® AVOXimeter 1000E Whole Blood Oximeter Operator’s Manual
Manufacturing Company Location International Technidyne Corp 8 Olsen Avenue, Edison, New Jersey USA Phone: 1-732-548-5700 Fax: 1-732-248-1928 web site: www.itcmed.com Copyright and Trademarks Copyright© 2007 International Technidyne Corporation (ITC). All rights reserved. This material may not be reproduced or copied, in whole or in part, without the written permission of ITC. ITC and AVOXimeter are registered trademarks of International Technidyne Corporation in the United States and other jurisdictions.
Table of Contents 1 INTRODUCTION .......................................................................................................1 Intended Use of the ITC AVOXimeter 1000E ............................................................ 1 Summary and Explanation of the Test ....................................................................... 1 Hemodynamic Calculations ........................................................................... 2 Saturation Step-Ups ....................................
OPERATION ........................................................................................................... 27 Startup .....................................................................................................................27 Entering a User ID (Optional) ...................................................................................27 Entering a Patient ID (Optional)................................................................................
6 QUALITY CONTROL LOGS ...................................................................................65 7 WARRANTY ............................................................................................................68 Certification, Warranty and Service Warranty, and Service ..................................... 68 8 SAFETY STANDARDS ...........................................................................................
Important Labels and Symbols Before using the ITC AVOXimeter 1000E, it is essential that the contents of this Operator’s Manual, any labels on the instrument or its packaging, and instructions accompanying ITC AVOXimeter 1000E cuvettes are read and understood by the operator.
ITC AVOXimeter 1000E Operator’s Manual 1 Introduction Intended Use of the ITC AVOXimeter 1000E The ITC AVOXimeter 1000E is a battery-operated bedside whole blood oximeter that performs individual point-of-care measurements of oxyhemoglobin saturation (%Hb02) and total hemoglobin concentration [THb] on freshly-drawn or heparin or EDTA anticoagulated whole blood samples. Oxygen content [02] of the blood sample is automatically calculated from the %Hb02 and THb measurements.
ITC AVOXimeter 1000E Operator’s Manual The ITC AVOXimeter 1000E measures oxygenated hemoglobin [HbO2], deoxyhemoglobin [HHb], methemoglobin [MetHb], and carboxyhemoglobin [COHb] directly, using novel optics and multiple wavelengths. This reduces interference from dyshemoglobins and other interfering substances such as fetal hemoglobin and bilirubin and minimizes the effects of hemolysis.
ITC AVOXimeter 1000E Operator’s Manual Note: Oxygen uptake rate can either be measured from expired gases, or it can be estimated from the patient’s age, height, weight, and sex (see below). Body Surface Area m2 = 0.007185 (Weight kg)0.425 (Height cm)0.725 Oxygen Uptakemales ml/min = 157.3 BSA + 10– (10.5 * age + 4.8) Oxygen Uptakefemales ml/min = 157.3 x BSA – (10.5 * age + 4.
ITC AVOXimeter 1000E Operator’s Manual ● ● ● Pulmonary vein and left atrium Left atrium and left ventricle Left ventricle and aorta When calculating saturation step-ups, the ITC AVOXimeter 1000E searches the database for all results for each main oximetry site for that patient (sub-sites are ignored), averages the results for each site, and then calculates the saturation step-ups from the average result for each main site. This information can then be printed from the ITC AVOXimeter 1000E.
ITC AVOXimeter 1000E Operator’s Manual Operating Precautions and Warnings ● For in vitro Diagnostic use. ● Do not allow blood, water, or other liquids to enter the instrument. ● The ITC AVOXimeter 1000E instrument is designed for use only with ITC AVOXimeter 1000E cuvettes. ● Do not re-use test cuvettes. ● Always keep cuvettes in sealed bag with desiccant. ● When filling cuvette, do not use excessive pressure on the syringe or cause the vent patch to bulge outward by overfilling the cuvette.
ITC AVOXimeter 1000E Operator’s Manual 2 Description The ITC AVOXimeter 1000E is a Point of Care device for use at the bedside. It contains a test chamber which performs all operations to measure the oxyhemoglobin saturation (%Hb02), total hemoglobin (THb), and oxygen content (O2) of a whole blood sample after the operator inserts a test cuvette containing the sample into the test chamber. Each ITC AVOXimeter 1000E is calibrated at the factory.
ITC AVOXimeter 1000E Operator’s Manual Test Chamber Number Keys (Blue) Action Keys (White) Enter/On Key (Red) Display Panel Menu Keys (White) Figure 2. Front Panel Keypad The routine analysis of blood samples does not require the use of menus or the numeric keypad. However, these enable the user to take advantage of many useful features. The purpose of each key is summarized below: Key Purpose Switch the instrument on. Select a command.
ITC AVOXimeter 1000E Operator’s Manual Menus The principal menus, their commands, and the procedure to access each menu are summarized below: Note: Press the Menu Main Menu Commands Access key when a test is not Press the running or another menu is not active. Calibration Submenu Press followed by main menu is displayed. while the Printer Mode Submenu Press followed by main menu is displayed. while the Stored Data Submenu Press followed by main menu is displayed.
ITC AVOXimeter 1000E Operator’s Manual Test Cuvettes Tests are performed with single-use disposable test cuvettes (Figure 3). Each test cuvette contains a finger grip, filling port, optical window, and a vent patch. Filling Port Finger Grip Optical Window Light Path Vent Patch Figure 3.
ITC AVOXimeter 1000E Operator’s Manual Connections Connections to the AC Adapter and an optional printer (or a computer) are made at the rear of the instrument (Figure 4). Use only the AC Adapter provided with the instrument. Serial No. Label AC Adapter Printer or Computer Figure 4. Power and Printer Connections Automatic Standby and Shutdown The ITC AVOXimeter 1000E enters a low-power standby mode after the instrument has been idle for a specified period of time (the standby delay).
ITC AVOXimeter 1000E Operator’s Manual Instrument Specifications Size Weight Operating Temperature Battery Type Operating Time On Battery Anticipated Battery Life Power Supply/Chargers Serial Data Port Sample Type Sample Volume Analysis Time Analysis Wavelengths 20.3 cm (8.0 in) x 25.4 cm (10.0 in) x 9.5 cm (3.8 in) 1.8 kg (4 lbs) Room temperature (15°C to 30°C, 59°F to 86°F) Nickel Cadmium (NiCad) Approximately 8 hours (constant run at medium brightness).
ITC AVOXimeter 1000E Operator’s Manual Calibration The ITC AVOXimeter 1000E is factory-calibrated and employs highly stable state-of-the-art light sources. Factory tests indicate that, when used in accordance with this Operator’s Manual and other instructions, the ITC AVOXimeter 1000E is capable of maintaining its calibration for at least two years. Should recalibration be required contact an ITC technical support representative for assistance (see page 39).
ITC AVOXimeter 1000E Operator’s Manual 3 Getting Started Unpacking and Inspection Note: Inspect each component for damage when unpacking. If damage is observed, contact your shipping representative immediately. 1. Remove any protective packaging that may be present around the instrument. 2. Examine the packaging material to be sure that the AC adapter, connecting cables, or other components have been removed. The materials that are provided are listed below.
ITC AVOXimeter 1000E Operator’s Manual Optional Materials Item Quantity Dymo Printer • 110 V (Part No. SE300-110) • 220 V (Part No. SE300-220) • UK V (Part No. SE300-UK) 1 Printer Paper (Part No. 30270) As Needed Charging the Batteries Charge the batteries before the system is used for the first time. 1. Plug the AC adapter into an electrical service outlet. 2. Connect the AC adapter cord to the power connector on the rear of the instrument. 3.
ITC AVOXimeter 1000E Operator’s Manual 3. Press 4. Press to display the time, date, and battery menu again. to return to the previous menu, if desired. Setting Up the Instrument The user can specify the display brightness, specify the units that are used for reporting total hemoglobin (THb), change the date and time, and specify the length of time that the instrument is idle before it enters the standby mode.
ITC AVOXimeter 1000E Operator’s Manual Changing the Date and Time Changing the Time: Important: The User ID for the “QA User” must be entered in order to change the time. See page 21 for details. 1. Display the “Time, Date, and Battery” menu (a submenu of 2. Press followed by to display the current time: 3. Press followed by to change the time: 4. Use the number keys to enter the new time, then press displayed. Note: , see page 8). . The new time is The time is displayed in 24-hour format.
ITC AVOXimeter 1000E Operator’s Manual followed by to change the date: 3. Press 4. Use the number keys to enter the new date, then press displayed. 5. Press followed by displayed. 6. Press . The new date is . The “Time, Date, and Battery” menu is again to return to the previous menu, if desired. Setting the Standby Delay The instrument enters a low-power Standby mode after being inactive for a specified length of time (the Standby Delay).
ITC AVOXimeter 1000E Operator’s Manual Specifying Mandatory Entry of User ID and/or Patient ID A User ID and/or Patient ID can be entered for any test. The User ID and/or Patient ID will be included in the results record for tests that are run. The instrument can be configured so that a valid numeric User ID must be entered before a test result will be displayed. If this option is enabled, the user is prompted to enter (or verify, if it was previously entered) the User ID after the test has started.
ITC AVOXimeter 1000E Operator’s Manual 4. Press Note: to return to the previous menu, if desired. The current User ID and/or Patient ID must be re-entered if the instrument is idle for longer than 15 minutes or is turned off. Adding a User ID: 1. Display the “User and Patient ID” menu (a submenu of see page 8). 2. Press Note: followed by , “Data Management,” to display the current User ID setting: User ID: must be ON to proceed. 3. Press followed by to display the “User ID” menu: 4.
ITC AVOXimeter 1000E Operator’s Manual 3. Press followed by to display the “User ID” menu: 4. Press followed by to display the first User ID in the list: 5. or Press user, press 6. Press followed by 7. Press to return to the previous menu, if desired. to scroll through the list of users. To delete a user, display that followed by , and respond to the confirmation prompt. to display the “User ID” menu. Printing a List of Users: 1. Prepare the printer (see page 30). 2.
ITC AVOXimeter 1000E Operator’s Manual Changing the QA User ID The default QA User ID is 123456. The default QA User ID can be changed so that only a user with access to the new QA user ID can change the time and date or change User ID and Patient requirements. Important: The User ID for the “QA User” must be entered in order to change the QA User ID. If the QA User ID is changed, be sure to record the new QA User ID. If the QA User ID is lost, contact ITC Technical Support for assistance (see page ii).
ITC AVOXimeter 1000E Operator’s Manual Requiring Entry of a Patient ID The instrument can be configured so that a Patient ID must be entered before a test can be run. Important: , “Data Management,” 1. Display the “User and Patient ID” menu (a submenu of see page 8). 2. Press 3. followed by . A screen is displayed for specifying the minimum Press and maximum number of digits: 4.
ITC AVOXimeter 1000E Operator’s Manual Specifying Oximetry Site Prompts The results from each test can be tagged with the anatomical site from which the blood sample was drawn.
ITC AVOXimeter 1000E Operator’s Manual Specifying Use of Oximetry Sites If use of oximetry sites is enabled, the instrument prompts the user to specify whether an oximetry site code and subsite code are to be entered whenever a specimen is run. is selected, the operator must then enter the numerical code for the main oximetry site If from a list displayed on the screen. If is selected, the result will display in the usual manner.
ITC AVOXimeter 1000E Operator’s Manual Entering a Different Value for Hüfner’s Number Hüfner’s number (the volume of oxygen that can be carried by one gram of hemoglobin) is used to calculate the oxygen content of a sample (see page 1). Although Hüfner’s number is generally assumed to be 1.39 mL/g of Hb, facilities may use a different value and may wish to set the ITC AVOXimeter 1000E to match other instruments in the facility. , see page 8). 1. Display the “Calibration” menu (a submenu of 2.
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ITC AVOXimeter 1000E Operator’s Manual 4 Operation Startup 1. Press . The instrument starts and performs a series of self-tests. 2. “READY” and “Insert Cuvette” are displayed when a test can be run: 3. Run the quality control test(s) for the day (see page 31). Entering a User ID (Optional) 1. Display the “User and Patient ID” menu (a submenu of see page 8). 2. Press 3. Enter the User ID, then press 4. followed by , then press Press and “Insert Cuvette” screen.
ITC AVOXimeter 1000E Operator’s Manual Sample Collection and Preparation Sample Collection Collect freshly-drawn whole blood samples in a heparin- or EDTA-anticoagulated syringe. Do not use samples that contain excessive volumes of anticoagulant or are diluted with saline. Note: Refer to CLSI document H18-A3, entitled “Procedures for the Handling and Processing of Blood Specimens – Approved Guideline, Third Edition” for additional information on sample collection.
ITC AVOXimeter 1000E Operator’s Manual Running a Test 1. Enter the User ID and/or Patient ID, if desired (see page 27). 2. Verify that the instrument is ready to run a test and that the “READY” - “Insert Cuvette” screen is displayed: 3. Holding the cuvette by the finger grip on the black cap, insert the cuvette (with the syringe still attached) into the test chamber, as shown below. Important: Always keep the syringe attached when inserting the cuvette into the test chamber.
ITC AVOXimeter 1000E Operator’s Manual Using the Printer An optional printer can be connected by means of the serial port at the rear of the instrument (see page 10). Note: Contact your ITC representative to purchase the optional printer. Printing the Current Test Results 1. When the test results are displayed on the screen, press . Specifying Automatic Printing of Results The instrument can be configured so that results are automatically printed at the end of a test. , see page 8). 1.
ITC AVOXimeter 1000E Operator’s Manual Data Management Stored results can be reviewed, printed, and purged (if desired). Printing all Stored Data 1. (If needed) Turn on the printer. 2. Display the “Printer Mode” menu (a submenu of 3. followed by . All test records are printed, beginning with the latest Press test. The record number is displayed as each record is printed: 4. When printing is completed, the “Printer Mode” menu is again displayed. 5. Press , see page 8).
ITC AVOXimeter 1000E Operator’s Manual Reviewing and/or Printing the Last Sample 1. (If needed) Turn on the printer. 2. Display the “Stored Data” menu (a submenu of 3. Press 4. Press 5. Press to print the test record. 6. Press to return to the previous menu, if desired. followed by , see page 8). . The last test record is displayed: to view additional information, if desired. Locating, Reviewing, and/or Printing any Sample 32 1. (If needed) Turn on the printer. 2.
ITC AVOXimeter 1000E Operator’s Manual Aborting Printing of Results 1. Press while results are printing to discontinue printing of additional results. A confirmation prompt is displayed, indicating that all samples were not printed. 2. Press to return to the previous menu. Purging all Test Records 1. Display the “Stored Data” menu (a submenu of 2. Press followed by 3. Press to confirm. Note: , see page 8). .
ITC AVOXimeter 1000E Operator’s Manual Quality Control Good laboratory practice recommends that routine quality control testing should be part of a comprehensive quality assurance program. Quality control testing of the ITC AVOXimeter 1000E consists of the following operations: ● ● Daily optical quality control. Weekly testing of one level of liquid controls. In addition, the ITC AVOXimeter 1000E performs a “self-check” to verify that the light source is operating properly every time it is turned on.
ITC AVOXimeter 1000E Operator’s Manual Running Liquid Controls ITC recommends either of the following liquid controls. ● RNA CO-Oximeter controls, available from RNA Medical, Devens, MA., phone 978 7729070 or toll-free 800-533-6162. ● Multi-4™ CO-Oximeter controls, available from Instrumentation Laboratory, Inc., Lexington, MA., phone toll-free 800-955-9525. 1. Fill a test cuvette with a liquid control (see page 28). 2. Run a test (see page 29). 3.
ITC AVOXimeter 1000E Operator’s Manual Entering Liquid Control Lot Numbers Three lot numbers for each of three levels of liquid control can be entered into the instrument for later reference. Note: 36 Lot numbers of liquid controls can be manually tagged to each liquid QC test as it is run (see page 37). 1. Display the “Data Management” menu (a submenu of 2. Press 3. Select the level for which a lot number is to be added and press for selection of a lot number is displayed: 4.
ITC AVOXimeter 1000E Operator’s Manual Tagging a Liquid Control Test with a Lot Number The lot number of the control being tested can be included in the results for the test. Note: Lot numbers of liquid controls must be entered before they can be tagged to a liquid QC test (see page 36). 1. Insert a cuvette filled with liquid quality control material (see page 35). A prompt to confirm liquid QC is displayed: 2. Press to confirm.
ITC AVOXimeter 1000E Operator’s Manual Enabling QC Lockout If QC Lockout is enabled, the operator cannot run a test if optical quality control is not successfully run at the specified intervals. Note: 38 The User ID for the “QA User” must be entered in order to enable QC Lockout and specify the interval for running optical quality control. See page 21 for details. 1. Display the “Data Management” menu (a submenu of 2. Press 3. followed by .
ITC AVOXimeter 1000E Operator’s Manual Calibration The ITC AVOXimeter 1000E is factory-calibrated and employs highly stable state-of-the-art light sources. Cuvette Pathlength Accuracy of total hemoglobin measurements depends on using the correct cuvette pathlength (see page 1). The user must check the pathlength whenever using a different lot number of cuvettes. Note: The cuvette lot number and pathlength are included on the carton label and bag for each lot of cuvettes.
ITC AVOXimeter 1000E Operator’s Manual Shutdown 1. Press (see page 8). 2. Press followed by . The instrument will shut down. Or: 1. 40 Simultaneously press and . The instrument will shut down.
ITC AVOXimeter 1000E Operator’s Manual Hemodynamic Calculations The ITC AVOXimeter 1000E can calculate ten hemodynamic variables (such as body surface area, estimated oxygen consumption rate, and cardiac output using the Fick principle) from data that is entered by the operator or measured by the instrument.
ITC AVOXimeter 1000E Operator’s Manual 7. Check that the height is correctly displayed, then press for selecting the units for patent’s weight is displayed: 8. (for pounds) or (for kg), then press Select the patent’s weight is displayed: Note: 9. 42 to confirm. The screen . The screen for entering If a weight is already displayed, delete numerals from the right by once for each numeral to be deleted. pressing Enter the weight using the number keys, then press is displayed: .
ITC AVOXimeter 1000E Operator’s Manual Oxygen Uptake Rate The patient’s rate of oxygen consumption (oxygen uptake rate) is calculated from the patient’s age, height, weight, and sex (see page 41). Alternately, a measured value can be entered. , see page 8). 1. Display page 1 of the “Hemodynamics” menu (a submenu of 2. Press 3. once To enter a measured value, delete numerals from the right by pressing for each numeral to be deleted, then enter the measured value using the number keys. 4.
ITC AVOXimeter 1000E Operator’s Manual Body Surface Area The patient’s body surface area is calculated from the patient’s age, height, weight, and sex (see page 41). Alternately, a measured value can be entered. 44 , see page 8). 1. Display page 1 of the “Hemodynamics” menu (a submenu of 2. Press 3. once To enter a measured value, delete numerals from the right by pressing for each numeral to be deleted, then enter the measured value using the number keys. 4.
ITC AVOXimeter 1000E Operator’s Manual Saturation Step-Ups Saturation step-ups are the differences in oxyhemoglobin saturation (%Hb02) between adjacent anatomical sites. These values are used as an aid in diagnosing intracardiac and great vessel shunts. Important: In order to calculate saturation step-ups for a patient, the ITC AVOXimeter 1000E results for that patient must be labeled with the Patient ID (see page 27) and the anatomical site from which the sample was obtained (see page 23).
ITC AVOXimeter 1000E Operator’s Manual Flow Calculations Flow calculations are used to calculate cardiac output, pulmonary flow, and other blood flow values. Calculating Cardiac Output: , see page 8). 1. Display page 2 of the “Hemodynamics” menu (a submenu of 2. Press 3. followed by Press . The screen for entering oxygen uptake (if not already calculated), venous oxygen content, and arterial oxygen content is displayed: 4.
ITC AVOXimeter 1000E Operator’s Manual Calculating Pulmonary Flow: , see page 8). 1. Display page 2 of the “Hemodynamics” menu (a submenu of 2. Press 3. followed by Press . The screen for entering oxygen uptake, pulmonary venous oxygen content, and pulmonary arterial oxygen content is displayed: 4. Enter the oxygen uptake, pulmonary venous oxygen content, and pulmonary arterial oxygen content, using the number keys. After each value is entered, check to move the cursor to the next line.
ITC AVOXimeter 1000E Operator’s Manual . The screen for entering arterial and venous oxygen 4. followed by Press contents is displayed: 5. Enter the arterial oxygen uptake, mixed venous oxygen content, pulmonary venous oxygen content, and pulmonary arterial oxygen content, using the number keys. After each value is entered, check that the value is correct and press to move the cursor to the next line.
ITC AVOXimeter 1000E Operator’s Manual 5. If needed, enter the pulmonary flow and systemic flow, using the number keys. to After each value is entered, check that the value is correct and press move the cursor to the next line. Note: If pulmonary flow and systemic flow were already calculated, the values will be displayed. If an incorrect value is displayed, delete numerals from the right by once for each numeral to be deleted. pressing 6. After all values have been entered, press is displayed: 7.
ITC AVOXimeter 1000E Operator’s Manual 5. After all values have been entered, press index is displayed: 6. Press 7. Press to confirm. The calculated cardiac when done. The menu of flow calculations is again displayed. to return to the previous menu, if desired. Systemic and Pulmonary Resistances Cardiac output and blood pressure readings are used to calculate systemic resistance and pulmonary resistance. Calculating Systemic Resistance: , see page 8). 1.
ITC AVOXimeter 1000E Operator’s Manual Calculating Pulmonary Resistance: , see page 8). 1. Display page 2 of the “Hemodynamics” menu (a submenu of 2. Press 3. followed by Press . A screen for entering cardiac output (if not already calculated), pulmonary artery pressure, and left atrial pressure is displayed: 4. Enter the cardiac output, pulmonary artery pressure, and left atrial pressure, using the number keys.
ITC AVOXimeter 1000E Operator’s Manual Stroke Volume and Stroke Index Cardiac output and heart rate measurements are used to calculate the stroke volume (the volume of blood ejected from a ventricle at each beat of the heart). Stroke Index is the stroke volume normalized for body mass. Calculating Stroke Volume: , see page 8). 1. Display page 2 of the “Hemodynamics” menu (a submenu of 2. Press 3. followed by Press .
ITC AVOXimeter 1000E Operator’s Manual Calculating Stroke Index: , see page 8) 1. Display page 2 of the “Hemodynamics” menu (a submenu of 2. Press 3. followed by Press . A screen for stroke volume and body surface area (if not already calculated) is displayed: 4. If needed, enter the stroke volume and body surface area, using the number keys. to After each value is entered, check that the value is correct and press move the cursor to the next line. Note: followed by .
ITC AVOXimeter 1000E Operator’s Manual Printing Hemodynamic Values The values that were entered for each calculation and the calculated values can be printed. 54 1. (If needed) Turn on the printer. 2. Display page 2 of the “Hemodynamics” menu (a submenu of 3. Press 4. When printing is completed, page 2 of the “Hemodynamics” menu is again displayed. 5. Press followed by , see page 8). . A message is displayed while the values are printing: to return to the previous menu, if desired.
ITC AVOXimeter 1000E Operator’s Manual Troubleshooting Symptom Possible Cause Action Required The instrument does not turn on. 1. The AC Adapter is not connected to an AC outlet and/or the instrument, and the battery is discharged. 1. Connect the AC Adapter to an AC outlet and the ITC AVOXimeter 1000E. The instrument does not respond to keystrokes or cuvette insertion. 1. The microprocessor is locked up. and keys 1.
ITC AVOXimeter 1000E Operator’s Manual Symptom Possible Cause Action Required Measurements of %HbO2 are not accurate 1. The optical detector may be contaminated by blood or foreign material. 1. Run optical quality control. If needed, clean the optical detector (see page 59). 2. The instrument may require calibration. 2. Re-calibrate the instrument (see page 39). 1. The wrong cuvette pathlength is entered into the instrument. 1.
ITC AVOXimeter 1000E Operator’s Manual Symptom Possible Cause Action Required THb and/or %HbO2 readings for yellow or orange filter are out of range. 1. The optical detector may be contaminated by blood or foreign material. 1. Clean the optical detector (see page 59). 2. The instrument may require calibration. 2. Re-calibrate the instrument (see page 39). 1. Microprocessor error. 1. Press the and keys simultaneously to turn the instrument off, then turn the instrument back on.
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ITC AVOXimeter 1000E Operator’s Manual 5 Maintenance Periodic maintenance procedures must be performed on the ITC AVOXimeter 1000E in order to assure consistent efficient performance or to repair/replace user-serviceable components. Inspect and clean the exterior of the instrument as required. Remove residual dried blood or other foreign matter using a water-dampened cloth. Only qualified personnel should perform maintenance as described in this manual.
ITC AVOXimeter 1000E Operator’s Manual 6. Tilt the upper cover backward to fully expose the main circuit board and small circuit board on the lower part of the instrument. 7. Locate the flat keypad cable that runs from the keypad to the main circuit board. Disconnect the cable from the Keyboard (J101) connector on the main circuit board. Keypad Cable 8. Locate the flat LCD cable that runs from the LCD to the main circuit board.
ITC AVOXimeter 1000E Operator’s Manual 13. Using the 1/4" nutdriver, remove the four screws and four nuts that secure the two halves of the black optical unit. Take care when separating the two halves of the optical unit. Do not lose the small torsion spring or the shutter door. Set them aside in a safe place for reassembly. Black Optical Unit 14. Clean the exposed detector with gauze pads dampened with detergent. Do not use abrasives. Then dry off the detector surface, making sure that it is clean.
ITC AVOXimeter 1000E Operator’s Manual 16. Place the optical unit back on the front panel. Using the 5mm nutdriver, secure the black optical unit to the front panel with the four nuts (and washers, if applicable). Optical Unit 17. Position the upper cover (containing the black optical unit) in an upright position over the lower part of the instrument, with the keypad to the right. 18. Connect the coaxial cable from the optical unit to the J1XX connector on the small circuit board. 19.
ITC AVOXimeter 1000E Operator’s Manual Replacing the Battery Materials Needed: 1. # 0 Phillips screwdriver 2. Diagonal cutting pliers 3. Replacement battery with cable (E4-BATP) 4. Securing cording (packaged with replacement battery) 1. Steps 1 through 11 of the Cleaning the Optical Detector procedure on page 59 Must be performed before moving to step 2 of “Replacing the Battery”, below. The battery is housed in the lower cover. Note: 2.
ITC AVOXimeter 1000E Operator’s Manual 5. Secure the new battery in the battery well, using the new white plastic ties. Note: When securing the battery to the battery well, be sure that the plastic ties are routed underneath the battery well. Cut the excess length from the plastic ties using the diagonal cutting pliers. 6. Thread the blue and white battery cable of the new battery under the main circuit board. 7.
ITC AVOXimeter 1000E Operator’s Manual 6 Quality Control Logs Quality control logs for the yellow and orange filters and liquid control levels 1, 2, and 3 are shown on the following pages.
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ITC AVOXimeter 1000E Operator’s Manual 7 Warranty Certification, Warranty and Service Warranty, and Service ITC, declares to the original purchaser that each instrument manufactured and sold by ITC, or sold by an authorized ITC dealer, shall be free from defects in material and workmanship and, under normal and proper use conditions, warrants it for a period of one year from installation and no more than 13 months from the shipping date, except as otherwise provided in writing.
ITC AVOXimeter 1000E Operator’s Manual THIS WARRANTY IS GIVEN EXPRESSLY AND IN LIEU OF ALL OTHER WARRANTIES, EXPRESS OR IMPLIED. PURCHASER AGREES THAT THERE IS NO WARRANTY OR MERCHANTABILITY AND THAT THERE ARE NO OTHER REMEDIES OR WARRANTIES, EXPRESS OR IMPLIED, WHICH EXTEND BEYOND THE CONTENTS OF THIS AGREEMENT. No agent or employee of ITC is authorized to extend any other warranty or to assume for ITC any liability except as above set forth.
ITC AVOXimeter 1000E Operator’s Manual 8 Safety Standards The ITC AVOXimeter 1000E instrument complies with the following safety standard requirements and directives: CSA C22.2. 601.1.
ITC AVOXimeter 1000E Operator’s Manual Guidance and Manufacturer’s Declaration – Electromagnetic Emissions The ITC AVOXimeter 1000E is intended for use in the electromagnetic environment specified below. The customer or the user of the ITC AVOXimeter 1000E should assure that it is used in such an environment.
ITC AVOXimeter 1000E Operator’s Manual Guidance and Manufacturer’s Declaration – Electromagnetic Immunity The ITC AVOXimeter 1000E is intended for use in the electromagnetic environment specified below. The customer or the user of the ITC AVOXimeter System should assure that it is used in such an environment.
ITC AVOXimeter 1000E Operator’s Manual Index backlighting...................................................... 15 batteries charging ....................................................... 14 checking ....................................................... 14 calculations .............................................. 1, 2, 41 calibration .................................................. 12, 39 changing date and time ............................................... 16 units for total hemoglobin...........
ITC AVOXimeter Operator’s Manual deleting......................................................... 19 entering ........................................................ 27 printing list .................................................... 20 74 requiring ....................................................... 18 warnings ............................................................ 5 warranty...........................................................
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