Cardiac Output Directory Directory of Keys CO - MENU C O HEIGHT/ WEIGHT CARDIAC OUTPUT CC = .550 CALCS Enter computational constant 0.5 5 0 ENTER BSA = ?.? Must enter patient height and weight for calculations WEIGHT = 70 KG HEIGHT = 170 CM CO#1 BAD CURVE ENTER CO#3 CO#2 5.8 5.8 Inject when ready CO#4 5.8 STOP CURVE TB XX.XoC TI X.
Cardiac Output Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Setup Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Display Detail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Entering the Computational Constant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Entering Patient Height/Weight . .
Ultraview Care Network Setup Procedure To set up the system for monitoring cardiac output: 1 2 3 Insert the cardiac output cable into the module. Attach the thermodilution catheter to the cardiac output cable. Connect either an in-line injectate temperature probe or a reference solution injectate probe to the cardiac output cable. The setup procedure that follows assumes that the pulmonary artery catheter has been placed.
Cardiac Output Display Detail The CO key is displayed once you connect the CO cable to the module. To display the CO main menu, touch the CO key and curves will appear as the system detects the flow for each injection. The message INJECT WHEN READY is displayed when the system is ready to plot a new output curve. Figure 19-2 illustrates the cardiac output display when curves are being acquired, on a bedside monitor. CO#1 CO#2 5.8 CO#3 5.8 6.0 TB 36.5 oC TI 0.2 oC CO#1 CO CI 5.8 3.7 5.
Ultraview Care Network Entering the Computational Constant To enter the computational constant: 1 2 3 4 Touch CO. Touch CC =. Touch the appropriate keys (tenths, hundredths, and then thousandths) and use arrow keys to adjust. Touch ENTER. To generate calculations, you must first enter the computational constant (CC) and verify that the system is correctly configured. Refer to your thermodilution catheter package insert for current constants.
Cardiac Output Averaging Cardiac Output To average all cardiac output curves: This function computes the average using the data from up to five, good, displayed curves. Curves labeled as “bad” are not included in the average. 1 2 3 4 You can perform cardiac output averaging as soon as the system has measured and displayed at least two acceptable curves. Touch CO. Touch CARDIAC OUTPUT. Touch AVERAGE ALL. Touch YES.
Ultraview Care Network Selecting Index Normalization To select indexing: 1 2 3 4 Touch CO. Touch CARDIAC OUTPUT. Touch CALCS. Select VR INDEX ON or SW INDEX ON. To individualize the values to the patient, the system calculates them with the BSA. Cardiac Index (CI) and Stroke Volume Index (SVI) are automatically displayed. You can display either the Systemic Vascular Resistance (SVR) and the Pulmonary Vascular Resistance (PVR) or their indexed values (SVRI and PVRI), but not both simultaneously.
Cardiac Output Displaying Calculations Table To display the calculations table: 1 2 Touch CO. Touch CALCS. Hemodynamic Equations BSA = Ht 0.725 x Wt 0.425 x 0.007184 CI = CO/BSA SV You can view hemodynamic calculations after storing or averaging data. The table includes only those calculations that have been stored or averaged. Table 1 shows an example of the hemodynamic calculations table displayed when you touch the CALCS key. Each horizontal row is one complete set of data.
Ultraview Care Network Editing Vital Sign Values To edit vital sign values: 1 2 3 4 5 6 7 8 Touch CO. Touch CARDIAC OUTPUT. Touch CALCS. Touch DAY/TIME in the row you wish to select. Touch VITAL SIGNS. Select the vital sign you wish to edit. Use arrow keys to edit the displayed value. Press ENTER. Select a row of data in the hemodynamic calculations table to turn the vital signs keys ON.
Cardiac Output Recording Cardiac Output Curves To record thermodilution curves: 1 2 3 Touch CO. Touch CARDIAC OUTPUT. Touch PRINT. If a bedside or system printer is installed, you can record all curves in the CO display area. You can also record the calculations table when it is displayed on the screen. Error Messages Catheter Fault There is a problem with the thermodilution catheter. Connect or replace the catheter. TB Out Of Range The blood temperature (TB) is unacceptable.
Ultraview Care Network Cables and Probes Refer to Spacelabs Medical Supplies Products catalog for part numbers and specifications for cables, probes, and injectate systems. Computation Constants/Catheter Compatibility Nominal resistance @ 37°C 14,004 Ω + 15% Refer to the instructions provided with your catheter for the computation constants for your specific catheter, setup injectate temperature, and injectate volume.
Cardiac Output Troubleshooting Guide Clinical Situation Invalid pressure reading Erroneous CO values using room temperature injectate Unable to obtain indexed values for calcs Possible Cause ■ Stopcock of the CVP or RAP line may not have been turned OFF quickly enough after injection was made. Solution ■ ■ Injectate too warm. ■ ■ Injection rate too slow. ■ ■ Did not enter height and/or weight prior to averaging curves.
SvO2 Directory of Keys S V O 2 SVO2 MENU ALARM LIMITS TIMEBASE 2 HOURS INTENSITY DISPLAY STORE READ CALIBRATE STORE YES YES NO YES IN VIVO YES SCALES SVO2 TREND CALC RESULTS CALCS READ NO PREINSERTION PRINT NO NO LIGHT INTENSITY YES NO ENTER ALARMS ON OFF 1 HOUR 2 HOUR HI = 80 LO = 80 4 HOUR PvO2 = ! • CO = 16 HOUR LIGHT INT ON OFF 11:55 av DO2 = 4.61 Ca = 19.80 Cv = 15.
SvO2 Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Setting Up SvO2 Monitoring . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Display Detail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Preparing the Catheter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ultraview Care Network CAUTION: • The Spacelabs Medical SvO2 module will not correctly operate with any other catheter for SvO2 monitoring. Setting Up SvO2 Monitoring To set up SvO2 monitoring: 1 2 Place the catheter’s optical connector into the optical module on the connecting cable. Insert the connecting cable into the SvO2 module.
SvO2 Markers for normal intensity levels (two horizontal lines) SvO2 parameter key Current venous oximetry value — 76% 쐅 Status or error message area 쐈 Current alarm limits — high 80, low 60 Preparing the Catheter Each Abbott Opticath catheter is packaged in a sterile, disposable tray which includes a disposable optical reference. Inspect the catheter tray carefully. If you suspect damage to the tray DO NOT USE THE CATHETER.
Ultraview Care Network 5. Place the optical connector into the optical module with the word TOP facing up. Close the module (refer to Figure 20-3). Figure 20-3: Placing the optical connector into the optical module 6. With the inner wrap still in place, press down on the black optical reference at the point labeled PUSH. Listen for a click. The catheter is now ready for pre-insertion calibration. After you complete the calibration, prepare the patient for catheter insertion.
SvO2 Inserting the Catheter Follow standard hospital procedure to prepare the patient for catheter insertion. 1. Using sterile procedures, peel back the remaining inner wrap from the catheter tray. Pull the retainer (white tab) to release the catheter. 2. Grasp the catheter at approximately the 5 cm mark and gently pull it straight out from the optical reference. CAUTION: • The optical fibers can be damaged if you do not draw the catheter out carefully. 3.
Ultraview Care Network Performing In Vivo Calibration To initiate in vivo calibration: 1 2 3 4 5 6 Touch SVO2. Touch CALIBRATE. Touch IN VIVO. Touch YES. Draw blood from the distal lumen when the message DRAW BLOOD is displayed and send to lab for analysis. Use arrow keys to adjust value if displayed value differs from lab value by more than four saturation units. In vivo calibration compares a drawn (measured) blood gas value with the value displaying on the monitor.
SvO2 Setting the Light Intensity Alarm To set the light intensity alarm: 1 2 3 Touch SVO2. Touch ALARM LIMITS. Select LIGHT IN - ON or OFF. If the light intensity alarm is turned ON, a second-level alarm will sound in the event of an intensity alert. Adjusting Trend Display The most recent minute of mixed venous oxygen saturation data is displayed as a point on the right side of the trend graph. As the module acquires new data, the older data points move left to create a record of data.
Ultraview Care Network Obtaining Oximetry Calculations To obtain oxygenation calculations: 1 2 3 4 5 Touch SVO2. Touch CALCS. Select a manually entered value(s) for PaO2, PvO2, Hgb. Use arrow keys to adjust. Touch ENTER. You can use the calculations feature to obtain specific values for the oximetry measurements listed below. Arterial oxygen content — Ca CaO2 = (1.34 x Hgb x SaO2/100) + (0.0031 x PaO2) Venous oxygen content — Cv CvO2 = (1.34 x Hgb x SvO2/100) + (0.
SvO2 Correcting Out-of-Range Light Intensity Each time you perform a light intensity calibration, the oximetry module stores the intensity value and signals an alarm or error message if the current light level differs significantly from the stored level. Light intensity error messages serve as a reference to determine if the light at the catheter tip is adequate for accurate monitoring. Do not ignore these messages.
Ultraview Care Network Correcting Insufficient Light Intensity The message INSUFFICIENT LIGHT displays when an unusually small amount of light is being received during monitoring or during pre-insertion calibration. Take the following actions: • • • • • If this message displays while the catheter is exposed to room light during pre-insertion calibration, take no action. It disappears when the catheter is placed in the patient.
SvO2 Correcting SvO2 Display Error If the oxygen saturation value is out of the display range, the display changes from a percentage to ???. Take the following action as indicated: • • • Verify proper function of the optical module; no error messages display. Replace with a known good module if necessary. Display light intensity history to verify proper catheter function (refer to Correcting Insufficient Light Intensity on page 20-12). Perform in vivo calibration.
SvO2 Troubleshooting Guide Clinical Situation INTENSITY ALERT or SVO2 DATA OUT OF RANGE message is displayed Possible Cause ■ Faulty catheter position within vessel. ■ ■ Clot over catheter tip. ■ Flush distal lumen. ■ Tighten the connections. ■ Replace the catheter.
Capnography Directory Directory of Keys G A S GAS - MAIN MENU ALARM LIMITS FREEZE ON OFF SETUP COMP VIEW ALARMS CAL PRINT GAS - CAL MENU O2 CAL CO2 CHECK ADAPTER CAL GAS - CAL MENU - ADAPTER CAL GAS - CAL MENU - O2 CAL ROOM O2 SPAN ZERO 100% O2 SPAN START CANCEL GAS - CAL MENU - CO2 CHECK GAS - COMP O2 AUTO MAN N2O ON OFF O2 ON CO2 = XX.
Capnography Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Patient Connection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Display Detail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Setting Alarm Limits. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ultraview Care Network CAUTION: • Although the 90516 capnograph module detects and reports apnea conditions, it is not intended to be a primary diagnostic apnea monitor and/or apnea recording device. ! 21-4 • Use only Spacelabs Medical sensors with this monitor. Other sensors may plug in, but will not operate. • Use only Spacelabs Medical airway adapters with Spacelabs Medical sensors. The monitor may not function if other airway adapters are used, and sensor damage may result.
Capnography Patient Connection To start capnography monitoring: 1 Respiration can be monitored via an endotracheal or tracheostomy tube. Plug the module into the monitor. 2 Plug the sensor connector into the monitor. 3 Perform sensor calibration, if necessary. 4 Prepare the patient according to hospital procedures. 5 Select appropriate airway adapter (neonate or adult). 6 Verify that windows are clean and dry. 7 Place sensor head over the airway adapter and perform an adapter calibration, if necessary.
Ultraview Care Network When you first power on the module, the GAS parameter key is displayed adjacent to a flat waveform. ! • Capnography is not analyzed during unit warm-up. • The typical initial warm-up period is 2- to 5-minutes (5-minutes is the maximum warm-up time). This time varies based upon the temperature of the sensor.
Capnography 쐂 O2 COMP ON N2O COMP ON ETCO2 O2 쐄 45 APNEA 0 RR 80 15 MINCO2 30 30 1 5 G A S 쐃 쐇 30 20 쐏 ETCO2 mmHg O2 % 쐋 Figure 21-4: Bedside screen in large text during View Alarms (waveform OFF) 쐃 O2 COMP ON N2O COMP ON ETCO2 O2 45 0 80 15 APNEA RR MINCO2 30 30 1 5 G A S 쐇 쐋 ETCO2= 40 mmHg O2= 18% MINCO2= 2 mmHg RR= 12 BPM 쐏 쐄 쐂 Figure 21-5: Full remote view (waveform OFF) 쐃 ETCO2= 40 mmHg O2= 18% APNEA= 30 s RR= 12 BPM MINCO2= 32 mmHg G A S ETCO2 = 3.2 MINCO2= 0.
Ultraview Care Network Table 1: Alarm Status and Display Alarm Status Bell Display At least one alarm ON Present At least one alarm ON and violated Flashing All alarms OFF Replaced with GAS ALM OFF in reverse video At least one alarm ON; alarms temporarily suspended by monitor Replaced with GAS ALM SUSP in reverse video (flashes if any alarm is violated) Setting Alarm Limits To set gas alarm limits: 1 2 3 4 5 6 7 8 21-8 Touch GAS. Touch ALARM LIMITS.
Capnography Table 2: Alarm Limit Ranges Monitored Parameter Low Alarm High Alarm Units Resolution Minimum Default Maximum Minimum Default Maximum 0.0 ** 9.9 * 0.1 ** 10.0 * 0.1 0 ** 75 1 ** 76 1 EtCO2 % EtCO2 mmHg EtCO2 kPa 0.0 ** 9.9 0.1 ** 10.0 0.1 RR BPM 1 ** 145 15 ** 150 1 for 1 — 30 5 when > 30 APNEA sec - - - 20 30 45 5 MINCO2 % - - - 0.1 1.0 9.9 0.1 MINCO2 mmHg - - - 1 8 76 1 MINCO2 kPa - - - 0.1 1.0 9.9 0.
Ultraview Care Network Adjusting the Waveform Size To adjust the waveform scale size: 1 2 3 4 Touch GAS. Touch SETUP. Touch SIZE. Select the desired scale. The capnography waveform can appear on your monitor in three scale sizes: 0 to 40 mmHg (0 to 5.3 kPa), 0 to 60 mmHg (0 to 8.0 kPa), or 0 to 80 mmHg (0 to 10.7 kPa). Turning the Waveform Display On/Off To turn the waveform display ON or OFF: 1 2 3 4 You can turn the capnography waveform ON or OFF. Touch GAS. Touch SETUP. Touch SIZE.
Capnography Selecting a Text Format To switch text formats: 1 2 3 Touch GAS. Touch SETUP. Select LARGE TXT or SMALL TXT. You can change display formats for capnography by switching between large and small text (refer to Display Detail on page 21-6). Freezing the Waveform To freeze the gas waveform: 1 2 Touch GAS. Select FREEZE ON. You can freeze the waveform display at any time. The waveform stays frozen until you press the FREEZE ON/OFF key again or until you press the NORMAL SCREEN key.
Ultraview Care Network Calibrating the Airway Adapter To calibrate the airway adapter: 1 2 3 4 5 6 7 Touch GAS. Touch CAL. Select appropriate airway adapter (neonate or adult). Place sensor head over the airway adapter. Place the sensor and adapter away from all sources of CO2. Touch ADAPTER CAL. Touch START. To calibrate the CO2 sensor: 1 2 3 4 5 Remove the airway adapter from the sensor head (if present). Place the sensor on the zero cell.
Capnography Selecting Gas Compensation To select gas compensation: 1 2 3 4 5 6 Touch GAS. Touch COMP. Select N2O ON, if N2O is greater than 50%. Touch O2 AUTO to automatically select COMP, if O2 cell is present. Select O2 MAN, if no O2 cell is present. Select O2 ON, if O2 is greater than 60%. The measurement of CO2 by infrared analysis is affected by the presence of oxygen and nitrous oxide.
Capnography Troubleshooting Guide The capnography module displays error messages in the gas waveform zone. Many of these messages also trigger an alarm. If the menu line is available, the monitor displays messages there as well. The table below provides the text, meaning and suggested response to these messages.
Problem or Message ADAPTER ERROR Check airway adapter Probable Cause(s) ■ ■ ■ CO2 CAL IN PROGRESS ZERO CAL COMPLETE Place sensor on REF cell CO2 ZERO CAL ERROR Perform zero calibration SENSOR ERROR CO2 zero cal required CHECKING CALIBRATION CALIBRATION VERIFIED Remove sensor from cell ! • ■ ■ ■ ■ ■ ■ Airway adapter was removed from the sensor head. Optical blockage on airway adapter windows. Adapter calibration was not performed. A zero calibration of the CO2 sensor is in progress.
Problem or Message Low or high CO2 values are observed ADAPTER CALIBRATION ABORTED O2 ZERO COMPLETE O2 ZERO REJECTED Zero value too high 21% O2 SPAN COMPLETE O2 SPAN REJECTED Span value out of range Probable Cause(s) ■ ■ ■ ■ ■ ■ ■ 100% O2 SPAN COMPLETE 100% O2 SPAN FAILED O2 cell bad or 100% O2 not present ■ ■ ■ 21-16 An airway adapter and/or sensor calibration is needed. The airway adapter calibration was aborted by the user.
Problem or Message O2 SPAN REQUIRED Perform a ROOM O2 SPAN Probable Cause(s) ■ ■ O2 cell requires new span when initially plugged in. A drift in the O2 cell output voltage level was detected. Suggested Response ■ ■ Place the sensor in room air and away from any source of oxygen and perform room O2 span. If problem persists, return to factory for repairs. Place the sensor in room air and away from any source of oxygen and perform room O2 span. If problem persists, return to factory for repairs.
Multigas Directory Directory of Keys G A S GAS - MAIN MENU ALARM LIMITS SETUP SELECT AGENT FREEZE ON OFF VIEW ALARMS CAL SUSPEND SAMPLING PRINT GAS - SELECT AGENT MENU - AGENT TYPE DETECTED: XXX AUTO ID HAL ISO ENF SEV DES GAS - CAL MENU BAR. PRESS.
Multigas Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Warnings and Cautions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Analyzer Controls and Indicators. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Multigas Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Patient Connection . . . . . . . . . . . .
Ultraview Care Network Warnings and Cautions Warnings The life or health of a patient, clinical staff member, multigas analyzer operator, or other persons may be endangered if the items in this Warnings section are not followed. WARNING: • Always test the sampling line adapter for a tight connection and proper operation before attaching to a patient. 22-4 • To protect the patient’s safety, do not silence, suspend, or disable audible alarms without providing continuous, direct observation of the patient.
Multigas Cautions Equipment may be damaged or cease to function properly if the items in this Cautions section are not followed. CAUTION: • When administering anesthetic agents, incorrect agent identification may occur when a mixture of two or more anesthetic agents occurs in the sample circuit. ! • Always verify your vaporizer setting when administering anesthetic agents.
Ultraview Care Network Analyzer Controls and Indicators POWER ON OCCLUSION WATER TRAP FULL STAND BY Gas analyzer filter access door Sample line Water trap Stand by switch Product Orientation Up Figure 22-1: Analyzer front panel controls and indicators Scavenger port SDLC connector SDLC Pb J2 ! J3 Power switch MAINS J4 CAUTION ! 50/60 Hz 1A/100-240V~ T1.
Multigas Multigas Setup To connect the multigas analyzer: 1 2 3 4 5 Verify that the power cord is connected as required by local standards. Assemble the cables necessary for the desired configuration. (Refer to 90518 Multigas Analyzer Service Manual, P/N 070-0643-xx.) Connect the T-cable assembly between the multigas analyzer and the monitor. Connect the SDLC terminator to the T-cable. Connect the hospital scavenging system to the scavenger port.
Ultraview Care Network Patient Connection To start multigas monitoring when the unit is OFF: 1 Plug the device power cord into an AC power outlet and assure that the unit is connected to a monitor. 2 If not present, insert the gas analyzer filter above the water trap and close the lid. 3 If not present, insert the water trap with the patient connector on the right side. 4 Check to make certain the Stand By switch is OFF (in the “out” position). 5 Turn power to patient monitor ON.
Multigas Prior to connecting to the patient airway, verify that there are no leaks in the sample line, water trap, and gas analyzer filter by sealing the end of the sample line with your thumb. After approximately 15-seconds, the Occlusion LED lights and an occlusion message appears on the monitor. If this does not occur within 30-seconds, check for an air leak by removing and carefully reinstalling the water trap, the gas analyzer filter, and/or the sample line. Repeat the test.
Ultraview Care Network Operation CO2, N2O, and anesthetic agents are measured by drawing a sample gas stream into the measuring chamber. The absorption of different infrared light wavelengths is measured here. These measurements are compared to a zero concentration light level to calculate the different gas concentrations.
Multigas CAUTION: • The analyzer cannot be operated without a water trap and a gas analyzer filter installed. ! • Replace the water trap and gas analyzer filter as needed. Verify the water trap is not broken as a result of connecting the sample line fitting too tightly or by tugging on the sample line. To verify, place a finger over the end of the sample line and wait for the alarm. Check the sample line connection on the water trap for damage.
Ultraview Care Network ! • The analyzer is protected against the effects of a cardiac defibrillation discharge, and it is safe to use on patients with a cardiac pacemaker or other electrical stimulation. No multigas analyzer data appears during the warm-up period following power-on. Data first appears during the stabilization period. CAUTION: • The warm-up period is less than 2-minutes with full accuracy after 30-minutes.
Multigas 쐃 6 5 I N2O % E N2O % 2.5 1.7 쐅 FiO2 I AGNT 21 17 20 % % E AGNT 쐈 RR bpm G A S FeO2 % % 0.5 5.2 I CO2 % ETCO2 % Figure 22-6: Full screen, large text G A S ETCO2=5.2% RR=20BPM FiO2=21% I AGNT=2.5% I N2O=6% Figure 22-7: Full screen, small text 쐈 I N2O E N2O 15 I AGNT 4.5 0.0 5 15 E AGNT 3.0 0 0.0 FiO2 40 20 FeO2 25 15 RR 30 10 I CO2 2.0 APNEA 30 ETCO2 7.5 2.5 G A S 0.5 5.
Ultraview Care Network 쐉 ETCO2=5.2% FiO2= 21% RR=20BPM I N2O=6% Numeric key display 쐈 씈 I CO2=0.5% RR=20BPM FiO2= 21% I AGNT=2.5% I N2O=6% ETCO2=5.2% APNEA=30s FeO2=17% E AGNT=1.
Multigas Setting Alarm Limits To set gas alarm limits: 1 2 3 4 5 6 7 Touch GAS. Touch ALARM LIMITS. Select the parameter for which you wish to set alarm limits. Touch ON for the parameter selected in step 3. Use the arrow keys to set the high and low alarm limit or the apnea alarm delay time. Touch PREVIOUS MENU to select another parameter for setting alarm limits. Repeat steps 3 through 6 until all limits are set.
Ultraview Care Network Table 2: Alarm Limit Ranges Monitored Parameter Low Alarm High Alarm Units Resolution Minimum Default Maximum Minimum Default Maximum EtCO2 % 0.0 ** 9.9 * 0.1 ** 10.0 * 0.1 EtCO2 mmHg 0 ** 79 1 ** 80 1 EtCO2 kPa 0.0 ** 9.9 0.1 ** 10.0 0.1 I N2O % 0 0 75 5 80 80 5 E N2O % 0 0 75 5 80 80 5 RR APNEA BPM 0 ** 170 15 ** 175 1 for 1 - 30 5 when > 30 sec - - - 20 30 45 5 I CO2 % - - - 0.1 1.0 9.9 0.
Multigas Waveform Display Adjusting Waveform Size To adjust the waveform scale size: 1 2 3 4 Touch GAS. Touch SETUP. Touch SIZE. Select the desired scale size. The CO2 waveform can appear on your monitor in any of three scale sizes: 0 to 80 mmHg, 0 to 60 mmHg or 0 to 40 mmHg (0 to 10.0 kPa, 0 to 7.5 kPa, or 0 to 5.0 kPa). Turning the Waveform Display Off To turn the waveform display OFF: 1 2 3 4 Touch GAS. Touch SETUP. Touch SIZE. Select WAVEFORM OFF.
Ultraview Care Network Selecting an Agent ID To select Auto Agent ID: 1 2 3 Touch GAS. Touch SELECT AGENT. Touch AUTO ID. You can manually choose an agent type by touching the SELECT AGENT key in the main menu which opens the agent selection sub-menu. The prompt line above the sub-menu identifies the detected agent: DES, SEV, ISO, HAL, ENF. MIX is displayed if more than one agent is detected, and NONE if the agent type is not identified.
Multigas Selecting Stand By Mode To start multigas monitoring from Stand By mode: Stand By mode should be used for short durations only (for example, case turnover). The Stand By feature keeps the unit warmed up. 1 The Stand By mode is not to be used in place of the power on/off. If the unit is in Stand By mode and loses power (for example, if the unit is unplugged during moving), when power is re-initiated, the analyzer may not display on the patient monitor.
Ultraview Care Network CAUTION: • If the message ??? appears in the numerics of FiO2 and FeO2 at any time you are monitoring a patient, you must perform a check O2 sensor test. To span calibrate O2 sensor with 100% O2: 1 Allow unit to stabilize for 30-minutes. 2 Touch GAS. 3 Touch CAL. 4 Disconnect the sample line from patient. 5 Connect the sample line to the sampling port of an airway T-adapter. 6 Connect the airway T-adapter to a source of 100% oxygen supply.
Multigas Pump Calibration This function is used by service personnel to adjust the pump flow rate. Refer to the 90518 Multigas Analyzer Service Manual P/N 070-0643-xx for details. Gas Span Calibration A gas span calibration is recommended whenever gas values appear to be too low or too high. Always perform a leak test first to verify that the suspected values are not the result of a leak (poor connection, cracked water trap, etc.).
Ultraview Care Network Suspending Sampling To suspend sampling: 1 2 3 Touch GAS. Touch SUSPEND SAMPLING. Touch RESUME SAMPLING when finished. Sampling may be suspended by touching the SUSPEND SAMPLING key under the following conditions: • • • When suctioning a patient Use (by the patient) is temporarily discontinued Nebulized drugs are being used This stops the sampling pump and keeps the system free of debris. Touch the RESUME SAMPLING key to resume sampling.
Multigas Troubleshooting Guide The analyzer displays error messages in the gas waveform zone. Many of these messages also trigger an alarm. If the prompt line is available, the monitor displays messages there as well. Clinical Situation FILTER DOOR OPEN Close filter access door OCCLUSION Check T-adapter, sample line Possible Cause ■ ■ ■ SPAN IN PROGRESS ■ WARMING UP ■ WATER TRAP ABSENT - Install water trap WATER TRAP FULL Replace or empty ! • ■ ■ The gas analyzer filter door is ajar.
Clinical Situation 100% O2 SPAN FAILED - Check 100% O2 gas supply, Check for leaks Possible Cause ■ Sampled gas supply does not have 100% O2 present when compared to room air O2. Solution ■ ■ Air leak in external sample circuit. ■ ■ Air leak in internal sample circuit. ■ ■ ■ ■ External/internal pressures may be out of operating range or measurement of the pressures has failed. O2 cell linearity error. O2 concentration may be more than 23% or less than 19% in vicinity of the analyzer.
Clinical Situation Possible Cause O2 INSTALLATION FAILED - O2 install cal requires new O2 cell O2 SPAN FAILED Check exhaust port ■ ■ ■ CAL GAS SPAN FAILED Check span gas supply ! ■ Install cal detected an O2 cell output above or below the allowable threshold for a new O2 cell. Scavenger port is blocked. O2 sensor assembly output is very negative. The unit could not calibrate the gas channel. Solution ■ ■ ■ ■ Contact your Biomed or your Spacelabs Medical service representative.
Clinical Situation HIGH VALUES OBSERVED Possible Cause ■ A span calibration was performed while there was a leak in the sample circuit. Solution ■ ■ LOW VALUES OBSERVED ■ A leak exists at the sample line connection, a water trap is broken at the luer connection, or a gas analyzer filter is leaking. ■ ■ Minimum waveform deflection and very low or zero numeric values when breathing normally through a new or unused sample line ■ ■ MIX ■ Clogged or missing gas analyzer filter.
Clinical Situation Possible Cause Solution ■ ■ ■ ■ Zeros or ??? are displayed for one or more of the inspired gases (I N2O, I AGNT, FiO2, or I CO2) ■ ■ ■ ■ No gas is being administered. Sample line is not connected. A leak in the system. Failure in one of the internal electronics parts. ■ ■ ■ ■ Alarm Sounds When the analyzer detects an agent mixture: • In Auto ID Mode — The mixed condition is reported by displaying I MIX and E MIX as the agent labels on all screens.
BIS Directory Directory of Keys B I S BIS - MAIN MENU ALARM LIMITS TEST ELECT SETUP START PROCED PRINT CLEAR DATA? EXIT ELECT YES NO ALARM LIMITS MENU ALARMS ON OFF HI= XX CAUTION LO= YY ON OFF BIS SETUP MENU DISPLAY FORMAT PLOT SCALES TIME SCALES 40-100 20-80 0-60 DISPLAY FORMAT MENU 1 ZONE ADV SETUP SIZE MENU PLOT SCALES MENU 0-100 SWEEP SPEED SIZE SWEEP SPEED MENU 3 ZONE AUTO ZONE 15 mm/sec 30 mm/sec 50 mm/sec TIME SCALES MENU 1 HR 2 HR 4 HR 8 HR 12 HR 24 HR A
BIS Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Patient Preparation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Initialization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Normal Bedside Display Format . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Remote View Display Format . . .
Ultraview Care Network BIS module digital signal converter (DSC) patient interface cable (PIC) BIS sensor Figure 23-1: Module, DSC, PIC, and sensor CAUTION: • Place the sensors as far away from the electrosurgery site as possible because considerable high frequency current may flow into the electrodes. This can cause patient burns, especially if a defect is present in the neutral cable of the electrosurgical unit. Placing electrodes too close to the electrosurgery site can also cause a noisy EEG trace.
BIS Digital Signal Converter The digital signal converter (DSC) receives the EEG input from the patient and converts it to digital information that is processed by the module. top view side view bottom view end view Figure 23-2: Digital signal converter The DSC plugs into the front of the module as shown in Figure 23-1. Patient Interface Cable The patient interface cable (PIC) is attached to the three-foot cable on the DSC and connects to the BIS sensor as shown in Figure 23-1.
Ultraview Care Network To replace a faulty or damaged PIC: 1. Remove and discard the unusable cable. 2. Locate the end with a yellow dot on the PIC connector. 3. Engage the PIC connector and the DSC cable connector with the yellow dots oriented the same way, ensuring that they are fully seated. Patient Preparation To prepare the patient for monitoring: 1. Make sure the skin surface is clean and dry. 2.
BIS ! • You do not need to test electrode placement because this is done automatically when you touch START PROCED. If the test passes, an Impedance Test Passed message displays (Figure 23-3). Impedance Test Passed Failed Figure 23-3: Impedance Test Passed message If the test fails, an Impedance Test Failed message displays (Figure 23-4).
Ultraview Care Network Impedance Values If the impedance value is too high, it could indicate that the BIS sensor is no longer making good contact and needs to be examined. Usually artifacts will signal this fact. After touching the TEST ELECT key, additional feedback is given to the user by flashing the impedance value when the value exceeds the threshold. (Refer to Impedance Montage on page 23-11 and TEST ELECT Key on page 23-15.
BIS Numeric Zone The numeric zone is to the right of the plot and the moving waveform on the monitor and is usually updated every 2-seconds. Some items, such as sweep speed, are only updated when the selection is changed. Display Fonts: • • • The BIS value is displayed in a large font. The units of measure are displayed in a small font. The remaining text is displayed in a small font.
Ultraview Care Network Top Line Annotation The top of the plot area contains two labels: • • Primary trend label (BIS) Secondary trend label (EMGL) Figure 23-7: BIS primary and secondary trends Waveform Annotation Waveform annotations are placed to the right of the moving EEG waveform (refer to Figure 23-8).
BIS Impedance Montage If, during BIS monitoring, you wish to test impedance without losing your trended data, you can perform an impedance test. An impedance test is automatically checked (or tested) every 10-minutes. The impedance montage is a temporary display that appears when the BIS sensor is connected to a patient and you touch the TEST ELECT key (refer to TEST ELECT Key on page 23-15). The montage displays on the right side of the screen to the right of the second wave zone area from the top.
Ultraview Care Network In the one zone or remote view mode, all numeric text must be compacted into one display zone height. In the remote view only, the BIS plot can have variable scaling and only the BIS value can be plotted. The scaling options for remote view are shown in Table 2.
BIS BIS Main Menu The Main menu is the initial menu that displays when you touch the BIS key. ! • In the remote view, only the ALARM LIMITS, SETUP, and PRINT keys are active. All other keys are disabled.
Ultraview Care Network SETUP Key This menu enables you to set the display parameters to be used during the procedure. Refer to the following sections for descriptions of each key: • • • • • • DISPLAY FORMAT Key on page 23-14 PLOT SCALES Key on page 23-15 TIME SCALES Key on page 23-15 SIZE Key on page 23-15 SWEEP SPEED Key on page 23-15 ADVANCED SETUP Key on page 23-15 DISPLAY FORMAT Key From this menu, you can set the type of display you want to use.
BIS PLOT SCALES Key Select the vertical display scale range options for the graphical BIS trend display in the one-zone or remote view format only. The selections are: 0–100, 40–100, 20–80, or 0–60. TIME SCALES Key This menu is used to select the time base for the BIS and EMGL trend plots to indicate the total number of hours represented by the x-axis of the BIS plot display. Available time base options are 1-, 2-, 4-, 8-, 12-, and 24-hours.
Ultraview Care Network PRINT Key Touch PRINT to print a bitmap display of the BIS and EMGL trends. The analog waveform is not printed using this key. Press the RECORD button on the monitor and touch the BIS parameter key to print the analog waveform. START/STOP PROCED Key Touch START PROCED to denote the beginning of a procedure to be recorded. If prior data has been stored for the patient, you have the option of retaining archived data or clearing it.
BIS Table 3: Status Messages (continued) Message User Action Last Impedance Test Not Completed At least one BIS element failed during the last impedance test and the test was ended by pressing the STOP PROCED key. Repress the element that failed. Re-test the impedance. This message will also appear if the test was ended prematurely by pressing STOP PROCED. Poor Signal Quality The Signal Quality Index is poor and the numeric display blinks. Check BIS Sensor.
Ultraview Care Network Definitions BIS — Bispectral Index Analysis. A mathematical calculation derived from the frequency, power, and phase throughout the entire frequency range of the EEG. The Index is a number between 0 and 100. DSC — The Digital Signal Converter. The DSC contains the input connector, amplifiers, and digitizer for the 90482 one channel EEG. The DSC is configured for referential montage monitoring. EEG — Electroencephalogram. Real-time electrical activity of the brain.
BIS Care and Maintenance BIS Module and Host Monitor Cleaning To clean monitor screens and covers, modules, processors, and printers use a cloth or swab that has been slightly dampened in a solution of warm water and a mild detergent. Avoid solvents that may damage the product cases. Follow your hospital protocol. CAUTION: • Using cleaning agents other than those listed may cause degradation to the product’s plastic enclosure and labels.
EEG Directory of Keys Processing Off E E G *not displayed at remote monitors EEG - MAIN MENU (SETUP # X) DISPLAY FORMAT EEG - START PROC ARCHIVE SETUP MARK EVENT START PROC PRINT RETAIN ARCHIVED EEG DATA ERASE ARCHIVED EEG DATA EEG - SETUP DSA ANALOG RECALL SETUP TREND These keys are functional only when Processing is in the “OFF” mode * INITIAL SETUP refer to DSA, ANALOG and Trend on page 24-3 INITIAL SETUP MENU SYSTEM PARAMS DSA ANALOG RECALL SETUP TREND STORE SETUP refer to DSA, AN
EEG Directory of Keys - Processing Off SYSTEM PARAMETERS INITIAL SETUP MENU SYSTEM PARAMS DSA ANALOG RECALL SETUP TREND STORE SETUP refer to page 24-3 SYSTEM PARAMS MONTAGE FILTERS DISPLAY FORMAT SELECT LABEL The Select Label key is displayed only when more than one EEG module is in use. SELECT LABEL EEG1 EEG2 EEG3 EEG4 EEG - DISPLAY FORMAT (Dual Format OFF) DUAL FORMAT ON OFF DSA ANALOG TREND EEG - DISPLAY FORMAT (Dual Format ON) DSA & TREND DUAL FORMAT ON OFF FILTERS 0.
EEG Directory of Keys INITIAL SETUP MENU SYSTEM PARAMS DSA ANALOG RECALL SETUP TREND STORE SETUP EEG - SETUP DSA ANALOG (refer to TREND SETUP below) TREND ANALOG - SIZE = (+/-) 50 uV SIZE SWEEP SPEED SIZE 50 mm/sec 30 mm/sec 15 mm/sec CONTINUOUS IMPEDANCE This key appears only when Processing mode turned “ON” DSA SETUP SIZE TIME BASE FREQUENCY RANGE DSA TREND DSA - DSA TREND SEF PPF TREND OFF MPF DSA - FREQUENCY RANGE 10 Hz 15 Hz 20 Hz 30 Hz DSA - TIME BASE 5 Min 10 Min 20 Mi
EEG Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Setting Up the EEG Module. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Configuring the EEG Module . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Initial Setup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Storing a Setup . . . . . . . . . . . . . . .
Ultraview Care Network The EEG is commonly divided into four frequency bands. From lowest to highest, they are: Delta (less than 4 Hz), Theta (4 to 8 Hz), Alpha (8 to 13 Hz), and Beta (13 Hz and higher). Delta waves emanate from the central region of the brain, and occur most frequently if a patient is an infant or a sleeping adult. Theta waves, also from the central region, occur in children and lightly sleeping adults.
EEG Configuring the EEG Module There are several different ways to configure the EEG module. You can monitor EEG in either two or four channel mode. You may also elect to monitor EMG. The EEG module also allows you to choose several formats for the EEG display, from analog waveforms to trend displays. Since the EEG module can store up to six setups, you will want to determine which setups best suit your needs, and store them in the module.
Ultraview Care Network System Parameters To enter electrode lead placement: (processing must be off) 1 2 3 4 5 6 Touch EEG. Touch SETUP. Touch INITIAL SETUP. Touch SYSTEM PARAMS. Touch MONTAGE. Touch ERASE ARCHIVED EEG DATA (if data is stored in module). 7 Touch MONTAGE. 8 Select 2 or 4 channel. 9 Select desired channel. 10 Touch CLEAR CHANNEL. 11 Select desired electrode placement sites. 12 Repeat steps 9 through 11 until all channels are defined.
EEG DSA To set the size of DSA: 1 2 3 4 5 Touch EEG. Touch SETUP. Touch DSA. Touch SIZE. Adjust size. To set DSA time base: 1 2 3 4 5 Touch EEG. Touch SETUP. Touch DSA. Touch TIME BASE. Select time base. The DSA sub-menu offers the following choices: • Use the up and down arrows to size the DSA. When you touch SIZE (after processing has started), the display will show a histogram of the EEG data (Histogram Display on page 24-18).
Ultraview Care Network Trends To add or delete trend: 1 2 3 4 5 6 Touch EEG. Touch SETUP. Touch INITIAL SETUP. Touch TREND. Touch SELECT TRENDS Select or de-select trends. To select the trend band: 1 2 3 4 5 6 Touch EEG. Touch SETUP. Touch INITIAL SETUP. Touch TREND. Select band. Set frequency. Touch the TREND key in the INITIAL SETUP menu to access the Band Frequency sub-menu. This sub-menu allows you to set the frequency ranges for the five EEG frequency bands (DELTA, THETA, ALPHA, BETA1, BETA 2).
EEG FBR1, FBR2 The frequency band ratio trends are a trend plot of the ratio (in percent) of total power in one frequency band divided by the total power in a second frequency band. Frequency band ratio trend parameters (FBR1, FBR 2) require a frequency band for the numerator and denominator. The frequency range for each band is defined in the Initial Setup menu. SIZE Trend size should be set using the SIZE ↑ or SIZE ↓ keys so that the trend parameter lies close to the middle of the graph.
Ultraview Care Network Storing a Setup To store a setup: 1 2 3 4 5 6 Touch EEG. Touch SETUP. Touch INITIAL SETUP. Change desired parameters. Touch STORE SETUP Touch the setup key to which you want to store the current setup. Once you have set the EEG module’s parameters the way you want them, you may store the current settings to one of six setup keys. Access the Initial Setup menu by first touching the SETUP key from the Main menu, then touching INITIAL SETUP.
EEG 4. Touch the CLEAR CHANNEL key to erase both electrode names if you make an error when entering the electrode names. Re-enter the pair of electrode names after you clear them. 5. Touch each of the channel (CH1, CH2, CH3, CH4) keys in succession to complete the setup. EEG Displays Display Formats The EEG module can display several formats. The formats can be grouped into two types: dual display format, and single display format.
Ultraview Care Network Sweep Speed — This number represents the sweep speed of the displayed and recorded analog trace. The sweep speed can be set to 15, 30, or 50 mm/sec. All EEG channels use the same sweep speed. Amplitude Grid — This grid is drawn under the analog trace and divides the amplitude scale into four segments. A dashed line is drawn at the baseline or center of each display zone.
EEG To display DSA EEG with trend overlay: 1 2 3 4 5 6 7 8 9 Touch EEG. Touch DISPLAY FORMAT. Select DUAL FORMAT OFF. Touch DSA. Touch PREVIOUS MENU. Touch SETUP. Touch DSA. Touch DSA TREND. Select desired trend. Density Spectral Array (DSA) EEG Display With Trend Overlay Processed EEG is displayed as a Density Spectral Array (DSA) similar to the pattern shown in the four channel EEG below. The DSA pattern is shown with a SEF trend overlay.
Ultraview Care Network Left Hemisphere Electrode Labels — EEG channels are labeled with lead names selected in the Initial Setup Menu. Here, the left anterior EEG channel is labeled F3-C3, and the left posterior channel is labeled C3-P3. 쐅 Right Hemisphere Electrode Labels — In this setup, the label for the right anterior channel is F4-C4, and the right posterior channel is labeled C4-P4. 쐈 Frequency Axis Label — Frequency is displayed along the vertical, or Y axis.
EEG Trend Displays To display EEG trends: 1 2 3 4 5 Touch EEG. Touch DISPLAY FORMAT. Select DUAL FORMAT OFF. Touch TREND. Select desired trend. The EEG module can trend up to seven EEG parameters: • • • • • Two magnitude parameters (MAG 1 and MAG 2) Two frequency band ratio parameters (FBR 1 and FBR 2) Spectral edge frequency (SEF) Peak power frequency (PPF) Median power frequency (MPF) All trends should be selected before processing starts. Select the frequency band for each trend in the Setup menu.
Ultraview Care Network Histogram Display To change DSA size: 1 2 3 4 5 Touch EEG. Touch SETUP. Touch DSA. Touch SIZE. Set DSA size. The histogram display is used to set the appropriate scale or size for the DSA display. This helps to optimize the DSA display contrast. The histogram vectors should fill as much of the window as possible without saturating. The histogram display can also be used to see EEG power and frequency changes in each epoch.
EEG Dual Format Display To display DSA EEG with trend overlay and analog EEG: 1 2 3 4 5 6 7 8 9 Touch EEG. Touch DISPLAY FORMAT. Select DUAL FORMAT ON. Touch DSA & ANALOG. Touch EEG. Touch SETUP. Touch DSA. Touch DSA TREND. Select desired trend. You can display the EEG in two formats simultaneously. Enable dual format from the DISPLAY FORMAT menu. This allows the display of DSA and analog, DSA and trend, trend and analog, or two different trends.
Ultraview Care Network Archiving EEG Reviewing EEG Data The module continuously stores the last 2- to 24-hours of DSA and trend data. The number of hours it can store depends on the amount of memory installed. You can scroll back and forth in half screen increments using the left and right REVIEW keys. Data is not displayed until you remove your finger from the left and right arrow keys. If you keep your finger pressed on one of the arrow keys, you can rapidly scroll to the approximate place in the data.
EEG Marking Events To mark an event: 1 2 3 Touch EEG. Touch MARK EVENT. Touch YES An event can be identified on the DSA or Trend displays by placing an event label on the display at the point where the event occurs. Up to 52 event labels (a-z; A-Z) can be placed on the DSA and Trend displays. The event label is stored and displayed with the DSA and all Trend displays in all four channels. After touching the MARK EVENT key, touch the YES key to place an event label.
Ultraview Care Network Recalling DSA/Trend Snapshots To recall a DSA or trend snapshot: 1 2 3 4 5 6 Touch EEG. Touch ARCHIVE. Touch RECALL SNAPSHOT. Select desired snapshot. Touch Recall. Select DSA or trend parameter. Touch the RECALL SNAPSHOT key. Use the arrow keys to choose a snapshot. Touch the RECALL key, then touch DSA to display the density spectral array for the selected snapshot, or touch a trend key to display the trended EEG. ! • To print a stored snapshot: 1 2 3 4 5 6 7 8 Touch EEG.
EEG Patient Preparation To setup EEG or EMG monitoring: 1 2 3 4 5 Attach lead wires to EEG or EMG electrodes. Apply electrodes Attach electrode lead wires to patient cable. Insert module into module slot. Attach EEG patient cable to module. Patient Preparation Electrodes must be properly placed on the patient to obtain the optimum signal. Use small ECG silver/silver chloride electrodes, EEG cup electrodes (silver or gold), or their equivalent. Electrodes are available from Spacelabs Medical.
Ultraview Care Network • • Apply electrodes to the site by pressing around the outer edge of the electrode. DO NOT press on the center of the electrode since this may interfere with proper adhesion. The electrode, especially its center, must lie flat against the patient’s skin. Select CONTINUOUS IMPEDANCE and measure electrode impedances after all electrodes have been placed and lead wires and patient cable are connected.
EEG EEG Electrode Placement (Fp2) (Ground) Green Wire (Fp1) (CZ) Red Wire (4 Channel Only) Yellow Wires (EMG) (F8) Black Wire (F7) Red Wire (M1) Brown wire for 4 channel, Red for 2 channel (M2) (Right side has White wire for 4 Channel, Black for 2 channel) (EMG) Front View Left Side View Figure 24-8: Recommended electrode lead placement for the operating room Channel # Channel 1 4 Channel 2 Channel CZ-F7 (Red/Red) F7-M1 (Red/Red) Channel 2 CZ-F8 (Red/Black) F8-M2 (Black/Black) Channel 3
Ultraview Care Network RED + - CH 1 BLACK BROWN WHITE GREEN + + + + - CH 2 - CH 3 EEG - CH 4 - GND YELLOW + - CH 5 EMG Figure 24-9: EEG patient connector ! • Spacelabs Medical recommends the 10-20 International Electrode Placement System for charting electrode placement on a patient. Use this reference if you require additional information regarding electrode placement.
EEG Starting and Stopping Processing The EEG module can operate in either the processing on or off mode. To set up the module, you need to have processing turned off. Processing off is the default mode when you first insert the module into the module housing. ! • You can only access the Initial Setup menu when processing is off. The Initial Setup menu allows you to access other menus needed for defining the various configurations you may want to store.
Ultraview Care Network The displayed impedance value will flash to alert you if the values are out of range. ! • Continuous Impedance is automatically turned off when leaving the montage or analog setup menus. Filters To set the low cutoff, high cutoff or line frequency filters: 1 2 3 4 5 6 Touch EEG. Touch SETUP. Touch INITIAL SETUP. Touch SYSTEM PARAMS Touch FILTERS Select desired filter settings. You can set the low and high cutoff filters and line frequency filter in the system parameter menu.
EEG Figure 24-11: EEG remote display patient name/bed name ON Case #2 - Two display zones used at the local bedside (4 EEG channels, dual format on or 2 EEG channels, dual format off). The local bedside requires two display zones to display EEG data for all EEG channels. The remote bedside can only use one display zone for EEG data, so a special key, labeled NEXT VIEW, is displayed in the EEG menu. This key allows you to toggle between each EEG view.
Calculations Directory Directory of Keys - Remote Calcs NOTE: Requires Trend/Calcs enabled SPECIAL FUNCTIONS LOCAL TRENDS/CALCS REMOTE TRENDS/CALCS UCW/Ultraview 1700 Ultraview 1030/1050/1500/1600 REMOTE TRENDS/CALCS - Select bed BED 1 BED 2 BED 3 BED 4 BED 5 MORE See next page ! • Based on features purchased, more or fewer keys may appear here than on your menu screens.
Calculations Directory Directory of Keys - Clinical Calcs Refer to page 25-1 TRENDS/CALCS for BED xxx GRAPHIC TRENDS TABULAR TRENDS CALCS DRUG CALCS Refer to Trends chapter Refer to page 25-3 CLINICAL CALCS for BED X HEMO CALCS RESP CALCS OXY CALCS RENAL CALCS UPDATE DATA X CALCS - Select a menu key NEW ENTRY EDIT INPUTS EDIT DAY/TIME STORE ENTRY PAGE DELETE ENTRY SCROLL PvO2 mmHg SvO2 % PRINT EDIT INPUTS MENU - Select input to change FIO2 % PaO2 mmHg SpO2 % PaCO2 mmHg Hgb g/dl PB m
Calculations Directory Directory of Keys - Drug Dosage DRUG CALCS Refer to page 25-2 DRUGS A - F ADULT DRUG DOSAGE - Select a drug or menu key EDIT INPUTS MIX TITRATE (Neonate Only) TITRATION TABLE STORE ENTRY PRINT UPDATE DATA Displays Titrate Tables ADULT TITRATION TABLE - Select dose type VARY PAGE DOSE SCROLL TYPE RATE DOSE PRINT ADULT/NEONATAL DRUG DOSAGE - Select dose type DOSE/MIN mcg/min DOSE/HR mcg/hr DOSE/WT/MIN mcg/kg/min DOSE/WT/HR mcg/kg/hr EDIT INPUTS MENU - Select input to cha
Calculations Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Setting Up Physiologic Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Setting Up Drug Dosage Calculations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Accessing Calculation Data . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Updating Data Between Monitors . . . . . . . . . . . . .
Ultraview Care Network Setting Up Drug Dosage Calculations The Drug Dosage calculation feature enables you to edit the inputs and to store up to six drug records. Titration tables are displayed for each drug record entered. Drug dosage calculations operate similarly to physiologic calculations except that weight is handled differently, and that you must select an ADULT or NEONATE patient type. Refer to Entering Patient Type and Gender on page 3-9 for details on adult/neonate selection.
Calculations Figure 25-1: Physiologic calculations table The top line of the table shows the type of calculations performed, the bed name, and the patient name. A day/time key is displayed at the top of each data column. Each day/time key indicates the day, hour, and minute. The hours can be in either 12-hour or 24-hour format, depending on the system setup. When you use the 12-hour format, A or P are displayed to indicate either a.m. or p.m.
Ultraview Care Network Creating a New Entry To create a new entry: 1 2 3 4 5 6 7 8 Access Local or Remote Calcs. Touch NEW ENTRY. Touch EDIT INPUTS to input new data not available in the system. Select an input key. Use the on-screen keypad to input the value. Touch ENTER on the onscreen keypad. Touch PREVIOUS MENU. Touch STORE ENTRY to retain entry in Calcs table. Touch the NEW ENTRY key to create a new record for the current day and time and to add the record to the Calculations table.
Calculations Refer to Table 1 for adult and neonatal BSA, height and weight values for hemodynamics, oxygenation, and renal calculations. Table 1: BSA, Height, and Weight Calculations Label Name Units Default Value (1030, 1050, 1500, 1600 only) Adult Neonatal Valid Range BSA Body Surface Area m2 1.81 0.11 0.03 - 3.69 HT Height cm in 170 66.9 35 13.8 20 - 215 7.9 - 84.6 WT Weight kg lb 70.000 154.324 1.500 3.307 0.2 - 250.0 0.441- 551.
Ultraview Care Network Deleting an Entry To delete an entry: 1 2 3 4 Access Local or Remote Calcs. Highlight DAY/TIME of the entry to be deleted. Touch DELETE ENTRY. Touch YES. After selecting a DAY/TIME key, you may delete a record by touching the DELETE ENTRY key. A menu is displayed to confirm the deletion. A record previously stored in the database via the STORE ENTRY key will be deleted from the database, as well as from the table.
Calculations Hemodynamic Calculations require several specific pressure values, including CVP, MAP, and PCWP. CVP and MAP are monitored continuously; PCWP is an episodic value. A data substitution may occur if any of these pressure values are not available when you touch NEW ENTRY. When a substitution occurs, one of the error messages listed here displays on the message line. • Warning...RAP has been substituted for CVP.
Ultraview Care Network Table 4: Hemodynamic Equations (continued) PVR = 79.9 x [(MPA-PCWP)/CO] PVRI = 79.9 x [(MPA-PCWP)/CI] = 79.9 x [(MPA-PCWP)]/[CO/BSA] = 79.9 x [(MPA-PCWP)]/[CO x 1/BSA] = 79.9 x [(MPA-PCWP)/CO] x BSA = PVR x BSA LVSW = 0.0136 x SV x (MAP - PCWP) RVSW = 0.0136 x SV x (MPA - CVP) LVSWI = LVSW / BSA RVSWI = RVSW / BSA Assumes pressures are measured in mmHg Respiration Calculations To view current respiration calcs: 1 2 Touch CALCS. Touch RESP CALCS.
Calculations Table 6: Respiration Output Label Name Units VMIN Minute Volume l/min Cst Static Compliance ml/cmH2O Cdyn Dynamic Compliance ml/cmH2O VD Dead Space Volume ml VD/VT Dead Space to Tidal Volume Ratio Ratio VA Alveolar Ventilation ml/min Table 7: Respiration Equations VMIN = VT x RR/1000 Cst = VT/(PLT-PEEP) Cdyn = VT/(PIP-PEEP) VD VD/VT VA = (PaCO2 - PECO2) x (VT/PaCO2) = VD/VT = (VT - VD) x RR Oxygenation Calculations To view current oxygenation calcs: 1 2 Touch CALC
Ultraview Care Network Calculating O2AV, O2AVI, VO2, and VO2I requires a CO value to complete the calculations. The most recent CO value (less than 15-minutes old) is used for these calculations if it is available.
Calculations Renal Calculations To view current renal calcs: 1 2 Touch CALCS. Touch RENAL CALCS. Renal calculations provide data related to kidney function. Input for Renal calculations, other than a previously entered BSA, must be manually entered. The system automatically computes BSA when you enter a height and weight into this menu.
Ultraview Care Network Table 13: Renal Equations URNaEX URKEX Na/K COSM CH2O U/POSM = URNa x URINE/1000 = URK x URINE/1000 = URNa/URK = (UROSM/PLOSM) x URINE = URINE - COSM = UROSM/PLOSM FENa = (URNa/SerNa) x (CR/UCR) x 100 CRCL = (UCR/CR) x (URINE/1440) x 1.
Calculations Display Detail Drug Dosage Calculations Figure 25-2: Adult drug calcs (drug keys A - F) 25-17
Ultraview Care Network Figure 25-3: Neonatal drug calcs (drug keys A - F) Select the DRUG A - F keys as you selected the DAY/TIME keys in other calculations tables. When you begin drug dosage calculations, the patient’s currently stored weight (automatically converted to kilograms) appears in the table. Thereafter, selecting a drug key allows you to edit the data in the column below it. The DRUG A - F keys do not display actual drug names.
Calculations Entering Drug Dosage Values To access local or remote calcs and drug calcs: 1 Touch SPECIAL FUNCTIONS. 2a Select LOCAL or REMOTE TRENDS/CALCS. 2b If you selected REMOTE TRENDS/CALCS, select a bed. 3 Touch DRUG CALCS. 4 Select DRUG A, B, C, D, E, or F. To enter a drug dose value: 1 2 3 4 5 Access Local or Remote Drug Calcs. Touch EDIT INPUTS. Select the desired key. Use on-screen keypad to change value. Touch ENTER on the on-screen keypad.
Ultraview Care Network Changing Units of Measure To change drug units: 1 2 3 4 Access Local or Remote Drug Calcs. Touch EDIT INPUTS. Touch UNITS. Select units to change. Units of measurement are displayed on the table to the right of the data values. Changing the selected units for AMOUNT may also change the displayed units for CONC. Changing the selected units for DOSE may also change the displayed units for DOSE/WT and TOTAL DOSE.
Calculations Displaying Titration Tables To display titration tables: 1 2 Access Local or Remote Drug Calcs. Touch TITRATION TABLE. To vary based on rate/dose: 1 2 3 Access Local or Remote Drug Calcs. Touch TITRATION TABLE. Touch VARY RATE/DOSE. The VARY RATE/DOSE toggle key and DOSE TYPE keys are displayed when you touch TITRATION TABLE. VARY RATE varies the rate (holding the concentration constant) and calculates (titrates) the corresponding dose using the selected dose unit type.
Ultraview Care Network CAUTION: • If any value in the Drug Calculation table is over its designated range, ++++.++ will be displayed for values of AMOUNT, CONC or DOSE, or RATE and the Titration Table becomes inaccessible. Adjusting the Table Range Use the SCROLL and PAGE keys in the Titration Table menu to select the range of data displayed in the titration table. The default range is 1-100. Printing To print calcs data: 1 2 Access Local or Remote Drug Calcs. Touch PRINT.
Calculations Table 16: Drug Dosage Recalculations Edit Constants Holds VOLUME constant Results Calculates CONC Holds DOSE (dose/min) constant Calculates FLOW RATE (ADULT only) AMOUNT VOLUME CONC WEIGHT Holds DUR constant Calculates TOTAL VOL (ADULT only) Holds DOSE constant Calculates FLOW RATE Holds DUR constant Calculates TOTAL DOSE (NEONATAL only) Holds AMOUNT constant Calculates CONC Holds DOSE/MIN constant Calculates FLOW RATE (ADULT only) Holds DUR constant Calculates TOTAL VOL (ADU
Ultraview Care Network Configurable Drug Names (UCW and Ultraview 1700 Only) Using the Drug Name List To use the list of drug names: 1. Touch the DRUG key in the Drug Calcs Edit Inputs menu. Figure 25-5: Edit Inputs menu 2. The DRUG NAME LIST menu appears, enabling you to choose from the master drug list. Select the appropriate drug name and then touch ACCEPT. The drug name and stored default values are transferred into the currently selected drug (A through F).
Table 19: Oxygenation Calculations Table 17: Hemodynamic Calculations Variable Calculation Normal Range* Cardiac Index (CI) CO BSA 2.5 - 4.0 liters/min/m2 Stroke Volume (SV) CO x 1000 HR 60 - 130 ml/beat Stroke Volume Index (SVI) SV BSA 30 - 65 ml/beat/m2 Systemic Vascular Resistance (SVR) MAP - CVP x 79.9 CO 900 - 1400 dynes x sec/cm5 Systemic Vascular Resistance Index (SVRI) MAP - CVP x 79.
Trends Directory Directory of Keys NOTE: Requires Trend/Calcs enabled SPECIAL FUNCTIONS LOCAL TRENDS/CALCS REMOTE TRENDS/CALCS UCW/Ultraview 1700 Ultraview 1030/1050/1500/1600 REMOTE TRENDS/CALCS - Select bed BED 1 BED 2 BED 3 BED 4 BED 5 MORE See next page ! • Based on features purchased, more or fewer keys may appear here than on your menu screens.
Trends Directory Directory of Keys Refer to page 26-1 TRENDS/CALCS for BED xxx GRAPHIC TRENDS TABULAR TRENDS CALCS DRUG CALCS Refer to Calculations chapter TABULAR TRENDS TIME INTERVAL PAGE SCROLL PRINT GRAPHIC TRENDS CHANGE TIME INTERVAL 1 MIN 5 MIN 10 MIN 15 MIN 30 MIN 1 HR 1.
Trends Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Display Detail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Printing the Trend Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Graphic Trends Features. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Tabular Trends Features . . . . . . . . . . . .
Ultraview Care Network Display Detail Graphic Trend Display Bed: S114 Patient: Smith, A.
Trends The messages “No trends available for this bed” or “Trend data not available” appear when trend data has yet to be accumulated for the selected bed. Tabular Trends Display You can view a tabular trend of continuous patient data and episodic patient data acquired within the last 24-hours by touching the TABULAR TRENDS key.
Ultraview Care Network Graphic Trends Features Selecting Trend Parameters To select a parameter for the top or bottom graph: 1 2 Select TOP GRAPH or BOTTOM GRAPH. Select desired parameter. The first time you display a patient’s graphic trend, the highest priority parameter is displayed on the bottom trend graph and the next highest priority parameter is displayed on the top graph. You can view other trends by selecting them from the Trend Parameter menu.
Trends Expanding the Trend Display To expand the trend display: 1 2 Touch either CURSOR key to move the cursor to the desired location. Select EXPAND ON. You may expand the trend display to include only an hour’s worth of information. With EXPAND ON, the TIME BASE key does not operate and updating of the trend graph is suspended on the graph as it is currently displayed. When EXPAND is OFF, the trend graph returns to its original display.
Trends Troubleshooting Guide Clinical Situation Current patient data not being added to trends Possible Cause ■ ■ ■ PCWP trend not available Incorrect unit of measure displayed CALCS data not trending NO TRENDS AVAILABLE FOR THIS BED message is displayed Numerous entries with ??? instead of vital signs ■ ■ ■ ■ ■ ■ If alarms are suspended data may not be trended at the bedside monitor. EXPAND key ON (trend data will not be lost). Cursor not in home position (trend data will not be lost).
Remote Keypad Directory of Keys - UCW and Ultraview 1700 MONITOR SETUP TONES ADMIT/ DISCHARGE MONITOR CONFIG. RECORDER CONFIG.
Remote Keypad Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Setting Up the Remote Keypad . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Selecting a Parameter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Operating Menu Keys . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Recording a Waveform . . . . . . .
Ultraview Care Network HELP MONITOR SETUP SPECIAL FUNCTIONS Press to move cursor up, down, right, or left within an application TONE RESET ALM SUSPEND Press to enlarge keys for ease of viewing at a distance ZOOM Press to change focus among multiple applications, or to place cursor on first menu key (or icon) MENU Press as necessary to enter a numeric value or to position cursor Press to delete a previous entry ENTER RECORD WAVEFORM PREVIOUS MENU 7 8 9 4 5 6 1 2 3 DEL 0 .
Remote Keypad Selecting a Parameter To select a parameter: 1 Point the remote keypad at the monitor’s receiver. 2 Press WAVEFORM for parameter number 1. 3a Press up or down arrow keys to desired parameter. -OR3b Press the number of the desired parameter. 4 Press ENTER. The parameter (waveform) keys display vertically near the right side of the screen, with parameter number one at the top (except on a split screen central display).
Ultraview Care Network Programming Access Codes To select the unsecured mode: 1 2 3 4 5 6 Touch MONITOR SETUP. Touch PRIVILEGED ACCESS. Enter Clinical password. Touch MORE. Touch REMOTE KEYPAD STATION ADDRESS. Select SECURED MODE OFF. To verify a remote keypad’s current access code: 1 2 3 Point the remote keypad at the monitor’s receiver. Touch ACCESS CODE. Touch ENTER. To set a remote keypad’s access code: 1 2 3 4 5 Point the remote keypad at the monitor’s receiver. Touch ACCESS CODE.
Remote Keypad Troubleshooting Guide Clinical Situation Monitor accepts commands from any keypad During programming, another receiver was inadvertently changed Monitor does not respond Possible Cause ■ ■ ■ ■ Monitor operating in an unsecured mode. Remote keypad placed too close to another monitor’s receiver. Monitor may not support remote keypad. Depleted battery in remote keypad. Solution ■ ■ ■ ■ Select an access code and program both the monitor/receiver and the keypad to that code.
Remote Display Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Setting Up the Secondary Display . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Copying Stored Values of the Primary Monitor . . . . . . . . . . . . . . . . . . . . . . . . . . Restoring a Stored Value. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Copying Primary Attributes to the Secondary . . . . . . .
Ultraview Care Network parameters and the ALL key displays all possible parameters. Each parameter is assigned a display priority, with the highest priority appearing at the top of the screen. Blank parameter keys allow you to force a space above, between, or below other parameters. Blanks can be inserted into any priority template by selecting the blank and putting it into the desired location.
Remote Display Resetting Default Values To set factory default values of secondary display: 1 2 3 4 5 Touch MONITOR SETUP. Touch SECONDARY CONFIG. Touch PARAMETER CONFIG. Touch FACTORY DEFAULTS. Touch STORE. Touching FACTORY DEFAULTS resets the secondary display to its factory values. Touch STORE to make these changes permanent.
Ultraview Care Network Adjusting Scaled Display To adjust the scaled display: 1 2 3 4 5 6 7 28-4 Touch MONITOR SETUP. Touch PRIVILEGED ACCESS. Enter Clinical password. Touch SCALED DISPLAY. Touch PRIMARY/ SECONDARY key to choose display to change. Select MINOR GRATICULE ON. Use arrow keys to adjust. The display of parameters in scales for the secondary display is independent of the primary monitor.
Patient Data Logger Directory Directory of Keys - Bedside only PRIVILEGED ACCESS Enter BIOMED password BIOMED LEVEL - Select Parameter SERIAL PORTS Select serial port to assign owner to 1 2 BIOMED LEVEL - Serial Port Configuration SETTINGS ASSIGNMENT Restart monitor after selecting owner for serial port DATA LOGGER DIAGNOSTICS BIOMED LEVEL - Serial Port Settings: Changes committed on exit DATA BITS 8 PARITY NONE STOP BITS 1 ECHO NONE CR/LF NONE XON/XOFF DISABLE BAUD RATE 9600 To access Patie
Patient Data Logger Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Display Detail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Data Printouts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Patient Data Logger Troubleshooting Guide . . . . . . . . . . . . . . . . . . . . . . . . . . .
Ultraview Care Network To set up Patient Data Logger (the user must have System Administrator access): 1 2 3 4 5 6 7 Touch MONITOR SETUP. Touch PRIVILEGED ACCESS. Enter biomed password. Touch SERIAL PORTS and select a port. Touch ASSIGNMENT. Touch DATALOGGER. Touch PREVIOUS MENU. To set serial settings: 8 9 Touch SETTINGS. Touch the desired setting key(s) to display desired settings. 10 Touch NORMAL SCREEN to effect changes.
Patient Data Logger Display Detail The Patient Data Logger report is automatically sent to an external device, such as a printer or terminal, once the serial port is assigned and toggled ON. The data fields that appear on this report (ECG, RESP, ART, SpO2, and EtCO2) will vary depending on the parameter modules installed on the system.
Ultraview Care Network Data Printouts Each line of the data printout may contain up to 132 characters and is terminated with line feed and carriage return characters. ! • If you are monitoring a large number of parameters and have an 80-column printer, the data from one reading may require more than one line. If your printer has a wrap-around feature, this will be handled automatically.
Patient Data Logger Troubleshooting Guide Clinical Situation Data is displayed with improper spacing or double spacing No data is displayed or printed on the external device Possible Causes ■ ■ The PDL interface sends a carriage return/line feed sequence at each end-of-line. The external device may not be set up properly. There is a power problem or the cables are faulty. The device may not be set up properly. Solution ■ ■ ■ ■ Data is lost or garbled ■ The cable is faulty.
DNA Directory Directory of Keys - UCW and Ultraview 1700 MONITOR SETUP ADMIT/ DISCHARGE TONES MONITOR CONFIG RECORDER CONFIG PRIVILEGED ACCESS Enter BIOMED password BIOMED LEVEL: Select Parameter NETWORK SETUP TELEMETRY CONFIGURATION RECORDER SETUP SERIAL PORTS MONITOR CALIBRATION MORE BIOMED LEVEL: Select Parameter CHANGE BIOMED PASSWORD CLINICAL MENU TONE CONFIGURATION DNA CONFIGURATION SECONDARY DISPLAY ENABLE DISABLE MORE SPECIAL FUNCTIONS REMOTE VIEW ALARM WATCH Refer to System Intro
DNA Contents Overview . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Overview To set up DNA (must have System Administrator menu access): 1 2 3 4 5 6 7 8 Touch MONITOR SETUP. Touch PRIVILEGED ACCESS. Enter biomed password. Touch MORE. Touch DNA CONFIGURATION. Enter desired configuration using the keyboard. Touch OK. Touch RESET MONITOR. The Dynamic Network Access (DNA) feature allows you to view and control a remote application.
Ultraview Care Network Product Specifications Contents System Safety Specifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Equipment Classification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Equipment Maintenance Requirements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ultraview Care Network Module Compatibility. . . . . . . . . . . . . . . . . . . . . . . . . .
Ultraview Care Network Input leakage current for all patient input channels is less than 10 µA making ECG units suitable for direct cardiac application. The maximum non-destructive voltage that can be applied to any input or output connector on the monitors, modules or printers is +5 V. All signal inputs or outputs are for exclusive connection to equipment specified by Spacelabs Medical. Disposal of these devices and all accessories must be in accordance with local and federal laws.
Ultraview Care Network Product Specifications Equipment Classification All of the products listed below are classified as “Class 1- ordinary equipment (not protected against harmful ingress of liquids or flammable anesthetic mixtures), continuous operation.” In addition, the 90367, 90369, and 94000 are internally powered.
Ultraview Care Network Equipment Maintenance Requirements Corrective or maintenance procedures must be performed by qualified personnel. Periodic maintenance procedures are required every 12 months to verify that: • • • the equipment is physically sound. resistance between the chassis ground connector on the rear panel and the protective ground of the mains input is not greater than 0.1 ohm. isolation resistance between ground and mains is greater than 2 meg-ohm.
Cleaning and Sterilization Contents Monitors . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Accessories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TRU-CUFF Noninvasive Blood Pressure Cuffs . . . . . . . . . . . . . . . . . . . . . . . . . Cables and Lead Wires . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Pulse Oximetry Sensors . . . . . . . . .
Ultraview Care Network TRU-CUFF Noninvasive Blood Pressure Cuffs TRU-CUFF® Disposable Cuff The disposable cuff wrap is designed for single patient use. It is packaged nonsterile and cannot be soaked, rinsed or sterilized. TRU-CUFF Reusable Cuff The reusable cuff is packaged non-sterile. It may be cleaned and disinfected with an enzymatic detergent and 10% solution of household bleach (5.25% sodium hypochlorite).
Cleaning and Sterilization Cables and Lead Wires Cleaning TRU-LINK® cables and lead wires may be cleaned with the following agents: • • • • • Mild soap and water solution U.S. Pharmacopeia (USP) green soap Sodium hypochlorite solution (1:10 dilution of household bleach in water) Phenolic germicidal detergent solutions (1% aqueous solutions) Isopropyl alcohol solution (70%) To clean product: 1. Prepare cleaning agent according to manufacturer’s instructions. 2.
Ultraview Care Network Pulse Oximetry Sensors For cleaning information see the manufacturer’s instructions enclosed with each sensor. Capnography Sensors The capnography sensor and cable should be cleaned routinely, especially between patient uses. Before cleaning, make sure the sensor is disconnected from the module and/or monitor. Sensors and cable assemblies may be wiped using a cloth or swab dampened in alcohol or 10% bleach solutions.
Cleaning and Sterilization 90518 Multigas Analyzer WARNING: • Always turn the unit off and unplug the power cord before cleaning to protect against electrical shock. Exterior The exterior of the 90518 should be cleaned and disinfected as necessary. Use a clean cloth or swab dampened in a solution of warm water and mild detergent. Squeeze the cloth out thoroughly before use. Disinfect the unit with Hemosol or similar disinfectant. CAUTION: • Do not allow liquid to enter the interior of the 90518.
Ultraview Care Network Batteries The analyzer contains two lead-acid batteries used to provide short-term operation during a power failure. The analyzer retains the operating configuration for up to 5-minutes during an AC power interruption. The batteries should be replaced every year. ! 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.
Diagnostic Messages Message MONITOR SUPPORTS xx PARAMETERS. ADDITIONAL PARAMETERS MAY OVERLOAD IT Cause/Action Data for more than xx parameters is being input to the monitor. System performance may decline. Unplug modules to improve performance. UNABLE TO SUPPORT A NEW MODULE AT THIS There is not enough system memory to support a new module. TIME Unplug modules to free memory. UNABLE TO SUPPORT A NEW CHANNEL AT THIS TIME There is not enough system memory available to support a new channel.
Ultraview Care Network Message Cause/Action REMOTE BED SELECT FEATURE IS IN USE BY ANOTHER APPLICATION The Remote Bed Select window is in use by another application. Only one application may use this window at one time. Touch the application which is using the Remote Bed Select feature and touch PREVOUS MENU or NORMAL SCREEN to abort the selection. The window will now be available for use. UNABLE TO RECORD THE REQUESTED ALARM CHANNEL(S) Unable to perform the requested operation.
Symbols The following list of international and safety symbols describes all symbols used on Spacelabs Medical products. No one product contains every symbol.
Ultraview Care Network Symbol Description Symbol ON — Part of the Instrument Only OFF — Part of the Instrument Only Partial ON/OFF STAND-BY Key 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. Please follow your internal procedures and or local (provincial) laws regarding disposal or recycling. Caution - hazardous voltages.
Symbols Symbol ! 1 2 3 Description Symbol ENTER Key PRINT REPORT Key Attention - Consult Operations or Service Manual for Description Risk of Explosion if Used in the Presence of Flammable Anesthetics Indicator — Remote control Indicator — Local Control Return Unit to Monitor Mode Indicator — Out of Paper Activate Recorder for Graphics Recorder Paper Indoor Use Only Auto Mode (NIBP) Output No Output (Terminated) ? Data Input/Output HELP (Explain Prior Screen) Key Clock/Time Setting Ke
Ultraview Care Network Symbol Description Symbol Arterial Pulse IEC 601-1 Type BF equipment. The unit displaying this symbol contains an Ftype isolated (floating) patient-applied part providing an adequate degree of protection against electric shock. IEC 601-1 Type BF equipment which is defibrillator-proof. The unit displaying this symbol contains an F-type isolated (floating) patient-applied part which contains an adequate degree of protection against electric shock, and is defibrillator-proof.
Symbols Symbol Description Symbol Description Open Padlock Closed Padlock Down Arrow Up Arrow Event TEMP temp Temperature 12,200 m 1 Antenna Environmental Shipping/Storage Altitude Limitations Network Connection Audio Output, Speaker Remote Alarm; Nurse Alert Nurse Call Serial Port 1 External marker push button connection Microphone 2 SDLC Serial Port 2 SDLC Port Mermaid Connector 34-5
Ultraview Care Network Symbol ! 34-6 Description Symbol Description Note Video Output Warning About Potential Danger to Human Beings Caution About Potential Danger to Equipment Non-Invasive Blood Pressure (NIBP), Neonate Fetal Monitor Connection (Analog) Fetal Monitor Connection RS232 (Digital) Physiological Monitor Connection RS232 (Digital) Input Reset Hard Drive Power Indicator LED Activate Telemetry Recorder Omnidirectional Microphone Battery Status Universal Serial Bus Stand-by
Symbols Symbol ! Description Symbol Description Operates on Non-Harmonized Radio Frequencies in Europe Service Message Happy Face Sad Face Reset Power Indicator LED Magnifying Glass Compression File Cabinet List of Rooms Arrows Printer 34-7
Ultraview Care Network Abbreviations used as symbols are shown below. Symbol Symbol Description 1 - 32 Access Codes 1 Through 32 ANT 1 ANT 2 Diversity Antenna System 1 Diversity Antenna System 2 Arr1 ArrNet2 Arrhythmia Net 1 Arrhythmia Net 2 EEG, EMG, or ECG Channel EEG Channels - CH1, CH2, CH3, CH4 EMG Channel - CH5 cmH2O Centimeters of Water CH ch AIR Air CMV Controlled Mechanical Ventilation C.O.
Symbols Symbol Description Symbol Description Peak Inspiratory Pressure RESP resp Respiration SDLC Synchronous Data Link Control SPO2 SpO2 SpO2 SaO2 Arterial Oxygen Saturation as Measured by Pulse Oximetry SVO2 SvO2 SvO2 Mixed Venous Oxygen Saturation SYS sys Systolic Temperature 1 Temperature 2 Temperature 3 Temperature 4 UA Uterine Activity or Umbilical Artery Ppeak T1 T2 T3 T4 VAC Vacuum connection BirthNet, Clinical Browser, CVScan, Data Shuttle, Express Charting, FT1000, FT3000A,
