............................................................................3-15 Spacelabs Healthcare Technology .................................................................. 3-15 To enable and adjust SpO2 alarms (telemetry) ..........................................
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) Cleaning and Disinfecting the 96281Telemetry Transmitters and Cables 5-3 Basic Cleaning and Low-level Disinfection .................................................... 5-3 Cleaning ECG Leadwires ...................................................................................... 5-4 Cleaning Buttons .................................................................................................... 5-4 Cleaning the Battery Cover .......................
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) I-IV www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) I NTRODUCTION identified by a title and/or a part number. Non-blue italicized typeface may also refer to error or status messages that show on the host monitor. • Bold typeface indicates text labels, phrases, or titles that show on an LCD or display which are part of a Spacelabs Healthcare software application.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) INTRODUCTION transmitter model. The 96281 telemetry transmitter does not indicate any alarm conditions. Alarms are configured, generated, and activated within the receiver-side components of the Ultraview System only. Note: SpO2 functionality is only available on the 96281-C telemetry transmitter. Manufacturer The 96281 telemetry transmitter is manufactured by: Spacelabs Healthcare 35301 SE Center Street Snoqualmie, WA 98065 U.S.A.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) I NTRODUCTION Intended Use The Spacelabs Healthcare AriaTele Telemetry Transmitter (96281), when used in conjunction with a Spacelabs Healthcare Ultraview patient monitor and telemetry receiver, provides a means for the continuous monitoring of electrocardiographic signals in order to detect abnormal cardiac rhythms, including life-threatening events such as high and low heart rates, asystole, and ventricular fibrillation.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) INTRODUCTION • Medical telemetry spectrum allocations may be assigned to frequencies already allotted to other priority users. Radio frequency interference from other products may disrupt or impede telemetry patient monitoring during the life of this equipment. You are urged to regularly consult with applicable local and federal regulatory agencies (e.g., FCC, FDA) regarding the locations and frequencies of other spectrum users in your geographic area.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) I NTRODUCTION • 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) INTRODUCTION interference to licensed TV broadcast stations or to other authorized radio services, such as operations on the broadcast frequencies under subpart G and H of part 74 of this chapter, land mobile stations operating under part 90 of this chapter in the 470-512 MHz band, and radio astronomy operation in the 608-614 MHz band. (See section 15.5).
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) I NTRODUCTION between personal communication devices and interior walls, the patient cables, and any electronic medical device to which the patient may be connected. Patients should not use any type of electronic communication equipment while connected to any electronic medical device without an on-site evaluation by the biomedical staff.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) INTRODUCTION Monitor Technicians Monitor technicians may surveil patients at a central station or monitoring room configuration. Technicians may also admit patients to the system and prepare the transmitter with fresh batteries and electrodes. Biomedical Engineers A biomedical engineer, or biomed, may install, support, and repair monitoring systems, including telemetry.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) I NTRODUCTION Sources of Interference Some potential sources of interference are included in the list that follows: • Monitoring patients in elevators during transport to other units, or outside of the primary unit. Poor transmission of signals may occur. Use a monitor with a display if elevator transport is required.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ABOUT THE TRANSMITTERS The patient-worn transmitters are small battery-powered devices that monitor ECG activity and SpO2 data (96281-C only) and transmit this information to the telemetry receiver module. Each transmitter only uses one channel. The wideband units transmit four leads; the narrowband units transmit two leads. The transmitters with a display show four leads.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ABOUT THE TRANSMITTERS 1 2 Figure 2-1 ECG leadwire connectors and lead fault indicators (96281-C) 1 Leadwire connectors 2 Lead fault indicators Optional Leadwire Grouper Figure 2-2 Leadwire grouper (front view including ECG connectors and color codes label) www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ABOUT THE TRANSMITTERS Figure 2-3 Leadwire grouper (rear view including clip and ECG connectors) 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ABOUT THE TRANSMITTERS AHA/AAMI Leadwire Labels Figure 2-4 5-lead AHA/AAMI color codes label on rear of transmitter Figure 2-5 5-way AHA/AAMI label on front of grouper IEC Leadwire Labels 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 www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ABOUT THE TRANSMITTERS Telemetry Channel Label Note: “Ch.” refers to the channel. The label includes a barcode on the 96281 devices. Table 2-1 Labels for Radio Frequency Channels Radio Frequency (RF) Channel Label Border Color 608-614 MHz 433-434 MHz 1395-1431.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ABOUT THE TRANSMITTERS • Other combinations of disconnected electrodes yield no useful data, resulting in no lead availability at either the monitor or the transmitter.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ABOUT THE TRANSMITTERS Table 2-3 Lead Availability with Wideband transmitters (96281-xxxWx) Connected Electrodes (X) RA (R) LA (L) X 2-8 LL (F) RL (N) X X X X X X X X X Available leads at the monitor Shown leads at the transmitter II II II II X I I X I I I I V (C) X X X X www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG and SpO2 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 Note: Use only Spacelabs Healthcare-recommended electrodes. Some electrodes may polarize and create large offset potentials. This can compromise recovery time after application of defibrillator pulses. Squeeze-bulb electrodes, commonly used for diagnostic ECG recordings, may be particularly vulnerable to this effect. Noise on ECG signals, especially noise that resembles actual cardiac waveforms, is a frequent cause of false alarms.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 To prepare the patient • Wash the area with soap and water. • If necessary, shave the area where you plan to position the electrodes. • Clean the skin with alcohol. • Dry the skin thoroughly. • Abrade the skin. To apply ECG electrodes • Attach an electrode to a leadwire. • Apply the electrode to the patient’s skin. 1 2 Figure 3-1 Electrode application 1 Attach the electrode to the leadwire. 2 Apply the electrode to the skin.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 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 placement of the chest (V) electrode. Figure 3-2 Adult electrode placement 1 RL 2 RA 3 LA 4 LL 5-9 V1 through V6 Note: For best ECG performance, the right leg electrode should always be connected.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 • Make sure that leadwires are properly fastened and in good condition. • If these actions fail to resolve the problem, select a different lead. Lead Fault Indication The lead fault indication messages listed here are on the central monitor/station and not the transmitter display. The message CHECK XX (where XX identifies the failed or missing electrode) appears in the ECG waveform zone if a lead fault occurs.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 SpO2 Overview Pulse oximetry is used to continuously and noninvasively measure functional oxygen saturation in the blood. Pulse oximetry is measured by using changes in light absorption, as the light passes over a pulsating arteriolar bed. Pulse oximetry is also used to continuously and noninvasively measure pulse rate, using an SpO2 sensor. Note: SpO2 functionality is only available on the 96281-C telemetry transmitter.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 • 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. Saturation measurements from pulse oximeters cannot be directly compared to measurements from a laboratory co-oximeter.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 • Inaccurate measurements may be caused by: - Significant levels of dysfunctional hemoglobins (e.g., carboxyhemoglobin or methmoglobin). - Intravascular dyes such as indocyanine green or methylene blue.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 Electrodes, Leadwires, Sensors, and Sensor Cables • Carefully route all cables between the patient and the monitor to reduce the possibility of patient entanglement or strangulation. • Signals resulting from devices such as Implantable Cardiac Defibrillators (ICD) may momentarily blank the ECG waveform rather than show an out-of-range signal.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 Electrodes, Leadwires, Sensors, and Sensor Cables • 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 Setting Up SpO2 Monitoring 1 Connect the SpO2 adapter cable to the patient-worn telemetry transmitter. 2 Attach the sensor to the patient and connect the sensor cable to the SpO2 adapter cable. 3 Initiate ECG monitoring on the patient monitor. 4 Touch ECG. 5 Touch CHANNEL FORMAT. 6 Touch SpO2/ON. Ensuring Accurate SpO2 Monitoring Each sensor requires site-specific application procedures.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 • An arterial occlusion (blocked artery) proximal to the sensor • Venous pulsations • Wrapping the sensor too tightly around the patient’s digit or other extremity • Placing the sensor on an extremity with a blood pressure cuff, arterial catheter, or intravascular line • Inflating a blood pressure cuff on the limb to which the sensor is attached External factors that may adversely affect the accuracy of oximetry readings include: • High
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 • If high ambient light is affecting measurements, ensure that the sensor is properly applied and then cover the application site with an opaque material such as a blanket or towel. Failure to do this may result in inaccurate measurements. • Maintain a minimum signal level above the Sensorwatch bar.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG 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. Figure 3-3 SpO2 Sensorwatch bar on the 91387-38 central monitor Figure 3-4 SpO2 Sensorwatch symbol on the 96281-C telemetry transmitter.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG 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).
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 heart rate is calculated using the QRS complexes detected within the last five seconds on ECG data. Averaging is performed within the five second window. The heart rate shown on the screen is updated approximately every 1.8 seconds.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG 1 2 3 4 5 HR=70 A=3 II 98% 2241 AND SPO 2 6 7 8 E C G BED 01 9 10 Figure 3-5 Central monitor — split view (SpO2 turned ON) Notes: • SpO2 does not show if it is turned OFF. • A bell symbol follows the percent (%) symbol if the SpO2 alarm is enabled. 1 Current heart rate 2 Abnormal beats per minute counter 3 ECG lead designator 4 SpO2 reading 5 Telemetry channel number 6 ECG rate alarm limits.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 SpO2 Messages at the Host Monitor 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 Table 3-5 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 • The sensor site is below the blood pressure cuff. Move to another site. • If the message persists, then replace the sensor. 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) ECG AND SPO 2 HARDWARE INCOMPATIBILITY — Contact service The hardware configuration in your module is not compatible with the programmed software options. • Contact your Spacelabs Healthcare Field Service Engineer. Sensors For SpO2 sensor compatibility, refer to the information that follows.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) Clinical Situation SpO2 value shows as ??? Low signal strength -ORInsufficient Signal Possible Cause ECG AND SPO 2 Solution • 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. • Module is in the initialization phase (the first 15 seconds after sensor application). • Wait until the initialization is complete.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) Clinical Situation No SpO2 alarms are shown ECG Possible Cause AND SPO 2 Solution • ECG “Leads Off” condition exists. • Re-attach ECG leadwires to the patient and resume ECG monitoring. • Higher priority alarm condition is present. • Clear the current alarm condition and/or re-prioritize SpO2 alarms in the Module Configuration Manager.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) 3-24 ECG AND SPO 2 www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) 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 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC OPERATIONS • Batteries exposed to short circuit, high temperature, or fire may leak, vent, or explode. • Do not use any transmitter that has been compromised by liquid ingress. • When the transmitter is not in use, remove the batteries. Store the transmitter without the batteries. • Users should inspect batteries before using them within the transmitter—do not use any batteries that appear to be damaged or have been subject to misuse.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC O PERATIONS • Obey the battery manufacturer’s recommended handling procedure. • Collect and transport batteries in a manner that prevents short circuit, compacting, mutilation, or any other abuse that would compromise the physical integrity. • Clean the transmitter case with the battery door closed. If fluid or other contaminants have collected in the battery compartment, clean and dry it before use.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC OPERATIONS Telemetry Receiver Module The telemetry transmitters are compatible with the 90478 Digital Telemetry System Receiver and Receiver Housing (90479-A, 90479-B, 90479-C). The receiver housing is related to the central monitor. The receiver module can go in the housing or in a bedside monitor.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC O PERATIONS Basic Components The 96281-B telemetry transmitter is essentially the same as the 96281-C model, except for the SpO2 capability. Thus the components described in the illustrations of the 96281-C are also applicable to the 96281-B model except for the SpO2 connector cap. The 96281-A model is similar to the 96281-B and 96281-C but it does not include a display or an SpO2 connector cap or functionality (refer to Figure 4-3 on page 4-7).
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC OPERATIONS 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC O PERATIONS 3 ECG label (includes lead legend and leads placement diagram) 4 Channel identifier 5 Manufacturing technical label 6 Battery compartment cover Front View (96281-A) 1 3 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 www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC OPERATIONS Battery Compartment (96281-A, 96281-B, 96281-C) 1 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) 4-8 www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC 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 4-9 for leads placement and SpO2 connections.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC OPERATIONS 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 7 in Figure 4-1 on page 45) provide navigational control, such as moving through ECG and SpO2 displays.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC O PERATIONS • If all of the lead fault indicators remain permanently illuminated, please contact your Spacelabs Healthcare service representative for assistance. To send a recording to the central monitor or station • 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 information.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC OPERATIONS Table 4-1 Basic Modes of Operation (Continued) Operating Mode Description Non-View 96281-A, 96281-B, 96281-C Note: Since the 96281-A does not have an LCD, it is either continuously in non-view mode or is OFF. 1 The LCD is off on the 96281-B or 96281-C. 2 User can initiate printing. 3 Patient vital signs are transmitted to the central station.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC O PERATIONS 1 6 5 4 2 3 Figure 4-6 Paced ECG and SpO2 display on the 96281-C 1 SpO2 saturation percentage (available on 96281-C only) 2 ECG waveform 3 Battery charge indicator (shows the battery state) 4 Pacing marker 5 Shown lead indicator 6 Heart rate derived from ECG (indicated by solid heart icon) Notes: The AriaTele acquires and transmits ECG data in samples. In addition, it may show the ECG waveform on its optional display.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC OPERATIONS • Pacing marker (shows only if detected) is shown as a vertical purple line. The symbols that follow show on the 96281-B and 96281-C telemetry transmitter LCD when numerics are not available or are out of the designated range for a parameter. Not available ??? Under range --- Over range +++ SpO2 SpO2 is only available with the 96281-C.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC 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. • Do not ignore status messages. • SpO2 data may not show when the INTERMITTENT SIGNAL LOSS message appears.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC OPERATIONS Telemetry Transmitter with ECG Only Troubleshooting Guide Clinical Situation Possible Cause Solution Low battery LED flashing • 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) BASIC O PERATIONS Telemetry Transmitter with Display and SpO2 Troubleshooting Guide Clinical Situation Possible Cause Solution Low battery LED flashing • 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) 4-18 BASIC OPERATIONS www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) Cleaning, Disinfecting, and Sterilization Cleaning Products Not Recommended for Use • 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) C LEANING, DISINFECTING, AND STERILIZATION Transmitter, Leadwires, Cables, and Sensors Cleaning/Disinfecting • Use only recommended cleaning solutions, or you may void the manufacturer’s warranty. • Harsh chemical agents degrade plastics and compromise the safety of the device. Some germicidal and other harsh cleaning compounds are known to damage some plastics by weakening the structural integrity and compromising the electrical insulating properties.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) CLEANING, DISINFECTING, AND STERILIZATION • As applicable, obey your hospital protocol concerning cleaning, disinfection, and/or sterilization of reusable supplies. • Obey hospital protocols to dispose of used and contaminated single-use accessories. Cleaning and Disinfecting the 96281Telemetry Transmitters and Cables In normal use the product is worn by one hospital patient for a few days.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) C LEANING, DISINFECTING, AND STERILIZATION Cleaning ECG Leadwires Inspect the leadwire sockets for contamination. If necessary, flush using a syringe and clean using a toothpick. Once clean, Spacelabs Healthcare recommends wetting the sockets with 70% isopropyl alcohol to provide low level disinfection. This agent can be left to dry naturally and does not require any rinse procedures.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) 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.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) A PPENDIX A — GUIDANCE AND MANUFACTURER ’S D ECLARATION Electromagnetic Immunity Table A-2 Electromagnetic Immunity Compliance Level Electromagnetic Environment Immunity Test IEC 60601 Test Level Electrostatic discharge (ESD) IEC 61000-4-2 ±6 kV contact ±8 kV air ±6 kV contact ±8 kV air Floors should be wood, concrete, or ceramic tile. If floors are covered with synthetic material, the relative humidity should be at least 30%.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX A — G UIDANCE AND MANUFACTURER ’S D ECLARATION Table A-2 Electromagnetic Immunity Immunity Test IEC 60601 Test Level Compliance Level Electromagnetic Environment Recommended separation distance: d = 1.17 P 80 MHz to 800 MHz d = 2.34 P 800 MHz to 2.5 GHz Where P is the maximum output power rating of the transmitter in watts (W), according to the transmitter manufacturer, and d is the recommended separation distance in meters (m).
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) A PPENDIX A — GUIDANCE AND MANUFACTURER ’S D ECLARATION Separation Distances The 96281 is intended for use in an electromagnetic environment in which radiated RF disturbances are controlled.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX A — G UIDANCE AND MANUFACTURER ’S D ECLARATION Notes on ECG Leads • DC means direct current • RA means right arm • RL means right leg • RMS means root mean squared • AC means alternating current Lead Off Detection Currents Leads off detection uses a DC lead off current of 12 nA for RA and 27 nA for the all the other electrodes except RL.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) A-6 A PPENDIX A — GUIDANCE AND MANUFACTURER ’S D ECLARATION www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) 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. HELP Key ? HELP (Explain Prior Screen) Key MONITOR SETUP Key REMOTE Key TRENDS Key www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX B — SYMBOLS RECORD Key Dynamic Network Access (DNA) Key SPECIAL FUNCTIONS Key NORMAL SCREEN Key SAVE Key No Network Connection Network Connection Do Not Connect to Network No Connection to Intesys® Clinical Suite (ICS) Compression Magnifying Glass File Cabinet List of Rooms Printer Service Message B-2 www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX B — SYMBOLS PREVIOUS MENU Key HOME Key Arrows On Direction ON — Power Connection to Mains 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 Partial ON/OFF ON/OFF Standby STANDBY Key Power ON/OFF Key Keyboard Connection www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX B — SYMBOLS Mouse Connection PAUSE or INTERRUPT START/STOP Key START/STOP STOP or CANCEL Key CONTINUE Key ENTER Key x Delete Nurse Alert Interface ALARM SUSPEND/TONE RESET Key ALARMS Key Alarm, General Alarm Reset Alarm Audio ON Alarm Audio OFF Alarm Audio Paused B-4 www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX B — SYMBOLS Low Priority Alarm Medium Priority Alarm High Priority Alarm Alarms Paused Alarm OFF --- Parameter below measurement range +++ Parameter above measurement range ??? Parameter measurement indeterminate Indicator — Remote Control PRINT REPORT Key Normal Screen Clock/Time Setting Key Slow Run Activate Recorder for Graphics Reset www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX B — SYMBOLS START (NIBP) Key Power Indicator LED Activate Telemetry Recorder Output (Non-terminated) Data Input/Output Input No Output (Terminated) Indicator — Local Control Indicator — Out of Paper Recorder Paper Menu Keys Waveform/Parameter Keys 1 2 3 1 2 3 Return to Prior Menu Monitor Setup Select Program Options 1 2 3 1 2 3 B-6 A Set Initial Conditions Menu www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) 1 2 3 B 1 2 3 APPENDIX B — SYMBOLS Access Special Function Menu Return Unit to Monitor Mode Keypad 1 Serial Port 1 2 Serial Port 2 Serial Port Auto Mode (NIBP) External Marker Push Button Connection Arterial Pulse Gas Exhaust Video Output Television; Video Display Video Output, Primary Video Output, Secondary Enlarge, Zoom www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX B — SYMBOLS Input/Output PCMCIA Card Touchscreen, External Universal Serial Bus SDLC SDLC Port Hard Drive Antenna Electrocardiograph or Defibrillator Synchronization Microphone Foot Switch Audio Output, Speaker Event Gas Sampling Port Gas Return Port Battery Replace only with the appropriate battery. B-8 www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX B — SYMBOLS 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. Batteries such as lead-acid (Pb) and nickelcadmium (Ni-Cd) must be recycled.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX B — SYMBOLS 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. IEC 60601-1 Type BF equipment which is defibrillator-proof.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX B — SYMBOLS Fetal Monitor Connection RS-232 (Digital) Physiological Monitor Connection RS-232 (Digital) Noninvasive Blood Pressure (NIBP), Neonate Symbol Set, Adult/Pediatric Cuff Sizes Symbol Set, Neonatal Cuff Sizes NIBP Cuff, Neonatal 1 NIBP Cuff, Neonatal 2 NIBP Cuff, Neonatal 3 NIBP Cuff, Neonatal 4 NIBP Cuff, Neonatal 5 NIBP Cuff, Single Hose NIBP Cuff, Dual Hose THIS SIDE TO PATIENT www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) CHILD CHILD, LONG SMALL ADULT, LONG 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) ADULT, LONG NIBP Cuff, Adult Size, Long (23 to 33 cm) LARGE ADULT NIBP Cuff, Large Adult Size, Long (31 to 40 cm) NIBP Cuff, Large Adult Size (31 to 40 cm) ADULT NIBP Cuff, Adult Size (23 to 33 cm) INFANT NIBP Cuff, Infant Size (8 to 13 cm) NEONATAL 1 NIBP Cuff, Neonatal 1 Siz
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) NYLON APPENDIX B — SYMBOLS NIBP Cuff, Nylon Material SOFT NIBP Cuff, Soft Material VINYL NIBP Cuff, Vinyl Material QTY ARTERY Quantity Place Artery Symbol and Arrow over Brachial or Femoral Artery U Indicator eIF eIFU = electronic Instructions for Use (CD-ROM or website) is available Consult Instructions For Use Follow Instructions For Use Warning About Potential Danger to Human Beings (Consult Accompanying Documents) Caution About Potent
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) 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 Up Arrow Down Arrow 95% Environmental Shipping/Storage Humidity Limitations Humidity limitation Atmospheric pressure limitation Open Padlock Closed Padlock Happy Face Sad Face B-14 www.spacelabshealthcare.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) PVC 2 APPENDIX B — SYMBOLS PVC-Free (Polyvinyl Chloride) Do Not Reuse; Single Use Only Reusable IPX1 Drip-Proof IPX7 Unit can withstand accidental immersion in one meter of water for up to 30 minutes REF Reference Number or Order Number Use by date [YYYY-MM-DD] Recycle 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 E
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) APPENDIX B — SYMBOLS XXXX XXXX is the European Notified Body number. 0123 is the number for TÜV SÜD Product Service GmbH, München, Germany.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) Arr1 ArrNet2 avDO2 CaO2 CH ch cmH2O APPENDIX B — SYMBOLS Arrhythmia Net 1 Arrhythmia Net 2 Arterial/Venous Oxygen Difference Arterial Oxygen EEG, EMG, or ECG Channel EEG Channels - CH1, CH2, CH3, CH4 EMG Channel - CH5 Centimeters of Water C.O.
TE L E M E T R Y T R A N S M I T T E R ( 9 6 2 8 1 ) PaO2 PRESS press PRS Pressure Partial Pressure of Mixed Venous Oxygen Ref.
